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生理適應 · HARD · SATA

下列哪些徵象代表顱內壓(ICP)升高?(選所有適合的)

Which of the following signs are indicative of increased intracranial pressure (ICP)? (Select all that apply.)

  • ABradycardia✓ 正解
    心搏過緩
  • BHypertension with widening pulse pressure✓ 正解
    伴有脈壓差增寬的高血壓
  • CIrregular respirations✓ 正解
    呼吸不規則
  • DHypotension
    低血壓
  • ETachycardia
    心搏過速
Explanation · 中文詳解

庫欣氏三徵候(Cushing's triad)是顱內壓升高的典型臨床表現,包含:心跳過慢(Bradycardia)、高血壓伴隨脈壓差變大(Hypertension with widening pulse pressure)以及不規則呼吸(Irregular respirations)。心跳過速與低血壓通常與休克有關,而非顱內壓升高。

Cushing's triad is the classic clinical presentation of increased intracranial pressure and includes: bradycardia, hypertension with widening pulse pressure, and irregular respirations. Tachycardia and hypotension are usually associated with shock rather than increased intracranial pressure.

✦ 台美臨床差異

兩地均視 Cushing's triad 為危急指標,必須立即向神經外科醫師報告。

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