— 降低風險 · HARD · MCQ —
護理師照護一位甲狀腺切除術後的病人，術後 24 小時內最需要監測的併發症為何？
A nurse is caring for a client who is post-operative following a thyroidectomy. Which complication is the nurse's priority to monitor for during the first 24 hours?
- AHemorrhage出血
- BRespiratory distress from laryngeal edema✓ 正解喉頭水腫引起的呼吸困難
- CThyroid storm甲狀腺風暴
- DHypocalcemia低血鈣
— Explanation · 中文詳解 —
甲狀腺手術後，最致命的併發症為喉頭水腫（Laryngeal edema）或出血造成的氣道壓迫。術後早期（前 24 小時）優先確保氣道通暢（ABC），若出現呼吸窘迫需立即準備插管。Hypocalcemia 是常見併發症但通常發生於術後 24-48 小時後。
After thyroid surgery, the most lethal complications are laryngeal edema or hemorrhage causing airway compression. In the early post-operative period (the first 24 hours), priority must be given to maintaining a patent airway (ABCs); if respiratory distress develops, the nurse must immediately prepare for intubation. Hypocalcemia is a common complication but typically occurs 24-48 hours after surgery.
✦ 台美臨床差異
台美醫療團隊皆極為重視術後頸部敷料與呼吸監測，確保隨時有氣切包在床邊以防萬一。