— 生理適應 · HARD · MCQ —
胸管系統中，哪項評估發現暗示可能有漏氣問題？
Which assessment finding in a client with a chest tube indicates a potential air leak in the system?
- AAbsence of bubbling in the suction control chamber抽吸控制腔室中無氣泡產生
- BFluctuation of fluid in the water seal chamber水封腔室中液體波動
- CSubcutaneous emphysema at the insertion site插入部位出現皮下氣腫
- DContinuous bubbling in the water seal chamber✓ 正解水封腔室中持續產生氣泡
— Explanation · 中文詳解 —
水封瓶內的「持續性」氣泡表示系統內有空氣連續進入，這代表胸腔內或連接處有漏氣；正常情況下應只有吸氣或咳嗽時出現間歇性氣泡。Subcutaneous emphysema 雖可見於漏氣，但水封瓶氣泡是確認系統漏氣的直接證據。
Continuous bubbling in the water seal chamber indicates that air is continuously entering the system, signaling an air leak within the pleural space or at a connection. Normally, intermittent bubbling should occur only during inspiration or coughing. Subcutaneous emphysema may also be seen with air leaks, but bubbling in the water seal chamber is direct evidence of a system leak.
✦ 台美臨床差異
台灣胸腔外科病房對於胸管護理的標準作業流程已與國際接軌，強調密閉系統維護。