一位急性胰臟炎病人主訴上腹痛轉移至背部。護理師首要評估的臨床指標為何？
A client with acute pancreatitis reports severe epigastric pain radiating to the back. Which clinical finding is the highest priority for the nurse to assess?
- ASerum calcium levels血清鈣離子濃度
- BBowel sounds腸鳴音
- CUrine output尿液輸出量
- DOxygen saturation✓ 正解血氧飽和度
急性胰臟炎（Acute Pancreatitis）因胰臟釋放大量發炎介質與酵素，極易引發全身性發炎反應症候群（SIRS）甚至急性呼吸窘迫症候群（ARDS）。根據 ABC（Airway, Breathing, Circulation）原則，呼吸功能是優先評估指標。低血氧是早期併發症且可能迅速惡化導致呼吸衰竭，因此氧氣飽和度（SpO2）監測最為關鍵。其他選項雖然重要，但皆屬於代謝或消化系統的後續評估範疇，優先順序低於立即的生命徵象穩定。
Acute pancreatitis releases large amounts of inflammatory mediators and enzymes from the pancreas and can readily trigger systemic inflammatory response syndrome (SIRS) and even acute respiratory distress syndrome (ARDS). According to the ABC (airway, breathing, circulation) principle, respiratory function is the priority assessment. Hypoxemia is an early complication and can rapidly progress to respiratory failure, so oxygen saturation (SpO2) monitoring is most critical. The other options, although important, fall within metabolic or gastrointestinal follow-up assessments and rank below the immediate stabilization of vital signs.