— 生理適應 · MEDIUM · MCQ —
一位甲狀腺切除術後的病人。下列哪項徵象最能顯示不慎切除了副甲狀腺？
A nurse is monitoring a client post-thyroidectomy. Which sign is most indicative of accidental parathyroid gland removal?
- AIncreased blood pressure血壓升高
- BTingling in fingers and around the mouth✓ 正解手指及口周麻木刺痛
- CHoarseness of voice聲音沙啞
- DDifficulty swallowing吞嚥困難
— Explanation · 中文詳解 —
副甲狀腺負責調節鈣離子代謝，手術中若不慎移除，會導致急性低血鈣。臨床表現包括口周圍或指尖麻木感（Paresthesia）、陽性 Trousseau's 徵象與 Chvostek's 徵象。聲音沙啞（C）通常與喉返神經損傷有關，而非副甲狀腺缺失。
The parathyroid glands are responsible for regulating calcium metabolism. If they are inadvertently removed during surgery, acute hypocalcemia will result. Clinical manifestations include perioral or fingertip paresthesia, positive Trousseau's sign, and positive Chvostek's sign. Hoarseness (C) is usually related to recurrent laryngeal nerve injury rather than absence of the parathyroid glands.
✦ 台美臨床差異
台美護理師在術後照護時皆會頻繁監測鈣離子相關症狀，這是甲狀腺術後的標準評估流程。