— 生理適應 · MEDIUM · MCQ —
一位病人放置胸管連接封閉式引流系統，哪項發現需要立即護理介入？
A client has a chest tube connected to a closed-chest drainage system. Which finding requires immediate nursing action?
- ASmall amount of dark red drainage少量暗紅色引流液
- BGentle bubbling in the suction control chamber抽吸控制室中有輕微氣泡
- COscillation of fluid in the water seal chamber水封室中液體隨呼吸波動
- DContinuous bubbling in the water seal chamber✓ 正解水封室中有持續氣泡
— Explanation · 中文詳解 —
水封瓶持續性氣泡（Continuous bubbling）表示系統中有空氣滲漏，這是不正常的。水封瓶應呈現波動（Oscillation），隨呼吸起伏。血性引流若量少屬正常，抽吸室的輕微氣泡則為正常運作現象。
Continuous bubbling in the water seal chamber indicates an air leak in the system, which is abnormal. The water seal chamber should show oscillation (tidaling) that fluctuates with respirations. A small amount of bloody drainage is normal, and gentle bubbling in the suction control chamber represents normal functioning.
✦ 台美臨床差異
臨床操作無異，皆強調水封瓶冒泡的判別與管路密閉性維護。