— 生理適應 · MEDIUM · MCQ —
一位急性胰臟炎病人最可能發生下列哪種系統性併發症?
A client with acute pancreatitis is at the highest risk for developing which systemic complication?
- AHypovolemic shock✓ 正解低血容量性休克
- BRenal calculi腎結石
- CType 1 Diabetes Mellitus第一型糖尿病
- DChronic hypertension慢性高血壓
— Explanation · 中文詳解 —
急性胰臟炎會造成大量血管內液體移往後腹腔(第三空間),導致血管內容積銳減與低血容性休克。此為急性期最致命的併發症,需優先監控尿量、血壓與心跳變化以維持足夠組織灌流。其他選項如糖尿病多為慢性後遺症,腎結石與高血壓非直接併發症。
Acute pancreatitis causes large shifts of intravascular fluid into the retroperitoneal space (third spacing), leading to a sharp decrease in intravascular volume and hypovolemic shock. This is the most lethal complication of the acute phase and requires priority monitoring of urine output, blood pressure, and heart rate to maintain adequate tissue perfusion. The other options, such as diabetes, are mostly chronic sequelae; renal calculi and hypertension are not direct complications.
✦ 台美臨床差異
美台臨床皆重視胰臟炎病人的液體復甦與生命徵象監測,緊急照護策略高度一致。