— 生理適應 · HARD · MCQ —
一位頭部外傷病人出現庫欣氏三徵象 (Cushing’s triad)，下列何者包含在此症候群中？
A client with a head injury displays a Cushing’s triad. Which finding is included in this clinical syndrome?
- AHypothermia低體溫
- BIrregular respirations✓ 正解呼吸不規則
- CTachycardia心搏過速
- DHypotension低血壓
— Explanation · 中文詳解 —
庫欣氏三徵象是腦壓升高的危險臨床指標，包括：高血壓（脈壓變寬）、心跳過慢（Bradycardia）以及呼吸型態不規則（Irregular respirations）。這代表腦幹受壓迫，隨時有生命危險。
Cushing's triad is a dangerous clinical indicator of increased intracranial pressure and includes hypertension (with widened pulse pressure), bradycardia, and irregular respirations. It signifies brainstem compression and an imminent threat to life.
✦ 台美臨床差異
美台臨床皆視庫欣氏三徵象為腦壓急劇升高的致命徵兆，護理師需立即執行降腦壓處置並通知醫師。