— 照護管理 · HARD · MCQ —
一位甲狀腺切除術後 4 小時的病人，護理師應立即向醫師報告哪項評估發現？
Which assessment finding should the nurse report immediately to the provider for a client who is 4 hours postoperative following a thyroidectomy?
- ALaryngeal stridor✓ 正解喉鳴音
- BMinimal serosanguinous drainage on the dressing敷料上有少量漿液血性滲出液
- CNausea and mild pain噁心與輕微疼痛
- DOccasional hoarseness when speaking說話時偶爾聲音沙啞
— Explanation · 中文詳解 —
甲狀腺切除術（Thyroidectomy）後，最危險的併發症是呼吸道阻塞。喉鳴音（Laryngeal stridor）是氣管嚴重阻塞的臨床表徵，可能源於術後出血造成的血腫壓迫、組織水腫或雙側喉返神經（Recurrent laryngeal nerve）損傷。此為致命性緊急狀況，需立即採取行動以維持呼吸道通暢，必要時需準備緊急氣管切開術。
The most dangerous complication after thyroidectomy is airway obstruction. Laryngeal stridor is a clinical manifestation of severe tracheal compromise and can result from postoperative bleeding with hematoma compression, tissue edema, or bilateral recurrent laryngeal nerve injury. This is a life-threatening emergency requiring immediate action to maintain airway patency, and preparations for emergency tracheostomy may be needed.