— 生理適應 · MEDIUM · MCQ —
頸椎損傷的病患，哪項評估發現最令人擔憂？
Which assessment finding in a client with a cervical spine injury is most concerning?
- AInability to move toes無法移動腳趾
- BRespiratory distress✓ 正解呼吸困難
- CBradycardia心搏過緩
- DNumbness in fingers手指麻木
— Explanation · 中文詳解 —
頸椎損傷（特別是 C3-C5）會導致橫膈膜受損，引發呼吸衰竭。呼吸窘迫是直接威脅生命的徵象，必須優先處理。D 與 A 是神經受損的表現，需緊急處理但不如呼吸問題致命。D 為神經性休克現象，同樣需要處理但呼吸問題具最高優先級。
Cervical spine injury (particularly at the C3-C5 level) can impair diaphragmatic function and result in respiratory failure. Respiratory distress is a directly life-threatening finding and must be addressed first. Options D and A represent neurological deficits that require urgent attention but are not as immediately lethal as respiratory compromise. Option C reflects neurogenic shock, which also requires treatment, but the respiratory problem takes the highest priority.
✦ 台美臨床差異
美台對頸椎損傷的 ABC 原則處置皆一致，皆強調氣道管理為第一要務。