— 生理適應 · MEDIUM · MCQ —
甲狀腺切除術後，下列哪項發現暗示病人出現潛在併發症？
Which assessment finding indicates a potential complication for a client after a thyroidectomy?
- ADrainage on the dressing敷料上有引流液
- BHoarseness of voice聲音嘶啞
- CPositive Trousseau's sign✓ 正解Trousseau 徵象陽性
- DNeck discomfort when swallowing吞嚥時頸部不適
— Explanation · 中文詳解 —
甲狀腺手術可能誤傷副甲狀腺，導致低血鈣，出現 Trousseau's sign 或 Chvostek's sign。低血鈣會引發喉頭痙攣導致呼吸道阻塞，需即刻處理，Hoarseness 可能是喉返神經輕微腫脹，較不緊急。
Thyroid surgery may inadvertently injure the parathyroid glands, leading to hypocalcemia, which may manifest as Trousseau's sign or Chvostek's sign. Hypocalcemia can cause laryngospasm leading to airway obstruction and requires immediate management. Hoarseness may be due to mild edema of the recurrent laryngeal nerve and is less urgent.
✦ 台美臨床差異
台美護理師皆需重點監測術後低血鈣跡象，但美國護理師對 Chvostek/Trousseau 徵象的評估頻率往往更高。