護理師照護一位甲狀腺切除術後 4 小時的病人，下列哪項發現需優先回報醫師？
A nurse is caring for a client who is 4 hours postoperative following a thyroidectomy. Which finding is the highest priority to report to the surgeon?
- APain at the incision site切口處疼痛
- BNoisy, high-pitched respirations✓ 正解嘈雜、高音調的呼吸聲
- CSerosanguinous drainage on the dressing敷料上有漿液血性滲出物
- DMild hoarseness when speaking說話時輕微的沙啞
甲狀腺手術後最致命的併發症為氣管壓迫。高頻呼吸音（stridor）代表喉頭水腫或血腫壓迫氣道，隨時可能導致呼吸道阻塞，必須立即介入。聲嘶可能是術中傷及喉返神經，雖需監測但非立即生命威脅；輕微滲液與術後疼痛皆為預期內反應。
The most life-threatening complication after thyroid surgery is tracheal compression. High-pitched respirations (stridor) indicate laryngeal edema or hematoma compressing the airway and may progress to airway obstruction at any moment, requiring immediate intervention. Hoarseness may result from intraoperative injury to the recurrent laryngeal nerve and warrants monitoring, but it is not an immediate threat to life. Mild drainage and incisional pain are within expected postoperative findings.
美台臨床皆視 stridor 為急症。美國專科護理師或麻醉科醫師會緊急插管，台灣亦採相同緊急氣道處理標準。