護理師照護一位術後置放胸管的病人。下列哪項發現需要立即介入處理？
A nurse is caring for a postoperative client who has a chest tube. Which finding requires immediate intervention?
- AFluctuation of the fluid level in the water seal chamber水封瓶內液面隨呼吸波動
- BSmall amount of subcutaneous emphysema around the insertion site插管周圍有少量皮下氣腫
- CPresence of sanguineous drainage in the collection chamber收集瓶內有血性引流液
- DContinuous bubbling in the water seal chamber✓ 正解水封瓶內持續冒泡
胸管水封瓶（Water seal）內持續性氣泡（Continuous bubbling）通常代表系統出現漏氣（air leak），空氣持續進入胸膜腔，可能影響肺部復張，需立即排查漏氣源頭。波動（fluctuation）是正常呼吸運動表現；血性引流（sanguineous drainage）術後初期常見；少量皮下氣腫通常無礙但需監測。
Continuous bubbling in the water-seal chamber typically indicates an air leak, with air continuously entering the pleural space, which may impair lung re-expansion and requires immediate investigation of the leak source. Tidaling (fluctuation) is normal respiratory movement; sanguineous drainage is common in the early postoperative period; small subcutaneous emphysema usually requires monitoring rather than immediate intervention.
美國護理師常需自行嘗試排除漏氣（如檢查接頭），台灣護理師通常優先通知醫師進行系統更換或重新確認。