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安全與感染控制 · HARD · SATA

下列哪些病人為「乳膠過敏」的高風險群?(選所有適合的)

Which client is at risk for a latex allergy? (Select all that apply.)

  • AClient with spina bifida✓ 正解
    患有脊柱裂的病人
  • BClient with multiple surgeries in childhood✓ 正解
    童年時期接受多次手術的病人
  • CClient who is a healthcare worker✓ 正解
    醫療從業人員病人
  • DClient with food allergies to bananas and avocados✓ 正解
    對香蕉和酪梨有食物過敏的病人
  • EClient with seasonal allergies
    患有季節性過敏的病人
Explanation · 中文詳解

乳膠過敏(Latex allergy)的高風險群主要源於長期反覆暴露於乳膠製品。醫療人員頻繁接觸手套,脊柱裂(Spina bifida)患者因先天疾病需多次接受手術與侵入性治療,以及有多次手術史的兒童,皆因長期接觸而導致致敏化。此外,乳膠蛋白質結構與某些水果(如香蕉、酪梨、奇異果)相似,會引發「乳膠-水果症候群(Latex-fruit syndrome)」,產生交叉過敏反應。臨床上,辨識這些高風險群能提早採取預防措施,如使用無乳膠手套,預防過敏性休克發生。

High-risk groups for latex allergy are primarily those with long-term, repeated exposure to latex products. Healthcare workers frequently use latex gloves; clients with spina bifida require multiple surgeries and invasive procedures because of their congenital condition; and children with multiple surgeries become sensitized through repeated exposure. In addition, latex proteins share structural similarities with certain fruits (such as banana, avocado, and kiwi), leading to 'latex-fruit syndrome' and cross-reactive allergy. Clinically, identifying these high-risk groups allows early preventive measures—such as using latex-free gloves—to prevent anaphylactic shock.

✦ 台美臨床差異

美國醫院全面推行「Latex-free」環境,若病史顯示乳膠過敏,護理師需確認所有醫材(包括止血帶、點滴管、手套)皆為無乳膠材質。台灣醫院雖也重視,但部分基層醫療單位仍可能使用含乳膠醫材,赴美執業需更嚴格執行標籤確認與環境控制。

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