胸管引流病人出現下列哪項臨床發現時，應立即通報醫師？
Which of the following clinical findings in a client with a chest tube should be reported to the provider immediately?
- AThe chest tube is disconnected from the drainage system✓ 正解胸腔引流管與引流系統脫離
- B100 mL of dark red drainage in the collection chamber收集瓶中有 100 mL 暗紅色引流液
- CContinuous bubbling in the water-seal chamber水封瓶內持續冒泡
- DFluctuation of fluid in the water-seal chamber with respirations水封瓶內液面隨呼吸波動
胸管脫離系統屬於緊急情況，因為這會導致大氣空氣直接進入胸膜腔，導致氣胸或張力性氣胸。A（水封瓶持續冒泡）雖需評估漏氣，但較不危急；B（潮動）是正常呼吸表現；C（100mL 血性引流）需持續監測，若短時間大量出血才需立即回報。
Disconnection of the chest tube from the drainage system is an emergency because atmospheric air may enter the pleural space directly, leading to pneumothorax or tension pneumothorax. Option C (continuous bubbling in the water seal chamber) suggests an air leak and warrants evaluation but is not as urgent as a disconnection; option D (tidaling) reflects normal respiration; option B (100 mL of dark red drainage) requires ongoing monitoring, although a large volume over a short time would warrant immediate notification.
台美臨床對於胸管脫離的處置原則一致（封閉傷口），但美國護理師常有權限直接使用無菌敷料進行閉合與處理，台灣則強烈要求立即呼叫醫療人員。