— 生理適應 · MEDIUM · SATA —
一位急性胰臟炎病人禁食（NPO）。該護理措施的原理為何？（選所有適合的）
A client with acute pancreatitis is NPO. What are the rationales for this nursing intervention? (Select all that apply.)
- ATo rest the pancreas by decreasing enzymatic secretion✓ 正解透過減少酵素分泌來讓胰臟休息
- BTo prevent the stimulation of cholecystokinin release✓ 正解防止膽囊收縮素（cholecystokinin）釋放
- CTo allow for immediate surgical intervention以便進行立即的外科手術介入
- DTo avoid gastric acid production that stimulates pancreatic function✓ 正解避免刺激胰臟功能的胃酸產生
- ETo promote weight loss促進體重減輕
— Explanation · 中文詳解 —
急性胰臟炎的核心治療目標是讓胰臟休息（Pancreatic rest），減少胰臟酵素的分泌。當食物進入十二指腸時，會刺激膽囊收縮素（CCK）與促胰液素（Secretin）釋放，進而刺激胰臟分泌消化酶。若胰臟發炎時仍持續分泌，這些酵素會在胰臟組織內被活化，造成自我消化（Autodigestion）與組織壞死，加重病情。
The core treatment goal in acute pancreatitis is pancreatic rest, reducing the secretion of pancreatic enzymes. When food enters the duodenum, it stimulates the release of cholecystokinin (CCK) and secretin, which in turn stimulate the pancreas to secrete digestive enzymes. If the inflamed pancreas continues to secrete, these enzymes are activated within the pancreatic tissue itself, causing autodigestion and tissue necrosis and worsening the disease.