— 生理適應 · EASY · MCQ —
一位急性胰臟炎病人正在接受靜脈輸液復甦。下列哪項評估結果顯示對治療有正向反應？
A client with acute pancreatitis is receiving IV fluid resuscitation. Which assessment finding indicates a positive response to the therapy?
- APresence of Grey Turner’s sign出現 Grey Turner 徵象
- BUrine output of 40 mL/hour✓ 正解每小時 40 mL 的尿量
- CHeart rate of 115 beats per minute每分鐘 115 次的心率
- DSerum amylase level increasing血清澱粉酶濃度上升
— Explanation · 中文詳解 —
急性胰臟炎病人常因嚴重發炎反應導致微血管通透性增加，引起「第三空間」（third-spacing）體液流失，進而導致低血容積休克。監測尿量（Urine output）是評估腎臟灌流與組織液壓恢復最敏感的指標。正常尿量應維持在 >0.5-1 mL/kg/hr（或至少 30 mL/hr），尿量回升代表復甦治療有效。
Acute pancreatitis causes increased capillary permeability and third-spacing, leading to hypovolemic shock. Urine output is the most sensitive indicator of renal perfusion and adequate fluid resuscitation. Normal output should be >0.5–1 mL/kg/hr (at least 30 mL/hr); a rise in output indicates effective resuscitation.