甲狀腺切除術後,護理師應監測哪些可能出現的併發症跡象?(選所有適合的)
Which assessment findings should alert the nurse to potential complications in a client following a thyroidectomy? (Select all that apply.)
- APositive Chvostek’s sign✓ 正解Chvostek 徵象陽性
- BHoarseness when speaking✓ 正解說話時聲音嘶啞
- CNeck swelling or increased tightness✓ 正解頸部腫脹或緊繃感增加
- DTachycardia and restlessness✓ 正解心搏過速與煩躁不安
- EHypotension and bradycardia低血壓與心搏過緩
甲狀腺術後需嚴密監控:A 因副甲狀腺誤傷致低血鈣;B 因喉返神經受損;C 為術後出血導致氣管壓迫跡象(緊急情況);D 可能暗示甲狀腺風暴或出血引起的代償反應。E 與甲狀腺術後併發症不符,通常表現為甲狀腺風暴(心搏過速)。
After thyroidectomy, close monitoring is required: A may reflect hypocalcemia caused by inadvertent injury to the parathyroid glands; B may indicate damage to the recurrent laryngeal nerve; C is a sign of postoperative bleeding causing tracheal compression (an emergency); and D may suggest thyroid storm or a compensatory response to bleeding. E is not consistent with typical thyroidectomy complications, which more often present with tachycardia (as in thyroid storm).
台灣術後護理常規包含由護理師主動進行 Chvostek 與 Trousseau 徵象評估,美國亦同,但重視氣道緊急介入的流程訓練。