一位急性胰臟炎病人出現嚴重腹痛及 Trousseau 徵象陽性。護理師預期檢查結果為何？

Trousseau 徵象（測量血壓時出現手部抽搐）是低血鈣的典型臨床特徵。急性胰臟炎常因脂肪壞死，脂肪酸與鈣離子結合形成皂化反應，導致血鈣降低。此徵象對偵測早期低血鈣極具靈敏度，須密切評估神經肌肉激越性。

Trousseau's sign (carpal spasm elicited during blood pressure measurement) is a classic clinical feature of hypocalcemia. In acute pancreatitis, fat necrosis often occurs, and fatty acids bind with calcium ions to form a saponification reaction, leading to decreased serum calcium. This sign is highly sensitive for detecting early hypocalcemia, and neuromuscular irritability must be closely assessed.

美國護理師常需依據檢查數據主動判斷電解質補充需求；台灣則嚴格執行醫囑給藥，護理師較少在未諮詢醫師下調整補鈣速度。