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生理適應 · MEDIUM · MCQ

一位裝有胸管的個案,其水封瓶(water seal chamber)出現持續性氣泡。這代表什麼?

A client with a chest tube has continuous bubbling in the water seal chamber. What does this indicate?

  • AIncreased intrathoracic pressure
    胸腔內壓增加
  • BNormal lung re-expansion
    肺部正常復張
  • CA leak in the chest tube system✓ 正解
    胸管系統有洩漏
  • DThe lung is fully healed
    肺部已完全癒合
Explanation · 中文詳解

胸管系統的水封瓶(Water Seal Chamber)是用來排出胸腔內的空氣與液體,同時防止空氣倒流回胸腔。正常情況下,水封瓶應隨呼吸波動(Tidaling)。若出現持續性氣泡(Continuous Bubbling),代表空氣正持續從外部進入系統或從傷口大量湧出,顯示系統密封性受損(Air Leak),必須立即檢查系統連接處。

The water seal chamber of the chest tube system serves to allow air and fluid to drain out of the pleural space while preventing air from flowing back into the chest. Under normal conditions, the water seal chamber should show fluctuation (tidaling) with respiration. Continuous bubbling indicates that air is entering the system from outside or escaping in large amounts from the wound, signaling a loss of system integrity (air leak), and the connections must be inspected immediately.

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