— 生理適應 · MEDIUM · MCQ —
胸管引流系統出現何種徵象代表系統可能有漏氣？
Which assessment finding in a client with a chest tube indicates a potential air leak in the drainage system?
- AContinuous bubbling in the water seal chamber✓ 正解水封室持續冒泡
- BGentle bubbling in the suction control chamber抽吸控制室輕微冒泡
- CAbsence of drainage in the collection chamber收集室無引流物
- DFluctuation of fluid in the water seal tube水封管內液面隨呼吸波動
— Explanation · 中文詳解 —
水封瓶室（Water seal chamber）內的持續性氣泡（Continuous bubbling）通常代表系統存在漏氣。正常情況下，應只有在病人深呼吸或咳嗽時出現短暫氣泡（間歇性氣泡）。若持續冒泡，護理師需從管路連接端依序檢查確認氣泡來源。
Continuous bubbling in the water seal chamber indicates an air leak within the chest tube system or at the insertion site. This differs from intermittent bubbling, which is normal during expiration or coughing, and requires the nurse to check connections for leaks.
✦ 台美臨床差異
台灣醫院多採用濕式胸管引流，美國近年廣泛使用乾式胸管，但原理一致。