— 生理適應 · EASY · MCQ —
一位急性胰臟炎的病人,最容易併發下列哪種症狀?
A client with acute pancreatitis is at high risk for which of the following complications?
- AHypertension高血壓
- BHyperkalemia高血鉀
- CHypovolemic shock✓ 正解低血容積性休克
- DMetabolic alkalosis代謝性鹼中毒
— Explanation · 中文詳解 —
急性胰臟炎導致發炎反應,血管通透性增加,大量液體滲出至第三間隙(腹腔與後腹腔),導致體內有效循環血量驟降,產生低血容積性休克(Hypovolemic shock)。這也是急性胰臟炎最常見且威脅生命的併發症。護理師必須密切監測病人的尿量、心跳速率、血壓與意識狀態,並積極進行靜脈補液,維持足夠的器官灌流。
Acute pancreatitis triggers a systemic inflammatory response that increases capillary permeability, causing massive fluid shifts into the third space (peritoneal and retroperitoneal cavities). This rapid loss of effective circulating blood volume places the client at high risk for hypovolemic shock, making it the most common and life-threatening complication.