— 生理適應 · EASY · MCQ —
一位腹部手術後的病患在恢復室。下列哪項發現暗示有術後併發症？
A client is in the recovery room after abdominal surgery. Which finding indicates the client is having a post-operative complication?
- AAbsence of bowel sounds腸鳴音消失
- BDrowsiness from anesthesia麻醉引起的嗜睡
- CRigid, board-like abdomen✓ 正解腹部僵硬如木板
- DHypoactive bowel sounds腸鳴音減弱
— Explanation · 中文詳解 —
術後腸音暫時消失或減弱 (A, D) 是麻醉與腹部手術後的預期現象。然而，出現僵硬如木板的腹部 (Rigid, board-like abdomen) 是腹膜炎或術後嚴重出血的徵兆，屬於危險的併發症。D 是麻醉藥後的正常反應。
While absent or hypoactive bowel sounds and drowsiness are expected findings following abdominal surgery and anesthesia, a rigid, board-like abdomen is a critical sign of peritonitis or severe hemorrhage. This specific finding indicates a serious post-operative complication requiring immediate medical intervention.
✦ 台美臨床差異
美台護理師對術後腹部評估的重點一致，皆強調區分正常術後現象與緊急併發症。