— 生理適應 · MEDIUM · SATA —
護理師照顧胸管引流之病人。哪些發現顯示引流系統運作正常？（選所有適合的）
A nurse is caring for a client with a chest tube. Which findings indicate the system is working properly? (Select all that apply.)
- AFluctuation of water in the water-seal chamber with respiration✓ 正解水封瓶內液面隨呼吸波動
- BConstant bubbling in the water-seal chamber水封瓶內持續冒泡
- CGentle bubbling in the suction control chamber✓ 正解抽吸控制瓶內輕微冒泡
- DChest tube drainage in the collection chamber✓ 正解收集瓶內有胸管引流液
- ENo fluctuation in the water-seal chamber during inspiration吸氣時水封瓶內無波動
— Explanation · 中文詳解 —
胸管水封瓶隨呼吸波動 (Tidaling) 表示胸腔內壓力變化正常，連通性良好。抽吸控制瓶有輕微氣泡表示抽吸功能啟動，引流瓶有液體累積為正常術後現象。持續氣泡 (Constant bubbling) 若在水封瓶出現，則暗示系統有氣漏 (Air leak)；若水封瓶完全無波動，可能管路阻塞或肺部已完全擴張，需進一步評估。
Proper functioning of a chest tube system is indicated by fluctuation of water in the water-seal chamber with respiration, gentle bubbling in the suction control chamber, and drainage in the collection chamber. Constant bubbling in the water-seal chamber suggests an air leak, while lack of fluctuation may indicate obstruction or full lung re-expansion.
✦ 台美臨床差異
台灣臨床常見胸管護理多由專科護理師或外科醫師引導，美國則更強調護理師獨立評估與判讀氣漏程度。