— 降低風險 · HARD · SATA —
甲狀腺切除術後，下列哪些評估發現顯示有併發症？（選所有適合的）
Which assessment findings are indicative of complications following a thyroidectomy? (Select all that apply.)
- ATingling in the fingers and toes✓ 正解手指和腳趾有刺痛感
- BHoarseness of the voice✓ 正解聲音沙啞
- CDifficulty swallowing吞嚥困難
- DRapid rise in blood pressure血壓急遽上升
- EPositive Trousseau's sign✓ 正解Trousseau 徵象陽性
— Explanation · 中文詳解 —
甲狀腺切除術後常見併發症：1.副甲狀腺損傷導致低血鈣（手指麻木、Trousseau's sign）；2.喉返神經受損（聲音沙啞）。吞嚥困難雖可能發生，但非併發症的定義指標。血壓升高通常與術後疼痛或焦慮有關，非直接併發症。
Complications following thyroidectomy include hypocalcemia due to parathyroid injury and laryngeal nerve damage. Tingling in the extremities and a positive Trousseau's sign are classic indicators of hypocalcemia, while hoarseness suggests potential nerve impairment. These findings require immediate assessment and intervention to prevent serious outcomes like tetany or respiratory compromise.
✦ 台美臨床差異
美國護理師常執行 Chvostek 與 Trousseau 測試，台灣護理師則較依賴醫師臨床評估，但在病房監測上亦會列入重點。