護理師照護一位剛完成胸腔穿刺術回到病房的病人。病人突然主訴呼吸困難並出現心搏過速。護理師應懷疑發生了何種併發症？
A nurse is caring for a client who has just returned to the unit following a thoracentesis. The client suddenly reports shortness of breath and develops tachycardia. Which complication should the nurse suspect?
- ARe-expansion pulmonary edema復張性肺水腫
- BMyocardial infarction心肌梗塞
- CPulmonary embolism肺栓塞
- DPneumothorax✓ 正解氣胸
胸腔穿刺術（Thoracentesis）涉及穿透胸壁進入胸膜腔，若技術操作不當或傷及肺臟組織，空氣會進入胸膜腔導致氣胸（Pneumothorax）。病人術後突然出現呼吸困難與心搏過速，這反映了肺塌陷導致的換氣不足與代償性心跳加快。這是胸腔穿刺術後最常見的致命併發症，護理師必須在第一時間懷疑並進行呼吸評估。
Sudden shortness of breath and tachycardia following a thoracentesis suggest a pneumothorax, a common complication resulting from accidental puncture of the pleura or lung tissue. This condition causes air to enter the pleural space, leading to lung collapse and impaired gas exchange. The nurse should suspect this emergency and prepare for immediate assessment and intervention to restore lung expansion.