— 生理適應 · HARD · MCQ —
護理師照護一位有消化性潰瘍病史的病人，病人主訴突然、劇烈腹痛、腹部僵硬和反跳痛。護理師懷疑是哪種併發症？
A nurse is caring for a client with a history of peptic ulcer disease (PUD) who reports sudden, severe abdominal pain, rigidity, and rebound tenderness. The nurse suspects which complication?
- APerforation of the ulcer✓ 正解潰瘍穿孔
- BGastric outlet obstruction胃出口阻塞
- CZollinger-Ellison syndrome佐林格-艾利森症候群
- DGastrointestinal bleeding消化道出血
— Explanation · 中文詳解 —
消化性潰瘍（PUD）病人若出現突發、劇烈腹痛，且伴隨腹部僵硬（板狀腹）及反跳痛（Rebound Tenderness），這高度提示腹膜炎（Peritonitis）的發生，而潰瘍穿孔（Perforation）是導致此急症的最常見原因。胃內容物進入腹腔會引起劇烈的化學性腹膜炎，若不緊急手術處理，將導致敗血性休克。護理師應立即禁食、建立靜脈通道，並準備緊急手術。
The sudden onset of severe abdominal pain, rigidity, and rebound tenderness indicates peritonitis caused by ulcer perforation. This medical emergency requires immediate intervention, including NPO status, IV access, and preparation for surgery.