— 生理適應 · EASY · MCQ —
胸管引流的病人若出現下列何種臨床徵象，護理師應立即回報醫師？
Which of the following clinical findings in a client with a chest tube should the nurse report to the provider immediately?
- A200 mL of serosanguineous drainage over 8 hours8小時內200 mL的漿液血性引流
- BOccasional bubbling during forced expiration用力呼氣期間偶爾冒泡
- CFluctuation of the water level with respiration隨呼吸波動的液面
- DContinuous bubbling in the water seal chamber✓ 正解水封瓶內持續冒泡
— Explanation · 中文詳解 —
胸管引流系統中的水封瓶（Water seal chamber）是用來防止空氣回流至胸膜腔的關鍵裝置。正常運作時，水封瓶液面會隨呼吸起伏（Tidaling）；若出現「持續性冒泡」，則強烈暗示胸腔引流系統或病人胸部傷口處有持續的空氣洩漏（Air leak）。這代表空氣不斷進入胸膜腔，可能導致氣胸惡化或張力性氣胸。此為急症，必須立即通知醫師檢查系統密閉性。
Continuous bubbling in the water seal chamber indicates a persistent air leak, which can lead to worsening pneumothorax or tension pneumothorax. Unlike fluctuation with respiration or occasional bubbling during coughing, continuous bubbling is abnormal and requires immediate notification of the provider to assess system integrity.