— 生理適應 · HARD · SATA —
護理師照護甲狀腺切除術後病患，需觀察哪些臨床表徵以偵測低血鈣？（選所有適合的）
A nurse is caring for a client who is post-operative following a thyroidectomy. Which clinical findings should the nurse monitor for signs of potential hypocalcemia? (Select all that apply.)
- APositive Chvostek's sign✓ 正解Chvostek氏徵呈陽性
- BPositive Trousseau's sign✓ 正解Trousseau氏徵呈陽性
- CNumbness and tingling around the mouth✓ 正解口周麻木與刺痛
- DLaryngeal stridor✓ 正解喉頭喘鳴
- EHyperactive deep tendon reflexes✓ 正解深層肌腱反射亢進
— Explanation · 中文詳解 —
甲狀腺切除時常誤傷副甲狀腺，導致鈣離子低下。臨床表現包括神經肌肉興奮性增高，如臉部抽動（Chvostek）、血壓帶壓迫造成手抽搐（Trousseau）、口周麻木、深反射亢進，嚴重時鈣離子缺乏會造成喉痙攣導致呼吸鳴音（stridor），屬於危急徵象。
Post-thyroidectomy hypocalcemia results from inadvertent parathyroid gland damage, leading to neuromuscular irritability. Nurses should monitor for Chvostek’s and Trousseau’s signs, perioral paresthesia, hyperactive deep tendon reflexes, and laryngeal stridor, which indicates severe deficiency and potential airway compromise.
✦ 台美臨床差異
美國護理師常執行這些具體測試（Chvostek/Trousseau），台灣護理師較常評估麻木感並通知醫師進行測試。