— 生理適應 · HARD · SATA —
甲狀腺切除術後病人出現哪些評估結果，提示可能損傷副甲狀腺？（選所有適合的）
Which assessment findings in a client post-thyroidectomy indicate potential damage to the parathyroid glands? (Select all that apply.)
- APositive Chvostek's sign✓ 正解Chvostek氏徵候陽性
- BNumbness and tingling around the mouth✓ 正解口周麻木與刺痛感
- CHypertension高血壓
- DLaryngeal stridor喉鳴音
- EPositive Trousseau's sign✓ 正解Trousseau氏徵候陽性
— Explanation · 中文詳解 —
副甲狀腺損傷導致血鈣過低，引起神經肌肉過度興奮。Chvostek's sign（臉部肌肉抽搐）與 Trousseau's sign（手部抽筋）為典型低血鈣體徵，口周感覺異常亦為早期警訊。喉鳴音多與喉返神經損傷相關，非低血鈣徵象；血壓變化亦非副甲狀腺損傷之直接指標。
Damage to the parathyroid glands during thyroidectomy can lead to hypocalcemia, resulting in neuromuscular irritability. Key assessment findings indicating this complication include a positive Chvostek’s sign, a positive Trousseau’s sign, and perioral numbness or tingling, all of which are classic early signs of low calcium levels.
✦ 台美臨床差異
台灣術後常採床邊隨時監測鈣離子，美國則更強調在護理交班中執行並記錄神經肌肉興奮評估。