— 生理適應 · MEDIUM · MCQ —
急性胰臟炎病人最容易出現下列哪種系統性併發症？
A client with acute pancreatitis is at highest risk for which systemic complication?
- AType 1 Diabetes Mellitus第一型糖尿病
- BAcute Respiratory Distress Syndrome (ARDS)✓ 正解急性呼吸窘迫症候群（ARDS）
- CChronic Renal Failure慢性腎衰竭
- DCongestive Heart Failure充血性心臟衰竭
— Explanation · 中文詳解 —
急性胰臟炎導致發炎因子大量釋放，引發全身性發炎反應症候群（SIRS）。這些因子會增加微血管通透性，導致肺部間質水腫，進而引發急性呼吸窘迫症候群（ARDS）。這是胰臟炎死亡率高的主因，護理重點在於監測肺部呼吸音與血氧變化。
Acute pancreatitis triggers a systemic inflammatory response that increases capillary permeability, often leading to pulmonary edema and Acute Respiratory Distress Syndrome (ARDS). This is a critical, life-threatening complication that requires close monitoring of respiratory status and oxygenation.
✦ 台美臨床差異
美台臨床皆視呼吸狀態為評估重點，但美國護理師常參與重症早期預警評分（MEWS）判讀。