— 生理適應 · MEDIUM · SATA —
甲狀腺切除術後，病人出現哪些徵象暗示副甲狀腺受損？（選所有適合的）
A nurse is caring for a client after a thyroidectomy. Which signs suggest a possible damage to the parathyroid glands? (Select all that apply.)
- APositive Trousseau's sign✓ 正解Trousseau 氏徵象陽性
- BPositive Chvostek's sign✓ 正解Chvostek 氏徵象陽性
- CLaryngeal stridor喉頭喘鳴
- DMuscle twitching or tingling in extremities✓ 正解四肢肌肉抽搐或刺痛
- EHyperreflexia✓ 正解反射亢進
— Explanation · 中文詳解 —
甲狀腺手術可能誤傷副甲狀腺，導致低血鈣。臨床表現包括 Trousseau's sign（充氣壓迫上臂導致手部抽搐）、Chvostek's sign（輕敲臉部神經導致面部抽動）、肢體刺麻感及深部肌腱反射增強。C 為喉返神經受損徵象，非鈣離子相關。
Damage to the parathyroid glands during thyroidectomy can lead to hypocalcemia, indicated by positive Trousseau’s and Chvostek’s signs, muscle twitching, paresthesias, and hyperreflexia. Laryngeal stridor is a sign of laryngeal nerve damage or airway obstruction, not hypocalcemia. Nurses must monitor for these neuromuscular irritability signs to prevent complications like tetany.
✦ 台美臨床差異
兩地術後護理均會執行上述評估，但美國護理師常執行床邊鈣離子快速檢測。