— 生理適應 · EASY · MCQ —
護理師評估一位急性胰臟炎病人。下列何者為此病症最典型的臨床表徵？
A nurse is assessing a client with acute pancreatitis. Which clinical manifestation is most characteristic of this condition?
- AColicky pain in the right upper quadrant右上腹絞痛
- BPain relief after eating a high-fat meal進食高脂飲食後疼痛緩解
- CSevere mid-epigastric pain radiating to the back✓ 正解劇烈中上腹痛輻射至背部
- DInvoluntary guarding in the lower left quadrant左下腹不自主肌衛
— Explanation · 中文詳解 —
急性胰臟炎（acute pancreatitis）的典型病理機轉為胰臟酵素在胰管內提早活化，導致胰臟組織自體消化。臨床上，病人常出現劇烈、持續性的中上腹痛（epigastric pain），且疼痛常輻射至背部（back radiation）。此類疼痛通常在進食後因胰液分泌增加而加劇，採取前傾姿勢（leaning forward）有時可緩解不適。
Severe, persistent epigastric pain that radiates to the back is the hallmark clinical manifestation of acute pancreatitis due to pancreatic tissue autodigestion. This pain often worsens after eating, particularly fatty meals, and may be partially relieved by leaning forward.