— 生理適應 · MEDIUM · MCQ —
甲狀腺切除術後個案回到病房，下列何種評估發現需立即通知醫師？
A client is returned to the unit following a thyroidectomy. Which assessment finding requires immediate notification to the surgeon?
- ALaryngeal stridor✓ 正解喉鳴音
- BNeck edema頸部水腫
- CHoarseness when speaking說話時聲音沙啞
- DIncision site pain切口部位疼痛
— Explanation · 中文詳解 —
甲狀腺切除術後，最危急的併發症是氣道阻塞。喉鳴音（Stridor）是一種高頻的呼吸音，代表上呼吸道因水腫、血腫或喉返神經受損導致的聲帶麻痺而嚴重狹窄。這屬於 ABC（Airway, Breathing, Circulation）原則中的 Airway 問題，需立即通知醫師進行插管或緊急處理，否則會導致窒息死亡。
Laryngeal stridor is a high-pitched breathing sound indicating upper airway obstruction, which is a life-threatening emergency after thyroidectomy. It suggests severe edema or hematoma compressing the trachea and requires immediate intervention to secure the airway.