— 生理適應 · HARD · MCQ —
病人術後剛從甲狀腺切除手術返回病房，下列何種發現需要立即通知醫師？
A client returns from a thyroidectomy. Which finding requires immediate reporting to the surgeon?
- AReport of severe thirst主訴嚴重口渴
- BNoisy, high-pitched respirations✓ 正解呼吸聲嘈雜且高音調
- CHoarseness when speaking說話時聲音嘶啞
- DEdema at the incision site切口處水腫
— Explanation · 中文詳解 —
甲狀腺切除術後，最嚴重的術後併發症為呼吸道阻塞。高音頻的呼吸聲（Stridor）是喉頭水腫或聲帶麻痺引起的緊急徵兆，代表氣道嚴重狹窄，若不立即處理，數分鐘內可能導致窒息。依照 ABC（Airway, Breathing, Circulation）護理優先順序，此狀況必須立即通知外科醫師進行緊急處置或插管準備。
Noisy, high-pitched respirations (stridor) indicate laryngeal edema, which is a life-threatening emergency that can rapidly progress to airway obstruction. Following ABC priorities, this finding requires immediate notification of the surgeon for potential intubation or other interventions to secure the airway. While hoarseness may occur due to nerve irritation, stridor signals critical compromise.