— 生理適應 · MEDIUM · MCQ —
病人術後恢復期出現什麼症狀時，護理師需警惕可能是副甲狀腺被誤切？
A client is recovering from a thyroidectomy. Which clinical manifestation would alert the nurse to the possibility of accidental parathyroid gland removal?
- AHigh fever and diaphoresis高燒與盜汗
- BLaryngeal stridor喉鳴音
- CNumbness and tingling around the mouth✓ 正解口周麻木與刺痛感
- DHypotension and tachycardia低血壓與心跳過速
— Explanation · 中文詳解 —
副甲狀腺負責調節鈣離子代謝，誤切會導致術後血鈣迅速下降，引發神經肌肉症狀，如口周及指尖麻木。Laryngeal stridor（B）屬於喉頭水腫或神經受損；C 是甲狀腺風暴；D 則非典型低鈣血症表現。
Accidental removal of the parathyroid glands during thyroidectomy can cause hypocalcemia, leading to perioral paresthesia such as numbness and tingling around the mouth. This symptom is an early indicator of low calcium levels resulting from disrupted calcium metabolism.
✦ 台美臨床差異
無顯著差異。