— 生理適應 · HARD · SATA —
病人肢體打石膏後出現哪些現象,需懷疑有腔室症候群?(選所有適合的)
Which findings in a client with a cast indicate potential compartment syndrome? (Select all that apply.)
- APain out of proportion to injury✓ 正解疼痛程度與受傷情況不成比例
- BParesthesia✓ 正解感覺異常
- CPallor✓ 正解蒼白
- DWarmth溫熱
- EPulselessness✓ 正解無脈搏
— Explanation · 中文詳解 —
腔室症候群的 5P 指標包含:劇烈疼痛(Pain)、感覺異常(Paresthesia)、蒼白(Pallor)、無脈搏(Pulselessness)及麻痺(Paralysis)。患肢溫度降低(冷)而非溫熱。疼痛與損傷程度不符是極重要的早期警訊。
Signs of compartment syndrome include pain out of proportion to the injury, paresthesia, pallor, and pulselessness, which correspond to the '5 Ps' of the condition. Warmth is not a typical sign; instead, the affected limb usually becomes cool due to reduced perfusion.
✦ 台美臨床差異
兩地護理師對腔室症候群的警覺性一致,均強調不可等待所有徵象出現才處置。