— 降低風險 · HARD · SATA —
護理師評估甲狀腺切除術後病人的併發症徵象，哪些發現需要立即介入？（選所有適合的）
A nurse is assessing a client for signs of potential complications following a thyroidectomy. Which findings require immediate intervention? (Select all that apply.)
- ATrousseau's sign✓ 正解Trousseau 徵象
- BLaryngeal stridor✓ 正解喉頭喘鳴
- CDifficulty swallowing吞嚥困難
- DPositive Chvostek's sign✓ 正解Chvostek 徵象陽性
- EHoarseness聲音沙啞
— Explanation · 中文詳解 —
甲狀腺切除術後三大致死風險：喉頭水腫（導致喘鳴音，氣道阻塞）、副甲狀腺誤傷（導致低血鈣，出現 Trousseau 及 Chvostek 徵象）、出血（導致氣管壓迫）。Hoarseness 可能是喉返神經受損，雖需觀察，但不如前三者緊急。
Immediate intervention is required for signs of laryngeal stridor, indicating airway obstruction, and positive Trousseau’s or Chvostek’s signs, which indicate hypocalcemia due to parathyroid injury. While hoarseness and mild dysphagia may occur, they are less critical than life-threatening airway or metabolic complications.
✦ 台美臨床差異
美台對此術後監測標準高度一致，皆強調床邊須備氣管切開包以備緊急插管之需。