— 生理適應 · HARD · SATA —
護理師照護一位甲狀腺切除術後病人。下列哪些臨床表現應立即回報？（選所有適合的）
A nurse is caring for a client who is post-operative from a thyroidectomy. Which clinical findings should be reported immediately? (Select all that apply.)
- APositive Trousseau's sign✓ 正解Trousseau 氏徵呈陽性
- BLaryngeal stridor✓ 正解喉頭喘鳴
- CHoarseness of the voice聲音沙啞
- DNumbness around the mouth✓ 正解口周麻木
- ESmall amount of serosanguineous drainage on dressing敷料上有少量漿液血性滲出液
— Explanation · 中文詳解 —
甲狀腺切除術後極易誤傷副甲狀腺，導致血鈣過低，表現為口周麻木（Numbness）與 Trousseau 徵象陽性，需警覺抽搐風險。喉喘鳴（Stridor）則是呼吸道阻塞的急性徵兆，必須立即處置以確保呼吸道通暢。
Positive Trousseau's sign and circumoral numbness are critical indicators of hypocalcemia, likely caused by accidental parathyroid gland injury during thyroidectomy, which poses a risk for tetany and seizures. Laryngeal stridor signals acute airway narrowing or edema, representing an immediate respiratory emergency that requires prompt intervention to maintain a patent airway.
✦ 台美臨床差異
在美國，這類術後評估指標是 NCLEX 常考點；台灣臨床多由麻醉或外科醫師先評估喉部狀況。