護理師正在收納一位脛骨骨折的病人，病人主訴骨折遠端的小腿疼痛加劇、蒼白及感覺異常。護理師應懷疑何種狀況？
A nurse is admitting a client with a fractured tibia. The client reports increasing pain, pallor, and paresthesia in the affected lower leg, distal to the fracture. Which condition should the nurse suspect?
- ADeep vein thrombosis (DVT)深層靜脈血栓形成 (DVT)
- BNerve contusion神經挫傷
- CSuperficial thrombophlebitis淺層血栓性靜脈炎
- DCompartment syndrome✓ 正解腔室症候群
骨折後，若出現疼痛加劇（尤其是活動時）、患肢蒼白、感覺異常、感覺遲鈍（麻木）等症狀，且這些症狀延伸至骨折遠端，應高度懷疑是腔室症候群（Compartment Syndrome）。這是由筋膜室內壓力升高，壓迫血管和神經所致，需緊急處理。
The nurse should suspect compartment syndrome due to the presence of severe, increasing pain, pallor, and paresthesia distal to the fracture. These symptoms indicate elevated pressure within the fascial compartment, which compresses blood vessels and nerves. This is a medical emergency requiring immediate intervention to prevent tissue necrosis and permanent damage.
美國骨科照護團隊對於腔室症候群的早期識別與介入有明確的臨床指引；台灣的處理原則也相似，但對此併發症的警覺性可能因醫院層級和經驗而異。