護理師正在規劃甲狀腺切除術後病人的照護計畫。下列哪些發現需要立即回報外科醫師？（選所有適合的）
A nurse is planning care for a client who is postoperative following a thyroidectomy. Which of the following findings should the nurse report to the surgeon immediately? (Select all that apply.)
- ALaryngeal stridor✓ 正解喉頭喘鳴聲
- BPositive Trousseau's sign✓ 正解Trousseau 徵象陽性
- CHeart rate of 88 bpm心率 88 bpm
- DIncision site drainage of 5 mL of serosanguineous fluid切口處有 5 mL 的血清漿液性滲出液
- EHoarseness when speaking✓ 正解說話時聲音嘶啞
甲狀腺切除後三大危險徵兆：氣管受壓或喉頭水腫（喘鳴聲）、低血鈣（Trousseau's sign，因副甲狀腺受損）、喉返神經受損（聲音嘶啞）。C 為正常心跳，D 為正常傷口少量滲液。需緊急處理以確保呼吸道通暢與代謝穩定。
Post-thyroidectomy complications requiring immediate reporting include laryngeal stridor, indicating potential airway obstruction from edema or hematoma; hoarseness, suggesting recurrent laryngeal nerve damage; and a positive Trousseau’s sign, which indicates hypocalcemia due to parathyroid gland injury. Normal findings such as a heart rate of 88 bpm and small amounts of serosanguineous drainage do not require urgent intervention.
台灣甲狀腺術後通常會常規監測鈣離子，美國則更多依賴臨床護理評估（如 Chvostek's/Trousseau's sign）來決定檢驗時機。