— 生理適應 · HARD · MCQ —
甲狀腺切除術後，病人出現下列哪種發現需優先通報？
Which finding is the most critical to report in a client post-thyroidectomy?
- AHoarseness聲音沙啞
- BNeck edema頸部水腫
- CLaryngeal stridor✓ 正解喉頭喘鳴
- DHypocalcemia低血鈣
— Explanation · 中文詳解 —
甲狀腺切除術後，氣道通暢是護理的首要優先（ABC原則）。喉頭喘鳴（Laryngeal stridor）是一種高頻呼吸音，通常代表氣道阻塞，可能是由於血腫壓迫、喉頭水腫或損傷喉返神經（recurrent laryngeal nerve）導致聲帶痙攣。這屬於危及生命的緊急狀況，必須立即通報醫師並準備插管設備。
Laryngeal stridor is the most critical finding to report post-thyroidectomy because it indicates upper airway obstruction, which is a life-threatening emergency. This symptom may result from laryngeal edema, hemorrhage, or recurrent laryngeal nerve damage, requiring immediate intervention to secure the airway.