— 生理適應 · EASY · MCQ —
一位急性胰臟炎病患出現嚴重上腹痛並放射至背部。下列何項臨床發現最需立即回報醫師？
A client with acute pancreatitis reports severe epigastric pain radiating to the back. Which clinical finding is the most critical to report to the healthcare provider?
- ABlood glucose of 145 mg/dL血糖值 145 mg/dL
- BAbdominal pain level of 8/10腹痛程度 8/10
- CRespiratory rate of 28 breaths/min with crackles✓ 正解呼吸速率 28 次/分伴隨囉音
- DHypoactive bowel sounds腸鳴音減弱
— Explanation · 中文詳解 —
急性胰臟炎的併發症中，肺部受累（如肋膜積液、肺塌陷或 ARDS）是導致死亡的主要原因。呼吸困難、呼吸速率加快及肺部囉音（Crackles），代表肺部氣體交換功能受到嚴重威脅，屬於 ABC（Airway, Breathing, Circulation）中呼吸（Breathing）層級的警訊，需優先處理。
Respiratory distress, indicated by tachypnea and crackles, is the most critical finding because it suggests acute respiratory distress syndrome (ARDS), a leading cause of mortality in acute pancreatitis. This represents a 'Breathing' emergency under the ABC framework and requires immediate intervention to maintain gas exchange.