— 生理適應 · HARD · SATA —
下列哪些評估發現顯示病人可能罹患急性呼吸窘迫症候群(ARDS)?(選所有適合的)
Which assessment findings are indicative of acute respiratory distress syndrome (ARDS)? (Select all that apply.)
- ARefractory hypoxemia✓ 正解難治性低血氧
- BBilateral pulmonary infiltrates✓ 正解雙側肺浸潤
- CHypotension低血壓
- DTachypnea✓ 正解呼吸過速
- EImproved lung compliance肺部順應性改善
— Explanation · 中文詳解 —
ARDS(急性呼吸窘迫症候群)的特徵包括:即使吸入高濃度氧氣,病人的動脈血氧分壓仍無法上升,即「難治性低血氧(Refractory hypoxemia)」;X 光下呈現「雙側肺部浸潤(Bilateral pulmonary infiltrates)」;以及因缺氧導致的代償性「呼吸頻率加快(Tachypnea)」。
Key indicators of ARDS include refractory hypoxemia that persists despite oxygen therapy, bilateral pulmonary infiltrates visible on chest X-ray, and tachypnea as a compensatory mechanism for gas exchange impairment. These findings reflect the severe ventilation-perfusion mismatch characteristic of the condition.