— 生理適應 · EASY · MCQ —
一位甲狀腺切除術後病人，出現手指與嘴唇麻木感。護理師應懷疑發生何種併發症？
A nurse is caring for a client post-thyroidectomy. The client exhibits tingling of the fingers and lips. Which complication should the nurse suspect?
- AHypocalcemia✓ 正解低血鈣
- BHyperkalemia高血鉀
- CRespiratory alkalosis呼吸性鹼中毒
- DHypomagnesemia低血鎂
— Explanation · 中文詳解 —
甲狀腺切除術中若副甲狀腺受損或被移除，會導致血鈣濃度下降。低血鈣典型表現為口周麻木、手足抽搐、以及 Chvostek 或 Trousseau 徵象呈現陽性。護理師需即時監測血鈣，並備妥葡萄糖酸鈣以備急用，防止喉頭痙攣導致呼吸道阻塞。
Tingling around the mouth and fingers suggests hypocalcemia, a common complication resulting from accidental damage or removal of the parathyroid glands during thyroidectomy. This condition requires immediate monitoring and potential administration of calcium supplements to prevent severe manifestations like laryngeal stridor or tetany.
✦ 台美臨床差異
美台護理教育均強調甲狀腺術後檢查 Trousseau 徵象，台灣臨床更常使用「補鈣」來處理此併發症。