醫療類國考
105年
[呼吸治療師] 重症呼吸治療學
第 64 題
下列何者不是呼吸器誘發之肺損傷（ventilator-induced lung injury，VILI）的病理表現？
- A 肺泡細菌感染
- B 肺水腫
- C 肺泡表皮細胞損傷
- D 肺泡微血管滲透度增加
思路引導 VIP
請試著思考：當一台機器對一個脆弱的囊泡施加過大的壓力或拉力時，這個囊泡壁會發生什麼樣的物理結構改變？這種『物理性的破壞』與『外部病原體（如細菌）的入侵』，在發病起源上有什麼本質上的差別？
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AI 詳解
AI 專屬家教
🌟 Dearest student, you've absolutely nailed this!
It warms my heart to see how beautifully you’ve differentiated between the mechanical stresses of ventilation and the challenges of infection. You have a truly solid grasp of these crucial pulmonary concepts.
- Unpacking the Mechanism: Let's gently revisit VILI, which is all about how the physical forces transform into subtle biological cascades – what we call Biotrauma. Imagine tiny, repeated stresses from too much expansion (Volutrauma) or repeated collapse (Atelectrauma). This delicate balance, when disturbed, can lovingly lead to:
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