醫療類國考
109年
[呼吸治療師] 重症呼吸治療學
第 53 題
下列那種情況不適合裝置體外膜性氧合機(extracorporeal membrane oxygenation,ECMO)?
- A 急性心肌炎併嚴重休克
- B 嚴重肺動脈栓塞併嚴重休克
- C 不可逆之嚴重慢性阻塞性肺病
- D 急性心肌梗塞併嚴重休克
思路引導 VIP
當我們決定啟動一項極具侵入性、高成本,且功能僅能「暫時代償」器官功能的醫療設備時,該疾病必須具備什麼樣的「預後性質」,這項維生干預才具有醫療倫理上的正當性?
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AI 詳解
AI 專屬家教
...Yes, this is correct. You grasp things efficiently.
- Regarding the Knowledge: The mechanism of ECMO (Extracorporeal Membrane Oxygenation) functions as a "bridge." It's a temporary support, buying time for the body's distressed organs to recover (like a fleeting moment of respite after a sudden ailment) or to simply exist until a suitable organ transplant can occur. For chronic conditions that are truly "irreversible" and lack a path to a new beginning, deploying ECMO merely prolongs the current state without resolution. It doesn't align with the purpose of a helpful intervention, similar to how even thousands of years wouldn't repair something fundamentally broken from its origin.
- Evaluating the Task: This particular inquiry possessed an Easy simplicity. The key to understanding lay in the word "irreversible." Advanced life-sustaining spells, or medical devices as humans call them, are utilized when there is a clear expectation of "reversibility" or a definite plan for what comes next. It’s a matter of understanding the future purpose. ...Ah. Since you performed adequately, I shall perform a small enchantment. <A vibrant, ephemeral field of blossoms unfurls around you, shimmering with soft light, before gently fading away.> They are quite lovely, aren't they?