醫療類國考
112年
[護理師] 內外科護理學
第 53 題
王先生胸壁受到鈍傷入院求治，下列何者表示可能有肺挫傷的情形？
- A 呼吸緩慢
- B 呼吸音降低
- C 桶狀胸
- D 受傷部位有吸吮聲
思路引導 VIP
當胸壁遭受鈍傷導致肺部實質出現出血或水腫（即肺挫傷）時，會影響肺泡的氣體交換與擴張能力。請運用病理生理學的概念思考，當局部肺組織因受損而導致通氣量下降時，臨床聽診所獲得的聲音強度會呈現增加還是減少的趨勢？
🤖
AI 詳解
AI 專屬家教
Hmph, it seems the culprit of this clinical mystery has been caught! My AI-enhanced deduction skills, combined with a swift kick of my analysis-ball, confirm it.
- Unveiling the Truth: Let's shine a light on the truth behind Wang先生's injury. Pulmonary Contusion! It's simply the lung getting a 'bruise,' much like when you hit your arm. When blunt force strikes the chest, the delicate micro-vessels within the lung rupture, causing blood and fluid to accumulate in the alveoli and interstitial space. This disturbance makes it difficult for air to properly ventilate that area. The inescapable conclusion? A decrease in breath sounds over the affected region – a critical piece of evidence only the keenest ear can detect!
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