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階段 6 — 評值結果。在開始氧氣、治療性抗凝血及監測性住院照護 6 小時後，回顧趨勢並選擇最佳的判讀與下一步。

Trend

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Time	Data
Hour 0	SpO2 88 percent on room air, BP 92/58, HR 124, RR 28, lactate 2.1 mmol/L; sharp pleuritic chest pain室內空氣下 SpO2 88%，BP 92/58，HR 124，RR 28，乳酸 2.1 mmol/L；劇烈肋膜性胸痛
Hour 2	SpO2 92 percent on 4 L nasal cannula, BP 96/60, HR 112, RR 24; chest pain decreasing, no observed bleeding4 L 鼻導管下 SpO2 92%，BP 96/60，HR 112，RR 24；胸痛減輕，無觀察到出血
Hour 4	SpO2 94 percent on 2 L nasal cannula, BP 102/64, HR 102, RR 22, lactate 1.5 mmol/L; alert, no observed bleeding2 L 鼻導管下 SpO2 94%，BP 102/64，HR 102，RR 22，乳酸 1.5 mmol/L；清醒，無觀察到出血
Hour 6	SpO2 96 percent on 2 L nasal cannula, BP 108/68, HR 94, RR 20, lactate 1.2 mmol/L; denies chest pain, no observed bleeding2 L 鼻導管下 SpO2 96%，BP 108/68，HR 94，RR 20，乳酸 1.2 mmol/L；否認胸痛，無觀察到出血

Q1. How is the client responding to the current plan?個案對目前計畫的反應為何？

Clinically improving without current evidence of deterioration or bleeding臨床上正在改善，目前無惡化或出血的證據 Unchanged and requiring no further monitoring無變化且無需進一步監測 Deteriorating despite treatment儘管治療仍惡化

Q2. What is the safest next step?最安全的下一步是什麼？

Continue prescribed inpatient anticoagulation and monitoring; reassess for bleeding or decompensation and plan patient-specific oral transition and follow-up when discharge-ready繼續處方的住院抗凝血治療與監測；重新評估是否有出血或代償失調，並在準備出院時計畫個案專屬的口服轉換與追蹤 Stop anticoagulation and discharge immediately because oxygenation improved因為氧合改善，立即停止抗凝血治療並出院 Give systemic thrombolysis now solely because PE was confirmed僅因為確認 PE，現在立即給予全身性血栓溶解治療 Repeat CT pulmonary angiography immediately to prove that the clot has dissolved立即重複 CT 肺動脈血管攝影以證明血塊已溶解

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