# 在大規模傷患事件中，應將哪位個案歸類為延遲處理優先，而非立即處理？

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=394136&lang=zh-tw  
> language: zh-TW  
> subject: Establishing Priorities  
> category: MOC

## 題目

在大規模傷患事件中，應將哪位個案歸類為延遲處理優先，而非立即處理？

## 選項

1. 一位動脈出血無法控制的個案
2. 一位呼吸道阻塞且發紺的個案
3. 一位閉鎖性前臂骨折且生命徵象穩定的個案 **✔ 正確答案**
4. 一位吸入濃煙後嚴重呼吸窘迫的個案

**正確答案: 3**

## 解析

在災難檢傷分類中，生命徵象穩定且無生命危險的傷患通常可以等待延遲處理。呼吸道阻塞、無法控制的動脈出血和嚴重呼吸窘迫需要立即介入。目標是為最多數人謀求最大利益。

## 深入解析

臨床判斷
大規模傷患檢傷分類優先處理可存活的致命性威脅。

記憶提示
穩定的骨折可以等待。

## 臨床情境

臨床實務指引
災難檢傷分類根據緊急程度、存活可能性和資源可用性對個案進行分類。

注意事項
災難檢傷分類不同於常規的先到先處理照護。

## 重要概念

- **大規模傷患事件** — 受傷人數超過可用資源能立即處理能力的事件。
- **延遲處理優先** — 一種檢傷分類類別，用於嚴重但非立即危及生命的情況。
- **立即處理優先** — 一種檢傷分類類別，用於危及生命但可能存活的情況。

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