内容大纲-台湾肾脏医学会.PDF

內容大綱 透析血管通路功能之評估及維持 血管通路功能之評估 (Surveillance of vascular Care of Vascular Access in HD Patients : access): from Surveillance to Maintenance Therapy *再循環率 (Recirculation) *動態靜脈壓 (Dynamic venous pressure) *靜態靜脈壓 (Static venous pressure) *血管通路流量 (Access flow): 林志慶 醫師 # 超音波稀釋法 (Ultrasound dilution method) 血管通路之維護 :遠紅外線治療 Chih-Ching Lin, M.D., Ph.D. (Maintenance therapy: Far infrared therapy) *前言 (Introduction) 國立陽明大學醫學院內科學系 * 方法 (Methods) 台北榮民總醫院內科部腎臟科 *結果 (Results) * 機轉 (Mechanisms) 2 Monitoring, Surveillance, and 懷疑血管通路狹窄之臨床表徵 Diagnostic Testing 血管通路同側肢體水腫 (Edema of the access extremity) Monitoring (連續監測) —physical examination 打針後不易止血: Prolonged bleeding post veni- to detect pathologic physical signs puncture (in the absence of excessive anticoagulation) Surveillance (定期追蹤) — periodic evaluation 觸振感消失轉為搏動: Conversi