透析血管通路的監測

Hemodialysis Vascular Access Surveillance

謝至同(Jyh-Tong Hsieh) ； 楊智宇(Chih-Yu Yang)

《腎臟與透析》 32卷4期 (2020/12) Pp. 224-228

https://doi.org/10.6340/KD.202012_32(4).0011

摘要

通暢且功能良好的血管通路（vascular access）是血液透析病人接受最佳透析治療的基礎。適當的定期監測能夠在血管通路失去功能之前檢測出進行性的狹窄，再配合即時的介入治療以維持血管通路通暢。各項測量結果的判讀應搭配身體診查和臨床評估，不宜以測量數據作為轉診與介入治療的唯一依據。

關鍵字

血管通路 ； 血液透析 ； 血流量

並列摘要

The function and patency of vascular accessare essential for the optimal management of hemodialysis patients. Appropriate surveillance may detect progressive stenosis before thrombosis andvascular access loss, and a corrective proceduremay maintainthe patency of the vascular access. Measurements for surveillance should be correlated with physical and clinical examinations but should not be the sole basis for interventionist referrals.

並列關鍵字

vascular access ； hemodialysis ； access flow