M376765 五、新型說明： 【新型所屬之技術領域】 本創作係一種有關於洗腎屢管流量監測裝置之技術領域，尤 指一種可攜式電子洗腎屢管流量監測裝置。 【先前技術】 對末期腎病變（end-stage renal disease)病患而言，擁 有一個可靠的洗腎摩管（dialytic fistula)是十分重要的，因 ® 為他們經由洗腎屢管以及藉由洗腎機的幫助來將體内代謝的廢物 移除，並藉此達到體内環境的恆定。對於這些需要長期接受血液 透析的病患而言，如何避免洗腎屢管堵塞是十分重要的課題。即 使是在今日，如何有效地把堵塞洗腎屢管的血栓清除並且同時矯 正引起血栓形成的原因仍是血管外科醫師的一大挑戰。 隨著介入性治療技術的日趨成熟，經皮血管成形術 (transluminal arterioplasty)及血栓清除術（emb〇lect〇町） • 已有相當程度的進步，但是在早期預防洗腎屢管拴塞上，目前仍 靠也管外科醫師依自身的臨床經驗以主觀的理學檢查（血管震顫 肩失或減弱）或疋病患已出現洗腎屢管失去功能，無法接受血液 透析才轉介到外科進行具侵襲性的治療，希望藉此回復洗腎屢管 的功能’但是在現今的臨床經驗上，常常會遇到洗腎屢管狀況太 差而需臨時洗腎管植入（Hickmen catheter/ double lumen catheter) °這不僅增加醫療資源的浪費，同時也讓洗腎病患承 受莫大的〜理與生理折磨。然而’習用的洗腎屢管係缺少有效的 3 M376765 流量監控裝置，來監測洗腎屢管血流，因此無法及早有效地偵測 可能的屢管問題，實有改良之必要。 【新型内容】 欲解決之技術問題點：隨著介入性治療技術的日趨成熟，經 皮血管成形術（transluminal arteriopl asty)及血栓清除術 (embolectomy)已有相當程度的進步，但是在早期預防洗腎屢管 栓塞上，目前仍靠血管外科醫師依自身的臨床經驗以主觀的理學 檢查（血管震顫消失或減弱）或是病患已出現洗腎屢管失去功能， 無法接受血液透析才轉介到外科進行具侵襲性的治療，希望藉此 回復洗腎摩管的功能’但是在現今的臨絲驗上，常常會遇到洗 腎屢管狀況太差而需臨時洗腎管植入（Hickmen catheter/ double lumen catheter)。這不僅增加醫療資源的浪費，同時 也讓洗腎病患承受莫大的心理與生理折磨。然而，習用的洗腎屢 管係缺少有效的流量監控裝置，來監測洗腎屢管血流，因此無法 及早有效地偵測可能的屢管問題。 解決問題的技術特點：提供一種可攜式電子洗腎屢管流量監 測裝置’係、包括電子監測裝置與_中央飼服器。其中，該電 子監測裝置係包括-第-微處理器、—聲音訊號镇測器' 一觸控 螢幕、一第一儲存裝置、一診斷程式模組、一警示裝置、一電源 供應裝置與-人機介面，該第—微處理器係分別與該觸控榮幕、 該第-儲存裝置、該警示裝置與該電源供應裝置進行電性連接， 該人機介面係、為圖形化使用者介面，該第—微處理器係可將該聲 音訊號俄測器從洗腎摩㈣測到的聲頻、聲量及血管震顏訊號進 行荒集，儲存於該第-財裝置内，並透過該賴程式模組進行 M376765 異常判斷’若差異《㈣度超卿設_，該電子監測裝置 透過該警示裝置提供警示 該中央伺服器係包括-第二微處理器…第二儲存裝置與一 :動網路，該中央舰器係透過該行動網路與該電子監測裝置進 行可傳輸資料地連接，該中央词服器係可將該電子監測裝置從該 洗腎屢管職集到的聲頻、聲量及血管震軸號，利用該第二微 處理器進行判讀’再將判讀結果回傳至該電子監測裝置並透過 該第二儲存裝置將關讀結果進㈣存紀錄，本創作可藉以進行 轉介病人之動作，即藉以可兼具㈣與醫療服務的功能該中央 舰器可將判讀結果與相關訊息提供給主㈣師或籍公司配合 的醫療院所。 其中，該電子監測裝置可為一 PI)A。 其中，該電子監測裝置可為一手機。 其中’該警示裝置可為一揚聲器。 其中’該觸控登幕可為一 L CD(液晶顯示器）觸控榮幕。 其中，該第一儲存裝置可為一記憶卡。 其中，該第二儲存裝置可為一硬碟。 其中，該電源供應裝置係包括一鋰電池，該電源供應裝置更 設有一電源開關。 對照先前技術之功效： 一、本創作所提供之可攜式電子洗腎屢管流量監測裝置 ’可及早 偵測可能的摩管問題’透勒建的該診斷程式模組進行分析 判斷’可有效針對可能的狹窄病灶或是jk栓的部分阻塞作早 期的憤測’有效避免遇到洗腎屢管狀況太差時，而須臨時進 行洗腎管植入等情形發生’藉以有效避免醫療資源之浪費與 5 M376765 提升醫療品質，本翁不僅可以提供崎病患作為平時 監測之工具，亦可提供臨床醫師作為更精確之診斷工直。 、本創作具有可料、可作㈣診㈣缺祕 ;、 上相當便利。 之用 、本創作具有無線傳輸能力，可料與醫_進行聯繫，有效 及早偵測與監控病患的洗腎屢管狀況。 四 、本創作可整合於其他電子裝置内，# PDA或手機等使用上 更加便利。 五、本創作内含儲存裝置，可以作資料的紀錄與比對。 有關本創作所採用之技術、手段及其功效，兹舉較佳實施例 並配合圖式詳細說明如后，㈣本創作上述之目的、構造及其特 徵，當可由之得一深入而具體的瞭解。 【實施方式】 請參閱第一圖至第三圖所示，本創作係提供一種可攜式電子 洗腎屢管流量監測裝置，係包括：一電子監測裝置（1 〇 )與一 中央伺服器（2 0)。其中，該電子監測裝置（i 〇)係包括一 第一微處理器（1 1)、一聲音訊號偵測器（i 2 )、一觸控螢 幕（13)、一第一儲存裝置（14)、一診斷程式模組（1 5)、一警示裝置（16)、一電源供應裝置（17)與一人機 介面（1 8 )，該第一微處理器（丄丄）係分別與該觸控螢幕 (13)、該第一儲存裝置（14)、該警示裝置（16)與該 電源供應裝置（1 7)進行電性連接，該聲音訊號偵測器（工 2)可針對洗腎屢管的血管内雜音進行聲頻與聲量之蒐集，該人 機介面（1 8)係為一圖形化使用者介面’呈現血管通路圖形供 M376765 使用者選擇，並可顯示判讀結果及作為操控介面，提供病患與臨 床醫師作參考’該第-微處理器（1 1 )係可將該聲音訊號制 ' 1 2)從洗腎屢管偵測到的聲頻、聲量及血管震顫訊號進行 ^集，儲存於該第一儲存裝置（1 4)内，並透過該診斷程式模 (1 5)進行異常判斷，若差異訊號的強度超過預設閥值，該 電子監測裝置“ 0)可透過該警示裝置（1 6)提供警示。該 第微處理ϋ ( 1 1 )係可資料數位化，並可將聲頻與聲量比對 φ與儲存，該診斷程式模組（15)係可比對不同時間的聲頻變 該中央伺服器（2 〇)係包括一第二微處理器（2 1 )、一 存裝置（22)與一行動網路（23)，該中央伺服器 …)係透過該行動網路（2 3)與該f子監測裝置（工㈧ 傳輸資料地連接，該中央舰器（2 〇 )係可將該電子監 置（10)從該洗腎屢管所荒集到的聲頻、聲量及也管震顔 傳=用該第二微處理器（21)進行判讀，再將判讀結果回 it監測裝置（10 )，並透過該第二儲存裝置（2 2) 作果進行儲存紀錄，本創作可藉以進行轉介病人之動 o/m兼具判讀與醫療服務的功能，該中央舰器（2 果與相關訊息提供給主治醫師或保險公司配合的 其中’該電子監測裝置（i 0)可為一Pda。 其中，該電子監測裝置（i 〇)可為—手機。 其中，該警示裝置（16)可為一揚聲 一圖所示）。 、丄b i ) c如第 其中’該觸控螢幕（13)可為—Lc〇觸控榮幕。 7 其中，該第—儲存裝置（1 4)可為一記憶卡。 其中，該第二儲存裝置（2 2)可為一硬碟。 其中，該電源供應裝置（1 7)係包括一鋰電池，該電源供 應裝置（1 7)更設有一電源開關（丄7 i 。 在臨床的觀察上，當洗腎屢管出現管腔狹窄或是血栓部分堵 塞時，會出現理學檢查上血管震顫（thrill)的變化，消失或減 弱。這種現象會同時伴隨用聽診器（steth〇sc〇pe)聽診時，血管 内雜音（bruit)的改變，包括聲波頻率的改變，聲量的減弱或消 失。當洗腎屢管出現堵塞時，因為管腔變小，使得管腔内血液流 速變快，這造成動量的散失。散失的動量以聲頻、聲量及血管震 顫在管腔狹窄處出現不一樣的表現。 本創作所提供之可攜式電子洗腎屢管流量監測裝置 (portable dialysis access monitor device)主要係應用 馭衫偵測器（acoustic detector)針對聲頻與聲量作計量，並 利用晶片將類比訊號（analog)轉變成數位訊號（digital)，作定 量的分析。並利用内建的程式作分析，希望藉此針對可能的狹窄 病灶或是血栓的部分阻塞作早期的偵測。 一旦發現洗腎屢管流量有異常，可以搭配現今介入性血管内 治療來達到對於血管内病灶或血栓局部堵塞的及早治療，確保洗 腎屢管的可靠性。本創作可與現行微型電子裝置，如手機、掌上 型數位助理（P DA)作結合，不僅可以提供洗腎病患作為平時 自我監測之工具，亦可提供臨床醫師作為更精確之診斷工具。 本創作之中，係可將偵測器放置於洗腎屢管的動脈端、動脈 注射點 '靜脈注射點與靜脈端，蒐集各點血管内之雜音（聲頻與 聲量的蒐集），將訊號在該第一微處理器（i i )内進行處理， M376765 數位化訊號，經由軟體進行聲頻、聲量之處理與比對，其軟體比 對之原則，原則上是擷取一個心跳循環的聲波訊號，將同一部位 不同時間擷取的聲音訊號作比對。差異的訊號強度初步判讀結果 可於螢幕上顯示，如果超過閥值則提出警示。可將數位化之資訊 藉由該行動網路（2 3)回傳至該電子監測裝置（丄〇)，告訴 臨床醫師及洗腎病患流量若有異常，可馬上轉介到醫院進行更進 一步之檢查或是介入性企管内治療。其中，軟體程式的計算原 • 則，係應用音波分析程式來顯示音波標的波形與時間的關係，取 一個心臟搏動的循環（heart cycle)作計算，並且由軟體上的刻 度量取幾個數值，包括音波最大振幅（Amx;% )、音波最小振幅 (Amin;% )、振幅超過50%最大振幅的時間（T5〇;Sec)、並算出 其佔整個心臟循環時間的百分比，以及一個心臟循環中音頻譜 (Spectrum)所佔的面積比（S;% )等等數據，以供分析。進一步 比對不同時間所得到的數據，可以作出透析血管通路在不同時間 聽診音波數據配對作計算，包括最大振幅差為Amxci(% )、最小 φ 振幅差為Amind(% )、振幅在50%以上的時間比例的差為 T50Hd ’所佔音頻譜（Spectrum)面積的差為sd(% h幾個重要 參數如果超過閥值’則提出警示。傳回該中央伺服器（2 〇 ) 後，經進一步判斷，提出醫療介入要求。 另外，關於本創作的使用方式，請參閱第三圖所示，本創作 透過病患的洗腎屢管的音波蒐集（3 〇)、再透過該第一微處理 器將訊號數位化（4 0)，並儲存於儲存裝置内（5 〇)，透過 診斷程式模組進行音頻比對（6〇)，透過該電子監測裝置的觸 控螢幕可顯示結果（7 0)，將診斷結果及數據傳輸至該中央伺 服器（8 0 )，透過該診斷結果，可進行適當之醫療介入（9 9 t而言’首b本創作所提供之㈣式電子洗腎摩管流量 槿组彳及早<貞測可#的屢管問題，透過内建的該診斷程式 阻夷竹I刀析判斷’可有效針對可能的狹窄病灶或是血栓的部分 L塞料期的偵測，有效避免遇到洗腎摩f狀況太差時而須臨 提=洗腎管植人等情形發生，藉以有效避免醫療資源之浪費與 ，升醫療品質，本創作不僅可以提供洗腎病患作為平時自我監測 之工八，亦可提供臨床醫師作為更精確之賴4。其次， 作具有可攜式、可作即時診斷與無侵襲性等特色，使用上相當便 2再者’本創作具有無線傳輸能力，可用於與醫療網進行聯 繫，有效及早偵測與監控病患的洗腎屢管H另外，本 整合於其他電子裝置内，如PDA或手機等，使用上更加便利。 最後，本創作内含儲存裝置，可以作詩的紀錄與比對。 則文係針對本創作之可行實施例為本創作之技術特徵 體說明；惟’熟悉此項技術之人士當可在不脫離本創作之精歲 原則下對本創作進行變更與修改，而該等變更與修改，皆應、 於如下申請專利範圍所界定之範疇中。 盍 【圖式簡單說明】 第一圖：係本創作可行實施例之外觀示意圖。 第二圖：係本創作可行實施例之元件組成方塊示意圖。 第三圖：係、本創作可行實施例之使用方式流程示意圖。 【主要元件符號說明】 (10)電子監測裝置 (1 2)聲音訊號偵測器 (1 1 )第一微處理器 (1 3)觸控螢幕 M376765 (1 4)第一儲存裝置 (1 5)診斷程式模組 (1 6 )警示裝置 (1 6 1 )揚聲器 (17)電源供應裝置 (1 7 1 )電源開關 (18)人機介面 (2 0)中央伺服器 (2 1 )第二微處理器 (2 2)第二儲存裝置 (2 3 )行動網路 (3 0)音波蒐集 (4 0)將訊號數位化 (5 0)儲存於儲存裝置内 (6 0)音頻比對 (7 0)顯示結果 (8 Ο)傳輸至該中央伺服器（9 Ο)醫療介入M376765 V. New Description: [New Technology Field] This creation is a technical field related to dialysis and repeated tube flow monitoring devices, especially a portable electronic dialysis and repeated tube flow monitoring device. [Prior Art] For patients with end-stage renal disease, it is important to have a reliable dialytic fistula because they are washed by dialysis and by washing The kidney machine helps to remove the waste that is metabolized in the body and thereby achieve a constant body environment. For those patients who need long-term blood dialysis, how to avoid clogging of the kidney is a very important issue. Even today, it is still a major challenge for vascular surgeons to effectively remove the occlusion of the diarrhea and to correct the cause of thrombosis. With the maturity of interventional therapy, transluminal arterioplasty and thrombectomy (emb〇lect〇) have made considerable progress, but in the early prevention of dialysis, At present, the surgeons still rely on their own clinical experience to subjective physical examination (vascular tremor shoulder loss or weakening) or sputum patients have appeared dialysis and loss of function, can not receive hemodialysis before being referred to the surgical invasion Sexual treatment, I hope to restore the function of dialysis and kidney management. However, in today's clinical experience, it is often encountered that the dialysis is too poor and requires a temporary kidney catheter (Hickmen catheter/micro lumen catheter). ° This not only increases the waste of medical resources, but also allows the dialysis patients to suffer enormous psychological and physiological torture. However, the conventional dialysis system lacks an effective 3 M376765 flow monitoring device to monitor the blood flow of dialysis, so it is impossible to detect possible repeated problems early and effectively. [New content] Technical problems to be solved: With the maturity of interventional therapy technology, transluminal arteriopl asty and embolectomy have been considerably improved, but early prevention wash Renal tube embolization, still rely on vascular surgeons based on their own clinical experience with subjective physical examination (vascular tremor disappeared or weakened) or patients have appeared dialysis and lost function, can not be referred to hemodialysis Surgical treatment with invasive treatment, hope to restore the function of dialysis tube. But in today's clinical examination, it often encounters poor dialysis and requires temporary dialysis (Hickmen catheter) /llow lumen catheter). This not only increases the waste of medical resources, but also exposes the dialysis patients to great psychological and physical torture. However, the conventional dialysis system lacks an effective flow monitoring device to monitor dialysis and blood flow, so it is impossible to detect possible repeated problems early and effectively. Technical features to solve the problem: provide a portable electronic dialysis tube flow monitoring device, including electronic monitoring device and _ central feeding device. The electronic monitoring device includes a - microprocessor, an audio signal detector, a touch screen, a first storage device, a diagnostic program module, a warning device, a power supply device, and a human The first interface is electrically connected to the touch screen, the first storage device, the warning device and the power supply device, and the human interface is a graphical user interface. The first microprocessor can discard the audio, sound volume and vascular stimuli signals detected by the audible signal detector from the dialysis machine (4), and store them in the first financial device through the reliance program. The module performs M376765 abnormality judgment 'If the difference is (4) degree super-clearing, the electronic monitoring device provides warning through the warning device that the central server system includes - the second microprocessor... the second storage device and one: the dynamic network The central ship is connected to the electronic monitoring device via the mobile network, and the central word processor is capable of collecting the audio, sound volume and the sound of the electronic monitoring device from the dialysis unit. Vascular axis number Using the second microprocessor to perform the interpretation, and then returning the interpretation result to the electronic monitoring device and storing the result of the reading into the fourth storage device through the second storage device, the creation can be used to refer to the patient, that is, In order to have both (4) and medical service functions, the central ship can provide the interpretation results and related information to the medical institution of the main (4) division or the company. Wherein, the electronic monitoring device can be a PI)A. The electronic monitoring device can be a mobile phone. Wherein the warning device can be a speaker. Among them, the touch screen can be an L CD (liquid crystal display) touch screen. The first storage device can be a memory card. The second storage device can be a hard disk. Wherein, the power supply device comprises a lithium battery, and the power supply device further comprises a power switch. Compared with the efficacy of the prior art: 1. The portable electronic dialysis and repeated tube flow monitoring device provided by the author can detect the possible problem of the tube at an early stage. Early detection of possible stenotic lesions or partial obstruction of jk suppository 'effectively avoids cases where dialysis is too poor, and temporary dialysis of the dialysis tube must occur' to effectively avoid medical resources. Wasted with 5 M376765 to improve medical quality, Benon can not only provide the patient with the disease as a usual monitoring tool, but also provide clinicians as a more accurate diagnostic straight. This creation has the material, can be used for (four) diagnosis (four) lack of secret; and is quite convenient. The use of this creation has a wireless transmission capability, which can be contacted with the doctor to effectively detect and monitor the dialysis of the patient. Fourth, this creation can be integrated into other electronic devices, and it is more convenient to use PDA or mobile phone. 5. This creation contains storage devices that can be used for data recording and comparison. The techniques, means and functions of the present invention will be described in detail with reference to the preferred embodiments and the accompanying drawings. (4) The above-mentioned purpose, structure and characteristics of the present invention can be obtained from an in-depth and specific understanding. . [Embodiment] Please refer to the first to third figures. The present invention provides a portable electronic dialysis and repeated tube flow monitoring device, which comprises: an electronic monitoring device (1 〇) and a central server ( 2 0). The electronic monitoring device (i 〇) includes a first microprocessor (1 1), an audio signal detector (i 2 ), a touch screen (13), and a first storage device (14). a diagnostic program module (1 5), a warning device (16), a power supply device (17) and a human machine interface (18), and the first microprocessor (丄丄) is respectively associated with the touch The screen (13), the first storage device (14), the warning device (16) and the power supply device (17) are electrically connected, and the sound signal detector (2) can be used for dialysis The intravascular murmur is used to collect audio and sound. The human interface (18) is a graphical user interface that presents the vascular access pattern for the M376765 user to select and display the interpretation results and as a manipulation interface. The patient and the clinician refer to the 'micro-processor (1 1) to collect the audio, sound volume and vascular tremor signals detected by the dialysis system. Stored in the first storage device (1 4), and abnormally judged by the diagnostic programming module (15), if The intensity of the alien signal exceeds a preset threshold, and the electronic monitoring device “0” can provide an alert through the warning device (16). The micro-processing device (1 1) can digitize the data and can make the audio and sound The comparison program φ and storage, the diagnostic program module (15) can compare the audio changes at different times. The central server (2 〇) includes a second microprocessor (2 1 ) and a storage device (22). And a mobile network (23), the central server (...) is connected to the f-monitoring device (the (8) transmission data base through the mobile network (23), and the central vehicle (2 〇) system can The electronic monitor (10) from the dialysis and the collection of the audio, sound volume and also the Yan Yan Chuan = use the second microprocessor (21) to interpret, and then return the interpretation results back to the it monitoring device ( 10), and through the second storage device (2 2) fruit storage records, this creation can be used to refer to the patient's movement o / m both interpretation and medical services, the central ship (2 The relevant information is provided to the attending physician or insurance company where the electronic monitoring device (i 0) can be a Pda. The electronic monitoring device (i 〇) may be a mobile phone. The warning device (16) may be a speakerphone as shown in the figure), 丄bi) c as the first one of the touch screen (13) The first storage device (2 2) may be a hard disk. The power storage device may be a hard disk. The device (17) includes a lithium battery, and the power supply device (17) is further provided with a power switch (丄7 i.) in clinical observation, when the dialysis tube has a narrow lumen or a blocked thrombus There will be changes in the vascular tremor (thrill) on the physical examination, disappearing or weakening. This phenomenon is accompanied by changes in intravascular murmurs, including changes in the frequency of the sound waves, and a decrease in the volume of the sound during auscultation with a stethoscope (steth〇sc〇pe). When the dialysis is blocked, the blood flow in the lumen becomes faster because the lumen becomes smaller, which causes the loss of momentum. Lost momentum is manifested in the stenosis of the lumen with audible, acoustic, and vascular tremors. The portable dialysis access monitor device provided by the present invention mainly uses an acoustic detector to measure the audio and sound volume, and uses the wafer to analogize the signal ( Analog) is converted into a digital signal for quantitative analysis. The built-in program is used for analysis, in the hope of early detection of possible stenosis or partial blockage of the thrombus. Once the abnormal flow of dialysis is found, it can be combined with current interventional endovascular treatment to achieve early treatment of intravascular lesions or partial thrombosis, ensuring the reliability of dialysis. This creation can be combined with current microelectronic devices, such as cell phones and handheld digital assistants (P DA), to provide not only a dialysis patient as a tool for routine self-monitoring, but also a clinician as a more accurate diagnostic tool. In this creation, the detector can be placed in the arterial end of the dialysis, the injection point and the vein end of the arterial injection point, and the noise in the blood vessels (the collection of audio and sound) is collected. Processing in the first microprocessor (ii), M376765 digital signal, audio and sound processing and comparison via software, the principle of software comparison, in principle, is to take a heartbeat cycle sound wave signal , the sound signals captured at different times in the same part are compared. The preliminary interpretation of the difference in signal strength can be displayed on the screen, and if the threshold is exceeded, a warning is issued. The digital information can be transmitted back to the electronic monitoring device (丄〇) through the mobile network (23), and the clinician and the dialysis patient can be referred to the hospital for further investigation if there is any abnormality in the flow. Check or interventional management. Among them, the calculation program of the software program is to apply the sound wave analysis program to display the relationship between the waveform of the sound wave mark and time, take a heart cycle of the heart beat, and take several values from the scale on the software. Including the maximum amplitude of the sound wave (Amx;%), the minimum amplitude of the sound wave (Amin;%), the time when the amplitude exceeds 50% of the maximum amplitude (T5〇; Sec), and calculate its percentage of the total cardiac cycle time, as well as a heart cycle The area ratio (S; %) occupied by the audio spectrum is analyzed for analysis. Further comparison of the data obtained at different times can be made by dialysis vascular access at different time auscultation of sound wave data pairing calculation, including maximum amplitude difference Amxci (%), minimum φ amplitude difference Amind (%), amplitude above 50% The difference in time ratio is T50Hd 'The difference in the area of the audio spectrum is sd (% h if several important parameters exceed the threshold), then a warning is given. After returning to the central server (2 〇), further Judging, requesting medical intervention. In addition, as for the use of this creation, please refer to the third figure, this creation through the patient's diarrhea collection of sound waves (3 〇), and then through the first microprocessor Digitize the signal (4 0) and store it in the storage device (5 〇), and perform audio comparison (6〇) through the diagnostic program module. The touch screen of the electronic monitoring device can display the result (7 0) Transmitting the diagnosis results and data to the central server (80), through which the appropriate medical intervention can be carried out (in the case of 9th, the electronic dialysis tube flow provided by the first b) Group Early detection of the problem of the control When the condition of dialysis is too bad, it is necessary to mention the situation of dialysis and dialysis. In order to effectively avoid the waste of medical resources and improve medical quality, this creation can not only provide dialysis patients as usual self-monitoring. Worker 8 can also provide clinicians as a more accurate solution. Secondly, it is portable, can be used for immediate diagnosis and non-invasiveness, and is quite easy to use. 2 This is a wireless transmission capability. In connection with the medical network, it is effective to detect and monitor patients with dialysis. In addition, this integration is more convenient in other electronic devices, such as PDAs or mobile phones. Finally, this creation contains storage devices. It can be used as a record and comparison of poems. The text is a description of the technical features of this creation for the feasible embodiment of the creation; only those who are familiar with the technology can not be separated from the original The changes and modifications to this creation are made, and such changes and modifications shall be in the scope defined by the following patent application scope. 盍 [Simple description of the drawings] First figure: Appearance of the present invention The second figure is a block diagram of the components of the feasible embodiment of the present invention. The third figure is a schematic diagram of the flow of the use mode of the presently feasible embodiment. [Description of main component symbols] (10) Electronic monitoring device (1 2) Sound signal detector (1 1) First microprocessor (1 3) Touch screen M376765 (1 4) First storage device (1 5) Diagnostic program module (1 6 ) Warning device (1 6 1 ) Speaker (17) Power supply device (1 7 1) Power switch (18) Human machine interface (20) Central server (2 1) Second microprocessor (2 2) Second storage device (2 3 ) Mobile network (3 0) Sound collection (4 0) Stores the signal digitized (5 0) in the storage device (60) Audio comparison (7 0) Display result (8 Ο) is transmitted to the central server (9 Ο) Medical intervention