tag:blogger.com,1999:blog-25751852495763322332012-01-18T02:47:55.150-08:00即日起為您看診服務 !陳文喬 醫師http://www.blogger.com/profile/09225582104976194442noreply@blogger.comBlogger51100tag:blogger.com,1999:blog-2575185249576332233.post-61577010239503227582008-12-08T05:30:00.000-08:002010-02-26T10:49:05.243-08:00<a expr:href="&quot;http://www.facebook.com/sharer.php?u=&quot; + data:post.url + &quot;&amp;t=&quot; + data:post.title" href="http://www.blogger.com/post-edit.g?blogID=2575185249576332233&amp;postID=6157701023950322758" rel="external nofollow" target="_blank" title="分享至 Facebook"><img src="http://lh5.ggpht.com/_JhmMuPsdHZE/SnwaHusC_5I/AAAAAAAAA6Q/OEqc4PCwy98/fb_share.png" /></a><br /><span style="font-size: 180%;"><span style="font-weight: bold;"><span style="font-family: courier new;">騎士痲痹及腕隧道症候群</span></span></span><br /><span style="font-size: 100%;">因為長時間騎車引起之傷害之中，有1/3在手部。<br /><br /></span><br /><ul style="font-weight: bold;"><li><span style="font-size: 180%;">Cyclist’s Palsy騎士麻痺 ( Handle Bar Palsy )</span></li></ul><a href="http://1.bp.blogspot.com/_R1413eP-STs/ST00fZ8YuJI/AAAAAAAAAK0/cb9KoqsHvyY/s1600-h/UNP.png" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}"><img alt="" border="0" id="BLOGGER_PHOTO_ID_5277432052492843154" src="http://1.bp.blogspot.com/_R1413eP-STs/ST00fZ8YuJI/AAAAAAAAAK0/cb9KoqsHvyY/s320/UNP.png" style="cursor: pointer; height: 289px; width: 389px;" /></a><br /><br /><span style="font-size: 100%;"> 是一種尺神經麻痺，由於直接壓力壓在手把上引起。<br />症狀: 無名指,與小指麻, 刺痛, 無力。<br /></span><a href="http://3.bp.blogspot.com/_R1413eP-STs/ST00fiYJytI/AAAAAAAAAK8/S5LD2bAgPwU/s1600-h/ulnar.png" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}"><img alt="" border="0" id="BLOGGER_PHOTO_ID_5277432054756788946" src="http://3.bp.blogspot.com/_R1413eP-STs/ST00fiYJytI/AAAAAAAAAK8/S5LD2bAgPwU/s320/ulnar.png" style="cursor: pointer; height: 145px; width: 193px;" /></a><br /><span style="font-size: 100%;"><br />需要幾天至幾個月才會恢復。<br /><br />治療方法 : 休息,牽拉運動 (stretching exercises), 非類固醇消炎劑<br /><br /></span><br /><ul style="font-weight: bold;"><li><span style="font-size: 180%;">腕隧道症候群 ( Carpal tunnel syndrome )</span></li></ul>相較於<span style="font-size: 100%;"> </span><span style="font-size: 100%;">"騎士麻痺</span>"，較少發生。<br /><a href="http://1.bp.blogspot.com/_R1413eP-STs/ST00f8ZSrzI/AAAAAAAAALE/6mKF2TxxkRs/s1600-h/CTS.png" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}"><img alt="" border="0" id="BLOGGER_PHOTO_ID_5277432061740887858" src="http://1.bp.blogspot.com/_R1413eP-STs/ST00f8ZSrzI/AAAAAAAAALE/6mKF2TxxkRs/s320/CTS.png" style="cursor: pointer; height: 301px; width: 419px;" /></a><br />症狀 ：第1,2,3,4指麻, 無力<br />但是不騎車後很快就恢復。若症狀持續太久，則要懷疑是否有其他原因<br />造成腕隧道症候群，或是由於長期騎車太久而沒有休息。<br /><br />以下是一篇醫學期刊關於"長距離騎車造成之手部神經麻痺"<br /><br />題目: Ulnar and median nerve palsy in long-distance cyclists. A prospective study<br />出處: American Journal of Sports Medicine. 31(4):585-9, 2003 Jul-Aug.<br />Department of Orthopaedic Surgery,<br />Barnes-Jewish Hospital at Washington University School of Medicine,<br />St. Louis, Missouri, USA.<br />內容: 調查了25位自行車騎士，每一位均騎了600公里。其中36%的人發生手部運動功能障礙 ；10%的 人發生手部感覺功能異常；兩者皆有的佔了24%。僅有發生感覺功能異常者與騎乘之車種有關 （騎登山車者比騎公路車者較容易發生），其餘各組與騎車的車種或經驗多寡均無相關。預防的方法有：帶專用手套、車的尺寸要適合體型、隨時要變換手腕姿勢、騎車時上身挺直一點。<div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/2575185249576332233-6157701023950322758?l=indianjoe-is-a-good-guy.blogspot.com' alt='' /></div>陳文喬 醫師http://www.blogger.com/profile/09225582104976194442noreply@blogger.com4tag:blogger.com,1999:blog-2575185249576332233.post-83596264801013028992008-12-07T01:41:00.000-08:002008-12-07T08:30:29.466-08:00<span style="font-family:courier new;"><br />自行車運動現在可說是全民運動，但小弟爬文許久，中文網站上甚少著墨於其運動傷害，由於小弟的專業與此有那麼一點關係，於是參考了國際上相關期刊，整理出一些車友們所關心的幾個跟自行車有關的健康議題，供大家叁考。（ 轉貼文章請註明部落格出處 ）<br /><br /><br /></span><span style="font-family:courier new;">Q: 騎自行車安全嗎 ?</span><br /><span style="font-family:courier new;">A: 若能做好防護措施，基本上是安全的</span> <span style="font-family:courier new;"><br />Q: 醫學期刊文獻裡，有無相關研究?</span> <span style="font-family:courier new;"><br />A: (期刊1) 1368位自行車騎士橫越馬里蘭州(休閒型長距離)之傷害調查</span> <span style="font-family:courier new;"> 出處: <span style="font-size:78%;"> American Journal of Sports Medicine. 24(6):747-53, 1996 Nov-Dec.</span></span><span style="font-size:78%;"> </span><span style=";font-family:courier new;font-size:78%;" > Injury Prevention Center, Johns Hopkins University School of Hygiene and Public Health, Baltimore, Maryland, USA</span><span style="font-size:78%;"> </span><span style=";font-family:courier new;font-size:78%;" > Dannenberg, A L. Needle, S. Mullady, D. Kolodner, K B.</span> <ul style="font-family: courier new;"><li>6天 (565 km)</li></ul><ul style="font-family: courier new;"><li>平均年齡 39 歲</li></ul><ul style="font-family: courier new;"><li> 85 意外創傷 , 76 過度使用造成之傷害 </li></ul><ul style="font-family: courier new;"><li> 37 其他疾病 </li></ul><ul style="font-family: courier new;"><li>過度使用造成之傷害:以 膝痛,手麻,腕部麻,</li></ul><ul style="font-family: courier new;"><li> 腳水泡,蚊蟲叮咬,中暑,脫水為最多 </li></ul><ul style="font-family: courier new;"><li> 結論 :過度使用造成之傷害可藉由騎車前之暖身運動及肌耐力訓練來改善</li></ul><span style="font-family:courier new;">Q: 常見的自行車運動傷害有哪些 ?<br /></span> <span style="font-family:courier new;">A: 意外創傷 ( 頭部外傷,骨折)，下肢疼痛，手麻無力，肩頸及背痛，以及勃起功能障礙</span><br /><ul><li><span style="font-family: courier new;">意外創傷 ( 頭部外傷,骨折)</span><span style="font-family:courier new;"><br /></span></li><li><span style="font-family:courier new;">常見原因： 初學者對煞車系統或變速不熟悉，或輪子卡到異物，如衣物等等。</span> <span style="font-family:courier new;"> 要注意煞車的左側和右側: 登山車原產國美國由左煞車桿 控制前輪, 在英國則反 。要先check ! 否則…..</span> <a style="font-family: courier new;" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="http://4.bp.blogspot.com/_R1413eP-STs/STul3Oq-9EI/AAAAAAAAAKU/b66L8USEQQ8/s1600-h/Untitled1.png"><img style="cursor: pointer; width: 165px; height: 162px;" src="http://4.bp.blogspot.com/_R1413eP-STs/STul3Oq-9EI/AAAAAAAAAKU/b66L8USEQQ8/s320/Untitled1.png" alt="" id="BLOGGER_PHOTO_ID_5276993756644439106" border="0" /></a><a style="font-family: courier new;" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="http://3.bp.blogspot.com/_R1413eP-STs/STumRLg1TOI/AAAAAAAAAKc/NMQn3P-PGhI/s1600-h/Untitled2.png"><img style="cursor: pointer; width: 226px; height: 163px;" src="http://3.bp.blogspot.com/_R1413eP-STs/STumRLg1TOI/AAAAAAAAAKc/NMQn3P-PGhI/s320/Untitled2.png" alt="" id="BLOGGER_PHOTO_ID_5276994202473155810" border="0" /></a></li></ul> <span style="font-family:courier new;">頭部外傷相當常見<br /></span> <a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="http://2.bp.blogspot.com/_R1413eP-STs/STum3QGTp5I/AAAAAAAAAKk/O83fLEljy_w/s1600-h/Untitled3.png"><img style="cursor: pointer; width: 327px; height: 222px;" src="http://2.bp.blogspot.com/_R1413eP-STs/STum3QGTp5I/AAAAAAAAAKk/O83fLEljy_w/s320/Untitled3.png" alt="" id="BLOGGER_PHOTO_ID_5276994856539105170" border="0" /></a><br /><br /><span style="font-family:courier new;">上圖示: 易碎物品運送時要小心輕放 !</span><br /><span style="font-family:courier new;">由此可知戴安全帽的重要</span><span style="text-decoration: underline;"></span><a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="http://1.bp.blogspot.com/_R1413eP-STs/STuoAVR-2rI/AAAAAAAAAKs/1UMQCZGSZ9E/s1600-h/Untitled4.png"><img style="cursor: pointer; width: 109px; height: 109px;" src="http://1.bp.blogspot.com/_R1413eP-STs/STuoAVR-2rI/AAAAAAAAAKs/1UMQCZGSZ9E/s320/Untitled4.png" alt="" id="BLOGGER_PHOTO_ID_5276996112060701362" border="0" /></a><br /><br /><ul><li><span style="font-family:courier new;">( 期刊2 ) 立法強制戴安全帽能減少頭部外傷嗎? </span></li></ul><span style=";font-family:courier new;font-size:78%;" >Bicycle helmet legislation for the uptake of helmet use and prevention of head injuries. Cochrane Database of Systematic Reviews. (2):CD005401, 2007 </span><br /><span style="font-family:courier new;">是否需要如同機車一樣強制戴安全帽目前仍有爭議，反對者擔心可能</span><br /><span style="font-family:courier new;">會減低民眾騎自行車之意願。</span><br /><span style="font-family:courier new;">作者整理了5篇研究報告, 研究對象均在北美地區，該地區均立法孩童騎車需戴安全帽 .</span><br /><span style="font-family:courier new;">其中3篇認為立法, 可減少頭部外傷之比率 </span>; <span style="font-family:courier new;">其中3篇認為立法,可提高戴安全帽之比率.</span><br /><span style="font-family:courier new;">沒有報告顯示立法強制戴安全帽會減低騎自行車之意願.</span><br /><span style="font-family:courier new;">結論: 應立法規範騎乘自行車戴安全帽， 尤其是兒童。<br /><br />Q: 下肢傷害可能有哪些?<br />A: 膝痛, 股四頭肌腱炎, 膝外側痛iliotibial band syndrome, 髖部痛, </span><span style="font-family:courier new;">膝內側痛</span><span style="font-family:courier new;">medial tibial stress syndrome, 壓力性骨折, 腔室證候群compartment syndrome,腳麻,足板痛<br /><br />Q:下肢傷害的原因有哪些？<br />A:暖身肌力準備不夠, 設備服裝不對, 技巧不對, 過度使用<br /><br />Q:</span><span style="font-family:courier new;">下肢傷害的治療有哪些？</span><br /><span style="font-family:courier new;">A:休息,消炎止痛藥, 類固醇局部注射,冰敷,減低訓練強度,副木板固定,</span><span style="font-family:courier new;">夜間副木板固定</span><span style="font-family:courier new;">,復健物理治療<br /></span><span style="font-family:courier new;"><br />Q:如何預防下肢傷害？</span><span style="font-family:courier new;"><br />A:選擇適合身材的自行車，踩踏高度及姿勢要適當，運動前的肌力訓練及暖身要夠<br /><br />Q:膝蓋疼痛的原因為何？<br />A:椅座太高容易引起膝蓋後方的疼痛，同時會使臀部左右搖擺造成不適。<br />椅座太低或太偏前容易</span><span style="font-family:courier new;">引起膝蓋前方的疼痛</span>。<br /> <span style="font-family:courier new;">不適當的鞋踏（或卡踏）會引起膝蓋內側或外側的疼痛。</span><br /> <span style="font-family:courier new;">勿使用過份高數檔，對膝蓋最輕鬆的轉速是每分鐘70-100轉。</span>(<span style="font-family:courier new;">這並不是騎得最快最有效率的轉速<></span>)<br /><br /><span style="font-family:courier new;">Q:</span> <span style="font-family:courier new;">椅座高度如何調整?</span><br /><span style="font-family:courier new;">A: 當腳踏在最低點, 而雙腳完全伸直時, 腳踝位置應該不及腳踏.兩者距離應為0.3 cm。正常踩踏到最低點時時，大腿骨與小腿骨約成30度（ 是骨的角度，不是皮膚表面的角度)</span><br /><span style="font-family:courier new;"><br /><br /></span><div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/2575185249576332233-8359626480101302899?l=indianjoe-is-a-good-guy.blogspot.com' alt='' /></div>陳文喬 醫師http://www.blogger.com/profile/09225582104976194442noreply@blogger.com9tag:blogger.com,1999:blog-2575185249576332233.post-46853356822267119802008-11-26T09:27:00.000-08:002009-12-12T08:46:16.308-08:00<span style="font-size: 130%;"><span style="font-weight: bold;">星期六,天氣晴.聽說有一座號稱百嶽的石門山,屬於親子踏青的路線.對於嚮往高山景致,而一直沒機會登山的我來說,真是在適合不過了.<br /><br />途中,要先經過歐風小鎮--清境農場.<br /></span></span><a href="http://3.bp.blogspot.com/_R1413eP-STs/SS7UWfVRrcI/AAAAAAAAAEQ/-_aRNO3RM-U/s1600-h/DSC07554.JPG" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}"><img alt="" border="0" id="BLOGGER_PHOTO_ID_5273385696530378178" src="http://3.bp.blogspot.com/_R1413eP-STs/SS7UWfVRrcI/AAAAAAAAAEQ/-_aRNO3RM-U/s400/DSC07554.JPG" style="cursor: pointer; height: 300px; width: 400px;" /></a><br /><span style="font-size: 130%;"><span style="font-weight: bold;"><br />這間路邊的民宿看起來挺有味道,不過聽當地人說已經蓋了好幾年了都沒蓋好<br /><br /></span></span><a href="http://3.bp.blogspot.com/_R1413eP-STs/SS7LpsYEgoI/AAAAAAAAADQ/aPVjmmXDbsI/s1600-h/DSC07553.JPG" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}"><img alt="" border="0" id="BLOGGER_PHOTO_ID_5273376130844623490" src="http://3.bp.blogspot.com/_R1413eP-STs/SS7LpsYEgoI/AAAAAAAAADQ/aPVjmmXDbsI/s320/DSC07553.JPG" style="cursor: pointer; float: left; height: 240px; margin: 0pt 10px 10px 0pt; width: 320px;" /></a><br /><span style="font-size: 130%;"><span style="font-weight: bold;"><br /></span></span><br /><br /><br /><br /><span style="font-size: 130%; font-weight: bold;"><br /><br /><br /><br /><br /><br /><br /><br />往合歡山的路上, 沿路的植物已變成高山的箭竹<br /><br /></span><a href="http://3.bp.blogspot.com/_R1413eP-STs/SS7UWCre0oI/AAAAAAAAAEI/kbu6vY78ogc/s1600-h/DSC07565.JPG" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}"><img alt="" border="0" id="BLOGGER_PHOTO_ID_5273385688838886018" src="http://3.bp.blogspot.com/_R1413eP-STs/SS7UWCre0oI/AAAAAAAAAEI/kbu6vY78ogc/s400/DSC07565.JPG" style="cursor: pointer; height: 300px; width: 400px;" /></a><br /><span style="font-size: 130%; font-weight: bold;"><br /></span><br /><br /><div style="text-align: left;"><span style="font-size: 130%;"><span style="font-weight: bold;">石門山的登山口在合歡山附近 ,過了合歡山約500公尺附近</span></span><br /></div><a href="http://4.bp.blogspot.com/_R1413eP-STs/SS2KcOEQdII/AAAAAAAAADA/sUfQ8un2D08/s1600-h/DSC07582.JPG" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}"><img alt="" border="0" id="BLOGGER_PHOTO_ID_5273022956137641090" src="http://4.bp.blogspot.com/_R1413eP-STs/SS2KcOEQdII/AAAAAAAAADA/sUfQ8un2D08/s320/DSC07582.JPG" style="cursor: pointer; float: left; height: 240px; margin: 0pt 10px 10px 0pt; width: 320px;" /></a><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><span style="font-size: 130%;"><span style="font-weight: bold;"><span style="font-size: 180%;"><br /></span></span></span><a href="http://2.bp.blogspot.com/_R1413eP-STs/SS7UV2OafjI/AAAAAAAAAEA/YvtbL7fird0/s1600-h/DSC07583.JPG" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}"><img alt="" border="0" id="BLOGGER_PHOTO_ID_5273385685495742002" src="http://2.bp.blogspot.com/_R1413eP-STs/SS7UV2OafjI/AAAAAAAAAEA/YvtbL7fird0/s400/DSC07583.JPG" style="cursor: pointer; height: 300px; width: 400px;" /></a><br /><span style="font-size: 130%;"><span style="font-weight: bold;"><span style="font-size: 180%;"><br /><br /><br />美麗的高山湖泊</span><br /></span></span><br /><div style="text-align: left;"><a href="http://3.bp.blogspot.com/_R1413eP-STs/SS7Oh0k7mwI/AAAAAAAAADY/Re9rN8j18JI/s1600-h/DSC07578.JPG" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}"><img alt="" border="0" id="BLOGGER_PHOTO_ID_5273379294141979394" src="http://3.bp.blogspot.com/_R1413eP-STs/SS7Oh0k7mwI/AAAAAAAAADY/Re9rN8j18JI/s400/DSC07578.JPG" style="cursor: pointer; display: block; height: 300px; margin: 0px auto 10px; text-align: center; width: 400px;" /></a><br /></div><br /><br /><br /><span style="font-size: 130%;"><span style="font-weight: bold;">還有國際觀光客哦 !</span></span><br /><div style="text-align: center;"><span style="font-size: 130%;"><span style="font-weight: bold;"></span></span><br /></div><a href="http://3.bp.blogspot.com/_R1413eP-STs/SS7QNXH1BxI/AAAAAAAAADw/18Cmjek8NeU/s1600-h/DSC07625.JPG" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}"><img alt="" border="0" id="BLOGGER_PHOTO_ID_5273381141661157138" src="http://3.bp.blogspot.com/_R1413eP-STs/SS7QNXH1BxI/AAAAAAAAADw/18Cmjek8NeU/s320/DSC07625.JPG" style="cursor: pointer; float: left; height: 240px; margin: 0pt 10px 10px 0pt; width: 320px;" /></a><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><span style="font-size: 180%;"><br /><br />Bravo !<br /><br /><br /><br /><br /><br />回清境的路上依然是美不勝收<br /></span><a href="http://3.bp.blogspot.com/_R1413eP-STs/SS7UWrqQgCI/AAAAAAAAAEY/GYaaX-iAlO8/s1600-h/DSC07655.JPG" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}"><img alt="" border="0" id="BLOGGER_PHOTO_ID_5273385699839606818" src="http://3.bp.blogspot.com/_R1413eP-STs/SS7UWrqQgCI/AAAAAAAAAEY/GYaaX-iAlO8/s400/DSC07655.JPG" style="cursor: pointer; height: 300px; width: 400px;" /></a><div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/2575185249576332233-4685335682226711980?l=indianjoe-is-a-good-guy.blogspot.com' alt='' /></div>陳文喬 醫師http://www.blogger.com/profile/09225582104976194442noreply@blogger.com0tag:blogger.com,1999:blog-2575185249576332233.post-54031885500349115522008-11-25T00:57:00.000-08:002008-11-27T08:08:35.733-08:00<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="http://1.bp.blogspot.com/_R1413eP-STs/SSu_x1nEYDI/AAAAAAAAACo/7V84wiCQi1w/s1600-h/4.jpg"><img style="margin: 0pt 0pt 10px 10px; float: right; cursor: pointer; width: 320px; height: 213px;" src="http://1.bp.blogspot.com/_R1413eP-STs/SSu_x1nEYDI/AAAAAAAAACo/7V84wiCQi1w/s320/4.jpg" alt="" id="BLOGGER_PHOTO_ID_5272518651692736562" border="0" /></a><br /><a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="http://2.bp.blogspot.com/_R1413eP-STs/SSu_xnyW_qI/AAAAAAAAACg/3zwnccvcWWQ/s1600-h/6.jpg"><img style="margin: 0pt 0pt 10px 10px; float: right; cursor: pointer; width: 320px; height: 213px;" src="http://2.bp.blogspot.com/_R1413eP-STs/SSu_xnyW_qI/AAAAAAAAACg/3zwnccvcWWQ/s320/6.jpg" alt="" id="BLOGGER_PHOTO_ID_5272518647981997730" border="0" /></a><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><span style="font-size:180%;"><span style="font-weight: bold;">右邊這張地點在明德水庫, 船是後座的盧先生handmade, 佩服佩服!</span></span><div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/2575185249576332233-5403188550034911552?l=indianjoe-is-a-good-guy.blogspot.com' alt='' /></div>陳文喬 醫師http://www.blogger.com/profile/09225582104976194442noreply@blogger.com0tag:blogger.com,1999:blog-2575185249576332233.post-63326233437631059042008-11-25T00:10:00.000-08:002008-12-08T07:50:53.374-08:00<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="http://3.bp.blogspot.com/_R1413eP-STs/SSu0zCdlVkI/AAAAAAAAAAY/-GCGgJL2nvc/s1600-h/DSC06184.JPG"><img style="margin: 0pt 10px 10px 0pt; float: left; cursor: pointer; width: 320px; height: 240px;" src="http://3.bp.blogspot.com/_R1413eP-STs/SSu0zCdlVkI/AAAAAAAAAAY/-GCGgJL2nvc/s320/DSC06184.JPG" alt="" id="BLOGGER_PHOTO_ID_5272506577694578242" border="0" /></a><br /><span style="color: rgb(51, 0, 51);"><span style="font-weight: bold;"><span style="font-size:130%;"> 今年不知在忙什麼, kayak到現在還沒下過水. 先拿些去年的照片來解解渴吧 !<br /> 這艘Kayak是之前在costco買的, 現在已經沒進了. 可折疊, 很適合地狹人稠的台灣.<br /> 地點: 日月潭月牙彎<br /><br /><br /><br /><br /><br /><br /><br /></span></span></span><a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="http://2.bp.blogspot.com/_R1413eP-STs/ST1B_WllxOI/AAAAAAAAALU/q9CVwAQnSp8/s1600-h/kayak.png"><img style="cursor: pointer; width: 320px; height: 240px;" src="http://2.bp.blogspot.com/_R1413eP-STs/ST1B_WllxOI/AAAAAAAAALU/q9CVwAQnSp8/s320/kayak.png" alt="" id="BLOGGER_PHOTO_ID_5277446894998897890" border="0" /></a><br /><span style="font-family: courier new;">這麼美！我們在日月潭。</span><div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/2575185249576332233-6332623343763105904?l=indianjoe-is-a-good-guy.blogspot.com' alt='' /></div>陳文喬 醫師http://www.blogger.com/profile/09225582104976194442noreply@blogger.com0