「COPD」の編集履歴（バックアップ）一覧はこちら

「COPD」(2006/11/06 (月) 02:03:46) の最新版変更点

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<p class="MsoNormal" style="MARGIN: 0mm 0mm 0pt"><span lang="EN-US" style=
"FONT-SIZE: 9pt"><font face="Century">1.<br></font></span></p>
<p class="MsoNormal" style="MARGIN: 0mm 0mm 0pt"><span style=
"FONT-SIZE: 9pt; FONT-FAMILY: &quot;ＭＳ 明朝&quot;; mso-ascii-font-family: Century; mso-hansi-font-family: Century">
呼吸器疾患</span> <span lang="EN-US" style="FONT-SIZE: 9pt"><font face=
"Century">--- (</font></span><span style=
"FONT-SIZE: 9pt; FONT-FAMILY: &quot;ＭＳ 明朝&quot;; mso-ascii-font-family: Century; mso-hansi-font-family: Century">様々</span><span lang="EN-US"
style="FONT-SIZE: 9pt"><font face="Century">)<br></font></span></p>
<p class="MsoNormal" style="MARGIN: 0mm 0mm 0pt"><span style=
"FONT-SIZE: 9pt; FONT-FAMILY: &quot;ＭＳ 明朝&quot;; mso-ascii-font-family: Century; mso-hansi-font-family: Century">
肺循環障害</span> <span lang="EN-US" style="FONT-SIZE: 9pt"><font face=
"Century">---</font></span> <span style=
"FONT-SIZE: 9pt; FONT-FAMILY: &quot;ＭＳ 明朝&quot;; mso-ascii-font-family: Century; mso-hansi-font-family: Century">
肺高血圧</span><span lang="EN-US" style="FONT-SIZE: 9pt"><font face=
"Century">,</font></span> <span style=
"FONT-SIZE: 9pt; FONT-FAMILY: &quot;ＭＳ 明朝&quot;; mso-ascii-font-family: Century; mso-hansi-font-family: Century">
右左シャント</span><span lang="EN-US" style="FONT-SIZE: 9pt"><font face=
"Century">,</font></span> <span style=
"FONT-SIZE: 9pt; FONT-FAMILY: &quot;ＭＳ 明朝&quot;; mso-ascii-font-family: Century; mso-hansi-font-family: Century">
など</span><span lang="EN-US" style="FONT-SIZE: 9pt"><font face=
"Century">.<br></font></span></p>
<p class="MsoNormal" style="MARGIN: 0mm 0mm 0pt"><span style=
"FONT-SIZE: 9pt; FONT-FAMILY: &quot;ＭＳ 明朝&quot;; mso-ascii-font-family: Century; mso-hansi-font-family: Century">
循環器障害</span> <span lang="EN-US" style="FONT-SIZE: 9pt"><font face=
"Century">---</font></span> <span style=
"FONT-SIZE: 9pt; FONT-FAMILY: &quot;ＭＳ 明朝&quot;; mso-ascii-font-family: Century; mso-hansi-font-family: Century">
うっ血性心不全</span><span lang="EN-US" style=
"FONT-SIZE: 9pt"><font face="Century">,</font></span> <span style=
"FONT-SIZE: 9pt; FONT-FAMILY: &quot;ＭＳ 明朝&quot;; mso-ascii-font-family: Century; mso-hansi-font-family: Century">
シャント</span><span lang="EN-US" style="FONT-SIZE: 9pt"><font face=
"Century">,</font></span> <span style=
"FONT-SIZE: 9pt; FONT-FAMILY: &quot;ＭＳ 明朝&quot;; mso-ascii-font-family: Century; mso-hansi-font-family: Century">
など</span><span lang="EN-US" style="FONT-SIZE: 9pt"><font face=
"Century">.<br></font></span></p>
<p class="MsoNormal" style="MARGIN: 0mm 0mm 0pt"><span style=
"FONT-SIZE: 9pt; FONT-FAMILY: &quot;ＭＳ 明朝&quot;; mso-ascii-font-family: Century; mso-hansi-font-family: Century">
神経筋疾患</span> <span lang="EN-US" style="FONT-SIZE: 9pt"><font face=
"Century">---</font></span> <span style=
"FONT-SIZE: 9pt; FONT-FAMILY: &quot;ＭＳ 明朝&quot;; mso-ascii-font-family: Century; mso-hansi-font-family: Century">
神経疾患による呼吸筋麻痺</span><span lang="EN-US" style=
"FONT-SIZE: 9pt"><font face="Century">,</font></span> <span style=
"FONT-SIZE: 9pt; FONT-FAMILY: &quot;ＭＳ 明朝&quot;; mso-ascii-font-family: Century; mso-hansi-font-family: Century">
全身性硬化症などの呼吸筋を侵す疾患</span><span lang="EN-US"
style="FONT-SIZE: 9pt"><font face="Century">.<br></font></span></p>
<p class="MsoNormal" style="MARGIN: 0mm 0mm 0pt"><span style=
"FONT-SIZE: 9pt; FONT-FAMILY: &quot;ＭＳ 明朝&quot;; mso-ascii-font-family: Century; mso-hansi-font-family: Century">
中枢神経疾患</span> <span lang="EN-US" style="FONT-SIZE: 9pt"><font face=
"Century">---</font></span> <span style=
"FONT-SIZE: 9pt; FONT-FAMILY: &quot;ＭＳ 明朝&quot;; mso-ascii-font-family: Century; mso-hansi-font-family: Century">
呼吸中枢を障害</span><span lang="EN-US" style=
"FONT-SIZE: 9pt"><font face="Century">.<br></font></span></p>
<p class="MsoNormal" style="MARGIN: 0mm 0mm 0pt"><span style=
"FONT-SIZE: 9pt; FONT-FAMILY: &quot;ＭＳ 明朝&quot;; mso-ascii-font-family: Century; mso-hansi-font-family: Century">
心因性疾患</span> <span lang="EN-US" style="FONT-SIZE: 9pt"><font face=
"Century">---</font></span> <span style=
"FONT-SIZE: 9pt; FONT-FAMILY: &quot;ＭＳ 明朝&quot;; mso-ascii-font-family: Century; mso-hansi-font-family: Century">
不安神経症</span><span lang="EN-US" style="FONT-SIZE: 9pt"><font face=
"Century">,</font></span> <span style=
"FONT-SIZE: 9pt; FONT-FAMILY: &quot;ＭＳ 明朝&quot;; mso-ascii-font-family: Century; mso-hansi-font-family: Century">
ヒステリー</span><span lang="EN-US" style="FONT-SIZE: 9pt"><font face=
"Century">,</font></span> <span style=
"FONT-SIZE: 9pt; FONT-FAMILY: &quot;ＭＳ 明朝&quot;; mso-ascii-font-family: Century; mso-hansi-font-family: Century">
過換気症候群</span><span lang="EN-US" style="FONT-SIZE: 9pt"><font face=
"Century">,</font></span> <span style=
"FONT-SIZE: 9pt; FONT-FAMILY: &quot;ＭＳ 明朝&quot;; mso-ascii-font-family: Century; mso-hansi-font-family: Century">
など</span><span lang="EN-US" style="FONT-SIZE: 9pt"><font face=
"Century">.<br></font></span></p>
<p class="MsoNormal" style="MARGIN: 0mm 0mm 0pt"><span style=
"FONT-SIZE: 9pt; FONT-FAMILY: &quot;ＭＳ 明朝&quot;; mso-ascii-font-family: Century; mso-hansi-font-family: Century">
血液疾患</span> <span lang="EN-US" style="FONT-SIZE: 9pt"><font face=
"Century">---</font></span> <span style=
"FONT-SIZE: 9pt; FONT-FAMILY: &quot;ＭＳ 明朝&quot;; mso-ascii-font-family: Century; mso-hansi-font-family: Century">
ヘモグロビンの量的・質的異常</span><span lang="EN-US" style=
"FONT-SIZE: 9pt"><font face="Century">,</font></span> <span style=
"FONT-SIZE: 9pt; FONT-FAMILY: &quot;ＭＳ 明朝&quot;; mso-ascii-font-family: Century; mso-hansi-font-family: Century">
肺循環障害</span><span lang="EN-US" style="FONT-SIZE: 9pt"><font face=
"Century">,</font></span> <span style=
"FONT-SIZE: 9pt; FONT-FAMILY: &quot;ＭＳ 明朝&quot;; mso-ascii-font-family: Century; mso-hansi-font-family: Century">
血液悪性細胞の肺浸潤</span><span lang="EN-US" style=
"FONT-SIZE: 9pt"><font face="Century">,</font></span> <span style=
"FONT-SIZE: 9pt; FONT-FAMILY: &quot;ＭＳ 明朝&quot;; mso-ascii-font-family: Century; mso-hansi-font-family: Century">
など</span><span lang="EN-US" style="FONT-SIZE: 9pt"><font face=
"Century">.<br></font></span></p>
<p class="MsoNormal" style="MARGIN: 0mm 0mm 0pt"><span style=
"FONT-SIZE: 9pt; FONT-FAMILY: &quot;ＭＳ 明朝&quot;; mso-ascii-font-family: Century; mso-hansi-font-family: Century">
代謝性疾患</span> <span lang="EN-US" style="FONT-SIZE: 9pt"><font face=
"Century">---</font></span> <span style=
"FONT-SIZE: 9pt; FONT-FAMILY: &quot;ＭＳ 明朝&quot;; mso-ascii-font-family: Century; mso-hansi-font-family: Century">
代謝性アシドーシス</span><span lang="EN-US" style=
"FONT-SIZE: 9pt"><br></span></p>
<p class="MsoNormal" style="MARGIN: 0mm 0mm 0pt"><span style=
"FONT-SIZE: 9pt; FONT-FAMILY: &quot;ＭＳ 明朝&quot;; mso-ascii-font-family: Century; mso-hansi-font-family: Century">
吸入酸素濃度の低下</span> <span lang="EN-US" style=
"FONT-SIZE: 9pt"><font face="Century">---</font></span> <span style=
"FONT-SIZE: 9pt; FONT-FAMILY: &quot;ＭＳ 明朝&quot;; mso-ascii-font-family: Century; mso-hansi-font-family: Century">
高地など</span><span lang="EN-US" style="FONT-SIZE: 9pt"><font face=
"Century">.<br></font></span></p>
<p class="MsoNormal" style="MARGIN: 0mm 0mm 0pt"><span lang="EN-US" style=
"FONT-SIZE: 9pt"><font face="Century">2.</font></span> <span style=
"FONT-SIZE: 9pt; FONT-FAMILY: &quot;ＭＳ 明朝&quot;; mso-ascii-font-family: Century; mso-hansi-font-family: Century">
既往歴</span><span lang="EN-US" style="FONT-SIZE: 9pt"><font face=
"Century">.</font></span> <span style=
"FONT-SIZE: 9pt; FONT-FAMILY: &quot;ＭＳ 明朝&quot;; mso-ascii-font-family: Century; mso-hansi-font-family: Century">
胸痛を伴うか</span><span lang="EN-US" style="FONT-SIZE: 9pt"><font face=
"Century">.</font></span> <span style=
"FONT-SIZE: 9pt; FONT-FAMILY: &quot;ＭＳ 明朝&quot;; mso-ascii-font-family: Century; mso-hansi-font-family: Century">
薬剤の服用歴</span><span lang="EN-US" style="FONT-SIZE: 9pt"><font face=
"Century">,</font></span> <span style=
"FONT-SIZE: 9pt; FONT-FAMILY: &quot;ＭＳ 明朝&quot;; mso-ascii-font-family: Century; mso-hansi-font-family: Century">
発作性</span><span lang="EN-US" style="FONT-SIZE: 9pt"><font face=
"Century">/</font></span><span style=
"FONT-SIZE: 9pt; FONT-FAMILY: &quot;ＭＳ 明朝&quot;; mso-ascii-font-family: Century; mso-hansi-font-family: Century">突発性</span><span lang="EN-US"
style="FONT-SIZE: 9pt"><font face="Century">/</font></span><span style=
"FONT-SIZE: 9pt; FONT-FAMILY: &quot;ＭＳ 明朝&quot;; mso-ascii-font-family: Century; mso-hansi-font-family: Century">慢性</span><span lang="EN-US"
style="FONT-SIZE: 9pt"><font face="Century">.</font></span> <span style=
"FONT-SIZE: 9pt; FONT-FAMILY: &quot;ＭＳ 明朝&quot;; mso-ascii-font-family: Century; mso-hansi-font-family: Century">
口すぼめ呼吸で楽になるか</span><span lang="EN-US" style=
"FONT-SIZE: 9pt"><font face="Century">.</font></span> <span style=
"FONT-SIZE: 9pt; FONT-FAMILY: &quot;ＭＳ 明朝&quot;; mso-ascii-font-family: Century; mso-hansi-font-family: Century">
体位によって変化するか</span><span lang="EN-US" style=
"FONT-SIZE: 9pt"><font face="Century">.</font></span> <span style=
"FONT-SIZE: 9pt; FONT-FAMILY: &quot;ＭＳ 明朝&quot;; mso-ascii-font-family: Century; mso-hansi-font-family: Century">
喫煙歴はどのくらい</span><span lang="EN-US" style=
"FONT-SIZE: 9pt"><font face="Century">.</font></span> <span style=
"FONT-SIZE: 9pt; FONT-FAMILY: &quot;ＭＳ 明朝&quot;; mso-ascii-font-family: Century; mso-hansi-font-family: Century">
職業</span><span lang="EN-US" style="FONT-SIZE: 9pt"><font face=
"Century">.</font></span> <span style=
"FONT-SIZE: 9pt; FONT-FAMILY: &quot;ＭＳ 明朝&quot;; mso-ascii-font-family: Century; mso-hansi-font-family: Century">
住環境について</span><span lang="EN-US" style=
"FONT-SIZE: 9pt"><font face="Century">.</font></span> <span style=
"FONT-SIZE: 9pt; FONT-FAMILY: &quot;ＭＳ 明朝&quot;; mso-ascii-font-family: Century; mso-hansi-font-family: Century">
旅行</span> <span lang="EN-US" style="FONT-SIZE: 9pt"><font face=
"Century">(</font></span><span style=
"FONT-SIZE: 9pt; FONT-FAMILY: &quot;ＭＳ 明朝&quot;; mso-ascii-font-family: Century; mso-hansi-font-family: Century">海外</span><span lang="EN-US"
style="FONT-SIZE: 9pt"><font face="Century">,</font></span> <span style=
"FONT-SIZE: 9pt; FONT-FAMILY: &quot;ＭＳ 明朝&quot;; mso-ascii-font-family: Century; mso-hansi-font-family: Century">
温泉</span><span lang="EN-US" style="FONT-SIZE: 9pt"><font face=
"Century">).</font></span> <span style=
"FONT-SIZE: 9pt; FONT-FAMILY: &quot;ＭＳ 明朝&quot;; mso-ascii-font-family: Century; mso-hansi-font-family: Century">
ストレスや不安</span><span lang="EN-US" style=
"FONT-SIZE: 9pt"><font face="Century">.<br></font></span></p>
<p class="MsoNormal" style="MARGIN: 0mm 0mm 0pt"><span lang="EN-US" style=
"FONT-SIZE: 9pt"><font face="Century">Faculty Comments: You will want to obtain
a better understanding of Mrs. Smiths dyspnea. Some questions to this point
include:<br></font></span></p>
<ul style="MARGIN-TOP: 0mm" type="disc">
<li class="MsoNormal" style=
"MARGIN: 0mm 0mm 0pt; mso-list: l6 level1 lfo1; tab-stops: list 36.0pt">
<span lang="EN-US" style="FONT-SIZE: 9pt"><font face="Century">When does the
dyspnea occur?<br></font></span></li>
<li style="list-style: none">
<ul style="MARGIN-TOP: 0mm" type="circle">
<li class="MsoNormal" style=
"MARGIN: 0mm 0mm 0pt; mso-list: l6 level2 lfo1; tab-stops: list 72.0pt">
<span lang="EN-US" style="FONT-SIZE: 9pt"><font face="Century">Do you have
dyspnea with exertion? If so, how much activity do you have to do before you
develop dyspnea?<br></font></span></li>
<li class="MsoNormal" style=
"MARGIN: 0mm 0mm 0pt; mso-list: l6 level2 lfo1; tab-stops: list 72.0pt">
<span lang="EN-US" style="FONT-SIZE: 9pt"><font face="Century">Do you have
dyspnea at rest?<br></font></span></li>
</ul>
</li>
<li class="MsoNormal" style=
"MARGIN: 0mm 0mm 0pt; mso-list: l6 level1 lfo1; tab-stops: list 36.0pt">
<span lang="EN-US" style="FONT-SIZE: 9pt"><font face="Century">When did the
dyspnea start?<br></font></span></li>
<li class="MsoNormal" style=
"MARGIN: 0mm 0mm 0pt; mso-list: l6 level1 lfo1; tab-stops: list 36.0pt">
<span lang="EN-US" style="FONT-SIZE: 9pt"><font face="Century">Since it
developed, has it been getting better, worse, or remains
unchanged?<br></font></span></li>
<li class="MsoNormal" style=
"MARGIN: 0mm 0mm 0pt; mso-list: l6 level1 lfo1; tab-stops: list 36.0pt">
<span lang="EN-US" style="FONT-SIZE: 9pt"><font face="Century">Do you have
difficulty with breathing when lying flat (orthopnea)?<br></font></span></li>
<li class="MsoNormal" style=
"MARGIN: 0mm 0mm 0pt; mso-list: l6 level1 lfo1; tab-stops: list 36.0pt">
<span lang="EN-US" style="FONT-SIZE: 9pt"><font face="Century">Do you ever
experience waking up from sleep and being short of breath (paroxysmal nocturnal
dyspnea</font></span> <span style=
"FONT-SIZE: 9pt; FONT-FAMILY: &quot;ＭＳ 明朝&quot;; mso-ascii-font-family: Century; mso-hansi-font-family: Century">