「case58」の編集履歴（バックアップ）一覧はこちら
「case58」(2007/03/14 (水) 03:14:49) の最新版変更点
追加された行は緑色になります。
削除された行は赤色になります。
<p class="MsoNormal" style="MARGIN: 0mm 0mm 0pt"><span style=
"FONT-SIZE: 10pt; FONT-FAMILY: "ＭＳ ゴシック"; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman"">
見当識</span><span lang="FR" style=
"FONT-SIZE: 10pt; FONT-FAMILY: "Times New Roman"; mso-ansi-language: FR">orientation
(=</span> <span style=
"FONT-SIZE: 10pt; FONT-FAMILY: "ＭＳ 明朝"; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman"">
指南力</span><span lang="EN-US" style=
"FONT-SIZE: 10pt; FONT-FAMILY: "Times New Roman"">):</span><span lang="FR"
style=
"FONT-SIZE: 10pt; FONT-FAMILY: "Times New Roman"; mso-ansi-language: FR"><br></span></p>
<p class="MsoNormal" style="MARGIN: 0mm 0mm 0pt"><span style=
"FONT-SIZE: 10pt; FONT-FAMILY: "ＭＳ 明朝"; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman"">
時</span><span lang="EN-US" style=
"FONT-SIZE: 10pt; FONT-FAMILY: "Times New Roman"">,</span>
<span style=
"FONT-SIZE: 10pt; FONT-FAMILY: "ＭＳ 明朝"; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman"">
場所</span><span lang="EN-US" style=
"FONT-SIZE: 10pt; FONT-FAMILY: "Times New Roman"">,</span>
<span style=
"FONT-SIZE: 10pt; FONT-FAMILY: "ＭＳ 明朝"; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman"">
周囲の状況を正しく理解する能力をいう</span><span lang="EN-US"
style="FONT-SIZE: 10pt; FONT-FAMILY: "Times New Roman"">.</span>
<span style=
"FONT-SIZE: 10pt; FONT-FAMILY: "ＭＳ 明朝"; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman"">
知覚</span><span lang="EN-US" style=
"FONT-SIZE: 10pt; FONT-FAMILY: "Times New Roman"">,</span>
<span style=
"FONT-SIZE: 10pt; FONT-FAMILY: "ＭＳ 明朝"; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman"">
注意</span><span lang="EN-US" style=
"FONT-SIZE: 10pt; FONT-FAMILY: "Times New Roman"">,</span>
<span style=
"FONT-SIZE: 10pt; FONT-FAMILY: "ＭＳ 明朝"; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman"">
記憶</span><span lang="EN-US" style=
"FONT-SIZE: 10pt; FONT-FAMILY: "Times New Roman"">,</span>
<span style=
"FONT-SIZE: 10pt; FONT-FAMILY: "ＭＳ 明朝"; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman"">
知能</span><span lang="EN-US" style=
"FONT-SIZE: 10pt; FONT-FAMILY: "Times New Roman"">,</span>
<span style=
"FONT-SIZE: 10pt; FONT-FAMILY: "ＭＳ 明朝"; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman"">
意識などが侵されれば当然障害される</span><span lang="EN-US"
style="FONT-SIZE: 10pt; FONT-FAMILY: "Times New Roman"">.</span>
<span style=
"FONT-SIZE: 10pt; FONT-FAMILY: "ＭＳ 明朝"; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman"">
障害された場合を失見当識という</span><span lang="EN-US" style=
"FONT-SIZE: 10pt; FONT-FAMILY: "Times New Roman"">.</span>
<span style=
"FONT-SIZE: 10pt; FONT-FAMILY: "ＭＳ 明朝"; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman"">
脳の器質性疾患の診断の一項目となる</span><span lang="EN-US"
style="FONT-SIZE: 10pt; FONT-FAMILY: "Times New Roman"">.</span>
<span style=
"FONT-SIZE: 10pt; FONT-FAMILY: "ＭＳ 明朝"; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman"">
しかし</span><span lang="EN-US" style=
"FONT-SIZE: 10pt; FONT-FAMILY: "Times New Roman"">,</span>
<span style=
"FONT-SIZE: 10pt; FONT-FAMILY: "ＭＳ 明朝"; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman"">
精神分裂病でも人物や状況の誤認はみられることがある</span><span lang="EN-US"
style="FONT-SIZE: 10pt; FONT-FAMILY: "Times New Roman"">.</span>
<span style=
"FONT-SIZE: 10pt; FONT-FAMILY: "ＭＳ 明朝"; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman"">
中毒</span><span lang="EN-US" style=
"FONT-SIZE: 10pt; FONT-FAMILY: "Times New Roman"">,</span>
<span style=
"FONT-SIZE: 10pt; FONT-FAMILY: "ＭＳ 明朝"; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman"">
循環障害</span><span lang="EN-US" style=
"FONT-SIZE: 10pt; FONT-FAMILY: "Times New Roman"">,</span>
<span style=
"FONT-SIZE: 10pt; FONT-FAMILY: "ＭＳ 明朝"; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman"">
代謝障害でも起こりうる</span><span lang="EN-US" style=
"FONT-SIZE: 10pt; FONT-FAMILY: "Times New Roman"">.<br></span></p>
<p class="MsoNormal" style="MARGIN: 0mm 0mm 0pt"><span lang="EN-US" style=
"FONT-SIZE: 10pt; FONT-FAMILY: "Times New Roman""><br></span></p>
<p class="MsoNormal" style="MARGIN: 0mm 0mm 0pt"><span style=
"FONT-SIZE: 10pt; FONT-FAMILY: "ＭＳ ゴシック"; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman"">
失見当識</span><span lang="FR" style=
"FONT-SIZE: 10pt; FONT-FAMILY: "Times New Roman"; mso-ansi-language: FR">disorientation
(=</span> <span style=
"FONT-SIZE: 10pt; FONT-FAMILY: "ＭＳ 明朝"; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman"">
見当識障害</span><span lang="FR" style=
"FONT-SIZE: 10pt; FONT-FAMILY: "Times New Roman"; mso-ansi-language: FR">):<br></span></p>
<p class="MsoNormal" style="MARGIN: 0mm 0mm 0pt"><span style=
"FONT-SIZE: 10pt; FONT-FAMILY: "ＭＳ 明朝"; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman"">
人が現実の状況に最も効果的に対応し得るためには</span><span lang="EN-US"
style="FONT-SIZE: 10pt; FONT-FAMILY: "Times New Roman"">,</span>
<span style=
"FONT-SIZE: 10pt; FONT-FAMILY: "ＭＳ 明朝"; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman"">
自分自身に関する情報が正しく把握されていることはもちろん必要であるが</span><span lang="EN-US"
style="FONT-SIZE: 10pt; FONT-FAMILY: "Times New Roman"">,</span>
<span style=
"FONT-SIZE: 10pt; FONT-FAMILY: "ＭＳ 明朝"; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman"">
その他</span><span lang="EN-US" style=
"FONT-SIZE: 10pt; FONT-FAMILY: "Times New Roman"">,</span>
<span style=
"FONT-SIZE: 10pt; FONT-FAMILY: "ＭＳ 明朝"; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman"">
現在の日時</span> <span lang="EN-US" style=
"FONT-SIZE: 10pt; FONT-FAMILY: "Times New Roman"">(</span><b style=
"mso-bidi-font-weight: normal"><span style=
"FONT-SIZE: 10pt; FONT-FAMILY: "ＭＳ 明朝"; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman"">時間的見当識</span></b><span lang="EN-US"
style="FONT-SIZE: 10pt; FONT-FAMILY: "Times New Roman"">),</span>
<span style=
"FONT-SIZE: 10pt; FONT-FAMILY: "ＭＳ 明朝"; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman"">
現在居る場所</span> <span lang="EN-US" style=
"FONT-SIZE: 10pt; FONT-FAMILY: "Times New Roman"">(</span><b style=
"mso-bidi-font-weight: normal"><span style=
"FONT-SIZE: 10pt; FONT-FAMILY: "ＭＳ 明朝"; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman"">空間的見当識</span></b><span lang="EN-US"
style="FONT-SIZE: 10pt; FONT-FAMILY: "Times New Roman"">) ,</span>
<span style=
"FONT-SIZE: 10pt; FONT-FAMILY: "ＭＳ 明朝"; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman"">
周囲の人物</span> <span lang="EN-US" style=
"FONT-SIZE: 10pt; FONT-FAMILY: "Times New Roman"">(</span><b style=
"mso-bidi-font-weight: normal"><span style=
"FONT-SIZE: 10pt; FONT-FAMILY: "ＭＳ 明朝"; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman"">対人的見当識</span></b><span lang="EN-US"
style="FONT-SIZE: 10pt; FONT-FAMILY: "Times New Roman"">)</span>
<span style=
"FONT-SIZE: 10pt; FONT-FAMILY: "ＭＳ 明朝"; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman"">
について妥当な判断ができなければならない</span><span lang=
"EN-US" style=
"FONT-SIZE: 10pt; FONT-FAMILY: "Times New Roman"">.</span>
<span style=
"FONT-SIZE: 10pt; FONT-FAMILY: "ＭＳ 明朝"; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman"">
見当識の障害された状態を失見当識という</span><span lang=
"EN-US" style=
"FONT-SIZE: 10pt; FONT-FAMILY: "Times New Roman"">.</span>
<span style=
"FONT-SIZE: 10pt; FONT-FAMILY: "ＭＳ 明朝"; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman"">
見当識が保たれるためには意識</span><span lang="EN-US" style=
"FONT-SIZE: 10pt; FONT-FAMILY: "Times New Roman"">,</span>
<span style=
"FONT-SIZE: 10pt; FONT-FAMILY: "ＭＳ 明朝"; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman"">
知的機能</span><span lang="EN-US" style=
"FONT-SIZE: 10pt; FONT-FAMILY: "Times New Roman"">,</span>
<span style=
"FONT-SIZE: 10pt; FONT-FAMILY: "ＭＳ 明朝"; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman"">
注意</span><span lang="EN-US" style=
"FONT-SIZE: 10pt; FONT-FAMILY: "Times New Roman"">,</span>
<span style=
"FONT-SIZE: 10pt; FONT-FAMILY: "ＭＳ 明朝"; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman"">
知覚などの精神機能が適切に保持されている必要がある</span><span lang="EN-US"
style="FONT-SIZE: 10pt; FONT-FAMILY: "Times New Roman"">.</span>
<span style=
"FONT-SIZE: 10pt; FONT-FAMILY: "ＭＳ 明朝"; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman"">
失見当識が起こる原因として臨床的に重要なのは</span><span lang="EN-US"
style="FONT-SIZE: 10pt; FONT-FAMILY: "Times New Roman"">, 1)</span>
<span style=
"FONT-SIZE: 10pt; FONT-FAMILY: "ＭＳ 明朝"; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman"">
意識障害</span><span lang="EN-US" style=
"FONT-SIZE: 10pt; FONT-FAMILY: "Times New Roman"">, 2)</span>
<span style=
"FONT-SIZE: 10pt; FONT-FAMILY: "ＭＳ 明朝"; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman"">
記憶障害</span> <span lang="EN-US" style=
"FONT-SIZE: 10pt; FONT-FAMILY: "Times New Roman"">(</span><span style="FONT-SIZE: 10pt; FONT-FAMILY: "ＭＳ 明朝"; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman"">健忘</span><span lang="EN-US"
style="FONT-SIZE: 10pt; FONT-FAMILY: "Times New Roman"">), 3)</span>
<span style=
"FONT-SIZE: 10pt; FONT-FAMILY: "ＭＳ 明朝"; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman"">
知能障害</span><span lang="EN-US" style=
"FONT-SIZE: 10pt; FONT-FAMILY: "Times New Roman"">,</span>
<span style=
"FONT-SIZE: 10pt; FONT-FAMILY: "ＭＳ 明朝"; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman"">
などである</span><span lang="EN-US" style=
"FONT-SIZE: 10pt; FONT-FAMILY: "Times New Roman"">.</span>
<span style=
"FONT-SIZE: 10pt; FONT-FAMILY: "ＭＳ 明朝"; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman"">
軽度の意識障害の存在が疑われる場合</span><span lang="EN-US"
style="FONT-SIZE: 10pt; FONT-FAMILY: "Times New Roman"">,</span>
<span style=
"FONT-SIZE: 10pt; FONT-FAMILY: "ＭＳ 明朝"; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman"">
見当識障害の有無がまず確かめられる必要がある</span><span lang="EN-US"
style="FONT-SIZE: 10pt; FONT-FAMILY: "Times New Roman"">.</span>
<span style=
"FONT-SIZE: 10pt; FONT-FAMILY: "ＭＳ 明朝"; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman"">
意識障害がなく</span><span lang="EN-US" style=
"FONT-SIZE: 10pt; FONT-FAMILY: "Times New Roman"">,</span>
<span style=
"FONT-SIZE: 10pt; FONT-FAMILY: "ＭＳ 明朝"; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman"">
知能障害もそれほどでないのに著しい失見当識がある場合には</span><span lang="EN-US"
style="FONT-SIZE: 10pt; FONT-FAMILY: "Times New Roman"">Korsakoff's
syndrome</span><span style=
"FONT-SIZE: 10pt; FONT-FAMILY: "ＭＳ 明朝"; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman"">の可能性がある</span><span lang="EN-US"
style="FONT-SIZE: 10pt; FONT-FAMILY: "Times New Roman"">.</span>
<span style=
"FONT-SIZE: 10pt; FONT-FAMILY: "ＭＳ 明朝"; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman"">
そのほか</span><span lang="EN-US" style=
"FONT-SIZE: 10pt; FONT-FAMILY: "Times New Roman"">,</span>
<span style=
"FONT-SIZE: 10pt; FONT-FAMILY: "ＭＳ 明朝"; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman"">
妄想</span><span lang="EN-US" style=
"FONT-SIZE: 10pt; FONT-FAMILY: "Times New Roman"">,</span>
<span style=
"FONT-SIZE: 10pt; FONT-FAMILY: "ＭＳ 明朝"; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman"">
注意や関心の喪失</span> <span lang="EN-US" style=
"FONT-SIZE: 10pt; FONT-FAMILY: "Times New Roman"">(</span><span style="FONT-SIZE: 10pt; FONT-FAMILY: "ＭＳ 明朝"; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman"">うつ状態など</span><span lang="EN-US"
style="FONT-SIZE: 10pt; FONT-FAMILY: "Times New Roman"">) ,</span>
<span style=
"FONT-SIZE: 10pt; FONT-FAMILY: "ＭＳ 明朝"; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman"">
失認の存在などに由来する場合もある</span><span lang="EN-US"
style=
"FONT-SIZE: 10pt; FONT-FAMILY: "Times New Roman"">.<br></span></p>
<p class="MsoNormal" style="MARGIN: 0mm 0mm 0pt"><span lang="EN-US" style=
"FONT-SIZE: 10pt; FONT-FAMILY: "Times New Roman"">[</span><span style="FONT-SIZE: 10pt; FONT-FAMILY: "ＭＳ 明朝"; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman"">南山堂医学大辞典</span><span lang="EN-US"
style=
"FONT-SIZE: 10pt; FONT-FAMILY: "Times New Roman"">]<br></span></p>
<p class="MsoNormal" style="MARGIN: 0mm 0mm 0pt"><span lang="EN-US" style=
"FONT-SIZE: 10pt; FONT-FAMILY: "Times New Roman""><br></span></p>
<p class="MsoNormal" style="MARGIN: 0mm 0mm 0pt"><b style=
"mso-bidi-font-weight: normal"><span lang="EN-US" style=
"FONT-SIZE: 10pt; FONT-FAMILY: "Times New Roman"">A&O</span></b>
<b style="mso-bidi-font-weight: normal"><span lang="EN-US" style=
"FONT-SIZE: 10pt; FONT-FAMILY: "Times New Roman"; mso-bidi-font-family: Century; mso-font-kerning: 0pt">
