神智不清,痴呆,遗忘和其他认知障碍

(一)Delirium

神智不清

(1)Delirium Due to ... [Indicate theGeneral Medical Condition]

由全身性疾病引起的神智不清

A. Disturbance of consciousness (i.e.,reduced clarity of awareness of the environment) with reduced abilityto focus, sustain, or shift attention.

意识紊乱(如,环境意识的清醒程度降低)导致注意力集中,持续或转换注意力的能力降低.

B. A change in cognition (such asmemory deficit, disorientation, language disturbance) or thedevelopment of a perceptual disturbance that is not better accountedfor by a preexisting, established, or evolving dementia.

认知的改变(如,记忆缺陷,方向感消失,语言不清)或觉知的障碍不能用早先存在或正在发展的痴呆来解释

C. The disturbance develops over ashort period of time (usually hours to days) and tends to fluctuateduring the course of the day.

这一障碍发生发展在较短时间内(一般在数小时到数天)并且在发病的日子里会有波动

D. There is evidence from the history,physical examination, or laboratory findings that the disturbance iscaused by the direct physiological consequences of a general medicalcondition.

有病史,相关的物理或化学检查表明,该神智不清是由某种全身性疾病引起.