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1 精神 類 玲

2 精神 見 例 神 神 精神 精神 裂 精神 裂 殺 殺 療 精神 療 神 精神

3 精神 見 療 療 不

4 精神 類 念 ( ) 不

5 精神 Senile and presenile organic psychotic conditions 291 Alcoholic psychoses 精 精神 292 Drug psychoses 精神 老年 老年 精神 293 Transient organic psychotic conditions 精神 294 Other organic psychotic conditions (chronic) 精神 ( ) 295 Schizophrenic disorders 精神 裂 296 Affective psychoses 精神 297 Paranoid states 狀 298 Other nonorganic psychoses 299 Psychoses with origin specific to childhood 精神 精神

6 精神 Personality disorders 302 Sexual deviations and disorders 理 303 Alcohol dependence syndrome 304 Drug dependence 305 Nondependent abuse of drugs 濫 Physiological malfunction arising from mental factors Special symptoms or syndromes not elsewhere classified 理 狀 NEC 例 308 Acute reaction to stress 理 力 309 Adjustment reaction 310 Specific nonpsychotic mental disorder due to organic brain damage 精神 精神

7 精神 Depressive disorder, not elsewhere classified Disturbance of conduct not elsewhere classified Disturbance of emotions specific to childhood and adolescence NEC 行 NEC 緃 年 314 Hyperkinetic syndrome of childhood 315 Specific delays in development 讀 316 Psychic factors associated with diseases classified elsewhere 317 Mild mental retardation 度 不 精神 理 ) 318 Other specified mental retardation 不 319 Unspecified mental retardation 不

8 精神 (Psychoses) 290~299 精神 狀 ( 亂 行 ) 識 Psychosis( 精神 ) Psychotic( 精神 ) Schizophrenia( 精神 裂 ) Paranoid( ) Autism( )

9 精神 (Organic psychosis)-1 290~294 類精神 了 老 精 Psychosis( 精神 ) Organic 例 1.Senile psychosis ( 老年 精神 ) => psychosis =>Organic, senility => 例 2.Posttraumatic psychosis ( 精神 ) => psychosis =>Organic, Posttraumatic =>293.9

10 精神 (Organic psychosis)-2 精神 精神 例 :Epileptic psychosis ( 精神 ) =>Psychosis =>Epileptic=>294.8 List : Epilepsy =>

11 精神 裂 (Schizophrenia) -1 倫 異行 ( 例 不 ) 六

12 精神 裂 (Schizophrenia) xx Schizophrenia( 精神 裂 ) Schizophrenic( 精神 裂 )

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15 精神 裂 類 精神 裂 類 (Simple type) 295.0x 亂 (Disorganized type ) 295.1x - 亂行 不 (Catatonic type ) 295.2x- (Paranoid type ) 295.3x- 精神 裂 (Acute schizophrenia episode)295.4x 六

16 精神 裂 類 (Latent shizophrenia) 295.5x 精神 裂 (Residual shizophernia) 295.6x 療 狀 - 亂 行 精神 裂 精神 裂 (Schizo-affectivetype) 295.7x- 精神 裂 歷 精神 狀 (Other specified type) 295.8x (Unspecified) 295.9x

17 精神 裂 精神 裂 年 年 惡 精神 度 精神 度

18 精神 裂 (Schizophrenia) 精神 裂 (Childhood schizophrenia) (Atypical form) (Borderline) 類精神 裂 (Schizophreniform type) 類 精神 裂 狀 不 六 例 :Paranoid schizophrenia, chronic with acute exacerbation 精神 裂, => schizophrenia=>paranoid=>295.3x => chronic with acute exacerbation =>295.34

19 精神 (Affective psychoses) 296.xx (Manic) (Depression) 異 (Bipolar mood disorder) ( Manic-depression psychoses, MDP) =>Psychosis =>Affective( ) =>296.9 若 索 利 296 列說

20 Major depression disorder 狀 : 樂 3. 度 4. ( 立不 ) ( ) 5. 力 6. 度 7. 勞 精力 殺念 1 2 =>Depression( ) =>Monopolar( ) =>Single episode( )=>296.2x =>Recurrent episode( )=>296.3x

21 mania ;hypomanic episode 狀 易怒 量 量 行 =>mania ( ) =>Single episode( )=>296.0x =>Recurrent episode( )=>296.1x =>hypomania ( ) =>Single episode( )=>296.0x =>Recurrent episode( )=>296.1x

22 精神 見 : 296.4X Bipolar affective disorder, manic ( ) =>Disorder=>Bipolar => currently=>manic=>296.4x 296.5X Bipolar affective disorder, depressed ( ) =>Disorder=>Bipolar => currently=> depressed =>296.5X 296.6X Bipolar affective disorder, mixed ( 行 ) Type bipolar disorder 精神 - depressive 狀 manic mixed 狀 Type bipolar disorder 精神 - depressive 狀 hypomanic 狀

23 精神 296.0x-296.6x 0 Unspecified 度 1 mild 度 2 moderate 度 3 severe, specified as without psychotic behavior 度, 精神 4 severe, specified as with psychotic behavior 度, 精神 5 In partial or unspecified remission 6 In full remission 例.Manic-depressive psychosis, atypical depressed (, ) => Manic-depressive psychosis=> depressed => atypical=>296.82

24 Delusional Disorder 297 不 理異 異 ( 例 Disorder=> Delusional=>297.9

25 精神 (Neurotic disorder) xx 狀 狀 略 精神 (Neurosis) 精神 (Psychosis) 異 1. 精神 狀 2. 識 (Anxiety disorder) 見 Anxiety state( 狀 ) Mixed anxiety-depressive disorder ( )

26 精神 (Neurotic disorder) -2 (Panic attack) (Obsessive-compulsive disorder) 精神 (Neurotic depression) 落 (Dysthymic disorder) 300.4

27 (Substance use disorder) 303.xx~305.xx 精 (Dependence) 濫 (Abuse) 兩 都 不良,Dependence Abuse 了 理 行 理 濫 (Abuse) 305.xx (Dependence) 303.xx 304.xx

28 濫 (drug abuse) 305.xx 療 不 量 寧 不良 年 列 狀 濫 理 例 車 律 不良

29 (drug dependence) 304.xx -1 狀 不 異 理 理 1. 理 (Psychical Dependence) 了 精神 狀 2. 理 (Physical Dependence) 理狀 狀 流淚

30 (drug dependence) 304.xx-2 不良 臨 年 列 狀 量 量 降 來 狀 數量 不 來 都 理 理

31 類 303.xx~305.xx 精 0 (Unspecified) 1 (Continuous) 不 年 2 (Episodic) 不 3 (In remission) 不,, Ex: glue sniffing, episodic (, ) => sniffing( )=> glue=>304.6x => episodic=>2=>304.62

32 (Substance-related disorder)-1 精 (Alcohol or drugs-induced disorder) 類 精神 精 (intoxication) poisoning 不, 不 神 不良行 理

33 (Substance-related disorder)-2 精 (withdrawal) 不 來臨 精神 狀 精 withdrawal symptoms, symdrome 精 精,, 精 Ex:Alcoholic withdrawal delirium( ) due to acute alcoholism ( 精 ) :1. withdrawal symptoms, symdrome => Alcoholic=> delirium=> alcoholism=>acute=>303.00

34 (Substance use disorder)-4 Abuse Pathologic Intoxication Dependence Withdrawal Delirium Demtenia Alcohol 305.0x x 303.9x Drug 305.1x 305.9x x 304.9x

35 (Dementia)-1, 神, 力, 異 老,. 老 ( ),, 狀, 類 老, 老,

36 (Dementia)-2 臨 狀 : 力 度 降, 行 療. 力 練 力 ( 力 ) 更, 力 理, 若 療, 惡 力 行, 力,, 理

37 (Dementia) 老年 若 類 不 年 行 294.1x,,294.1x 294.1x 行 (, 行, 行 ) 例 :Alzheimer s dementia with behavioral disturbance =>

38 不 (Mental retardation)-1 317~ 力 數 (IQ)

39 不 (Mental retardation)-2 不 類 度 (Mild) 317: 50~70 度 (Moderate)318.0: 度 (Severe) 度 (Profound) 度 不 319 不 V

40 精神 見 療 -1 Test( ) Determination( ) Therapy( 療 ) Counseling ( ) Rehabilitation ( 復 ) Detoxification ( )

41 精神 見 療 -2 療 (Lithium therapy) lithium 療 (bipolar disorder) 療 (Electroshock therapy)(ect) 來 療 精神 裂 理 療 療 (Group therapy) 療 六. 兩, 年. 療,,, 都 療

42 精神 見 療 -3 行 療 (Behavior therapy) 行 療 療 療 異 行 力 (Administration of intelligence test) 理 (Administration of psychological test) 94.02

43 精神 見 療 -3 濫 療 復 精復 精 精復 復 復 精 復 精 精 復

44 練

45 練 - 1 Schizo-affective psychosis chronic,with acute exacerbation Schizophrenia, paranoid type Electroshock treatment Mixed bipolar affective disorder, in partial remission Acute alcoholic intoxication, episodic ( ) Amphetamine abuse,continuous Cocaine( ) dependence, episodic Acute delirium resultimg from pneumonia due to hemophilus influenzae( 流行 )

46 練 - 2 A patient with a known dementia of Alzheimer s type is brought into the hospital for evaluation after the patient s family reports that the patient has recently wandered( ) away form home and gotten lost ( )several hours This patient had been to our ward for three times. Schizophrenia paranoid type, chronic with acute exacerbation was diagnosed when he was in the army ( )service. Poor compliance ( )and persecutory( ) delusion( ) intermittently were noted

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