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出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2016/05/26 10:45:14」(JST)
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In medicine, decompensation is the functional deterioration of a previously working structure or system. Decompensation may occur due to fatigue, stress, illness, or old age. When a system is "compensated", it is able to function despite stressors or defects. Decompensation describes an inability to compensate for these deficiencies. It is a general term commonly used in medicine to describe a variety of situations.
Contents
- 1 Physiology
- 2 Psychology
- 3 References
- 4 External links
Physiology
For example, cardiac decompensation may refer to the failure of the heart to maintain adequate blood circulation, after long-standing (previously compensated) vascular disease (see heart failure). Short-term treatment of cardiac decompensation can be achieved through administration of dobutamine, resulting in an increase in heart contractility via an inotropic effect.[1]
Kidney failure can also occur following a slow degradation of kidney function due to an underlying untreated illness; the symptoms of the latter can then become much more severe due to the lack of efficient compensation by the kidney.
Psychology
In psychology, the term refers to the inability to maintain defense mechanisms in response to stress, resulting in personality disturbance or psychological imbalance. [2][3] Some who suffer from Narcissistic Personality Disorder or Borderline Personality Disorder may decompensate into persecutory delusions to defend against a troubling reality.[4]
References
- ^ Joseph; et al. (2009). "Acute Decompensated Heart Failure". Texas Heart Institute Journal. Retrieved 18 October 2012.
- ^ Carol D Tamparo, Marcia A Lewis (2011). Diseases of the Human Body. F.A. Davis Company. pp. 527. ISBN 978-0803625051.
- ^ "Free Dictionary". Free Dictionary. Retrieved 29 August 2015.
- ^ Theodore Million (2011). Disorders of Personality:Introducing a DSM / ICD Spectrum from Normal to Abnormal 3rd Edition. Wiley. pp. 407-408. ISBN 978-0470040935.
External links
- Heffner, C.L. (2001). Psychology 101.
- Tucker-Ladd, C.E. (1996-2000). Psychological Self-Help.
UpToDate Contents
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English Journal
- Effect of paracentesis on metabolic activity in patients with advanced cirrhosis and ascites.
- Knudsen AW1, Krag A2, Nordgaard-Lassen I1, Frandsen E3, Tofteng F1, Mortensen C1, Becker U1,4.
- Scandinavian journal of gastroenterology.Scand J Gastroenterol.2016 May;51(5):601-9. doi: 10.3109/00365521.2015.1124282. Epub 2015 Dec 16.
- Objective Patients with decompensated cirrhosis often suffer from malnutrition. To enable appropriate nutritional supplementation a correct estimation of resting energy expenditure (REE) is needed. It is, however, unclear whether the volume of ascites should be included or not in the calculations of
- PMID 26673350
- Torsemide Versus Furosemide in Patients With Acute Heart Failure (from the ASCEND-HF Trial).
- Mentz RJ1, Hasselblad V2, DeVore AD3, Metra M4, Voors AA5, Armstrong PW6, Ezekowitz JA7, Tang WH8, Schulte PJ2, Anstrom KJ2, Hernandez AF3, Velazquez EJ3, O'Connor CM3.
- The American journal of cardiology.Am J Cardiol.2016 Feb 1;117(3):404-11. doi: 10.1016/j.amjcard.2015.10.059. Epub 2015 Nov 18.
- Furosemide is the most commonly used loop diuretic in patients with heart failure (HF) despite data suggesting potential pharmacologic and antifibrotic benefits with torsemide. We investigated patients with HF in Acute Study of Clinical Effectiveness of Nesiritide in Decompensated Heart Failure who
- PMID 26704029
- The Ankle-Brachial Index is Associated With Cardiovascular Complications After Noncardiac Surgery.
- Carmo GA1, Calderaro D1, Gualandro DM1, Pastana AF1, Yu PC1, Marques AC1, Caramelli B2.
- Angiology.Angiology.2016 Feb;67(2):187-92. doi: 10.1177/0003319715589684. Epub 2015 Jun 9.
- BACKGROUND: This study evaluated the association of the ankle-brachial index (ABI) and cardiovascular complications after noncardiac surgery.METHODS: We prospectively evaluated patients referred for noncardiac surgery. The ABI was performed before surgery. Patients with abnormal ABI (≤0.9) were in
- PMID 26058673
Japanese Journal
- C型代償性肝硬変を対象としたペグインターフェロン アルファ-2bとリバビリン併用投与試験
- 症例 多孔静脈の再建に内・外頸静脈を用いた右葉グラフト生体肝移植の一例
- 松尾 瑞恵,池上 徹,森田 和豊 [他]
- 福岡医学雑誌 103(9), 186-190, 2012-09-25
- … The patient was a 56-year-old man who had decompensated liver cirrhosis secondary hepatitis C with massive ascites, jaundice and hepatic encephalopathy. …
- NAID 40019478962
- Serum Blood Urea Nitrogen and Plasma Brain Natriuretic Peptide and Low Diastolic Blood Pressure Predict Cardiovascular Morbidity and Mortality Following Discharge in Acute Decompensated Heart Failure Patients
- CHEN Chun-Yen,YOSHIDA Akemi,ASAKURA Masanori,HASEGAWA Takuya,TAKAHAMA Hiroyuki,AMAKI Makoto,FUNADA Akira,ASANUMA Hiroshi,YOKOYAMA Hiroyuki,KIM Jiyoong,KANZAKI Hideaki,KITAKAZE Masafumi
- Circulation journal : official journal of the Japanese Circulation Society 76(10), 2372-2379, 2012-09-25
- … The purpose of the present study was therefore to investigate predictors of CV death and re-hospitalization for acute decompensated HF (ADHF). …
- NAID 10030874757
Related Links
- decompensation /de·com·pen·sa·tion/ (de″kom-pen-sa´shun). 1. inability of the heart to maintain adequate circulation, marked by dyspnea, venous engorgement , and edema. 2. in psychiatry, failure of defense mechanisms resulting in ...
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