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1月11日付、イスラエルの「Haaretz」(電子版)より。
「シャロン首相への麻酔薬投与、中止へ」
シャロン首相の様態は、少しずつ回復の方向に向かっており、彼が入院しているハダサー大学病院の医師団は、「9日より減量しながら投与を行っていた麻酔薬の投与を中止することにした」との発表を行った。
シャロン首相は、10日、体の左半分を動かす様子を見せた。これは6日前に倒れて以来、初めて見せた動きである。
シャロン首相の脳は、体の左半分の動きをつかさどる右半分が損傷を受けている模様とのことだ。
右半分の体は依然としてこわばったままだが、呼吸の方は、酸素吸入器をつけながら、自力できるようになった。
しかしながら、「依然として余談は許されない状態である」と医師団はいっている。
http://www.haaretz.com/hasen/spages/668041.html
Last update - 10:15 11/01/2006
Hospital to stop administering sedative treatment to Sharon
By Tamara Traubman, Ran Reznick and Yair Ettinger, Haaretz Correspondents, Haaretz Service and Agencies
Doctors at Hadassah University Hospital are expected to cease administering Wednesday the treatment of sedatives Prime Minister Ariel Sharon has been receiving since his massive stroke and brain hemorrhage seven days ago, Israel Radio reported.
The hospital has been gradually reducing Sharon's sedation since Monday.
The effects of the medication are expected to wear off within 36 hours, at which point doctors will be able to assess further any neurological improvement.
Sharon showed movement on his left side Tuesday, for the first time since his massive stroke and brain hemorrhage six days ago, senior physicians at Hadassah said Tuesday evening.
The damage to Sharon's brain is believed to be concentrated in those areas of the right hemisphere which control the left side of his body.
In addition to responses on his left side, movements on Sharon's right side were more intense Tuesday and his breathing was more independent, hospital director Professor Shlomo Mor-Yosef told reporters Tuesday evening.
"These are neurological changes that show slight improvement in Prime Minister Ariel Sharon's brain functioning," he said.
Click here to read the opinions of senior neurologists not connected to the case
Dr. Yoram Weiss, one of the medical team treating the prime minister, said that although Sharon is still connected to a respirator, his breathing is causing the machine to operate.
"There is improvement, but we still can't know the extent of the cognitive improvement... there are still drugs that could cause us not to see cognitive improvement. We simply need patience," Weiss said.
Sharon remains in critical, but stable condition and his life is not in immediate danger, Weiss said. "More metaphorically speaking, we have backed off five yards from the edge of the cliff," he said.
Sharon's sons also spoke to him and he responded with an increase in blood pressure, doctors said.
Omri Sharon came out of the hospital Tuesday to offer his thanks to Israelis, the hospital and the prime minister's doctors.
"I came to thank, in the name of my family, the citizens of Israel, who since Wednesday have supported us with their concern, with warm and loving prayers for the well-being of my father," he said.
Physicians continued to lighten Sharon's sedation Tuesday, but continued to caution that his condition remained critical if stable, and that it could be days before they could assess the full extent of the damage from the massive stroke he suffered last week.
Sharon's sons remain by his side, speaking to him and playing recorded Mozart pieces for him, reporters said Tuesday.
Among the ways in which physicians hoped to stimulate Sharon's senses Tuesday is to place a plate of shawarma, the sliced meat dish said to be the prime minister's favorite, close enough for him to smell it, Army Radio reported.
"The physicians will continue to gradually lower the anethetics being given the prime minister, and will monitor his responses," said hospital spokesman Ron Krumer. "This is a process which may take several days."
The hospital began to reduce Sharon's sedation on Monday morning, after which the prime minister began to breathe on his own, although he is still hooked up to a respirator.
Hadassah director Shlomo Mor-Yosef said Monday that Sharon's blood pressure rose during stimulation - a positive sign - and he moved his hand, "a small movement, but significant," he said. He also moved his leg.
He warned, however, that Sharon was still in "critical" condition.
"This was a clear reaction to pain, not a reflex," said Dr. Felix Umansky, the head of the team that has operated on Sharon three times since his massive stroke Wednesday in a bid to stem the bleeding in his brain.
"This sign [the limb movement] together with slight elevation of his blood pressure as a reaction to the pain are signs of some activity of his brain."
Umansky said that the prime minister had not yet opened his eyes. He said it was "still too soon to talk about the cognitive issue now," and that it would take "a number of days more" before the damage from the stroke could be assessed.
The doctors said that it would be several days before it became clear whether the prime minister had suffered any cognitive damage or paralysis on the left side of his body.
Professor Martin Rabbai, head of neurosurgery at Assaf Harofeh Hospital, said responses to pain stimuli were "a very small medical sign." He said it was a "very primitive" response that "did not portend anything in terms of cognitive function. He still does not respond to cognitive stimuli like the sound of his name."
Earlier Monday, the hospital said that the prime minister had begun breathing on his own after the amount of sedative he is receiving was reduced, but that he is still hooked up to a respirator.
The level of sedation is to be reduced gradually to gauge Sharon's responsiveness and the extent to which the 77-year-old leader's faculties have been impaired. The process could take hours or even days.
"The prime minister started immediately to breathe on his own but he's still hooked up to a respirator," Mor-Yosef said Monday morning.
Physicians were likely to gradually reduce the activity of the respirator, to gauge the extent that the prime minister was capable of maintaining his respiration rate independently, one specialist said.
The decision to try to awaken Sharon was taken after a brain scan Sunday indicated that swelling of the brain had gone down, intra-cranial and blood pressure were within normal range, and that cerebral fluid was draining well