4 A) (OECD,2005) (WHO,2002) B) 5 A) B) C) 1 7 2

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1 A) B) A) GDP 7.9 B)

2 4 A) (OECD,2005) (WHO,2002) B) 5 A) B) C) 1 7 2

3 1.6 3

4 31.1 4

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6 3 4 CT MRI PET 1 30 A) 1 2 6

7 B) ml14,709 1/3 5,244 12,

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9 500 common disease 2) ) 9

10 2) ( ) ( ) 15 B) 25 A) OECD 15 Health Data 2005 OECD GDP / ) 7.7 ( ) 10

11 ( ) / (, 2006) C )

12 ) A) (World Health Organization,WHO)

13 29 15 () C) B) 5) 13

14 A) 70 B) 3 3 1/5 1/ /5 1 4,600 3K 14

15 C

16

17 CT MRI CT 1.5 CT/MRI ( CT,MRI ) OUTCOME ( ) 17

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20 3 3 CD-ROM PDF ) 20

21 Nutrition Support Team: NST) - ( 6 18FDG / /2 4. ADL 5. ADL ADL 10. ADL SheaNPUAP K // 120//NST 12// E001-4E002-4 A233 7,490 E ( )444 3.( ( ( 2. ) ()704 7.()444 8.()345 9.ADL / cm cm3, cm6, cm9, cm cm cm2, cm5,070 H c 90100c500c98 500c3000c c J c c (2.5cm) 1,2502.( 2.5cm5cm)1,4003. (5cm10cm) 1,8504.(10cm )2,2005. K000-2 (2.5cm)4506. (2.5cm5cm)500 7.(5cm 10cm)9508. (10cm)1,450 38,910 12,100 K / 9

22 1. () 3. // // 63,420 33,600 K ,730 17,200 K ,780 45,300 K ,020 50,000 K ,680 K ,30035,000 LVRS 20,60025,400 K182-2 (1)(2) (3)(4)4 1,54058,340 21,6701,024 25,360 15,000 3, ,100 7,430 K190-3 K190-4 K ,340 19,000 K ,900 QOL 63,900 21,900 30,000 27,060 23,100 K ,790 K282 K , ,500 K ,800 91,800 K514-3 K / 9

23 ,880 K571 remodeling / 138,840 51,160 69, , , , ,600 45,000 K ,500 K , , ,800 2.(1)70,200 K ,2,3 3.(2) 87, ,800 2.(1)70,200 K ,2,3 3.(2) 87,800 68, ,300 39,690 70,000 K , ,100 K cm *20,000 11,000 K653-2 X 5,810 3,200 K653-2 (1)(2) 21,960 10,400 K ,480 20,400 K654-3 ELGP 35,480 12,000 K667-3 S54a S1 94,350 K ,300 K675-3, , , ,600 K ,560 2,800 K / 9

24 43,180 13,830 K ,380 1,600 K ,460 19,500 K ,397 14,20049,800 50,409182,701 49,30074, ml 200ml ,166150,76944, , ,902 5,5002,500(X4) 5,5002, ,80046,80070, ml200 61kg4ml ml400 61kg4ml400 2,500 5,500 2,500 5,500 20,00025,000 30,000 K914K514-3 K605K605-3 K697-6K709-2 K709-4 K920-3 K920-3 K936K936-2 K936K ,000 1,720, L008 K / 9

25 2 1) (2) L ) (2) L101 5 / 9

26 ADL A301 *1020, ,8908, ,690 7, A A308 *1,680 *1,680 A308 D219 * 200 D219 D250 1, D263 *74 ( D413 3, ,200 D413 D417-11, c % E003 J ,100 J017 1,290 J J ,720 7, c45 500c c c c c1,015 1,180. 1,820. 1,180 D250-5 D263-1,2 E ,250 J001-5 J000 J , J c c500c c3000c c6000c c J / 9

27 cm1,6602cm 4cm3,6704cm4,360 J057-3K006-2 J K cm1,280 3cm6cm3,2306cm 4,160 J J () ,500g 1,500g K930 9 *5,000 3,0003,130 K930 50% / K014 7,960 4,4104,700 K014 K022 K056 29,010 47, K022 K056 K068 22,550 7,60011,100 K068 K069 23,850 12,700 K069-3 K ,210 18,20018,700 K / 9

28 de Quervain K092 4,125 K093 17,600 7,100 K093-2 K171 63,420 45,30050,700 K , ,30070,500 K177-1,2 2145, ,10084,100 K177-1,2 K178 83,580 32,70040,900 K178 K ,300 21,00022,100 K178-2 K ,090 15,40018,500 K196-2 K259 70,050 29,10030,600 K259 K415-1,2 14,160 24,860 74, ,10011, ,30032,900 4 K ,900 14,60020,000 K464-2 K495-1, K513 65,730 78,420 K ,100 K529 74, , ,460 K415-1,2 17,10018,000 34,200 35,90034,10035,800 K511K513 31,10032,70035,800 K936 37,600 43,500K512 31,70037,500 2,500 55,200 41,000 58,000 K ,100 73,500 K529 60,10064,600 42,90051,000 K529 *10,000 *5,000 K529 8 / 9

29 K ,260 13,80020,500 K598 K560-1,2,3 79,39092,620105,850 43,20057,50056,300 72,50068,60085,000 K ,310 48,70051,100 81,30078,000 K ,030 17,700) K609-2 K554 K K ,340 51,700111,000 K560-6 K634 19,340 18,10020,800 K634 K655, K657 *7,000 51,000 K K675 K K719,K ,280 89,020 PD118,690 +PD168,080 47,050 64, , , ,260 42,60028,500 50,500 65, ,000 19,60021,500 22,30026,300 41,20049,000 59,00064,700 65,50071,700 K675 K ,18062,840 26,90035,700 K719-2 K ,340 32,70041,700 K719-3 K ,150 71,20074,800 K780 K841 26,480 17,10018,500 K841 K892 4,830 3,5603,800 K892 X X M001 9 / 9

30 1,300 * *170 * *500 * 2,400 * *90480 *90480 *45180 *45180 *230 *230 * * *130D295D324 * ,130 2, *34150() *34150(D026) CTMRI 150,319210,319 D-CT D ,319 *450( *450(E203) ,820 1,820 A 2,560 1,460 B 4,140 3, * , MRI MRI 3 3,270 3,270 2,140 2,140 1 / 10

31 CCD CCD E ,934 1,934 2,000 1,000 *700 *700 () * * , X (200ml) 7, mm12mm 22019mm12mm 22625mmx12mm X 460/ 460/ 2,020 1,890 1,488 1, , / 10

32 , 7,059, 8,824,,()5,000, ()() 4,942 *1,000 *1,000 *10,000 * 5,290 2,230 60,730 32,130 4,830 4,830 2,290 3,380 1, ,880 67,990 67,990, 7,059, 8,824,,()5,000, ()() 4,942 50,730 22,130 4,830 4,830 2,290 3,380 1, ,880 67,990 67,990 32,000 32,000 38,680 38, ,850 41,100 36,810 25,910 87,510(8,210 87,510(8,210 58,340 58,340 33,340 33, , , , ,460 24,860 24,860 23,270 16, ) 28,920 2) 3, , , ) 28,320 2) 2, , , ,180 6,180 3 / 10

33 14,160 14,160 6,180 6,180 8,540 8, ,620 10,620 22,130 22,130 26,430 22,130 37,500 33,200 22,130 22,130 CO2 26,440 22,140 CO2 56,870 44,270 14,160 14,160 10,370 9, ,100 76,100 13,570 13,570 (TMLR) 76, ,690 74,180 74,180 1,820 1, , , ,270 44, , ,770 *8,000 *8,000 55,680 34,020 22,130 22,130 89,620 76,920 45,400 29,020 76, ,690 4 / 10

34 13,290 8,290 49,200 33,200 60,270 44, , , , ,080 13,020 13, ,940 33, ,940 55,340 debridement 50,570 44,390 81,400 66,400 14,160 14,160 5,740 5, , ,650 39,550 38,050 24,860 24,860 22,550 22,550 76,920 76,920 5 / 10

35 A ,700 *10,000 B D215 2 D D ,002 D234 1,000 10,337 D D D E *450 E003 E E E200-1,2,E , ,2201,600 H * H * * H001,J119 - H001,J119 H001(35-250)J * * 5252 J000,J001,J *52 * * (1) J ()141 ()327 J J ,080 - X2,830 J039 5,000 10,750 J039 5,000 10,750 1 J J *52 6 / 10

36 J122-J ,000 *2502 ( K923 5,000 8, *2,000 K ,660 * K132 19,100 29,010 K133,K134 10,100-20,600 * K144 22,000 38,680 K177,K * 2. K ,360 6,230 K407 14,900 K429-1,2 10,000 14,700 K ,320 39,460 K512 48, ,780 K598 - *4,800 K ,600 68,320 K ,600 58,340 () K ,800 58,340 *50/100 K613 15,800 * OK K664 9,460 *4,730 K , ,670 K , , ,420 K ,700 16,570 K725 6,140 3,070 ESWL K768 19,300 K779 21,700 75,580 41,435 7 / 10

37 K848 2,760 4,120 2)3) L002 2)800 3)340 2)800 8 / 10

38 6601,200 5, ,05060,500 11,200(112,000 18,00035, ,000 2,500 10,000 6,700 31,000 Passport 15,00055,000 ( 13,64512,500 6,500 EMS EMS 13,700 :Wound Protector Atraumat 2O 2, , ,000 4,00012,000 5, ,0003,00010,000 9 / 10

39 5cm4.5m cm4.5m=50010cm4.5m= cm4.5m=1,180 4, ,333 20,000/ 15, ,0001,400, ,900 5,00050,000 29,300 4, ,00023,000 20,000 50,000 50,000 27,800371, / 10

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