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항응고제 사용 환자에서 지속적 경막외 제통술후 발생한 경막외 혈종 - 증례보고 -
유경연(Kyung Yeon Yoo),임웅모(Woong Mo Im),박준서( 대한통증학회 1996 The Korean Journal of Pain Vol.9 No.1
Epidural hematoma during anticoagulant therapy is a rare complication of central neural blockade, but it may result in serious neurologic sequelae. A 61-year-old male receiving warfarin due to heart failure was referred to the pain clinic for control of severe herpetic neuralgia. Epidural catheterization was done at T,, interspace. At that time, PT and aPTT were extremely prolonged. The next morning, severe back pain, motor paralysis and urinary difficulty developed. On spine MRI, epidural hematoma was detected at T, inter- space. Four days later, he died due to underlying diseases. Central neural blockade in pa- tient with anticoagulant therapy is contraindicated in most cases. If it is undertaken, close observation of patients neurologic functions and monitoring of coagulation profiles(PT, aPTT, etc) are necessary. If epidural hematoma develops, early surgical decompression is mandatory.
유경문(Yoo Kyung Moon) 경기연구원 2008 경기논단 Vol.10 No.2
This paper aims to put forward some policy suggestions regarding the goal and strategies of the regional development policy in korea. The enhancing the autonomy and accountability of the regional government is essential. And also the appropriate allocation of tax revenue between the cental government and the local government is essential for the regional development in Korea. But the Korean local tax system has not changed fundamentally since the Foundation of Korean government even though Korean government has executed for the local self-government system since 1991. The allocation of tax revenue between the cental government and the local government are not appropriate for the regional development in Korea. Without the changing tax system in Korea, regional development should not be success. The Korean regional development policy should be reconsidered that the allocation of tax revenue between the cental government and the local government. So, this paper deals with the evaluation of the current local tax system and the local finance equalization scheme and suggest some of the reform of local tax system for the regional development of Korea.