{"id":10188,"date":"2025-07-16T09:00:51","date_gmt":"2025-07-16T00:00:51","guid":{"rendered":"https:\/\/blog.agentsoft.co.kr\/index.php\/2025\/07\/16\/10188\/"},"modified":"2025-07-16T09:00:51","modified_gmt":"2025-07-16T00:00:51","slug":"%ec%84%b1%ec%9d%b8%ea%b0%84%ed%98%b8%ed%95%99%ec%8b%a4%ec%8a%b5-%ec%b2%a0%ea%b2%b0%ed%95%8d%ec%84%b1%eb%b9%88%ed%98%88ida-%ec%9c%84%ec%9e%a5%ea%b4%80%ea%b8%b0%ec%a7%88%ec%a2%85%ec%96%91gist","status":"publish","type":"post","link":"https:\/\/blog.agentsoft.co.kr\/index.php\/2025\/07\/16\/10188\/","title":{"rendered":"\uc131\uc778\uac04\ud638\ud559\uc2e4\uc2b5 \ucca0\uacb0\ud54d\uc131\ube48\ud608(IDA), \uc704\uc7a5\uad00\uae30\uc9c8\uc885\uc591(GIST) \ucf00\uc774\uc2a4 \uc2a4\ud130\ub514 (A+, \uad50\uc218\ub2d8\uce6d\ucc2c, \uc2dc\ub098\ub9ac\uc624 \ud3ec\ud568)"},"content":{"rendered":"

<\/p>\n

\ubaa9\ucc28<\/strong><\/p>\n

1. \uc2dc\ub098\ub9ac\uc624 \uc791\uc131<\/p>\n

2. \uac04\ud638\ubb38\uc81c \ubaa9\ub85d\uc758 \uc6b0\uc120\uc21c\uc704\ub97c \uc120\uc815\ud558\uc2dc\uc624.
\n (1) \ub300\uc0c1\uc790\uc758 \uac04\ud638\ubb38\uc81c \ubaa9\ub85d(\uc0ac\ub840\ud658\uc790\uc5d0\uc11c \ubf51\uc744 \uc218 \uc788\ub294 \uac04\ud638\ubb38\uc81c(5\uac00\uc9c0 \uc774\uc0c1))
\n(2) \uac04\ud638\uacfc\uc815<\/p>\n

\ubcf8\ubb38\ub0b4\uc6a9<\/strong><\/p>\n

\ubd80\uc0b0\ubc31\ubcd1\uc6d0 5B \ubcd1\ub3d9\uc758 \ud658\uc790 \uc911 \ud55c \uba85\uc744 \uc0ac\ub840\uc5f0\uad6c \ub300\uc0c1\uc73c\ub85c \uc815\ud558\uc600\ub2e4.
\n9\uc6d4 8\uc77c \uc624\ud6c4 1\uc2dc\uacbd \uc785\uc6d0\ud55c 75\uc138 \ub0a8\uc131 \uae40\u25cb\u25cb \ub2d8\uc740 23\ub144 5\uc6d4 IDA(\ucca0\uacb0\ud54d\uc131 \ube48\ud608) \uc9c4\ub2e8\uc744 \ubc1b\uace0 \uc57d\ubb3c\uce58\ub8cc \uc911 \ub0b4\uc6d0 15\uc77c \uc804\ubd80\ud130 \uad6c\ud1a0, \ubb3c\ub9cc \uba39\uc5b4\ub3c4 \ud1a0\ud574\uc11c \uc2dd\uc0ac\ub97c \uac70\uc758 \ud558\uc9c0 \ubabb\ud558\uba70, 3\uc77c \uc804\ubd80\ud130\ub294 dizziness, general weakness, \uae08\uc77c nausea, vomiting \uc99d\uc0c1 \uc2ec\ud558\uc5ec \uad6c\uae09\ucc28 \ud1b5\ud574 \uc751\uae09\uc2e4\ub85c \ub0b4\uc6d0\ud558\uc600\ub2e4. \uc751\uae09 CBC\uac80\uc0ac \uacb0\uacfc Hb 4.8 Hct 16.5\ub85c \uc751\uae09 \uc218\ud608\ud558\uc600\uace0, DRE \uac80\uc0ac \uc2dc melena \uc591\uc0c1 \uc788\ub2e4\uace0 \ud558\uc5ec UGI bleeding\uc744 \ubc30\uc81c\ud560 \uc218 \uc5c6\uc5b4 \ubcd1\ub3d9\uc73c\ub85c \uc774\uc2e4 \ud6c4 \uac80\uc0ac \uc2dc\ud589 \ubc0f \ucd94\uc801 \uad00\ucc30\ud558\uae30\ub85c \ud558\uc600\ub2e4. \uc774\uc2e4 \ud6c4 \uc8fc\ud638\uc18c \uc99d\uc0c1\uc73c\ub85c\ub294 \uc228\uc774 \uac00\uc058\uace0, \ubab8\uc5d0 \uacc4\uc18d \ud798\uc774 \ube60\uc838 \uc6c0\uc9c1\uc774\uc9c0 \ubabb\ud558\uaca0\ub2e4\uace0 \ud558\uc600\ub2e4.<\/p>\n

\uae40 \uc528\uc758 \uc2e0\uc7a5\uc740 165cm, \uccb4\uc911\uc740 54kg\uc73c\ub85c \ub9c8\ub978 \uccb4\ud615\uc774\uc5c8\uace0, \uc758\uc2dd\uc740 alert \ud558\uc600\uc73c\uba70, V\/S \uccb4\uc628 36.5\u2103, \ub9e5\ubc15 67\ud68c, \ud638\ud761 22\ud68c, \ud608\uc555 130\/70mmHg, SpO2 93%\ub85c \uce21\uc815\ub418\uc5c8\ub2e4.
\n\uae40 \uc528\ub294 \uacfc\uac70\ub825\uc73c\ub85c 23.05.19 \uc54c\uce20\ud558\uc774\uba38 \uce58\ub9e4, 23.05.24 \ucca0\uacb0\ud54d\uc131 \ube48\ud608 \uc9c4\ub2e8\uc744 \ubc1b\uc558\uc73c\uba70, Ferritop(\ucca0 \ud568\uc720\uc81c\uc81c), Donrpezil(\uce58\ub9e4 \uce58\ub8cc\uc81c)\ub97c \ubcf5\uc6a9\ud558\uace0 \uc788\ub2e4. \uac00\uc871\ub825\uc73c\ub85c\ub294 \ubaa8\uce5c\uc774 \uce58\ub9e4 \uc99d\uc0c1\uc744 \uac00\uc9c0\uace0 \uc788\ub2e4.
\n\ubcf4\ud638\uc790\ub294 \ubc30\uc6b0\uc790\ub85c 24\uc2dc\uac04 \uc0c1\uc8fc\ud558\uae30\ub85c \ud558\uc600\uc73c\uba70, \uce68\uc0c1 \uc548\uc815\uc744 \uad8c\uace0\ud558\ub098 \ud654\uc7a5\uc2e4 \uc774\ub3d9 \uc2dc \ubcf4\ud638\uc790\uc640 \ud568\uaed8\ud558\ub3c4\ub85d \ub099\uc0c1\uc5d0 \uc720\uc758\ud558\ub3c4\ub85d \uc124\uba85\ud558\uc600\ub2e4.<\/p>\n

\ub300\uc0c1\uc790\ub294 \ud608\uc561\uac80\uc0ac, Chest PA, \ubc29\uc0ac\uc120 \uac80\uc0ac(Brain CT, Abdomen & Pelvis CT)\ub97c \ud558\uc600\ub2e4.
\n\ubcf5\ubd80 CT\uac80\uc0ac \uacb0\uacfc Gastric HB\/fundus anterior wall\uc5d0 indentation\uc778\uc9c0 mass\uc778\uc9c0 \uad6c\ubcc4 \uc5b4\ub824\uc6b4 \ubcd1\ubcc0, EGD finding \uc694\uccad\ud558\uc5ec \ucd94\uac00\uac80\uc0ac\ub97c \uc2e4\uc2dc\ud558\uc600\ub2e4.[EGD \uacb0\uacfc]
\nThere was large(5cm) ulceroinfiltrative ill-defined mass at PW upper body with..<\/p>\n

<\uc911 \ub7b5><\/p>\n

\ucd9c\ucc98 : \ud574\ud53c\ucea0\ud37c\uc2a4<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

\ubaa9\ucc28 1. \uc2dc\ub098\ub9ac\uc624 \uc791\uc131 2. \uac04\ud638\ubb38\uc81c \ubaa9\ub85d\uc758 \uc6b0\uc120\uc21c\uc704\ub97c \uc120\uc815\ud558\uc2dc\uc624. (1) \ub300\uc0c1\uc790\uc758 \uac04\ud638\ubb38\uc81c \ubaa9\ub85d(\uc0ac\ub840\ud658\uc790\uc5d0\uc11c \ubf51\uc744 \uc218 \uc788\ub294 \uac04\ud638\ubb38\uc81c(5\uac00\uc9c0 \uc774\uc0c1)) (2) \uac04\ud638\uacfc\uc815 \ubcf8\ubb38\ub0b4\uc6a9 \ubd80\uc0b0\ubc31\ubcd1\uc6d0 5B \ubcd1\ub3d9\uc758 \ud658\uc790 \uc911 \ud55c \uba85\uc744 \uc0ac\ub840\uc5f0\uad6c \ub300\uc0c1\uc73c\ub85c \uc815\ud558\uc600\ub2e4. 9\uc6d4 8\uc77c \uc624\ud6c4 1\uc2dc\uacbd \uc785\uc6d0\ud55c 75\uc138 \ub0a8\uc131 \uae40\u25cb\u25cb \ub2d8\uc740 23\ub144 5\uc6d4 IDA(\ucca0\uacb0\ud54d\uc131 \ube48\ud608) \uc9c4\ub2e8\uc744 \ubc1b\uace0 \uc57d\ubb3c\uce58\ub8cc \uc911 \ub0b4\uc6d0 15\uc77c \uc804\ubd80\ud130 \uad6c\ud1a0, \ubb3c\ub9cc \uba39\uc5b4\ub3c4 \ud1a0\ud574\uc11c […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[9301,11425,3559,10873,8009,5632,15523,15522],"class_list":["post-10188","post","type-post","status-publish","format-standard","hentry","category-uncategorized","tag-__aa","tag-1--","tag-3559","tag-10873","tag-8009","tag-5632","tag-15523","tag-15522"],"_links":{"self":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/10188","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/comments?post=10188"}],"version-history":[{"count":0,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/10188\/revisions"}],"wp:attachment":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/media?parent=10188"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/categories?post=10188"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/tags?post=10188"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}