{"id":10453,"date":"2025-07-19T09:00:22","date_gmt":"2025-07-19T00:00:22","guid":{"rendered":"https:\/\/blog.agentsoft.co.kr\/index.php\/2025\/07\/19\/10453\/"},"modified":"2025-07-19T09:00:22","modified_gmt":"2025-07-19T00:00:22","slug":"a-%ed%86%b5%ed%95%a9%ec%8b%a4%ec%8a%b5-%eb%a7%8c%ec%84%b1%eb%8b%b4%eb%82%ad%ec%97%bc%ec%bc%80%ec%9d%b4%ec%8a%a4%ec%8a%a4%ed%84%b0%eb%94%94-%ea%b0%84%ed%98%b8%ec%a7%84%eb%8b%a8-4%ea%b0%9c-%ea%b0%84","status":"publish","type":"post","link":"https:\/\/blog.agentsoft.co.kr\/index.php\/2025\/07\/19\/10453\/","title":{"rendered":"A+ \ud1b5\ud569\uc2e4\uc2b5 \ub9cc\uc131\ub2f4\ub0ad\uc5fc\ucf00\uc774\uc2a4\uc2a4\ud130\ub514, \uac04\ud638\uc9c4\ub2e8 4\uac1c \uac04\ud638\uacfc\uc815 3\uac1c \uc790\uc138\ud568, PTBD \uc2dc\uc220\uacfc\uc815 \ud3ec\ud568"},"content":{"rendered":"

<\/p>\n

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

1. \uc2dc\ub098\ub9ac\uc624 \uc791\uc131
\n2. \uc0ac\ub840\ub85c \uc120\uc815\ud55c \ud658\uc790\uc758 \uc2dc\ub098\ub9ac\uc624\ub97c \uc55e \ud398\uc774\uc9c0 \uc608\uc2dc\ub97c \ucc38\uc870\ud558\uc5ec \uadf8\ub9bc\uc73c\ub85c \uc81c\uc2dc\ud558\uc2dc\uc624.
\n3. \ubb38\ud5cc\uace0\ucc30
\n4. \uac04\ud638\uacfc\uc815 \uc801\uc6a9 \ubc0f \uc784\uc0c1\uc801 \ucd94\ub860<\/p>\n

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

\ucd5cOO\ub2d8\uc740 \ub0a8\uc790 76\uc138\ub85c \uc9c4\ub2e8\uba85\uc740 chronic cholecystitis\uc774\ub2e4. \uc74c\uc8fc\uc640 \ud761\uc5f0\uc740 \ud558\uc9c0 \uc54a\ub294\ub2e4.
\nLap. cholecystectomy \uc704\ud574 7\uc6d4 16\uc77c 8\uc2dc admssion.
\n\uc785\uc6d0 \uc2dc \uc0ac\uc815\uacb0\uacfc \ud0a4 166.2cm, \uccb4\uc911 61.95kg, \uc758\uc2dd alert \ud558\uc600\uc73c\uba70, V\/S BP 125\/68 \u2013 P 86 – R 20 \u2013 BT 36.7 \uc600\ub2e4.
\n\ub099\uc0c1 \uc704\ud5d8 \uc0ac\uc815\uacb0\uacfc \ub099\uc0c1\uace0\uc704\ud5d8\uad70\uc5d0 \ud574\ub2f9\ub41c\ub2e4. \uc695\ucc3d\uc740 \uc5c6\uc73c\uba70, \uc695\ucc3d \uc704\ud5d8 \uc0ac\uc815 \uacb0\uacfc 23\uc810\uc73c\ub85c \uce21\uc815\ub418\uc5c8\ub2e4. NRS \ud1b5\uc99d\uc0ac\uc815\ucc99\ub3c4 \uacb0\uacfc 0\uc810 \uc5c6\uc74c\uc73c\ub85c \ub098\ud0c0\ub0ac\ub2e4.
\n\ub300\ubcc0\uc740 7\/16 Dark brown \uc815\uc0c1\ubcc0\uc758 \ud615\ud0dc\ub85c 1\uc77c 1~2\ud68c \ubcf4\uc558\ub2e4. \ubc30\ub1e8\ub294 10\ud68c\/\uc77c 150ml \ubcf4\uc558\ub2e4\uace0 \ud55c\ub2e4.
\n\uccad\ub825\uc740 \uc88c\/\uc6b0 \ubaa8\ub450 \uc5b4\ub450\uc6b0\uba70 \uc2dc\ub825\uc740 \uc548\uacbd\uc744 \ucc29\uc6a9\ud558\uace0 \uc788\ub2e4.
\n\uad50\uc721\uc758\uc9c0 \ub192\uc73c\uba70, \ud1f4\uc6d0 \ud6c4 \uac00\uc815\uac04\ud638\ub97c \ud558\uae30\ub85c \ud558\uc600\ub2e4.
\n\uc785\uc6d0 \uc2dc CBC, Abdomen CT \uc2dc\ud589\ud558\uc600\uace0 OP \ud6c4 Chest pa, Cholangiogram \uc2dc\ud589\ud560 \uc608\uc815\uc774\ub2e4.<\/p>\n

# \uc785\uc6d0 \ub2f9\uc77c (7\/16)
\n– \uc800\ub141\ubd80\ud130 NPO, \uc218\uc220 \uc804 \ub3d9\uc758\uc11c, \uc218\uc220 \uacfc\uc815 \uc124\uba85
\n– \uc218\uc561(5% D\/W)
\n– Abdomen CT \ucd2c\uc601
\n\u21d2 [conclusion]
\n1. multiple small stones in CBD
\n2. Rt. PTBD
\n3. mild GB distension and multiple gallstones \u2014 r\/o mild inflammation<\/p>\n

# \uc218\uc220 \ub2f9\uc77c (7\/17)
\n– \uc218\uc220 \uc804: v\/s check, NPO
\n– \uc218\uc220 \ud6c4: v\/s check, PTBD-Bag \uc0bd\uc785\ubd80\uc704 \uc0c1\ud0dc \uc0ac\uc815 \ubc0f \ubc30\uc561\ubb3c \uc591\uc0c1 \uc0ac\uc815 \ud6c4 \uae30\ub85d, \ubcf5\ub300 \uc801\uc6a9 \uc911<\/p>\n

# POD 1 (7\/18)
\n– \uc218\uc220 \ud6c4 v\/s check, PTBD-Bag \uc0bd\uc785\ubd80\uc704 \uc0c1\ud0dc \uc0ac\uc815 \ubc0f \ubc30\uc561\ubb3c \uc591\uc0c1 \uc0ac\uc815 \ud6c4 \uae30\ub85d, \ubcf5\ub300 \uc801\uc6a9 \uc911, ambulation \ud558\ub3c4\ub85d \uaca9\ub824, \ubcf5\ubd80\ud33d\ub9cc \uc720\ubb34 \uad00\ucc30, Soft Diet\ub85c \uc2dd\uc774 \ubcc0\uacbd\ub418\uc5c8\uace0, \uc18c\ub7c9\uc529 \ub098\ub204\uc5b4 \ucc9c\ucc9c\ud788 \uba39\ub3c4\ub85d \uad50\uc721, \uc9c4\ud1b5\uc81c \ud22c\uc5ec \ud6c4 \ud1b5\uc99d \uc591\uc0c1 \uc0ac\uc815
\n– 5% d\/w, Flumarin, pethidine HCl, tramadol, paceta, pantoloc, traspen \ud22c\uc57d
\n– v\/s 121\/66 \u2013 87 \u2013 17 \u2013 37.8 \uc73c\ub85c \ud64d\uc870 \ub748 \ub530\ub73b\ud55c \ud53c\ubd80 \uad00\ucc30. paceta 1V \ucc98\ubc29\ub418\uc5b4 \ud22c\uc57d\ud568. \uacc4\uc18d\ud574\uc11c \uc5f4\uac10\uacfc \uc624\ud55c \uc788\ub294\uc9c0 \uad00\ucc30 \ubc0f \uc0ac\uc815\ud558\uc600\uc74c. \uc2dc\uc6d0\ud558\uace0 \ucf8c\uc801\ud55c \ud658\uacbd \uc720\uc9c0\ud558\ub3c4\ub85d \ubcf4\ud638\uc790\uc5d0\uac8c \uad50\uc721\ud568. \uc57d\ubb3c \ud22c\uc5ec \ud6c4 36.6\ub85c \uac10\uc18c\ud558\uc600\uace0 \uc5f4\uac10 \uac10\uc18c\ud568.<\/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. \uc0ac\ub840\ub85c \uc120\uc815\ud55c \ud658\uc790\uc758 \uc2dc\ub098\ub9ac\uc624\ub97c \uc55e \ud398\uc774\uc9c0 \uc608\uc2dc\ub97c \ucc38\uc870\ud558\uc5ec \uadf8\ub9bc\uc73c\ub85c \uc81c\uc2dc\ud558\uc2dc\uc624. 3. \ubb38\ud5cc\uace0\ucc30 4. \uac04\ud638\uacfc\uc815 \uc801\uc6a9 \ubc0f \uc784\uc0c1\uc801 \ucd94\ub860 \ubcf8\ubb38\ub0b4\uc6a9 \ucd5cOO\ub2d8\uc740 \ub0a8\uc790 76\uc138\ub85c \uc9c4\ub2e8\uba85\uc740 chronic cholecystitis\uc774\ub2e4. \uc74c\uc8fc\uc640 \ud761\uc5f0\uc740 \ud558\uc9c0 \uc54a\ub294\ub2e4. Lap. cholecystectomy \uc704\ud574 7\uc6d4 16\uc77c 8\uc2dc admssion. \uc785\uc6d0 \uc2dc \uc0ac\uc815\uacb0\uacfc \ud0a4 166.2cm, \uccb4\uc911 61.95kg, \uc758\uc2dd alert \ud558\uc600\uc73c\uba70, V\/S BP 125\/68 \u2013 […]<\/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":[9301,15954,5147,15953,7949],"class_list":["post-10453","post","type-post","status-publish","format-standard","hentry","category-uncategorized","tag-__aa","tag-ptbd","tag-5147","tag-15953","tag-7949"],"_links":{"self":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/10453","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=10453"}],"version-history":[{"count":0,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/10453\/revisions"}],"wp:attachment":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/media?parent=10453"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/categories?post=10453"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/tags?post=10453"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}