{"id":10782,"date":"2025-07-22T09:00:52","date_gmt":"2025-07-22T00:00:52","guid":{"rendered":"https:\/\/blog.agentsoft.co.kr\/index.php\/2025\/07\/22\/10782\/"},"modified":"2025-07-22T09:00:52","modified_gmt":"2025-07-22T00:00:52","slug":"%ea%b8%89%ec%84%b1%eb%8b%b4%eb%82%ad%ec%97%bcacute-cholecystitis-%eb%b6%84%eb%8b%b4%ea%b3%bc%ec%a0%9c-%eb%b3%b4%ea%b3%a0%ec%84%9c-%ec%88%98%ec%88%a0%ec%8b%a4-%ed%8a%b9%ed%99%94-%ec%9e%90%eb%a3%8c","status":"publish","type":"post","link":"https:\/\/blog.agentsoft.co.kr\/index.php\/2025\/07\/22\/10782\/","title":{"rendered":"\uae09\uc131\ub2f4\ub0ad\uc5fc(Acute cholecystitis) \ubd84\ub2f4\uacfc\uc81c \ubcf4\uace0\uc11c (\uc218\uc220\uc2e4 \ud2b9\ud654 \uc790\ub8cc)"},"content":{"rendered":"

<\/p>\n

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

(1) \ud544\uc694\uc131
\n\u2460 Acute cholecystitis(\uae09\uc131 \ub2f4\ub0ad\uc5fc)\uc774\ub780?
\n\u2461 \ubc1c\uc0dd\ud604\ud669
\n\u2462 \uc9c8\ubcd1\uc73c\ub85c \uc778\ud55c \uc0b6\uc758 \uc9c8\uc744 \uc704\ud611\ud558\ub294 \ubb38\uc81c<\/p>\n

(2) \ubcd1\ud0dc\uc0dd\ub9ac
\n\u2460 \uae09\uc131\uacb0\uc11d\uc131\ub2f4\ub0ad\uc5fc(acute calculous cholecystitis)
\n\u2461 \uae09\uc131\ubb34\uacb0\uc11d\ub2f4\ub0ad\uc5fc(acute acalculous cholecystitis, AAC)<\/p>\n

(3) \uc784\uc0c1\uc99d\uc0c1<\/p>\n

(4) \uc9c4\ub2e8\uc801 \uac80\uc0ac
\n\u2460 \ubcf5\ubd80\ucd08\uc74c\ud30c(Abdominal Ultrasound)
\n\u2461 MRI(Magnetic resonance imaging, \uc790\uae30\uacf5\uba85\uc601\uc0c1)
\n\u2462 \ubcf5\ubd80 CT(Abdominal Computed tomography, \ubcf5\ubd80 \uc804\uc0b0\ud654 \ub2e8\uce35\ucd2c\uc601)
\n\u2463 \ubc29\uc0ac\uc131 \ud575\uc885\uc601\uc0c1\ubc95(Radionuclide imaging)
\n\u2464 \ud608\uc561\uac80\uc0ac<\/p>\n

(5) \uc8fc\uc694\uce58\ub8cc(\uc218\uc220\uc801 \ubc29\ubc95)<\/p>\n

(6) Acute cholecystitis \uac04\ud638\uacfc\uc815 <\/p>\n

(7) \ucc38\uace0\ubb38\ud5cc<\/p>\n

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

* \ub2f4\ub0ad(\uc4f8\uac1c)\uc774\ub780?
\n\ub2f4\ub0ad\uc740 7~10cm \uc815\ub3c4\uc758 \ud06c\uae30\ub85c \uc11c\uc591\ubc30 \ubaa8\uc591\uc758 \uae30\uad00\uc774\uba70, \uac04\uc758 \uc544\ub798\ucabd \uc6c0\ud479 \ub4e4\uc5b4\uac04 \uacf3\uc5d0 \uc704\uce58\ud55c\ub2e4. \ub2f4\ub0ad\uc5d0\uc11c \ub098\uc628 \ub2f4\uad00\uc740 \uac04\uc758 \uac04\uad00(hepatic duct)\uacfc \ud569\uccd0\uc838 \ucd1d\ub2f4\uad00(common bile duct)\uc744 \uc774\ub8ec\ub2e4. \ucd1d\ub2f4\uad00\uc758 \ub2f4\uc999\uc740 Oddi \uc870\uc784\uadfc\uc744 \ud1b5\ud574 \uc2ed\uc774\uc9c0\uc7a5\uc73c\ub85c \ub4e4\uc5b4\uac04\ub2e4. \uac04\uc5d0\uc11c \ub9cc\ub4e4\uc5b4\uc9c4 \ub2f4\uc999\uc740 \ub2f4\ub0ad\uc5d0 \uc800\uc7a5\ub418\uc5c8\ub2e4\uac00 Oddi \uc870\uc784\uadfc\uc774 \uc774\uc644\ud560 \ub54c \uc2ed\uc774\uc9c0\uc7a5\uc73c\ub85c \ub4e4\uc5b4\uac04\ub2e4. \ub2f4\uc999\uc740 \ubb3c, \ub2f4\uc999\uc0b0\uc5fc(bile salt), \ube4c\ub9ac\ub8e8\ube48, \ucf5c\ub808\uc2a4\ud14c\ub864, \uc9c0\ubc29\uc0b0, \ub808\uc2dc\ud2f4(lecithin), Na\u207a, K\u207a, Cl\u203e, HCO\u2083\u203e \ub4f1\uc73c\ub85c \uad6c\uc131\ub41c\ub2e4. \ub2f4\uc999\uc740 \uc18c\ud654\uacfc\uc815\uc5d0\uc11c \uc2ed\uc774\uc9c0\uc7a5\uc73c\ub85c \ubd84\ube44\ub418\uc5b4 \uc9c0\ubc29\uc744 \uc720\ud654\uc2dc\ud0a4\ub294 \uae30\ub2a5\uc744 \ud558\uba70, \ub2f4\uc999\uc0b0\uc5fc\uc740 \uc9c0\ubc29\ubbf8\ub9bd\uc790\uc758 \ud45c\uba74\uc7a5\ub825\uc744 \uac10\uc18c\uc2dc\ucf1c \uc7a5\uad00\uc758 \uc6c0\uc9c1\uc784\uc5d0 \ub530\ub77c \uc74c\uc2dd\uc744 \uc798\uac8c \ubd80\uc21c\ub2e4. \ub530\ub77c\uc11c \ub2f4\uc999\uc740 \uc9c0\ubc29\uc758 \uc18c\ud654\ub97c \ub3d5\uace0, \ub2f4\uc999\uc0b0\uc5fc\uc740 \uc74c\uc2dd\uc744 \uc798\uac8c \ubd80\uc234 \uc18c\ud654\ud6a8\uc18c\uc5d0 \uc758\ud574 \uc27d\uac8c \uc18c\ud654\ub418\ub3c4\ub85d \ub3d5\ub294\ub2e4. <\/p>\n

(1) \ud544\uc694\uc131
\n\u2460 Acute cholecystitis(\uae09\uc131 \ub2f4\ub0ad\uc5fc)\uc774\ub780?
\n\ub2f4\ub0ad\ubcbd\uc5d0 \ubc1c\uc0dd\ud558\ub294 \uae09\uc131 \uc5fc\uc99d\uc744 \ub9d0\ud558\uba70, \uacb0\uc11d\uc131 \ub2f4\ub0ad\uc5fc\uacfc \ube44\uacb0\uc11d\uc131 \ub2f4\ub0ad\uc5fc\uc73c\ub85c \ub098\ub25c\ub2e4. \ub300\ubd80\ubd84 \ub2f4\uc11d\uc5d0 \uc758\ud55c \ub2f4\ub0ad\uad00\uc758 \ud3d0\uc1c4\ub85c \uc720\ubc1c\ub418\ub294 \uac83\uc774 \ud2b9\uc9d5\uc774\ub2e4. \ub2f4\ub0ad\ubcbd\uc5d0 \ubc1c\uc0dd\ud558\ub294 \uc5fc\uc99d\ubc18\uc751\uc740 3\uac00\uc9c0 \uc778\uc790\uc5d0 \uc758\ud574 \uc720\ubc1c\ub420 \uc218 \uc788\ub2e4.
\n1) \uae30\uacc4\uc801 \uc5fc\uc99d: \ub2f4\ub0ad \uc810\ub9c9\uacfc \ub2f4\ub0ad\ubcbd\uc5d0 \ud5c8\ud608\uc744 \uc720\ubc1c\ud558\ub294 \ub2f4\ub0ad\ub0b4\uc555\uc758 \uc99d\uac00 \ubc0f \ub2f4\ub0ad \ud655\uc7a5\uc5d0 \uc758\ud574 \uc720\ubc1c\ub418\ub294 \uac83.
\n2) \ud654\ud559\uc801 \uc5fc\uc99d: \ub9ac\uc18c\ub808\uc2dc\ud2f4(\ub2f4\uc999 \ub0b4 \ub808\uc2dc\ud2f4\uc5d0 phospholipase\uac00 \uc791\uc6a9\ud558\uc5ec \ud569\uc131\ub41c \ubb3c\uc9c8)\uc758 \ubd84\ube44\uc640 \ub2e4\ub978 \uad6d\uc18c\uc801 \uc870\uc9c1\uc778\uc790\uc5d0 \uc758\ud574 \uc720\ubc1c\ub418\ub294 \uac83.
\n3) \uc138\uade0\uc131 \uc5fc\uc99d: \ub300\uc7a5\uade0(Escherichia coli), \ud074\ub819\uc2dc\uc5d8\ub77c\uc885(Klebsiella species), \uc5f0\uc1c4\uc0c1\uad6c\uade0\uc885(Streptococcus spp), \ud074\ub85c\uc2a4\ud2b8\ub9ac\ub514\uc6c0\uc885(Clostridium spp) \ub4f1\uc5d0 \uc758\ud574 \uc720\ubc1c\ub418\ub294 \uac83. \uae09\uc131 \ub2f4\ub0ad\uc5fc \ud658\uc790\uc758 50~85%\uc5d0 \ud574\ub2f9\ud55c\ub2e4.<\/p>\n

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

\ubaa9\ucc28 (1) \ud544\uc694\uc131 \u2460 Acute cholecystitis(\uae09\uc131 \ub2f4\ub0ad\uc5fc)\uc774\ub780? \u2461 \ubc1c\uc0dd\ud604\ud669 \u2462 \uc9c8\ubcd1\uc73c\ub85c \uc778\ud55c \uc0b6\uc758 \uc9c8\uc744 \uc704\ud611\ud558\ub294 \ubb38\uc81c (2) \ubcd1\ud0dc\uc0dd\ub9ac \u2460 \uae09\uc131\uacb0\uc11d\uc131\ub2f4\ub0ad\uc5fc(acute calculous cholecystitis) \u2461 \uae09\uc131\ubb34\uacb0\uc11d\ub2f4\ub0ad\uc5fc(acute acalculous cholecystitis, AAC) (3) \uc784\uc0c1\uc99d\uc0c1 (4) \uc9c4\ub2e8\uc801 \uac80\uc0ac \u2460 \ubcf5\ubd80\ucd08\uc74c\ud30c(Abdominal Ultrasound) \u2461 MRI(Magnetic resonance imaging, \uc790\uae30\uacf5\uba85\uc601\uc0c1) \u2462 \ubcf5\ubd80 CT(Abdominal Computed tomography, \ubcf5\ubd80 \uc804\uc0b0\ud654 \ub2e8\uce35\ucd2c\uc601) \u2463 \ubc29\uc0ac\uc131 \ud575\uc885\uc601\uc0c1\ubc95(Radionuclide imaging) \u2464 \ud608\uc561\uac80\uc0ac (5) […]<\/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":[16231,14303,3559,14348,1431,5146,10609,16226],"class_list":["post-10782","post","type-post","status-publish","format-standard","hentry","category-uncategorized","tag-acutecholecystitis","tag-thra-","tag-3559","tag-14348","tag-1431","tag-5146","tag-10609","tag-16226"],"_links":{"self":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/10782","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=10782"}],"version-history":[{"count":0,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/10782\/revisions"}],"wp:attachment":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/media?parent=10782"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/categories?post=10782"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/tags?post=10782"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}