{"id":11659,"date":"2025-07-31T09:00:34","date_gmt":"2025-07-31T00:00:34","guid":{"rendered":"https:\/\/blog.agentsoft.co.kr\/index.php\/2025\/07\/31\/11659\/"},"modified":"2025-07-31T09:00:34","modified_gmt":"2025-07-31T00:00:34","slug":"a-%ec%84%b1%ec%9d%b8%ea%b0%84%ed%98%b8%ed%95%99-%ec%8b%a4%ec%8a%b5-ticu-case-study-%ec%99%b8%ea%b3%bc%ec%a4%91%ed%99%98%ec%9e%90%ec%8b%a4-%ec%bc%80%ec%9d%b4%ec%8a%a4%ec%8a%a4%ed%84%b0%eb%94%94-t-sdh","status":"publish","type":"post","link":"https:\/\/blog.agentsoft.co.kr\/index.php\/2025\/07\/31\/11659\/","title":{"rendered":"A+ \uc131\uc778\uac04\ud638\ud559 \uc2e4\uc2b5 ticu case study, \uc678\uacfc\uc911\ud658\uc790\uc2e4 \ucf00\uc774\uc2a4\uc2a4\ud130\ub514 T-SDH, T-EDH, SAH, \ube44\ud6a8\uacfc\uc801 \ub1cc \uc870\uc9c1 \uad00\ub958\uc758 \uc704\ud5d8"},"content":{"rendered":"

<\/p>\n

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

1. \uc77c\ubc18\uc815\ubcf4
\n2. \ubcd1\ub825
\n3. \uc9c8\ubcd1\uae30\uc220
\n4. \uc2e0\uccb4\uac80\uc9c4
\n5. \uc784\uc0c1\uac80\uc0ac \ubc0f \ud574\uc11d
\n6. \uc9c4\ub2e8\uac80\uc0ac \ubc0f \ud2b9\uc218\uce58\ub8cc
\n7. \ud604\uc7ac \ud22c\uc5ec\uc57d\ubb3c
\n8. \uac04\ud638\uacfc\uc815<\/p>\n

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

#1 \ub450\ubd80 \uc678\uc0c1\uc73c\ub85c \uc778\ud55c \ubd80\uc885 \ubc0f \ub1cc\uc555 \uc0c1\uc2b9\uacfc \uad00\ub828\ub41c \ube44\ud6a8\uacfc\uc801 \ub1cc \uc870\uc9c1 \uad00\ub958\uc758 \uc704\ud5d8 <\/p>\n

\uac1d\uad00\uc801 \uc790\ub8cc
\n– \uc9c4\ub2e8\uba85: T-SDH, T-EDH, SAH (12\/3)
\n– \uad6c\uae09\ucc28\uc5d0\uc11c 2\ud68c \uad6c\ud1a0\ub97c \ud558\uc600\uc74c (12\/3)
\n– \uc785\uc6d0 \ub2f9\uc2dc SBP: 165mmHg
\n– brain CT \uac80\uc0ac \uacb0\uacfc: \uc591\ucabd \uc804\ub450\uc5fd\uc5d0 \ud0c0\ubc15\uc0c1 \ucd9c\ud608\uacfc T-SAH, T-SDH, \uc67c\ucabd\uc73c\ub85c midline\uc774 \uc62e\uaca8\uc838 \uc788\uc74c, \uc624\ub978\ucabd \uc804\ub450-\ub450\uc815-\uce21\ub450\uc5fd\uacfc \uc67c\ucabd \uc804\ub450-\ud6c4\ub450\uc5d0 \ud608\uc885 \uc788\uc74c (12\/3)
\n– decompressive craniectiomy\uc744 \uc2dc\ud589\ud568 (12\/3)
\n– GCS: 2\uc810(E1M1VE) (12\/4)
\n– mental state: coma (12\/4)
\n– pupil size (Rt\/Lt) : 5.95\/5.19mm (12\/4)
\n– pupil reflex (Rt\/Lt): fix (12\/4)
\n– \uc774\ub1e8\uc81c (mannitol, furosemide) \ud22c\uc5ec \uc911\uc784\uc744 \uad00\ucc30\ud568 (12\/4)
\n– Articsun\uc744 \uc801\uc6a9\ud558\uc5ec TTM \uc2dc\ud589 \uc911\uc778 \uac83\uc744 \uad00\ucc30\ud568. (12\/4)<\/p>\n

\ubaa9\uc801
\n\ub300\uc0c1\uc790\ub294 \uc815\uc0c1\uc801\uc778 \ub1cc \uc870\uc9c1 \uad00\ub958\ub97c \uc720\uc9c0\ud55c\ub2e4. <\/p>\n

\ud3c9\uac00\uae30\uc900
\n– \ub300\uc0c1\uc790\uac00 \uc911\ud658\uc790\uc2e4 \ud1f4\uc6d0\ud558\uae30 \uc804\uae4c\uc9c0 GCS \uc810\uc218\uac00 5\uc810\uc73c\ub85c \uc624\ub978\ub2e4 ( E \ud56d\ubaa9 2\uc810 \uc0c1\uc2b9\/ M\ud56d\ubaa9 3\uc810 \uc0c1\uc2b9\/ V\ub294 \uc778\uacf5\ud638\ud761\uae30 \uc801\uc6a9 \uc911\uc774\ub77c \uc624\ub974\uc9c0 \uc54a\uc744 \uac70\ub77c\uace0 \uc0dd\uac01)
\n– \ub300\uc0c1\uc790\ub294 12\/8\uc77c\uae4c\uc9c0 cushing triad \uc99d\uc0c1\uc774 \ubcf4\uc774\uc9c0 \uc54a\ub294\ub2e4. (SBP\ub294 \ucc98\ubc29\ub41c \ubc94\uc704\uc778 120-160 \uc720\uc9c0, \uc11c\ub9e5 \ubc1c\uc0dd\ud558\uc9c0 \uc54a\uc74c. \ubd88\uaddc\uce59\uc801\uc778 \ud638\ud761\uc591\uc0c1 \ubcf4\uc774\uc9c0 \uc54a\uc74c)
\n– \ub300\uc0c1\uc790\ub294 \uc911\ud658\uc790\uc2e4 \ud1f4\uc2e4 \uc804\uae4c\uc9c0 \ub3d9\uacf5 \ubc18\uc0ac \uacb0\uacfc prompt\ud558\uac8c \uc904\uc5b4\ub4e0\ub2e4.<\/p>\n

\uacc4\ud68d
\n1. \ub300\uc0c1\uc790\uc758 \uc758\uc2dd \uc218\uc900\uacfc \ub3d9\uacf5 \ubc18\uc751\uc744 \uc0ac\uc815\ud55c\ub2e4. (12\/4)<\/p>\n

\uc911\uc7ac
\n1. sedation \uc885\ub8cc \ud6c4 \ub9e4\uc77c 1\uc2dc\uac04 \ub9c8\ub2e4 GCS \uc0ac\uc815\ub3c4\uad6c\ub97c \uc774\uc6a9\ud558\uc5ec \ub300\uc0c1\uc790\uc758 \uc758\uc2dd\uc218\uc900\uc744 \uc0ac\uc815\ud558\uace0 \uae30\ub85d\ud558\ub294 \uac83\uc744 \uad00\ucc30\ud558\uc600\ub2e4. (12\/8)<\/p>\n

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

\ubaa9\ucc28 1. \uc77c\ubc18\uc815\ubcf4 2. \ubcd1\ub825 3. \uc9c8\ubcd1\uae30\uc220 4. \uc2e0\uccb4\uac80\uc9c4 5. \uc784\uc0c1\uac80\uc0ac \ubc0f \ud574\uc11d 6. \uc9c4\ub2e8\uac80\uc0ac \ubc0f \ud2b9\uc218\uce58\ub8cc 7. \ud604\uc7ac \ud22c\uc5ec\uc57d\ubb3c 8. \uac04\ud638\uacfc\uc815 \ubcf8\ubb38\ub0b4\uc6a9 #1 \ub450\ubd80 \uc678\uc0c1\uc73c\ub85c \uc778\ud55c \ubd80\uc885 \ubc0f \ub1cc\uc555 \uc0c1\uc2b9\uacfc \uad00\ub828\ub41c \ube44\ud6a8\uacfc\uc801 \ub1cc \uc870\uc9c1 \uad00\ub958\uc758 \uc704\ud5d8 \uac1d\uad00\uc801 \uc790\ub8cc – \uc9c4\ub2e8\uba85: T-SDH, T-EDH, SAH (12\/3) – \uad6c\uae09\ucc28\uc5d0\uc11c 2\ud68c \uad6c\ud1a0\ub97c \ud558\uc600\uc74c (12\/3) – \uc785\uc6d0 \ub2f9\uc2dc SBP: […]<\/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":[15571,17113,15059,3559,17114,370,1536],"class_list":["post-11659","post","type-post","status-publish","format-standard","hentry","category-uncategorized","tag-asdh","tag-edh","tag-epilepticus","tag-3559","tag-17114","tag-370","tag-1536"],"_links":{"self":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/11659","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=11659"}],"version-history":[{"count":0,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/11659\/revisions"}],"wp:attachment":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/media?parent=11659"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/categories?post=11659"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/tags?post=11659"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}