{"id":13088,"date":"2025-08-14T09:00:46","date_gmt":"2025-08-14T00:00:46","guid":{"rendered":"https:\/\/blog.agentsoft.co.kr\/index.php\/2025\/08\/14\/13088\/"},"modified":"2025-08-14T09:00:46","modified_gmt":"2025-08-14T00:00:46","slug":"a-septic-shock-case-study%ea%b0%84%ed%98%b8%ec%a7%84%eb%8b%a8-2%ea%b0%9c-%ea%b0%84%ed%98%b8%ea%b3%bc%ec%a0%95-2%ea%b0%9c","status":"publish","type":"post","link":"https:\/\/blog.agentsoft.co.kr\/index.php\/2025\/08\/14\/13088\/","title":{"rendered":"A+) Septic shock CASE STUDY(\uac04\ud638\uc9c4\ub2e8 2\uac1c, \uac04\ud638\uacfc\uc815 2\uac1c)"},"content":{"rendered":"

<\/p>\n

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

\u2160. \ubb38\ud5cc\uace0\ucc30<\/p>\n

\u2161. \uac04\ud638\uacfc\uc815
\n1. \uac04\ud638\uc0ac\uc815
\n2. \uac04\ud638\uc9c4\ub2e8\uc744 \uc704\ud55c \uc2e0\uccb4\uc0ac\uc815
\n3. \uac04\ud638\ub300\uc0c1\uc790\uc758 \uc9c4\ub2e8\uc744 \uc704\ud55c \uac80\uc0ac(\uc77c\ubc18 \uc0dd\ud654\ud559\uac80\uc0ac, \ubc29\uc0ac\uc120 \uac80\uc0ac, \ud2b9\uc218\uac80\uc0ac)
\n4. \uce58\ub8cc \ubc0f \uac04\ud638 (\ub0b4\uacfc\uc801 -\uc57d\ubb3c -\uc694\ubc95\u2024\uc2dd\uc774\uc694\ubc95, \uc678\uacfc\uc801-\uc218\uc220\uc694\ubc95, \ud2b9\uc218\uce58\ub8cc\ubc95)
\n5. \uac04\ud638\uacfc\uc815
\n6. \ucc38\uace0\ubb38\ud5cc<\/p>\n

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

\u2160. \ubb38\ud5cc\uace0\ucc30 (\ubcd1\ud0dc\uc0dd\ub9ac, \uc6d0\uc778, \uc99d\uc0c1, \uce58\ub8cc, \uac04\ud638)<\/p>\n

\uc9c8\ud658\uc5d0 \ub300\ud55c \ubb38\ud5cc\uace0\ucc30 : \ubcd1\ud0dc\uc0dd\ub9ac, \uc6d0\uc778, \uc99d\uc0c1, \uc9c4\ub2e8, \uce58\ub8cc, \uac04\ud638
\n\uc9c8\ud658\uba85
\nseptic shock
\n\ubcd1\ud0dc\uc0dd\ub9ac
\n\uac10\uc5fc\uc99d\uc774 \ubc1c\uc0dd\ud55c \uacbd\uc6b0, \uc6d0\uc778 \ubbf8\uc0dd\ubb3c\uc774 \ud608\uc561 \ub0b4\ub85c \uce68\ubc94\ud558\uc5ec \ud328\ud608\uc99d\uc744 \uc77c\uc73c\ud0ac \uc218 \uc788\uc74c. \ud558\uc9c0\ub9cc \ubbf8\uc0dd\ubb3c\uc774 \ud608\uc561 \ub0b4\ub85c \uce68\ud22c\ud558\uc9c0 \uc54a\ub354\ub77c\ub3c4 \uc2e0\uccb4 \uc77c\ubd80\uc758 \uc5fc\uc99d \ubc18\uc751 \ubc0f \uc5fc\uc99d \ubb3c\uc9c8\uc758 \uc0dd\uc131\uc5d0 \uc758\ud574 \uc804\uc2e0\uc801\uc778 \ud328\ud608\uc99d\uc774 \ubc1c\uc0dd\ud560 \uc218\ub3c4 \uc788\uc74c. \ud328\ud608\uc99d \uc99d\uc0c1\uc73c\ub85c \uc778\ud574 \uc1fc\ud06c\uac00 \ubc1c\uc0dd\ud55c \uc0c1\ud0dc
\n\uc6d0\uc778
\n\ubb38\ud5cc\uc870\uc0ac
\n– \ubbf8\uc0dd\ubb3c\uc5d0 \uc758\ud55c \uac10\uc5fc
\n– \uc6d0\uc778\uc774 \ub418\ub294 \uac10\uc5fc \ubd80\uc704\ub294 \uc2e0\uccb4\uc758 \ubaa8\ub4e0 \uc7a5\uae30\uac00 \uac00\ub2a5. \ud3d0\ub834, \uc2e0\uc6b0\uc2e0\uc5fc, \ub1cc\ub9c9\uc5fc, \ubd09\uc640\uc9c1\uc5fc, \uac10\uc5fc\uc131 \uc2ec\ub0b4\ub9c9\uc5fc, \ubcf5\ub9c9\uc5fc, \uc695\ucc3d, \ub2f4\ub0ad\uc5fc, \ub2f4\ub3c4\uc5fc \ub4f1
\n\uc99d\uc0c1
\n\ubb38\ud5cc\uc870\uc0ac
\n– \uc624\ud55c\uc744 \ub3d9\ubc18\ud55c \uace0\uc5f4, \uc800\uccb4\uc628\uacfc \ub3d9\ubc18\ub418\ub294 \uad00\uc808\ud1b5, \ub450\ud1b5, \uad8c\ud0dc\uac10 \ub4f1
\n– \ub9e5\ubc15\uc740 \ube60\ub974\uace0 \ubbf8\uc57d\ud558\uba70, \ud638\ud761\uc740 \ube68\ub77c\uc9d0. \uc911\uc99d\uc774\uba74 \uc758\uc2dd\uc774 \ud750\ub824\uc9d0
\n– \uc99d\uc0c1\uc774 \ub354 \uc2ec\ud574\uc9c0\uba74 \uc800\ud608\uc555\uc5d0 \ube60\uc9c0\uace0 \uc18c\ubcc0\ub7c9\uc774 \uc904\uba74\uc11c \uc1fc\ud06c \uc0c1\ud0dc<\/p>\n

\uce58\ub8cc
\n\ubb38\ud5cc\uc870\uc0ac
\n– \ud328\ud608\uc99d\uc758 \uc6d0\uc778\uc774 \ub418\ub294 \uc7a5\uae30\uc758 \uac10\uc5fc\uc744 \uce58\ub8cc\ud558\ub294 \uac83\uc774 \uc911\uc694. \uc2e0\uccb4\uac80\uc9c4\uacfc \ud608\uc561\uac80\uc0ac, \uc601\uc0c1 \uac80\uc0ac\ub97c \ud1b5\ud574\uc11c \ud328\ud608\uc99d\uc758 \uc6d0\uc778\uc774 \ub418\ub294 \uc2e0\uccb4\uc758 \uac10\uc5fc \ubd80\uc704\ub97c \ucc3e\uc740 \ud6c4 \uc801\uc808\ud55c \ud56d\uc0dd\uc81c\ub97c \uc0ac\uc6a9\ud558\uc5ec \uac10\uc5fc\uc99d\uc744 \uce58\ub8cc\ud568. \ud328\ud608\uc99d\uc758 \uc6d0\uc778\uade0\uc744 \uc54c\uc544\ub0b4\uae30 \uc704\ud574\uc11c\ub294 \ud658\uc790\uc758 \ud608\uc561\uc744 \ucc44\ucde8\ud558\uc5ec \uade0\uc744 \ubc30\uc591\ud558\ub294 \uac80\uc0ac\uac00 \ud544\uc694\ud558\uc9c0\ub9cc, \uc774\ub294 \uc801\uc5b4\ub3c4 3~5\uc77c \uc815\ub3c4\uc758 \uc2dc\uac04\uc774 \ud544\uc694\ud558\ubbc0\ub85c \ub9cc\uc77c \ud658\uc790\uc758 \uc0c1\ud0dc\uac00 \uc704\ub3c5\ud558\ub2e4\uba74 \ubc30\uc591 \uac80\uc0ac \uacb0\uacfc\uac00 \ub098\uc624\uae30 \uc804\uc5d0 \uacbd\ud5d8\uc801\uc778 \uce58\ub8cc\ub97c \uc2dc\ud589\ud574\uc57c \ud568.
\n– \uc815\ub9e5 \uc218\uc561 \uacf5\uae09\uc740 \ud608\uc555\uc758 \uac1c\uc120\uacfc \uc548\uc815\uc5d0 \ub3c4\uc6c0\uc744 \uc904 \uc218 \uc788\uc74c. \uc885\uc885 \uc57d\ubb3c\ub85c \ud608\uad00\uc744 \uc218\ucd95\uc2dc\ucf1c \ud608\uc555\uc758 \uc0c1\uc2b9\uc744 \uc720\ub3c4\ud568. \ub610\ud55c \uc0b0\uc18c\uacf5\uae09\uc774 \ud544\uc694\ud560 \uc218 \uc788\uc73c\uba70 \uba87\uba87 \ud658\uc790\uc5d0\uac8c\ub294 \ud638\ud761 \ubcf4\uc870\uc6a9 \uae30\uacc4 \ud658\uae30 \uc7a5\uce58\uac00 \ud544\uc694\ud560 \uc218\ub3c4 \uc788\uc74c. \uc7a5\uae30\ubd80\uc804\uc774 \uc2dc\uc791\ub420 \ub54c \uc2e0\uc7a5 \ud22c\uc11d\uacfc \uac19\uc740 \uae30\ud0c0 \uc7a5\uae30\uc758 \ubcf4\uc870 \uce58\ub8cc\uac00 \ub54c\ub54c\ub85c \ud544\uc694\ud558\uae30\ub3c4 \ud568.
\n– \uce74\ud14c\ud130\ucc98\ub7fc \uac10\uc5fc\uc6d0\uc73c\ub85c \uc791\uc6a9\ud560 \uc218 \uc788\ub294 \uc758\ub8cc\uae30\uae30\uc758 \uc81c\uac70, \ub18d\uc591 \ubc0f \uccb4\uc561\uc758 \ubc30\uc561, \uc190\uc0c1\ub41c \uc870\uc9c1\uc758 \uc81c\uac70 \ub610\ub294 \uce58\ub8cc, \ud3d0\uc0c9 \ubd80\uc704\uc758 \uc81c\uac70 \ub4f1\uacfc \uac19\uc774 \ub54c\ub54c\ub85c \uc678\uacfc\uc801 \uc2dc\uc220\uc774 \ud544\uc694\ud568
\n\uac04\ud638
\n\ubb38\ud5cc\uc870\uc0ac
\n– \uc6d0\uc778 \uaddc\uba85(\uac1d\ub2f4, \uc18c\ubcc0, \ud608\uc561, \ub1cc\ucc99\uc218\uc561, \ub300\ubcc0 \ub4f1 \uade0\ubc30\uc591)
\n– \ud56d\uc0dd\uc81c \ud22c\uc5ec: \ubbfc\uac10\uc131\uc774 \ub098\ud0c0\ub0a0 \ub54c\uae4c\uc9c0 \ucd08\uae30\uc5d0\ub294 penicillin, aminoglycoside\uc640 clindamycin \ub610\ub294 chloramphenicol\uc744 \ud3ec\ud568\ud558\ub294 \uad11\ubc94\uc704 \ud56d\uc0dd\uc81c \uc0ac\uc6a9
\n– \uccb4\uc628\uc870\uc808(\uc800\uccb4\uc628\uacfc \uace0\uccb4\uc628 \ubaa8\ub450 \ud328\ud608\uc131 \uc1fc\ud06c\uc5d0\uc11c \uc8fc\uc758\ud574\uc57c \ud568)
\n– \ud608\uc555\uc0c1\uc2b9\uc81c
\n– \ud56d\uc1fc\ud06c\ubc14\uc9c0 \uc801\uc6a9
\n– \uc0dd\ub9ac\uc2dd\uc5fc\uc218, 5% DW \ud639\uc740 \ucf5c\ub85c\uc774\ub4dc\uc561 \uc815\ub9e5 \ub0b4 \uc8fc\uc785
\n– \ub3c4\ud30c\ubbfc\uc774\ub098 \ub3c4\ubd80\ud0c0\ubbfc, \ub178\ub974\uc5d0\ud53c\ub124\ud504\ub9b0, isoproterenol, \ub514\uae30\ud0c8\ub9ac\uc2a4, \uce7c\uc298
\n– Naloxone(\ub0a0\ub85d\uc190, \uc800\ud608\uc555 \uc608\ubc29)
\n– Benadryl(\uc54c\ub808\ub974\uae30\uce58\ub8cc\uc81c)
\n– \uc2a4\ud14c\ub85c\uc774\ub4dc(dexamethasone, methylprednisolone)
\n– \ud30c\uc885\ud608\uad00\ub0b4\uc751\uace0\uac00 \uc788\uc73c\uba74 \ud5e4\ud30c\ub9b0 \uc8fc\uc0ac<\/p>\n

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

\ubaa9\ucc28 \u2160. \ubb38\ud5cc\uace0\ucc30 \u2161. \uac04\ud638\uacfc\uc815 1. \uac04\ud638\uc0ac\uc815 2. \uac04\ud638\uc9c4\ub2e8\uc744 \uc704\ud55c \uc2e0\uccb4\uc0ac\uc815 3. \uac04\ud638\ub300\uc0c1\uc790\uc758 \uc9c4\ub2e8\uc744 \uc704\ud55c \uac80\uc0ac(\uc77c\ubc18 \uc0dd\ud654\ud559\uac80\uc0ac, \ubc29\uc0ac\uc120 \uac80\uc0ac, \ud2b9\uc218\uac80\uc0ac) 4. \uce58\ub8cc \ubc0f \uac04\ud638 (\ub0b4\uacfc\uc801 -\uc57d\ubb3c -\uc694\ubc95\u2024\uc2dd\uc774\uc694\ubc95, \uc678\uacfc\uc801-\uc218\uc220\uc694\ubc95, \ud2b9\uc218\uce58\ub8cc\ubc95) 5. \uac04\ud638\uacfc\uc815 6. \ucc38\uace0\ubb38\ud5cc \ubcf8\ubb38\ub0b4\uc6a9 \u2160. \ubb38\ud5cc\uace0\ucc30 (\ubcd1\ud0dc\uc0dd\ub9ac, \uc6d0\uc778, \uc99d\uc0c1, \uce58\ub8cc, \uac04\ud638) \uc9c8\ud658\uc5d0 \ub300\ud55c \ubb38\ud5cc\uace0\ucc30 : \ubcd1\ud0dc\uc0dd\ub9ac, \uc6d0\uc778, \uc99d\uc0c1, \uc9c4\ub2e8, \uce58\ub8cc, \uac04\ud638 \uc9c8\ud658\uba85 septic shock \ubcd1\ud0dc\uc0dd\ub9ac […]<\/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":[9301,11425,1930,14298,3559,14911],"class_list":["post-13088","post","type-post","status-publish","format-standard","hentry","category-uncategorized","tag-__aa","tag-1--","tag-casestudy","tag-septic-shock","tag-3559","tag-14911"],"_links":{"self":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/13088","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=13088"}],"version-history":[{"count":0,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/13088\/revisions"}],"wp:attachment":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/media?parent=13088"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/categories?post=13088"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/tags?post=13088"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}