{"id":15646,"date":"2025-09-09T09:00:21","date_gmt":"2025-09-09T00:00:21","guid":{"rendered":"https:\/\/blog.agentsoft.co.kr\/index.php\/2025\/09\/09\/15646\/"},"modified":"2025-09-09T09:00:21","modified_gmt":"2025-09-09T00:00:21","slug":"%ea%b0%84%ed%98%b8%ec%a7%84%eb%8b%a85-%ea%b0%84%ed%98%b8%ea%b3%bc%ec%a0%953-%ec%84%b1%ec%9d%b8%ea%b0%84%ed%98%b8%ed%95%99%ec%8b%a4%ec%8a%b5-%ea%b8%89%ec%84%b1%ec%8b%a0%ec%86%90%ec%83%81-crrt","status":"publish","type":"post","link":"https:\/\/blog.agentsoft.co.kr\/index.php\/2025\/09\/09\/15646\/","title":{"rendered":"[\uac04\ud638\uc9c4\ub2e85, \uac04\ud638\uacfc\uc8153] \uc131\uc778\uac04\ud638\ud559\uc2e4\uc2b5 \uae09\uc131\uc2e0\uc190\uc0c1 CRRT(\uc9c0\uc18d\uc801\uc2e0\ub300\uccb4\uc694\ubc95) \uc0ac\ub840\uc5f0\uad6c\ubcf4\uace0\uc11c"},"content":{"rendered":"

<\/p>\n

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

I. \uc11c\ub860
\n1. \ub300\uc0c1\uc790 \uc120\uc815 \uc774\uc720
\n2. \ud574\ub2f9 \uc9c8\ud658\uc5d0 \ub300\ud55c \ud1b5\uacc4\uc790\ub8cc\t<\/p>\n

II. \ubcf8\ub860
\n1. \ubb38\ud5cc\uace0\ucc30
\n2. \uac04\ud638\ub825
\n1) \uac04\ud638\ub825
\n2) \uac04\ud638\uc0ac\uc815
\n3) \uc9c4\ub2e8\uc801 \uac80\uc0ac(\ud608\uc561 \ubc0f \uc18c\ubcc0, \uc2ec\uc804\ub3c4 \ub4f1)
\n4) \uc9c4\ub2e8(\uce58\ub8cc)\uc744 \uc704\ud55c \uc218(\uc2dc)\uc220 \ubc0f \uac80\uc0ac
\n5) \uc8fc\uc694\uc57d\ubb3c\uc694\ubc95
\n6) \uc785\uc2e4 \ud6c4 \uacbd\uacfc
\n3. \uac04\ud638\uacfc\uc815
\n1) \uac04\ud638\uc9c4\ub2e8 \ubaa9\ub85d
\n2) \uc6b0\uc120\uc21c\uc704 \uadfc\uac70
\n3) \uc6b0\uc120\uc21c\uc704\uc5d0 \ub530\ub978 \uac04\ud638\uc9c4\ub2e8
\n4) \uac04\ud638\uacfc\uc815\uc801\uc6a9
\n (1) \uac04\ud638\uacfc\uc815 #1
\n (2) \uac04\ud638\uacfc\uc815 #2
\n (3) \uac04\ud638\uacfc\uc815 #3\t<\/p>\n

III. \uacb0\ub860\t<\/p>\n

IV. \ucc38\uace0\ubb38\ud5cc<\/p>\n

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

\uc9c8\ud658\uba85
\nAKI (Acute Kidney Injury)<\/p>\n

\uc815\uc758
\n\uae09\uc131\uc2e0\uc190\uc0c1\uc740 \uc2e0\uae30\ub2a5\uc774 \uac11\uc790\uae30 \uc0c1\uc2e4\ub418\ub294 \uac83\uc73c\ub85c, \uc2e0\uae30\ub2a5\uc774 \ube60\ub974\uac8c \uac10\uc18c\ud558\uc5ec \uc18c\ubcc0\uac10\uc18c\uc99d(\ud54d\ub1e8)\uc774 \ub098\ud0c0\ub098\uba70, \ud608\uc911\uc694\uc18c\uc9c8\uc18c BUN\uacfc \ud608\uccad Creatinine\uc758 \uc218\uce58\uac00 \uae09\uc99d\ud55c\ub2e4. \ud2b9\uc9d5\uc740 \uc2e0\uc7a5\ub2e8\uc704(\ub124\ud504\ub860)\uc758 \ud1a0\ub9ac(\uc0ac\uad6c\uccb4)\uc5ec\uacfc\uc728\uc774 \uae09\uaca9\ud788 \uc800\ud558\ub418\uc5b4, \ube68\ub9ac \uadf8\uc6d0\uc778\uc744 \ucc3e\uc544 \uc798 \uce58\ub8cc\ud55c\ub2e4\uba74 \uc6d0\ub798\uc758 \uae30\ub2a5\uc73c\ub85c \ud68c\ubcf5 \uac00\ub2a5\uc131\uc774 \uc788\uc9c0\ub9cc, \uacbd\uc6b0\uc5d0 \ub530\ub77c \uae09\uaca9\ud55c \uc2e0\uc7a5 \uae30\ub2a5 \uc800\ud558\ub85c \uc2ec\uac01\ud55c \ud569\ubcd1\uc99d\uc774 \uc0dd\uae30\uae30\ub3c4 \ud55c\ub2e4. \ud3d0\ubd80\uc885\uc5d0 \uc758\ud55c \ud638\ud761\uace4\ub780, \uace0\uce7c\ub968\ud608\uc99d, \ub300\uc0ac\uc131\uc0b0\uc99d \ub4f1\uc774 \ub3d9\ubc18\ub3fc \uc0dd\uba85\uc744 \uc704\ud611\ud558\uae30\ub3c4 \ud558\uba70, \uc77c\uc2dc\uc801\uc73c\ub85c \ud22c\uc11d \uce58\ub8cc\uac00 \ud544\uc694\ud55c \uacbd\uc6b0\ub3c4 \uc788\ub2e4.<\/p>\n

\ud1b5\uacc4
\n\uae09\uc131\uc2e0\ubd80\uc804\uc740 \uc911\ud658\uc790\uc2e4\uc5d0 \uc785\uc6d0\ud55c \ud658\uc790\uc758 \uc57d 20%\uc5d0\uc11c \ubc1c\uc0dd\ud558\ub294 \ud754\ud55c \ud569\ubcd1\uc99d\uc73c\ub85c, \uadf8 \uc0ac\ub9dd\ub960\uc774 50%\uc5d0 \uc774\ub978\ub2e4. \uae09\uc131\uc2e0\ubd80\uc804\uc774 \uc788\ub294 \uc911\ud658\uc790 \uc911 \uc2e0\ub300\uccb4 \uc694\ubc95\uc744 \ud544\uc694\ub85c \ud558\ub294 \ud658\uc790\ub294 70% \uc815\ub3c4\ub85c \uac04\ud5d0\uc801 \ud608\uc561\ud22c\uc11d \uc694\ubc95 \ud639\uc740 \uc9c0\uc18d\uc801 \uc2e0\ub300\uccb4 \uc694\ubc95(continuous renal replacement therapy; CRRT)\uc758 \uce58\ub8cc\ub97c \uc120\ud0dd\ud560 \uc218 \uc788\ub2e4. <\/p>\n

– \ubb38\ud5cc\uc870\uc0ac<\/p>\n

\uc6d0\uc778<\/p>\n

\u2460 \uc2e0\uc804\uc131(Prerenal)
\n \ucd9c\ud608\uc774\ub098 \uccb4\uc561\uc190\uc2e4\ub85c \uc778\ud55c \uc21c\ud658\ud608\uc561\ub7c9 \uac10\uc18c, \uc2e0\uc7a5\uc73c\ub85c \uc720\uc785\ub418\ub294 \ud608\uad00\uc758 \ud611\ucc29\uc774\ub098 \ud3d0\uc1c4, \uc2ec\ubc15\ucd9c\ub7c9\uc758 \uc800\ud558 \ub4f1\uc73c\ub85c \uc778\ud574 \uc2e0\uc7a5\uc73c\ub85c \uac00\ub294 \ud608\uc561\ub7c9\uc774 \uc904\uc5b4\ub4e4\uc5b4 \ud1a0\ub9ac(\uc0ac\uad6c\uccb4)\uc758 \uc5ec\uacfc\uc728\uc774 \uc800\ud558\ub41c \uc0c1\ud0dc\uc774\ub2e4. \uc2e0\uc7a5 \uc790\uccb4\uc5d0\ub294 \uc7a5\uc560\uac00 \uc5c6\uae30 \ub54c\ubb38\uc5d0 \uc7ac\ud761\uc218, \ubd84\ube44 \ub4f1\uc758 \uae30\ub2a5\uc740 \uc720\uc9c0\ub41c\ub2e4. \uae09\uc131\uc2e0\uae30\ub2a5\uc0c1\uc2e4\uc758 55~70%\uac00 \ub300\ubd80\ubd84 \uc2e0\uc804\uc131\uc73c\ub85c \uc778\ud574 \uc77c\uc5b4\ub09c\ub2e4. \uc2e0\uc7a5\uc73c\ub85c \uac00\ub294 \ud608\uc561\ub7c9\uc774 \uc904\uc5b4\ub4e4\uba74, \uc790\ub3d9\uc870\uc808\uae30\uc804\uccb4\uacc4\uac00 \uc791\ub3d9\ud558\uc5ec \uc18c\ubcc0\ub7c9\uc774 \uac10\uc18c\ud558\uc5ec \uc18c\ubcc0 \uac10\uc18c\uc99d(1\uc77c \uc18c\ubcc0\ub7c9 400ml \ubbf8\ub9cc)\uc744 \uc57c\uae30\ud55c\ub2e4. <\/p>\n

\u2461 \uc2e0\uc131(Intrarenal)
\n\uc2e0\uc7a5\uc9c8\ud658\uc774\ub098 \ub3c5\uc131 \ubb3c\uc9c8\uc5d0 \uc758\ud574 \uc2e0\uc7a5 \uc2e4\uc9c8\uc870\uc9c1\uc774 \ud30c\uad34\ub418\uc5b4 \ucd08\ub798\ub418\ub294 \uac83\uc73c\ub85c, \uae09\uc131\uc2e0\uae30\ub2a5\uc0c1\uc2e4\uc758 25~40%\ub97c \ucc28\uc9c0\ud55c\ub2e4. \uae09\uc131 \uc694\uc138\uad00 \uad34\uc0ac\ub294 \uae09\uc131\uc2e0\uae30\ub2a5\uc0c1\uc2e4\uc758 \uc8fc\uc694 \uc6d0\uc778\uc774\ub2e4. \ub3c5\uc131\ubb3c\uc9c8\uc740 \ucf69\ud325\uc5d0\uc11c \ud608\uad00\uc218\ucd95 \ubc18\uc751\uc744 \uc77c\uc73c\ud0a4\uba70, \uc774\ub85c \uc778\ud574 \ucf69\ud325\ud608\ub958\uac00 \uac10\uc18c\ud558\uc5ec \ucf69\ud325\ud5c8\ud608\uc774 \ubc1c\uc0dd\ud560 \uc218 \uc788\ub2e4.<\/p>\n

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

\ubaa9\ucc28 I. \uc11c\ub860 1. \ub300\uc0c1\uc790 \uc120\uc815 \uc774\uc720 2. \ud574\ub2f9 \uc9c8\ud658\uc5d0 \ub300\ud55c \ud1b5\uacc4\uc790\ub8cc II. \ubcf8\ub860 1. \ubb38\ud5cc\uace0\ucc30 2. \uac04\ud638\ub825 1) \uac04\ud638\ub825 2) \uac04\ud638\uc0ac\uc815 3) \uc9c4\ub2e8\uc801 \uac80\uc0ac(\ud608\uc561 \ubc0f \uc18c\ubcc0, \uc2ec\uc804\ub3c4 \ub4f1) 4) \uc9c4\ub2e8(\uce58\ub8cc)\uc744 \uc704\ud55c \uc218(\uc2dc)\uc220 \ubc0f \uac80\uc0ac 5) \uc8fc\uc694\uc57d\ubb3c\uc694\ubc95 6) \uc785\uc2e4 \ud6c4 \uacbd\uacfc 3. \uac04\ud638\uacfc\uc815 1) \uac04\ud638\uc9c4\ub2e8 \ubaa9\ub85d 2) \uc6b0\uc120\uc21c\uc704 \uadfc\uac70 3) \uc6b0\uc120\uc21c\uc704\uc5d0 \ub530\ub978 \uac04\ud638\uc9c4\ub2e8 4) \uac04\ud638\uacfc\uc815\uc801\uc6a9 […]<\/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":[9301,15697,15059,10893,3559,12563,20637,12465,19936],"class_list":["post-15646","post","type-post","status-publish","format-standard","hentry","category-uncategorized","tag-__aa","tag-crrt","tag-epilepticus","tag-micu","tag-3559","tag-12563","tag-20637","tag-12465","tag-19936"],"_links":{"self":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/15646","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=15646"}],"version-history":[{"count":0,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/15646\/revisions"}],"wp:attachment":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/media?parent=15646"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/categories?post=15646"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/tags?post=15646"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}