{"id":15891,"date":"2025-09-11T09:01:02","date_gmt":"2025-09-11T00:01:02","guid":{"rendered":"https:\/\/blog.agentsoft.co.kr\/index.php\/2025\/09\/11\/15891\/"},"modified":"2025-09-11T09:01:02","modified_gmt":"2025-09-11T00:01:02","slug":"a-%ec%84%b1%ec%9d%b8%ea%b0%84%ed%98%b8-%ea%b0%84%ed%98%b8%ea%b3%bc%ec%a0%95-%ec%82%ac%eb%a1%80-%eb%b3%b4%ea%b3%a0%ec%84%9c-%eb%8c%80%ec%9e%a5%ec%95%94-%ec%a7%84%eb%8b%a8-%eb%82%b4%eb%a6%b4","status":"publish","type":"post","link":"https:\/\/blog.agentsoft.co.kr\/index.php\/2025\/09\/11\/15891\/","title":{"rendered":"A++ \uc131\uc778\uac04\ud638 \uac04\ud638\uacfc\uc815 \uc0ac\ub840 \ubcf4\uace0\uc11c (\ub300\uc7a5\uc554, \uc9c4\ub2e8 \ub0b4\ub9b4 \uc218 \uc788\ub294\uac70 \ub2e4 \ub0b4\ub9bc!! \uc9f1\ub9ce\uc74c)"},"content":{"rendered":"

<\/p>\n

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

A. Assessment
\n1) \uc77c\ubc18\uc801 \uc815\ubcf4
\n2) \ubcd1\ub825
\n3) \uc0ac\ub840\ud658\uc790\uc758 \uc9c8\ubcd1 \uc870\uc0ac \uacb0\uacfc \uae30\uc220 (\uc6d0\uc778, \ubcd1\ud0dc\uc0dd\ub9ac, \uc99d\uc0c1, \uc9c4\ub2e8, \uce58\ub8cc \ub4f1)- \ubd84\ub2f4\uc8fc\uc81c
\n4) \uc2e0\uccb4 \uac80\uc9c4<\/p>\n

B. \ud22c\uc5ec\ub418\ub294 \uc57d\ubb3c (\uc911\uc694\ud55c \uc57d\ubb3c \uc21c\uc73c\ub85c \uc801\uae30 )<\/p>\n

C. \uc9c4\ub2e8\uac80\uc0ac
\n1) Hematology
\n2) Urinalysis
\n3) Blood Chemistry
\n 4) \uae30\ud0c0 \uc9c4\ub2e8 \uac80\uc0ac (\uc9c4\ub2e8\ubc1b\uae30 \uc704\ud55c \uac80\uc0ac \uacb0\uacfc )
\n 5) ABGA(Arterial Blood Gas Analysis), \uce21\uc815 \uc77c\uc790
\n6) \uae30\ud0c0 \ud608\uc561 \uac80\uc0ac<\/p>\n

D. \uac04\ud638\uacfc\uc815
\n1) \ub300\uc0c1\uc790 \uc0ac\ub840 \uae30\uc220 \ubc0f \ubd84\uc11d
\n2) \uac04\ud638\uacfc\uc815<\/p>\n

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

\ud658\uc790, 79\uc138, \uc5ec\uc790, 2022\ub144 6\uc6d4\ubd80\ud130 \uc6d0\uc778 \ubaa8\ub97c \uc124\uc0ac \ubc0f \ubcf5\ud1b5 \ud638\uc18c\ub85c \uc758\uc6d0 \ubc29\ubb38\ud558\uc5ec \uc2dc\ud589\ud55c \uac80\uc0ac\uc5d0\uc11c \ubd80\uc704 S-colon\uc5d0 \uad00\uac15 \uc804\uccb4\ub97c \ub458\ub7ec\uc2f8\ub294 ulceroinfiltrative mass lesion (AV 20cm) \uad00\ucc30\ub418\uc5b4, \ubcf8\uc6d0 \uc9c4\ub8cc \uad8c\uc720\ubc1b\uc558\uc2b5\ub2c8\ub2e4. Malignant neoplasm of sigmoid colon(T4b, N2, M0)\ub85c \uc9c4\ub2e8 \ubc1b\uc558\uc2b5\ub2c8\ub2e4.<\/p>\n

\uc218\uc220 \uc704\ud574 2022\ub144 8\uc6d4 6\uc77c \uc785\uc6d0\ud558\uc600\uc2b5\ub2c8\ub2e4. 2022\ub144 8\uc6d4 8\uc77c \uc804\uc2e0 \ub9c8\ucde8\ub85c \uc804\ubc29\uc808\uc81c\uc220 \ubc0f \uc2ed\uc774\uc9c0\uc7a5 \ubd84\uc808 \uc808\uc81c\uc220 \uc2e4\uc2dc\ud558\uc600\uc2b5\ub2c8\ub2e4. \uc218\uc220 \ud6c4 bleeding \uc18c\uacac \uc5c6\uc5c8\uc2b5\ub2c8\ub2e4. \ud604\uc7ac \uc758\uc2dd\uc740 alert\uc774\uace0, \ud65c\ub825\uc9d5\ud6c4\ub294 BT 36.0\u2103 , BP 103\/68mmHg, PR 69\ud68c\/\ubd84, RR 18\ud68c\/\ubd84, SPO2 100%\uc73c\ub85c \uce21\uc815\ub418\uc5b4 stable\uc778 \uc0c1\ud0dc\ub97c \uc720\uc9c0\ud558\uace0 \uc788\uc2b5\ub2c8\ub2e4. \uc218\uc220 \ud6c4 Nasal cannula(3L\/min), Foley catheter 16Fr, Barovac abdomen(POD#0 200ml \uce21\uc815)\uc744 \uc5f0\uacb0\ud574\uc11c \ub2e4\uc2dc \ubcd1\uc2e4\ub85c \uc624\uc168\uc2b5\ub2c8\ub2e4. Right arm\uc5d0 IV (22G) \uc5f0\uacb0\ub418\uc5b4 \uc788\uace0 \ud1b5\uc99d, \uc815\ub9e5\uc5fc \uc99d\uc0c1 \ub098\ud0c0\ub098\uc9c0 \uc54a\uc2b5\ub2c8\ub2e4. <\/p>\n

2011\ub144 \uc624\ub978\ucabd \ud314 \uace8\uc808\uc218\uc220\uc744 \ubcd1\uc6d0\uc5d0 \uc785\uc6d0\ud574\uc11c \ubc1b\uc558\uc73c\uba70 \ud569\ubcd1\uc99d \uc5c6\uc5c8\uc2b5\ub2c8\ub2e4. 2016\ub144\ub3c4\uc5d0 \uace0\ud608\uc555 \uc9c4\ub2e8\uc744 \ubc1b\uc558\uc73c\uba70 \uc790\uac00\uc57d Cirtelmi 40mg 1 Tab qd PO \ubcf5\uc6a9\uc911\uc785\ub2c8\ub2e4. \ud608\uc555 \uc870\uc808 \uc2dc \ud6a8\uacfc\uc801\uc73c\ub85c \ub418\ub294 \uac83 \ud655\uc778\ud588\uc2b5\ub2c8\ub2e4. 2022\ub144\ub3c4\uc5d0 \uace8\ub2e4\uacf5\uc99d \uc9c4\ub2e8\uc744 \ubc1b\uc558\uc73c\ub098 \ubcf5\uc6a9\ud558\ub294 \uc57d\uc740 \ub530\ub85c \uc5c6\uc2b5\ub2c8\ub2e4. \uc601\uc591\ud3c9\uac00 \uc2dc, \uc0c1\ud658\uc601\uc591\ubd88\ub7c9\uace0\uc704\ud5d8\uad70(old age, BMI<16.0, alb<3.5)\uc73c\ub85c \ud310\uc815\ub418\uc5c8\uc2b5\ub2c8\ub2e4. \ud3c9\uc18c \uc2dd\uc0ac\uc12d\ucde8 \uc798 \ud558\uc600\uace0, \uc815\uc0c1\uccb4\uc911\uc73c\ub85c \uc720\uc9c0\ud574\uc654\uc73c\ub098 6\uc6d4\ubd80\ud130 watery diarrhea \uc9c0\uc18d\uc801\uc73c\ub85c \uc788\uc73c\uba74\uc11c \uc2dd\uc0ac\ub7c9 \uc904\uc5c8\uace0 10kg \uc774\uc0c1\uc758 \ube44\uc758\ub3c4\uc801 \uccb4\uc911\uac10\uc18c \uc788\uc73c\uba70, \uc721\uc548\uc0c1\uc73c\ub85c\ub3c4 \uc804\uc2e0\uadfc\uc18c\uc2e4 \uad00\ucc30\ub41c\ub2e4\uace0 \ud3c9\uac00\ub418\uc5c8\uc2b5\ub2c8\ub2e4. \ud0a4\ub294 144.2cm, \ubab8\ubb34\uac8c\ub294 30.3kg\ub85c \uce21\uc815\ub418\uc5c8\uc2b5\ub2c8\ub2e4.(\ud658\uc790 \uc608\uce21 \ubab8\ubb34\uac8c: 45kg)\n\n
\ucd9c\ucc98 : \ud574\ud53c\ucea0\ud37c\uc2a4<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

\ubaa9\ucc28 A. Assessment 1) \uc77c\ubc18\uc801 \uc815\ubcf4 2) \ubcd1\ub825 3) \uc0ac\ub840\ud658\uc790\uc758 \uc9c8\ubcd1 \uc870\uc0ac \uacb0\uacfc \uae30\uc220 (\uc6d0\uc778, \ubcd1\ud0dc\uc0dd\ub9ac, \uc99d\uc0c1, \uc9c4\ub2e8, \uce58\ub8cc \ub4f1)- \ubd84\ub2f4\uc8fc\uc81c 4) \uc2e0\uccb4 \uac80\uc9c4 B. \ud22c\uc5ec\ub418\ub294 \uc57d\ubb3c (\uc911\uc694\ud55c \uc57d\ubb3c \uc21c\uc73c\ub85c \uc801\uae30 ) C. \uc9c4\ub2e8\uac80\uc0ac 1) Hematology 2) Urinalysis 3) Blood Chemistry 4) \uae30\ud0c0 \uc9c4\ub2e8 \uac80\uc0ac (\uc9c4\ub2e8\ubc1b\uae30 \uc704\ud55c \uac80\uc0ac \uacb0\uacfc ) 5) ABGA(Arterial Blood Gas Analysis), […]<\/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":[9301,15354,14863,3559,2853,13789,5255,3592],"class_list":["post-15891","post","type-post","status-publish","format-standard","hentry","category-uncategorized","tag-__aa","tag-covid-19-","tag-14863","tag-3559","tag-2853","tag-13789","tag-5255","tag-3592"],"_links":{"self":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/15891","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=15891"}],"version-history":[{"count":0,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/15891\/revisions"}],"wp:attachment":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/media?parent=15891"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/categories?post=15891"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/tags?post=15891"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}