{"id":15941,"date":"2025-09-12T09:00:13","date_gmt":"2025-09-12T00:00:13","guid":{"rendered":"https:\/\/blog.agentsoft.co.kr\/index.php\/2025\/09\/12\/15941\/"},"modified":"2025-09-12T09:00:13","modified_gmt":"2025-09-12T00:00:13","slug":"%ec%84%b1%ec%9d%b8%ea%b0%84%ed%98%b8%ed%95%99-%ec%a0%84%ed%95%b4%ec%a7%88%eb%b6%88%ea%b7%a0%ed%98%95-%eb%8c%80%ec%83%81%ec%9e%90-%ea%b0%84%ed%98%b8-%ec%82%b0%ec%97%bc%ea%b8%b0%eb%b6%88%ea%b7%a0","status":"publish","type":"post","link":"https:\/\/blog.agentsoft.co.kr\/index.php\/2025\/09\/12\/15941\/","title":{"rendered":"[\uc131\uc778\uac04\ud638\ud559] \uc804\ud574\uc9c8\ubd88\uade0\ud615 \ub300\uc0c1\uc790 \uac04\ud638 \uc0b0\uc5fc\uae30\ubd88\uade0\ud615 \ub300\uc0c1\uc790 \uac04\ud638 \ud034\uc988 \ub2f5\ubcc0"},"content":{"rendered":"

<\/p>\n

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

\uc5c6\uc74c<\/p>\n

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

1. \uc804\ud574\uc9c8 \ubd88\uade0\ud615 \ub300\uc0c1\uc790 \uac04\ud638
\n\uace0\ud608\uc555\uc73c\ub85c thiazide\ub97c \ubcf5\uc6a9\ud558\uace0 \uc788\ub294 52\uc138 \ub0a8\uc790\ud658\uc790\uac00 \uc800\uc5fc\uc2dd\uc774\uce58\ub8cc\ub97c \ud558\ub2e4\uac00 \uc5b4\uc9c0\ub7ec\uc6c0, \ud53c\ub85c\uac10\uc744 \uc8fc\ud638\uc18c\ub85c \ub0b4\uc6d0\ud558\uc600\ub2e4. \ub0b4\uc6d0 2\uc77c \uc804\ubd80\ud130 \uc624\uc2ec, \uc2dd\uc695\ubd80\uc9c4, \ub450\ud1b5, \ud638\ud761\uace4\ub780 \uc99d\uc0c1\uc774 \ub098\ud0c0\ub0ac\ub2e4. Orthostatic hypotension\uc774 \uc788\uc73c\uba70, supine \uc0c1\ud0dc\uc5d0\uc11c \uce21\uc815\ud55c BP 130\/80mmHg, HR 100\ud68c\/\ubd84, RR 18\ud68c\/\ubd84, BT 37\ub3c4\uc600\ub2e4. \ub0b4\uc6d0 \ub2f9\uc2dc \uc2dc\ud589\ud55c \uac80\uc0ac \uacb0\uacfc\uc5d0\uc11c Na+ 115mEq\/L, K+ 3.7, BUN\/Cr 42\/2.8mg\/dl, urine Na+ 8mmol\/L, Hg 17g\/dl, Urine SG 1.03\uc774\uc5c8\ub2e4.
\n\uccb4\uc911\uc740 70kg \uc774\uace0, \ud658\uc790\ub294 \ubb34\uae30\ub825\ud558\uace0 \ubd88\uc548\uc815\ud574 \ubcf4\uc600\ub2e4.<\/p>\n

\ubb38\uc81c 1. \uc758\ud559\uc6a9\uc5b4 \uc815\ub9ac
\nsupine \u2013 \uc559\uc640\uc704
\nthiazide \u2013 \uace0\ud608\uc555\uce58\ub8cc\uc81c, \uc774\ub1e8\uc81c
\nOrthostatic hypotension \u2013 \uae30\ub9bd\uc131 \uc800\ud608\uc555
\nBP \u2013 \ud608\uc555, HR \u2013 \ub9e5\ubc15, RR \u2013 \ud638\ud761, BT \u2013 \uccb4\uc628
\nNa+ ~mEq\/L, K+ \u2013 \ud608\uccad \ub098\ud2b8\ub968 \uac80\uc0ac, \ud608\uccad \uce7c\ub968 \uac80\uc0ac
\nBUN\/Cr ratio \u2013 \uc2e0\uc7a5 \uae30\ub2a5\uac80\uc0ac(\ud608\uc561\uc694\uc18c\uc9c8\uc18c, \ud06c\ub808\uc544\ud2f0\ub2cc), 10:1~20:1\uc774 \uc815\uc0c1, 7.9~22\/ 0.48~1.2 \uac00 \uc815\uc0c1
\nurine Na+ ~mmol\/L \u2013 \uc18c\ubcc0 \ub098\ud2b8\ub968 \uac80\uc0ac
\nHg ~g\/dl \u2013 \ud5e4\ubaa8\uae00\ub85c\ube48 \uc218\uce58 \uac80\uc0ac<\/p>\n

\ubb38\uc81c 2. thiazide\uc5d0 \ub300\ud574 \uc815\ub9ac\ud574\ubd05\uc2dc\ub2e4.
\n \uccb4\ub0b4 \uc218\ubd84\uc744 \uc81c\uac70\ud558\uc5ec \ud608\uc555\uc744 \ub0ae\ucd94\ub294 \ud608\uc555\uc57d\uc774\ub2e4. \ud608\uc911 \ub098\ud2b8\ub968\uc774 \uc2e0\uc7a5 \uc138\ub1e8\uad00\uc5d0\uc11c \uc7ac\ud761\uc218\ub418\ub294 \uac83\uc744 \uc5b5\uc81c\ud558\uc5ec Na \ubc30\uc124 \uc2dc \uc218\ubd84\ub3c4 \ud568\uaed8 \ubc30\uc124\ub418\uc5b4 \uc804\ud574\uc9c8 \ubd88\uade0\ud615 \ubd80\uc791\uc6a9\uc73c\ub85c \uc800\ud608\ub7c9 \uc800\ub098\ud2b8\ub968\ud608\uc99d\uc774 \uc720\ubc1c\ub41c\ub2e4.<\/p>\n

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

\ubaa9\ucc28 \uc5c6\uc74c \ubcf8\ubb38\ub0b4\uc6a9 1. \uc804\ud574\uc9c8 \ubd88\uade0\ud615 \ub300\uc0c1\uc790 \uac04\ud638 \uace0\ud608\uc555\uc73c\ub85c thiazide\ub97c \ubcf5\uc6a9\ud558\uace0 \uc788\ub294 52\uc138 \ub0a8\uc790\ud658\uc790\uac00 \uc800\uc5fc\uc2dd\uc774\uce58\ub8cc\ub97c \ud558\ub2e4\uac00 \uc5b4\uc9c0\ub7ec\uc6c0, \ud53c\ub85c\uac10\uc744 \uc8fc\ud638\uc18c\ub85c \ub0b4\uc6d0\ud558\uc600\ub2e4. \ub0b4\uc6d0 2\uc77c \uc804\ubd80\ud130 \uc624\uc2ec, \uc2dd\uc695\ubd80\uc9c4, \ub450\ud1b5, \ud638\ud761\uace4\ub780 \uc99d\uc0c1\uc774 \ub098\ud0c0\ub0ac\ub2e4. Orthostatic hypotension\uc774 \uc788\uc73c\uba70, supine \uc0c1\ud0dc\uc5d0\uc11c \uce21\uc815\ud55c BP 130\/80mmHg, HR 100\ud68c\/\ubd84, RR 18\ud68c\/\ubd84, BT 37\ub3c4\uc600\ub2e4. \ub0b4\uc6d0 \ub2f9\uc2dc \uc2dc\ud589\ud55c \uac80\uc0ac \uacb0\uacfc\uc5d0\uc11c Na+ 115mEq\/L, K+ 3.7, BUN\/Cr 42\/2.8mg\/dl, urine […]<\/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":[3559,21041,14363],"class_list":["post-15941","post","type-post","status-publish","format-standard","hentry","category-uncategorized","tag-3559","tag-21041","tag-14363"],"_links":{"self":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/15941","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=15941"}],"version-history":[{"count":0,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/15941\/revisions"}],"wp:attachment":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/media?parent=15941"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/categories?post=15941"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/tags?post=15941"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}