{"id":19696,"date":"2025-10-19T09:01:10","date_gmt":"2025-10-19T00:01:10","guid":{"rendered":"https:\/\/blog.agentsoft.co.kr\/index.php\/2025\/10\/19\/19696\/"},"modified":"2025-10-19T09:01:10","modified_gmt":"2025-10-19T00:01:10","slug":"a-%ec%95%8c%ec%bd%94%ec%98%ac%ec%84%b1-%ea%b0%84%ea%b2%bd%ed%99%94alcholic-cirrhosis-of-liver-with-ascites-casestudy-%ea%b0%84%ed%98%b8%ea%b3%bc%ec%a0%95-2%ea%b0%9c-%ea%b0%84%ed%98%b8%ec%a7%84","status":"publish","type":"post","link":"https:\/\/blog.agentsoft.co.kr\/index.php\/2025\/10\/19\/19696\/","title":{"rendered":"A+ \uc54c\ucf54\uc62c\uc131 \uac04\uacbd\ud654(Alcholic cirrhosis of liver, with ascites) CASESTUDY-\uac04\ud638\uacfc\uc815 2\uac1c, \uac04\ud638\uc9c4\ub2e86\uac1c(\uccb4\uc561\ubd88\uade0\ud615\uc758 \uc704\ud5d8, \ubd88\uc548, \uc601\uc591\ubd80\uc871, \ucd9c\ud608\uc704\ud5d8, \ud65c\ub3d9\uc9c0\uc18d\uc131\uc7a5\uc560, \ube44\ud6a8\uacfc\uc801 \uc870\uc9c1\uad00\ub958)"},"content":{"rendered":"

<\/p>\n

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

1. PBL\uc744 \ud1b5\ud55c \uac04\ud638\uc0ac\ub840
\n2. \ubb38\ud5cc\uace0\ucc30
\n3. \uc9c4\ub2e8\uac80\uc0ac
\n4. \uc57d\ubb3c
\n5. \uac04\ud638\uacfc\uc815
\n6. \uacb0\ub860
\n7. Reference<\/p>\n

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

\uae4000\uc528\ub294 53\uc138\uc758 \ub0a8\ud658\uc73c\ub85c \uc74c\uc8fc\uc870\uc808\uc774 \uc548\ub418\uc5b4 \ubcf4\uc874\uc801 \uce58\ub8cc\ub97c \uc704\ud574 \uc785\uc6d0\ud558\uc600\ub2e4. \ub9e4\uc77c \uc74c\uc8fc 4\ubcd1\uc744 \ub9c8\uc2e0\ub2e4\uace0 \ud588\ub2e4. \uc9c4\ub2e8\uba85 Alcholic cirrhosis of liver, with ascites\uc774\ub2e4. \uace0\ud608\uc555\uacfc \ub2f9\ub1e8\ub294 \uc5c6\uace0, \uce58\uc544\uc0c1\ud0dc\ub294 \ubd88\ub7c9\ud558\uc5ec \uc784\ud50c\ub780\ud2b8\ub97c \ud588\ub2e4. \ucd5c\uadfc \ud22c\uc57d\uc5ec\ubd80\ub294 \uc5c6\ub2e4. \uc54c\ub808\ub974\uae30\uac00 \uc5c6\uace0 \ud761\uc5f0\uc740 \ud558\uc9c0 \uc54a\ub294\ub2e4. <\/p>\n

\uc785\uc6d0\uc77c\uc778 1\uc6d4 10\uc77c\uc758 V\/S\uc740 T\/P\/R = 36.9\ub3c4\/120\ud68c\/\ubd84\/16\ud68c\/\ubd84, BP = 140\/82mmHg, SpO2:95%\uc774\uc5c8\ub2e4. \ud0a4 162cm, \uccb4\uc911 50kg\uc774\uc5c8\ub2e4. \ubcf5\ubd80\ub458\ub808\uac00 90cm\uc600\ub2e4. \ub0b4\uc6d0 \ub2f9\uc2dc \uc2dc\ud589\ud55c Chest PA\uc0c1 ascites\uac00 \uad00\ucc30\ub418\uc5c8\ub2e4. \ubcf5\uc218\uc758 \uc591\uc740 3L\ub85c \uce21\uc815\ub418\uc5c8\ub2e4. umbilical hernia\uc640 \ubcf5\ubd80\uc5d0\uc11c \uac70\ubbf8\ubaa8\uc591\ud608\uad00\uc885\uc774 \uad00\ucc30\ub418\uc5c8\ub2e4. \ud608\uc561\uac80\uc0ac\uacb0\uacfc Alb(3.3\u25bc), AST(GOT)(244\u25b2), ALT(GPT)(42\u25b2), ALP(380\u25b2), GGT(263\u25b2), PT(Sec)(14.7\u25b2), Hb(12.3\u25bc), Plt(101\u25bc)\uc758 \uc218\uce58\ub97c \ubcf4\uc5ec \uac04\uc758 \ub2e8\ubc31\uc9c8 \ud569\uc131 \ubc0f \ud574\ub3c5 \uae30\ub2a5\uc774 \ub5a8\uc5b4\uc9c4 \uc0c1\ud0dc\uc784\uc744 \uc54c \uc218 \uc788\ub2e4. <\/p>\n

\uc0ac\uc815 1\uc77c\uc778 1\uc6d4 11\uc77c V\/S\uc740 T\/P\/R =36.9\ub3c4\/73\ud68c\/\ubd84\/16\ud68c\/\ubd84, BP = 131\/71mmHg\uc774\uc5c8\ub2e4. \u201c\uc57d \ub4e4\uc5b4\uac04 \ud6c4 \ub2e4\ub9ac\uc800\ub9bc \uc2ec\ud574\uc694\u201d, \u201c\uac77\uae30\ub3c4 \ud798\ub4e4\uace0 \uc4f0\ub7ec\uc9c0\ub824\ud574\uc694\u201d, \u201c\uc5b4\uc9c0\ub7fc\uc99d \uc788\uc5b4\uc694\u201d, \u201c\uac08\ube44\ubf08 \ucabd\uc5d0 \ud1b5\uc99d\uc774 \uc788\uc5b4\uc694\u201d\ub77c\uace0 \ub9d0\ud558\uc600\ub2e4. \uc74c\uc8fc \uae08\ub2e8\ud604\uc0c1\uc73c\ub85c \uc778\ud574 \uc190\ub5a8\ub9bc \uc99d\uc0c1\uc774 \uad00\ucc30\ub418\uc5c8\ub2e4. \uc815\uc2e0\uc2e0\uacbd\uc6a9\uc81cAtivan fluid 20cc\/hr \ud22c\uc57d\ub418\uc5c8\ub2e4. \uae68\uc6cc\uc57c \uc7a0\uc744 \uae68\ub294 \ubaa8\uc2b5\uc744 \ubcf4\uc600\uc73c\uba70 \uc5b4\uc9c0\ub7fc\uc99d\uc5d0 \uc8fc\uc758\ud568\uc744 \uc598\uae30\ud558\uba70 \ub099\uc0c1\uc608\ubc29\uac04\ud638\ub97c \uc218\ud589\ud588\ub2e4. \uc774\ub1e8\uc81c sprionolactone 25mg(1 tab, OMP)\uac00 \ud22c\uc5ec\ub418\uc5c8\ub2e4. <\/p>\n

\uc0ac\uc815 1\uc77c\uc778 1\uc6d4 12\uc77c V\/S\uc740 T\/P\/R =36.4\ub3c4\/68\ud68c\/\ubd84\/16\ud68c\/\ubd84, BP = 122\/65mmHg\uc774\uc5c8\ub2e4. \u2018\u2018\uc120\uc7a0\uc744 \uc7a4\uc5b4\uc694\u2019\u2018, \u2018\u2018\uc785\uc6d0 \uc804\uc5d0\ub3c4 \ub2e4\ub9ac\uc800\ub9bc\uc774 \uc788\uc5c8\ub294\ub370 \uc785\uc6d0 \ud6c4 \ub354 \uc2ec\ud574\uc84c\uc5b4\uc694,\u2019\u2018 \u2019\u2018\uc5b4\uc9c0\ub7ec\uc6cc\uc694\u2018, \u2018\u2018\uacc4\uc18d \ub3cc\uc544\ub2e4\ub2c8\uace0 \uc2f6\uc5b4\uc694\u2019\u2019\ub77c\uace0 \ub9d0\ud588\ub2e4.<\/p>\n

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

\ubaa9\ucc28 1. PBL\uc744 \ud1b5\ud55c \uac04\ud638\uc0ac\ub840 2. \ubb38\ud5cc\uace0\ucc30 3. \uc9c4\ub2e8\uac80\uc0ac 4. \uc57d\ubb3c 5. \uac04\ud638\uacfc\uc815 6. \uacb0\ub860 7. Reference \ubcf8\ubb38\ub0b4\uc6a9 \uae4000\uc528\ub294 53\uc138\uc758 \ub0a8\ud658\uc73c\ub85c \uc74c\uc8fc\uc870\uc808\uc774 \uc548\ub418\uc5b4 \ubcf4\uc874\uc801 \uce58\ub8cc\ub97c \uc704\ud574 \uc785\uc6d0\ud558\uc600\ub2e4. \ub9e4\uc77c \uc74c\uc8fc 4\ubcd1\uc744 \ub9c8\uc2e0\ub2e4\uace0 \ud588\ub2e4. \uc9c4\ub2e8\uba85 Alcholic cirrhosis of liver, with ascites\uc774\ub2e4. \uace0\ud608\uc555\uacfc \ub2f9\ub1e8\ub294 \uc5c6\uace0, \uce58\uc544\uc0c1\ud0dc\ub294 \ubd88\ub7c9\ud558\uc5ec \uc784\ud50c\ub780\ud2b8\ub97c \ud588\ub2e4. \ucd5c\uadfc \ud22c\uc57d\uc5ec\ubd80\ub294 \uc5c6\ub2e4. \uc54c\ub808\ub974\uae30\uac00 \uc5c6\uace0 \ud761\uc5f0\uc740 \ud558\uc9c0 \uc54a\ub294\ub2e4. \uc785\uc6d0\uc77c\uc778 […]<\/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":[9301,23958,3559,23006,3555,24091,5632,24417,24418],"class_list":["post-19696","post","type-post","status-publish","format-standard","hentry","category-uncategorized","tag-__aa","tag-23958","tag-3559","tag-23006","tag-3555","tag-24091","tag-5632","tag-24417","tag-24418"],"_links":{"self":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/19696","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=19696"}],"version-history":[{"count":0,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/19696\/revisions"}],"wp:attachment":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/media?parent=19696"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/categories?post=19696"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/tags?post=19696"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}