{"id":19863,"date":"2025-10-21T09:00:37","date_gmt":"2025-10-21T00:00:37","guid":{"rendered":"https:\/\/blog.agentsoft.co.kr\/index.php\/2025\/10\/21\/19863\/"},"modified":"2025-10-21T09:00:37","modified_gmt":"2025-10-21T00:00:37","slug":"a-%eb%a7%8c%ec%84%b1-%ec%8b%a0%ec%a7%88%ed%99%98ckd-stage5-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%eb%8b%a810%ea%b0%9c%ea%b8%89%ec%84%b1%ed%86%b5","status":"publish","type":"post","link":"https:\/\/blog.agentsoft.co.kr\/index.php\/2025\/10\/21\/19863\/","title":{"rendered":"A+ \ub9cc\uc131 \uc2e0\uc9c8\ud658(CKD, stage5) CASESTUDY-\uac04\ud638\uacfc\uc815 2\uac1c, \uac04\ud638\uc9c4\ub2e810\uac1c(\uae09\uc131\ud1b5\uc99d, \uac10\uc5fc\uc704\ud5d8\uc131, \ubd88\uc548\uc815\ud55c\ud608\ub2f9\uc218\uce58\uc758\uc704\ud5d8, \ud53c\ubd80\ud1b5\ud569\uc131\uc7a5\uc560\uc758 \uc704\ud5d8, \ucd9c\ud608\uc704\ud5d8\uc131, \ub099\uc0c1\uc704\ud5d8\uc131, \uc804\ud574\uc9c8\ubd88\uade0\ud615\uc758\uc704\ud5d8, \ubcc0\ube44, \uc9c0\uc2dd\ubd80\uc871, \ubd88\uc548)"},"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

1. PBL\uc744 \ud1b5\ud55c \uac04\ud638\uc0ac\ub840
\n\uc78400\uc528\ub294 70\uc138\uc758 \uc5ec\ud658\uc73c\ub85c \ub2f9\ub1e8(1999\ub144 \uc9c4\ub2e8)\uc640 \uace0\ud608\uc555(2014\ub144 \uc9c4\ub2e8)\uc774 \uc788\ub294 \ubd84\uc73c\ub85c \ud22c\uc11d \uce58\ub8cc\ub97c \uc704\ud574 \uc678\ub798\ub97c \ud1b5\ud574 \ubcf4\ud638\uc790 \ub3d9\ubc18 \ud558\uc5d0 \ud720\uccb4\uc5b4\ub97c \ud0c0\uace0 \uc785\uc6d0\ud558\uc600\ub2e4. \uc9c4\ub2e8\uba85 CKD, stage 5 \ud558\uc5d0 \uae30\uc6b4\uc774 \uc5c6\uc74c\uacfc \uc5b4\uc9c0\ub7ec\uc6c0\uc744 \ud638\uc18c\ud558\uba70 \uc2e0\uc7a5\ub0b4\uacfc \ubcd1\ub3d9\uc73c\ub85c \uc785\uc6d0\ud558\uc600\ub2e4. \uc2e0\uc7a5\uc740 155.5cm\uc5d0 \uccb4\uc911\uc740 61kg\uc774\ub2e4. \ud761\uc5f0\ub825\uacfc \uc74c\uc8fc\ub825\uc740 \uc5c6\ub2e4. \ucd5c\uadfc \ub2f9\ub1e8\uc57d\uacfc \uace0\ud608\uc555\uc744 \ubcf5\uc6a9 \uc911\uc5d0 \uc788\ub2e4. \uac00\uc871\ub825\uacfc \uc218\uc220\ub825\uc740 \uc5c6\ub2e4. \uc54c\ub808\ub974\uae30\ub294 \uc5c6\ub2e4. <\/p>\n

\uc785\uc6d0\uc77c\uc778 7\uc6d4 18\uc77c 9:00 V\/S\uc740 T\/P\/R = 36.4\ub3c4\/71\ud68c\/\ubd84\/20\ud68c\/\ubd84, BP = 176\/74mmHg, SpO2 : 97%\uc774\uc5c8\ub2e4. \uc9c0\uce68\uc57d \ubcf5\uc6a9\uae08\uc9c0 \uc124\uba85\ubb38 \ud1b5\ud574 \uc124\uba85\ud558\uc600\ub2e4. Rt. perm cath \uc608\uc815\uc73c\ub85c \uae08\uc2dd\uc744 \uad50\uc721\ud558\uc600\ub2e4. \uc2dc\uc220 \uacfc\uc815 \uc124\uba85 \ubc0f \uc900\ube44 \ud6c4 14..5Fr \u2013 19cm valve type catheter\uc744 \uc0ac\uc6a9\ud558\uc5ec Rt.perm cath inserted\ud558\uc600\ub2e4. Rt. perm cath \uc0bd\uc785 \ubd80\uc704\uc5d0 redness \uad00\ucc30\ub418\uc5c8\uc73c\uba70 \u201c\uce7c\ub85c \ubca4 \uac83\ucc98\ub7fc \uc544\ud30c\uc694\u201d\ub77c\uace0 \ud638\uc18c\ud558\uc600\ub2e4. \uc5bc\uad74\uc744 \ucc21\uadf8\ub9ac\uace0 \ub204\uc6cc\uc788\ub294 \ubaa8\uc2b5\uc774 \uad00\ucc30\ub418\uc5c8\ub2e4. NRS \ucc99\ub3c4 \uacb0\uacfc 5\uc810\uc774 \uce21\uc815\ub418\uc5c8\ub2e4. \ud1b5\uc99d \ubd80\uc704\ub294 \uc1c4\uace8\ud558\uc815\ub9e5\uc774\uba70 \u201c\uce7c\ub85c \ubca4 \uac83\ucc98\ub7fc \uc544\ud30c\uc694\u201d\ub77c\uace0 \ud558\uc600\ub2e4. \ud1b5\uc99d\uc73c\ub85c \uc778\ud574 \uce68\uc0c1 \ub09c\uac04\uc744 \uaf49 \ubd99\uc7a1\uace0 \uc788\ub294 \ubaa8\uc2b5\uc774 \uad00\ucc30\ub418\uc5c8\ub2e4. \ud1b5\uc99d \uc870\uc808 \uc704\ud574 \ucc98\ubc29\uc5d0 \ub530\ub77c \uc9c4\ud1b5\uc81c Tridol 100mg\/2ml IV 1 AMP \ud22c\uc5ec\ud558\uc600\ub2e4. 21:00 V\/S\uc740 T\/P\/R = 37.6\ub3c4\/62\ud68c\/\ubd84\/20\ud68c\/\ubd84, BP = 163\/65mmHg\uc774\uba70 \ud1b5\uc99d\uc774 \uac10\uc18c\ub41c \uac83\uc73c\ub85c \ud655\uc778\ub418\uc5c8\ub2e4. \ud608\ub2f9\uc740 296mg\/dL \ud655\uc778\ub418\uc5c8\ub2e4. \ud608\uc561\uac80\uc0ac\uacb0\uacfc BUN (63\u25b2), Creatine (6.78\u25b2), Cystatin-C (3.94\u25b2) eGFR (5.5\u25bc)\uc774 \uad00\ucc30\ub418\uc5c8\ub2e4. \ubcf4\ud638\uc790\uc5d0\uac8c \ub099\uc0c1\uc608\ubc29\uad50\uc721\uc744 \uc2e4\uc2dc\ud558\uc600\uc73c\uba70 \uce68\uc0c1 \uc548\uc815\ud558\uba70 \ubcf4\ud638\uc790(\ubc30\uc6b0\uc790) \uc0c1\uc8fc \uc911\uc774\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 1. PBL\uc744 \ud1b5\ud55c \uac04\ud638\uc0ac\ub840 \uc78400\uc528\ub294 70\uc138\uc758 \uc5ec\ud658\uc73c\ub85c \ub2f9\ub1e8(1999\ub144 \uc9c4\ub2e8)\uc640 \uace0\ud608\uc555(2014\ub144 \uc9c4\ub2e8)\uc774 \uc788\ub294 \ubd84\uc73c\ub85c \ud22c\uc11d \uce58\ub8cc\ub97c \uc704\ud574 \uc678\ub798\ub97c \ud1b5\ud574 \ubcf4\ud638\uc790 \ub3d9\ubc18 \ud558\uc5d0 \ud720\uccb4\uc5b4\ub97c \ud0c0\uace0 \uc785\uc6d0\ud558\uc600\ub2e4. \uc9c4\ub2e8\uba85 CKD, stage 5 \ud558\uc5d0 \uae30\uc6b4\uc774 \uc5c6\uc74c\uacfc \uc5b4\uc9c0\ub7ec\uc6c0\uc744 \ud638\uc18c\ud558\uba70 \uc2e0\uc7a5\ub0b4\uacfc \ubcd1\ub3d9\uc73c\ub85c \uc785\uc6d0\ud558\uc600\ub2e4. \uc2e0\uc7a5\uc740 […]<\/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":[2353,11261,22681,4733,24470,24471,24444,24472,13328,20040],"class_list":["post-19863","post","type-post","status-publish","format-standard","hentry","category-uncategorized","tag-ckd","tag-11261","tag-22681","tag-4733","tag-24470","tag-24471","tag-24444","tag-24472","tag-13328","tag-20040"],"_links":{"self":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/19863","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=19863"}],"version-history":[{"count":0,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/19863\/revisions"}],"wp:attachment":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/media?parent=19863"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/categories?post=19863"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/tags?post=19863"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}