{"id":19877,"date":"2025-10-21T09:00:56","date_gmt":"2025-10-21T00:00:56","guid":{"rendered":"https:\/\/blog.agentsoft.co.kr\/index.php\/2025\/10\/21\/19877\/"},"modified":"2025-10-21T09:00:56","modified_gmt":"2025-10-21T00:00:56","slug":"a-%ea%b8%89%ec%84%b1%ec%8b%ac%ea%b7%bc%ea%b2%bd%ec%83%89ami-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%a8-10%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\/19877\/","title":{"rendered":"A+ \uae09\uc131\uc2ec\uadfc\uacbd\uc0c9(AMI) CASESTUDY- \uac04\ud638\uacfc\uc815 2\uac1c, \uac04\ud638\uc9c4\ub2e8 10\uac1c(\uae09\uc131\ud1b5\uc99d, \ube44\ud6a8\uc728\uc801\uc870\uc9c1\uad00\ub958, \ucd9c\ud608\uc704\ud5d8\uc131,\uac10\uc5fc\uc704\ud5d8\uc131, \ube44\ud6a8\uacfc\uc801 \ud638\ud761\uc591\uc0c1, \ubd88\uc548, \ub099\uc0c1\uc704\ud5d8\uc131, \ud65c\ub3d9\uc9c0\uc18d\uc131\uc7a5\uc560, \ud53c\ubd80\ud1b5\ud569\uc131\uc7a5\uc560\uc758\uc704\ud5d8, \uc9c0\uc2dd\ubd80\uc871)"},"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 69\uc138\uc758 \ub0a8\ud658\uc73c\ub85c \uc800\ub141 \uc2dd\uc0ac \ub3c4\uc911 \ubc1c\uc0dd\ud55c \ud55c \uc2dc\uac04 \uac00\ub7c9\uc758 \uc55e\uac00\uc2b4\uc774 \ud130\uc9c8\ub4ef\ud55c \ud1b5\uc99d\uacfc \uae08\uc77c \uae30\uc0c1 \uc774\ud6c4 \uac00\uc2b4\uc774 \uba39\uba39\ud55c \ub290\ub08c\uc774 \ub4e4\uc5b4 \uc751\uae09\uc2e4\uc5d0 \ub0b4\uc6d0\ud588\ub2e4. Acute myocaridal infarction(NSTEMI) \uc9c4\ub2e8\ud558\uc5d0 \uc9d1\uc911\uce58\ub8cc\uc704\ud574 CCU\ub85c \uc785\uc2e4\ud558\uc600\ub2e4. \uc758\uc2dd\uc740 \uba85\ub8cc\ud588\uace0, \ubab9\uc2dc \uc544\ud30c\ubcf4\uc774\ub294 \uc678\uad00\uc744 \ubcf4\uc600\ub2e4 \uacfc\uac70\ub825\uc73c\ub85c 2012\ub144 STEMI \uc9c4\ub2e8 \ubc0f PCI \uc2dc\uc220\uc744 \ud558\uc600\uace0, 2013\ub144\uacfc 2022\ub144 CAG f\/u\uc744 \ud588\ub2e4. \ud0a4 167cm \ubab8\ubb34\uac8c 70kg\uc774\uace0 \uc54c\ub808\ub974\uae30\u2022\uac00\uc871\ub825\uc740 \uc5c6\ub2e4. \ub2f9\ub1e8\ub294 \uc788\uc73c\uba70 \uacfc\uac70 30\ub144\ub3d9\uc548 1\uac11 \ubc18\/\uc77c\uc758 \ud761\uc5f0\ub825\uacfc \ud55c \ubcd1\/\uc8fc\uc758 \uc74c\uc8fc\ub825\uc744 \uac00\uc9c0\uace0 \uc788\ub2e4. \ucd5c\uadfc \ud22c\uc57d\uc73c\ub85c\ub294 \ub3d9\ub9e5\uacbd\ud654\uc6a9\uc81c, \uace0\ud608\uc555\uc57d\ubb3c, \uace0\uc9c0\ud608\uc99d \uce58\ub8cc\uc81c, \ud608\uad00\ud655\uc7a5\uc81c\ub97c \uc678\ub798 \ud1b5\ud574 \ud22c\uc57d\ud588\ub2e4.<\/p>\n

\uc785\uc6d0\uc77c(\uc0ac\uc815 1\uc77c)\uc778 12\uc6d4 26\uc77c 16\uc2dc V\/S\uc740 T\/P\/R = 36.4\ub3c4\/87\ud68c\/\ubd84\/19\ud68c\/\ubd84, BP = 126\/82mmHg, SpO2 : 99%\uc774\uc5c8\ub2e4. \uc8fc\uc99d\uc0c1\uc740 \ud749\ud1b5\uc774\uace0 \u201c\uc790\uace0 \ub098\uc11c\ub3c4 \uc55e\uac00\uc2b4\uc774 \uba39\uba39\ud55c \ub290\ub08c\uc774 \uc9c0\uc18d\ub418\uc5c8\uc5b4\uc694.\u201d\ub77c\uace0 \ub9d0\ud558\uba70 NRS \ucc99\ub3c4 4\uc810\uc774\uc5c8\ub2e4. heparin 2\ub9cc unit + 50W 500ml : 20ml\/hr\ub85c \uc8fc\uc785\uc911\uc774\uba70 \ucd9c\ud608 \uc591\uc0c1\uc740 \uad00\ucc30\ub418\uc9c0 \uc54a\uc558\ub2e4. \uc67c\ucabd \ub3d9\ub9e5\uad00 \uc0bd\uc785\ud558\uc600\uace0 \uac10\uc5fc \uc99d\uc0c1 \uc0ac\uc815\ud558\uc600\ub2e4. EKG \uacb0\uacfc NSTEMI\ub97c \ubcf4\uc600\uace0 LAB DATA \uc2ec\uc7a5 \ud45c\uc9c0\uc790 \uac80\uc0ac\uc5d0\uc11c CK-MB 24.64 Troponin-T 0.357 Pro-BNP 384.7 D-dimber1.529 FDP test2.91 LDH266 AST50 pH7.344 PCO255.0 PO214.5\uac00 \uad00\ucc30\ub418\uc5c8\ub2e4.<\/p>\n

\uc0ac\uc815 2\uc77c\uc778 12\uc6d4 27\uc77c V\/S\uc740 T\/P\/R = 36.2\ub3c4\/71\ud68c\/\ubd84\/19\ud68c\/\ubd84, BP = 132\/76mmHg, SpO2 : 99%\uc774\uc5c8\ub2e4. \ub3d9\ub9e5\uad00 \uc8fc\ubcc0 \uac10\uc5fc\uc99d\uc0c1 \uad00\ucc30\ub418\uc9c0 \uc54a\uc558\uace0 EKG \uc0c1 T wave\uc758 \uc5ed\uc804\uc774 \uc788\ub294 \uc815\uc0c1 \ub9ac\ub4ec\uc774 \uad00\ucc30\ub418\uc5c8\ub2e4. apTT 54.0\uc73c\ub85c \uad00\ucc30\ub418\uc5b4 heparin 2\ub9cc unit + 50W 500ml : 24ml\/hr\ub85c \uc99d\ub7c9\ud588\ub2e4. \uc624\ub978\ucabd \ud314\uc758 \ubbf8\uc138\ud55c \ubd80\uc885 \ubc0f \ud638\ud761\uc218 29\ud68c, 25\ud68c \uad00\ucc30\ub418\uc5c8\ub2e4. \ucc98\ubc29\ub09c \uc0b0\uc18c\ub97c \ube44\uac15 \uce90\ub27c\ub77c\ub97c \ud1b5\ud574 6L\/min \ud22c\uc5ec\ud558\uc600\ub2e4. Hct40.8 Monocyte %9.70 Procalcitonin 0.17 PDW11.4 aPTT54.5\uac00 \uad00\ucc30\ub418\uc5c8\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 69\uc138\uc758 \ub0a8\ud658\uc73c\ub85c \uc800\ub141 \uc2dd\uc0ac \ub3c4\uc911 \ubc1c\uc0dd\ud55c \ud55c \uc2dc\uac04 \uac00\ub7c9\uc758 \uc55e\uac00\uc2b4\uc774 \ud130\uc9c8\ub4ef\ud55c \ud1b5\uc99d\uacfc \uae08\uc77c \uae30\uc0c1 \uc774\ud6c4 \uac00\uc2b4\uc774 \uba39\uba39\ud55c \ub290\ub08c\uc774 \ub4e4\uc5b4 \uc751\uae09\uc2e4\uc5d0 \ub0b4\uc6d0\ud588\ub2e4. Acute myocaridal infarction(NSTEMI) \uc9c4\ub2e8\ud558\uc5d0 \uc9d1\uc911\uce58\ub8cc\uc704\ud574 CCU\ub85c \uc785\uc2e4\ud558\uc600\ub2e4. \uc758\uc2dd\uc740 \uba85\ub8cc\ud588\uace0, \ubab9\uc2dc \uc544\ud30c\ubcf4\uc774\ub294 \uc678\uad00\uc744 \ubcf4\uc600\ub2e4 \uacfc\uac70\ub825\uc73c\ub85c 2012\ub144 […]<\/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":[12191,11261,22681,3595,21431,11262,24509,13328],"class_list":["post-19877","post","type-post","status-publish","format-standard","hentry","category-uncategorized","tag-acetaminophen","tag-11261","tag-22681","tag-3595","tag-21431","tag-11262","tag-24509","tag-13328"],"_links":{"self":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/19877","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=19877"}],"version-history":[{"count":0,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/19877\/revisions"}],"wp:attachment":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/media?parent=19877"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/categories?post=19877"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/tags?post=19877"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}