{"id":21559,"date":"2025-11-07T09:00:39","date_gmt":"2025-11-07T00:00:39","guid":{"rendered":"https:\/\/blog.agentsoft.co.kr\/index.php\/2025\/11\/07\/21559\/"},"modified":"2025-11-07T09:00:39","modified_gmt":"2025-11-07T00:00:39","slug":"%ec%95%84%eb%8f%99%ea%b0%84%ed%98%b8%ed%95%99-%ec%82%ac%eb%a1%80%eb%b3%b4%ea%b3%a0%ec%84%9cpolyhydramnios%ec%96%91%ec%88%98%ea%b3%bc%eb%8b%a4%ec%a6%9d-congenital-hydroneprosis%ec%88%98%ec%8b%a0","status":"publish","type":"post","link":"https:\/\/blog.agentsoft.co.kr\/index.php\/2025\/11\/07\/21559\/","title":{"rendered":"\uc544\ub3d9\uac04\ud638\ud559 \uc0ac\ub840\ubcf4\uace0\uc11c(Polyhydramnios(\uc591\uc218\uacfc\ub2e4\uc99d), Congenital hydroneprosis(\uc218\uc2e0\uc99d)\uc0ac\ub840)"},"content":{"rendered":"

<\/p>\n

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

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

A. \ud658\uc790 \uc0ac\uc815
\n\u2160. \uc785\uc6d0 \uc0ac\uc720
\na. \uc785\uc6d0 \ub3d9\uae30
\n2020\ub144 8\uc6d4 26\uc77c \uc7ac\ud0dc\uc5f0\ub839 32\uc8fc 5\uc77c, 2990g Vaginal Delivery(\uc790\uc5f0\ubd84\ub9cc)\ub85c \ucd9c\uc0dd\ud55c \ud658\uc544\ub85c, \ud0dc\uc544 \ucd08\uc74c\ud30c\uc5d0\uc11c Polyhydramnios(\uc591\uc218\uacfc\ub2e4\uc99d), Congenital hydroneprosis with distended bladder(\ud655\uc7a5\ub41c \ucf69\ud325\uacfc \ud568\uaed8 \ub098\ud0c0\ub098\ub294 \uc120\ucc9c\uc801\uc778 \uc218\uc2e0\uc99d)\uac00 \uc788\uc5c8\uc5c8\uc73c\uba70 \ucd9c\uc0dd \ud6c4 \uc2ec\ud55c distended bladder\uc788\uc5c8\uace0 \ucd9c\uc0dd \uccab\ub0a0 pneumoperitoneum(\uae30\ubcf5\uc99d)\uc73c\ub85c \uc2dc\ud589\ud55c emergent Exploratory laparotomy\uc5d0\uc11c gastric perforation and jejunum(short small bowel)\uc788\uc5b4 \uc0c1\uae30 \uc9c4\ub2e8\uc5d0 \uac80\uc0ac plan \ud558 2020\ub144 8\uc6d4 26\uc77c \ubcf8\uc6d0 NICU \uc785\uc6d0\ud568<\/p>\n

**hydroneprosis(\uc218\uc2e0\uc99d)
\n\uc5b4\ub5a4 \uc6d0\uc778\uc5d0 \uc758\ud558\uc5ec \ucf69\ud325\uc5d0\uc11c \uc694\uad00\uacfc \ubc29\uad11\uc73c\ub85c \ub0b4\ub824\uac00\ub294 \uae38\uc774 \ub9c9\ud788\uac8c \ub418\uba74 \uc18c\ubcc0\uc758 \uc800\ub958\uac00 \ubc1c\uc0dd\ud558\uba70, \uc774\ub85c \uc778\ud574 \ub9c9\ud78c \ubd80\uc704 \uc0c1\ubd80\uc758 \uc555\ub825\uc774 \uc0c1\uc2b9\ud558\uc5ec \ucf69\ud325\uc758 \uc2e0\uc6b0\uc640 \uc2e0\ubc30\uac00 \ub298\uc5b4\ub098 \uc788\ub294 \uc0c1\ud0dc\uc774\ub2e4. \uc218\uc2e0\uc99d\uc740 \uc694 \uc815\uccb4\ub77c\ub294 \uce21\uba74\uc5d0\uc11c \ubcd1\ud0dc\uc0dd\ub9ac\ud559\uc801\uc73c\ub85c \uc694\ub85c\uac10\uc5fc\uc758 \uc704\ud5d8\uc778\uc790\ub85c \uc54c\ub824\uc838 \uc788\ub2e4.<\/p>\n

**pneumoperitoneum(\uae30\ubcf5\uc99d)
\n\ubcf5\uac15 \ub0b4\uc5d0 \uacf5\uae30\uac00 \ub4e4\uc5b4\uc788\ub294 \uc0c1\ud0dc\uc774\ub2e4. \uc18c\ud654\uad00\uc758 \ucc9c\uacf5\uc5d0 \uc758\ud574 \ubcf5\uac15 \ub0b4\uc5d0 \uacf5\uae30\uac00 \ub4e4\uc5b4\uac08 \uc218 \uc788\ub2e4.<\/p>\n

b. \uc758\ud559\uc801 \uc9c4\ub2e8
\nMegacystic microcolon intestinal hypoperistalsis syndorme (2020.08.27.)
\n\uac70\ub300 \ubc29\uad11 \uc791\uc740 \uc798\ub85d\ucc3d\uc790 \uc7a5\ub0b4 \uc5f0\ub3d9\uc800\ud558 \uc99d\ud6c4\uad70<\/p>\n

**MMIHS\ub294 \ub9e4\uc6b0 \ub4dc\ubb38 \uc9c8\ud658. \uc5f4\uc131 \ud639\uc740 \uc6b0\uc131 \uc720\uc804\ubc29\uc2dd\uc744 \ubcf4\uc774\uba70 \uc6d0\uc778 \uc720\uc804\uc774\uc0c1\uc744 \ubaa8\ub974\ub294 \uacbd\uc6b0\uac00 ~50%\uc774\ub2e4. \uc6d0\uc778\ubcc0\uc774\uac00 \uac80\ucd9c\ub41c \uc720\uc804\uc790\ub85c\uc11c\ub294 ACTG2\uac00 \uac00\uc7a5 \ub9ce\uc740 \ube44\uc911\uc744 \ucc28\uc9c0\ud558\uba70 \ub9e4\uc6b0 \ub4dc\ubb38 \uc720\uc804\uc790\uc774\uc0c1\uc774\uae30\uc5d0 \uac1c\ubcc4 \uc720\uc804\uc790 sequencing\uc774\ub098 multigene panel \uac80\uc0ac\ub294 \ud604\uc7ac \uac80\uc0ac \uac00\ub2a5\ud55c \uacf3\uc774 \uc5c6\ub2e4. comprehensive genomic test\uac00 \ud604\uc7ac\uae4c\uc9c0\ub294 \uac00\uc7a5 \ud6a8\uc728\uc801\uc778 \uac80\uc0ac\ubc29\ubc95.<\/p>\n

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

\ubaa9\ucc28 \ubcf8\ubb38\ub0b4\uc6a9 A. \ud658\uc790 \uc0ac\uc815 \u2160. \uc785\uc6d0 \uc0ac\uc720 a. \uc785\uc6d0 \ub3d9\uae30 2020\ub144 8\uc6d4 26\uc77c \uc7ac\ud0dc\uc5f0\ub839 32\uc8fc 5\uc77c, 2990g Vaginal Delivery(\uc790\uc5f0\ubd84\ub9cc)\ub85c \ucd9c\uc0dd\ud55c \ud658\uc544\ub85c, \ud0dc\uc544 \ucd08\uc74c\ud30c\uc5d0\uc11c Polyhydramnios(\uc591\uc218\uacfc\ub2e4\uc99d), Congenital hydroneprosis with distended bladder(\ud655\uc7a5\ub41c \ucf69\ud325\uacfc \ud568\uaed8 \ub098\ud0c0\ub098\ub294 \uc120\ucc9c\uc801\uc778 \uc218\uc2e0\uc99d)\uac00 \uc788\uc5c8\uc5c8\uc73c\uba70 \ucd9c\uc0dd \ud6c4 \uc2ec\ud55c distended bladder\uc788\uc5c8\uace0 \ucd9c\uc0dd \uccab\ub0a0 pneumoperitoneum(\uae30\ubcf5\uc99d)\uc73c\ub85c \uc2dc\ud589\ud55c emergent Exploratory laparotomy\uc5d0\uc11c gastric perforation and jejunum(short small bowel)\uc788\uc5b4 \uc0c1\uae30 […]<\/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":[3559,2853,6058,10833,613],"class_list":["post-21559","post","type-post","status-publish","format-standard","hentry","category-uncategorized","tag-3559","tag-2853","tag-6058","tag-10833","tag-613"],"_links":{"self":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/21559","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=21559"}],"version-history":[{"count":0,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/21559\/revisions"}],"wp:attachment":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/media?parent=21559"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/categories?post=21559"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/tags?post=21559"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}