{"id":22811,"date":"2025-11-19T09:01:54","date_gmt":"2025-11-19T00:01:54","guid":{"rendered":"https:\/\/blog.agentsoft.co.kr\/index.php\/2025\/11\/19\/22811\/"},"modified":"2025-11-19T09:01:54","modified_gmt":"2025-11-19T00:01:54","slug":"a%eb%b0%9b%ec%9d%80-%ec%84%b1%ec%9d%b8%ea%b0%84%ed%98%b8%ed%95%99%ec%8b%a4%ec%8a%b5-case-%eb%8b%b4%eb%82%ad%ec%95%94-gb-cancer_%ea%b0%84%ed%98%b8%ea%b3%bc%ec%a0%95-2%ea%b0%9c","status":"publish","type":"post","link":"https:\/\/blog.agentsoft.co.kr\/index.php\/2025\/11\/19\/22811\/","title":{"rendered":"A+\ubc1b\uc740 \uc131\uc778\uac04\ud638\ud559\uc2e4\uc2b5 CASE \ub2f4\ub0ad\uc554 GB Cancer_\uac04\ud638\uacfc\uc815 2\uac1c"},"content":{"rendered":"

<\/p>\n

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

1. \uc77c\ubc18\uc0ac\ud56d
\n2. PBL
\n3. \uac04\ud638\ub825
\n4. \uc2e0\uccb4\uac80\uc0ac
\n5. \uc9c4\ub2e8\uac80\uc0ac
\n6. \uc57d\ubb3c
\n7. \uac04\ud638\uc9c4\ub2e8, \uac04\ud638\uacfc\uc815
\n8. Self Study
\n9. \ucc38\uace0\ubb38\ud5cc<\/p>\n

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

#Section 2. PBL
\n84\uc138 \ub0a8\ud658 \uae40OO\uc740 \uace0\ud608\uc555 \uacfc\uac70\ub825 \uc788\uace0 GB cancer with biliary obstruction c liver metastasis, Rt. lung PTE, Lt. femoral DVT \uc9c4\ub2e8\ubc1b\uc74c. 5\uc6d4 30\uc77c \ubcf5\uc218 \ubc0f \ubcf5\ud1b5\uc73c\ub85c \uc778\ud574 \uc678\ub798 \ud1b5\ud574 \uc785\uc6d0\ud568. 5\uc6d4 31\uc77c \ubcf5\uc218 \uc2ec\ud558\uc5ec ascites tapping \ub450 \ucc28\ub840 \uc2dc\ud589\ud558\uc600\uc73c\ub098, 50mL \ubc30\uc561 \ub41c \ud6c4 \ub354 \uc774\uc0c1 \ubc30\uc561 \ub418\uc9c0 \uc54a\uc74c. 6\/2~6\/3\uae4c\uc9c0 heparinization \uc2dc\ud589\ud568. 6\uc6d4 2\uc77c aPTT 29.9\ub85c heparin fluid 2cc\/hr\ub85c \uc99d\ub7c9\ud568. 6\uc6d4 3\uc77c aPTT 41.0 \ub098\uc640 heparin \uc911\ub2e8\ud55c \ud6c4 3\uc2dc\uac04 \ub4a4, \uc815\uc0c1\uc218\uce58 25.2\ub85c \ub3cc\uc544\uc640 clexane 40mg SC\ud568.
\n2023\ub144 6\uc6d4 5\uc77c (\uc0ac\uc815\uc77c)
\n20:50 BT 38.0\u2103 22:20 tylenol \ud22c\uc57d\ud568. 23:00 BT 39.0\u2103 23:45 trisone \ud56d\uc0dd\uc81c \uc4f0\uae30 \uc704\ud574 AST \ud55c \uacb0\uacfc, negative \ub098\uc634.
\n2023\ub144 6\uc6d4 6\uc77c
\n2:00 BT 38.4\u2103 \uce21\uc815\ub418\uc5b4 ice pack \uc801\uc6a9\ud568. 5:00 BT 39\u2103 14:00 39\u2103 \ub098\uc640 acetphen \ud22c\uc57d\ud568. 17:00 37.6\u2103 18:50 \ud658\uc790 \ubcf4\ud638\uc790\uaed8\uc11c \u201c\ub0a8\ud3b8\uc774 \uc800\ub141\uc2dd\uc0ac \ub098\uc628 \uac83\ub3c4 \uc548 \uba39\uc73c\ub824\uace0 \ud574\uc694. \ub2e4\uc74c \ub0a0 \uc544\uce68\uc5d0 \ubcf5\uc6a9\ud560\uac8c\uc694. \ub0b4\uc77c \uc544\uce68\ub9cc \uae08\uc2dd \ucc98\ub9ac \ud574\uc8fc\uc138\uc694.\u201d \ud638\uc18c\ud568. \uc544\uce68 \uae08\uc2dd \ucc98\ub9ac \ud55c \ud6c4, \ud658\uc790\uc640 \ubcf4\ud638\uc790\uc5d0\uac8c \uc2dd\uc0ac \uaca9\ub824\ud558\ub3c4\ub85d \uad50\uc721\ud568. 20:00 BT 38.7\u2103, \uc12d\ucde8\ub7c9 \ubd80\uc871\ud568. \ud658\uc790 \uc785\ub9db \uc5c6\ub2e4\uace0 \ud638\uc18c\ud568. 20:30 acetphen 1g IV \ud22c\uc5ec\ud568.
\n2023\ub144 6\uc6d4 7\uc77c
\n8:00 \uc544\uce68 \uc2dd\uc774\ub7c9 \ud655\uc778\ud568. (\ubc25 1\uacf5\uae30, \uad6d 1\uacf5\uae30, \ucc2c 4\uc885\uc9c0), BT 38.9\u2103\ub85c \ud574\uc5f4\uc81c Acetphen 1g IVS\ub85c \ud22c\uc57d\ud568. 10:30 \uc5f0\uba85\uc758\ub8cc \uc790\ubb38\ud300\uc774 \uc5f0\uba85\uc758\ub8cc\uacc4\ud68d \uad00\ub828 \ud658\uc790\uc640 \uc0c1\ub2f4\ud568. \ud604\uc7ac \ud658\uc790\uc758 \uc758\uc2dd\uc0c1\ud0dc \uba85\ub8cc\ud558\uba70 \uc2ec\ud3d0\uc18c\uc0dd\uc220\uc774\ub098 \uc911\ud658\uc790\uc2e4\uc5d0 \uc785\uc2e4\ud558\uc5ec \uae30\uad00\ub0b4\uc0bd\uad00\uc774\ub098 \uae30\uad00\uc808\uac1c\uc220, \uc778\uacf5\ud638\ud761\uae30 \uc801\uc6a9<\/p>\n

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

\ubaa9\ucc28 1. \uc77c\ubc18\uc0ac\ud56d 2. PBL 3. \uac04\ud638\ub825 4. \uc2e0\uccb4\uac80\uc0ac 5. \uc9c4\ub2e8\uac80\uc0ac 6. \uc57d\ubb3c 7. \uac04\ud638\uc9c4\ub2e8, \uac04\ud638\uacfc\uc815 8. Self Study 9. \ucc38\uace0\ubb38\ud5cc \ubcf8\ubb38\ub0b4\uc6a9 #Section 2. PBL 84\uc138 \ub0a8\ud658 \uae40OO\uc740 \uace0\ud608\uc555 \uacfc\uac70\ub825 \uc788\uace0 GB cancer with biliary obstruction c liver metastasis, Rt. lung PTE, Lt. femoral DVT \uc9c4\ub2e8\ubc1b\uc74c. 5\uc6d4 30\uc77c \ubcf5\uc218 \ubc0f \ubcf5\ud1b5\uc73c\ub85c \uc778\ud574 \uc678\ub798 \ud1b5\ud574 \uc785\uc6d0\ud568. […]<\/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":[9301,10180,17127,28118,3559,26810],"class_list":["post-22811","post","type-post","status-publish","format-standard","hentry","category-uncategorized","tag-__aa","tag-6-","tag-acase","tag-gb-cancer","tag-3559","tag-26810"],"_links":{"self":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/22811","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=22811"}],"version-history":[{"count":0,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/22811\/revisions"}],"wp:attachment":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/media?parent=22811"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/categories?post=22811"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/tags?post=22811"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}