{"id":26176,"date":"2025-12-23T09:01:04","date_gmt":"2025-12-23T00:01:04","guid":{"rendered":"https:\/\/blog.agentsoft.co.kr\/index.php\/2025\/12\/23\/26176\/"},"modified":"2025-12-23T09:01:04","modified_gmt":"2025-12-23T00:01:04","slug":"a-%eb%87%8c%ec%8b%a4%eb%82%b4%ec%b6%9c%ed%98%88ivh-%eb%87%8c%eb%82%b4%ec%b6%9c%ed%98%88ich-case-study-%ec%bc%80%ec%9d%b4%ec%8a%a4%ec%8a%a4%ed%84%b0%eb%94%94___%ea%b0%84%ed%98%b8%ec%a7%84","status":"publish","type":"post","link":"https:\/\/blog.agentsoft.co.kr\/index.php\/2025\/12\/23\/26176\/","title":{"rendered":"A+ \ub1cc\uc2e4\ub0b4\ucd9c\ud608(IVH), \ub1cc\ub0b4\ucd9c\ud608(ICH) CASE STUDY \ucf00\uc774\uc2a4\uc2a4\ud130\ub514___\uac04\ud638\uc9c4\ub2e8 7\uac1c(\ud504\ub77c\ube14\ub7fc\ud2b8\ub9ac)+\ub300\ud45c \uac04\ud638\uacfc\uc815 1\uac1c___ICU\uc2e4\uc2b5\uc18c\uac10"},"content":{"rendered":"<p><img decoding=\"async\" src=\"https:\/\/image4.happycampus.com\/Production\/thumb212\/2024\/04\/02\/data29615323-0001.jpg\"><img decoding=\"async\" src=\"https:\/\/image4.happycampus.com\/Production\/thumb212\/2024\/04\/02\/data29615323-0002.jpg\"><\/p>\n<p><strong>\ubaa9\ucc28<\/strong><\/p>\n<p>1. \ub300\uc0c1\uc790 \uc815\ubcf4<br \/>\n2. \uc8fc\ud638\uc18c \ubc0f \uc785\uc6d0\uacbd\uacfc<br \/>\n3. \uc9c8\ubcd1\uc5d0 \ub300\ud55c \uc804\ubc18\uc801 \ud559\uc2b5 \ub0b4\uc6a9 Mind-map<br \/>\n4. \ud658\uc790 \uc0c1\ud0dc \ubcc0\ud654<br \/>\n5. \uc2e0\uccb4\uccb4\uacc4\ubcc4 \uc0ac\uc815 \ub0b4\uc6a9<br \/>\n6. \uc9c4\ub2e8\uc801 \uac80\uc0ac &amp; \uc784\uc0c1 \uac80\uc0ac \uacb0\uacfc<br \/>\n7. \uc57d\ubb3c\uc694\ubc95<br \/>\n8. Problem Tree<br \/>\n9. \uac04\ud638\uacfc\uc815<br \/>\n10. \ucc38\uace0\ubb38\ud5cc<br \/>\n11. \uc2e4\uc2b5\uc18c\uac10<\/p>\n<p><strong>\ubcf8\ubb38\ub0b4\uc6a9<\/strong><\/p>\n<p>2. \uc8fc\ud638\uc18c \ubc0f \uc785\uc6d0\uacbd\uacfc<br \/>\n\uc131\uad00\uacc4 \ub3c4\uc911 \ub450\ud1b5, \uc624\uc2ec, Lt side weakness \ub4f1\uc758 \uc99d\uc0c1\uacfc \ud568\uaed8 \uc758\uc2dd\uc774 drowsy\ud574\uc9d0. \uc774\uc5d0 \ubcf8\uc6d0 \uc751\uae09\uc2e4\ub85c \ub0b4\uc6d0\ud558\uc5ec Brain CT\ub97c \ucd2c\uc601\ud558\uc600\uc74c. \uadf8 \uacb0\uacfc \uc88c\uce21 \uc2dc\uc0c1\ud558\ubd80\uc5d0\uc11c 3.7cm \ud06c\uae30\uc758 ICH\uac00 \uc788\uc5c8\uace0 \uce21\ub1cc\uc2e4, \uc81c3\ub1cc\uc2e4 \ubc0f \uc81c4\uc2e4\uc5d0\uc11c \ub2e4\ub7c9\uc758 \uae09\uc131 IVH\uac00 \ubc1c\uacac\ub418\uc5c8\uc73c\uba70 \ub1cc\uc704\ucd95\uacfc \ub1cc\uc2e4 \uc8fc\ubcc0 \uc2ec\ubd80 \ubc31\uc9c8\uc5d0\uc11c\uc758 \ud5c8\ud608 \ubcc0\ud654\uac00 \uc788\uc5b4 \ub1cc\uc2e4 \uc678 \ubc30\uc561\uc220\uc774 \uc9c4\ud589\ub418\uc5c8\uc74c. \uc218\uc220 \uc774\ud6c4 ICP \ucd94\uc774\ub97c \ubcf4\uba70 EVD \ub808\ubca8\ub9c1\uc744 \ud558\uace0 \uc788\uc73c\ub098 ICP\uac00 \ub0ae\uc544\uc9c0\uc9c0 \uc54a\uc544 3\uc6d4 3\uc77c\uc5d0 VP shunt \uc608\uc815\uc784.<\/p>\n<p>4. \ud658\uc790 \uc0c1\ud0dc \ubcc0\ud654<br \/>\n\ub0a0\uc9dc \ud658\uc790 \uc0c1\ud0dc(\uc8fc\uc694 \ubb38\uc81c\uc810 \uc911\uc2ec\uc73c\ub85c)<br \/>\n\uc2e4\uc2b5 1\uc77c\ucc28<br \/>\n(2\/27)<br \/>\n&#8211; V\/S: 140\/93-114-15-37.9 (\u21d2 \ud574\uc5f4 \uc704\ud574 Tylenol \ud22c\uc5ec\ud558\uc600\uace0 6\uc2dc\uac04 \ub4a4 \uc7ac\uce21\uc815\ud55c \uacb0\uacfc 37.3\ub3c4 \ub098\uc634)<br \/>\n&#8211; Foley turbid \ubc0f nitrate positiv\ud558\uc5ec foley \uad50\ud658 \ud6c4 UA \uc7ac\uc2dc\ud589\ud588\ub354\ub2c8 Negative \ub098\uc634<br \/>\n&#8211; EVD \uadc0\uc704 15cm\uc5d0\uc11c 20cm\ub85c \ubcc0\uacbd<br \/>\n&#8211; ICP \uce21\uc815 \ucd94\uc774: 5\u2192 11\u2192 8\u2192 10\u2192 11cmH2O<br \/>\n+ ICP \ucd94\uc774 \ubcf4\uba74\uc11c 25cm\ub85c \uc62c\ub9b0 \ud6c4 EVD \uc81c\uac70\ud560 \uacc4\ud68d\uc774\uc5c8\uc9c0\ub9cc ICP\uac00 \ub0ae\uc544\uc9c0\uc9c0 \uc54a\uc544 \uacc4\ud68d \ubcc0\uacbd\ub428.<br \/>\n&#8211; \uc758\uc2dd\uc218\uc900: stupor \/ RASS\uc9c4\uc815\uc810\uc218: -3<br \/>\n&#8211; IPC, \uc0c1\uc9c0 \uc2e0\uccb4\ubcf4\ud638\ub300 \uc801\uc6a9 \uc911<br \/>\n&#8211; Pupil prompt\uc640 sluggish \uc654\ub2e4 \uac14\ub2e4 \ud568.<br \/>\n\uc2e4\uc2b5 2\uc77c\ucc28<br \/>\n(2\/28)<br \/>\n&#8211; V\/S: 140\/90-96-14-36.9<br \/>\n&#8211; Mannitol q8hr\ub85c \ubcc0\uacbd \ud6c4 \uc911\ub2e8<br \/>\n&#8211; EVD \uadc0\uc704 20cm\uc5d0\uc11c 30cm\ub85c \ubcc0\uacbd \u21d2ICP \ub192\uc544\uc11c Brain CT \ucc0d\uc740 \ub4a4 \uadc0\uc774 20cm\ub85c \ubcc0\uacbd\ud558\uc600\uc73c\ub098 \ub2e4\uc2dc 30cm\ub85c \ubcc0\uacbd<br \/>\n&#8211; ICP \uce21\uc815 \ucd94\uc774: 20\u2192 13\u2192 14\u2192 26\u2192 (B CT)\u2192 10\u219222cmH2O<br \/>\n&#8211; \uc758\uc2dd\uc218\uc900: stupor \/ RASS\uc9c4\uc815\uc810\uc218: -3<br \/>\n&#8211; IPC, \uc0c1\uc9c0 \uc2e0\uccb4\ubcf4\ud638\ub300 \uc801\uc6a9 \uc911<br \/>\n&#8211; Pupil prompt<\/p>\n<p>\ucd9c\ucc98 : <a href=\"https:\/\/www.happycampus.com\/report-doc\/29615323\/\" target=\"_blank\">\ud574\ud53c\ucea0\ud37c\uc2a4<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\ubaa9\ucc28 1. \ub300\uc0c1\uc790 \uc815\ubcf4 2. \uc8fc\ud638\uc18c \ubc0f \uc785\uc6d0\uacbd\uacfc 3. \uc9c8\ubcd1\uc5d0 \ub300\ud55c \uc804\ubc18\uc801 \ud559\uc2b5 \ub0b4\uc6a9 Mind-map 4. \ud658\uc790 \uc0c1\ud0dc \ubcc0\ud654 5. \uc2e0\uccb4\uccb4\uacc4\ubcc4 \uc0ac\uc815 \ub0b4\uc6a9 6. \uc9c4\ub2e8\uc801 \uac80\uc0ac &amp; \uc784\uc0c1 \uac80\uc0ac \uacb0\uacfc 7. \uc57d\ubb3c\uc694\ubc95 8. Problem Tree 9. \uac04\ud638\uacfc\uc815 10. \ucc38\uace0\ubb38\ud5cc 11. \uc2e4\uc2b5\uc18c\uac10 \ubcf8\ubb38\ub0b4\uc6a9 2. \uc8fc\ud638\uc18c \ubc0f \uc785\uc6d0\uacbd\uacfc \uc131\uad00\uacc4 \ub3c4\uc911 \ub450\ud1b5, \uc624\uc2ec, Lt side weakness \ub4f1\uc758 \uc99d\uc0c1\uacfc [&hellip;]<\/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":[9301,6108,11636,6107,11637,32758],"class_list":["post-26176","post","type-post","status-publish","format-standard","hentry","category-uncategorized","tag-__aa","tag-ich","tag-ivh","tag-6107","tag-11637","tag-32758"],"_links":{"self":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/26176","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=26176"}],"version-history":[{"count":0,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/26176\/revisions"}],"wp:attachment":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/media?parent=26176"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/categories?post=26176"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/tags?post=26176"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}