{"id":27060,"date":"2026-01-01T09:00:38","date_gmt":"2026-01-01T00:00:38","guid":{"rendered":"https:\/\/blog.agentsoft.co.kr\/index.php\/2026\/01\/01\/27060\/"},"modified":"2026-01-01T09:00:38","modified_gmt":"2026-01-01T00:00:38","slug":"arf-%ea%b8%89%ec%84%b1-%ec%8b%a0%eb%b6%80%ec%a0%84-%ec%bc%80%ec%9d%b4%ec%8a%a4","status":"publish","type":"post","link":"https:\/\/blog.agentsoft.co.kr\/index.php\/2026\/01\/01\/27060\/","title":{"rendered":"ARF \uae09\uc131 \uc2e0\ubd80\uc804 \ucf00\uc774\uc2a4"},"content":{"rendered":"

<\/p>\n

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

\u2160. \uc11c\ub860
\n1. \uc815\uc758
\n2. \uc6d0\uc778 \ubc0f \ubcd1\ud0dc \uc0dd\ub9ac
\n3. \uc784\uc0c1\uacbd\uacfc
\n4. \uc99d\uc0c1 \ubc0f \uc9d5\ud6c4
\n5. \uc9c4\ub2e8\uc801 \uac80\uc0ac
\n6. \uce58\ub8cc \ubc0f \uac04\ud638
\n7. \uacbd\uacfc \ubc0f \ud569\ubcd1\uc99d<\/p>\n

II. \uac04\ud638\uc9c4\ub2e8 \ubaa9\ub85d<\/p>\n

III. \uac04\ud638\uacfc\uc815 \uc801\uc6a9
\n1.\t\uac04\ud638\uc0ac\uc815
\n2.\t\uac04\ud638\uc9c4\ub2e8
\n3.\t\uac04\ud638\uacc4\ud68d
\n4.\t\uac04\ud638\uc911\uc7ac
\n5.\t\uac04\ud638\ud3c9\uac00<\/p>\n

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

1. \uc815\uc758
\n \uae09\uc131\uc2e0\ubd80\uc804(acute renal failure, ARF)\uc740 \uc2e0\uc7a5\uae30\ub2a5\uc774 \ubd80\ubd84 \ub610\ub294 \uc644\uc804\ud788 \uc190\uc0c1\ub418\uc5b4 \uc0ac\uad6c\uccb4 \uc5ec\uacfc\uc728\uc774 \uc800\ud558\ub418\uc5b4 \uacb0\uacfc\uc801\uc73c\ub85c \uccb4\ub0b4 \uc9c8\uc18c \ub178\ud3d0\ubb3c\uc774 \ucd95\uc801\ub418\ub294 \uc0c1\ud0dc\uc774\ub2e4. \ub530\ub77c\uc11c \uc9c8\uc18c\ud608\uc99d(azotemia)\uc774 \ub098\ud0c0\ub098\uace0, \uccb4\uc561 \ubc0f \uc804\ud574\uc9c8 \uade0\ud615\uc5d0 \uc774\uc0c1\uc774 \ucd08\ub798\ub41c\ub2e4. \ucd5c\uadfc\uc5d0\ub294 \uc601\uad6c\uc801\uc778 \uc2e0\uc190\uc0c1\uc758 \uc758\ubbf8\ub97c \ud568\ucd95\ud558\uace0 \uc788\ub294 \uc2e0\ubd80\uc804\uc774\ub77c\ub294 \uc9c8\ubcd1\uba85 \ub300\uc2e0\uc5d0 \ud658\uc790\uc758 \ubcc0\ud654\ub97c \uc870\uae30 \ud30c\uc545\ud558\uc5ec \uc608\ubc29 \ubc0f \uce58\ub8cc\ud558\ub824\ub294 \ubaa9\uc801\uc73c\ub85c \uae09\uc131 \uc2e0\uc7a5\uc190\uc0c1(acute kidney injury, AKI)\uc774\ub77c\ub294 \uc9c8\ubcd1\uba85\uc73c\ub85c \uc0ac\uc6a9\ub418\uace0 \uc788\ub2e4.
\n \uae09\uc131\uc2e0\ubd80\uc804\uc744 \ubcd1\uc6d0\uc5d0 \uc785\uc6d0\ud558\ub294 \ud658\uc790\uc758 \uc57d 5%\uc815\ub3c4\uc774\uba70, \uc911\ud658\uc790\uc2e4\uc5d0 \uc785\uc6d0\ud558\ub294 \ud658\uc790\uc758 \uc57d 30%\uc774\ub2e4. \uae09\uc131\uc2e0\ubd80\uc804\uc758 \ud2b9\uc9d5\uc740 \uc2e0\uc7a5\uc758 \uc5ec\uacfc\uae30\ub2a5\uc774 \uac11\uc791\uc2a4\ub7fd\uac8c \uc0c1\uc2e4\ub418\uc9c0\ub9cc, AKI\uc758 \uc6d0\uc778\uc774 \ud574\uacb0\ub418\uba74 \uc815\uc0c1\uc73c\ub85c \ub3cc\uc544\uc62c \uc218 \uc788\ub2e4. \uc989 \ud68c\ubcf5 \uac00\ub2a5\ud55c \uc0c1\ud0dc\ub77c\ub294 \uac83\uc774 \ub9cc\uc131 \uc2e0\ubd80\uc804\uacfc\uc758 \uc911\uc694\ud55c \ucc28\uc774\uc810\uc774\ub2e4.
\n \uc2e0\uc7a5\uc758 \uae09\uaca9\ud55c \uae30\ub2a5 \uc800\ud558\uace0 \ud54d\ub1e8(oliguria, 400mL\/\uc77c \uc774\ud558), \uccb4\ub0b4 \uc9c8\uc18c\ub178\ud3d0\ubb3c \ucd95\uc801\uc73c\ub85c BUN \ubc0f creatinine \uc0c1\uc2b9, \uc218\uc77c\uc5d0\uc11c \uc218\uc8fc \uac04\uc5d0 \uac78\uccd0 \uc0ac\uad6c\uccb4 \uc5ec\uacfc\uc728\uc758 \uae09\uaca9\ud55c \uc800\ud558\ub85c \uc778\ud55c \uc774\ub1e8\uae30\ub2a5 \uc800\ud558, \uc804\ud574\uc9c8 \ubd88\uade0\ud615(\uc800\ub098\ud2b8\ub968\ud608\uc99d, \uace0\uce7c\ub968\ud608\uc99d) \uc99d\uc0c1\uc774 \ub3d9\ubc18\ub41c\ub2e4. <\/p>\n

2. \uc6d0\uc778 \ubc0f \ubcd1\ud0dc \uc0dd\ub9ac
\n \uae09\uc131\uc2e0\ubd80\uc804\uc758 \uc6d0\uc778\uc740 \uc190\uc0c1\ubc1b\uc740 \uc2e0\uc7a5\uc758 \ubd80\uc704\uc5d0 \ub530\ub77c \ubcd1\ud0dc\uc0dd\ub9ac\uacfc\uc815\uc774 \ub2e4\ub974\ub2e4. \uae09\uc131\uc2e0\ubd80\uc804\uc758 \uc6d0\uc778\uc740 \uc2e0\uc804\uc131(prerenal), \uc2e0\uc131(renal), \uc2e0\ud6c4\uc131(postrenal)\uc73c\ub85c \ubd84\ub958\ud55c\ub2e4.<\/p>\n

1) \uc2e0\uc804\uc131 \uc2e0\ubd80\uc804
\n \uc2e0\uc804\uc131 \uc2e0\ubd80\uc804(prerenal ARF, prerenal AKI, prerenal azotemia)\uc740 \uae09\uc131 \uc2e0\ubd80\uc804(AKI)\uc758 55~70%\ub97c \ucc28\uc9c0\ud558\uba70, \uc2e0\uc7a5\uc758 \uc800\uad00\ub958(renal hypoperfusion)\uac00 \uc8fc\uc6d0\uc778\uc774\ub2e4. \uc2e0\ud608\ub958\uc758 \ud604\uc800\ud55c \uc800\ud558\ub85c \uc0ac\uad6c\uccb4 \uc5ec\uacfc\uc728\uc774 \uc800\ud558\ub418\uc9c0\ub9cc \uc138\ub1e8\uad00\uc758 \uc7ac\uc2b5\uc218\uc640 \ubd84\ube44\ub2a5\ub825\uc740 \uc720\uc9c0\ub418\ubbc0\ub85c \uc2e0\uc2e4\uc9c8\uc870\uc9c1\uc758 \uc190\uc0c1\uc744 \uc5c6\ub2e4.
\n \uc800\ud608\ub7c9(hypovolemia)\uc5d0 \ub300\ud55c \uc778\uccb4\uc758 \ubcf4\uc0c1\uae30\uc804\uc740 \uad50\uac10\uc2e0\uacbd\uacc4\uc640..<\/p>\n

<\uc911 \ub7b5><\/p>\n

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

\ubaa9\ucc28 \u2160. \uc11c\ub860 1. \uc815\uc758 2. \uc6d0\uc778 \ubc0f \ubcd1\ud0dc \uc0dd\ub9ac 3. \uc784\uc0c1\uacbd\uacfc 4. \uc99d\uc0c1 \ubc0f \uc9d5\ud6c4 5. \uc9c4\ub2e8\uc801 \uac80\uc0ac 6. \uce58\ub8cc \ubc0f \uac04\ud638 7. \uacbd\uacfc \ubc0f \ud569\ubcd1\uc99d II. \uac04\ud638\uc9c4\ub2e8 \ubaa9\ub85d III. \uac04\ud638\uacfc\uc815 \uc801\uc6a9 1. \uac04\ud638\uc0ac\uc815 2. \uac04\ud638\uc9c4\ub2e8 3. \uac04\ud638\uacc4\ud68d 4. \uac04\ud638\uc911\uc7ac 5. \uac04\ud638\ud3c9\uac00 \ubcf8\ubb38\ub0b4\uc6a9 1. \uc815\uc758 \uae09\uc131\uc2e0\ubd80\uc804(acute renal failure, ARF)\uc740 \uc2e0\uc7a5\uae30\ub2a5\uc774 \ubd80\ubd84 \ub610\ub294 \uc644\uc804\ud788 \uc190\uc0c1\ub418\uc5b4 […]<\/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":[9301,12563,11342],"class_list":["post-27060","post","type-post","status-publish","format-standard","hentry","category-uncategorized","tag-__aa","tag-12563","tag-11342"],"_links":{"self":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/27060","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=27060"}],"version-history":[{"count":0,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/27060\/revisions"}],"wp:attachment":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/media?parent=27060"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/categories?post=27060"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/tags?post=27060"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}