{"id":28240,"date":"2026-01-13T09:00:36","date_gmt":"2026-01-13T00:00:36","guid":{"rendered":"https:\/\/blog.agentsoft.co.kr\/index.php\/2026\/01\/13\/28240\/"},"modified":"2026-01-13T09:00:36","modified_gmt":"2026-01-13T00:00:36","slug":"a-%eb%87%8c%eb%82%b4%ec%b6%9c%ed%98%88intracerebral-hemorrahage-casetudy-%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%a810%ea%b0%9c%eb%87%8c-%ed%98%88","status":"publish","type":"post","link":"https:\/\/blog.agentsoft.co.kr\/index.php\/2026\/01\/13\/28240\/","title":{"rendered":"A+ \ub1cc\ub0b4\ucd9c\ud608(Intracerebral hemorrahage) CASETUDY- \uac04\ud638\uacfc\uc815 2\uac1c, \uac04\ud638\uc9c4\ub2e810\uac1c(\ub1cc \ud608\ub958\ub7c9 \uac10\uc18c\uc640 \uad00\ub828\ub41c \ube44\ud6a8\uacfc\uc801 \ub1cc \uc870\uc9c1\uad00\ub958\uc758 \uc704\ud5d8,\ubd84\ube44\ubb3c \ubc30\ucd9c\uc758 \uc5b4\ub824\uc6c0\uacfc \uad00\ub828\ub41c  \ube44\ud6a8\uacfc\uc801 \uae30\ub3c4\uccad\uacb0, \ub1cc \uc190\uc0c1\uacfc \uad00\ub828\ub41c \uc5b8\uc5b4\uc801 \uc758\uc0ac\uc18c\ud1b5 \uc7a5\uc560,\uc751\uace0 \uae30\ub2a5 \uc7a5\uc560\uc640 \uad00\ub828\ub41c \ucd9c\ud608\uc758 \uc704\ud5d8,\ub9d0\ucd08\uc0bd\uc785\ud615\uc911\uc2ec\uc815\ub9e5\uad00(PICC) \uc0bd\uc785\uacfc \uad00\ub828\ub41c \uac10\uc5fc\uc758 \uc704\ud5d8 \ub4f1)"},"content":{"rendered":"<p><img decoding=\"async\" src=\"https:\/\/image4.happycampus.com\/Production\/thumb212\/2024\/04\/11\/data29694855-0001.jpg\"><img decoding=\"async\" src=\"https:\/\/image4.happycampus.com\/Production\/thumb212\/2024\/04\/11\/data29694855-0002.jpg\"><\/p>\n<p><strong>\ubaa9\ucc28<\/strong><\/p>\n<p>1. PBL\uc744 \ud1b5\ud55c \uac04\ud638\uc0ac\ub840<br \/>\n  2. \ubb38\ud5cc\uace0\ucc30<br \/>\n3. \uc9c4\ub2e8\uac80\uc0ac<br \/>\n                               4. \uc57d\ubb3c<br \/>\n5. \uac04\ud638\uacfc\uc815<br \/>\n6. Reference<\/p>\n<p><strong>\ubcf8\ubb38\ub0b4\uc6a9<\/strong><\/p>\n<p>000\uc528\ub294 70\uc138\uc758 \uc5ec\ud658\uc73c\ub85c HTN, \uc774\uc0c1 \uc9c0\uc9c8\ud608\uc99d, \ub1cc\uacbd\uc0c9(Lt. \uae30\uc800\ud575 &#038; \uc804\ub300\ub1cc\ub3d9\ub9e5 \uc601\uc5ed), 2017\ub144 \ubc1c\ubcd1\ud55c \uc6b0\uce21 \ubc18\uc2e0\ub9c8\ube44\uc640 \uc5b8\uc5b4\uc7a5\uc560, \uc591\ucabd \ubb34\ub98e \uace8\uad00\uc808\uc5fc\uc73c\ub85c \uc778\ud574 2023\ub144 1\uc6d4 \uc591\ucabd \ubb34\ub98e \ub300\uccb4 \uc218\uc220(TKRA) \ubc1b\uc558\ub2e4. \ud3c9\uc18c \uc758\uc0ac\uc18c\ud1b5 \ub2e8\ub2f5\ud615\uc73c\ub85c \ud558\ub098 \uc6d0\ud65c\ud55c \ud3b8\uc774\uc5c8\ub2e4\uace0 \ud55c\ub2e4. \uc544\uce68 \uae30\uc0c1 \uc774\ud6c4 \uc9c0\uc18d\uc801\uc73c\ub85c \uad6c\ud1a0 \uc99d\uc0c1\uc774 \ub098\ud0c0\ub098\uba70 \ub300\ud654 \ub418\uc9c0 \uc54a\uace0 Left. side weakness\uc744 \ud638\uc18c\ud558\uba70 \uc751\uae09\uc2e4 \ub0b4\uc6d0\ud588\ub2e4. \ud0a4 142.9cm \ubab8\ubb34\uac8c 46.7kg\uc774\uba70 \uc2e0\uacbd\uacc4 \uc7a5\uc560\uac00 \uc788\uc73c\uba70 \uc74c\uc8fc\/\ud761\uc5f0\ub825\uc740 \uc5c6\ub2e4. \ucd5c\uadfc 1\uac1c\uc6d4 \uac04 \uccb4\uc911\ubcc0\ud654, \uc2dd\uc0ac\ub7c9 \ubcc0\ud654 \uac10\uc18c, \uc2dd\uc695 \ub098\uc068, \uc218\uba74\uc7a5\uc560\uac00 \uc788\ub2e4. \uc785\uc6d0 \uc2dc V\/S\uc740 T\/P\/R = 36.0\ub3c4\/131\ud68c\/\ubd84\/20\ud68c\/\ubd84, BP = 150\/96mmHg\uc774\uc5c8\ub2e4. \uc758\uc2dd\uc0c1\ud0dc\ub294 \uae30\uba74\uc774\uc5c8\uc73c\uba70 \ud1b5\uc99d \ubc18\uc751 \uc720, pupil point 3.3mm, \uc9c0\ub0a8\ub825(\uc0ac\ub78c, \uc2dc\uac04, \uc7a5\uc18c) not intact\ud568\uc774 \uad00\ucc30\ub410\ub2e4. \uac80\uc0ac \uacb0\uacfc \uc6b0\uce21 \uce21\ub450\uc5fd\uc758 \ub1cc\ub0b4\ucd9c\ud608\uacfc \ub1cc\uc2e4\ub0b4\ucd9c\ud608\uc774 \ud655\uc778\ub418\uc5c8\ub2e4. \uc774\uc5d0 \uc2e0\uacbd\uc678\uacfc\uc801\uc778 \uce58\ub8cc \uc704\ud574 23.4.25 \ub1cc\ucd9c\ud608 \ud761\uc778\uc220\uc744 \uc2dc\ud589\ud588\ub2e4. 23.5.2\uc5d0\ub294 EVD\uac00 \uc2dc\ud589\ub418\uc5c8\uace0, 23.5.5\uc5d0\ub294 VP shunt\uac00 \uc2dc\ud589\ub410\ub2e4.<\/p>\n<p>\uc0ac\uc815 1, 2\uc77c \ucc28<br \/>\n\uc0ac\uc815 1\uc77c\uc778 5\uc6d4 15\uc77c 10\uc2dc T\/P\/R = 36.0\ub3c4\/100\ud68c\/\ubd84\/24\ud68c\/\ubd84, BP = 135\/80mmHg, SpO2: 93%\uc774\uace0 \uc758\uc2dd\uc218\uc900\uc740 drowsy\ud558\uc600\ub2e4. pupil point \uc591\ucabd round, 3mm\uc5ff\uc73c\uba70 light reflex (Rt: prompt, Lt: prompt), motor power \ud3c9\uac00 \uc6b0\uc0c1\uc9c0: 4\uc810 , \uc88c\uc0c1\uc9c0: 3\uc810, \uc6b0\/\uc88c\ud558\uc9c0: 4\uc810\uc774\uc5c8\ub2e4  \ud638\ud761 \uc2dc \uadf8\ub801\uac70\ub9bc \ubc0f \uac00\ub798 \ub080 \ud638\ud761\uc74c \ub4e4\ub9ac\uba70 \uc228\uc274 \ub54c \uc5bc\uad74\uc744 \ucc21\uadf8\ub9ac\ub294 \ubaa8\uc2b5\uc774 \uad00\ucc30\ub410\ub2e4.  foley cather \uc81c\uac70 \ud6c4 voiding\uc744 \ubabb\ud558\uc5ec bladder scan\uc744 \ud558\uc600\uc73c\uba70 \uc794\ub1e8\ub7c9 193ml\uac00 \ud655\uc778\ub410\ub2e4. \uc774\ud6c4 \uc9c0\uc18d\uc801 bladder scan \uc218\ud589\ud558\uba70 \uc794\ub1e8\ub7c9 \ubaa8\ub2c8\ud130\ub9c1\ud588\uace0 self voiding \uc798 \ub410\ub2e4.<\/p>\n<p>\ucd9c\ucc98 : <a href=\"https:\/\/www.happycampus.com\/report-doc\/29694855\/\" target=\"_blank\">\ud574\ud53c\ucea0\ud37c\uc2a4<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\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. Reference \ubcf8\ubb38\ub0b4\uc6a9 000\uc528\ub294 70\uc138\uc758 \uc5ec\ud658\uc73c\ub85c HTN, \uc774\uc0c1 \uc9c0\uc9c8\ud608\uc99d, \ub1cc\uacbd\uc0c9(Lt. \uae30\uc800\ud575 &#038; \uc804\ub300\ub1cc\ub3d9\ub9e5 \uc601\uc5ed), 2017\ub144 \ubc1c\ubcd1\ud55c \uc6b0\uce21 \ubc18\uc2e0\ub9c8\ube44\uc640 \uc5b8\uc5b4\uc7a5\uc560, \uc591\ucabd \ubb34\ub98e \uace8\uad00\uc808\uc5fc\uc73c\ub85c \uc778\ud574 2023\ub144 1\uc6d4 \uc591\ucabd \ubb34\ub98e \ub300\uccb4 \uc218\uc220(TKRA) \ubc1b\uc558\ub2e4. \ud3c9\uc18c \uc758\uc0ac\uc18c\ud1b5 \ub2e8\ub2f5\ud615\uc73c\ub85c \ud558\ub098 \uc6d0\ud65c\ud55c \ud3b8\uc774\uc5c8\ub2e4\uace0 \ud55c\ub2e4. \uc544\uce68 \uae30\uc0c1 \uc774\ud6c4 \uc9c0\uc18d\uc801\uc73c\ub85c \uad6c\ud1a0 [&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":[5648,6107,35280,25781,35281,10573,29412,35282,22960],"class_list":["post-28240","post","type-post","status-publish","format-standard","hentry","category-uncategorized","tag-5648","tag-6107","tag-35280","tag-25781","tag-35281","tag-10573","tag-29412","tag-35282","tag-22960"],"_links":{"self":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/28240","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=28240"}],"version-history":[{"count":0,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/28240\/revisions"}],"wp:attachment":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/media?parent=28240"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/categories?post=28240"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/tags?post=28240"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}