{"id":29003,"date":"2026-01-20T09:01:45","date_gmt":"2026-01-20T00:01:45","guid":{"rendered":"https:\/\/blog.agentsoft.co.kr\/index.php\/2026\/01\/20\/29003\/"},"modified":"2026-01-20T09:01:45","modified_gmt":"2026-01-20T00:01:45","slug":"%ec%84%b1%ec%9d%b8%ea%b0%84%ed%98%b8%ed%95%99-%eb%8b%b4%ea%b4%80%ec%97%bc-%ec%bc%80%ec%9d%b4%ec%8a%a4","status":"publish","type":"post","link":"https:\/\/blog.agentsoft.co.kr\/index.php\/2026\/01\/20\/29003\/","title":{"rendered":"\uc131\uc778\uac04\ud638\ud559 \ub2f4\uad00\uc5fc \ucf00\uc774\uc2a4"},"content":{"rendered":"

<\/p>\n

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

1. \uc790\ub8cc\uc218\uc9d1 \uc591\uc2dd
\n2. \uc2e0\uccb4\uac80\uc9c4
\n3. \ub300\uc0c1\uc790\uc758 \uc9c8\ubcd1 Study
\n4. \uac04\ud638\uacfc\uc815
\n5. \ucc38\uace0\ubb38\ud5cc<\/p>\n

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

(1) \ud604\ubcd1\ub825
\n\u25cb \uacfc\uac70\ub825
\n 00\uc138 \uc5ec\uc790 \ud658\uc790\ub85c hypothyroidism, Bipolar \uae30\uc800\uc9c8\ud658 \uc788\uc73c\uba70 Transverse colon cancer\ub85c 2000.00 Rt.. hemicolectomy \uc2dc\ud589\ud558\uc600\uc74c. 2000.00 ascending colon\uc5d0 metastasis \ud655\uc778\ub418\uc5c8\uc73c\ub098 \ud658\uc790 \uce58\ub9e4\uc99d\uc0c1 \uc788\uc73c\uba70 \ubcd1\uc6d0 \uce58\ub8cc\ub97c \uac15\ub825\ud558\uac8c \uac70\ubd80\ud558\uc5ec \ubcf4\uc874\uc801 \uce58\ub8cc\ud558\uba70 \uacbd\uacfc \uad00\ucc30\ud558\uace0 \uc788\uc74c. \ub0b4\uc6d0 \uc804\uc77c \uc694\uc591\ubcf4\ud638\uc0ac\uac00 \ud655\uc778\ud55c jaundice\ub85c \ub0b4\uc6d0\ud558\uc600\uace0, CT\ub97c \ud1b5\ud574 Obstructive cholangitis \ud655\uc778\ud558\uc600\uc73c\ub098 \ud658\uc790\uac00 \uc785\uc6d0\uc744 \uac15\ub825\ud558\uac8c \uac70\ubd80\ud558\uc5ec \ub2f9\uc77c \ud1f4\uc6d0\ud558\uc600\uc74c.<\/p>\n

\u25cb \uc785\uc6d0\uc77c- \uc0ac\uc815 \uc804
\n 11\/7 \uc624\ud6c4 2\uc2dc\uacbd \ud1b5\uc99d\uc774 \uc545\ud654\ub418\uc5b4 \ub2e4\uc2dc \uc751\uae09\uc2e4\uc744 \ud1b5\ud574 \uc785\uc6d0\ud558\uc168\uc74c. \uc785\uc6d0 \uc2dc V\/S\uc740 138\/67 \u2013 115 \u2013 18 \u2013 36.4\u00b0C\uc600\uc74c. \uac04\ud5d0\uc801\uc774\uace0, \uc464\uc2dc\ub294 \uc591\uc0c1\uc758 NRS 5\uc810\uc758 RUQ pain \ud638\uc18c\ud558\uc2ec. \ubab8\uacfc \uacf5\ub9c9\uc5d0\uc11c \ud669\ub2ec \ubc1c\uacac\ub428.
\n 11\/8 38.0\u00b0C \uce21\uc815\ub418\uc5b4 PRN \ub370\ub178\uac04 1g IV \ud22c\uc5ec\ud558\uc600\uc74c. 2\uc2dc\uac04 \ud6c4 f\/u\ud558\uc5ec 37.0\u00b0C \ud655\uc778\ud558\uc600\uace0, \uc815\uc0c1 BT \uc720\uc9c0\ub428. \ub2e4\uc74c\ub0a0 \uc608\uc815\ub41c ERCP\ub97c \uc704\ud574 \uc790\uc815\ubd80\ud130 NPO \uc2dc\ud589\ud568. Lipase\ub294 91\uc784.
\n 11\/9 ERCP \uc2dc\ud589\ud558\uc600\uace0, CBD\uc758 \uc0c1\ubd80\uc640 \uc911\uc559\uc758 \ud611\ucc29\uc774 \ubc1c\uacac\ub418\uc5b4 8cm stent \uc0bd\uc785\ud568. X-ray \uac80\uc0ac\ub97c \ud1b5\ud574 stent \uc0bd\uc785 \uc704\uce58 \ud655\uc778\ud568. NPO \uc2dc\ud589 \uc911\uc774\uba70 \ud669\ub2ec\uc99d\uc0c1 \uc5ec\uc804\ud788 \uad00\ucc30\ub418\uace0 T. bilirubin 6.5mg\/dL, D.bilirubin 6.3 mg\/dL\uc774\uba70 \ubcf5\ud1b5 \ud638\uc18c\ub294 \uc5c6\uc74c. Lipase\ub294 80\uc784.
\n 11\/10 \ubbf8\uc74c \uc2dd\uc774 \uc9c4\ud589\ud558\uae30 \uc2dc\uc791\ud558\uc600\uace0, NRS 5\uc810\uc758 \ubcf5\ud1b5\uc744 \ud638\uc18c\ud558\uae30 \uc2dc\uc791\ud568. 6:00 BT 37.7\u00b0C \ud655\uc778\ub418\uc5c8\uace0, 13:00 38.4\u00b0C\uc5d0\uc11c \ub370\ub178\uac04 1g IV\ub85c \ud22c\uc5ec\ud558\uc5ec 14:00 37.0\u00b0C \ub5a8\uc5b4\uc84c\uc73c\ub098 20:00 38.3\u00b0C\ub85c \ub2e4\uc2dc \ubc1c\uc5f4 \uc2dc\uc791\ub428. PRN \uc9c0\uc2dc\uc5d0 \ub530\ub77c 38.0\u00b0C \uc774\uc0c1\uc758 \ubc1c\uc5f4 \uc2dc\uc5d0 \ub370\ub178\uac04 1g IV\ub85c \ud22c\uc5ec\ud558\uc600\uc74c.<\/p>\n

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

\ubaa9\ucc28 1. \uc790\ub8cc\uc218\uc9d1 \uc591\uc2dd 2. \uc2e0\uccb4\uac80\uc9c4 3. \ub300\uc0c1\uc790\uc758 \uc9c8\ubcd1 Study 4. \uac04\ud638\uacfc\uc815 5. \ucc38\uace0\ubb38\ud5cc \ubcf8\ubb38\ub0b4\uc6a9 (1) \ud604\ubcd1\ub825 \u25cb \uacfc\uac70\ub825 00\uc138 \uc5ec\uc790 \ud658\uc790\ub85c hypothyroidism, Bipolar \uae30\uc800\uc9c8\ud658 \uc788\uc73c\uba70 Transverse colon cancer\ub85c 2000.00 Rt.. hemicolectomy \uc2dc\ud589\ud558\uc600\uc74c. 2000.00 ascending colon\uc5d0 metastasis \ud655\uc778\ub418\uc5c8\uc73c\ub098 \ud658\uc790 \uce58\ub9e4\uc99d\uc0c1 \uc788\uc73c\uba70 \ubcd1\uc6d0 \uce58\ub8cc\ub97c \uac15\ub825\ud558\uac8c \uac70\ubd80\ud558\uc5ec \ubcf4\uc874\uc801 \uce58\ub8cc\ud558\uba70 \uacbd\uacfc \uad00\ucc30\ud558\uace0 \uc788\uc74c. \ub0b4\uc6d0 \uc804\uc77c \uc694\uc591\ubcf4\ud638\uc0ac\uac00 \ud655\uc778\ud55c jaundice\ub85c […]<\/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":[9301,31170,3559,20726,36280,370],"class_list":["post-29003","post","type-post","status-publish","format-standard","hentry","category-uncategorized","tag-__aa","tag-copd--","tag-3559","tag-20726","tag-36280","tag-370"],"_links":{"self":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/29003","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=29003"}],"version-history":[{"count":0,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/29003\/revisions"}],"wp:attachment":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/media?parent=29003"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/categories?post=29003"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/tags?post=29003"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}