{"id":29476,"date":"2026-01-25T09:01:06","date_gmt":"2026-01-25T00:01:06","guid":{"rendered":"https:\/\/blog.agentsoft.co.kr\/index.php\/2026\/01\/25\/29476\/"},"modified":"2026-01-25T09:01:06","modified_gmt":"2026-01-25T00:01:06","slug":"%ec%84%b1%ec%9d%b8%ea%b0%84%ed%98%b8%ed%95%99-%ec%b7%8c%ec%9e%a5%ec%95%94-%ea%b0%84%ed%98%b8%ea%b3%bc%ec%a0%95-%ec%82%ac%eb%a1%80%eb%b3%b4%ea%b3%a0%ec%84%9c-a","status":"publish","type":"post","link":"https:\/\/blog.agentsoft.co.kr\/index.php\/2026\/01\/25\/29476\/","title":{"rendered":"\uc131\uc778\uac04\ud638\ud559 \ucdcc\uc7a5\uc554 \uac04\ud638\uacfc\uc815 \uc0ac\ub840\ubcf4\uace0\uc11c A+"},"content":{"rendered":"

<\/p>\n

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

1. PBL\uc744 \ud1b5\ud55c \uac04\ud638\uc0ac\ub840<\/p>\n

2. \ubb38\ud5cc\uace0\ucc30<\/p>\n

3. \uc9c4\ub2e8\uac80\uc0ac
\n 1) \uc77c\ubc18\ud608\uc561\uac80\uc0ac
\n2) \ud608\uccad\ud654\ud559\uac80\uc0ac
\n 3) \uc804\ud574\uc9c8\uac80\uc0ac \ub4f1 6\uac1c \uac80\uc0ac<\/p>\n

4. \uc57d\ubb3c <\/p>\n

5. \uac04\ud638\uacfc\uc815
\n1) \uac04\ud638\uacfc\uc815 #1 \uc678\uacfc\uc801\uc778 \uc808\uac1c\uc640 \uad00\ub828\ub41c \uae09\uc131\ud1b5\uc99d
\n 2) \uac04\ud638\uacfc\uc815 #2 \uce74\ud14c\ud130 \uc0bd\uc785\uacfc \uac19\uc740 \uce68\uc2b5\uc801 \ucc98\uce58\uc640 \uad00\ub828\ub41c \uac10\uc5fc\uc758 \uc704\ud5d8 <\/p>\n

6. \uacb0\ub860<\/p>\n

7. Reference<\/p>\n

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

\uc77400\uc528\ub294 77\uc138 \ub0a8\ud658\uc73c\ub85c 2010\ub144 \uc9c4\ub2e8\ubc1b\uc740 \uace0\ud608\uc555\uacfc 2018\ub144 \uc9c4\ub2e8\ubc1b\uc740 DM\uc73c\ub85c \uc57d\ubb3c\uc744 \ubcf5\uc6a9\ud558\uba70 \uc9c0\ub0b4\ub358 \uc911, 2020\ub144 00\ub300\ud559\ubcd1\uc6d0\uc744 \ubc29\ubb38\ud558\uc5ec \uac74\uac15\uac80\uc9c4 \uc0c1 IPMN\uc5d0\uc11c Branch duct type \uc18c\uacac \ubcf4\uc5ec \ucdcc\uc7a5\uc5fc\uc744 \uc9c4\ub2e8\ubc1b\uace0 F\/U\ud558\ub358 \uc790\ub85c, 2022\ub144 \uc2dc\ud589\ud55c MRCP\uc0c1 \ucdcc\uc7a5\uc758 \ub0ad\uc131 \uc554\uc774 \ubc1c\uacac\ub418\uc5b4 OP\uc704\ud574 2022\ub144 12\uc6d4 15\uc77c \uc785\uc6d0\ud558\uc600\ub2e4. \uc54c\ub808\ub974\uae30\ub294 \uc5c6\uc73c\ub098 \uac00\uc871\ub825\uc73c\ub85c (\ubaa8-\uc2ec\uc7a5\ubcd1, \ub204\ub098-DM, \ud608\uad00\uc131 \uce58\ub9e4, \ud615-\ud3d0\uc554)\uc774 \uc788\uc73c\uba70, \ud761\uc5f0\ub825\uc740 \uc5c6\uc73c\ub098 \uc74c\uc8fc\ub825\uc740 50\ub144\uac04 \uc6d4 2\ud68c, 1\ud68c\ub2f9 1\ubcd1\uc774 \uc788\ub2e4. \uae30\ud0c0 \uc2e0\uccb4\uc758 \ubb38\uc81c\ub294 \uc5c6\uc5c8\uc73c\ub098 \uc218\uc220\uc5d0 \uc788\uc5b4 \uacbd\uc99d\uc758 \ubd88\uc548 \uc218\uc900\uc744 \ub098\ud0c0\ub0c8\ub2e4.<\/p>\n

\uc785\uc6d0\uc77c\uc778 12\uc6d4 15\uc77c, VS\ub294 36.6\ub3c4, 60\ud68c\/\ubd84, 18\ud68c\/\ubd84, 97%, BP\ub294 100\/60mmHg\ub85c \uc815\uc0c1\uc774\uc5c8\uace0, HT\ub294 159.9cm, WT\ub294 50.8kg\uc774\uc5c8\ub2e4. 12\uc6d4 19\uc77c\ubd80\ud130 \ub2e4\uc74c \ub0a0 \uc2dc\ud589 \uc608\uc815\uc778 Pylorus preserving Pancreaticoduodenectomy\ub97c \uc704\ud574 \ubb3c\uc744 \ud3ec\ud568\ud558\uc5ec NPO\ub97c \uc720\uc9c0\ud558\uc600\uc73c\uba70 \ud2b9\uc774\ud55c \uc99d\uc0c1\uc744 \ud638\uc18c\ud558\uc9c0 \uc54a\uace0 \uc218\uba74\ud558\uc600\ub2e4.<\/p>\n

\uc0ac\uc815 1\uc77c\uc778 12\uc6d4 19\uc77c(op \ub2f9\uc77c), plasmalyte\ub97c \uc791\uc6a9 \ubd80\uc791\uc6a9 \uc124\uba85 \ud6c4 \ud22c\uc57d\ud558\uc600\uace0, \uace0\ud608\uc555\uc744 \uc704\ud574 \uc790\uac00\uc57d \uc911 \ub124\ube44\ub808\ud2b8, \uc528\ub098\ub871\uc744 \ubb3c \uc18c\ub7c9\uacfc \ud568\uaed8 \ubcf5\uc6a9\ud558\ub3c4\ub85d \ud558\uc600\ub2e4. \uc218\uc220 \uc804 Full voiding \ud558\uc600\uace0 \uc774\ud6c4 \uc7a5\uc2e0\uad6c \uc81c\uac70, \uac00\uae00\ub9c1 \uc591\uce58 \ub4f1\uc744 \uad50\uc721\ud558\uc600\ub2e4. \uc218\uc220 \uc804 VS\ub294 36.7\ub3c4, 74\ud68c\/\ubd84, 18\ud68c\/\ubd84, BP\ub294 100\/70mmHg\uc774\uc5c8\ub2e4.
\n\uc774\ub0a0 \uc2dc\ud589\ud55c \uc218\uc220\uba85\uc740 Pylorus preserving Pancreaticoduodenectomy\ub85c \ucdcc\uc2ed\uc774\uc9c0\uc7a5 \uc808\uc81c\uc220\uc744 \ud558\uc600\uace0, \uc218\uc220 \ud6c4 \ud68c\ubcf5\uc2e4\uc744 \uac70\uccd0 \ub3cc\uc544\uc628 VS\ub294 36.7\ub3c4, 82\ud68c\/\ubd84, 18\ud68c\/\ubd84, BP\ub294 150\/80mmHg\uc774\uc5c8\ub2e4. \uc758\uc0ac \ucc98\ubc29\uc5d0 \ub530\ub77c fentanyl 0.1mgA \uc911 40mcg\uc744 IV\ub85c \ud22c\uc5ec\ud558\uc600\uc73c\uba70, perdipine 500MCG\uc744 IV\ub85c \ud22c\uc5ec\ud558\uc600\ub2e4.<\/p>\n

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

\ubaa9\ucc28 1. PBL\uc744 \ud1b5\ud55c \uac04\ud638\uc0ac\ub840 2. \ubb38\ud5cc\uace0\ucc30 3. \uc9c4\ub2e8\uac80\uc0ac 1) \uc77c\ubc18\ud608\uc561\uac80\uc0ac 2) \ud608\uccad\ud654\ud559\uac80\uc0ac 3) \uc804\ud574\uc9c8\uac80\uc0ac \ub4f1 6\uac1c \uac80\uc0ac 4. \uc57d\ubb3c 5. \uac04\ud638\uacfc\uc815 1) \uac04\ud638\uacfc\uc815 #1 \uc678\uacfc\uc801\uc778 \uc808\uac1c\uc640 \uad00\ub828\ub41c \uae09\uc131\ud1b5\uc99d 2) \uac04\ud638\uacfc\uc815 #2 \uce74\ud14c\ud130 \uc0bd\uc785\uacfc \uac19\uc740 \uce68\uc2b5\uc801 \ucc98\uce58\uc640 \uad00\ub828\ub41c \uac10\uc5fc\uc758 \uc704\ud5d8 6. \uacb0\ub860 7. Reference \ubcf8\ubb38\ub0b4\uc6a9 \uc77400\uc528\ub294 77\uc138 \ub0a8\ud658\uc73c\ub85c 2010\ub144 \uc9c4\ub2e8\ubc1b\uc740 \uace0\ud608\uc555\uacfc 2018\ub144 \uc9c4\ub2e8\ubc1b\uc740 DM\uc73c\ub85c \uc57d\ubb3c\uc744 […]<\/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":[9301,28638,14863,3559],"class_list":["post-29476","post","type-post","status-publish","format-standard","hentry","category-uncategorized","tag-__aa","tag-28638","tag-14863","tag-3559"],"_links":{"self":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/29476","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=29476"}],"version-history":[{"count":0,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/29476\/revisions"}],"wp:attachment":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/media?parent=29476"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/categories?post=29476"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/tags?post=29476"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}