{"id":29477,"date":"2026-01-25T09:01:08","date_gmt":"2026-01-25T00:01:08","guid":{"rendered":"https:\/\/blog.agentsoft.co.kr\/index.php\/2026\/01\/25\/29477\/"},"modified":"2026-01-25T09:01:08","modified_gmt":"2026-01-25T00:01:08","slug":"%ec%84%b1%ec%9d%b8%ea%b0%84%ed%98%b8%ed%95%99-%ed%8c%a8%ed%98%88%ec%84%b1-%ec%8b%ac%eb%82%b4%eb%a7%89%ec%97%bc-%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\/29477\/","title":{"rendered":"\uc131\uc778\uac04\ud638\ud559 \ud328\ud608\uc131 \uc2ec\ub0b4\ub9c9\uc5fc \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
\n1) \uc77c\ubc18\ud608\uc561\uac80\uc0ac
\n2) \ud608\uccad\ud654\ud559\uac80\uc0ac
\n3) \ud608\uc561\uac00\uc2a4\ubd84\uc11d\uac80\uc0ac
\n4) \uac1d\ub2f4,\uc18c\ubcc0\uac80\uc0ac
\n5) \ud2b9\uc218\uac80\uc0ac<\/p>\n

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

5. \uac04\ud638\uacfc\uc815
\n1) \uac04\ud638\uacfc\uc815 #1 \uce74\ud14c\ud130 \uc0bd\uc785\uacfc \uac19\uc740 \uce68\uc2b5\uc801 \ucc98\uce58\uc640 \uad00\ub828\ub41c \uac10\uc5fc\uc758 \uc704\ud5d8
\n 2) \uac04\ud638\uacfc\uc815 #2 \uc694\ucd94\uc758 \uc555\ubc15\uacfc \uad00\ub828\ub41c \uae09\uc131\ud1b5\uc99d<\/p>\n

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

7. Reference<\/p>\n

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

\uc0c1\uae30 \ub300\uc0c1\uc790\ub294 88\uc138 \uc5ec\ud658\uc73c\ub85c DM, HTN \uae30\uc655\ub825 \uc788\ub294 \ubd84\uc73c\ub85c 23\ub144 6\uc6d4 3\uc77c 09:00 \uacbd \ubc1c\uc0dd\ud55c Back Pain\uc744 \uc8fc\ud638\uc18c\ub85c \ubcf8\uc6d0 \uc751\uae09\uc2e4\uc744 \ub0b4\uc6d0\ud558\uc5ec \uc785\uc6d0\ud558\uc600\ub2e4. \ud3c9\uc18c\uc5d0 \uc798 \uac78\uc5b4\ub2e4\ub2c8\ub098 \ub0b4\uc6d0 \ub2f9\uc77c \uac11\uc790\uae30 \ud5c8\ub9ac\ud1b5\uc99d\uc73c\ub85c \uc6c0\uc9c1\uc77c \uc218 \uc5c6\uc5b4 \uc785\uc6d0\ud558\uc600\uace0, \uc785\uc6d0 \ud6c4 \uae09\uc131 \ud328\ud608\uc131 \uc2ec\ub0b4\ub9c9\uc5fc\uc744 \uc8fc\uc9c4\ub2e8\uc73c\ub85c, Fever, AKI, \uc694\ucd94\uc2e0\uacbd\uadfc\ubcd1\uc99d\uc744 \ubd80\uc9c4\ub2e8\uc73c\ub85c \uc9c4\ub2e8\ubc1b\uc558\ub2e4. \uc54c\ub808\ub974\uae30, \ud761\uc5f0\ub825, \uc74c\uc8fc\ub825\uc740 \uc5c6\uc73c\uba70 \ub300\uc0c1\uc790 \uac1c\uc778\ub825\uc73c\ub85c DM\uacfc HTN \uc788\uace0 \uc218\uc220\ub825\uc73c\ub85c\ub294 1950\ub144 Rt arm amputation, 1990\ub144 Rt \ubc31\ub0b4\uc7a5 \uc218\uc220, 2014\ub144 Rt vitrectomy\uac00 \uc788\ub2e4. \uc751\uae09\uc2e4 \ub0b4\uc6d0 \ub2f9\uc2dc V\/S T\/P\/R = 36.3\u00b0C \/ 87\ud68c\/\ubd84 \/ 18\ud68c\/\ubd84, BP = 122\/59mmHg\uc600\uc73c\uba70, \uc9c0\ub0a8\ub825(TPP)\uc774 \uc788\uc5c8\uace0 \uc758\uc2dd\uc0c1\ud0dc\ub294 Alert \ud558\uc600\ub2e4.<\/p>\n

\uc0ac\uc815 1\uc77c\uc778 6\uc6d4 12\uc77c, V\/S T\/P\/R = 38.3\u00b0C \/ 96\ud68c\/\ubd84 \/ 20\ud68c\/\ubd84, BP = 141\/72mmHg\uc600\uc73c\uba70,
\n6\uc6d4 7\uc77c \uc624\ud6c4\ubd80\ud130 \uc9c0\uc18d\ub41c mental \uc800\ud558\ub85c \uc778\ud55c confused \uc0c1\ud0dc\ub85c \ubb3b\ub294 \ub9d0\uc5d0 \ub300\ub2f5\uc744 \ubabb\ud558\uace0 \uc18c\ub9ac\ub9cc \ub0b8\ub2e4. \uc785\uc6d0 \ub2f9\uc77c ABGA\uac80\uc0ac \uacb0\uacfc pH = 7.43, HCO3 = 16.5\uc600\uc73c\ub098, bivon fluid\ub85c HCO3-\uac00 25.2\ub85c \uad50\uc815\ub41c \uc0c1\ud0dc\uc774\ub2e4. fluid therapy \uc704\ud574 subclavian vein\uc73c\ub85c c-line insertion \uc2dc\ub3c4\ud558\uc600\uc73c\ub098 \uc2e4\ud328\ud558\uc600\uace0 \uc5ec\ub7ec\ubc88 \uc2dc\ub3c4\ud558\uc5ec PTX \uac00\ub2a5\uc131\uc774 \uc788\uc73c\ub098 \uc544\uc9c1\uae4c\uc9c0 \ud655\uc778\ub418\uc9c0 \uc54a\uc558\ub2e4. fluid therapy \uc9c0\uc18d\uc744 \uc704\ud574 PICC\ub97c \uc0bd\uc785\ud558\uace0 \uc788\uc73c\uba70, foley catheter\uc640 feeding\uc744 \uc704\ud574 L-tube\ub97c \uc720\uc9c0\uc911\uc774\uba70, 38\ub3c4 \uc774\uc0c1\uc758 \uace0\uccb4\uc628\uc774 \uc720\uc9c0\ub418\uace0 BST\uacb0\uacfc 380\uc73c\ub85c insulin fluid\ub85c \uad50\uc815\uc744 \uc2dc\ub3c4\ud558\uc600\ub2e4.<\/p>\n

\uc0ac\uc815 2\uc77c\uc778 6\uc6d4 13\uc77c, V\/S T\/P\/R = 37.8\u00b0C \/ 101\ud68c\/\ubd84 \/ 21\ud68c\/\ubd84, BP = 141\/85mmHg\uc600\uc73c\uba70,
\nmental \uc800\ud558\ub85c \uc778\ud55c confused \uc0c1\ud0dc\uac00 \uc9c0\uc18d\ub418\uc5c8\uc73c\uba70, \ubb3b\ub294 \ub9d0\uc5d0 \ub300\ub2f5\uc744 \ud558\uc9c0 \ubabb\ud588\uace0 \uacf5\uaca9\uc801\uc778 \ud589\ub3d9\uacfc irritability\ub97c \ub098\ud0c0\ub0c8\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) \ud608\uc561\uac00\uc2a4\ubd84\uc11d\uac80\uc0ac 4) \uac1d\ub2f4,\uc18c\ubcc0\uac80\uc0ac 5) \ud2b9\uc218\uac80\uc0ac 4. \uc57d\ubb3c 5. \uac04\ud638\uacfc\uc815 1) \uac04\ud638\uacfc\uc815 #1 \uce74\ud14c\ud130 \uc0bd\uc785\uacfc \uac19\uc740 \uce68\uc2b5\uc801 \ucc98\uce58\uc640 \uad00\ub828\ub41c \uac10\uc5fc\uc758 \uc704\ud5d8 2) \uac04\ud638\uacfc\uc815 #2 \uc694\ucd94\uc758 \uc555\ubc15\uacfc \uad00\ub828\ub41c \uae09\uc131\ud1b5\uc99d 6. \uacb0\ub860 7. Reference \ubcf8\ubb38\ub0b4\uc6a9 \uc0c1\uae30 \ub300\uc0c1\uc790\ub294 88\uc138 \uc5ec\ud658\uc73c\ub85c DM, HTN \uae30\uc655\ub825 \uc788\ub294 \ubd84\uc73c\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":[9301,28638,14863,3559],"class_list":["post-29477","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\/29477","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=29477"}],"version-history":[{"count":0,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/29477\/revisions"}],"wp:attachment":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/media?parent=29477"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/categories?post=29477"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/tags?post=29477"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}