{"id":32758,"date":"2026-02-27T09:00:55","date_gmt":"2026-02-27T00:00:55","guid":{"rendered":"https:\/\/blog.agentsoft.co.kr\/index.php\/2026\/02\/27\/32758\/"},"modified":"2026-02-27T09:00:55","modified_gmt":"2026-02-27T00:00:55","slug":"%ec%84%b1%ec%9d%b8%ea%b0%84%ed%98%b8%ed%95%99-stemi-%ec%82%ac%eb%a1%80%eb%b3%b4%ea%b3%a0%ec%84%9c%ec%bc%80%ec%9d%b4%ec%8a%a4-%ec%9d%91%ea%b8%89%ec%8b%a4","status":"publish","type":"post","link":"https:\/\/blog.agentsoft.co.kr\/index.php\/2026\/02\/27\/32758\/","title":{"rendered":"\uc131\uc778\uac04\ud638\ud559 STEMI \uc0ac\ub840\ubcf4\uace0\uc11c(\ucf00\uc774\uc2a4) – \uc751\uae09\uc2e4"},"content":{"rendered":"

<\/p>\n

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

1. \uc11c\ub860
\n1) \uc120\uc815\ubc30\uacbd<\/p>\n

2) \uc790\ub8cc\uc218\uc9d1 \uae30\uac04 \ubc0f \ubc29\ubc95<\/p>\n

2. \ubcf8\ub860
\n1) \ubb38\ud5cc\uace0\ucc30
\n(1) \uc815\uc758 \ubc0f \ubd84\ub958
\n(2) \uc99d\uc0c1 \ubc0f \uc9d5\ud6c4
\n(3) \uc9c4\ub2e8 \ubc0f \uce58\ub8cc\uc801 \uc911\uc7ac<\/p>\n

2) \uc751\uae09\uce58\ub8cc \uacfc\uc815
\n(1) \ud658\uc790 \ubd84\ub958\uccb4\uacc4(Triage)\uc5d0 \ub530\ub978 \ub4f1\uae09
\n(2) \ud658\uc790 \uc548\uc804 \uad00\ub828 \ud65c\ub3d9
\n(3) \uc751\uae09\ucc98\uce58 \uacfc\uc815 \uae30\uc220 : \ud22c\uc57d, \uc9c4\ub2e8\uc801 \uac80\uc0ac \uacb0\uacfc, \uce58\ub8cc\uc801 \uc911\uc7ac \ubc0f \uac04\ud638, \uc751\uae09\uc758\ub8cc \ud300\uc6d0 \uad6c\uc131 \ubc0f \uc5ed\ud560, \uc751\uae09\uc2e4\uc5d0\uc11c\uc758 \uc804\uc2e4(Transfer) \uacfc\uc815, \uc0ac\uc6a9\ud55c \uc758\ub8cc\uc7a5\ube44\uc758 \uc885\ub958 \ubc0f \ubaa9\uc801<\/p>\n

3) \uac04\ud638\ubb38\uc81c \ubc0f \uac04\ud638\uacfc\uc815 \uae30\uc220
\n#1. \uc2ec\uadfc \ud5c8\ud608\uacfc \uad00\ub828\ub41c \uae09\uc131\ud1b5\uc99d
\n#2. \uce68\uc2b5\uc801 \uc2dc\uc220\uacfc \uad00\ub828\ub41c \ucd9c\ud608\uc758 \uc704\ud5d8\uc131<\/p>\n

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

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

\u2160. \uc11c\ub860
\n1. \uc120\uc815 \ubc30\uacbd
\n\ud749\ud1b5\uc740 \uc751\uae09\uc2e4\uc744 \ub0b4\uc6d0\ud558\ub294 \uc8fc \uc99d\uc0c1 \uc911 \ub450 \ubc88\uc9f8\ub85c \ub192\uc740 \ube48\ub3c4\ub97c \ucc28\uc9c0\ud558\uba70 \uadf8 \uc911 \uc5f0\uac04 12\ub9cc \uba85\uc774 \uc2ec\uadfc\uacbd\uc0c9\uc99d\uc744 \uacbd\ud5d8\ud55c\ub2e4. \uacbd\uc0c9 \ud6c4 \uae09\uc131 \uc2ec\uc815\uc9c0\uc758 \ubc1c\uc0dd \uc704\ud5d8\ub3c4\uac00 \ub192\uae30 \ub54c\ubb38\uc5d0 \ube60\ub978 \uc0ac\uc815\uacfc \ucc98\uce58\uac00 \uc911\uc694\ud558\uba70 \uc751\uae09\uc2e4 \ubc29\ubb38\ubd80\ud130 \uc911\uc7ac\uc2dc\uc220 \uc2dc\uc791\uae4c\uc9c0(door-to-balloon time) 60\ubd84 \uc774\ub0b4\uac00 \uad8c\uace0\ub41c\ub2e4. \ub530\ub77c\uc11c STEMI\uc5d0 \ub300\ud55c \uac04\ud638\uacfc\uc815\uc744 \ud559\uc2b5\ud568\uc73c\ub85c\uc368 \uc751\uae09\ucc98\uce58 \uacfc\uc815\uc744 \uc54c\uc544\ubcf4\uace0 \ucd94\ud6c4\uc5d0 MI \ud658\uc790\ub97c \uc2e0\uc18d\ud558\uac8c \ub300\uc751\ud560 \uc218 \uc788\ub3c4\ub85d \ud558\uace0\uc790 \uc0ac\ub840\ub85c \uc120\uc815\ud558\uc600\ub2e4.<\/p>\n

\u2161. \ubcf8\ub860
\nA. \ubb38\ud5cc\uace0\ucc30
\n1. \uc815\uc758 \ubc0f \ubd84\ub958
\n\uae09\uc131\uc2ec\uadfc\uacbd\uc0c9\uc99d(acute myocardial infrction; AMI)\uc740 \uad00\uc0c1\ub3d9\ub9e5\uc758 \uac11\uc791\uc2a4\ub7ec\uc6b4 \ud3d0\uc0c9\uc73c\ub85c \uc190\uc0c1\ubd80\uc704 \uc2ec\uadfc\uc5d0 \ube44\uac00\uc5ed\uc801\uc778 \uad34\uc0ac\ub97c \uc77c\uc73c\ud0a4\ub294 \uae09\uc131\uad00\uc0c1\ub3d9\ub9e5\uc99d\ud6c4\uad70(ACS) \uc911 \ud558\ub098\uc774\ub2e4. \ud608\uc804\uc73c\ub85c \uc778\ud55c \uad00\uc0c1\ub3d9\ub9e5\uc758 \uc644\uc804\ud55c \ud3d0\uc0c9\uc73c\ub85c \ubc1c\uc0dd\ud558\ub294 ST\ubd84\uc808 \uc0c1\uc2b9 \uc2ec\uadfc\uacbd\uc0c9(STEMI)\uacfc \uad00\uc0c1\ub3d9\ub9e5\uc758 \ubd80\ubd84 \ud3d0\uc0c9 \ub4f1\uc73c\ub85c \ubc1c\uc0dd\ud558\ub294 ST\ubd84\uc808 \ube44\uc0c1\uc2b9 \uc2ec\uadfc\uacbd\uc0c9(NSTEMI)\uc73c\ub85c \ubd84\ub958\ud560 \uc218 \uc788\ub2e4.<\/p>\n

B. \uc751\uae09 \uce58\ub8cc \uacfc\uc815
\n\u25b7 \uce58\ub8cc\uc801 \uc911\uc7ac \ubc0f \uac04\ud638
\n\u25a0 V\/S \uce21\uc815: 150\/110-130-30-36.1
\n\u25a0 \ud658\uc790\uac10\uc2dc\uc7a5\uce58 Apply: auto BP, HR, R, SPO2 monitoring
\n\u25a0 \ud1b5\uc99d\uc591\uc0c1 \uc0ac\uc815: NRS 5\uc810, \ud749\ubd80 \uc911\uc559, \uc9c0\uc18d\uc801\uc73c\ub85c, \ucfe1\ucfe1 \uc464\uc2dc\ub294 \ub4ef\ud568
\n\u25a0 ER Lab: CBC, Plasma, Serum, Liver, U\/A, cardiac enzyme \uc2dc\ud589
\n\u25a0 20G IV 3-way line \uc5f0\uacb0
\n\u25a0 NTG tab. (0.6mg 1T SL) \ud22c\uc5ec \ud6c4 \ud1b5\uc99d \uc7ac\uc0ac\uc815: \ud658\uc790\uc758 \uae34\uc7a5 \uc644\ud654 \ubc0f \ud749\ud1b5 \uacbd\uac10
\n\u25a0 Aspirin protect tab. (500mg 5T PO): \ud608\uc804 \uc0dd\uc131 \uc9c0\uc5f0 \ubc0f \uc5b5\uc81c
\n\u25a0 Isoket 0.1% 20mg + N\/S 100ml MIX: \uad00\uc0c1\ub3d9\ub9e5 \ud655\uc7a5 \ubc0f \ud749\ud1b5 \uacbd\uac10
\n\u25a0 \ubcf4\ud638\uc790\uc5d0\uac8c CAG \ubc0f PCI\uc5d0 \ub300\ud574 \uc124\uba85 \ud6c4 \ub3d9\uc758\uc11c \uc791\uc131
\n\u25a0 Chest AP
\n\u25a0 PCI: successful PCI with stenting (at pLAD, pmLAD)<\/p>\n

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

\ubaa9\ucc28 1. \uc11c\ub860 1) \uc120\uc815\ubc30\uacbd 2) \uc790\ub8cc\uc218\uc9d1 \uae30\uac04 \ubc0f \ubc29\ubc95 2. \ubcf8\ub860 1) \ubb38\ud5cc\uace0\ucc30 (1) \uc815\uc758 \ubc0f \ubd84\ub958 (2) \uc99d\uc0c1 \ubc0f \uc9d5\ud6c4 (3) \uc9c4\ub2e8 \ubc0f \uce58\ub8cc\uc801 \uc911\uc7ac 2) \uc751\uae09\uce58\ub8cc \uacfc\uc815 (1) \ud658\uc790 \ubd84\ub958\uccb4\uacc4(Triage)\uc5d0 \ub530\ub978 \ub4f1\uae09 (2) \ud658\uc790 \uc548\uc804 \uad00\ub828 \ud65c\ub3d9 (3) \uc751\uae09\ucc98\uce58 \uacfc\uc815 \uae30\uc220 : \ud22c\uc57d, \uc9c4\ub2e8\uc801 \uac80\uc0ac \uacb0\uacfc, \uce58\ub8cc\uc801 \uc911\uc7ac \ubc0f \uac04\ud638, \uc751\uae09\uc758\ub8cc \ud300\uc6d0 […]<\/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":[26306,34911,16244,40794,33837,3559],"class_list":["post-32758","post","type-post","status-publish","format-standard","hentry","category-uncategorized","tag-a----","tag-abdominal","tag-nstemi","tag-stemi-","tag-st","tag-3559"],"_links":{"self":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/32758","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=32758"}],"version-history":[{"count":0,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/32758\/revisions"}],"wp:attachment":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/media?parent=32758"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/categories?post=32758"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/tags?post=32758"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}