{"id":33089,"date":"2026-03-02T09:02:00","date_gmt":"2026-03-02T00:02:00","guid":{"rendered":"https:\/\/blog.agentsoft.co.kr\/index.php\/2026\/03\/02\/33089\/"},"modified":"2026-03-02T09:02:00","modified_gmt":"2026-03-02T00:02:00","slug":"%ec%84%b1%ec%9d%b8%ea%b0%84%ed%98%b8%ed%95%99-%ec%a0%95%ed%98%95%ec%99%b8%ea%b3%bc-case-study%ec%bc%80%ec%9d%b4%ec%8a%a4-bimalleolar-fracture-ankle-closed-%ec%96%91%ec%b8%a1-%eb%b3%b5%ec%82%ac","status":"publish","type":"post","link":"https:\/\/blog.agentsoft.co.kr\/index.php\/2026\/03\/02\/33089\/","title":{"rendered":"\uc131\uc778\uac04\ud638\ud559 \uc815\ud615\uc678\uacfc Case Study(\ucf00\uc774\uc2a4) – Bimalleolar fracture, ankle, closed (\uc591\uce21 \ubcf5\uc0ac \uace8\uc808, \ubc1c\ubaa9, \ud398\uc1c4\uc131) [\uc9c4\ub2e8 2\uac1c]"},"content":{"rendered":"

<\/p>\n

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

\u2160. \uc11c\ub860
\n 1. \uc5f0\uad6c\uc758 \ud544\uc694\uc131———————————————————————3p
\n 2. \uc5f0\uad6c \ub300\uc0c1 \ubc0f \ubc29\ubc95—————————————————————–3p
\n 3. \ud658\uc790\uc758 \uc804\ubc18\uc801 \uc9c8\ubcd1\uc758 \uacfc\uc815 \uc694\uc57d—————————————————-3p
\n 4. \ubb38\ud5cc\uace0\ucc30 ———————————————————————–3~8p<\/p>\n

\u2161. \ubcf8\ub860
\n\u2160. \ub300\uc0c1\uc790 \uac04\ud638\uc0ac\uc815—————————————————————8~13p
\n\u2161. \ud604\ubcd1\ub825———————————————————————–14~15p
\n\u2162. \uc9c4\ub2e8\uc801 \uac80\uc0ac—————————————————————–16~19p
\n\u2163. \uc758\uc0ac\uc758 \uc9c4\ub2e8 \ubc0f \uce58\ub8cc\uacc4\ud68d———————————————————20p
\n\u2164. \uc9c8\ud658\uc5d0 \ub300\ud55c\uc18c\uac1c ————————————————————-21~22p
\n\u2165. \ud658\uc790 \uba74\ub2f4\ub0b4\uc6a9—————————————————————-23~24p
\n\u2166. \uac04\ud638\uc9c4\ub2e8 \ubaa9\ub85d——————————————————————–24p
\n\u2167. \uac04\ud638\uacfc\uc815 \uc791\uc131—————————————————————-25~28p<\/p>\n

\u2162. \uacb0\ub860
\n\u2168. \uacb0\ub860 \ubc0f \ub290\ub080\uc810——————————————————————29p
\n\u2169. \ucc38\uace0\ubb38\ud5cc————————————————————————29p<\/p>\n

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

1. \uc5f0\uad6c\uc758 \ud544\uc694\uc131 \ubc0f \ubaa9\uc801
\n\uc815\ud615\uc678\uacfc \uc9c8\ud658 \uc911 \uac00\uc7a5 \ud754\ud55c \uace8\uc808(fracture of bone)\uc740 \ubf08\uc758 \uc5f0\uc18d\uc131\uc774 \uc644\uc804 \ud639\uc740 \ubd88\uc644\uc804\ud558\uac8c \uc18c\uc2e4\ub41c \uc0c1\ud0dc\ub97c \ub9d0\ud55c\ub2e4. \uadf8 \uc911\uc5d0\uc11c\ub3c4 \ubcf5\uc0ac\ubf08 \uace8\uc808(foot fracture)\uc740 \uc8fc\ub85c \uac00\ucabd \ubcf5\uc0ac\ubf08\uc758 \ubab8 \ucabd 2~6cm\uc815\ub3c4\uc5d0\uc11c \uac00\uc7a5 \ud754\ud558\uac8c \uace8\uc808\ub418\ub294\ub370 \ub300\ubd80\ubd84 \ubf08\uc5d0 \uac15\ud55c \uc678\ub825\uc774 \uac00\ud574\uc9c0\ub294 \uc678\uc0c1 \ud6c4\uc5d0 \ubc1c\uc0dd\ud558\uac8c \ub418\uba70, \uc9c1\uc811\uc801\uc778 \uc678\uc0c1\uacfc \uac04\uc811\uc801\uc778 \uc678\uc0c1\uc73c\ub85c \uad6c\ubd84\uc774 \ub41c\ub2e4. \uc9c1\uc811\uc801\uc778 \uc678\uc0c1\uc740 \uad50\ud1b5\uc0ac\uace0, \ucd1d\uc0c1, \ub118\uc5b4\uc9c0\uac70\ub098, \ubb34\uac70\uc6b4 \ubb3c\uac74 \ub4f1\uc774 \ubc1c\ub4f1\uc5d0 \ub5a8\uc5b4\uc838\uc11c \ubc1c\uc0dd\ud558\uba70, \uac04\uc811\uc801\uc778 \uc678\uc0c1\uc5d0 \uc758\ud55c \uace8\uc808\uc740 \ubf08\uc5d0 \ubd99\uc740 \uadfc\uc721\uc774\ub098 \uc778\ub300\uac00 \uac11\uc791\uc2a4\ub7fd\uac8c \ud798\uc774 \uac00\ud574\uc9c0\uba74\uc11c \ubf08\ub97c \uc7a1\uc544\ub2f9\uaca8 \uace8\uc808\uc774 \uc0dd\uae30\uac70\ub098 \ubf08\uc5d0 \ud68c\uc804\ub825 \ub4f1\uc774 \uac00\ud574\uc838 \uace8\uc808\uc774 \ubc1c\uc0dd\ud560 \uc218 \uc788\ub2e4. \ubcf8 \ub300\uc0c1\uc790 \ub610\ud55c \uc9c1\uc811\uc801\uc778 \uc678\uc0c1 \uc6d0\uc778\uc73c\ub85c \uacc4\ub2e8\uc5d0\uc11c \ub118\uc5b4\uc838\uc11c \uc591\ucabd \ubcf5\uc0ac\ubf08 \uace8\uc808\uc744 \uc9c4\ub2e8\ubc1b\uac8c \ub418\uc5c8\ub2e4. \uc774\ubc88 \uc5f0\uad6c\ub97c \ud1b5\ud574\uc11c \ub300\uc0c1\uc790\uc758 \uc548\uc704\ub97c \uc99d\uc9c4\uc2dc\ud0a4\uace0 \ube60\ub978 \ud68c\ubcf5\uc744 \ub3d5\uace0 \uc2f6\uc744 \ubfd0\ub9cc \uc544\ub2c8\ub77c \uc77c\uc0c1\uc0dd\ud65c\uc5d0\uc11c\ub3c4 \uc608\uae30\uce58 \ubabb\ud55c \uc0c1\ud669\uc5d0 \uace8\uc808\uc774 \ubc1c\uc0dd\ud588\uc744 \ub54c \uc751\uae09\ucc98\uce58\uc640 \uace8\uc808\ubd80\uc704 \uc218\uc220 \uc804,\ud6c4 \uac04\ud638\uc5d0 \ub300\ud558\uc5ec \uacf5\ubd80\ud558\uace0 \uc2f6\uc5b4\uc11c \uc8fc\uc81c\ub85c \uc120\uc815\ud558\uac8c \ub418\uc5c8\ub2e4. <\/p>\n

2. \uc5f0\uad6c\uae30\uac04 \ubc0f \ubc29\ubc95
\n(1) \uc5f0\uad6c\uae30\uac04, \uc7a5\uc18c:
\n(2) \uc5f0\uad6c\ubc29\ubc95 : \ud658\uc790\uba74\ub2f4, \uc2e0\uccb4\uac80\uc9c4, \ubb38\uc9c4, EMR Chart\ub97c \ud1b5\ud55c \uc815\ubcf4 \uc218\uc9d1<\/p>\n

3. \ud658\uc790\uc758 \uc804\ubc18\uc801 \uc9c8\ubcd1\uc758 \uacfc\uc815 \uc694\uc57d
\n\uacc4\ub2e8\uc5d0\uc11c \ub118\uc5b4\uc838 Fx\ub418\uc5b4 \ud3d0\uc1c4\uc131 \uc591\uce21 \ubcf5\uc0ac\uace8\uc808\uc9c4\ub2e8 \ubc1b\uace0 6\/25\uc77c \uc218\uc220 \uc704\ud574 \uc678\ub798 \ud1b5\ud574 \uac78\uc5b4\uc11c \uc785\uc6d0\ud558\uc600\ub2e4. \ud604\uc7ac short leg splint\ub97c \uc801\uc6a9\ud558\uace0 \uc788\uc73c\uba70, 6\uc6d4 27\uc77c \ucc99\ucd94\ub9c8\ucde8 \uc2dc\ud589\ud558\uc5ec ORIF \uc218\uc220 \ud6c4 V\/S 180\/104-53-20-36.5 SaO2 97%\ub85c \uce21\uc815\ub418\uc5c8\uc73c\uba70 JP bag 1\uac1c 20cc bloody\ud558\uac8c \ubc30\uc561\uc911\uc774\ub2e4. \uc624\ub978\ucabd \ubc1c\ubaa9\uc5d0 \uc464\uc2dc\uace0 \ucc0c\ub974\ub294 \ub4ef\ud55c \ud1b5\uc99d\uc744 \ud638\uc18c\ud558\uc5ec NRS \uce21\uc815 \uacb0\uacfc 5\uc810\uc73c\ub85c \uce21\uc815\ub418\uc5b4 \ud604\uc7ac \ud1b5\uc99d \uc644\ud654 \uc704\ud574 \ud0a8\ud3ec\uc778\uc8fc 75mg IM 1\ud68c \ud22c\uc5ec\ud558\uc600\uc73c\uba70 \uc624\ub978\ucabd \ub2e4\ub9ac elevation, ice bag \uc801\uc6a9\uc911\uc774\ub2e4.<\/p>\n

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

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

\ubaa9\ucc28 \u2160. \uc11c\ub860 1. \uc5f0\uad6c\uc758 \ud544\uc694\uc131———————————————————————3p 2. \uc5f0\uad6c \ub300\uc0c1 \ubc0f \ubc29\ubc95—————————————————————–3p 3. \ud658\uc790\uc758 \uc804\ubc18\uc801 \uc9c8\ubcd1\uc758 \uacfc\uc815 \uc694\uc57d—————————————————-3p 4. \ubb38\ud5cc\uace0\ucc30 ———————————————————————–3~8p \u2161. \ubcf8\ub860 \u2160. \ub300\uc0c1\uc790 \uac04\ud638\uc0ac\uc815—————————————————————8~13p \u2161. \ud604\ubcd1\ub825———————————————————————–14~15p \u2162. \uc9c4\ub2e8\uc801 \uac80\uc0ac—————————————————————–16~19p \u2163. \uc758\uc0ac\uc758 \uc9c4\ub2e8 \ubc0f \uce58\ub8cc\uacc4\ud68d———————————————————20p \u2164. \uc9c8\ud658\uc5d0 \ub300\ud55c\uc18c\uac1c ————————————————————-21~22p \u2165. \ud658\uc790 \uba74\ub2f4\ub0b4\uc6a9—————————————————————-23~24p \u2166. \uac04\ud638\uc9c4\ub2e8 \ubaa9\ub85d——————————————————————–24p \u2167. \uac04\ud638\uacfc\uc815 \uc791\uc131—————————————————————-25~28p \u2162. \uacb0\ub860 \u2168. \uacb0\ub860 \ubc0f \ub290\ub080\uc810——————————————————————29p \u2169. […]<\/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":[28638,10180,14500,26070,27921,3559,10830,2850],"class_list":["post-33089","post","type-post","status-publish","format-standard","hentry","category-uncategorized","tag-28638","tag-6-","tag-case--copd","tag-copd","tag-t12--","tag-3559","tag-10830","tag-2850"],"_links":{"self":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/33089","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=33089"}],"version-history":[{"count":0,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/33089\/revisions"}],"wp:attachment":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/media?parent=33089"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/categories?post=33089"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/tags?post=33089"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}