{"id":34377,"date":"2026-03-15T09:01:18","date_gmt":"2026-03-15T00:01:18","guid":{"rendered":"https:\/\/blog.agentsoft.co.kr\/index.php\/2026\/03\/15\/34377\/"},"modified":"2026-03-15T09:01:18","modified_gmt":"2026-03-15T00:01:18","slug":"a-%ec%84%b1%ec%9d%b8%ea%b0%84%ed%98%b8%ed%95%99-%ec%8b%ad%ec%9d%b4%ec%a7%80%ec%9e%a5-%ea%b6%a4%ec%96%91-%ec%82%ac%eb%a1%80%eb%b3%b4%ea%b3%a0%ec%84%9c-35%ec%aa%bd-%ea%b0%84%ed%98%b8%ec%a7%84%eb%8b%a8","status":"publish","type":"post","link":"https:\/\/blog.agentsoft.co.kr\/index.php\/2026\/03\/15\/34377\/","title":{"rendered":"A+ \uc131\uc778\uac04\ud638\ud559 \uc2ed\uc774\uc9c0\uc7a5 \uada4\uc591 \uc0ac\ub840\ubcf4\uace0\uc11c 35\ucabd (\uac04\ud638\uc9c4\ub2e8 6\uac1c, \uac04\ud638\uacfc\uc815 2\uac1c, \ubb38\ud5cc\uace0\ucc30O, PBL, \uc57d\ubb3c \ubc0f \uc9c4\ub2e8\uac80\uc0acO)"},"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
\n1) Duodenal ulcer(\uc2ed\uc774\uc9c0\uc7a5 \uada4\uc591)
\n 2) Peritonitis(\ubcf5\ub9c9\uc5fc)
\n 3) Sclerosing cholangitis(\uacbd\ud654\uc131 \ub2f4\uad00\uc5fc) <\/p>\n

3. \uc9c4\ub2e8\uac80\uc0ac
\n1) \uc77c\ubc18\ud608\uc561\uac80\uc0ac
\n2) \ud608\uccad\ud654\ud559\uac80\uc0ac
\n3) \uc804\ud574\uc9c8\uac80\uc0ac
\n4) \ud608\uc561\uc751\uace0\uac80\uc0ac
\n5) \uc601\uc0c1\uc758\ud559\uac80\uc0ac \ub4f1 \ud2b9\uc218\uac80\uc0ac<\/p>\n

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

5. \uac04\ud638\uacfc\uc815
\n1) \uac04\ud638\uacfc\uc815 #1 \uc2ed\uc774\uc9c0\uc7a5 \uc810\ub9c9 \uc190\uc0c1\uacfc \uad00\ub828\ub41c \uae09\uc131 \ud1b5\uc99d
\n2) \uac04\ud638\uacfc\uc815 #2 \uc2dd\uc695\ubd80\uc9c4\uacfc \uad00\ub828\ub41c \uc601\uc591 \ubd88\uade0\ud615 <\/p>\n

6. Reference<\/p>\n

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

1. PBL\uc744 \ud1b5\ud55c \uac04\ud638\uc0ac\ub840
\nOOO\uc528\ub294 **\uc138 \uc5ec\ud658\uc73c\ub85c \uace0\ud608\uc555\uc73c\ub85c Norvasc \uc57d\ubb3c\uc744 \ubcf5\uc6a9\ud558\uba70 \uc9c0\ub0b4\ub358 \uc911, \uc9c0\uc18d\uc801\uc778 Abdominal pain\uc73c\ub85c local \ubcd1\uc6d0\uc5d0\uc11c \uce58\ub8cc \uc911\uc774\uc2e0 \ubd84\uc73c\ub85c, \ucd5c\uadfc \ubcf8\uc6d0 \ucdcc\ub2f4\ub3c4\ub0b4\uacfc \uc9c4\ub8cc \ud6c4 CT \uc608\uc57d\uc744 \uc7a1\uc544\ub193\uc740 \uc0c1\ud0dc\uc600\ub2e4. 20**\ub144 **\uc6d4 **\uc77c \uc624\uc804 8\uc2dc\ubd80\ud130 Rt Abdominal pain\uc774 \ubc1c\uc0dd\ud558\uc5ec \ub2e4\ub2c8\ub358 local \ubcd1\uc6d0\uc5d0 \ub0b4\uc6d0\ud558\uc600\uace0, \ud574\ub2f9 local \ubcd1\uc6d0\uc5d0\uc11c \ucd2c\uc601\ud55c CT\uc0c1 Pancreas head mass, Duodenum wall thickening \uc18c\uacac \ubcf4\uc5ec \ubcf8\uc6d0 ER\ub85c \ub0b4\uc6d0\ud558\uc600\ub2e4. Abdominal pain\uc740 Rt ~ flank \ubd80\ubd84 \ud2b9\ud788 \uc2ec\uc640\ubd80\uc640 RUQ\uc5d0\uc11c \ub290\ub07c\uace0 \uc788\uc73c\uba70, \u201c\ucfe1\ucfe1 \ucc0c\ub974\ub294 \ub290\ub08c\uc774\uc5d0\uc694\u201d\ub77c\uace0 \ud1b5\uc99d\uc744 \ud45c\ud604\ud558\uc600\ub2e4. \uc0c1\uae30 \ud658\uc790\ub294 6\ub144 \uc804 \ubb34\ub98e\uad00\uc808\uc218\uc220(TKR)\uc744 \ud558\uc600\uc73c\uba70, 20**\ub144 **\uc6d4 **\uc77c\uc5d0 RUQ, RLQ pain\uc73c\ub85c \ubcf8\uc6d0\uc5d0 \ub0b4\uc6d0\ud558\uc5ec \ub2f4\uad00\uc5fc, \ubbf8\ub780\uc131 \uc2ed\uc774\uc9c0\uc7a5\uc5fc, \uc704\uc5fc, \uc5ed\ub958\uc131 \uc2dd\ub3c4\uc5fc\uc744 \uc9c4\ub2e8\ubc1b\uc558\ub2e4. \uce58\uc544 \uc0c1\ud0dc\ub294 \ubd88\ub7c9\ud558\uba70, \uc717\ub2c8 \uc804\uccb4\uc5d0 \ud2c0\ub2c8\ub97c \uc0ac\uc6a9\ud558\uace0 \uc788\ub2e4. \ud604\uc7ac \uccb4\uc911 \uac10\uc18c\ub294 \uc5c6\ub294 \uc0c1\ud0dc\uc774\uba70, \ud3c9\uc18c \ucc44\uc2dd \uc704\uc8fc\ub85c \uc2dd\uc0ac\ub97c \ud55c\ub2e4. \uc74c\uc8fc\uc640 \ud761\uc5f0\uc740 \uc804\ud600 \ud558\uc9c0 \uc54a\uc73c\uba70, \uc54c\ub808\ub974\uae30\uc640 \uac00\uc871\ub825\ub3c4 \uc5c6\ub2e4. \ub0b4\uc6d0 \ub2f9\uc2dc \ud658\uc790\ub294 \uc815\uc2e0\uc801\uc73c\ub85c \ubd88\uc548\ud568\uc744 \ub290\ub07c\uace0 \uc788\uc5c8\ub2e4. <\/p>\n

\uc785\uc6d0\uc77c\uc778 **\uc6d4 **\uc77c\uc758 T\/P\/R = 37.0\u2103\/72\ud68c\/\ubd84\/16\ud68c\/\ubd84, BP = 120\/80mmHg\uc774\uc5c8\ub2e4. \uc2e0\uc7a5\uc740 150cm, \uccb4\uc911\uc740 75kg\uc774\uc5c8\ub2e4. NRS \ucc99\ub3c4\ub97c \ud1b5\ud574 6\uc810\uc73c\ub85c \ud1b5\uc99d\uc744 \ud45c\ud604\ud558\uc600\uace0, \uc2ec\uc640\ubd80\uc640 RUQ\uc5d0\uc11c \ud1b5\uc99d\uc744 \ud638\uc18c\ud588\ub2e4. \ud1b5\uc99d\uc758 \uc644\ud654\uc694\uc778\uc740 \ud734\uc2dd \ud6c4\uc774\uba70, \uc6c0\uc9c1\uc77c \ub54c \ud1b5\uc99d\uc774 \uc545\ud654\ub41c\ub2e4\uace0 \ub9d0\ud588\ub2e4. \uac00\uc2a4 \ucc2c \ub290\ub08c\uc774 \uc788\ub2e4\uace0 \ud558\uc600\uace0, \uc18d\uc774 \uc4f0\ub9ac\ub2e4\uace0 \ud588\ub2e4. \u201c\uba85\uce58 \ucabd\uacfc \uc624\ub978\ucabd \ubc30\uac00 \ucfe1\ucfe1 \ucc0c\ub974\ub4ef\uc774 \uc544\ud30c\u201d\ub77c\uace0 \ud558\uc5ec \uc9c4\ud1b5\uc81c\uc778 Tridol 50mg\uc744 IV\ub85c \ud22c\uc5ec\ub418\uc5c8\ub2e4. \ub610\ud55c \ub9c8\uc57d\uc131 \uc9c4\ud1b5\uc81c\uc778 Matrifen Patch 12mcg\/h\ub97c \uac00\uc2b4 \ubd80\uc704\uc5d0 \ubd99\uc600\ub2e4. Matrifen Patch \ubd99\uc774\ub294 \uacfc\uc815<\/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 1) Duodenal ulcer(\uc2ed\uc774\uc9c0\uc7a5 \uada4\uc591) 2) Peritonitis(\ubcf5\ub9c9\uc5fc) 3) Sclerosing cholangitis(\uacbd\ud654\uc131 \ub2f4\uad00\uc5fc) 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 4) \ud608\uc561\uc751\uace0\uac80\uc0ac 5) \uc601\uc0c1\uc758\ud559\uac80\uc0ac \ub4f1 \ud2b9\uc218\uac80\uc0ac 4. \uc57d\ubb3c 5. \uac04\ud638\uacfc\uc815 1) \uac04\ud638\uacfc\uc815 #1 \uc2ed\uc774\uc9c0\uc7a5 \uc810\ub9c9 \uc190\uc0c1\uacfc \uad00\ub828\ub41c \uae09\uc131 \ud1b5\uc99d 2) \uac04\ud638\uacfc\uc815 #2 \uc2dd\uc695\ubd80\uc9c4\uacfc \uad00\ub828\ub41c \uc601\uc591 \ubd88\uade0\ud615 6. Reference \ubcf8\ubb38\ub0b4\uc6a9 1. […]<\/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":[28770,25561,31807,11969,42884,42886,42885,42882,42883],"class_list":["post-34377","post","type-post","status-publish","format-standard","hentry","category-uncategorized","tag-28770","tag-25561","tag-31807","tag-11969","tag-42884","tag-42886","tag-42885","tag-42882","tag-42883"],"_links":{"self":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/34377","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=34377"}],"version-history":[{"count":0,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/34377\/revisions"}],"wp:attachment":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/media?parent=34377"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/categories?post=34377"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/tags?post=34377"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}