{"id":34716,"date":"2026-03-18T09:02:26","date_gmt":"2026-03-18T00:02:26","guid":{"rendered":"https:\/\/blog.agentsoft.co.kr\/index.php\/2026\/03\/18\/34716\/"},"modified":"2026-03-18T09:02:26","modified_gmt":"2026-03-18T00:02:26","slug":"%ec%95%84%eb%8f%99%ea%b0%84%ed%98%b8%ed%95%99-%ec%b6%a9%ec%88%98%ec%97%bc-a-%ea%b0%84%ed%98%b8%ea%b3%bc%ec%a0%95-%ec%bc%80%ec%9d%b4%ec%8a%a4-%ea%b0%84%ed%98%b8%ec%a7%84%eb%8b%a8-3%ea%b0%9c%ec%9d%b4","status":"publish","type":"post","link":"https:\/\/blog.agentsoft.co.kr\/index.php\/2026\/03\/18\/34716\/","title":{"rendered":"\uc544\ub3d9\uac04\ud638\ud559 \ucda9\uc218\uc5fc A+ \uac04\ud638\uacfc\uc815 \ucf00\uc774\uc2a4 \uac04\ud638\uc9c4\ub2e8 3\uac1c(\uc774\ub860\uc801 \uadfc\uac70 \ud3ec\ud568)"},"content":{"rendered":"<p><img decoding=\"async\" src=\"https:\/\/image4.happycampus.com\/Production\/thumbnail\/2024\/05\/12\/data29860127-0001.jpg\"><img decoding=\"async\" src=\"https:\/\/image4.happycampus.com\/Production\/thumbnail\/2024\/05\/12\/data29860127-0002.jpg\"><\/p>\n<p><strong>\ubaa9\ucc28<\/strong><\/p>\n<p>1. \ub300\uc0c1\uc790 \ud788\uc2a4\ud1a0\ub9ac<br \/>\n2. \uac04\ud638\ub825<br \/>\n3. \uc784\uc0c1\uac80\uc0ac \ubc0f \uc885\ud569\uc801 \uc758\uc758<br \/>\n4. \ud22c\uc57d \uae30\ub85d\uc9c0<br \/>\n5. \uac04\ud638\uc0ac\uc815, \uc9c4\ub2e8, \uacc4\ud68d, \uc218\ud589, \ud3c9\uac00<\/p>\n<p><strong>\ubcf8\ubb38\ub0b4\uc6a9<\/strong><\/p>\n<p>2024\ub144 4\uc6d4 27\uc77c (HD#1, POD#0)<br \/>\n13\uc138 \uc5ec\ud658 2024\ub144 4\uc6d4 25\uc77c \ubcf5\ud1b5\uacfc \uad6c\uc5ed \ud638\uc18c\ud558\uc5ec \ubcf8\uc6d0 ER \uc9c4\ub8cc \ubcf8 \ud6c4 \uadc0\uac00\ud55c \uc790\ub85c \uc804\uc77c 22\uc2dc\uacbd\ubd80\ud130 \uc0c1\uae30\uc99d\uc0c1 \uc9c0\uc18d\ub418\uc5b4 09:20 APCT \ud1b5\ud574 Acute appendicitis with localized peritonitis \uc9c4\ub2e8\ubc1b\uc544 ER \ud1b5\ud574 \uc218\uc220\ud558\uae30 \uc704\ud574\uc11c \uac04\ud638\uac04\ubcd1\ud1b5\ud569\uc11c\ube44\uc2a4\ub85c \uc785\uc6d0\ud568. \ub0b4\uc6d0 \ub2f9\uc2dc v\/s (130\/110-81-20-36.7\u2103-97%). \ub2f9\uc77c \uc218\uc220 \uc704\ud574 \uc790\uc815\ubd80\ud130 NPO \ud568. \uc218\uc220 \ud6c4 \ud3d0 \ud569\ubcd1\uc99d \uc608\ubc29 \uc704\ud574 \uc2ec\ud638\ud761\uacfc \uae30\uce68 \ubc29\ubc95\uc5d0 \ub300\ud574 \uc124\uba85\ud588\uace0, \uc124\uba85 \ub4e4\uc740 \ud6c4 \uc218\uc220 \uc804 \ubd88\uc548\uac10\uc774 \uac10\uc18c\ub41c \ubaa8\uc2b5 \uad00\ucc30\ub428. \uc218\uc220 \uc804\ud6c4 \uac10\uc5fc\uc608\ubc29\uc744 \uc704\ud574 \uc138\ud504\ud2b8\ub9ac\uc545\uc190 2g AST(-). 11:40 Laparoscopic Appendectomy:perforated \uc608\uc815\uc73c\ub85c \uc218\uc220 \uc804 \ucc98\uce58 \ubc0f \uc0c1\ud0dc \ud655\uc778\ud568. Full voiding \ud6c4 \uc758\ub8cc\uc9c4 1\uc778\uacfc \uac78\uc5b4\uc11c \uc218\uc220\uc2e4 \uc774\ub3d9\ud568. 13:50 \uce68\ub300\ucc28\ub85c \ubcd1\uc2e4 \ub4e4\uc5b4\uc634. IV PCA, \ubcf5\ub300 \uc801\uc6a9\ud55c \uc0c1\ud0dc\ub85c v\/s (140\/91-83-20-36.9\u2103-99%), \uc758\uc2dd alert \ud588\uace0 \uc218\uc220\ubd80\uc704 \ud1b5\uc99d NRS 3\uc810 \ud638\uc18c\ud568. \uc218\uc220\ubd80\uc704 clear \ud588\uace0 oozing \ubd80\uc704 \uc5c6\uc5c8\uc74c. \ubc18\uc88c\uc704 \ucde8\ud574\uc8fc\uc5c8\uc73c\uba70 \uc2ec\ud638\ud761\uacfc \uae30\uce68 \uaca9\ub824\ud558\uc600\uace0 gas passing \uc2dc \uac04\ud638\uc0ac\uc2e4\uc5d0 \uc54c\ub9ac\ub3c4\ub85d \ud568. 15:30 \uc624\uc2ec \uc99d\uc0c1 \ud638\uc18c\ud558\uc5ec PCA clamping \ud588\uace0 20\ubd84 \ub4a4 \uc624\uc2ec \uc99d\uc0c1\uc740 \uc644\ud654\ub418\uc5c8\uc73c\ub098 \ubcf5\ubd80 \uc218\uc220 \ubd80\uc704 \ud1b5\uc99d \uc2ec\ud574\uc838 PCA \uc624\ud508 \uc6d0\ud574 \ub2e4\uc2dc \uc624\ud508\ud568. \ud1b5\uc99d \uc99d\uac00 \uc2dc \ucf5c\ubca8 \ub20c\ub7ec \uac04\ud638\uc0ac\uc5d0\uac8c \uc54c\ub9ac\ub3c4\ub85d \ud558\uc600\uace0 PCA \uc5ec\uc804\ud788 \uc720\uc9c0\uc911\uc774\uba70 \uc624\uc2ec, \uad6c\ud1a0 \uc99d\uc0c1 \uc5c6\uc74c. op site oozing \uc5c6\uc774 \uae68\ub057\ud558\uba70 SOW \uc720\uc9c0\uc911\uc784. 21:00 gas out none. \ubcf5\ub300 \uc720\uc9c0\uc911\uc774\uba70 \uc775\uc77c \uc810\uc2ec\ubd80\ud130 \ubc25 \uc2dd\uc774 \uc2dc\uc791\ub428\uc744 \uc54c\ub9bc.<\/p>\n<p>\ucd9c\ucc98 : <a href=\"https:\/\/www.happycampus.com\/report-doc\/29860127\/\" target=\"_blank\">\ud574\ud53c\ucea0\ud37c\uc2a4<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\ubaa9\ucc28 1. \ub300\uc0c1\uc790 \ud788\uc2a4\ud1a0\ub9ac 2. \uac04\ud638\ub825 3. \uc784\uc0c1\uac80\uc0ac \ubc0f \uc885\ud569\uc801 \uc758\uc758 4. \ud22c\uc57d \uae30\ub85d\uc9c0 5. \uac04\ud638\uc0ac\uc815, \uc9c4\ub2e8, \uacc4\ud68d, \uc218\ud589, \ud3c9\uac00 \ubcf8\ubb38\ub0b4\uc6a9 2024\ub144 4\uc6d4 27\uc77c (HD#1, POD#0) 13\uc138 \uc5ec\ud658 2024\ub144 4\uc6d4 25\uc77c \ubcf5\ud1b5\uacfc \uad6c\uc5ed \ud638\uc18c\ud558\uc5ec \ubcf8\uc6d0 ER \uc9c4\ub8cc \ubcf8 \ud6c4 \uadc0\uac00\ud55c \uc790\ub85c \uc804\uc77c 22\uc2dc\uacbd\ubd80\ud130 \uc0c1\uae30\uc99d\uc0c1 \uc9c0\uc18d\ub418\uc5b4 09:20 APCT \ud1b5\ud574 Acute appendicitis with localized peritonitis \uc9c4\ub2e8\ubc1b\uc544 ER [&hellip;]<\/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":[9301,23958,15626,1930,26838,30179],"class_list":["post-34716","post","type-post","status-publish","format-standard","hentry","category-uncategorized","tag-__aa","tag-23958","tag-a","tag-casestudy","tag-26838","tag-30179"],"_links":{"self":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/34716","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=34716"}],"version-history":[{"count":0,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/34716\/revisions"}],"wp:attachment":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/media?parent=34716"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/categories?post=34716"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/tags?post=34716"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}