{"id":36540,"date":"2026-04-06T09:00:42","date_gmt":"2026-04-06T00:00:42","guid":{"rendered":"https:\/\/blog.agentsoft.co.kr\/index.php\/2026\/04\/06\/36540\/"},"modified":"2026-04-06T09:00:42","modified_gmt":"2026-04-06T00:00:42","slug":"%ec%84%b1%ec%9d%b8%ea%b0%84%ed%98%b8%ed%95%99-%ec%8b%a4%ec%8a%b5-%ec%8b%ac%ec%9e%a5%eb%82%b4%ea%b3%bc%ec%88%9c%ed%99%98%ea%b8%b0-%ec%bc%80%ec%9d%b4%ec%8a%a4%ec%8a%a4%ed%84%b0%eb%94%94","status":"publish","type":"post","link":"https:\/\/blog.agentsoft.co.kr\/index.php\/2026\/04\/06\/36540\/","title":{"rendered":"\uc131\uc778\uac04\ud638\ud559 \uc2e4\uc2b5 – \uc2ec\uc7a5\ub0b4\uacfc(\uc21c\ud658\uae30) \ucf00\uc774\uc2a4\uc2a4\ud130\ub514"},"content":{"rendered":"

<\/p>\n

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

\u2160. \ub300\uc0c1\uc790 \uc18c\uac1c : 5\ubd84 description
\n\u2161. \uc704\ud5d8\uc694\uc18c \ud30c\uc545
\n\u2162. \uac04\ud638\uacfc\uc815 \uc801\uc6a9<\/p>\n

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

\uc77c\ubc18\uc801 \uc0ac\ud56d
\n\ud658\uc790\uba85
\n\ud669OO
\n\uc131\ubcc4
\nF
\n\uc5f0\ub839
\n67\uc138
\n\ubcd1\ub3d9
\n221
\n\uccb4\uc911
\n47kg
\n\uc2e0\uc7a5
\n149.4cm
\nBMI
\n21.06kg\/m\u00b2 (\uc815\uc0c1)
\n\uc785\uc6d0
\n\uc9c4\ub2e8\uba85
\n[\uc8fc]Mitral valve stenosis, rheumatic
\n\uc785\uc6d0 \uacbd\ub85c
\n\uc790\uac00\uc6a9\uc73c\ub85c \uc751\uae09\uc2e4 \ud1b5\ud574 \ub0b4\uc6d0
\n\uc785\uc6d0 \ub3d9\uae30
\n\uc0c1\uae30\ud658\uc790 CKD(Chronic kidney disease)\ub85c \ud22c\uc11d\ubc1b\ub294 \ubd84\uc778\ub370, \uc77c\uc8fc\uc77c \uc804\ubd80\ud130melena\uac00 \ubcf4\uc600\ub2e4\uace0 \ub9d0\ud588\uace0, \ub0b4\uc6d0 \uc804\uc77c \ud22c\uc11d\uc2e4\uc5d0\uc11c \uc2dc\ud589\ud55c \ud608\uc561\uac80\uc0ac\uc5d0\uc11c Hb 4.5 \ud655\uc778\ub418\uc5b4 \ud22c\uc11d\ubc1b\uc9c0 \uc54a\uace0 \uc751\uae09\uc2e4 \ub0b4\uc6d0\ud568
\n\uc785\uc6d0 \uc0c1\ud669 \ubc0f
\n\ud604\uc7ac \ubb38\uc81c
\n\u318d5\/5\uc77c(\ub0b4\uc6d0\uc804\uc77c) melena\ubcf4\uc774\uace0 \ubcf5\uc6a9 \uc911\uc774\ub358 Warfarin(4mg, 4.5mg \uaca9\uc77c\ub85c \ubcf5\uc6a9\ud568)\uc740 \uc911\ub2e8\ud568, \ud22c\uc11d\uc2e4\uc5d0\uc11c \uc2dc\ud589\ud55c \ud608\uc561\uac80\uc0ac\uc5d0\uc11c Hb 4.5(\ud3c9\uc18c Hb8~9)\ud655\uc778\ub418\uc5b4 \ud22c\uc11d\ubc1b\uc9c0 \uc54a\uace0 5\/6\uc77c \uc751\uae09\uc2e4\ub85c \ub0b4\uc6d0\ud568.
\n\u318dMitral valve stenosis\ub85c Mitral valve replacement \uc218\uc220(1990\ub144)\uc2dc\ud589\uacfc Aortic valve stenosis\ub85c TAVI(Trans-catheter Aortic Heart Valve, \uacbd\ud53c\uc801 \ub300\ub3d9\ub9e5\ud310\ub9c9 \uce58\ud658\uc220)\uc2dc\ud589\ud574\uc11c \ud3c9\uc18c\uc5d0 Warfarin \ubcf5\uc6a9\ud588\uae30 \ub54c\ubb38\uc5d0 Warfarin \ubd80\uc791\uc6a9 \uc758\uc2ec\ub418\uc5b4 \uc751\uae09\uc2e4\uc5d0\uc11c L-tube irrigation\uc2dc\ud589\ud55c \uacb0\uacfc, brown color+clot\uc591\uc0c1 \ud655\uc778\ub428. \uc9c1\uc7a5\uc218\uc9c0\uac80\uc0ac \uc2dc\ud589\ud55c \uacb0\uacfc \uc815\uc0c1\ubcc0 \uc591\uc0c1 \ubcf4\uc784. v\/s\uc740 \uc548\uc815\ub418\uc5b4 \uc788\uc5c8\uace0, Hb \uc800\ud558 \ub54c\ubb38\uc5d0 \uc218\ud608 \uc2dc\ud589\ud568.
\n\u318d233\ubcd1\ub3d9\uc73c\ub85c \uc785\uc6d0, 5\/6\uc77c Duodenoscopy \uc2dc\ud589\ud55c \uacb0\uacfc active bleeding\uc5c6\uc5c8\uace0, Chronic gastric erosion\ubcf4\uc600\uc74c. Hb4.3\uc774\uc5b4\uc11c RBC 3pint\uc2dc\ud589\ud588\uace0 f\/u(follow up) Hb9.9\ub428. INR 4.41\uc774\uc5b4\uc11c Vit K+ FFP 2pint\uc2dc\ud589\ud588\uace0 INR 2.68\ub428. Plt\ub294 72,000\uc784.
\n\u318d5\/7\uc77c 233\ubcd1\ub3d9\uc5d0\uc11c 221\ubcd1\ub3d9\uc73c\ub85c \uc804\ub3d9\ub428. echocardiogram\uacb0\uacfc, LV EF(\uc88c\uc2ec\uc2e4 \uc2ec\ubc15\ucd9c\ub7c9)=55%\ub85c \uc815\uc0c1\uc18c\uacac \ubcf4\uc784.<\/p>\n

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

\ubaa9\ucc28 \u2160. \ub300\uc0c1\uc790 \uc18c\uac1c : 5\ubd84 description \u2161. \uc704\ud5d8\uc694\uc18c \ud30c\uc545 \u2162. \uac04\ud638\uacfc\uc815 \uc801\uc6a9 \ubcf8\ubb38\ub0b4\uc6a9 \uc77c\ubc18\uc801 \uc0ac\ud56d \ud658\uc790\uba85 \ud669OO \uc131\ubcc4 F \uc5f0\ub839 67\uc138 \ubcd1\ub3d9 221 \uccb4\uc911 47kg \uc2e0\uc7a5 149.4cm BMI 21.06kg\/m\u00b2 (\uc815\uc0c1) \uc785\uc6d0 \uc9c4\ub2e8\uba85 [\uc8fc]Mitral valve stenosis, rheumatic \uc785\uc6d0 \uacbd\ub85c \uc790\uac00\uc6a9\uc73c\ub85c \uc751\uae09\uc2e4 \ud1b5\ud574 \ub0b4\uc6d0 \uc785\uc6d0 \ub3d9\uae30 \uc0c1\uae30\ud658\uc790 CKD(Chronic kidney disease)\ub85c \ud22c\uc11d\ubc1b\ub294 \ubd84\uc778\ub370, \uc77c\uc8fc\uc77c \uc804\ubd80\ud130melena\uac00 \ubcf4\uc600\ub2e4\uace0 \ub9d0\ud588\uace0, […]<\/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":[9301,23958,1930,3559,45584,13328],"class_list":["post-36540","post","type-post","status-publish","format-standard","hentry","category-uncategorized","tag-__aa","tag-23958","tag-casestudy","tag-3559","tag-45584","tag-13328"],"_links":{"self":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/36540","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=36540"}],"version-history":[{"count":0,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/36540\/revisions"}],"wp:attachment":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/media?parent=36540"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/categories?post=36540"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/tags?post=36540"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}