{"id":37055,"date":"2026-04-11T09:00:55","date_gmt":"2026-04-11T00:00:55","guid":{"rendered":"https:\/\/blog.agentsoft.co.kr\/index.php\/2026\/04\/11\/37055\/"},"modified":"2026-04-11T09:00:55","modified_gmt":"2026-04-11T00:00:55","slug":"%ec%84%b1%ec%9d%b8%ea%b0%84%ed%98%b8%ed%95%99-%ec%8b%a4%ec%8a%b5-cholecystolithiasis-case-study-ercp-%ec%8b%9c%ec%88%a0%ea%b0%84%ed%98%b8","status":"publish","type":"post","link":"https:\/\/blog.agentsoft.co.kr\/index.php\/2026\/04\/11\/37055\/","title":{"rendered":"\uc131\uc778\uac04\ud638\ud559 \uc2e4\uc2b5, cholecystolithiasis, CASE STUDY, ERCP \uc2dc\uc220\uac04\ud638"},"content":{"rendered":"

<\/p>\n

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

1. \uc77c\ubc18\uc801 \uc0ac\ud56d<\/p>\n

2. \uc785\uc6d0 \uad00\ub828 \uc815\ubcf4 <\/p>\n

3. \uc9c4\ub2e8\uac80\uc0ac
\n 1) \uc784\uc0c1\ubcd1\ub9ac\uac80\uc0ac
\n 2) \uc601\uc0c1\uc758\ud559\uac80\uc0ac
\n 3) \ud2b9\uc218\uc9c4\ub2e8\uac80\uc0ac
\n 4) \uce68\uc2b5\uc801 \uac80\uc0ac \uc2dc\ud589 \uacb0\uacfc
\n 5) \ud658\uc790\uc5d0\uac8c \uc801\uc6a9\ub41c \uac80\uc0ac \uc804.\ud6c4 \uac04\ud638 \ubc0f \uc8fc\uc758\uc0ac\ud56d<\/p>\n

4. \uc57d\ubb3c\uc694\ubc95<\/p>\n

5. \uc2dc\uc220 \uac04\ud638 <\/p>\n

6. \uc218\uc220 \uac04\ud638 <\/p>\n

7. \ucc38\uace0\ubb38\ud5cc<\/p>\n

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

1) \uc2dc\uc220\uba85
\n\ub0b4\uc2dc\uacbd \uc5ed\ud589 \ub2f4\ucdcc\uad00 \uc870\uc601\uc220(ERCP) <\/p>\n

2) \uc2dc\uc220 \uc804 \uc900\ube44\uc0ac\ud56d \ubc0f \uac04\ud638
\n– \uac80\uc0ac \ubc0f \uc870\uc601\uc81c \ubd80\uc791\uc6a9\uc5d0 \ub300\ud55c \ub3d9\uc758\uc11c\ub97c \uc791\uc131\ud55c\ub2e4.
\n– \ud658\uc790\uc5d0\uac8c \uc2dc\uc220 \uc808\ucc28\uc640 \uac80\uc0ac \uc2dc \uc5ed\ud560\uc5d0 \ub300\ud55c \uc815\ubcf4\ub97c \uc81c\uacf5\ud55c\ub2e4.
\n– \uac80\uc0ac \uc218\ud589 \uacfc\uc815\uc5d0\uc11c \uc704\uc7a5\uad00 \ubc0f \ub2f4\ub0ad\uc758 \uc190\uc0c1\uc744 \uc608\ubc29\ud558\uae30 \uc704\ud574 \ud658\uc790\uc758 \ud611\uc870\ub97c \uad6c\ud55c\ub2e4.
\n– \ud658\uc790\ub294 \uac80\uc0ac \uc804\ub0a0 \uc790\uc815\ubd80\ud130 \uae08\uc2dd\ud55c\ub2e4.
\n– \uc2ec\uc7a5\uacfc \ud608\uc555\uc57d\uc740 \uc18c\ub7c9\uc758 \ubb3c\uacfc \ud568\uaed8 \ubcf5\uc6a9\ud55c\ub2e4.
\n– \uc2dc\uc220 \uc9c1\uc804 \uc9c4\ud1b5\uc81c\uc778 \ud398\uce58\ub518(pethidine)\uc744 \ud22c\uc5ec\ud55c\ub2e4.
\n– \ud658\uc790\uc758 \ud314\uc5d0 IV route\ub97c \ud655\ubcf4\ud55c\ub2e4,
\n– \uc2dc\uc220\uc6a9 0.9% Normal seline \uc218\uc561\uc744 \uc720\uc9c0\ud55c\ub2e4.
\n– \uac80\uc0ac\uc2e4\ub85c \uac00\uae30 \uc804 \uae08\uc18d\ubb3c\uc9c8 \ubc0f \uc7a5\uc2e0\uad6c\ub97c \uc81c\uac70\ud55c\ub2e4.
\n– \ub215\ub294 \ucc28\ub97c \uc774\uc6a9\ud558\uc5ec \ub0b4\uc2dc\uacbd\uc2e4\ub85c \ub300\uc0c1\uc790\ub97c \uc548\ub0b4\ud55c\ub2e4. <\/p>\n

3) \uc2dc\uc220 \ud6c4 \uac04\ud638
\n– \uc2dc\uc220 \uc9c1\ud6c4 Chest PA, Abdominal Flat \ucd2c\uc601\uc73c\ub85c \ucc9c\uacf5, \ucd9c\ud608 \uc720\ubb34\ub97c \ud655\uc778\ud55c\ub2e4.
\n– \uac80\uc0ac \ud6c4\uc5d0 \ud65c\ub825\uc9d5\ud6c4\uc758 \ubcc0\ud654, \uac10\uc5fc\uc774\ub098 \ucc9c\uacf5, \ud328\ud608\uc99d \ub4f1\uc758 \uc99d\uc0c1\uc744 \uc0ac\uc815\ud55c\ub2e4.
\n– \uac10\uc5fc \ubc29\uc9c0\ub97c \uc704\ud574 \ud56d\uc0dd\uc81c\ub97c \ud22c\uc5ec\ud55c\ub2e4.
\n– \uac80\uc0ac \uc2dc \uacf5\uae30\uc8fc\uc785\uc73c\ub85c \uc778\ud55c \ubcf5\ubd80\ud33d\ub9cc \ubc0f \ud1b5\uc99d \uc644\ud654\ub97c \uc704\ud574 Hot bag\uc744 \uc801\uc6a9\ud55c\ub2e4.
\n– \ud658\uc790\uac00 \uac80\uc0ac \uc911 \ud22c\uc5ec\ud55c \uc57d\ubb3c\uc5d0 \ub300\ud574 \ubd80\uc791\uc6a9\uc744 \ubcf4\uc774\ub294\uc9c0 \uad00\ucc30\ud55c\ub2e4.<\/p>\n

<\uc911\ub7b5><\/p>\n

5) \ud658\uc790\uc5d0\uac8c \uc801\uc6a9\ub41c \uac80\uc0ac \uc804.\ud6c4 \uac04\ud638 \ubc0f \uc8fc\uc758\uc0ac\ud56d <\/p>\n

(1) \uac80\uc0ac\uba85
\n : \uac04\u00b7\ub2f4\ub3c4\uacc4 \ucd08\uc74c\ud30c<\/p>\n

(2) \uac80\uc0ac \uc804 \uac04\ud638
\n – \ub300\uc0c1\uc790 \uad50\uc721\uacfc \uc2e0\uccb4 \uc900\ube44\ub294 \uac80\uc0ac\uc804\ub0a0 \uc2dd\uc0ac\ub294 \uc800\ub141 10\uc2dc \uc774\uc804\uc5d0 \uc720\ub3d9\uc2dd\uc73c\ub85c \uac00\ubccd\uac8c \ud55c\ub2e4.
\n – \ubcf5\ubd80\uc5d0 \uc74c\uc2dd\ubb3c\uc774 \uc788\uc73c\uba74 \ucd08\uc74c\ud30c\uac00 \uc815\ud655\ud558\uc9c0 \uc54a\uc73c\ubbc0\ub85c \uac80\uc0ac \uc804 6\uc2dc\uac04 \ub3d9\uc548 \uae08\uc2dd\ud558\ub3c4\ub85d \ud55c\ub2e4.
\n – \uc9c0\ubc29\uc9c8\uc758 \uc74c\uc2dd\uc744 \uba39\uc73c\uba74 \ub2f4\uad00\uc744 \uc218\ucd95\uc2dc\ud0a4\uae30 \ub54c\ubb38\uc5d0 \ud53c\ud558\ub3c4\ub85d \ud55c\ub2e4.
\n – \ub2f4\ubc30\uc640 \uaecc\uc740 \ubcf5\ubd80\uc5d0 \uacf5\uae30\uac00 \ucc28\ubbc0\ub85c \ud53c\ud55c\ub2e4.
\n – \uac80\uc0ac \uc804 \ubcf5\ubd80\ub97c \ubcf4\uae30 \uc26c\uc6b4 \ubcf5\uc7a5\uc73c\ub85c \uac08\uc544\uc785\ub3c4\ub85d \ud55c\ub2e4.
\n – \uac80\uc0ac\ub97c \ubc29\ud574\ud560 \uc218 \uc788\ub294 \ubd84\ubcc0\uc774\ub098 \ubc14\ub968\uc774 \uc788\ub294 \uacbd\uc6b0\uc5d0\ub294 \uac80\uc0ac \uc804\uc5d0 \uad00\uc7a5\uc744 \uc2e4\uc2dc\ud55c\ub2e4.
\n – \uac80\uc0ac \ub2f9\uc77c \ub2e4\ub978 \uac80\uc0ac\uc640 \ud568\uaed8 \ud558\ub294 \uacbd\uc6b0 \ucd08\uc74c\ud30c \uac80\uc0ac\ub97c \uba3c\uc800 \uc2dc\ud589\ud55c\ub2e4.<\/p>\n

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

\ubaa9\ucc28 1. \uc77c\ubc18\uc801 \uc0ac\ud56d 2. \uc785\uc6d0 \uad00\ub828 \uc815\ubcf4 3. \uc9c4\ub2e8\uac80\uc0ac 1) \uc784\uc0c1\ubcd1\ub9ac\uac80\uc0ac 2) \uc601\uc0c1\uc758\ud559\uac80\uc0ac 3) \ud2b9\uc218\uc9c4\ub2e8\uac80\uc0ac 4) \uce68\uc2b5\uc801 \uac80\uc0ac \uc2dc\ud589 \uacb0\uacfc 5) \ud658\uc790\uc5d0\uac8c \uc801\uc6a9\ub41c \uac80\uc0ac \uc804.\ud6c4 \uac04\ud638 \ubc0f \uc8fc\uc758\uc0ac\ud56d 4. \uc57d\ubb3c\uc694\ubc95 5. \uc2dc\uc220 \uac04\ud638 6. \uc218\uc220 \uac04\ud638 7. \ucc38\uace0\ubb38\ud5cc \ubcf8\ubb38\ub0b4\uc6a9 1) \uc2dc\uc220\uba85 \ub0b4\uc2dc\uacbd \uc5ed\ud589 \ub2f4\ucdcc\uad00 \uc870\uc601\uc220(ERCP) 2) \uc2dc\uc220 \uc804 \uc900\ube44\uc0ac\ud56d \ubc0f \uac04\ud638 – \uac80\uc0ac \ubc0f […]<\/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":[42854,46259,22096,3559,46260,46261],"class_list":["post-37055","post","type-post","status-publish","format-standard","hentry","category-uncategorized","tag-adhd-case-study","tag-cholecystolithiasis","tag-ercp","tag-3559","tag-46260","tag-46261"],"_links":{"self":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/37055","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=37055"}],"version-history":[{"count":0,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/37055\/revisions"}],"wp:attachment":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/media?parent=37055"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/categories?post=37055"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/tags?post=37055"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}