{"id":38810,"date":"2026-04-28T09:02:17","date_gmt":"2026-04-28T00:02:17","guid":{"rendered":"https:\/\/blog.agentsoft.co.kr\/index.php\/2026\/04\/28\/38810\/"},"modified":"2026-04-28T09:02:17","modified_gmt":"2026-04-28T00:02:17","slug":"%ec%84%b1%ec%9d%b8%ea%b0%84%ed%98%b8%ed%95%99%ec%8b%a4%ec%8a%b5-hematochezia%ed%98%88%eb%b3%80-%ec%9e%84%ec%83%81%ec%82%ac%eb%a1%80-%ea%b5%ac%eb%91%90%eb%b3%b4%ea%b3%a0%ec%84%9c-%ec%bc%80%ec%9d%b4","status":"publish","type":"post","link":"https:\/\/blog.agentsoft.co.kr\/index.php\/2026\/04\/28\/38810\/","title":{"rendered":"\uc131\uc778\uac04\ud638\ud559\uc2e4\uc2b5 hematochezia(\ud608\ubcc0) \uc784\uc0c1\uc0ac\ub840 \uad6c\ub450\ubcf4\uace0\uc11c, \ucf00\uc774\uc2a4 \uc2a4\ud130\ub514"},"content":{"rendered":"

<\/p>\n

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

1) \ub300\uc0c1\uc790 \uc815\ubcf4
\n(1) \uac1c\uc778\ub825 \ubc0f \uac74\uac15\ub825
\n(2) \uc218\uc220 \ubc0f \uce58\ub8cc\uacbd\uacfc
\n(3) \uc758\ubbf8\uc788\ub294 data, \uac80\uc0ac\uacb0\uacfc \ubc0f \ud65c\ub825\uc9d5\ud6c4 \ub4f1
\n(4) \uce58\ub8cc \uc57d\ubb3c <\/p>\n

2) \uac04\ud638\uc9c4\ub2e8<\/p>\n

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

\ub0b4\uc6d0\ub3d9\uae30 \ubc0f \ud604\uc0c1\ud0dc
\n\uc694\uc591\ubcd1\uc6d0\uc5d0\uc11c pneumonia\uc5d0 \ub300\ud574 \uce58\ub8cc \uc911\uc774\ub358 \ubd84\uc73c\ub85c, 5\/3\ubd80\ud130 \ubc1c\uc0dd\ud55c \ud608\ubcc0\uc73c\ub85c \uc751\uae09\uc2e4 \ub0b4\uc6d0. w\/u\uc704\ud574 5\/4 \ubcf8\uc6d0 \uc18c\ud654\uae30\ub0b4\uacfc \uc785\uc6d0\ud558\uc600\uc73c\uba70, EGD\uc5d0\uc11c \ud655\uc778\ub41c duodenal 1st portion ulcer\uac00 5\/10 perfortion \ub41c \uac83\uc73c\ub85c \uc758\uc2ec\ub418\uc5b4 open conversion primary repair \uc218\uc220 \uc2dc\ud589\ud558\uace0 postop ICU care \uc911\uc784.
\n\uace0\ub839\uc774\uba70 \uc624\ub79c \uce68\uc0c1\uc0dd\ud65c\ub85c \uc804\uc2e0\uc5d0 \ub2e4\uc218\uc758 \uc695\ucc3d\uc774 \uc788\uace0 \ub9d0\ucd08 \ubd80\uc885 \uc0c1\ub2f9\ud55c \uc0c1\ud0dc\uc784.<\/p>\n

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

BP
\n5\/10
\n56\/36 \u2192 64\/33 \u2192 74\/26 \u2192 66\/33 \u2192 40\/33 \u2192 56\/33 \u2192 48\/31 \u2192 83\/64 \u2192 138\/54
\n– NE peripheral line\uc73c\ub85c 0.15mcg\/kg\/min \uc8fc\uc785 \uc911\uc774\uc5c8\uc74c (\uc218\uc220\uc7a5\uc5d0\uc11c Lt. femoral cath regurge \uc548 \ub418\uc5b4 \uc0ac\uc6a9 \uc548\ud588\ub2e4\uace0 \ud568.)
\n– postop \ub098\uc628 \uc9c1\ud6c4 Lt. femoral cath saline \uc798 \ub4e4\uc5b4\uac00\uc11c NE femoral cath\ub85c \uc5f0\uacb0\ud568. BP 40\/20\ub300 \uce21\uc815\ub418\uba70, 5% albumin drip\ud558\uc5ec NE 30mcg\/min\uae4c\uc9c0 \uc99d\ub7c9\ud558\uc5ec\ub3c4 \ubc18\uc751 \uc5c6\uc5b4 femoral cath \ub2e4\uc2dc \ud655\uc778\ud588\uace0, regurge\ud558\uc790 saline color\ub85c \ub098\uc624\uace0 \ud608\uc561\uc774 \ub098\uc624\uc9c0 \uc54a\uc544 \uc0ac\uc6a9 \ub2e4\uc2dc \uc911\ub2e8\ud558\uace0 NE peri line\uc73c\ub85c \ub2e4\uc2dc \uc5f0\uacb0\ud558\uace0 leg elevation\ud568. BP \ud68c\ubcf5\ud558\uc5ec NE taper out \ud568.<\/p>\n

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

\uac04\ud638\uc9c4\ub2e8
\n\uac1d\ub2f4 \uc790\uac00 \ubc30\ucd9c \uc5b4\ub824\uc6c0\uacfc \uad00\ub828\ub41c \ube44\ud6a8\uc728\uc801 \uae30\ub3c4\uccad\uacb0<\/p>\n

\uac04\ud638\uc0ac\uc815
\n– \uc9c4\ub2e8\uba85: peptic ulcer, acute with perforation
\n– \uc218\uc220\uba85: diagnostic laparoscopy (duodenal ulcer perforaion primary repair)
\n– GCS
\n5\/10
\n1\/VE\/1<\/p>\n

5\/11
\n2\/VE\/3 \u2192 2\/VE\/6 \u2192 2\/VE\/6 \u2192 2\/VE\/6 \u2192 2\/VE\/6 \u2192 2\/VE\/6 \u2192 2\/VE\/4 \u2192 2\/VE\/4 \u2192 2\/VE\/4<\/p>\n

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

\ubaa9\ucc28 1) \ub300\uc0c1\uc790 \uc815\ubcf4 (1) \uac1c\uc778\ub825 \ubc0f \uac74\uac15\ub825 (2) \uc218\uc220 \ubc0f \uce58\ub8cc\uacbd\uacfc (3) \uc758\ubbf8\uc788\ub294 data, \uac80\uc0ac\uacb0\uacfc \ubc0f \ud65c\ub825\uc9d5\ud6c4 \ub4f1 (4) \uce58\ub8cc \uc57d\ubb3c 2) \uac04\ud638\uc9c4\ub2e8 \ubcf8\ubb38\ub0b4\uc6a9 \ub0b4\uc6d0\ub3d9\uae30 \ubc0f \ud604\uc0c1\ud0dc \uc694\uc591\ubcd1\uc6d0\uc5d0\uc11c pneumonia\uc5d0 \ub300\ud574 \uce58\ub8cc \uc911\uc774\ub358 \ubd84\uc73c\ub85c, 5\/3\ubd80\ud130 \ubc1c\uc0dd\ud55c \ud608\ubcc0\uc73c\ub85c \uc751\uae09\uc2e4 \ub0b4\uc6d0. w\/u\uc704\ud574 5\/4 \ubcf8\uc6d0 \uc18c\ud654\uae30\ub0b4\uacfc \uc785\uc6d0\ud558\uc600\uc73c\uba70, EGD\uc5d0\uc11c \ud655\uc778\ub41c duodenal 1st portion ulcer\uac00 5\/10 perfortion \ub41c \uac83\uc73c\ub85c \uc758\uc2ec\ub418\uc5b4 […]<\/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":[9301,6213,3559,48608,25098],"class_list":["post-38810","post","type-post","status-publish","format-standard","hentry","category-uncategorized","tag-__aa","tag-hematochezia","tag-3559","tag-48608","tag-25098"],"_links":{"self":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/38810","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=38810"}],"version-history":[{"count":0,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/38810\/revisions"}],"wp:attachment":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/media?parent=38810"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/categories?post=38810"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/tags?post=38810"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}