{"id":42180,"date":"2026-06-01T09:01:31","date_gmt":"2026-06-01T00:01:31","guid":{"rendered":"https:\/\/blog.agentsoft.co.kr\/index.php\/2026\/06\/01\/42180\/"},"modified":"2026-06-01T09:01:31","modified_gmt":"2026-06-01T00:01:31","slug":"case-study-esophageal-perforation-acute-mediastinitis-%ec%8b%9d%eb%8f%84-%ec%b2%9c%ea%b3%b5-%ea%b8%89%ec%84%b1-%ec%a2%85%ea%b2%a9%eb%8f%99%ec%97%bc","status":"publish","type":"post","link":"https:\/\/blog.agentsoft.co.kr\/index.php\/2026\/06\/01\/42180\/","title":{"rendered":"[case study] esophageal perforation, acute mediastinitis, \uc2dd\ub3c4 \ucc9c\uacf5, \uae09\uc131 \uc885\uaca9\ub3d9\uc5fc"},"content":{"rendered":"

<\/p>\n

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

1. \ubb38\ud5cc\uace0\ucc30 ——————————————————- 3
\n2. \ub300\uc0c1\uc790 \uc815\ubcf4 —————————————————- 4
\n3. \uac80\uc0ac\uc885\ub958 \ubc0f \ub0b4\uc6a9 ———————————————- 8
\n4. \ud22c\uc5ec\uc57d\ubb3c \ubc0f \ub0b4\uc6a9———————————————– 10
\n5. \uc2dc\ub098\ub9ac\uc624 ——————————————————- 12
\n6. \uac04\ud638\uacfc\uc815 ——————————————————- 15
\n7. \ucc38\uace0\ubb38\ud5cc ——————————————————- 19<\/p>\n

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

1) \uc2dd\ub3c4\ucc9c\uacf5
\n\u2460 \uc815\uc758
\n– \uc2dd\ub3c4\ucc9c\uacf5\uc740 \uc2dd\ub3c4\uc5d0 \uad6c\uba4d\uc774 \ub6ab\ub9b0 \uac83\uc774\ub2e4.
\n\u2461 \uc6d0\uc778
\n– \uae30\uad6c\uc5d0 \uc758\ud55c \uc758\uc778\uc131(iatrogenic) \uc190\uc0c1(59%)
\n– \uc790\ubc1c\uc131 \ucc9c\uacf5(15%)
\n– \uc12d\ucde8\ud55c \uc2dd\ub3c4 \uc774\ubb3c(12%)
\n– \uc678\uc0c1(9%)
\n– \uc218\uc220\uc5d0 \uc758\ud55c \uc190\uc0c1(2%)
\n– \uc885\uc591(1%)
\n\u2462 \uc99d\uc0c1
\n– \uc5f0\ud558\uace4\ub780, \ud749\ud1b5, \ud638\ud761\uace4\ub780, \ube48\ud638\ud761 \ubc0f \ube48\ub9e5, \uc800\ud608\uc555 \ub4f1
\n\u2463 \uce58\ub8cc
\n– \ucc9c\uacf5 \ubd80\uc704\ub97c \ud1b5\ud55c \ub204\ucd9c\uacfc \uac10\uc5fc \ubc29\uc9c0
\n– \ubc30\uc561\uacfc \uae08\uc2dd, \ud56d\uc0dd\uc81c \uce58\ub8cc, \uc801\uc808\ud55c \uc601\uc591\uacf5\uae09<\/p>\n

2) \uc885\uaca9\ub3d9\uc5fc
\n\u2460 \uc815\uc758
\n– \uae09\uc131 \uc885\uaca9\ub3d9\uc5fc\uc740 \uc2dd\ub3c4\uc554, \uc774\ubb3c\uc9c8\uc744 \uc798\ubabb \uc0bc\ud0a8 \uac83\uc774 \uc6d0\uc778\uc774 \ub418\uc5b4 \uc2dd\ub3c4\uc5d0 \uad6c\uba4d\uc774 \uc0dd\uae30\uace0 \uc774\ub97c \ud1b5\ud574 \uc138\uade0\uc5d0 \uac10\uc5fc\ub41c \uc74c\uc2dd\uc774 \uc885\uaca9\uc744 \uc624\uc5fc\uc2dc\ud0a4\uba74\uc11c \uae09\uc131 \uc5fc\uc99d\uc774 \ubc1c\uc0dd\ud55c \uac83\uc774\ub2e4.
\n\u2461 \uc99d\uc0c1
\n– \ubc1c\uc5f4, \uae09\uc791\uc2a4\ub7ec\uc6b4 \ud749\ud1b5, \uc624\ud55c, \uc5f0\ud558 \uace4\ub780, \uc2dd\ub3c4 \ucc9c\uacf5 \ubc0f \ub18d\uc591 \ub4f1
\n\u2462 \uce58\ub8cc
\n– \uc2dd\ub3c4\uac00 \ucc9c\uacf5\ub41c \uacbd\uc6b0 \uc989\uac01\uc801\uc778 \uc218\uc220 \uc2dc\ud589
\n– \uc885\uaca9\ub3d9\uc5d0\uc11c \ub18d\uc591\uc774 \ubc1c\uacac\ub418\ub294 \uacbd\uc6b0\ub294 \uc801\uc808\ud55c \uc218\uc220\uc801 \ubc30\ub18d \uc2e4\uc2dc
\n– \uc218\uc220 \ubc0f \ubc30\ub18d \uc2dc\ud589 \ud6c4 \ud56d\uc0dd\uc81c\ub97c \ud22c\uc5ec\ud558\uc5ec \ubcf4\uc874\uc801 \uce58\ub8cc \uc2dc\ud589<\/p>\n

3) \ub18d\ud749
\n\u2460 \uc815\uc758
\n– \ud749\ub9c9\uc561\uc5d0 \uc721\uc548\uc73c\ub85c \ud654\ub18d\uc131(\uace0\ub984)\uc774 \ud655\uc778\ub418\uac70\ub098 \uc138\uade0\uc774 \uac80\ucd9c\ub418\ub294 \uc9c8\ud658
\n\u2461 \uc6d0\uc778
\n– \ud3d0\uacb0\ud575, \ud3d0\ub834, \ud3d0\ub18d\uc591, \ub291\ub9c9\uc5fc, \ud749\ubd80 \uc678\uc0c1, \ud749\ubd80 \uc218\uc220 \ud6c4 \uc774\ucc28 \uac10\uc5fc, \ud6a1\uaca9\ub9c9\ud558 \ub18d\uc591, \uc790\ubc1c\uc131 \uae30\ud749\uc758 \ud569\ubcd1\uc99d \ubc0f \uc804\uc2e0 \ud328\ud608\uc99d \ub4f1
\n\u2462 \uc99d\uc0c1
\n– \ubcf4\ud1b5 \ubcd1\ubcc0\uc774 \uc788\ub294 \ucabd\uc758 \ud749\uacfd\uc774 \ubb34\uac81\uace0 \uc870\uc774\ub294 \ub4ef\ud55c \ud749\ud1b5\uc744 \ud638\uc18c
\n– \uc885\uc885 \uae30\uce68\uc744 \ub3d9\ubc18\ud55c \uc804\uc2e0 \ubb34\ub825\uac10\uacfc \uc5f4\uc774 \uc0dd\uae38 \uc218 \uc788\uc74c
\n– \ud638\ud761 \uace4\ub780\uc744 \ub3d9\ubc18\ud55c \ube48\ud638\ud761, \ube48\ub9e5\uc744 \ud638\uc18c
\n– \uccad\uc9c4 \uc18c\uacac\uc73c\ub85c \ubcd1\ubcc0 \ucabd \ud749\uacfd\uc758 \ud638\ud761\uc74c \uac10\uc18c\uc640 \ub9c8\ucc30\uc74c(friction rub)\uc744 \uad00\ucc30 \uac00\ub2a5
\n– \ud749\ubcbd\uc744 \ud0c0\uc9c4\ud558\uba74 \ud1b5\uc99d\uc744 \ub290\ub08c
\n2. \ub300\uc0c1\uc790 \uc815\ubcf4<\/p>\n

1) \uae30\ucd08 \uc790\ub8cc
\n– \uc131\uba85 : \uc804OO
\n– \uc131\ubcc4 \/ \ub098\uc774 : M \/ 81
\n– \ud0a4 \/ \uccb4\uc911 : 170cm \/ 83kg
\n– \uc785\uc6d0\uc77c : 2024.03.06.
\n– \uc785\uc6d0 \uc2dc V\/S : BP 82\/61mmHg, T 36.5\u2103, P 118bpm, RR 14\/min<\/p>\n

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

\ubaa9\ucc28 1. \ubb38\ud5cc\uace0\ucc30 ——————————————————- 3 2. \ub300\uc0c1\uc790 \uc815\ubcf4 —————————————————- 4 3. \uac80\uc0ac\uc885\ub958 \ubc0f \ub0b4\uc6a9 ———————————————- 8 4. \ud22c\uc5ec\uc57d\ubb3c \ubc0f \ub0b4\uc6a9———————————————– 10 5. \uc2dc\ub098\ub9ac\uc624 ——————————————————- 12 6. \uac04\ud638\uacfc\uc815 ——————————————————- 15 7. \ucc38\uace0\ubb38\ud5cc ——————————————————- 19 \ubcf8\ubb38\ub0b4\uc6a9 1) \uc2dd\ub3c4\ucc9c\uacf5 \u2460 \uc815\uc758 – \uc2dd\ub3c4\ucc9c\uacf5\uc740 \uc2dd\ub3c4\uc5d0 \uad6c\uba4d\uc774 \ub6ab\ub9b0 \uac83\uc774\ub2e4. \u2461 \uc6d0\uc778 – \uae30\uad6c\uc5d0 \uc758\ud55c \uc758\uc778\uc131(iatrogenic) \uc190\uc0c1(59%) – \uc790\ubc1c\uc131 \ucc9c\uacf5(15%) – […]<\/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":[9301,52867,5663,52866],"class_list":["post-42180","post","type-post","status-publish","format-standard","hentry","category-uncategorized","tag-__aa","tag-52867","tag-5663","tag-52866"],"_links":{"self":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/42180","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=42180"}],"version-history":[{"count":0,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/42180\/revisions"}],"wp:attachment":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/media?parent=42180"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/categories?post=42180"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/tags?post=42180"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}