{"id":42799,"date":"2026-06-07T09:02:41","date_gmt":"2026-06-07T00:02:41","guid":{"rendered":"https:\/\/blog.agentsoft.co.kr\/index.php\/2026\/06\/07\/42799\/"},"modified":"2026-06-07T09:02:41","modified_gmt":"2026-06-07T00:02:41","slug":"a-%ec%84%b1%ec%9d%b8%ea%b0%84%ed%98%b8%ed%95%99-%eb%8b%b4%eb%82%ad%ec%95%94-%ec%82%ac%eb%a1%80%eb%b3%b4%ea%b3%a0%ec%84%9c-29%ec%aa%bd-%eb%ac%b8%ed%97%8c%ea%b3%a0%ec%b0%b0-o-%ea%b0%84%ed%98%b8","status":"publish","type":"post","link":"https:\/\/blog.agentsoft.co.kr\/index.php\/2026\/06\/07\/42799\/","title":{"rendered":"A+ \uc131\uc778\uac04\ud638\ud559 \ub2f4\ub0ad\uc554 \uc0ac\ub840\ubcf4\uace0\uc11c 29\ucabd (\ubb38\ud5cc\uace0\ucc30 O, \uac04\ud638\uc9c4\ub2e8 6\uac1c, \uac04\ud638\uacfc\uc815 2\uac1c, \uc9c4\ub2e8\uac80\uc0ac O, \uc57d\ubb3c O, PBL O)"},"content":{"rendered":"

<\/p>\n

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

1. PBL\uc744 \ud1b5\ud55c \uac04\ud638\uc0ac\ub840<\/p>\n

2. \ubb38\ud5cc\uace0\ucc30<\/p>\n

3. \uc9c4\ub2e8\uac80\uc0ac
\n \u22ef\u22ef\u22ef\u22ef\u22ef\u22ef\u22ef\u22ef 1) \uc77c\ubc18\ud608\uc561\uac80\uc0ac
\n \u22ef\u22ef\u22ef\u22ef\u22ef\u22ef\u22ef\u22ef 2) \ud608\uccad\ud654\ud559\uac80\uc0ac
\n \u22ef\u22ef\u22ef\u22ef\u22ef\u22ef\u22ef\u22ef 3) \ud608\uc561\uc751\uace0\uac80\uc0ac
\n \u22ef\u22ef\u22ef\u22ef\u22ef\u22ef\u22ef\u22ef 4) \uba74\uc5ed\ud608\uccad\uac80\uc0ac
\n \u22ef\u22ef\u22ef\u22ef\u22ef\u22ef\u22ef\u22ef 5) \uac1d\ub2f4, \uc18c\ubcc0, \ub300\ubcc0\uac80\uc0ac \ub4f1
\n \u22ef\u22ef\u22ef\u22ef\u22ef\u22ef\u22ef\u22ef 6) \uc601\uc0c1\uc758\ud559\uac80\uc0ac \ub4f1 \ud2b9\uc218\uac80\uc0ac <\/p>\n

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

5. \uac04\ud638\uacfc\uc815 \u22ef\u22ef\u22ef\u22ef 1) \uac04\ud638\uacfc\uc815 #1 \uc885\uc591\uacfc \uad00\ub828\ub41c \uae09\uc131 \ud1b5\uc99d
\n \u22ef\u22ef\u22ef\u22ef 2) \uac04\ud638\uacfc\uc815 #2 \uce68\uc2b5\uc801 \ucc98\uce58\uc640 \uad00\ub828\ub41c \uac10\uc5fc\uc758 \uc704\ud5d8 <\/p>\n

6. Reference<\/p>\n

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

* \ub300\uc0c1\uc790 \uac04\ub7b5 \uc815\ubcf4(\ud604\uc7ac\ub825)<\/p>\n

\uc131\ubcc4
\n \uc5ec
\n\ub098\uc774
\n\ub9cc **\uc138
\n\uc785\uc6d0\uc77c
\n\uc804\ub3d9\uc77c
\n20**\ub144 **\uc6d4 **\uc77c
\n\uc218\uc220\uc77c
\n\uc218\uc220\uba85
\n20**\ub144 **\uc6d4 **\uc77c -> ERCP
\n\uc9c4\ub2e8\uba85
\n\u2460 Malignant neoplasm of biliary tract, unspecified CA 19-9 172
\n\u2461 Cholangitis
\n\u2462 Hypertension(arterial)(essential)(primary)(systemic)
\nC\/C
\njaundice, \uc2dd\uc695\uc800\ud558<\/p>\n

1. PBL\uc744 \ud1b5\ud55c \uac04\ud638\uc0ac\ub840<\/p>\n

\uf09f Sex\/Age : Female\/**\uc138
\n\uf09f Ht\/Bw : 163cm\/63kg
\n\uf09f Allergy : \uc74c\uc2dd \uc54c\ub7ec\uc9c0(\uc720) -> \uace0\uae30 \uc885\ub958(but \ub2ed\uace0\uae30\ub294 \uc81c\uc678)
\n\uf09f \ub3d9\ud589\uc790 : \ub3d9\uc0dd
\n\uf09f P\/Hx : 5\ub144 \uc804 Hypertension(local)
\n\uf09f C\/C : 15\uc77c \uc804\ubd80\ud130 \uc0dd\uae34 jaundice\ub97c \uc8fc\uc18c\ub85c \ubcf8\uc6d0 \uc751\uae09\uc2e4\ub85c \ub0b4\uc6d0. 2\uc8fc \uc804\ubd80\ud130 \uc778\uc9c0\ud558\uc600\uc73c\uba70, \uc2dd\uc695\uc800\ud558, \uccb4\uc911\uac10\uc18c
\n\uf09f ER \ub3c4\ucc29\uc2dc\uac04 : **\uc2dc **\ubd84(\uc678\ubd80\uc5d0\uc11c \uc804\ubb38\uc751\uae09\uc758\ub8cc\ub97c \uc694\ud558\uc5ec \uc0c1\uae09\ubcd1\uc6d0\uc73c\ub85c \uc804\uc6d0)
\n\uf09f ER\uc5d0\uc11c \ucd08\uc9c4 : \ubcf5\ubd80 \ud33d\ub9cc (-) \/ dyspnea (-) \/ \uc18c\ubcc0 \uc0c9\uae54 \uc9c4\ud574\uc9d0 (+)
\nlast NPO : **\uc6d4 **\uc77c \uc810\uc2ec(12pm) \/ last defecation : **\uc6d4 **\uc77c \uc544\uce68, stool color n-s
\n\uf09f \uc785\uc6d0\uc77c : 20**\ub144 **\uc6d4 **\uc77c
\n\uf09f \uc785\uc6d0 \uc2dc V\/S : 36.3\u2103 – 68\ud68c\/min \u2013 14\ud68c\/min \u2013 120\/80mmHg \/ \uc624\ud55c(-)
\n\uf09f \uac00\uc871\ub825 (\ubb34) \/ \uc74c\uc8fc (\ubb34) \/ \ud761\uc5f0 (\ubb34) \/ \uc885\uad50 : \ubb34\uad50 \/ \ubcf5\uc6a9 \uc911\uc778 \uc57d : \ud608\uc555\uc57d
\n\uf09f \uc815\uc11c : \ubd88\uc548 \/ \uce58\uc544 : \ubd88\ub7c9(\uc784\ud50c\ub780\ud2b82X) \/ \ud53c\ubd80 \uc0c1\ud0dc : \ud669\ub2ec<\/p>\n

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

\ubaa9\ucc28 1. PBL\uc744 \ud1b5\ud55c \uac04\ud638\uc0ac\ub840 2. \ubb38\ud5cc\uace0\ucc30 3. \uc9c4\ub2e8\uac80\uc0ac \u22ef\u22ef\u22ef\u22ef\u22ef\u22ef\u22ef\u22ef 1) \uc77c\ubc18\ud608\uc561\uac80\uc0ac \u22ef\u22ef\u22ef\u22ef\u22ef\u22ef\u22ef\u22ef 2) \ud608\uccad\ud654\ud559\uac80\uc0ac \u22ef\u22ef\u22ef\u22ef\u22ef\u22ef\u22ef\u22ef 3) \ud608\uc561\uc751\uace0\uac80\uc0ac \u22ef\u22ef\u22ef\u22ef\u22ef\u22ef\u22ef\u22ef 4) \uba74\uc5ed\ud608\uccad\uac80\uc0ac \u22ef\u22ef\u22ef\u22ef\u22ef\u22ef\u22ef\u22ef 5) \uac1d\ub2f4, \uc18c\ubcc0, \ub300\ubcc0\uac80\uc0ac \ub4f1 \u22ef\u22ef\u22ef\u22ef\u22ef\u22ef\u22ef\u22ef 6) \uc601\uc0c1\uc758\ud559\uac80\uc0ac \ub4f1 \ud2b9\uc218\uac80\uc0ac 4. \uc57d\ubb3c 5. \uac04\ud638\uacfc\uc815 \u22ef\u22ef\u22ef\u22ef 1) \uac04\ud638\uacfc\uc815 #1 \uc885\uc591\uacfc \uad00\ub828\ub41c \uae09\uc131 \ud1b5\uc99d \u22ef\u22ef\u22ef\u22ef 2) \uac04\ud638\uacfc\uc815 #2 \uce68\uc2b5\uc801 \ucc98\uce58\uc640 \uad00\ub828\ub41c \uac10\uc5fc\uc758 \uc704\ud5d8 6. Reference […]<\/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":[53438,53437,53434,53433,53435,53436,45629],"class_list":{"0":"post-42799","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"hentry","6":"category-uncategorized","7":"tag-a--","11":"tag-53435","12":"tag-53436","13":"tag-45629"},"_links":{"self":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/42799","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=42799"}],"version-history":[{"count":0,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/42799\/revisions"}],"wp:attachment":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/media?parent=42799"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/categories?post=42799"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/tags?post=42799"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}