{"id":43565,"date":"2026-06-15T09:01:39","date_gmt":"2026-06-15T00:01:39","guid":{"rendered":"https:\/\/blog.agentsoft.co.kr\/index.php\/2026\/06\/15\/43565\/"},"modified":"2026-06-15T09:01:39","modified_gmt":"2026-06-15T00:01:39","slug":"%ea%b0%91%ec%83%81%ec%84%a0%ec%a0%88%ec%a0%9c%ec%88%a0-case","status":"publish","type":"post","link":"https:\/\/blog.agentsoft.co.kr\/index.php\/2026\/06\/15\/43565\/","title":{"rendered":"\uac11\uc0c1\uc120\uc808\uc81c\uc220 Case"},"content":{"rendered":"

<\/p>\n

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

1. \uc11c \ub860
\n -\uac11\uc0c1\uc0d8(Thyroid gland)\uc758 \ubb38\ud5cc\uace0\ucc30<\/p>\n

2. \ubcf8 \ub860
\n -\ucf00\uc774\uc2a4\uc2a4\ud130\ub514 <left thyroid lobectomy c CLND\ub97c \ubc1b\uc740 \ub300\uc0c1\uc790\uc758 \uc0ac\ub840
\n 1)\uc218\uc220 \uc804 \ub300\uc0c1\uc790 \uc900\ube44\uc0ac\ud56d \ud655\uc778, \uae30\ub85d
\n 2)\uc0ac\ub840\ud658\uc790\uc758 \uc218\uc220\uba85\uc5d0 \ub300\ud55c \ud559\uc2b5
\n 3)\uc0ac\ub840\ud658\uc790\uc758 \uc218\uc220 \uc911 \uac04\ud638\ud65c\ub3d9 \uae30\ub85d
\n 4)\uc0ac\ub840\ud658\uc790\uc758 \ub9c8\ucde8 \ud68c\ubcf5\uc0c1\ud0dc \uae30\ub85d<\/p>\n

3. \uacb0 \ub860 (\ub0b4\uc6a9\uc548\uc801\ud798)
\n \ucc38\uace0\uc790\ub8cc<\/p>\n

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

1) \uac11\uc0c1\uc0d8(Thyroid gland)\uc758 \ubb38\ud5cc\uace0\ucc30<\/p>\n

\uc815\uc758: \uac11\uc0c1\uc0d8\uc740 \uc778\ub450\uc640 \uc55e\ucabd\ubcbd\uc5d0 \ud574\ub2f9\ub418\ub294 \ub0b4\ubc30\uc5fd(endoderm)\uc5d0\uc11c \ubc1c\uc0dd\ud558\ub294 \ubb34\uac8c \uc57d 20~30g, 5\u00d76\u00d71.2cm \uc815\ub3c4\uc758 \ud06c\uae30\ub97c \uac00\uc9c0\ub294 \ub0b4\ubd84\ube44\uc0d8\uc774\ub2e4. <\/p>\n

\uadf8\ub9bc . Thyroid gland <\/p>\n

\uc704\uce58: \ud6c4\ub450\uc640 \uae30\uad00\uc704\ubd80\ubd84\uc758 \uc55e\ucabd \ubaa9 \ubd80\ubd84\uc5d0 \uc704\uce58\ud55c\ub2e4.
\n\uad6c\uc131: \uac11\uc0c1\uc0d8\uc740 \uc88c\uc5fd\uacfc \uc6b0\uc5fd(left and right lobes) \ubc0f \uc774\ub97c \uc5f0\uacb0\ud558\ub294 \uac11\uc0c1\uc0d8 \ud611\ubd80(isthmus)\uc73c\ub85c \uad6c\uc131\ub41c\ub2e4. \uac89\uc740 \ud53c\ub9c9\uc73c\ub85c \uc313\uc5ec \uc788\uace0 \ud53c\ub9c9\uc744 \uc774\ub8e8\ub294 \uacb0\ud569\uc870\uc9c1\uc774 \uc0d8\uc73c\ub85c \ub4e4\uc5b4\uac00\uc11c \uc0d8\uc744 \uc18c\uc5fd(lobule)\uc73c\ub85c \ub098\ub204\uace0 \uc18c\uc5fd\uc740 \uc18c\ud3ec(follicle)\ub85c \uc774\ub8e8\uc5b4\uc838 \uc788\ub2e4. \uc18c\ud3ec \uc548\uc5d0\ub294 TH(\uac11\uc0c1\uc0d8 \ud638\ub974\ubaac)\uc774 \uad50\uc9c8 \uc0c1\ud0dc\ub85c \ucc44\uc6cc\uc838 \uc788\ub2e4. \uc18c\ud3ec\uc0ac\uc774\uc758 \uac04\uc9c8\uc870\uc9c1\uc5d0\ub294 5th pharyngeal pouch\uac00 \uc788\uace0 \uc5ec\uae30\uc11c\ub294 \ud608\uc911 \uce7c\uc298\ub18d\ub3c4\ub97c \uc870\uc808\ud558\ub294 calcitonin\uc774 \ubd84\ube44\ub41c\ub2e4.<\/p>\n

\uac11\uc0c1\uc0d8 \ud638\ub974\ubaac(thyroid hormone)
\n\uac11\uc0c1\uc0d8 \ud638\ub974\ubaac\uc740 \ubaa8\ub4e0 \uc2e0\uccb4\uccb4\uacc4\uc640 \uad00\ub828\uc774 \uc788\uace0 \uc5ec\ub7ec \uc870\uc9c1\uacfc \uae30\uad00\uc5d0 \uad11\ubc94\uc704\ud55c \uc0dd\ub9ac\uc791\uc6a9\uc744 \ud55c\ub2e4.<\/p>\n

\uac11\uc0c1\uc0d8 \ud638\ub974\ubaac\uc758 \uc8fc\uc694 \uae30\ub2a5
\n\ub300\uc0ac\uc791\uc6a9
\n\ub2e8\ubc31\uc9c8 \ud569\uc131\uacfc \ubd84\ud574\ub97c \ucd09\uc9c4
\n\u318d\uc18c\ub7c9\uc758 \uac11\uc0c1\uc0d8 \ud638\ub974\ubaac\uc740 \ub2e8\ubc31\uc9c8 \ud569\uc131\uc744 \ucd09\uc9c4; \ub300\ub7c9\uc758 \uac11\uc0c1\uc0d8\ud638\ub974\ubaac\uc740 \uc74c\uc131\uc9c8\uc18c \uade0\ud615(negative nitrogen balance)\uc774 \ub420 \uc815\ub3c4\ub85c \uc774\ud654\uc791\uc6a9\uc744 \ucd09\uc9c4
\n\ud0c4\uc218\ud654\ubb3c
\n\ub300\uc0ac
\n\ub0b4\ub2f9\ub2a5(glucose tolerance)\uc774 \uc800\ud558\ub418\uc5b4 \ud608\ub2f9\uc744 \uc0c1\uc2b9\uc2dc\ud0a8\ub2e4
\n\u318d\uc7a5(gut)\uc5d0\uc11c \ud3ec\ub3c4\ub2f9\uacfc \uac08\ub77d\ud1a0\uc624\uc2a4 \ud761\uc218\ub97c \ucd09\uc9c4
\n\u318dT4\ub294 \ud3ec\ub3c4\ub2f9 \uc2e0\uc0dd\uc791\uc6a9(gluconeogenesis)\uacfc \uc138\ud3ec\uc758 \ud3ec\ub3c4\ub2f9 \uc774\uc6a9\uc744 \uc790\uadf9
\n\u318d\ub2e8\ubc31\uc9c8\ub85c\ubd80\ud130 \ud3ec\ub3c4\ub2f9 \uc0dd\uc0b0\uc744 \uc99d\uac00\uc2dc\ud0b4
\n\u318d\uac04\uc5d0\uc11c glycogenolysis\ub97c \ucd09\uc9c4
\n\u318d\ud0c4\uc218\ud654\ubb3c\ub300\uc0ac\uc5d0 \ub300\ud55c epinephrine\uacfc norepinephrine\uc758 \uc791\uc6a9\uc744 \uc870\uc808
\n\uc9c0\ubc29\ub300\uc0ac
\n\u318dT4\ub294 \uc9c0\ubc29\ubd84\ud574, \ud569\uc131, \uc774\ub3d9\uc5d0 \uc601\ud5a5\uc744 \uc90c
\n\u318d\ucf5c\ub808\uc2a4\ud14c\ub864 \ud569\uc131\uacfc \uc21c\ud658\uacc4\uc5d0\uc11c\uc758 \ucf5c\ub808\uc2a4\ud14c\ub864 \uc81c\uac70\uae30\uc804\uc744 \uc790\uadf9<\/p>\n

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

\ubaa9\ucc28 1. \uc11c \ub860 -\uac11\uc0c1\uc0d8(Thyroid gland)\uc758 \ubb38\ud5cc\uace0\ucc30 2. \ubcf8 \ub860 -\ucf00\uc774\uc2a4\uc2a4\ud130\ub514 <left thyroid lobectomy c CLND\ub97c \ubc1b\uc740 \ub300\uc0c1\uc790\uc758 \uc0ac\ub840 1)\uc218\uc220 \uc804 \ub300\uc0c1\uc790 \uc900\ube44\uc0ac\ud56d \ud655\uc778, \uae30\ub85d 2)\uc0ac\ub840\ud658\uc790\uc758 \uc218\uc220\uba85\uc5d0 \ub300\ud55c \ud559\uc2b5 3)\uc0ac\ub840\ud658\uc790\uc758 \uc218\uc220 \uc911 \uac04\ud638\ud65c\ub3d9 \uae30\ub85d 4)\uc0ac\ub840\ud658\uc790\uc758 \ub9c8\ucde8 \ud68c\ubcf5\uc0c1\ud0dc \uae30\ub85d 3. \uacb0 \ub860 (\ub0b4\uc6a9\uc548\uc801\ud798) \ucc38\uace0\uc790\ub8cc \ubcf8\ubb38\ub0b4\uc6a9 1) \uac11\uc0c1\uc0d8(Thyroid gland)\uc758 \ubb38\ud5cc\uace0\ucc30 \uc815\uc758: \uac11\uc0c1\uc0d8\uc740 \uc778\ub450\uc640 \uc55e\ucabd\ubcbd\uc5d0 \ud574\ub2f9\ub418\ub294 \ub0b4\ubc30\uc5fd(endoderm)\uc5d0\uc11c \ubc1c\uc0dd\ud558\ub294 […]<\/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":[28638,53433,15354,12788,54176,31099,54175,1480],"class_list":["post-43565","post","type-post","status-publish","format-standard","hentry","category-uncategorized","tag-28638","tag-a--","tag-covid-19-","tag-12788","tag-54176","tag-31099","tag-54175","tag-1480"],"_links":{"self":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/43565","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=43565"}],"version-history":[{"count":0,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/43565\/revisions"}],"wp:attachment":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/media?parent=43565"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/categories?post=43565"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/tags?post=43565"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}