{"id":52701,"date":"2026-09-14T09:02:48","date_gmt":"2026-09-14T00:02:48","guid":{"rendered":"https:\/\/blog.agentsoft.co.kr\/index.php\/2026\/09\/14\/52701\/"},"modified":"2026-09-14T09:02:48","modified_gmt":"2026-09-14T00:02:48","slug":"%ec%84%b1%ec%9d%b8%ea%b0%84%ed%98%b8%ed%95%99-%ec%82%ac%eb%a1%80%eb%b3%b4%ea%b3%a0%ec%84%9c-casestudy-nsicu-%ec%8b%a4%ec%8a%b5-%eb%a7%8c%ec%84%b1-%ed%8f%90%ec%87%84%ec%84%b1-%ed%8f%90%ec%a7%88","status":"publish","type":"post","link":"https:\/\/blog.agentsoft.co.kr\/index.php\/2026\/09\/14\/52701\/","title":{"rendered":"\uc131\uc778\uac04\ud638\ud559 \uc0ac\ub840\ubcf4\uace0\uc11c CASESTUDY (NSICU \uc2e4\uc2b5) \ub9cc\uc131 \ud3d0\uc1c4\uc131 \ud3d0\uc9c8\ud658 COPD, Acute cholecystitis (\ube44\ud6a8\uacfc\uc801 \ud638\ud761\uc591\uc0c1)"},"content":{"rendered":"

<\/p>\n

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

1. Assessment
\n 1) \uc77c\ubc18\uc801 \uc815\ubcf4
\n 2) \ubcd1\ub825
\n 3) \uc0ac\ub840\ud658\uc790\uc758 \uc9c8\ubcd1 \uc870\uc0ac \uacb0\uacfc \uae30\uc220
\n 4) \uc2e0\uccb4 \uac80\uc9c4<\/p>\n

2. \ud22c\uc5ec\ub418\ub294 \uc57d\ubb3c<\/p>\n

3. \uc9c4\ub2e8\uac80\uc0ac<\/p>\n

4. \uac04\ud638\uacfc\uc815
\n 1) \uac04\ud638\uc0ac\ub840 \uc694\uc57d
\n 2) \uac04\ud638\uc9c4\ub2e8
\n 3) \uac04\ud638\uacfc\uc815 \uc801\uc6a9<\/p>\n

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

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

2) \ubcd1\ub825 <\/p>\n

(1) \uc8fc\uc99d\uc0c1 :
\n\uc785\uc6d0\uc2dc \u2013 \uc804\uc2e0\ud5c8\uc57d\uac10, \ubcf5\ubd80\ud33d\ub9cc\uac10 \ubc0f \ubcc0\ube44, \uc6b0\uc0c1\ubcf5\ubd80\ud1b5\uc99d(NRS 3\uc810)
\n\ud604\uc7ac – \uc804\uc2e0\ud5c8\uc57d\uac10<\/p>\n

(2) \ud604\ubcd1\ub825
\n\u2460 \ubc1c\ubcd1 \uc2dc\ubd80\ud130 \ubcd1\uc6d0\uc5d0 \uc624\uae30\uae4c\uc9c0\uc758 \uc0c1\ud669 \u2013 \ubcf8\uc6d0\uc5d0\uc11c \ud654\ubaa9\ud1a0 \ud22c\uc11d\ud558\ub294 \ud658\uc790\ubd84\uc73c\ub85c \ud22c\uc11d \uc704\ud574 \uc2dc\ud589\ud55c lab \uac80\uc0ac\uc0c1 WBC, CRP elevation \ubcf4\uc5ec \ud22c\uc11d \ud6c4 \uc751\uae09\uc2e4 refer \ub428. 10\uc77c\uc804\ubd80\ud130 \uac11\uc790\uae30 \uc2dd\uc695\uc774 \uc5c6\uc5b4\uc9c0\uace0 2-3\uc218\uc800\ubc16\uc5d0 \uc2dd\uc0ac \ubabb\ud568. 2-3\uc77c \uc804\ubd80\ud130 \uad6c\ud1a0 \uc99d\uc0c1 \uc788\uc5c8\uc74c.
\n\u2461 \ubcd1\uc6d0 \ub3c4\ucc29\uc2dc \ub300\uc0c1\uc790\uc758 \uc0c1\ud0dc \ubc0f \uc911\ud658\uc790\uc2e4 \uc785\uc2e4 \uc804\uae4c\uc9c0\uc758 \uacbd\uacfc \u2013 APCT \uc0c1 r\/o acalculous cholecystitis \uc18c\uacac\uc73c\ub85c \uacbd\ud53c\uc801 \ub2f4\ub0ad \ubc30\uc561\uc220(Percutaneous transhepatic biliary drainage, PTGBD) insertion \ud6c4 \ubcd1\uc2e4 \uc62c\ub77c\uc634. \uc785\uc6d0 \uc2dc \uc804\uc2e0\uc704\uc57d\uac10, \ubcf5\ubd80\ud33d\ub9cc\uac10 \ubc0f \ubcc0\ube44 \uc788\uc5c8\uc73c\uba70 \uc57d\ud55c \ubcf5\ubd80\ud1b5\uc99d \ud638\uc18c\ud558\uc600\uc74c. 11\uc6d4 22\uc77c \uc624\uc804 6\uc2dc 40\ubd84 \uacbd X-ray \uc704\ud574 \uac04\ubcd1\uc0ac\uc640 \uac19\uc774 \ud658\uc790 \ud720\uccb4\uc5b4\ub85c \uc62e\uae30\ub824\ub294 \uacfc\uc815\uc5d0\uc11c \uac11\uc790\uae30 \uc2dd\uc740\ub540 \ud758\ub9ac\uba70 \uc785\uc220 \ud30c\ub797\uac8c \ub418\uba70, \uc591\uc190 \ub5a0\ub294 \ubaa8\uc2b5 \uad00\ucc30\ub428. \ud720\uccb4\uc5b4\uc5d0 \uc81c\ub300\ub85c \uc549\uc544\uc788\uc9c0 \ubabb\ud558\uace0 \ubaa9\uc774 \ub4a4\ub85c \ub118\uc5b4\uac00\ub294 \ubaa8\uc2b5 \ubcf4\uc784. \uc9c8\ubb38\uc5d0 \ub300\ub2f5\ud558\uc9c0 \ubabb\ud558\uace0 \uc758\uc2dd \uc783\ub294 \ubaa8\uc2b5 \ubcf4\uc784. SpO2 \uce21\uc815\uc548\ub418\uc5b4 02 15L \uc801\uc6a9\ud558\uc5ec \ucc98\uce58\uc2e4\ub85c \uc774\ub3d9\ud568. \ud658\uc790 drowsy\ud55c \uc0c1\ud0dc\ub85c \uac00\uc2b4 \uc544\ud504\ub2e4\uace0 \ud638\uc18c\ud568. abd CT \uac80\uc0ac \ud6c4 NSICU \uc634.
\n\u2462 \uc785\uc2e4 \ud6c4 \ud604\uc7ac\uae4c\uc9c0\uc758 \uacbd\uacfc \u2013 \uace0\uc720\ub7c9 \ube44\uac15\uce90\ub27c\ub77c(High Flow Nasal Cannula, HFNC) \uc801\uc6a9\uc911\uc774\uba70, \ub0b4\uacfc\uc801 \uce58\ub8cc\ub85c \uc5fc\uc99d\uc744 \uc870\uc808\ud558\uba70 \uacbd\uacfc \uad00\ucc30 \uc911\uc784. \uacbd\uacfc \uc9c0\ucf1c\ubcf4\ub2e4 \uad1c\ucc2e\uc544\uc9c0\uba74 \ud1f4\uc6d0\ud560 \uc218 \uc788\uc73c\ub098 \uc7ac\ubc1c \ubc29\uc9c0 \ubc0f \uadfc\ubcf8\uc801 \uce58\ub8cc\ub97c \uc704\ud574 11\/30 Laparoscopic cholecystectomy(\ubcf5\uac15\uacbd \ub2f4\ub0ad\uc808\uc81c\uc220) \uc218\uc220 \uc2dc\ud589\ud568. \ub2f4\ub0ad\uc5fc \uc218\uc220 \uc2dc, \ub2f9\ub1e8 \ubc1c\uac00\ub77d \uc808\ub2e8 \uc218\uc220 \ud568\uaed8 \uc2dc\ud589\ud568. \uc218\uc220 \ud6c4 \uacbd\uacfc \uad00\ucc30\ud558\ub2e4 12\/2 \uc77c\ubc18 \ubcd1\ub3d9\uc73c\ub85c \uc774\uc2e4\ud568.<\/p>\n

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

\ubaa9\ucc28 1. Assessment 1) \uc77c\ubc18\uc801 \uc815\ubcf4 2) \ubcd1\ub825 3) \uc0ac\ub840\ud658\uc790\uc758 \uc9c8\ubcd1 \uc870\uc0ac \uacb0\uacfc \uae30\uc220 4) \uc2e0\uccb4 \uac80\uc9c4 2. \ud22c\uc5ec\ub418\ub294 \uc57d\ubb3c 3. \uc9c4\ub2e8\uac80\uc0ac 4. \uac04\ud638\uacfc\uc815 1) \uac04\ud638\uc0ac\ub840 \uc694\uc57d 2) \uac04\ud638\uc9c4\ub2e8 3) \uac04\ud638\uacfc\uc815 \uc801\uc6a9 5. \ucc38\uace0\ubb38\ud5cc \ubcf8\ubb38\ub0b4\uc6a9 2) \ubcd1\ub825 (1) \uc8fc\uc99d\uc0c1 : \uc785\uc6d0\uc2dc \u2013 \uc804\uc2e0\ud5c8\uc57d\uac10, \ubcf5\ubd80\ud33d\ub9cc\uac10 \ubc0f \ubcc0\ube44, \uc6b0\uc0c1\ubcf5\ubd80\ud1b5\uc99d(NRS 3\uc810) \ud604\uc7ac – \uc804\uc2e0\ud5c8\uc57d\uac10 (2) \ud604\ubcd1\ub825 \u2460 \ubc1c\ubcd1 […]<\/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":[28638,57817,14500,14195,11262],"class_list":["post-52701","post","type-post","status-publish","format-standard","hentry","category-uncategorized","tag-28638","tag-case-study","tag-case--copd","tag-nsicu","tag-11262"],"_links":{"self":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/52701","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=52701"}],"version-history":[{"count":0,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/52701\/revisions"}],"wp:attachment":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/media?parent=52701"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/categories?post=52701"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/tags?post=52701"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}