{"id":8749,"date":"2025-07-02T09:00:21","date_gmt":"2025-07-02T00:00:21","guid":{"rendered":"https:\/\/blog.agentsoft.co.kr\/index.php\/2025\/07\/02\/8749\/"},"modified":"2025-07-02T09:00:21","modified_gmt":"2025-07-02T00:00:21","slug":"%ec%95%84%eb%8f%99%ea%b0%84%ed%98%b8%ed%95%99-%ec%8b%a4%ec%8a%b5-%ec%bc%80%ec%9d%b4%ec%8a%a4%ec%8a%a4%ed%84%b0%eb%94%94-pda-case-study","status":"publish","type":"post","link":"https:\/\/blog.agentsoft.co.kr\/index.php\/2025\/07\/02\/8749\/","title":{"rendered":"\uc544\ub3d9\uac04\ud638\ud559 \uc2e4\uc2b5 \ucf00\uc774\uc2a4\uc2a4\ud130\ub514 \/ PDA case study"},"content":{"rendered":"

<\/p>\n

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

1. \uc9c8\ubcd1\uc5d0 \ub300\ud55c \uc774\ub860\uc801 \uace0\ucc30<\/p>\n

2. \uac80\uc0ac\uacb0\uacfc
\n\u2460 Hematology
\n\u2461 Blood Chemistry
\n\u2462 ABGA
\n\u2783 \uc601\uc0c1\uac80\uc0ac Infantography
\n\u2784 \uc9c4\ub2e8\ucd08\uc74c\ud30c\uac80\uc0ac<\/p>\n

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

4. \ucd1d\uad04\uc801 \uc18c\uacac<\/p>\n

5. \uac04\ud638\uacc4\ud68d\uae30\ub85d\uc9c0
\n\u2780 \uc6b0\uc120\uc21c\uc704 \uc120\uc815 \uc774\uc720
\n1)\t #1. \ud3d0\ud608\ub958 \uc99d\uac00\uc640 \uad00\ub828\ub41c \ube44\ud6a8\uacfc\uc801 \ud638\ud761\uc591\uc0c1
\n2)\t #2. \ud658\uc544 \uac04\ud638\uc640 \uad00\ub828\ub41c \ud53c\ubd80\ud1b5\ud569\uc131 \uc7a5\uc560
\n3)\t #3. \uc911\uc2ec\uc815\ub9e5\uad00 \uc0bd\uc785\uacfc \uad00\ub828\ub41c \uac10\uc5fc \uc704\ud5d8\uc131
\n\u2781 \uac04\ud638\uacfc\uc815<\/p>\n

6. \ud1f4\uc6d0\uae30\ub85d\uc9c0<\/p>\n

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

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

\ud658\uc544\ub294 2020\ub144 9\uc6d4 3\uc77c 23\uc2dc 36\ubd84\uc5d0 GA 39+2wks (primigravida)\ub85c fatal TOF, FGR \ub85c NSVD Induction \uc73c\ub85c \ubcf8\uc6d0\uc5d0\uc11c \ucd9c\uc0dd\ud558\uc600\ub2e4. \ud574\ub2f9 \ud658\uc544\ub294 \uc5ec\uc544\uc774\uba70, \ucd9c\uc0dd\uc2dc \uccb4\uc911 2690gm, \uc2e0\uc7a5 49cm, \ub450\uc704 21cm\uc774\ub2e4. \ucd9c\uc0dd \ub2f9\uc2dc Apgar score 6\uc810, 8\uc810\uc73c\ub85c ectopic anuse, Fetal heart anomaly, cleft palate \uc218\uc220\uc744 \uc704\ud574 NICU\uc5d0 \ubc14\ub85c \uc785\uc6d0(23\uc2dc 40\ubd84)\ud558\uc600\ub2e4. <\/p>\n

9\uc6d4 3\uc77c \ud56d\ubb38\uc8fc\uc704\uc5d0 \ud53c\ubd80\uc190\uc0c1\uacfc vaginal\uc5d0\uc11c \ud56d\ubb38\uae4c\uc9c0 \uc810\ub9c9\uc774 \ub178\ucd9c\ub418\uc5b4\uc788\uc74c\uc744 \ud655\uc778\ud558\uace0 ectopic anus\ub97c \uc9c4\ub2e8 \ubc1b\uc558\ub2e4. 9\uc6d4 11\uc77c 13\uc2dc 51\ubd84 cut back anoplasty \uc218\uc220\uc744 \uc2e4\uc2dc\ud558\uc600\ub2e4. (wt: 2800gm \ud608\ub2f9: 81, \uccb4\uc628: 36.3) \uc218\uc220 \ub05d\ub09c \ud6c4 16\uc2dc\uc5d0 V\/S 59\/37-125-35-36.7, SpO2 71%\ub85c SMIV\uc758 ventilator setting\uc744 FiO2: 30%\uc5d0\uc11c 50%\ub85c \uc62c\ub838\ub2e4. 19\uc2dc 2\ubd84 \uc218\uc220 \uc0c1\ucc98 \ubd80\uc704(anus) \uad00\ucc30 \ud588\uc744 \ub54c \ubc15\ud2f0\uadf8\ub77c\uc2a4(\ubc18\ucc3d\uace0)\uac00 \ube60\uc838\uc788\uc5b4 NS\uc5d0\uac8c \uc5f0\ub77d\ud558\uc600\ub2e4. \ub610\ud55c 9\uc6d4 18\uc77c 2\uc2dc\uc5d0 anus\uc5d0 \uc18c\ub7c9\uc758 stool\uc774 \ub07c\uc5ec \uc788\uc5c8\uc73c\uba70 NS\uc5d0 irrigation\ud558\uc5ec \uad00\ucc30 \ud558\uace0 \uc788\ub2e4. \uc218\uc220 \uc0c1\ucc98 \ubd80\uc704\ub294 \uae30\uc800\uadc0 \uad50\ud658 \uc2dc \ub9c8\ub2e4 NS 20cc\ub85c \uc138\ucc99\ud558\uace0 \uc788\ub2e4. <\/p>\n

9\uc6d4 5\uc77c \ucd08\uc74c\ud30c \uacb0\uacfc still no gradient large PDA + \uacb0\uacfc\uac00 \ub098\uc654\ub2e4. 9\uc2dc 43\ubd84 PICC 17cm \uc0bd\uc785\uc744 \uc2dc\ud589\ud558\uc600\ub2e4. 9\uc6d4 5\uc77c 1\uc2dc 35\ubd84 \ubb34\ud638\ud761(20\ucd08, \uc2ec\ubc15\ub3d9\uc218 42, \uc0b0\uc18c\uce21\uc815 \uc548\ub428)\uc774 \ubc1c\uc0dd\ud574 \uac15\ud55c \uc790\uadf9\uc744 \uc8fc\uc5b4 \ud68c\ubcf5\ud558\uc600\uc73c\uba70 2\uc2dc 30\ubd84 penbrex 140mg IV, 2\uc2dc 58\ubd84 gentamicin 11mg mix nsicc 4.2cc hr IV\ub97c \ud22c\uc57d\ud558\uc600\ub2e4. 7\uc2dc \uad6c\ud1a0(7cc milky + 20cc air)\ub97c \ud588\ub2e4(\uc2ec\ubc15\ub3d9\uc218 54). 8\uc2dc 10\ubd84 \ud22c\uc57d\uc744 \uc911\uc9c0 \ud558\uc600\ub2e4. 9\uc6d4 7\uc77c \uc218\uba74\uc2dc \ube60\ub978\ud638\ud761 (70-90\ud68c)\uac00 \uc788\uc5c8\ub2e4.<\/p>\n

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

\ubaa9\ucc28 1. \uc9c8\ubcd1\uc5d0 \ub300\ud55c \uc774\ub860\uc801 \uace0\ucc30 2. \uac80\uc0ac\uacb0\uacfc \u2460 Hematology \u2461 Blood Chemistry \u2462 ABGA \u2783 \uc601\uc0c1\uac80\uc0ac Infantography \u2784 \uc9c4\ub2e8\ucd08\uc74c\ud30c\uac80\uc0ac 3. \uc57d\ubb3c 4. \ucd1d\uad04\uc801 \uc18c\uacac 5. \uac04\ud638\uacc4\ud68d\uae30\ub85d\uc9c0 \u2780 \uc6b0\uc120\uc21c\uc704 \uc120\uc815 \uc774\uc720 1) #1. \ud3d0\ud608\ub958 \uc99d\uac00\uc640 \uad00\ub828\ub41c \ube44\ud6a8\uacfc\uc801 \ud638\ud761\uc591\uc0c1 2) #2. \ud658\uc544 \uac04\ud638\uc640 \uad00\ub828\ub41c \ud53c\ubd80\ud1b5\ud569\uc131 \uc7a5\uc560 3) #3. \uc911\uc2ec\uc815\ub9e5\uad00 \uc0bd\uc785\uacfc \uad00\ub828\ub41c \uac10\uc5fc \uc704\ud5d8\uc131 \u2781 \uac04\ud638\uacfc\uc815 6. […]<\/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":[13984,10833,7529,10332,613],"class_list":["post-8749","post","type-post","status-publish","format-standard","hentry","category-uncategorized","tag-pda","tag-10833","tag-7529","tag-10332","tag-613"],"_links":{"self":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/8749","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=8749"}],"version-history":[{"count":0,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/8749\/revisions"}],"wp:attachment":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/media?parent=8749"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/categories?post=8749"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/tags?post=8749"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}