SILVER
SILVER ๋“ฑ๊ธ‰์˜ ํŒ๋งค์ž ์ž๋ฃŒ

[A+ ์„ฑ์่œ๊ฐ„ํ˜ธํ•™ ์‹ค์Šต ์ผฟ’์ด์Šค์Šคํ„ฐ๋””] / ์ทŒ์žฅ์•”(pancreatic cancer) ์ผ€์ด์Šค ์Šคํ„ฐ๋””(๋ฌธํ—Œ๊ณ ์ฐฐ, ๋ณ‘ํƒœ์ƒ๋ฆฌ, ๊ฐ„ํ˜ธ๊ณผ์ •)

25 ํŽ˜์ด์งฟ’
์›Œ๋“œ
์ตœ์ดˆ๋“ฑ๋ก์ผ 2020.09.04 ์ตœ์ข…์ ฟ’์ž‘์ผ 2019.09
25P ๋ฏธ๋้ฉ๋ณด๊ธฐ
[A+ ์„ฑ์่œ๊ฐ„ํ˜ธํ•™ ์‹ค์Šต ์ผฟ’์ด์Šค์Šคํ„ฐ๋””] / ์ทŒ์žฅ์•”(pancreatic cancer) ์ผ€์ด์Šค ์Šคํ„ฐ๋””(๋ฌธํ—Œ๊ณ ์ฐฐ, ๋ณ‘ํƒœ์ƒ๋ฆฌ, ๊ฐ„ํ˜ธ๊ณผ์ •)
  • ๋ฏธ๋้ฉ๋ณด๊ธฐ

    ์†Œ๊ฐœ

    ์•ˆ๋…•ํ•˜์„ธ์š”.

    ์ทŒ์žฅ์•” ์ผ€์ด์Šค ์Šคํ„ฐ๋”” ์ž…๋‹ˆ๋‹ค. ํ™˜์ž์˜ ๊ฐœ์ธ์ •๋ณด๊ฐ€ ํฌํ•จ๋˜์–ด ์žˆ๋Š” ๋‚ด์šฉ์€ ๋ชจ๋‘ ์ง€์šฐ๊ณ  ํ˜•์‹๋งŒ ๋‚จ๊ฒจ๋‘์—ˆ์Šต๋‹ˆ๋‹ค. (๊ฒ€์‚ฌ์ˆ˜์น˜, ๊ฒ€์‚ฌ ๋‚ ์งœ/์ •์ƒ ์ˆ˜์น˜๋Š” ์ž…๋ ฅ๋˜์–ด ์žˆ์Šต๋‹ˆ๋‹ค:)

    ๋‚ด์šฉ๊ณผ ๊ฐ€๋…์„ฑ์— ์ค‘์ ์„ ๋‘๊ณ  ๊ณผ์ œ๋ฅผ ์ž‘์„ฑํ•˜์˜€์Šต๋‹ˆ๋‹ค.

    ๊ฐ„ํ˜ธ์ง„๋‹จ์€ 5๊ฐœ, ๊ฐ„ํ˜ธ๊ณผ์ •์€ 3๊ฐœ ์ž…๋‹ˆ๋‹ค. (์ง„๋‹จ๊ฐ€์ด๋“œ ์ฑ…์ž, ๊ตญ๋‚ด์™ธ ํ•™์ˆ ์ง€ ๋…ผ๋ๅฉ ์ฐธ๊ณ ํ•˜์—ฌ ์ž‘์„ฑ)

    ์ผ€์ด์Šค ์ž‘์„ฑ์— ์–ด๋ ค์›€์ด ์žˆ์œผ์‹  ๋ถ„๋“ค์—๊ฒŒ ๋„์›€์ด ๋์œผ๋ฉด ์ข‹๊ฒ ์Šต๋‹ˆ๋‹ค. ๊ฐ์‚ฌํ•ฉ๋‹ˆ๋‹ค:)

    ๋ชฉ์ฐจ

    โ… . ๋ฌธํ—Œ๊ณ ์ฐฐ
    1. ์ทŒ์žฅ์˜ ๊ตฌ์กฐ
    2. ์ทŒ์žฅ์˜ ์™ธ๋ถ„๋น„ ๊ธฐ๋Šฅ
    3. Pancreatic Cancer(์ทŒ์žฅ์•”)

    โ…ก. ๋Œ€์ƒ์ž ์ •๋ณด
    1. ๊ฐ„ํ˜ธ๋ ฅ
    2. ๊ฐ„ํ˜ธ๊ณผ์ •
    1) ์ธ์ ์‚ฌํ•ญ
    2) ํ™œ๋ ฅ์ง•ํ›„
    3) ์ง„๋‹จ ๋ฐ ๊ณ„ํš์„ ์œ„ํ•œ ์ž๋ฃŒ: ํˆฌ์•ฝ, ์ง„๋‹จ๊ฒ€์‚ฌ, ํŠน์ˆ˜๊ฒ€์‚ฌ, ๊ฐ„ํ˜ธ๊ธฐ๋ก

    โ…ข. ๊ฐ„ํ˜ธ๊ณผ์ •
    1. ๋Œ€์ƒ์ž์˜ ๋ชจ๋“  ๊ฐ„ํ˜ธ๋ฌธ์ œ ๋ชฉ๋ก
    2. ๊ฐ„ํ˜ธ์ง„๋‹จ

    โ…ฅ. ์ฐธ๊ณ ๋ฌธํ—Œ

    ๋ณธ๋ๅฉ๋‚ด์šฉ

    โ… . ๋ฌธํ—Œ๊ณ ์ฐฐ
    1. ์ทŒ์žฅ์˜ ๊ตฌ์กฐ
    ์ทŒ์žฅ์€ ๊ฐ„ ๋‹ค์Œ์œผ๋กœ ํฐ ์†Œํ™”์ƒ˜์ด๋ฉฐ ์œ„์˜ ๋’ค์ชฝ์— ์œ„์น˜ํ•˜๊ณ  ์žˆ๋Š” ํšŒ๋ฐฑ์ƒ‰์˜ ์žฅ๊ธฐ์ด๋‹ค.
    ์ทŒ์žฅ ๋จธ๋ฆฌ๋Š” ์‹ญ์ด์ง€์žฅ์˜ ๋งŒ๊ณ ๊ตฌ์— ๋†“์—ฌ ์žˆ๊ณ  ์ทŒ์žฅ ๊ผฌ๋ฆฌ๋Š” ์™ผ์ชฝ์— ์žˆ๋Š” ๋น„์žฅ์— ๋‹ฟ๋Š”๋‹ค. ์ทŒ๊ด€(duct of Wirsung)์€ ์ทŒ์žฅ ๊ผฌ๋ฆฌ์—์„œ ์‹œ์ž‘ํ•˜์—ฌ ๋จธ๋ฆฌ๋ฅผ ํ–ฅํ•˜์—ฌ ์ˆ˜ํ‰์œผ๋กœ ์ฃผํ–‰ํ•˜๋ฉฐ, ๋งŽ์€ ์ฒด๊ด€๊ณผ ์—ฐ๊ฒฐ๋˜๋ฉฐ ๊ฒฐ๊ตญ ์ด๋‹ด๊ด€๊ณผ ํ•ฉ์ณ์„œ ์‹ญ์ด์ง€์žฅ์— ์œ„์น˜ํ•˜๋Š” ๋ฐ”ํ„ฐํŒฝ๋Œ€๋ถ€(ampulla of Vater)๋กœ ์—ฐ๊ฒฐ๋œ๋‹ค. ์‹ญ์ด์ง€์žฅ์˜ ๋ฐ”ํ„ฐํŒฝ๋Œ€๋ถ€์˜ ์˜ค๋”” ๊ด„์•ฝ๊ทผ์€ ์‹ญ์ด์ง€์žฅ์œผ๋กœ ๋“ค์–ด๊ฐ€๋Š” ๋‹ด์ฆ™๊ณผ ์ทŒ์žฅ์•ก์˜ ๋ฐฉ์ถœ์„ ์กฐ์ ˆํ•œ๋‹ค.

    <์ค‘ ๋žต>

    โ…ข. ๊ฐ„ํ˜ธ๊ณผ์ •
    1. ๋Œ€์ƒ์ž์˜ ๋ชจ๋“  ๊ฐ„ํ˜ธ๋ฌธ์ œ ๋ชฉ๋ก
    1) ์ˆ˜์ˆ ๋ถ€์œ„์™ฟ’ ๊ด€๋ จ๋œ ๊ธ‰์„ฑํ†ต์ฆ
    2) ์นจ์Šต์  ์ฒ˜์น˜์™ฟ’ ๊ด€๋ จ๋œ ๊ฐ์—ผ์˜ ์œ„ํ—˜
    3) ์ธ์А๋ฆฐ ๋ถ„๋น„๊ธฐ๋Šฅ ์ €ํ•˜์™ฟ’ ๊ด€๋ จ๋œ ์ €ํ˜ˆ๋‹น์˜ ์œ„ํ—˜
    4) ์ˆ˜์ˆ  ํ›„ ์ผ์ƒ์ƒํ™œ๊ณผ ๊ด€๋ จ๋œ ์ง€์‹๋ถ€์กฑ
    5) ์ˆ˜์ˆ  ์ ˆ๊ฐœ๋ถ€์œ„์™ฟ’ ๊ด€๋ จ๋œ ์ถœํ˜ˆ์œ„ํ—˜

    2. ๊ฐ„ํ˜ธ์ง„๋‹จ
    1) ๊ธ‰์„ฑํ†ต์ฆ
    ๋‚ ์งœ ๊ฐ„ํ˜ธ์ง„๋‹จ ์ˆ˜์ˆ ๋ถ€์œ„์™ฟ’ ๊ด€๋ จ๋œ ํ†ต์ฆ
    ์ฃผ๊ด€์ ์ž๋ฃŒ โ€œ์šฑ์‹ ์šฑ์‹  ์ˆ˜์‹œ๋Š” ๋“ฏ์ด ์•„ํŒŒ์š”โ€
    ๊ฐ๊ด€์  ์ž๋ฃŒ 2019
    (17:00)
    ์ˆ˜์ˆ ๋ถ€์œ„ ํ†ต์ฆ(์ ์ˆ˜: 5์ , ๋นˆ๋„: ๊ฐ„ํ—์ )
    IV PCA ์œ ์ง€์ค‘
    ใ†ํ™œ๋ ฅ์ง•ํ›„(v/s) ๋ณ€ํ™”
    (OP day) (post-op)
    BP(mmHg) 136/83 130/75 169/100 157/84 185/93
    PR 78 77 94 90 89
    RR 18 18 18 18 16
    BT(โ„ƒ) 36.9 36.4 37.6 37.5 37.8
    ใ†[2019.]CT ๊ฒ€์‚ฌ ๊ฒฐ๊ณผ
    : small amount of residual post-op pneumoperitoneum and subcutaneous emphysema
    Small air containing fluid collection near the pancreatic stump(line)
    Small amount of ascites in the pelvic cavity
    Mild emphysema, covered basal lungs
    ใ†gas out(-)

    ๊ฐ„ํ˜ธ๋ชฉํ‘œ
    โ–ถ๋‹จ๊ธฐ๋็ชํ‘œ
    ๋Œ€์ƒ์ž๋Š” 72์‹œ๊ฐ„ ์ด๋‚ด 0~10๊นŒ์ง€์˜ ์ฒ™๋„์—์„œ 2~3 ์ดํ•˜์˜ ๋งŒ์กฑ์Šค๋Ÿฌ์šด ํ†ต์ฆ์กฐ์ ˆ์„ ๋ณด๊ณ ํ•œ๋‹ค.
    ๋Œ€์ƒ์ž๋Š” 72์‹œ๊ฐ„ ์ด๋‚ด ๋งฅ๋ฐ•, ํ˜ˆ์••, ํ˜ธํก, ์ด์™„๋œ ๊ทผ์œก, ์ž์„ธ๊ฐ€ ๊ธฐ์ค€์„  ์ˆ˜์ค€์œผ๋กœ ๋Œ์•„์˜ค๋Š” ํŽธ์•ˆํ•จ์„ ๋‚˜ํƒ€๋‚ธ๋‹ค.

    ์ฐธ๊ณ ์ž๋ฃŒ

    ยท ์„ฑ์่œ๊ฐ„ํ˜ธํ•™ํšŒ์ง€1: ๊น€๊ธˆ์ˆœ ์™ธ11๋ช…. 8ํŽธ. ์„œ์šธ: ์ˆ˜๋ฌธ์‚ฌ; 2017. p527~540.
    ยท ๊ฐ„ํ˜ธ์ง„๋‹จ, ์ค‘์žฌ ๋ฐ ๊ฒฐ๊ณผ ๊ฐ€์ด๋“œ: ๋ฐ•์€์˜ ์™ธ 5๋ช… ๊ณต์—ญ, ์ฆ๋ณดํŒ, ์„œ์šธ, ํ˜„๋ฌธ์‚ฌ; 2017.
    ยท ๊ธฐ๋ณธ๊ฐ„ํ˜ธํ•™1: ์–‘์„ ํฌ ์™ธ 8๋ช… ๊ณต์ €, ์ œ2ํŒ, ์„œ์šธ, ํ˜„๋ฌธ์‚ฌ; 2017.
    ยท ๊ธฐ๋ณธ๊ฐ„ํ˜ธํ•™2: ์–‘์„ ํฌ ์™ธ 8๋ช… ๊ณต์ €, ์ œ 2ํŒ; ์„œ์šธ, ํ˜„๋ฌธ์‚ฌ; 2017 .
    ยท Farideh Schishehbor, โ€œVinegar consumption can attenuate postprandial glucose and insulin response: a systemic review and meta-analysis of clinical trials.โ€, International Diabetes Federation, vol 27, pp1-9, (2017).
    ยท Marcus Stebolds, โ€œSelf-monitoring of blood glucose-Psychological aspects relevant to changes in hbA1c in type 2 diabetic patients treated with diet or diet plus oral antidiabetic medication.โ€, Patient Education and Counseling, vol 62, p104-110, (2006).
    ยท Nisba Narula, MD, โ€œPostoperative urinary tract infection quality assessment and improvement: the S.T.O.P. Program and its impact on hospital wide UTI rates.โ€, The Joint Commission Journal on Quality and Patient Safety, vol 45, p686-693, (2019).
    ยท Kenan Gumus, โ€œDetermining the Use of Nonpharmacologic Methods by Surgical Nurses for postoperative pain management and the influencing professional factors.โ€, Journal of Peri Anesthesia Nursing, vol?, pp1-9, (2019).
    ยท Masaaki Murakawa, The short-and long-term outcomes of radical antegrade modular pancreatosplenectomy for adenocarcinoma of the body and tail of the pancreas, Murakawa et al. BMC Surgery, 2015, 15: 120.
  • ์ž๋ฃŒํ›„๊ธฐ

      Ai ๋ฆฌ๋ทฐ
      ํŒ๋งค์ž๊ฐ€ ์ œ๊ณตํ•œ ์ž๋ฃŒ๋Š” ์ฒด๊ณ„์ ์ธ ๊ตฌ์„ฑ์œผ๋กœ ๋˜์–ด ์žˆ์–ด ๋ณต์žกํ•œ ๋‚ด์šฉ์„ ๊ณผ์ œ์— ์‰ฝ๊ฒŒ ํ™œ์šฉ ํ•  ์ˆ˜ ์žˆ์—ˆ์Šต๋‹ˆ๋‹ค. ์•ž์œผ๋กœ๋„ ์ด๋Ÿฌํ•œ ์ข‹์€ ์ž๋ฃŒ๋“ค์ด ๋งŽ์ด ๋“ฑ๋ก๋˜๊ธฐ๋ฅผ ๊ธฐ๋Œ€ํ•ฉ๋‹ˆ๋‹ค.
    • ์ž์ฃผ๋ฌป๋Š”์งˆ๋ๅฉ์˜ ๋‹ต๋ณ€์„ ํ™•์ธํ•ด ์ฃผ์„ธ์š”

      ํ•ดํ”ผ์บ ํผ์Šค FAQ ๋”๋ต–๊ธฐ

      ๊ผญ ์•Œ์•„์ฃผ์„ธ์š”

      • ์ž๋ฃŒ์˜ ์ •๋ณด ๋ฐ ๋‚ด์šฉ์˜ ์ง„์‹ค์„ฑ์— ๋Œ€ํ•˜์—ฌ ํ•ดํ”ผ์บ ํผ์Šค๋Š” ๋ณด์ฆํ•˜์ง€ ์•Š์œผ๋ฉฐ, ํ•ด๋‹น ์ •๋ณด ๋ฐ ๊ฒŒ์‹œ๋ฌผ ์ €์ž‘๊ถŒ๊ณผ ๊ธฐํƒ€ ๋ฒ•์  ์ฑ…์ž„์€ ์ž๋ฃŒ ๋“ฑ๋ก์ž์—๊ฒŒ ์žˆ์Šต๋‹ˆ๋‹ค.
        ์ž๋ฃŒ ๋ฐ ๊ฒŒ์‹œ๋ฌผ ๋‚ด์šฉ์˜ ๋ถˆ๋ฒ•์  ์ด์šฉ, ๋ฌด๋‹จ ์ „์žฌโˆ™๋ฐฐํฌ๋Š” ๊ธˆ์ง€๋˜์–ด ์žˆ์Šต๋‹ˆ๋‹ค.
        ์ €์ž‘๊ถŒ์นจํ•ด, ๋ช…์˜ˆํ›ผ์† ๋“ฑ ๋ถ„์Ÿ ์š”์†Œ ๋ฐœ๊ฒฌ ์‹œ ๊ณ ๊ฐ๋น„๋ฐ”์นด์ง€๋…ธ Viva์˜ ์ €์ž‘๊ถŒ์นจํ•ด ์‹ ๊ณ ๋น„๋ฐ”์นด์ง€๋…ธ Viva๋ฅผ ์ด์šฉํ•ด ์ฃผ์‹œ๊ธฐ ๋ฐ”๋ž๋‹ˆ๋‹ค.
      • ํ•ดํ”ผ์บ ํผ์Šค๋Š” ๊ตฌ๋งค์ž์™ฟ’ ํŒ๋งค์ž ๋ชจ๋‘๊ฐ€ ๋งŒ์กฑํ•˜๋Š” ์„œ๋น„์Šค๊ฐ€ ๋˜๋„๋ก ๋…ธ๋ ฅํ•˜๊ณ  ์žˆ์œผ๋ฉฐ, ์•„๋ž˜์˜ 4๊ฐ€์ง€ ์ž๋ฃŒํ™˜๋ถˆ ์กฐ๊ฑด์„ ๊ผญ ํ™•์ธํ•ด์ฃผ์‹œ๊ธฐ ๋ฐ”๋ž๋‹ˆ๋‹ค.
        ํŒŒ์ผ์˜ค๋ฅ˜ ์ค‘๋ณต์ž๋ฃŒ ์ €์ž‘๊ถŒ ์—†์Œ ์„ค๋ช…๊ณผ ์‹ค์ œ ๋‚ด์šฉ ๋ถˆ์ผ์น˜
        ํŒŒ์ผ์˜ ๋‹ค์šด๋กœ๋“œ๊ฐ€ ์ œ๋Œ€๋กœ ๋˜์ง€ ์•Š๊ฑฐ๋‚˜ ํŒŒ์ผํ˜•์‹์— ๋งž๋Š” ํ”„๋กœ๊ทธ๋žจ์œผ๋กœ ์ •์ƒ ์ž‘๋™ํ•˜์ง€ ์•Š๋Š” ๊ฒฝ์šฐ ๋‹ค๋ฅธ ์ž๋ฃŒ์™ฟ’ 70% ์ด์ƒ ๋‚ด์šฉ์ด ์ผ์น˜ํ•˜๋Š” ๊ฒฝ์šฐ (์ค‘๋ณต์ž„์„ ํ™•์ธํ•  ์ˆ˜ ์žˆ๋Š” ๊ทผ๊ฑฐ ํ•„์š”ํ•จ) ์ธํ„ฐ๋„ท์˜ ๋‹ค๋ฅธ ์‚ฌ์ดํŠธ, ์—ฐ๊ตฌ๊ธฐ๊ด€, ํ•™๊ป“, ์„œ์  ๋“ฑ์˜ ์ž๋ฃŒ๋ฅผ ๋„์šฉํ•œ ๊ฒฝ์šฐ ์ž๋ฃŒ์˜ ์„ค๋ช…๊ณผ ์‹ค์ œ ์ž๋ฃŒ์˜ ๋‚ด์šฉ์ด ์ผ์น˜ํ•˜์ง€ ์•Š๋Š” ๊ฒฝ์šฐ

    ํ•จ๊ป˜ ๊ตฌ๋งคํ•œ ์ž๋ฃŒ๋„ ํ™•์ธํ•ด ๋ณด์„ธ์š”!

    ๋ฌธ์„œ ์ดˆ์•ˆ์„ ์ƒ์„ฑํ•ด์ฃผ๋Š” EasyAI
    ์•ˆ๋…•ํ•˜์„ธ์š”. ํ•ดํ”ผ์บ ํผ์Šค์˜ ๋ฐฉ๋Œ€ํ•œ ์ž๋ฃŒ ์ค‘์—์„œ ์„ ๋ณ„ํ•˜์—ฌ ๋‹น์‹ ๋งŒ์˜ ์ดˆ์•ˆ์„ ๋งŒ๋“ค์–ด์ฃผ๋Š” EasyAI ์ž…๋‹ˆ๋‹ค.
    ์ €๋Š” ์•„๋ž˜์™ฟ’ ๊ฐ™์ด ์ž‘์—…์„ ๋„์™ฟ’๋“œ๋ฆฝ๋‹ˆ๋‹ค.
    - ์ฃผ์ œ๋งŒ ์ž…๋ ฅํ•˜๋ฉด ๋ชฉ์ฐจ๋ถ€ํ„ฐ ๋ณธ๋ๅฉ๋‚ด์šฉ๊นŒ์ง€ ์ž๋™ ์ƒ์„ฑํ•ด ๋“œ๋ฆฝ๋‹ˆ๋‹ค.
    - ์žฅ๋ฌธ์˜ ์ฝ˜ํ…์ธ ๋ฅผ ์‰ฝ๊ณ  ๋น ๋ฅด๊ฒŒ ์ž‘์„ฑํ•ด ๋“œ๋ฆฝ๋‹ˆ๋‹ค.
    - ์Šคํ† ์–ด์—์„œ ๋ฌด๋ฃŒ ์บ์‹œ๋ฅผ ๊ณ„์ •๋ณ„๋กœ 1ํšŒ ๋ฐœ๊ธ‰ ๋ฐ›์„ ์ˆ˜ ์žˆ์Šต๋‹ˆ๋‹ค. ์ง€๊ธˆ ๋ฐ”๋กœ ์ฒดํ—˜ํ•ด ๋ณด์„ธ์š”!
    ์ด๋Ÿฐ ์ฃผ์ œ๋“ค์„ ์ž…๋ ฅํ•ด ๋ณด์„ธ์š”.
    - ์œ ์•„์—๊ฒŒ ์ ํ•ฉํ•œ ๋ฌธํ•™์ž‘ํ’ˆ์˜ ๊ธฐ์ค€๊ณผ ํŠน์„ฑ
    - ํ•œ๊ตญ์ธ์˜ ๊ฐ€์น˜๊ด€ ์ค‘์—์„œ ์ •์‹ ์  ๊ฐ€์น˜๊ด€์„ ์ด๋ฃจ๋Š” ๊ฒƒ๋“ค์„ ๋ฌธํ™”์  ๋ฌธ๋ฒ•์œผ๋กœ ์ •๋ฆฌํ•˜๊ณ , ํ˜„๋Œ€ํ•œ๊ตญ์‚ฌํšŒ์—์„œ ์ผ์–ด๋‚˜๋Š” ์‚ฌ๊ฑด๊ณผ ์‚ฌ๊ณ ๋ฅผ ๋น„๊ตํ•˜์—ฌ ์ž์‹ ์˜ ์˜๊ฒฌ์œผ๋กœ ๊ธฐ์ˆ ํ•˜์„ธ์š”
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