kompre bedah urologi

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KOMPRE BEDAH UROLOGI

18 DESEMBER 2015



• MELATI VII BED 1



MELATI VII Bed 1Tn. Panut Haryono00.03.53.05

Tanggal masuk : 15 desemer !015"P#P : dr. $onald Tanggo% &'.(

)onsul :

• dr. *o+anes% &'.'• dr. ,r-t $./. &ul-ng%&'.#P

• dr. Veron-a% &'.An

• dr. &a+ala P. % &'.P"

"-agnos-s : Batu ureter

PH : !

PP :



Riwayat penyait !ea"an#

• Pa!ien $atan# $en#an e%&'an nye"ipa$a pin##an# anan (en)a%a"ee(a%&an* !e)a 2 'a"i yan# %a%&*

pa!ien !&$a' (in&( +,at $a"i UGDna(&n e%&'an ,e%&( (e(,ai*e(&$ian pa!ien )&#a (en#e%&'

nye"i !ete%a' en-in#



Pe(e"i!aan .!i

• Ke!a$a"an/ -+(p+!(enti!

• T$/1080 ((H#

•

/80 3(nt• S/4* -

• RR/ 20 3(nt



Stat&! %+a%i!

• Re#i+ VA/ 67

• Re#i+ !&p"a p&,i/ – B&%#in#/ 69

– T 79

– K 79

• Re#i+ Genita%/ DBn* $a"a'69* P&! 69



Te"api

• IV:D/RL I 7et+"+%a- 1 a(p 2;)a(

• Le3a 13<50(#

•

O(= 13 ;0 (#

• Di%a&an pe(,e$a'an / %it+t"ip!i 7

URS



K+n!&% 1612615

• Ana!te!i/ ASA E# 'ipe"t"+.>ent"ie%

• Ka"$i+%+#i/ ti$a a$a +nt"ain$ia!i+pe"a!i

• P&%(+/ ti$a a$a +nt"ain$ia!i+pe"a!i

• Inte"na/ +nt"ain$ia!i a,!+%&t+pe"a!i



inte"na



ane!te!i



a"$i+%+#i



p&%(+n+%+#i



La,+"at+"i&(



Pe(e"i!aan La,+"at+"i&(2 +>e(,e" 2015

Pemer-ksa

an

&atuan 2ormal 131115 151115

at"i&( ((+%L 1461;5 1;2 151

Ka%i&( ((+%L *565*1 *8 *?

%+"i$a ((+%L ??6111 115 11;

H, #"$% 1261; 1*? 12*?Le&+!it "i,&&L 5610 4*8 4*8

He(at+"it @ <6; ;1* ;0*0

T"+(,+!it "i,&&L 1506;00 245 2;;

SGOT UL 106; 25 2;

SGPT UL ?64 1< 15

GDS (#$% 200 <? ?1

U"e&(Da"a'

(#$% 156;5 5 0

"eatinin (#$% 0*4060*?0 1*2? 1*1?



Pemer-ksaan &atuan 2ormal 131115 151115

Ma!apen$a"a'an

Menit 16 2

Ma!ape(,e&an

Menit 10614 1;

APTT K+nt"+% Deti 2<6;2 2

APTT pa!ien Deti 256;2 ;1

Ma!a p"+t"+(,in

K+nt"+% Deti 10614 12

Pa!ien Deti 10614 2;



EKG



-'+-a"$i+#"a.



• Penyait )ant&n#'ipe"ten!!i

• Ga#a% )ant&n#$ia!t+%i

• Hipe"t"+.

>ent"ie% i"i+n!ent"i E:@@



:+t+ T'+"a! 1611615



• Cant&n# pa"& DB



BO6IVP

11611615



B24 11!15



ep'"+%itia!i! $e3t"a$en#an &"ete"

atete" $e3t"a !e"ta!p+n$y%+a"t"iti!%&(,a%i!

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