lapjag minggu 1
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LAPORAN JAGA
Minggu 26 Juli 2015 s.d. Jum’at 31 Juli 2015
Konsulen K !
d". #. $emsi% &'.OG
d". $edd( )it"i% &'.OG
d". Juliant( Kusuma% &'.OG
Pen(a*i!
d". A+,a" No-an
'i Nu"a/ni% &.Ked
#enni &usilaati% &.Ked
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AGAN$PAR4MN O&44R $AN GNKOLOG
)AKL4A& K$OK4RAN $AN LM K&#A4AN NR&4A& NGKL
RMA# &AK4 MM $ARA# $R. M. N& NGKL
2015
LAPORAN JAGA
Minggu 26 Juli 2015 s.d. Jum’at 31 Juli 2015
Konsulen VK :
dr. H. Demsi, Sp.OG
dr. Deddy Fitri, Sp.OG
dr. Julianty Kusuma, Sp.OG
O,stet"i )isiologis 3 Pasien
O,stet"i Patologis 12 Pasien
Gine+ologi 7 Pasien
On+ologi 0 Pasien
Meninggal 0 Pasien
4otal 18 Pasien
O&44R PA4OLOG&
1. 26 Juli 201508.30 9
&&4P ai $e:om'ensasi ;o"disN(. N#3<t=JKARN#&
TD : 180100 mmH!
" : 80#mnt,
$$ : %0 #m
S: &',(0)
DG&*%+0 Hamil &'&- min!!u elum inpartu den!an */ De2omp )ordis "3H+ 4V JGH *res5ep*res5ep
6 Os. TV4, His, DJJ 4VFD $7 !tt #menit mi5ro9
)e5 7a4n 7asi# 1#1
"i;edipin ta 
 m!Konsul Jantun!
$ S) ele5ti;
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2< Juli 2015
Konsul dr. 4smir,Sp.J*
6 7asi# e#tra % amp 1 # 1 "i;edipin ta 
 m!+22 operasi
2> Juli 2015
P+l 0>.10 9
P+l 0>.15 9
7a<ir neonatus pertama <idup, =, %100!r, * >( 2m, +S -?
7a<ir neonatus 5edua <idup, =, %(00!r, * >( 2m, +S -?P+l 0>.20 9 *lasenta la<ir len!5ap
)ollo u'
31 Juli 2015
K@: ai5
TD : 1'0100 mmH!
" : 8%#mnt,
$$ : %0 #m
T: &',(0)
H: 11,% !dl
Keadaan umum pasien ai5, pasien pulan!
2. 26 Juli 2015
9
&&4P ai Kala lama ?dilua"@
N(. $N37t=JKARN#&
TD: 1>080 mmH!
"adi: 110#menit
$$: %0#menit
T: &',(0)
*roteinuria >9
H 44444
D 1>8#m
D G>*&+0 <amil aterm inpartu 5ala 44 lama di luar9 */
JTH pres5ep
6 Stailisasi 1 am
Os. TV4, His, DJJ, tandatanda inpartu
4VFD $7 Amenit
Kateter menetap
4n 6!SO> >0B sesuai proto5ol4n. )e;ota#im % #1 !r
"i;edipin & # 10 m!
)e5 la7apor Dr Julianty Kusuma, SpOG
Saran terminasi peradominam
P+l 13.50 9 7a<ir neonatus <idup , C &'00!r, * (0 2m, +S -?
FT+G+P+l 13.55 9 *lasenta la<ir len!5ap
4ntraoperati; didapat5an lu5a e#tended dan uterus
atoni,dila5u5an masase dan pemerian uterotoni5a
@terus masi< atonia
7apor Dr Julianty Kusuma, SpOG
Diputus5an untu5 dila5u5an <istere5tomi
supra2eri2al)ollo u'
2> Juli 2015
S: Kelu<an E
O: St *resent
TD: 1>080 mmH! ": 10(#mnt
$$: %0#mnt S : &',8o)
+: *>+0 post SST* ai Kala 44 lama diluar9
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*: )e;adro5sil %#(00m!
+sam 6e;enamat &#(00m!
*asien ole< pulan!
3. 2< Juli 2015
00.05 9
&&4P ai 'ostte"m ,e+as &; 1B
N(. L9t=$$ ARN#&
TD: 110-0 mmH!
"adi: 8-#menit
$$: %0#menit
T: &','0)
D G%*1+0 <amil >& min!!u elum inpartu den!an e5as
S) 1# ai partus ta5 mau9 JTH pres5ep
6 Os. TV4, His, DJJ, tandatanda inpartu
4VFD $7 !tt ##mnt
)e5 D$, )6
$ terminasi peradominam ele5ti; P+l 08.00 9 7a<ir neonatus <idup, =, &100!r, * (0 2m, +S 8?
FT+G+P+l 08.05 9 *lasenta la<ir len!5ap
)ollo u'
2> Juli 2015
K@: ai5
TD : 1%080 mmH!
" : 8>#mnt,
$$ : %0 #m
T: &',&0)
Keadaan umum pasien ai5, pasien dipulan!5an
7. 2< Juli 2015 6edisinalis
N(. 4$70t=$$ ARN#&
P+l 00.50 9
TD : 1>080 mmH!
": -8# mnt
$$:%0#mnt
T: &'.(o)
H: 10.' !rdl
7eu5osit -.?00 mm&
D G(*&+1 Hamil &> min!!u elum inpartu den!an H+* e.2
susp *lasenta preia totalis JTH *res5ep
6 Os K@, perdara<an, DJJ 4n;us $7 !tt ## menit 4n 2e;ota#im %#1 !r 4n de#a 1# 1%m! % <ari9 "i;edipine >#10 m!
4n Transamin &#(00 m! )e5 la D$, )6$ @SG 5on;irmasi
)ollo u'
31 Juli 2015
Keadaan 'asien ,ai+% 'asien di'ulang+an
5. 2< Juli 2015 +st"a+si )o":e's a.i. P
N(. 20 t=$$ ARN#&
P+l 02.35 9
TD : 1?0100 mmH!
": ?0# mnt
D G1*0+0 <amil aterm inpartu 5ala 4 ;ase a5ti; den!an */
JTH pres5ep
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$$:%0# mnt
T: &',(o)
H: ?.- !rdl
*roteinuria :&: ? 2m
DJJ: 1(&#m
6 Stailisasi 1& am
Os TV4, His, DJJ, <is
4VFD $7 !tt ##mnt
Kateter menetap
4n 6!SO> >0B sesuai proto5ol "i;edipine 
 m!
)e5 la D$,)6
$ *artus pera!inam +5<iri 5ala 44 den!an tinda5an9
07.30 9
TD: 180100
: 7en!5ap
DJJ: 1&-#m
D G1*0+0 Hamil aterm inpartu 5ala % den!an */ JTH
pres5ep
6 *impin persalinan +5<iri 5ala % den!an e5stra5si
;or2eps9
07.75 9 7a<ir neonatus <idup C,perempuan : &(00!r, *: (02m,
7D 7K: &%&1 +S: 8? FT +G+
07.50 9 *lasenta la<ir len!5ap * (10 !r *T* >?2m 18# 1? 2m
Follo up
%8 Juli %01(H : (.> !dl
S: Kelu<an: O: St.present: K@: ai5 TD: 1(0?0mmH! $$: %0#m Sens: )6 ": 8?#m T: &',(I)St.Ostetri:*7: F@T % ari aa< pusat, 5ontra5si ai5, perdara<an a5ti;
9, lo5ia rura, lu5a laserasi tenan!+: *1+0 post e5stra5si For2ep* :
Oserasi TV4, perdara<an
Oat :
)e;adro#il (00 m!8 am*O
+sam me;enamat (00 m!8 am*O
$oorantia ta1% am
$ trans;usi sampai H 8 !r dl
K@ iu dan ayi ai5, pasien ole< pulan!
6. 2> Juli 2015 SST* ai e5lampsia antepartum "y S$>&t<DD+$/"HS
P+l 11.50 9 D G&*%+0 <amil aterm elum inpartu den!an e5lampsiaantepartum JTH *res5ep
TD:1(0100
mmH!
": 8(#mnt
6 Stailisasi &' am suda< di $S DKT9 4VFD $l !tt ##m
)e5 laoratorium 6!sO> >0B sesuai proto5ol
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$$: %0#mnt
S : &','o)
"i;edipin 
 m! Kateter menetap$ Terminasi peradominam7apor dr Deddy Fitri, SpOG +22 terminasi peradominam
P+l 13.15 9 7a<ir neonatus <idup perempuan %>00!, * >' 2m, +S8? FTSG+
P+l 13.20 9 *lasenta la<ir len!5ap
)ollo '
31 Juli 2015
S: Kelu<an E
O: St *resent
TD: 1>0?0 mmH! ": ?8#mnt
$$: %1#mnt S : &',-o)
+: D *&+0 post SST* ai e5lampsia H/77* sindrom*: pasien masi< diraat
<. 28 Juli 2015 SST* ai 5ala 44 lama ta5 2a5ap pera!inam "y. /$&0t<DD+$/"HS
P+l 11.30 9 D G&*%+0 <amil >% min!!u elum inpartu JTH *res5ep
TD: 1%080
mmH!
": 81#mnt
$$: 1?#mnt
S : &',?o)
6 Ost TV4, d, tanda inpartu 4VFD $l !tt ##m )e5 laor 7apor Dr Deddy Fitri, SpOG 4ndu5si persalinan
P+l 20.00 9 D G&*%+0 <amil >% min!!u inpartu 5ala 4 ;ase laten JTH*res5ep6 Os ti, <is, d 4VFD $l !tt ##m Koson!5an 5adun! 5emi<$ /aluasi sesuai parto!ra; HO modi;i5asi ;s +5ti;9 *artus pera!inam
P+l 02.00 9 D G&*%+0 <amil >% min!!u inpartu 5ala 4 ;ase a5ti; JTH*res5ep6 /aluasi sesuai parto!ra; HO modi;i5asi
$ *artus pera!inam
P+l 0>.00 9 D G&*%+0 <amil >% min!!u inpartu 5ala 44 JTH *res5ep
6 *impin persalinan
P+l 08.00 9
H 44
D G&*%+0 <amil >% min!!u inpartu 5ala 44 lama ta5 2a5ap pera!inam JTH *res5ep
6 7apor Dr Julainty Kusuma, SpOGSaran Terminasi peradominam
P+l 10.30 9 7a<ir neonatus <idup la5ila5i &-00 !, * (1 2m +S 8?FT+G+
P+l 10.35 9 *lasenta la<ir len!5ap
)ollo '31 Juli 2017
S: Kelu<an E O: St *resent
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TD: 1%080 mmH! ": -8#mnt
$$: 1?#mnt S : &',8o)
+: *&+0 post SST* ai 5ala 44 lama ta5 2a5ap pera!inam*: pasien masi< diraat
>. 30 Juli 2015 /5spe5tati; "y /"&%t<D6+$/"HS
P+l 1>.30 9 D G(*&+1 <amil && min!!u elum inpartu den!an */ e5as S) 1# JTH pres5ep
TD : %00110 mmH!
" : 10%#mnt
$$: 1?#mnt
S : &',8o)
6 /5spe5tati; 4VFD $l !tt ##m Kateter menetap 6!SO> >0B sesuai proto5ol "i;edipin &# 10 m! *.O De5sametason 1#1% m! 4V % <ari9
)e5 laoratorium31 Juli 2015
TD : 1'0?0 mmH!
*lt ?0.000mm&
D G(*&+1 <amil && min!!u elum inpartu den!an */JTH *res5ep *artial H/77* sindrom
6 7apor Dr Demsi, SpOGSaran : 7anut5an e5spe5tati;
)ollo u' TD: 1'0?0 mmH! ": ?8#mnt
$$: 1?#mnt S : &-,%o)
*asien masi< diraat di an!sal
8. 30 Juli 2015 /5spe5tati; "y.*O%?t<D6+$/"HS
P+l 02.00 9 D G>*&+0 <amil &' min!!u elum inpartu den!an */JTH pres5ep
TD: 1'0110 mmH! 6 /5spe5tati; 4VFD $l !tt ##m Kateter menetap 6!SO> >0B sesuai proto5ol "i;edipin &# 10 m! *.O De5sametason 1#1% m! 4V % <ari9 )e5 laoratorium
)ollo ' TD 1(0?0 mmH! " : ?0#menit$$: 1?#menitT: &',' o)
31 Juli 2015 D G>*&+0 <amil &' min!!u elum inpartu den!an */JTH pres5ep
)ollo u'
31 Juli 2015
S: 5elu<an O: TD 1(0100 mmH! " : ?0#menit
$$: 1?#menit
T: &',' o
)+: G>*&+0 <amil &' min!!u elum inpartu den!an */
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JTH pres5ep*: *asien masi< diraat di an!sal
10. 31 Juli 2015 Pa"tus Pe"-aginam
N(. #25t=$MARN#&
10.559
TD : 1%0-0 mmH!
" : ?% #mnt,
$$ : %0 #m
T: &',(0)
> 2m
H: 11!rdl
@SG: 5 <amil &&
min!!u JTH pres5ep
poli<idramnion
D G%*1+0 <amil && min!!u inpartu 5ala 4 ;ase a5ti; JTH pres5eppoli<idramnion
6 Oserasi TV4, His, DJJ4VFD $7 !tt ##mnt)e;ota#ime in %#1 !r 4VDe#ametason in 1#1% m! 4V)e5 la D$, @$
$ *artus pera!inam
13.00 9 D G%*1+0 <amil && min!!u inpartu 5ala 44 JTH pres5eppoli<idramnion$ *artus pera!inam
13.30 9 7a<ir neonatus <idup perempuan 1800! * >' 2m +S8? *T+G+13.35 9 *lasenta la<ir len!5ap
)ollo ' S: Kelu<an E
O: St *resent
TD: 1%0-0 mmH! ": 8(#mnt
$$: %0#mnt S : &','o)
+: *%+0 post *artus *era!inam*: 4VFD $7 !tt ##mnt
)e;ota#ime in %#1 !r 4V
De#ametason in 1#1% m! 4V
11. 31 Juli 2015 Pa"tus Pe"-aginam
N(.$A3>t=$MARN#&
P+l 13.10 9
TD 1%080 mmH!
" ?'#m
$$ %% #m
T &8 o)
D G(*>+0 <amil aterm inpartu 5ala 4 ;ase laten JTH pres5ep Os Feris e.2 Typ<oid ;eer
6 Os TV4, His, D
4VFD $l !tt ##m )e5 laoratorium
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*)T &#(00 m! )e;tria#on %#1 ! 4V ST9$ /aluasi sesuai parto!ra; HO modi;i5asi Fs +5ti;9 *artus pera!inam
P+l 15.30 9 D G(*>+0 <amil aterm inpartu 5ala 4 ;ase a5ti; JTH
pres5ep Os Feris e.2 Typ<oid ;eer 6 /aluasi sesuai parto!ra; HO modi;i5asi
$ *artus pera!inam
P+l 20.00 9 D G(*>+0 <amil aterm inpartu 5ala 44 JTH pres5ep OsFeris e.2 Typ<oid ;eer 6 *impin persalinan
P+l 20.25 9 7a<ir neonatus <idup perempuan &%00 ! * (0 2m +S8? FT+G+
P+l 20.30 9 *lasenta la<ir len!5ap
)ollo ' S: Kelu<an demam
O: TD 1%0-0 mmH!
" -8#m
$$ %1 #m
T &-,? o)+: *(+0 Os Feris e.2 Typ<oid ;eer *: 4VFD $l !tt ##m *)T &#(00 m! )e;tria#on %#1 ! 4V ST9
1% 30 Juli 2015 6edisinalis "y.+"%?t<DD+$
D *1+0 post SST* 10 <ari diluar9 den!an oundde<is2en2e6 Os TV4 4VFD $l !tt ##m )e;tria#on %#1 ! 4V ST9 6etronidaLol &#(00 m! 4V Gentamisin %#80 m! 4V +sam me;enamat &#(00 m! )e5 laor
*eraatan lu5a
$ $e<e2tin!)ollo ' S: Kelu<an 9
O: TD 1%080 mmH!
" 8%#m
$$ %1 #m
T &'.8+: *1+0 post SST* 1% <ari diluar9 den!an oundde<is2en2e*: Os TV4 4VFD $l !tt ##m
)e;tria#on %#1 ! 4V ST9 6etronidaLol &#(00 m! 4V
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Gentamisin %#80 m! 4V +sam me;enamat &#(00 m! )e5 laor
*eraatan lu5a
GNKOLOG $AN ONKOLOG
1. 26 Juli 2015 Ku"etase ai a,. n+om'lit
N(. 36t= $$ ARN#&
%1.1( 4
TD : 1%080 mmH!
" : 8%#mnt,$$ : %0 #m
T: &','0)
D + 4n5omplet
6 Oserasi TV4, perdara<an
4VFD $7 !tt ##mnt 4ne5si 2e;ota#ime %#1!
2< Juli 2015
P+l 08.00 9
Fetus 9
D +ortus in5omplit6 Kuretase
P+l 08.30.00 9 Dila5u5an 5uretase dan didapat5an dara< dan arin!anM&022
)ollo u'
2> Juli 2015
K@: ai5
TD : 1%080 mmH!
" : 8>#mnt,
$$ : %0 #m
T: &',&0)
H: 11,? !rdl
Keadaan umum pasien ai5, pasien dipulan!5an
2. 2> Juli 2015
P+l 17.00 9
Ku"etase ai ,lig=ted o-um
N(. AA32t= $$ ARN#&TD: 110-0 mmH!
": 8% #m
$$: %0#mnt
T: &',( 0)
*T test 9
@S: GS intrauterine
Fetal pole NN
5 <amil 10 m!! JTH
intrauterine
D +ortus imminens
6 6edisinalis
edrest
Os. TV4, perdara<an
4VFD $7 !tt ##mnt
)y!est 1#1 a!inal supp
Hystolan %#1% ta
)e5 D$
$ @SG 5on;irmasi
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28 Juli 2015
*5l. 0?.00 4
@SG Kon;irmasi:
5 li!<ted oum
6 $ 5uretase*5l 1%.00 4 Didapat5an dara< dan arin!an M (0 22
)ollo u'
30 Juli 2015
K@: ai5
TD : 1%080 mmH!
" : 80#mnt,
$$ : %0 #m
T: &',&0)
H: 10,(
Keadaan umum pasien ai5, pasien dipulan!5an
3. 2< Juli 2015 #iste"e+tomi &u,total N(.MA70t= $$ARN#&
*5l11.>( 4
TD : 1%0-0 mmH!
" : 8%#mnt,
$$ : %0 #m
T: &',&0)
H:11
D 6yoma !eurt
6 Os TV4, perdara<an
4VFD $7 !tt ##mnt
4ne5si transamin amp 4V
+sam me;enamat s&#(00m! ta
)e5 la D$
$ <istere5tomi ele5ti;9
)ollo u'
30Juli 2015
K@: ai5
TD : 1%0-0 mmH!
" : 80#mnt,
$$ : %0 #m
T: &',&0)
D *ost <istere5tomi sutotal ai myoma !eurt
Keadaan umum pasien ai5, pasien masi< diraat
7. 2> Juli 2015 Pe",ai+an Keadaan mum
Nn. $A1>t= $$ARN#&
P+l 12.00 9
TD : 1>080 mmH!
": ?8#menit
$$: %0# menit
S: &',8 )
Hasil 7a
H : (,( !rdl
$ PA e.: sus' O1
M Oserasi TV4 4VFD $7 !tt ##m +sam Trane5samat 4n 1 amp +sam 6e;enamat &#(00 m! ta
R Trans;usi sampai H 8 !rdl