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7/18/2019 Abdomen Akut
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ABDOMEN AKUT
LETTA KUSUMA SAMUDRA
1061050084MARTHIN F. PASARIBU
1061050159
7/18/2019 Abdomen Akut
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7/18/2019 Abdomen Akut
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Terminoo!i
• N"eri #$%omen %en!#n %&r#'i(en%e)* %#n memer&)#n )e(&+&'#n#(#)#, (er& %i#)&)#n o(er#'i'e!er# #+#& +i%#)
• Ter%iri %#ri - n"eri i'/er# %#n n"eri'om#+i)
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N"eri i'/er#
• Ber#'# %#ri (eri+one&m i'/er#i'"#n! %iiner#'i oe, 'i'+im '#r#o+onom
• 2e, )#ren# 3 in#m#'i* i')emi*%i'+en'i* +r#)'i* %#n +e)#n#n
• Ber'i#+ +&m(& %#n +i%#) +ero)#i'ir
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N"eri Som#+i)
• Ber#'# %#ri (eri+one&m (#rie+#i'
• Diiner#'i oe, '#r# 'om#+i)
•
2e, )#ren# in#m#'i $#i) )imi#m#&(&n $#)+eri#* +r#&m# me)#ni)
• N"eri +ero)#i'ir
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M#'##, B#!i Do)+er ##+ D#r&r#+
• Pen"e$#$ #$%omen #)&+ 3 700*m&#i %#ri (eror#'i !#'+er : !i!i+#n#$##$# ; $#/) i%o '(i%er<
• Ti%#) m&n!)in %i'&'&n %##m 1%#+#r %#n men"in!)ir)#n '#+& %emi'#+&
• Se=&m#, (en"e$#$ ,#r&'%i)er&/&+)#n
mem&%#,)#n &n+&) %ini#i 'e/#r#
/e(#+
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#m$#r#n Kini)
1. N"eri #$%omen %#n '"o)
7. Peri+oni+i' ener#i'#+#
. Peri+oni+i' Lo)#4. 2$'+r&)'i In+e'+in#i'
5. Pen"#)i+(en"#)i+ >me%i/#?
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Pii,#n Pen#n!#n#n
1. 2(er#'i 'e!er# ; $e%#, /i+o<
7. Memer&)#n (er'i#(#n o(er#'i'e$e&m %i#)&)#n o(er#'i ;$i'#%i+&n%# &n+&) men!o(+im#)#n(en%eri+#<
. Ter#(i )on'er#+i ;o$'er#'i #)+i<*$i'# +er=#%i (er&$#,#n men%#%#)'e,in!!# o(er#'i (er& %i#)&)#n
4. Di(&#n!)#n
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#m$#r#n Kini)
1. Nyeri abdomen dan syok
7. Peri+oni+i' ener#i'#+#
. Peri+oni+i' Lo)#4. 2$'+r&)'i In+e'+in#i'
5. Pen"#)i+(en"#)i+ >me%i/#?
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N"eri A$%omen %#n S"o)
AP2PLEKSI ABD2MINAL
• P&/#+
• Ber)erin!#+
• N"eri (er&+ ,e$#+
• Hi(o+en'i
ETI2L2I @ PALIN SERIN
• R&(+&r #ne&ri'm# #or+# #$%omin#i'• R&(+&r )e,#mi#n e)+o(i)
PENANANAN 2PERASI IT2
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#m$#r#n Kini)
1. N"eri #$%omen %#n '"o)
2. Peritonitis Generalisata
. Peri+oni+i' Lo)#4. 2$'+r&)'i In+e'+in#i'
5. Pen"#)i+(en"#)i+ >me%i/#?
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Peri+oni+i' ener#i'#+#
• Pen%eri+# %en!#n n"eri (er&+ ,e$#+;%i&'<* +eri,#+ '#)i+ $er#+ %#n +o)'i)
• De#n' m&')&#r
• N"eri +e)#n #$%omen
• N"eri e(#' #$%omen
•
Um$ii)&' $en!)#)* )emer#,#n* n"eri(#%# (ene)#n#n
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Peri+oni+i' ener#i'#+#
• Pen"e$#$ (#in! 'erin! 3
Peror#'i &)&' (e(+i)&m
Peror#'i #((en%i'i+i' Peror#'i )oonC+"(,oi%
• PENANANAN 3 %i#)&)#n o(er#'i
%en!#n (er'i#(#n o(er#'i &n+&)o(+im#i'#'i (#'ien ;+oni!,+ '&r!er"<
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2(+im#i'#'i P#'ien
• Ke#%##n Hi(ooemi# #+#& S"o)
• A#'#n 3
–
Ter=#%i ,i(o(er&'i. –Ke#%##n ,i(o(er&'i men"e$#$)#n
- ,i(o)'i# 'e* %i'&n!'i 'e* SIRS*)e!#!##n or!#n.
–H#+i,#+i =#n!#n $eri)#n /#ir#n"#n! $ere$i,#n.
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2(+im#i'#'i P#'ien
• 2)'i!en#'e - $eri)#n o)'i!en me#&im#')er.
Moni+or %en!#n (&'e o"me+ri #+#&
#n#i'# !#' %#r#,• Pem$eri#n /#ir#n 3
– )ri'+#oi% - rin!er #)+#+* N# 0*9
–
)ooi% - FFP* ,em#'+#r/,* o moe/&#rei!,+ %e+r#n
– %#r#,
• Moni+or %en!#n P* men!&)&r (ro%&)'i
&rin 0*51 // +i#( =#m
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#m$#r#n Kini)
1. N"eri #$%omen %#n '"o)
7. Peri+oni+i' ener#i'#+#
3. Peritonitis okal4. 2$'+r&)'i In+e'+in#i'
5. Pen"#)i+(en"#)i+ >me%i/#?
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Peri+oni+i' Lo)#
• T#n%#+#n%# (eri+oni+i' "#n!+ero)#i'#'i (#%# '#+& )#%r#n
• K#%r#n )#n#n $##, 3 #(en%i'i+i'#)&+
• K#%r#n )#n#n #+#' 3 )oe'i'+i+i' #)&+
• K#%r#n )iri $##, 3 %ier+i)&i+i'#)&+
2(er#'i %en!#n (er'i#(#n ;+oni!,+'&r!er"<
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#m$#r#n Kini)
1. N"eri #$%omen %#n '"o)
7. Peri+oni+i' ener#i'#+#
. Peri+oni+i' Lo)#!. Obstr"ksi #ntestinalis
5. Pen"#)i+(en"#)i+ >me%i/#?
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2$'+r&)'i In+e'+in#i'
• N"eri )oi) #$%omen* m&n+#,*%i'+en'i
• Domin#n m&n+#, 3 o$'+r&)'i e+#)+in!!i
• Domin#n )em$&n!C%i'+en'i 3o$'+r&)'i e+#) ren%#,
• Di#!no'# =#n!#n $er%#'#r)#n (#%##%# +i%#)n"# BAB
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Pen"e$#$
Di)&+i( %#ri3 Be#&/,#m( RD* e+ #. In3 S#$i'+on Te$oo) S&r!er"*18+, E%* 700.
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Pen#n!#n#n
• Kon'er#+i 3 (#%# )e#%##n o$'+r&)'i&'&' 'e%er,#n#
• 2(er#'i %en!#n (er'i#(#n 3 %en!#n+#n%#+#n%# '+r#n!&#'i
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#m$#r#n Kini)
1. N"eri #$%omen %#n '"o)
7. Peri+oni+i' ener#i'#+#
. Peri+oni+i' Lo)#4. 2$'+r&)'i In+e'+in#i'
$. Penyakit%&enyakit 'medi(al)
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Pen"#)i+(en"#)i+ Me%i/#
• Mio)#r% in#r) (#%# %in%in! inerior
• Pne&moni#
•
Ke#in#n &roo!i %#n !ine)oo!i• Pankreatitis
• HICAIDS
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A/&+e #$%omin# (#in
Perorm ,i'+or" #n%e#min#+ion
Dire/+e% #$or#+or" #n%r#%io!r#(,i/ +e'+
Hemo%in#mi/ in'+#$ii+"
ReG&ire' imme%i#+e#(#ro+om"
R&(+&re% AAA or i'/
#ne&r"'mR&(+&re% e/+o(i/
(re!n#n/"
S(on+#neo&' $ee% 'oi%or!#n
,emoo(eri+one&m
Peri+oni+i'
ReG&ire' &r!en+#(#ro+om"
Peror#+e% ,oo i'/&'
A((en%i/i+i'
S+r#n!&#+e% ,erni#
Me'en+eri/ i'/,emi#
A$% (#in* no (eri+oni+i'
ReG&ire'o$'er#+ion*e#r"
#(#ro+om"
Un/om(i/#+e% $oeo$'+r&/+ion
A/&+e /,oe/"'+i+i'
Un/om(i/#+e%%ier+i/&i+i'
Non'&r!i/# /#&'e'
Me%i/# m#n#!emen+
A/&+e MIPne&moni#
Uroo!i/ or !"ne/oo!i/%i'or%er'
Pancreatitis
Di)&+i( %#ri3 Bri++ LD* e+ #. In3 A/&+e #re S&r!er" >Prin/i(e #n%?
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