ASITESREFERAT

ASITES•ASITES adalah penimbunan cairan

abnormal dirongga peritoneum.•ASITES berasal dari bahasa latin askos

yang berarti kantong.

ASITES

SIROSIS HEPATIS75%

KEGANASAN10%

GAGAL JANTUNG3% TBC 2%

PENYEBAB LANGKA LAINYA

KLASIFIKASI ASITES•ASITES TANPA KOMPLIKASI

▫GRADE 1 : asites hanya dapat terdeteksi lewat USG.

▫GRADE 2 : asites yang menyebabkan distensi perut moderat.

▫GRADE 3 : asites ditandai denga distensi abdomen.

PATOFISIOLOGI•HIPERTENSI PORTAL.•HIPOALBUMINEMIA.•PENINGKATAN PEMBENTUKAN ALIRAN

DARAH LIMFE.•RETENSI NATRIUM DAN GANGGUAN

EKSRESI AIR.

DIAGNOSIS ASITES•ANAMNESIS•PF : Spider navy, palmar eritema, shifting

dullnes (+), undulasi (+).•PP : Tes fungsi hati, USG, CT-Scan

abdomen▫Pungsi asites▫Pemeriksaan cairan asites

TATALAKSANA ASITES•Retriksi garam dan air•Diuretik•Paracintesis•Transjugular intrahepatic portosystemic

shunt (TIPS)

DAFTAR PUSTAKA

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