Senin ,10 Juli 2017 BEDAH DIGESTIF ARI/AYT/AFF/MOW/DNT/YES/FAN

Pe BED Nama Usia Tgl msk Diagnosis Status DPJP Plan Pemeriksaan Penunjang PJ
7/7 HB 10.4 HT 33 AL 5 AT 395
Rukini Post op
5H 52 2/7 Post join op adesiolisi AR PERAWATAN POST OP 6/7 HB 8.5 HT27 AL 8 AT 392 ALB 2.5 FAN/ YES/MOW
01376468 4/7
5/7 Hb 8.3 ht 26 al 8.3 at 411 alb 2.4 na 137 k 4 cl 103 ca 1.24
Suparmi 9/7 na 127 k 2.8 cl 94
Mawar1 7G 57 8/7 Cholelitiasis Pre oo AR Pro Cholesistektomi FAN/ YES/MOW
01384336 5/7 hb 12.3 ht 36 al 9.3 at 254 Gol Dar B PT 13.5 APTT 30 INR 1.000 OT 28 PT 21 ALB 3.8 CR 0.6 UR 14 NA 121 KA 3.2 K 83 CA 1.05 HbsAg NR
Jarwanti Post op 9/7 HB 10.6 HT 33 AL 9.7 AT 207 6/7 HB 10.4 HT 33 AL 7 AT 232 PT 12.8 APTT 30.2 INR 1.020 GDS 70 ALB 3.5 CR 0.7 UR 14 NA 136 K 3.1 CA 1.12
7j 42 5/7 Post reanastomose ileum ar Perawatan post Op FAN/ YES/MOW
01360003 8/7 16/6 hb 12.9 ht 40 al 8.4 trombo eritrosit pt 12.2 aptt 29.4 inr 0.9 gds 96 alb 4.4 cr 0.6 ur 17 na 133 k 3.4 ca 1.15 hbsag NR gds a
7/7 HB 11.4 HT 36 AL 11.4 AT 236 NA 135 K 3.3 CL 106
Fitri Endah POST OP
8H 27 6/7 POST laparatomi Appendektomi AR Perawatan post Op 6/7 HB 11.5 HT 34.9 AL 16 AT 317 GOL DA O ALB 3.9 PT 17.3 APTT 42.8 INR 1.22 K 3.04 NA 136 CL 99.5 CA 1.18 FAN/ YES/MOW
01290909 7/7
USG Dyspepsia susp invaginasi ileosecal, edema hepar / hepatitis causa ignota
Sabarudin Obstruksi jaundice ec. Rumor caput 12/6 hb 12.3 ht 37 al 12.9 at 413 gds 123 ot 41 pt 34 Gamma GT 83 Alkali pospatase229 Bil tot 24.60 Bil dir 22.90 Bil indir 1.70 ALB 3.7 CA 19-9 >
1B 49 9/7 Pre op AR Laparatomi biliodigest FAN/ YES/MOW
01381951 pankrease 500
8/7 ALB 2.7
7/7 HB 14.1 HT 41 AL 11.1 AT 86 GDS 160 PROT 160 ALB 2.4 NA 138 K 3 CA 0.82
Prapto s Laparatomi eksplorasi a/i peritonitis Post op
1F 54 2/7 IBB PERAWATAN POST OP 4/7 Alb2.7 Na138 K3.8 Cl113 FAN/ YES/MOW
01383944 generalisata ec. Perforasi ileum 3/7
3/7 hb 15.1 ht 47 al 1.4 at 195 alb 2.1 cr 1.7 r 89na 128 na 4.2 cl 108
Thorax: cor pulmo dalam batas normal Abdomen 3 posisi: menyokong gambaran perforasi USG FAST (+)
Sudarsi Ko onko Pro join Op jika masa
2A 32 Fibrosarcoma regio epigastrik Pre Op AR 1/7 Hb13.5 Ht40 AL7.5 AT222 PT11.6 APTT26.7INR0.83 GDS77 Alb4.9 Cr0.7 Ur19 Na133 K4 Cl101 HbsAg:NR Anti-HCV:NR FAN/ YES/MOW
01362652 4/7 menembus peritoneum
8/7 HB 7.7 HT 24 AL 1.7 AT 23 PT 15.4 APTT 32.1 INR 1.310 GDS 92 ALB 2.1 NA 139 K 2.2 CA 1.15
7/7 HB 6.8 HT 21 AL 2.3 AT 30
Yoga rahmanto Post laparotomi eksplorasi, adhesiolisis a/i Post Op 5/7 OT 15 PT 7 ALB 2.7 NA 135 K 2.2 CA 1.08
2E 23 26/6 AR Perawatan pot Op FAN/ YES/MOW
01383379 peritonitis TB, adhesi 26/6 4/7 Hb5.2 Ht16 AL4.2 AT59 Alb2.2 Na136 K2.2 Ca0.89
1/7 alb 2.4 30/6 Alb2.2 28/6 HB 10.4 HT 34 AL 6.9 AT 141 ALB 1.9 NA 139 K 2.6 CL 113 thorax: cor paru normal
26/6 Hb9.3 Ht30 AL6.7 AT202 GDS87 Alb1.6 Cr0.4 Ur21 Na126 K2.6 Cl105 Ca1.05
3/7 lumbosakral: spondylosis lumbalis, tak tampak listesis
Ny. Hartini Post debridement drainase abses a/i abses Post Op 30/6 Na126 K4.1 Cl100
3D 52 28/6 IBB Perawatan post Op FAN/ YES/MOW
01383530 subkutis 30/6 29/6 gds 178 hb 9.2 ht 28 al 16.1 at 334 na 129 k 3.6 cl 10028/6 HB 8.9 HT 27 AL 23.7 AT 433 PT 15.8 APTT 25 INR 1.360 GDS 169 OT 26 PT 20 ALB
2.8 CR 0.6 UR 40 NA 129 K 4.2 CL 94 HBsAg NR
Sri rahayu Laparatomi n resksi
4F 50 9/10 Tumor sigmoid Pre op AR 5/7 hb 8.3 ht 28 al 21.2 at 853 cea 1.74 ca 125 10 FAN/ YES/MOW
01376121 anterio
3/7 Hb11.2 Ht36 AL15.3 AT283 GDS147 Ur97 Alb2.9 Cr3.3 Ur97 Na142 K3.8 Ca1.22
2/7 Hb11.8 Ht38 AL11 AT293 Na136 K3.3 Ca1.19
29/6
Tn. Suparjo Post laparotomi Tutup stoma + fistel ai. Post Post op 30/6 Hb8.9 Ht28 AL17.4 AT380 PT13.5 APTT28.8 INR1.00 GDS138 OT53 PT49 Alb2.8 Cr3.4 Ur111 Na135 K2.8 Ca1.15
Mawar2 5F 70 Ko Interna AR perawatan post Op FAN/ YES/MOW
01382387 ileustomi ec hernia inkarserata 3/7 22/6 HB 8.8 HT 27 AL 10.3 AT 363 PT 13.1 APTT 25.9 INR 0.96 GDS 87 OT 23 PT 21 ALB 3.1 CR 4 UR 110 MA 13K 3.1 CL 112 HBsAg NR
29/6
Thorak PA cor n pulmo TIDAK ADA KELAINAN
Colon inloop Lopografi distal tidak ada kelainan
7/7 ot 82 pt 31 cr 0.8 ur 32 ur 5.3
ROCHMAD 6/7 HB 10.9 HT 33 AL 11.1 AT 187 PT 14 APTT 28.1 INR 1.150 ALB 4 NA 133 K 5.3 CA 1.01
6A 21 6/7 POST Miles Prosedur EC. Adeno Ca Recti POST op AR Perawatan post Op FAN/ YES/MOW
01380855 30/6 HB 14.1 HT 40 AL 12.5 AT 142 GOL DAR O GDS 35OT 37PT 15 CR 0.4 UR 13 NA 126 K 4.4 CL 94 CA 1.16 HbsAgnNR CEA 176.30
17/5 PA Adeno Ca Diff sedang -buruk
Perbaikan KU, preparasi
6/7 HB PROSTAT SPESIFIC0.65 CEA 137.95
Slamet kolon, lab lengkap,
6B 58 4/7 Tumor colon sigmoid Pre Op AR 5/7 PT 12.8 APTT 29.1 INR 0.9 OT 13 PT 12 PROT TTL 6.2 ALB 3.1 GLOM 3.1 FAN/ YES/MOW
01384135 konsul urologi pro join
8/6 PA: hiperplastik polip
op
7B Judo tyasono 72 5/7 POST Hernio rrapi mest AI. HIM Bilateral POST op AR Perawatan post Op 19/6 HB 11.6 HT 34 AL 6.5 AT 217 PT 12.5 APTT 28 .3 GDS 88 OT 12 PT 6 ALB 3.9 CR 1.1 UR 25 NA 132 K 4.3 CL 103 FAN/ YES/MOW
7/7 HB 10.5 HT 33 AL 7.1 AT 250
6/7 HB 14.5 HT 47 AL 16,4 AT 295 ALB 3.6 NA 135 K 4.3 CA 1.21
5/7 GDS 137 OT 25 PT 13 ALB 3.5 CR 1.2 UR 18 NA 133 K 4.3 CL 107 HBSAG
Suripto POST RESEKTION ANTERIOR AI. Adeno ca POST op
7C 68 3/7 AR Perawatan post op 3/7 Hb13.4 Ht41 AL4.2 AT270 PT11.7 APTT23.5 INR0.900 FAN/ YES/MOW
01380429 colon 6/7
21/6 hb 14.9 ht 46 al 9.1 at 267 gol da AB PT 12.5 APTT 26.9 GDS 117 OT 25 PT 18 ALB 4.0 CR 1.3 UR 26 NA 133 K 4.4 CL 103 CA 1.08 HbsAg NR
CEA 3.23
USG ABD tak Thorak taK
8/7 HB 10 HT 28 AL 6.5 AT 269
Laparotomi eksplorasi rectum, anastomose 7/7 HB 9.4 HT 28 AL 10.7 AT 396 GDS 120 PROT TTL 5.6 ALB 2.9 NA 135 K 3.1 CA 0.96
Parmin end to end a/i tumor sigmoid a/i ileus Post Op 4/7 Hb10.1 Ht31 AL12.7 AT265 Alb3.3 Cr4.4 Cl91 Ca1.10 3/7 ot 25 pt44
8C 61 4/7 AR Perawatan post Op FAN/ YES/MOW
01383922 obstruksi ec vovulus, tumor yeyunum susp 4/7 2/7 Hb11 Ht33 AL10.9 AT357 PT12.7 APTT26.9 INR1.01 GDS148 Alb3.9 Cr1.0 Ur69 Na129 K5.1 Cl96 HbsAg:NR
malignancy 2/7 BNO: meteorismus
2/7 thorax: tak tampak kelainan
6/7 Thorak PA Cardiomegali , pneumonia , efusi pleura kanan susp metastase, USG: massa rectum menginfiltasi Buli n Prostat, Hidrosephalus
MAWAR 3 sedang, hidroureter bilateral, Hepatosplenomegali , efusi pleura kanan minimal Limfadenopati inguinal bilateral
Giyatno Perbaikan Perbaikan KU, STOP
10A 54 3/7 Adeno ca colon AR 6/7 HB 10.6 HT 32 AL 23.3 AT 399 DNT
01309264 KU XELODA, Tranfusi PRC
5/7 CR 1.5 UR 47
3/7 hb 8.7 ht 27 al 17.9 at 616 gds 99 ot 33 tp 19alb 2.9 cr 2 ur 58 na 123 k 5 cl 98HbsAg NR
Muji Sayekti Pre op DNT
MELATI 3 6A 48 7/7 Pankreatitis akaut, AR Drainage abses 8/7 HB 8.4 HT 25 AL 3.5 AT 50 PT 18.3 APTT 44.3 GDS 124 ALB 2.7 CR 0.4 UR 19 NA 129 K 3.1 CL 10 HbsAg NR
01382059 10/7
WIJO S
13C 55 9/7 Ileus Obstruksi Partial Work up IBB Fleet enema 2x/hr 7/7 HB 17 HT 48.1 AL 8.4 AT 272 Gol Dar B BT 01”30” CT06”00” HbsAg NR GDS 180 DNT
0138 4744
 WING 8/7 HB 10.5 HT 35 AL 5.9 AT 459 ALB 2.6 CR 0.6 UR 43 NA 138 K 3.5 CA 1.03
MELATI 3 Rohmani
2b 48 5/7 POST Hernio rapi EC. HERnia umbilikal POST op AR Perawatan post Op 5/7 alb 2 hbsag NR HB 12.2 HT 39 AL 5.7 TR 502 PT 9.8 APTT 24 GDS 95 NA 134 K 3.9 CA 1.22 DNT
01383069
6/7 OT 59 PT 68
Anggrek 1 NARTO 9/7 HB 10.9 HT 34 AL 7 AT 211
2B 55 7/7 Hernia inguinalis lateral bilateral Pre op AR Herniorapi FAN/YES/MOW
01382481 5/7 HB 11.2 HT 33 AL 6 AT 290 PT 14.8 APTT 31.1 OT 54 PT 46 ALB 2.7 CR 0.6 UR 28 NA 131 K 3.8 CL 105
ICVCU Gunartiningsih 7/7 HB 8.9 HT 27 AL 10.2 AT 296 HBA1C 5.9 GDS 81 gdpp 99 cr 2.7 ur 89 au 7.1 chol 91 na 133 k 2.8 ca 0.99
I 67 9/10 Adeno ca recti Work up AR PERBAIKAN KU DNT
01347126 1/7 HB 12.1 HT 35 AL 11.5 AT 400 GOLDA B GDS 96 OT 44 PT 51 ALB 2.2 CR 1.3 UR 55 NA 130 K 3.1 CL 104
9/7 alb 2.5
ROI Danang Dwi Penurunan kesadaran , hypoglikemia, post 8/7 alb 2.4 na 129 k 2.7 cl 105
E 30 6/7 Work up AR Perbaikan KU AFF
01383235 Laparatomi + reseksi ileum + ileotransotomy 7/7 GDS 133 (JAM 21.00)
6/7 HB 13.3 HT 41 AL 8.5 AT 400 PT 19.5 APTT 28.7 INR 1.800 GDS 27 ALB 2.7 CR 0.7 UR 101 NA 126 K 5.5 CL 93 CA 1.09 HbsAg NR
7/7 HB 9.2 HT 29 AL 15.6 AT 157 CR 1.6 UR 70
Sukarno POST miles procedur AI. Melanoma
POST op 6/7 HB 7.5 HT 23 AL 13.2 AT 218 PT 16.9 APTT 27.3 INR 1.490 GDS 276 ALB 2.6 CR 1.5 UR 62 NA 134 K 4.9 CL 111
4 01375459 58 3/7 malligna+ POST RELAPARATOMI + Repair AR Perawatan post Op MOW/AFF/ARI
5/7 Hb7.3 Ht24 AL9.7 AT306 PT13.7 APTT28.8 INR1.12 GDS178 Alb2.1 Cr1.3 Ur63 OT12 PT8 Na135 K4.9 Ca2.4 HbsAg:NR
Stoma
3/7 hb 8.4 ht 28 al 9.5 at 472 pt 13.3 aptt 29 inr 1.080 GDS 143
Post laparatomi adesiolisis, collons jones 9/7 ALB 2
Post OP
procedur Post laparatomi eksplorasi , 7/7 hb 9.9 ht 32 al 14.5 at 259 gds 160 alb 1.4 na 145 k 3.2 cl 125
7 Sri Rubiatun 59 20/6 20/6 AR Perawatan post op MOW/AFF/ARI
omental pacth procedur , appendectomy ai. 3/7 Kultur: no growth thoraxx: pneumonia, efusi pleura bilateral 20/6 HB 9.8 HT 32 AL 5.8 AT 140 GDS 97 CR 1.1 UR 88
Perforasi generalisata ec. perforasi gaster 20/6 abdomen 3 posisi : obstruksi letak rendah dd ileus paralitik thorax:cor paru normal
Post laparotomi eksplorasi + reseksi 4/7 Hb12.4 Ht38 AL6 AT160 GDS93 Alb2.5 Na134 K3.4 Cl106 Ca1.17
Zainul arifin anastomosis end to end jejunum + jahit Post Op 3/7 Hb8.7 Ht27 AL8.9 AT133 Cr0.8 Ur33 PT24.3 APTT33.8 INR2.43
B 26 3/7 IBB Perawatan post Op MOW
01383945 primer rectum a/i TTA perforasi jejunum + 3/7 Ctscan thorax, abd kontras: sistema organ abdomen intake, hemoperitoneum di cavum abdomen dan cavum pelvis, fraktur ramus superior inferior
laserasi rectum symphisis pubis kiri dan ramus superior symphibis pubis kanan
8/7 HB 9 HT 28 AT 4.6 AL 444 ALB 2.7
Tri hanjanto Post Tranverso colostomy ec. Ileuos
H 45 5/7 Post op AR Perawatan post Op 7/7 HB 8.7 HT 28 AL 527 AT 527 GDS 108 ALB 2.2 CR 1.4 UR 127 NA 134 K 3.9 CA 1.11 MOW
01334575 obstruksi parsial colon sigmoid
5/7 hb 11.9 Ht 37 al 30.6 at 698 pt 13.3 aptt 29.9 gds 133 ot 31 pt 23 alb 3.9 cr 1 ur 28 na128 k 3.2 cl 95 hbsag NR
8/7 HB 10.8 HT 34 AL 9.1 AT 373
RGB 4/7 Hb10.8 Ht34 AL15.8 AT600 GDS112 Alb2.8 Na137 K2.9 Cl101
Sri Winarni Post laparotomi eksplorasi + biopsi a/i ileus Post op 2Collon in loop: grounda glass opacity menyokong gambaran ascites, collon in loop tak tampak kelainan
E 45 29/6 AR Perawatan post Op MOW
01353551 obstruksi ec adhesi 4/7 Thorax: elevasi diafragma kanan curiga proses infra diafragma, cor pulmo normal
Abdomen 3 posisi: menyokong gambaran ascites, tak tampak tanda-tanda perforasi
29/6 HB 9 HT 27 AL 16.4 AT 541 GOL DA B PT 15,7 APTT 29.5 INR1.35 GDS 90 OT 15 PT 7 ALB 2.2 CR 0.5 UR 9 NA 137 K 2.9103 HBsAg NR