Laporan Kasus Kolelitiasis

Diunggah oleh Fawzia Haznah Nurul Imani pada Jan 08, 2020

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Kolesistektomi Laparotmi e.c Kolelitiasis dan Kolesis…
Data diunggah
Jan 08, 2020
Simpan
Judul Asli
LAPORAN KASUS KOLELITIASIS

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BG]H^GE KGPYP NICGA

L. LCIESLSGP ]IECI^LSG
Egjg ? Ey. A

Facebook Oiels kibgjle Twitter

? ]irijpuge
Yjur ? 93 tgaue
Gbgjgt ? Krgthe, Kgnupgtie Sifgb

 ]ieclclkge
Eh. @J
? Sgjgt PJG
? 970091

Email Jgsuk ^P ? >= Hkthnir >=7<

]ijirlksgge ? >7 Hkthnir >=7<

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LL. CGSG CGPG^
G. CGSG PYN\IKSLD
GEGJEIPLP
Guthgegjeisls (tgeffgb >7 Hkthnir >=7< ]ukub 70.== VLN, cl Ngefsgb
Dbgjnhyge ^PYL Agrgpge Gecg)
Kibuage Ytgjg ? Eyirl pirut kgege gtgs
^lwgygt ]ieygklt Pikgrgef ?
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0 agrl sinibuj Laporkan
jgsuk rujga sgklt,Dokumen Inieyirl cl ubu agtl
pgslie jiefibua
ygef jieogbgr aleffg pirut kgege gtgs. Eyirl tirgsg tgogj cge clrgsgkge albgef
tljnub. Cijgj (-), jugb (+), juetga (+) 7 kgbl cgbgj siagrl ciefge vhbuji +
7 fibgs nibljnlef, wgreg sipirtl ygef cljgkge, cgrga (-). NGN cge NGK
cgbgj ngtgs ehrjgb. Kibuage jgtg cge tunua jieogcl kuelef clsgefkgb.
· 7 agrl sinibuj jgsuk rujga sgklt, eyirl clrgsgkge sijgkle nirgt cge
jieogbgr aleffg ki ngau cge pueffuef kgege. Cijgj (-), jugb (+), juetga
(+). Kgrieg eyirl tlcgk nirkurgef ciefge hngt piricg eyirl, pgslie kijuclge
jijirlksgkge clrl ki LFC.

Hotel Santika Kuta Pesan

Sekarang
Kuta, Badung

Rp489rb
Surya Indah Hotel and Restaurant

^lwgygt ]ieygklt Cgaubu ?

- ]gslie tlcgk pirega sgklt sipirtl lel sinibujeyg
- ^lwgygt alpirtiesl clsgefkgb
- ^lwgygt clgnitis jibbltus clsgefkgb
- ^lwgygt khbistirhb tleffl tlcgk clkitgaul
- ^lwgygt pieygklt agtl clsgefkgb
- ^lwgygt gbirfl cge gsjg clsgefkgb
- ^lwgygt pieffuegge KN suetlk 0 nubge (+) siogk >=76
- ]gslie nibuj jiehpgusi

^lwgygt ]ieygklt Kibugrfg ?

- Slcgk gcg geffhtg kibugrfg ygef jiefibuakge sgklt sipirtl lel
- ^lwgygt alpirtiesl clsgefkgb
- ^lwgygt clgnitis jibbltus clsgefkgb
- ^lwgygt khbistirhb tleffl tlcgk clkitgaul
- ^lwgygt pieygklt agtl clsgefkgb
- ^lwgygt gbirfl cge gsjg clsgefkgb

^lwgygt Phslgb Ikhehjl ?

]gslie gcgbga sihrgef lnu rujga tgeffg, tleffgb nirsgjg sugjl ygef nikirog
singfgl pifgwgl swgstg cge cug gegk.
Nlgyg piefhngtge cltgeffuef hbia OKE ehe ]NL
Kisge ? Phslgb ikhehjl `ukup

N. CGSG HN\IKSLD
]IJI^LKPGGE DLPLK
]gcg tgeffgb >7 Hkthnir >=7< ]ukub 70.== VLN, cl Ngefsgb Dbgjnhyge ^PYL
Agrgpge Gecg
Kigcgge Yjuj ? tgjpgk sgklt sicgef
Kisgcgrge ? F@P 79 I3J4T9

Sgecg Tltgb ? Sikgege cgrga ? 700 / 1= jjAf ^^ ? 04 x/jet

Egcl ? <> x/jet, lsl cge tifgefge `ukup
Puau ? 06,1˟@ (gkslbir)
TGP ? 3-9
Nirgt Ngcge ? 6= kf
Sleffl Ngcge ? 791 `j
NJL ? >1,=3 kf/j> (hvirwilfat)
Kipgbg ? jishsidgb
Jgtg ? kheoueftlvg pgbpinrg pu`gt (-/-), skbirg lktirlk (-/-),
^@ +/+, puplb lshkhr Ñ 0jj/0jj
Siblefg ? cls`agrfi (-/-)
Alcuef ? egpgs `uplef (-), cls`agrfi (-/-)
Jubut ? jukhsg nlnlr kirlef (-), slgehsls (-)
Sieffhrhk ? S 7-7, dgrlef alpirijls (-)
Biair ? sljitrls, trgkig cl tiefga, pijnisgrge eeb (-/-)
Cgcg ? ritrgksl (-)
Sahrgk ? Ogetuef ? L ? L`tus `hrcls tgk tgjpgk
]g? L`tus `hrcls tirgng cl PL@ T > `j jic BJ@P
]i? khedlfurgsl ogetuef cgbgj ngtgs ehrjgb
Gu? A^ rifubir, nueyl ogetuef L-LL rifubir, nlslef (-),
fgbbhp (-)
]gru ? L ? sljitrls stgtls clegjls
]g? Ptij drijltus kgege : klrl
]i? Phehr siburua bgpgefge pgru
Gu? Pugrg cgsgr vislkubir, waiizlef (-), agetgrge (-)

Gnchjie ?
Ptgtus bhkgbls ?
Gnchjie ?
L ? clstiesl (-), vieiktgsl (-), s`gr (-)
Gu ? nlslef usus (+) ehrjgb

Hotel Santika Kuta Pesan

Sekarang
Kuta, Badung

Rp489rb
Surya Indah Hotel and Restaurant

]i ? tljpgel, pikgk aipgr (+) ehrjgb, pikgk slsl (+),

pikgk gbla (-)
]g ? eyirl tikge (+) cl riflh alphkhecrlgkg cikstrg, Jurpay
Plfe (-), cidges juskubir (-), eyirl tikge bipgs (-), aipgr
cge blie tlcgk tirgng, tlcgk tirgng jgssg
Iktrijltgs ? Pupirlhr Ledirlhr
Plgehsls -/- -/-
Gkrgb clefle -/- -/-
Jhthrlk tlcgk gcg bgtirgblsgsl
Pieshrlk cne cne
Cidhrjltgs -/- -/-

]IJI^LKPGGE ]IEYEOGEF
Bgnhrgthrluj (>= Hkthnir >=7<)

]ijirlksgge Agslb Pgtuge Elbgl Ehrjgb Kitirgefge

Aijgthbhfl
Aijhfbhnle 79,7 f/cB 77,6 - 79,9
Aijgthkrlt 37,1 % 09,= - 36,=
Irltrhslt 9,37 outg/YL 3,3= - 9,=
J@A >6,< ]f >4 - 03
J@T 66,0 dB 1= - 7==
J@A@ 04,7 f/cB 0> - 04
Biukhslt 77,1 rlnu/jjk 0,4 ‐ 77,= A
Srhjnhslt 03< rlnu/jjk 79= - 33==
Cldd @huet
Eiutrhdlb 6=,3 % 9= - 6= A
Bljdhslt >3,6 % >= - 3=
Jhehslt 3,< % = - 7=
Kljlg Kblelk
FCP 77= jf/cB 63 -77=

PFHS 0> Y/B 2 09

PF]S 34 Y/B 2 09 A
Khbistirhb Shtgb 70< jf/cb 2>==
Srlfblsirlcg 704 jf/cb 2>==
Khgfubgsl
Nbiiclef Slji >,0 jielt 0-6
@bhttlef Slji 9,= jielt 7-0
L@S ALT Eifgtld
AnsGf Eifgtld

IKF (>= Hkthnir >=7<)

Kisge ? Ehrjhsleus raytaj, A^ <1x/j

YPF Gnchjie (>7 Hkthnir >=7<)

Hotel Santika Kuta Pesan

Sekarang
Kuta, Badung

Rp489rb
Surya Indah Hotel and Restaurant

Kisge ? Khbibltlgsls, dgtty blvir

@. CGDSG^ JGPGBGA
Eh Jgsgbga Gktld Sgeffgb Eh Jgsgbga ]gsld Sgeffgb
7. Eyirl pirut kgege >= Hkthnir >=7<
gtgs
>. Juetga >= Hkthnir >=7<
0. Hvirwilfat (NJL >= Hkthnir >=7<
>1,=3)
3. Eyirl tikge cl >= Hkthnir >=7<
riflh
alphkhecrlgkg
cikstrg
9. Biukhslthsls >= Hkthnir >=7<
(77,1rn)
4. Eiutrhdlblg >= Hkthnir >=7<
(6=.1%)
6. ]ielefkgtge >= Hkthnir >=7<
duefsl aipgr
(PF]S 34)

I. CLGFEHPLP
7. CLGFEHPLP NGECLEF
- Khbibltlgsls
- Khbislstltls
- Aipgtltls

>. CLGFEHPLP KI^OG

Khbibltlgsls

Hotel Santika Kuta

Kuta, Badung

Rp489rb
Surya Indah Hotel and Restaurant Pesan
Sekarang
Malang

Rp238rb
Villa Bunda by N2K

D. LELSLGB ]BGE
Lp Cx ? P ? -
H?-
Lp ^x ?
•
Ledus ^B >= tpj + crlp Kithrhbg` 0 gjpub
•
Leo. @idhtgxlji 9== jf /7> ogj LT
•
Leo. Hjiprgzhbi 3= jf /7> ogj LT
•
]rh bgpgrhthjl cge khbislstikthjl

Lp Jx?
Jhelthrlef KY, tgecg-tgecg vltgb, TGP
Lp Ix?
 Jieoibgskge kipgcg pgslie cge kibugrfg tietgef kijuefklege
pieygklt ygef clcirltg (pirgcgefge pgcg kgecuef ijpicu gklngt ngtu)
cge khjpblkgsleyg
 Jieoibgskge kipgcg pgslie cge kibugrfg jiefiegl pijirlksgge
pieueogef ygef clbgkukge
 Jieoibgskge kipgcg kibugrfg jiefiegl tirgpl cge prhsicur nicga
ygef gkge clbgkukge (piefgefkgtge kgecuef ijpicu) cge gbtiregtld
tirgpl ygef juefkle clbgkukge
 Jieoibgskge kipgcg pgslie jiefiegl prhfehsls cge agb-agb ygef
agrus clpiragtlkge pgs`gpijnicgage (jiefalecgrl jgkgege-jgkgege
ygef tleffl kgcgr bijgk, jielefkgtkge gktlvltgs dlslk, jieuruekge
nirgt ngcge)

F. BG]H^GE H]I^GPL
Sibga clbgkukge tlecgkge khbislstikthjl bgpgrhskhpl pgcg >> Hkthnir
>=7< pukub 74.9= ‐ 76.9=. Hpirgsl nirogbge bge`gr cge tibga clbgkukge
piefgefkgtge visl`g dibbig. ]gslie sgcgr pieua > ogj phst hpirgsl cge
kijuclge clrgwgt cl rugefge nlgsg.

Hotel Santika Kuta Pesan

Sekarang
Kuta, Badung

Rp489rb
Surya Indah Hotel and Restaurant

A. @GSGSGE ]I^KIJNGEFGE ]GPLIE

>> Hkthnir >=7<
Ngefsgb Dbgjnhyge
Punoiktld Hnoiktld Gssissjiet ]bge
 ]uslef KY? nglk Khbibltlgsls ]hst  Ledus ^B + crlp Kithrhbg`
 Eyirl bukg nikgs Kisgcgrge ? `hjphs jietls Khbislstikthjl 0 gjpub >= tpj
hpirgsl Bgpgrhthjl  Leo. @idtrlgxhei >x7 frgj
 Publt tlcur Sgecg Tltgb LT
E? <=x t? 04,4  Leo. Hjiprgzhb >x7 gjp
^^? >=x SC ? 7>=/6= LT
TGP? 6  ]H?
Getgbfle 3 x 9==jf
Ptgtus Fieirgbls Gbprgzhbgj =,9 jf =-=-7
Jgtg? @G ( -/-), PL (-/-)
]ubjh? PC Tislkubir (+/+), ^a (-/-), Va (-/-) Sirgpl ]ieygklt Cgbgj?
@hr ? P7-P> rifubgr, jurjur (-/-) YC@G >x7 tgn
P`hpgjle 0x7 tgn
Ptgtus Bhkgbls  Cllt? buegk, alecgrl susu,
Gnchjie?

Kgssg (+) cl bleig jiclgeg, rijnis (-), eyirl tikge (+) sgetge cge jgkgege
nirjleygk
 Jubgl jhnlblsgsl (jlrlef
kgege cge klrl) sitibga >3
ogj
>0 Hkthnir >=7<
Ngefsgb Dbgjnhyge
Punoiktld Hnoiktld Gssissjiet ]bge
 Eyirl bukg nikgs KY? nglk  Khbibltlgsls ]hst  Ledus ^B + crlp Kithrhbg`
hpirgsl nirkurgef Kisgcgrge ? `hjphs jietls Khbislstikthjl 0 gjpub >= tpj
 Eyirl pirut ngwga Bgpgrhthjl A-L  Leo. @idtrlgxhei >x7 frgj
kgrieg tlcgk nlsgNGK Sgecg Tltgb LT
 Pucga kietut (+) E? 1=x t? 04,<  Leo. Hjiprgzhb >x7 gjp
 Pucga jhnlblsgsl ^^? 71x SC ? 7>=/1= LT
jlrlef kgege-klrl (+) TGP? 9  ]H?
 Nibuj NGN Getgbfle 3 x 9==jf
 Jgsla sublt tlcur Ptgtus Fieirgbls Gbprgzhbgj =,9 jf =-=-7
Jgtg? @G ( -/-), PL (-/-)

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]ubjh? PC Tislkubir (+/+), ^a ( -/-), Va (-/-) Sirgpl ]ieygklt Cgbgj?

@hr ? P7-P> rifubgr, jurjur (-/-) YC@G >x7 tgn
P`hpgjle 0x7 tgn
Ptgtus Bhkgbls  Cllt? buegk, alecgrl susu,
Gnchjie? sgetge cge jgkgege
Kgssg (+) cl bleig jiclgeg, rijnis (-), eyirl tikge (+) nirjleygk
 Nishk jhnlblsgsl cucuk
>3 Hkthnir >=7<
Ngefsgb Dbgjnhyge
Punoiktld Hnoiktld Gssissjiet ]bge
 Eyirl bukg nikgs KY? nglk  Khbibltlgsls ]hst  Ledus ^B + crlp Kithrhbg`
hpirgsl nirkurgef Kisgcgrge ? `hjphs jietls Khbislstikthjl 0 gjpub >= tpj
 Pucga kietut (+) Bgpgrhthjl A-LL  Leo. @idtrlgxhei >x7 frgj
 Pucga nlsg cucuk Sgecg Tltgb LT
 NGK (+) E? 1=x t? 04,<  Leo. Hjiprgzhb >x7 gjp
 Nibuj NGN ^^? 71x SC ? 7>=/1= LT

 Jgsla sublt tlcur TGP? 3  ]H?

Getgbfle 3 x 9==jf

Ptgtus Fieirgbls Gbprgzhbgj =,9 jf =-=-7

Jgtg? @G ( -/-), PL (-/-)
]ubjh? PC Tislkubir (+/+), ^a ( -/-), Va (-/-) Sirgpl ]ieygklt Cgbgj?
@hr ? P7-P> rifubgr, jurjur (-/-) YC@G >x7 tgn
P`hpgjle 0x7 tgn
Ptgtus Bhkgbls  Cllt? egsl, alecgrl susu,
Gnchjie? sgetge cge jgkgege
Kgssg (+) cl bleig jiclgeg, rijnis (-), eyirl tikge (+) nirjleygk

>9 Hkthnir >=7<

Ngefsgb Dbgjnhyge
Punoiktld Hnoiktld Gssissjiet ]bge


Simpan
Eyirl bukg nikgs
hpirgsl jleljgb
KY? nglk
Kisgcgrge ? `hjphs jietls
 Khbibltlgsls ]hst
Khbislstikthjl
 Ledus ^B + crlp Kithrhbg`
0 gjpub >= tpj
 Pucga kietut (+) Bgpgrhthjl A-LLL  Leo. @idtrlgxhei >x7 frgj
 Pucga jhnlblsgsl Sgecg Tltgb LT
jlrlef kgege-klrl (+) E? 14x t? 04  Leo. Hjiprgzhb >x7 gjp
 NGK (+) ^^? 71x SC ? 77=/1= LT