Bangsal

Rabu, 11 September 2019 BEDAH DIGESTIF DNY/ZIC/DNT/NAL/NSA /KIS/ZAR

FxU BED Nama Usia MRS Diagnosis Status DPJP Plan Pemeriksaan Penunjang
10/9 Hb 8.2 Ht 27 AL 12.2 AT 266
Saryani IGD Pro laparatomy
NSA G 39 Tumor gaster distal Pre op AR 8/9 Na 133 K 2.4
01475520 7/9 biopsi+jejunostomy
7/9 Hb 7.1 Ht 23 AL 17.8 AT 541 GDS 307 SGOT 82 SGPT 41 Alb 3.2 Cr 2.1 Ur 139 Na 126 K 2.7
ROE NAL
DNY Ngadimin IGD 10/9 Na 126 K 7.0
I 69 Peritonitis KU IBB Perbaikan KU
01475753 9/9 9/9 Hb 8.8 Ht 26 AL 8.9 AT 212 PT 20.4 APTT 33.1 Alb 2.5 Cr 6.5 Ur 292 Na 125 K 6.4 Cl 95
Post laparatomy
Sungadi IGD explorasi+sigmoidostomy+biopsi recti+PA ai Post op 10/9 Hb 10.8 Ht 35 AL 1.4 AT 307 GDS 136 Alb 3.3 Na 137 K 3.2
KIS 14 56 IBB Perawatan post op
01469513 9/9 Ileus obstruksi ec tumor recti infiltrasi 10/9 9/9 Hb 11.1 Ht 34 AL 4.9 AT 272 PT 12.7 APTT 26.3 Alb 4.0 Cr 1.0 Ur 74 Na 138 K 4.5
ICU NAL dinding posterior pelvis
ZIC 9/9 Hb 12.4 Ht 39 AL 8.9 AT 51 Na 151 K 3.6
Wakiman IGD Post laparatomy eksplorasi + release bend Post op
17 63 IBB Perawatan post op 8/9 Hb 11.5 Ht 38 AL 12.3 AT 103 Na 146 K 3.6
01475526 8/9 ai ileus obstruksi ec bend ileum 8/9
7/9 Hb 8.3 Ht 28 AL 10.4 AT 165 PT 17.1 APTT 27.3 GDS 74 Alb 2.0 Cr 3.0 Ur 221 Na 143 K 3.2

Muhadi IGD Post laparatomy graham patch aiPeritonitis Post op 6/9 Hb 9,0 Ht 28 AL 15,0 AT 318 GDS 140 Alb 2,9 Cr 1,5 Ur 68 Na 138 K 4,6 Cl 111
B 79 AR Perawatan post op
01475362 5/9 generalisata ec perforasi gaster 6/9 5/9 Hb 8.1 Ht 27 AL 15.1 AT 372 PT 13.5 APTT 32.1 Alb 3.1 Cr 2.0 Ur 66 Na 138 K 3.9

9/9 Hb 11,0 Ht 32 AL 5,7 AT 293 Alb 3,2

Senen IGD Post laparatomy adhesiolisis, graham patch Post op
E 83 IBB Perawatan post op 8/9 Hb 8.6 Ht 27 AL 7.3 Alb 2.3 Na 138 K 5.1
01475547 7/9 procedure 8/9
8/9 Hb 8.1 Ht 26 AL 14.3 AT 389 PT 16.9 APTT 40.3 GDS 88 Alb 2.6 Cr 4.2 Ur 203 Na 135 K 5.4
HCU ZAR
Subandi IGD Post laparatmoy harmtmann procedure ai Post op 7/9 Hb 16.4 Ht 50 AL 17.1 AT 178 GDS 150 Alb 2.9 Na 134 K 5.1
Cempak NAL H
01068968
72
6/9 Ileus obstruksi 7/9
AR Perawatan post op
6/9 Abd 3 posisi : ileus obstruksi letak rendah, tak tampak gambaran pneumo peritoneum
a DNT
Post laparatomy release volvulus+jahit 7/9 Hb 11,3 Ht 37 AL 9,6 AT 218 Alb 2,5 Cr 0,6 Ur 75
Samijo IGD Post op
I 70 primer ileum, ileostomy ai ileus obstruktif ec IBB Perawatan post op 4/9 Hb 12.9 Ht 41 Al 3.6 AT 270 Alb 2.7 Na 136 K 4.6
01475030 3/9 4/3
volvulus+perforasi ileum 3/9 Hb 114.4 Ht 45 AL 6 AT 220 PT 13.6 APTT 28.6 GDS 86 Alb 3.5 Ur 185 Cr 2.3
Post laparatomy adhesiolisis+release
Sugeng Poli Post op 7/9 Hb 10,9 Ht 36 AL 8,1 AT 372 BGA pH 7,504 PCO2 36,4 PO2 189,1 Ht 36 HCO3 28,9 tot CO2 30,1 O2 sat 99,3
J 52 volvulus+jahit primer ileum+herniorepair on AR Perawatan post op
01475417 6/9 6/9 6/9 Hb 10.8 Ht 36 AL 4.7 AT 416 PT 13.9 APTT 31.9 GDS 128 Cr 0.8 Ur 52 Na 130 K 4.3
layer
Konsulan
Pariyem Kista ovarii pro kistektomi Riw adeno Ca
Melati 1 5H
01338607
62 Obsgyn
recti
Pre op AR Pro laparatomy 10/9 Hb 13.4 Ht 39 AL 7.7 AT 236 PT 13.4 APTT 26.0 GDS 157 SGOT 41 SGPT 38 Alb 4.0 Cr 0.7 Ur 34 Na 141 K 4.3
10/9
Post laparatomy explorasi+colostomy 8/9 Hb 12,4 Ht 39 AL 11,5 AT 72
ICU D
Ruwah
67
IGD
adhesiolisis ai PG +ileus obstruksi ec tumor
Post op IBB
Peratawatan post op 6/9 Hb 10.7 Ht 35 AL 9.9 AT 103 PT 13.8 APTT 28.6 SGOT 40 SGPT 16 Cr 1.3 Ur 253
Melati 1 01474147 6/9
rectosigmoid+micro perforasi, adhesi
6/9 (VIP)
6/9 Hb 8.8 Ht 28 AL 3.4 AT 38 GDS 120 Alb 1.7 Na 144 K 2.3
8/9 Hb 8,7 Ht 27 AL 11,7 AT 97 GDS 169 Alb 3,4 Na 141 K 4,7 Cl 105
7/9 Hb 9.2 Ht 30 AL 10.6 AT 117 Alb 2.5 N 138
Supadi IGD Post DPL+laparatomy explorasi ai laserasi Post op 7/9 Hb 7.4 Ht 25 AL 9.8 AT 161
A 78 AR Perawatan post op
NSA 01475487 7/9 hepar grade II segmen 7 ec TTA 7/9 6/9 Hb 9.2 Ht 30 AL 14.0 AT 216 PT 13.3 APTT 24.5
7/9 USG abd : adanya laserasi organ padat belum dapat disingkirkan
NAL
HCU 7/9 MSCT Abd dgn kontras : laserasi hepar, AAST grade 4, lesi densitas cairan di cavum abdomen
ZIC Post laparatomy
Ang 2 Sukidi Didik Poli Post op 9/9 Hb 13,8 Ht 41 AL 7,0 AT 171 PT 12,6 APTT 28,6 INR 0,960 GDS 80 Alb 4,3 Cr 1,0 Ur 27 GDS 80 Na 132 K 4,2 ClDS 72 Biltot 1,37
C 59 cystojejunostomy+biopsi+PA ai Kista AR Perawatan post op
01473148 9/9 10/9 Bildir 0,57 bil indirek 0,80
pancreas
Post laparatomy
Sudadi IGD Post op 7/9 Hb 12.4 Ht 38 AL 6.2 AT 232 PT 14.2 APTT 25.0 Alb 3.3 Cr 1.0 Ur 66 Na 135 K 3.7
D 63 adhesiolisis+appendectomy ai ileus AR Perawatan post op
01475517 7/9 7/9 7/9 Abd 3 posisi : ileus obstruksi letak tinggi, tak tampak gambaran pneumopritoneum
obstruksi ec adhesi ileoileal+app perforasi
9/9 Hb 9,9 Ht 29 AL 5,6 AT 154 PT 17,7 APTT 35,5 INR 1.520 SGOT 121 SGPT 33. biltot 31,54 bildir 22,87 bilind 8,67 Alb 2,7 Na 136 K
Sri
Poli 2,3 Cl 103 S.typhii -
Melati 3 6B Lestariningsih 40
5/9
Obs jaundice ec batu cholangitis KU AR Perbaikan KU
5/9 Hb 12.2 Ht 36 AL 15.1 AT 123 PT 22.2 APTT 42.4 GDS 106 Alb 2.6 Ur 19 Cr 0.9 Na 132 K 2.5
01471965
14/8 MRI Abd : penyempitan lumen pada distal CBD dengan gambaran taperingoff, menyokong gambaran cholangitis
5/9 Hb 10.2 Ht 31 AL 6.7 AT 496 PT 12.2 APTT 25.5 GDS 100 SGOT 17 SGPT 30 Alb 2.7 Cr 0.8 Ur 11 Na 136 K 4.0
2/9 CEA 0.78 CA 125 38
Suparmi Konsulan
602B 44 Massa intra abdomen WD AR Konsul 10/9 colonoscopy : crohn disease dd colitis ulceratif terinfeksi
01474338 BTKV
30/8 USG Abd : multiple nodul hiperechoic di lobus kanan hepar DD 1 massa primer hepar, 2 nodulmetastase, penebalan dinding loop
usus panhepatica hingga regio mc burney mengarah gambaran inflamasi
Parjo IGD Tumor colon descenden susp maligna 9/9 Hb 13.4 HT 41 AL 5.9 AT 434 PT 13.3 APTT 31.8 SGOT 15 SGPT 16 Alb 2.6 Na 132 K 4.1
609C 47 KU IBB Perbaikan KU
01475759 9/9 Cancer pain 5/9 H 14,8 Ht 47,0 AL 6,16 AT 413 Hb 14,8 Ht 47,8 AL 6,6 AT 433 GDS 114 Cr 0,83 Ur 25
5/9 Hb 11.3 Ht 37 AL 14.8 AT 298 Na 129 K 3.5
FL6 Ninik IGD 3/9 Hb 8.5 Ht 27 AL 20.8 AT 319 PT 13.5 APTT 29.0 GDS 183 Alb 2.5 Cr 0.4 Ur 12 Na 125 K 3.2
610B 51 Abses regio abdomen WD AR Konsul ortho+interna
01475045 3/9 6/9 MSCT Abd : lesi semisolid di m. Psoas mayor kanan meluas ke dinding abdomen posterior kanan serta mendesak ren kanan ke
ZAR superior menyokong gambaran abses muskulis psoas mayor kanan
NAL Post Relaparatomy adhesiolisis+extended 4/9 Na 133 K 3.8
Max Mulyadi Igd Post op
DNY 611B
01471355
57
29/8
hemicolectomy kanan ai tumor colon
2/9
AR Perawatan post op 3/9 Hb 10.8 Ht 35 AL 26.6 AT 1595 Alb 3.1 Na 135 K 5.5
ascenden infiltrasi retro peritoneum 2/9 pt 13,9 aptt 32,3 inr 1,090 na 137 k 4,7cl 103 Hbsag nonreaktif
Sugimah Poli Adeno Ca Colon 10/9 Hb 15.8 Ht 48 AL 6.5 AT 358 PT 12.2 APTT 26.8 GDS 66 SGOT 66 SGPT 13 Alb 4.6 Cr 1.6 Ur 89 Na 132 K 3.5
613B 65 KU IBB Perbaikan KU
01384434 10/9 Dehidrasi
Edi Suprianto Poli
FL 7 711D 36 Tumor omentum metas pulmo Kemo AR Pro kemoterapi 27/8 Hb 7.7 Ht 26 AL 2.9 AT 738 SGOT 10 SGPT 6 Cr 0.4 Ur 26
01469889 10/9
Sarmin Poli Post op 7/9 Hb 12.7 Ht 40 AL 8.0 AT 285 PT 11.9 APTT 28.6 GDS 140 SGOT 12 SGPT 9 Alb 3.7 Ur 3.3 Cr 3.7 Na 138 K 4.0
903A 56 Post Herniarepair lichenstein ai HIL D et S AR Perawatan post op
01475243 7/9 9/9 5/9 USG Abd : USG abdomen normal
Wahyu Poli Post laparatomy explorasi CBD+ekstraksi Post op 8/9 Hb 12,7 Ht 40 AL 8,2 AT 348 PT 11,6 APTT 27,3 INR 0,860 Na 138 K 4,8 Cal 1,16
903C 24 AR Perawatan post op
01474935 3/9 batu CBD+cholesistectomy ai Obs jaundice 9/9 3/9 Hb 13.5 Ht 41 AL 10.4 AT 345 PT 12.2 APTT 26.9 GDS 142 SGOT 97 SGPT 220 Biltot 42.36 Bildir 28.11 Bilindir 14.25 Alb 4.3 Ur
 ec batu CBD 18 Cr 0.7 Na 141 K 5.4
Ardian
IGD Fistel enterocutan post laparatomy Na 135 K 3,2 Cl 105
904A Wibowo 25 KU AR Perbaikan KU
4/5 ileostomy ai ileus obstruktif ec band ileus 4/9 Hb 11.2 Ht 33 AL 11.4 AT 623 PT 12.5 APTT 31.6 GDS 108 SGOT 50 SGPT 248 Alb 4.5 Ur 177 Cr 1.1 Na 120 K 5.1
01454522
4/9 Hb 11,1 Ht 36 AL 11 AT 296 Alb 2,4 Na 134 K 3,1 Cl 100 Alb 2,7
2/9 pt 15,1 aptt 36 inr 1,210
Koestri
Poli Post laparatomy eksplorasi+biopsy+braun Post op 1/9 Hb 11,1 Ht 34 Al 8,6 At 238 Ae 4,20
904B Hartanto 50 AR Perawatan post op
26/8 anastomose ec ileus obs ec tumor pancreas 4/9 30/8 HB 8,5 HT 27 AL 5,9 AT 216 PT 23,6 APTT 44,6 INR 2.140 ALB 2,7
01473985
28/8 Hb 7.9 Ht 25 AL 6.9 AT 229 PT 84.6 APTT 72.6 GDS 83 SGOT 134 SGPT 64 Ur 30 Cr 0.5 Na 135 K 3.6
26/8 HB 9,3 HT 29 AL 9,0 AT 318 BIL TOT 10,76 BIL DIR 8,33 HBSAG NR CA 19-9 6
Hadi Poli Pro resesksi colon
904E 54 Adeno Ca colon Pre op AR 10/9 Hb 8.8 Ht 27 AL 13.8 AT 538 PT 14.9 APTT 29.8 GDS 115 SGOT 24 SGPT 34 Alb 2.5 Cr 1.1 Ur 26 Na 133 K 3.7
01471697 10/9 descenden

Joko Sriyanto
905A Tumor intra abdomen Pre op AR Pro laparatomy biopsi 3/9 Hb 12.6 Ht 39 AL 8.6 K 4.83
01474994 Transfuiy’]
\
Post 7/9 Hb 12,1 Ht 37 AL 19,5 AT 182
KIS Muryaningsih IGD Post op
906A 62 LE+adhesiolisis+kultur+PAaiileusobstruksie IBB Perawatan post op 2/9 Hb 9.2 Ht 30 AL 23.1 AT 295 PT 12.7 APTT 26.9 Ur 95 Cr 1.5 Alb 2.6 Na 137 K 3.7 HBsAg NR
01474736 1/9 2/9
FL.9 NAL cadhesiluas+pocketabses retroperitoneal 2/9 Abd 3 posisi :taktampakgambaranileusmaupunpneumoperitoneum, Ascites
DNT Karsi Poli
906C 56 Adeno ca recti+stoma pro tutup stoma Pre op AR Pro tutup stoma
01411678 8/9

Sumarni Poli
907E 57 Tumor colon transversum Pre op AR Pro hemicolectomy (D) 9/9 Hb 8,7 Ht 29 AL 23,1 AT 440 PT 15,6 APTT 29,2 INR 1290 GDS 106 Alb 2,6 Cr 1,3 Ur 30 Na 132 K 4,3 Cl 102 Hbsag NR
01473626 9/9

Hematocezia+infeksi peristoma post

Maryana IGD
55 laparatomy adhesiolisis+ileostomy ai ileus
01466452 11/9
obstruksi
IGD