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8/18/2019 ABORTUS IMMINENS-Ade.ppt Power Point
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ABORTUS IMMINENS
PEMBIMBING
Dr. SRI LESTARI, SpOG
PRESENTAN
ADE IRMA YOETICEA
030.98.002
OPONEN
YESSICA WILANDA
SUSANTI
MELLYA SESWITA
KEPANITERAAN KLINIK KEBIDANAN DAN KANDUNGAN
FAKULTAS KEDOKTERAN UNIVERSITAS TRISAKTI
PERIODE 27 SEPTEMBER – 4 DESEMBER 2004
RSUP FATMAWATI
AKARTA
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A!"r#$%&
'(')'* p+-*+#' /+*')' %+!+)$ 1'/#$', (''
*'%) /"%+p% !+)$ ('p'# *($p ()$'r /'($-', !+r$%'/$r'- ('r 20 --$ (' !+r'# !'(' /$r'- ('r 00 -r.
A!"r#$% ('p'# (-")"-/' '#'% ('%'r &
4. '!"r#$% %p"#'5 '!"r#$% +%
5 '!"r#$% %p+%
5 '!"r#$% /"p)+#$%
5 '!"r#$% /"p)+#$%
2. '!"r#$% pr"6"/'#$%
5 '!"r#$% +(7')%
5 '!"r#$% /r')%
8/18/2019 ABORTUS IMMINENS-Ade.ppt Power Point
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A!"r#$% +% &
')'* p+r%#1' #+r'(' p+r('r'*' ('r
$#+r$% p'(' /+*')' , 20 --$ (+-'
BB ' 00-r #'p' (%+r#' (+-' '(''
p+!$/'' %+r6/% (' (+-' '#'$ #'p'
(%+r#' r'%' $)+%5$)+% (' *'%) /"%+p%
'%* ( (')' $#+r$%.
8/18/2019 ABORTUS IMMINENS-Ade.ppt Power Point
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IKTISAR KASUSI IDENTITAS
Pasien Suami
N'' N.S T FU$r 39 #* :8 #*
A-'' /'#")/ /'#")/
P+((/' SMP SMP
P+/+r''IRT !$r$*S$/$ '1' '1'
A)''# 7)'('/ 7)'('/
Masuk RS tgl 1 okt 2004 !k 21"#0$ %&
II ANMAMNESIS
A$#"''+%% #-) 4 "/#"!+r 200:, p$/$) 22.00
A. /+)$*' U#''
&elua' (a'a) (a'i kemaluan se*ak ± + *am SMRS
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B R1''# P+'/# S+/'r'-
P'%+, N S, 39 #'*$ ('#'- (+-' /+)$*'
/+)$'r ('r'* ('r'* ('r /+')$' %+'/ ; 'SMRS, (%+r#' 7'r' %+p+r# 'r (' )+(r, $)+%5
$)+% (r'%'/' %+'/ 2 *'r '- )')$. R1''#
#r'$' %+!+)$' (%'-/'). P'%+ +-'/$
*') : !$)', PT 2 + 200:, TP : 'r+# 200,
ANC ( p$%/+%'%, #('/ #+r'#$r.
C. R1''# +%#r$'%M+'r7*+ 4 #*, %/)$% *'( 28 *'r )''' <
*'r, !''/'
3 p+!')$#=*'r, +r *'( #('/ '('
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D. R1''# p+r/'1'
M+/'* p+r#'' /'), p'(' $$r 2: #*, )'''
p+r/'1' 4 #*
E. R1''# /+*')' (' /+)'*r' %+!+)$'
K+*')' & -r'6(' :, p'r' 3, '!"r#$% 0
4. T* 4994, )'/5)'/, BB 2?@
5 ANC & ( p$%/+%'%, #('/ #+r'#$r
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G.R1''# KB &
#('/ p+r'* KB
. R1''# p+'/#
D%'-/')
I. R1''# "p+r'%
T('/ p+r'*
. R1''# p+'/# /+)$'r-'
T('/ '('
K. R1''# /+!'%'' (r pr!'(M+r"/"/,')/"*"),'$ (' 'r/"!' (%'-/')
L. R1''# -+/")"-%
K+p$#*' %+'/ 4 #'*$ '- )')$,
>!'$ ?, -'#') ?@!+r"!'# #('/ #+r'#$r ( p$%/+%'%
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III PEMERIKSAAN FISIK
A. S#'#$% -++r')%
&,-kes . sakit se(ang - /M
TD . 110-70 mmgFN & 400 =
FP & 2: =
TB=BB %/r- & 4;4 7= /-
BB %!) *') &:; /-
K+p')' & "r"7+p*'), r'!$# *#', #('/ $('* (7'!$# M'#' & /"$-#6' '+%, %/)+r' #('/ /#+r/
M$)$# & #"%) T45T4, 'r- *p+r+%>5@, -- -+)- (!N
L+*+r & KGB (' /+)+'r #r"( #('/ #+r'!' +!+%'r
T"r'/% & ''+ & %+#r%, *p+rp-+#'% p'(' /+($' 'r+")',
r+#r'/% p$##- >5@ C"r & S45S2 r+-$)+r, $r$r >5@, -'))"p >5@
P$)" & SN 6+%/$)+r, r*"/ (' 1*++- >5@
A!("+ & )*'# %#'#$% -+/")"-%
A"-+#') & )*'# %#'#$% -+/")"-%
E#r+#'% & '/r') *'-'#, +(+' #$-/' >5@
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B STAT,S INE&O3OIS
A!("+&
Ins!eksi . memun5it
P')'p'% & NT %$pr' p$!$% >5@, NL >5@, (+'% $%7$)'r >5@
P+r/$% & %*#- ($))+%% >5@A$%/$)#'% & !%- $%$% >?@ "r'), D >?@
A"-+#')
I & 6$)6'=$r+#r' #+'-, +(+' >5@, 6'r%+% >5@, #'p'/ ('r'*
M+-')r ('r #r"#$% 6'-',
I" & p"r#" )6(+, "%#$ #+r#$#$p, )$"r>5@, )$$%>?@,
#'p'/ ('r'* +-')r
V# & P"r#" /+'), +r -"'- p"r#">5@
III. PEMERIKSAAN PENUNANG
4. L'!"r'#"r$
D'r'* #& 32 6") ! & 40,< -=()
L+$/" & 4;.;00 $) Tr"!" & 2:9.000 $)
GDS & 444 -=()
2. USG & %+%$' (+-' $$r /+*')' 48549 --$, +#$% *($p,
p)'%+#' ( !+)'/'- , B >?@, -+r'/ >?@, 'r /+#$!' >?@
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I%" RES,ME
P'%+ N.S 39 #* ('#'- (+-' /+)$*' p+r('r'*' ('r
/+')$' %+'/ ; ' SMRS. (%+r#' 7'r' %p# )+(r ('
'r, $)+% >?@, r1''# #r'$' %+!+)$' (%'-/').
PT & 255200:
TP & :535200
ANC & p$%/+%'%, #('/ #+r'#$r
P'(' p++r/%'' %/ (('p'#/' &
5 S#'#$% -++r')% & (!N
5 S#'#$% -+/")"-% &
A!("+ & NT %$pr' p$!% >?@, (+'7+ $%7$)'r >5@,+r %$pr' p$!% >?@, %*#- ($))+%% >5@,
D >?@
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P++r/%'' p+$'- &
LAB &)+$/"%#"%%
USG &/+%' %+%$' (+-' $%' /+*')',+#$% *($p
V. DIAGNOSIS
5G:P3 4< --$
5 A!"r#$% +%
5)+/"%#"%% +7 )"$r ')!$%
VI. DIAGNOSA BANDING
5/+#
5")' *('#("%'
VII. PROGNOSIS
I!$ & D$!' '(' !"'
' & ($!'
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VIII. PENATALAKSANAAN
O!%+r6'% TNSP, *%, B, USG
!+(r+%#
A"/%) 300-
I!" 44
Pr"+( %$pp 34
D$6'()' 24
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T-) 405405200: >p/. 04.00@
S & O% ('#'- /+!') /+ VK (+-' p+r('r'*' %+'/ 40 '
SMRS ,Dr* +r'* , /+#'), %p# -$p')' ('--, /+)$'r 'r>?@,
$)+% >?@, (+'>5@,
O& S# -++r')% &TD & 90=;0 RR&20=
N & 8:= S &3;,; C
M'#' & CA ?=?
C=P & (!N
A!( & T'(' '/$# '!( >5@
S# "!%#+#r& I& #'p'/ ' ((+p' 6$)6'VT+r'!' #') p$%'# ( "%#$
L'!&DPL9,:=28=28.00=32.000 GDS 98 -=()
A& G:P3A048--
A!"r#$% /"p)#
L+/"%#%% %$%p #r' -+#') A+' +7 p+r('r'*'
P& O!%6 TNSP, P+r('r'*'
I$% %#"%" 20 $ $%'*'/' )'*r #"#"
B)' #(/ )'*r #"#" /$r+#'%+ ; ' %#)* ABK+('7)) 2 -r
+"!" 24
8/18/2019 ABORTUS IMMINENS-Ade.ppt Power Point
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T-) 40=40 > p/) 42.00@
()'/$/' /$r+#'%+ (')' SA? 6')$5 %"('%+ 43 7 AF
5 (- /$r+# #'' (/+)$'r/' 'r-'
2 77,
%#)* %!)' (- '!"r#$% #'-
/+)$'r 0 77
5 +#+r- 20,2- IV
)'! & 9,:=28=28.00=32.00GDS& 98 -=()
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T-) 44=40
S& #('/ '(' /+)$*'
O& /$=/+% & %'/# %(-=CM
TD & 90=;0 -
N & 8: =
RR & 20 =
S & 3;,9 C'#' & CA ?=?
C=P & (!N
'!( & #'(' '/$# >5@
A& p'%7' /$r+#P& '"/% 300-
*+"!" 44
+#+r- 34
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ANALISA KASUS
Ao'tus e'(asa'kan (e6inisina a(ala) !engelua'an )asil konse!si
seelum *anin (a!at )i(u! (ilua' kan(ungan (engan usia ku'ang (a'i 20minggu (an e'at *anin elum men5a!ai 800 g'"
&elu)an utama !a(a ao'tus a(ala) !e'(a'a)an !e'9aginan (imana !a(a
!asien ini" N s #: t) (atang (engan kelu)an !e'(a'a)an !e'9aginam se*ak ±
+ *am SMRS (ise'tai kelu)an tama)an e'u!a 'asa mules kelua' 5ai'an (an
len(i' " Se'ta !a(a !eme'iksaan 6isik ti(ak te'(a!at (ilatasi se'9ik"Penea ao'tus se5a'a ga'is esa' te'agi men*a(i (ua e'(asa'kan
6akto' mate'nal (an 6akto' )asil konse!si " !a(a !asien ini !eneana masi)
!e'lu (i5a'i" Da'i 6akto' konse!si kelainan !e'kemangan mau!un
!e'tumu)an )asil konse!si (a!at meneakan kematian *anin mau!un
5a5at teta!i (a'i )asil !eme'iksaan ,S ti(ak (i(a!ati kelainan" Penea
lain isa e'u!a kelainan k'omosom (a'i ee'a!a !enelitian tama!ak );a
80
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F'/#"r '#+r') '- +$-//' +'( p++!'! '!"r#$%,
'#'r' )' '(')'* +/%. P'(' p'%+ (('p'#/' r1''# /+p$#*',
(' *'%) p++r/%'' )'!, !+r$p' )+/"%#"%%, %+*--' *')
+$-//' #+r'(' +/% '%%+(- %+*--' ++!'!/'
'!"r#$%. F'/#"r5'/#"r )' '- !%' +'( p++!'! '!"r#$% ,%+p+r#
'('' -'--$' +("/r, r1''# p+'/# /r"%, p+--$'' "!'#5
"!'#' '$p$ r1''# #r'$' #('/ (#+$/' p'(' p'%+ .
B+r('%'r/' /+)$*' $#'' p'%+ !+r$p' p+r('r'*' p+r6'-',p'(' /+*')' /$r'- ('r 20 --$, %+)' '!"r#$% p+r)$ $-'
(7$r-' '('' KET (' ")' *('#("%' %+!'-' ('-"%% !'(-.
K+*')' +/"p/ #+r-'--$, -+')' '1')' !+r$p' '+"r+ %+p+r#
p'(' /+*')' !'%' (' /+$(' #+r'( p+r('r'*' p+r6'-',
T+#'p *') ('p'# (%-/r/' %+!'! #('/ #+r('p'#' #'('5#'(''/$# '!("+ '- +r$p'/' #'(' /)'%/ p'(' KET (' p'('
p++r/%'' %/ #('/ (#+$/' +r -"'- p"r#" (' p'('
p++r/%'' USG (('p'# !6'*1' *'%) /"%+p% !+r'(' (')' /'6$
$#+r %+*--' ('-"%% !'(- KET ('p'# (%-/r/'
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M")' *('#("%' '(')'* %$'#$ /+*')' '- !+r/+!'- #('/
1''r ( '' #('/ (#+$/' ' (' *'pr %+)$r$* 6)) /"r')%+-')' p+r$!'*' *(r"p/. P'(' '1')' -+')' '- #!$) rp
p'(' /+*')' !'%', #+r'( p+r('r'*'. T+#'p ('-"%' ('p'#
(%'-/'), /'r+' p'(' p'%+ #+r('p'# #'('5#'(' /+*')' p'%#,
%+p+r# #+r('p'#' -+r'/' ' (' '('' B, %+r#' #('/
(#+$/'' snow flake pattern p'(' p++r/%'' USGP+'-'' '!"r#$% +% '- $#'' '(')'* #r'* !'r- >!+(
r+%#@, P+!+r' '#!"#/' ( % '(')'* $#$/ +-'#'% +/% #('/
$#$/ +7+-'* #+r'(' '!"r#$%. P+!+r' ($6'()' '(')'* $#$/
#"/")%% (%+r#' p+!+r' '')-+#/ !+r$p' pr"+( %$pp. D'
p+!+r' !" %+!'-' #+r'p %$p"r#. P+!+r' *"r"
pr"-+%#+r" p'(' '!"r#$% +% '%* +r$p'/' /"#r"6+r% %+!'!
H/+!+r*'%)' (')' p+--$'' "!'# %+r- +-'/!'#/' #('/
)+!* ('r /+('' missed abortion.