atonia uteri

7/17/2019 Atonia Uteri

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ATONIA UTEATONIA UTEOLEH : LILI WIDIANTO

PEMBIMBING : DR. SAMUEL RANDA BSP.OG



PENDAHULUA



PPH Cause

Atony Uterne

70%

Materna! Morta!ty



"ASUS



IDENTITAS PASIEN

1.Nama : Ny. SA2.Usia : 25 tahun

3.Alamat : Jl. Samratulangi RT.34 N.1

4.P"#"r$aan : I%u rumah tangga &IRT'

5.P"n(i(i#an: D1).Su#u :*ugis

+.Agama : Islam



RI,A-AT PEN-AIT SEARAN/

Pasen #atan$ #en$an ru%u&an #ar B#an #en$an &e!u'an (eru)a &en*an$+&en*an$ se%a& 'ar SMPasen %u$a -en$a&u a#a &e!uar !

#an #ara' !eat %a!an !a'r. "e&e!uar ar #ar %a!an !a'r #sanGera&an %ann #rasa&an sa-a se(asanya.



RI,A-AT PEN-AIT DA0UU

.Pasen t#a& -e-!& rayat ')e

#a(etes -e!!tus -au)un as-a se-asa &e'a-!an.

/.Pasen )erna' -en%a!an o)eras *aesar # RS AWS ta'un /0/ a.

n#u&s )a#a &e'a-!an )erta-anya.1.Pasen -enyan$&a! -e-!& rayat &e

ra'- (eru)a -o-a #an atona uter.



RI,A-AT PEN-AIT EUAR/A

Dsan$&a!



RI,A-AT ENSTRUASI

.Menar*'e : 1 ta'un./.S&!us 'a# : /2 'ar 3 teratur.

1.La-a 'a# : 4 'ar.

5. 6u-!a' #ara' 'a# : 1 &a! $ant )e-(a

7.HPHT : !u)a

8. Ta&sran )ersa!nan : +



RI,A-AT PERNIA0AN

Untu& )erta-a &a!, )asen -en&a' )a#/ ta'un #en$an !a-a )ern&a'an se!ata'un.



RIWA9AT OBSTETRI"

N. Tahun

artu

s

T"mat

Partus

P"nln

g

Umur

#"hamila

n

J"nis

P"rsalin

an

P"nyuli

t

J"nis

"lam

*"ra

*a(a

1. /0/3

'a-!

n

RS Ater- SC a3I

&a!a

!a-a

$a$a!

+ La&+!a

100 $r



•

Ant"natal 7ar" &AN7'D &!n& (#an seta) (u!an

•ntras"si

Sunt& )er satu (u!an se!a-a ta'un tera



PEERISAAN 8ISI

.Antro)o-etr: BB : 47 &$, TB : 7/ *-.

/."ea#aan u-u-: Se#an$

1."esa#aran : Co-)os -ents

5. Te&anan #ara' : 10300 --H$

7.<re&uens na# : =2 &a!3-ent8.<re&uens na>as: /5 &a!3-ent

4.Su'u : 18,7 ?C



STATUS /ENERAISATA

."e)a!a : nor-o*e)'a!

/.Mata : &on%un$t@a ane-s +3+, s&!era &ter

1. Te!n$a : t#a& #te-u&an &e!anan

5.H#un$ : t#a& #te-u&an &e!anan

7. Ten$$oro&&an: t#a& #te-u&an &e!anan

8.Le'er : &e!en%ar $eta' (enn$ +, )e-(es

4. T'ora&s :

. 6antun$ : S,S/ re$u!er tun$$a!, -ur-ur +, $a!!o)

/. Paru+)aru : suara na)as @es&u!er, ron& +, 'e



STATUS /ENERAISATA

.Ma-ae : s-etrs, -assa +, nyer te&an +aero!a ')er)$entas

/.A(#o-en:

. Ins)e&s : *e-(un$, !nea n$ra , strae

/. Aus&u!tas : (sn$ usus nor-a!

1.E&stre-tas:

. Su)eror : e#e-a +3+, a&ra! 'an$at

/. In>eror : e#e-a +3+, a&ra! 'an$at, @arses +3+



STATUS *STETRI DAN /INE. Ins)e&s : -e-(esar ara' -e-an%an$, strae , !nea

/. Pa!)as : Tn$$ >un#us uter : 17 *-.. Leo)o!# I : tera(a (o&on$.

/. Leo)o!# II : )un$$un$ %ann ter!eta& # &r (u.

1. Leo)o!# III : tera(a &e)a!a.

5. Leo)o!# I : su#a' -asu& )ntu atas )an$$u!.

7. Hs : +1. Aus&u!tas : Denyut %antun$ %ann : 17 &a! 3 -ent

5. a$na! tou*'er : @u!@a @a$na nor-a!, )e-(u&aan / *te(a! !una&, &e)a!a Ho#$e I, &etu(an , (!oo#s!y-



DIA/NSIS ERJA SEENTARA

G2P1A0 gravid 38-39 minggu + JTunggal Hidup Intrauterin + InpaKala 1 Fae !aten + "i#a$at %e&

(aearia 3 ta)un $ang lalu



PEERISAAN PENUNJAN/

• Darah Rutin

• Leu&ost : 2.800 3 --1

• He-o$!o(n : ,2 $r

• He-ato&rt : 14

• Tro-(ost : =0.000 3 --1

• B!ee#n$ T-e : 1 -ent

• C!ottn$ T-e : = -ent

• H(sA$ Non Rea&t>

• A(HI Non Rea&t>

Kimia Darah

• GDS : 87 mg

• Ureum : 23.2

• Creatinin : 0.6

Urine Lengkap

• Leukit : +3

• Protein : +2



<OLLOW UPRa%u9 S"t"m%"r 2;15

Pu&u! 7.5=

Mener-a )asen (aru

S : )erut &en*an$+&en*an$ !en#r #ara'

O : TD : 10320 --H$, T<U 17 *-, D66 17F 3 -ent, )e-(u&aan / *- )&etu(an utu', &e)a!a Ho#$e I

A : G/PA0 $ra@# 12+1= -n$$u 6ann Tun$$a! H#u) Intrautern In

Laten Rayat Se*to Caesara 1 ta'un yan$ !a!u a3I $a$a! n#u&sP : O(ser@as &e-a%uan )ersa!nan

Pu&u! /.00

TD : /0340 --H$, D66 52F3 -ent, HIS / F 0 17, Pe-(u&aan 1 *-, )&etu(an utu', (!oo# s!y- +

O O



<OLLOW UPamis9 1; S"t"m%"r 2;15

Pu&u! 00.10

TD : /0340 --H$, D66 71F3-ent, HIS / F 017

Pu&u! 07.00

TD : /0340 --H$, D66 54F3 -ent, HIS / F 0 17,)e-(u&aa)orto te(a! !una&, &etu(an utu', &e)a!a Ho#$e I, (!oo#s!y- +,%ann

La)or &e)a#a #r. S).OG

A#@*e :

O(ser@as sa-)a #en$an )u&u! /.00 #an !a)or&an &e-(a!.

Pu&u! 04.00

TD : /0340 --H$, D66 71F3 -ent, HIS / F 017



<OLLOW UP

Pu&u! 04.50

TD : /0340 --H$, D66 57F3 -ent, HIS / F 017

Pu&u! 0.00

TD : /0340 --H$, D66 51F3 -ent, HIS / F 017

Pu&u! /.00

TD : /0340 --H$, D66 57F3 -ent, HIS / F 017, )e-(u&a

)orto te(a! !una&, &etu(an utu', &e)a!a Ho#$e I, B!oo#s!y- La)or&an &e-(a! &e# r. S).OG

A#@*e :

Ren*ana&an Se*to Caesara SC Cto



LAPORAN OPERASI

• Se*to *esara nss )>anenste!

• Bay !a'r 170 $r, a)$ar s&or =30

• Tonus t#a& a#e&uat, )er#ara'an a&t>

• Masase B+Lyn*'

• Tonus t#a& -e-(a&, )er#ara'an a&t>

• Hstere&to-

• Per#ara'an ter&ontro!



Pu&u! 4.10

Pasen #)n#a'&an &e ruan$an (asa

S : Nyer )ost o)eras

O : TD 0340 --H$, N : 22F3 -ent, ane-s +

A : G/PA0 $ra@# 12+1= -n$$u )ost SC Hstere&to- H+0 a3I &a!a -e-an%an$ atona ut

Has! #ara' !en$&a) Post O)eras :

WBC : 5.00, H( : =,4 H*t 10, P!t: 8/.000

Urne Out)ut 80 **3%a-

Pu&u! / 00



Pu&u! /.00

Pasen #)n#a'&an &e ruan$an (asa

S : Nyer )ost o)eras

O : TD 0340 --H$, N : 20F3 -ent, ane-s +

Urne Out)ut 87 **3 %a-

A : G/PA0 $ra@# 12+1= -n$$u )ost SC Hstere&to- H+0 a3I &a!a -e-auter

P :

I<D RL /0 t)-

In%e&s *e>ota&s- / F $r .@

In%e&s &etoro!a* 1 F 10 -$ .@Dr) tra-a#o! 3 2 %a- .@

In%e&s rant#ne / F $r .@

S< / F 100 -$ ).o

Mo(!sas (erta'a)



Jumat9 11 S"t"m%"r 2;15

S : Nyer )ost o)eras (er&uran$

O : TD /0340 --H$, N : 20F3 -ent, ane-s +

Urne Out)ut 80 **3 %a-

A : G/PA0 $ra@# 12+1= -n$$u )ost SC Hstere&t&a!a -e-an%an$ atona uter

P :

Sesua tF )ost o)

inggu 13 S"t"m%"r 2;15



inggu9 13 S"t"m%"r 2;15

S : Nyer )ost o)eras (er&uran$, BA" , -o(!sas

O : TD /0320 --H$, N : 20F3 -ent, ane-s +

A : G/PA0 $ra@# 12+1= -n$$u )ost SC Hstere&to- H+/ a3I &a!a -e-uter

P :

I<D RL /0 t)-

In%e&s *e>ota&s- / F $r .@

In%e&s &etoro!a* 1 F 10 -$ .@

Dr) tra-a#o! 3 2 %a- .@

In%e&s rant#ne / F $r .@

S< / F 100 -$ ).o

Bo!e' )u!an$ #en$an o(at ora! : *e>a#ro&s! 1 F 700 -$ )ara*eta-o! 1 F 700 -

"ontro! untu& )eraatan !u&a # )o! "an#un$an "a-s, 4 Se)te-(er /07.



DIS"USI



"LINIS

. Per#ara'an )er@a$na-

/. "onsstens ra'- !una&

1. <un#us uter na&

5. Ter#a)at tan#a+tan#a syo&



Ter-a&as'

atonia uteri

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