management sci

7/25/2019 Management SCI

1/19

PENDEKATAN BARU PENANGANANBEDAH PADA TRAUMA MEDULLASPINALIS AKUT

Sinta Tri Ciptarini (H2A011042)


2/19

Ringa!an

Tra"#a #$%"&&a !pina&i! a%a&a' $a%ian ang*$rp+t$n!i #$n$*a*an %a#pa ang *$!ar,!a#pai !aat ini- t$rapi pa%a !t"%i pr$&ini !"&it

"nt" %iap&ia!ian pa%a t$rapi &ini!, T$rapi *$%a' pa%a tra"#a #$%"&&a !pina&i!

*$rt""an "nt" %$+#pr$!i #$%"&&a !pina&i! %an#$ng$#*a&ian !ta*i&ita! .$rt$*ra,

S$*agian *$!ar *"ti pr$&ini! %an &ini!- !$rta!"r.$ int$rna!i+na& t$ntang *$%a' t"&ang*$&aang-#$n%""ng tin%aan *$%a' !$g$ra (/24

a#),


3/19

P$n%a'"&"an

Pa%a p$n$&itian Nati+na& A"t$ Spina&C+r% In"r St"% (NASCIS)- !$#"at$rapi ar#a+&+gi ti%a #$#*$rian

#anaat pa%a tra"#a #$%"&&a !pina&i!-'ana #$t'&pr$%ni!+&+n %+!i! tinggiang #$#*$rian #anaat !$%ang,

B$raitan %$ngan $$ !a#pingp$ngg"naan #$t'&pr$%ni!+&+n %+!i!tinggi- *$*$rapa &ini!i#$#p$rti#*angan p$#*$rian

n$"r+pr+t$tan, T$tapi "ga ti%a


4/19

T$rapi *$%a' #$#$gang p$ranan p$nting %a&a#a!"! $%$ra t"&ang *$&aang %$ngan ata" tanpatra"#a #$%"&&a !pina&&i!,

P$nanganan *$%a' pa%a tra"#a #$%"&&a !pina&i!-t$r%apat 2 t""an ang *$r'"*"ngan

D$+#pr$!i #$%"&&a !pina&i! pa%a pa!i$n %$ngan%$3!it n$"r+&+gi! %an +#pr$!i #$%"&&a !pina&i!

M$ng$#*a&ian +&"#na .$rt$*ra %an !ta*i&ita!.$rt$r*ra "nt" #$#p$r$pat #+*i&i!a!i %anr$'a*i&ita!i pa!i$n


5/19

PAT5ISILGI

Pat+&+gi tra"#a #$%"&&a !pina&i!

Tra"#a pri#$r tra"#a +#pr$!i *ar" ang#$n$*a*an &a!$ra!i %an ata" '$a#t+#aint$r#$%"&&ar

Tra"#a !$"n%$r ai*at %ari +#pr$!i p$r!i!t$n!$'ingga #$n$*a*an %$!tr"!i aringan,

Pr+!$!6pr+!$! t$r!$*"t t$ra%i !$t$&a' tra"#apri#$r- #$&ip"ti ra%ia& *$*a!- $ti%a!$i#*angan

i+n !$&"&ar- p$r+!i%a!$ !$& #$#*ran &$#a-p$&$pa!an t+!i g&"ta#at- !$rta gangg"an.a!"&$r, S$'ingga t$ra%i p$r&"a!an %ari &$!i a7a&


6/19

B"ti Pr$&ini!

D$raat tra"#a !ara *$r'"*"ngan&ang!"ng %$ngan %"ra!i +#pr$!i#$%"&&a !pina&i! !$rta 7at" antara

tra"#a %an tin%aan %$+#pr$!i,


7/19

B"ti K&ini!

Pa%a p$#*$%a'an !$g$ra (/ 24 a#)#$ng'a!i&an !tat"! n$"r+&+gi! ang&$*i' *ai %aripa%a p$#*$%a'an ang

t$rt"n%a (824 a#),

Tin%aan p$#*$%a'an / 92 a#

%i*an%ingan %$ngan p$#*$%a'an 8 92a# ti%a #$#*$rian $$ ang*$r%$*a,


8/19

In%ia!i Tin%aan P$#*$%a'an


9/19

Krit$ria ra%i+&+gi!

Di : ant$r+p+!t$ri+r (AP) ana& %ia#$t$r at t'$ &$.$& +#a;i#a& in"r$!i %$ngan %i!&+a!i %an tran!&+a!i ant$ri+rpa%a .$rt$*ra C?6C9, MRI #$n"n"an +#pr$!i

C?6C9 (@=), S+r SLIC 10, tin%aan p$#*$%a'an%i&a"an !$t$&a' 12 a# !$t$&a' t$ra%i tra"#a,Di&a"an +rp$t+# %$ngan *+n$grat %an 3!a!ip+!t$r+6&at$ra&,

S$t$&a' 1 t' p+!t tra"#a- %ari p$#$ri!aan MRI%i%apatan a&ign#$nt $r.ia& n+r#a& tanpa+#pr$!i #$%"&&a !pina&i! ata" &$!i ana&i! !pina&i!,


18/19

K$!i#p"&an

Sangat %ir$+#$n%a!ian "nt"tin%aan !$g$ra- *ai p$#*$%a'an(%$+#pr$!i) #a"p"n !ta*i&i!a!i

.$rt$*ra %a&a# 24 a# !$t$&a' t$ra%itra"#a #$%"&&a !pina&i!


19/19

T$ri#a a!i'

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