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Referat

Deep Vein Thrombosis

Disusun oleh :

Michelle H 07120110086

Pembimbin :

Dr! Ro"man #iman$unta%& #p 'T(V

()P*+,T)R**+ (-,+,( ,-M. ')D*H

#,-/*M H/#P,T*- -,PP/ V,--*) R.M*H #*(,T.M.M #,-/*M

*(.-T*# ()D/(T)R*+ .+,V)R#,T*# P)-,T* H*R*P*+

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Pen3ahuluan

• DVT merupa%an %elainan %ar3io4as%ular terserinnomor tia setelah pen"a%it %oroner arteri 3anstro%e

• (ematian 3an %ecacatan 3apat ter$a3i sebaaia%ibat %esalahan 3ianosa& %esalahan terapi 3anper3arahan %arena penunaan anti%oaulan"an ti3a% tepat& oleh %arena itu penea%an

3ianosa 3an penatala%sanaan "an tepat sanat3iperlu%an

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De5nisi

•  Deep vein thrombosis DVT merupa%anpembentu%an be%uan 3arah pa3a lumen 4ena3alam deep vein "an 3ii%uti oleh rea%siin9amasi 3in3in pembuluh 3arah 3an $arinan

peri4ena

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,nsi3ensi

• ,nsi3en DVT 3i *meri%a #eri%at a3alah 1; per100 ribu atau se%itar

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Patoenesis

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a%tor Resi%o

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*natomi

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Manifestasi (linis

• +"eri

• )3ema

• Perubahan >arna %ulit %emerahan?9emasia alba3olens?9emasia cerulea 3olens

•

Vena super5sial lebih terlihat• (ulit hanat

• Homan@s sin

• Moses@ sin

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PostAthrombotic s"n3rom

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Dianosis

• DA3imer

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• Venora5 (ontras

,liofemoralsub occlusi4e 5llin 3efect

Aol3 stan3ar3

A-ebih bai% 3alam i3enti5%asiBalf 4ein thrombosisAResi%o tini 9ebitisA,n4asif 3an n"eri

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• .# Doppler ? .# DupleC

A+onin4asif A(uran bai% untu% 4isualisasi 4ena iliacaPel4isAMembutuh%an operator "an terlatihA'isa 3iulan secara serial untu% monitor#uspe% DVTA#ensiti4itas ren3ah untu% i3enti5%asiBalf 4ein thrombi

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*loritma Dianosis

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 Tatala%sana

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• *RM*(/-/,#

 Tu$uan penobatan a3alah :

• Menceah meluasn"a trombosis 3an

timbuln"a emboli paru!• Menurani morbi3itas pa3a seranan a%ut!

• Menurani %eluhan post 9ebitis

•

Menobati hipertensi pulmonal "an ter$a3i%arena proses trombo emboli!

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Heparin

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http://1.bp.blogspot.com/-PlWZw8IkSbY/Tnhuvh4CuHI/AAAAAAAAABM/XH99OtWxa5A/s1600/Picture3.png

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• arfarin

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•  Terapi Tromboliti%

,n3i%asi :ATrombosis luas 3enan resi%o tini ter$a3in"a

emboli paru

ADVT proCimal

AThreatene3 limb 4iabilit"

A*3an"a pre3isposisi %elainan anatomi

A(on3isi 5siolois bai% usia 18A7thn

AHarapan hi3up E6 bulan

A/nset e$ala F1G hari

ATi3a% a3a %ontrain3i%asi 3ila%u%an trombolisis

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BatheterA3irecte3 Thrombol"sisBDT

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Pharmacomechanical Thrombol"sis

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.ltrasoun3 accelerate3thrombol"sis

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*3$uncti4e Venous *nioplast" an3#tentin

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+/+*RM*(/-/,#

ATrombe%tomi

,n3i%asi :

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Batheter aspiration thrombectom"

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Venous Thrombectom"

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,nferior

Vena Ba4ailters

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)n3o4enous -aser *blation

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Ra3iofreuenc" *blation

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Penceahan

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ra3uate3 Bompression #toc%in

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Pneumatic Bompression De4ice

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(ompli%asi

• Pulmonar" )mboli

• Bhronic Venous ,nsuIcienc"

•

Post Phlebitic #"n3rome

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 Terima (asih