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PLEURAL EFFUSION REFERAT Oleh Zhara Vida Zhubika NIM 112011101065 Pembimbing: dr. Duriyanto Oesman, Sp.B

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Page 1: Cover

PLEURAL EFFUSION

REFERAT

Oleh

Zhara Vida Zhubika NIM 112011101065

Pembimbing:

dr. Duriyanto Oesman, Sp.B

SMF BEDAH RSD DR.SOEBANDI

FAKULTAS KEDOKTERAN UNIVERSITAS JEMBER

2016

Page 2: Cover

PLEURAL EFFUSION

REFERAT

Disusun untuk Melaksanakan Tugas Kepaniteraan Klinik di SMF Ilmu Bedah RSD dr. Soebandi Jember

Disusun oleh:Zhara Vida ZhubikaNIM. 112011101065

Dokter Pembimbing:dr. Duriyanto Oesman, Sp.B

SMF BEDAH RSD.DR.SOEBANDI

FAKULTAS KEDOKTERAN UNIVERSITAS JEMBER

2016

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Page 3: Cover

DAFTAR ISI

Halaman

HALAMAN SAMPUL................................................................................. i

HALAMAN JUDUL.................................................................................... ii

DAFTAR ISI ................................................................................................ iii

DAFTAR TABEL ....................................................................................... iv

DAFTAR GAMBAR ................................................................................... v

BAB 1. PENDAHULUAN......................................................................... 1

BAB 2. TINJAUAN PUSTAKA............................................................... 2

2.1 Definisi.................................................................................. 2

2.2 Anatomi dan Fisiologi Pleura............................................. 2

2.3 Epidemiologi......................................................................... 5

2.4 Etiologi.................................................................................. 5

2.5 Klasifikasi............................................................................. 6

2.6 Patofisiologi.......................................................................... 8

2.7 Manifestasi Klinis................................................................. 9

2.8 Pemeriksaan Penunjang...................................................... 11

2.9 Diagnosa................................................................................ 23

2.10 Diagnosa Banding................................................................ 24

2.11 Penatalaksanaan.................................................................. 24

2.12 Komplikasi............................................................................ 29

2.13 Prognosis............................................................................... 30

BAB 3. KESIMPULAN............................................................................. 31

DAFTAR PUSTAKA................................................................................... 32

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Page 4: Cover

DAFTAR TABEL

Halaman

2.1 Perbedaan eksudat dan transudat........................................................ 20

2.2 Pemeriksaan Laboratorium cairan pleura .......................................... 22

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Page 5: Cover

DAFTAR GAMBAR

Halaman

2.1 Tampilan depan paru dan pleura.............................................................

2.2 Dinamika pertukaran cairan dalam ruang pleura ...................................

2.3 Efusi Pleura sinistra................................................................................. 11

2.4 Efusi Pleura dextra.................................................................................. 11

2.5 Efusi Pleura sinistra masif....................................................................... 12

2.6 Efusi Pleura bilateral............................................................................... 12

2.7 Loculated pleural effusion....................................................................... 12

2.8 Efusi Pleura pada foto posisi lateral........................................................ 13

2.9 Efusi Pleura posisi right lateral decubitus.............................................. 14

2.10 Efusi Pleura pada posisi left lateral decubitus........................................ 14

2.11 CT Scan pada efusi pleura ...................................................................... 15

2.12 CT Scan thorax........................................................................................ 15

2.13 CT Scan Thorax dengan Limfoma Non Hodgin..................................... 16

2.14 USG ........................................................................................................ 16

2.15 USG kanker paru lobus kanan atas ........................................................ 17

2.16 USG lymphangitic dari adenokarsinoma................................................ 17

2.17 Metode Torakosintesis............................................................................ 26

2.18 Chest Tube dan WSD............................................................................... 28

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