Torakosentesis (Punksi Pleura) : Dr. Yusup Subagio Sutanto, SP.P

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TORAKOS E NTE S IS
(PUNKSI
PLEURA)
Dr. YUSUP SUBAGIO SUTANTO,
Sp.P
Bagian Pulmonologi  K !" o # $ !r a n R!%pira%i
&K. UNS'
S&Paru RSUD. Dr. o!ar"i
Sura#ar$a

 
D! * ni
%i  Tin" a #a n m! m a %u##an +arum

a$au
#a$!$!r # ! rongga p l !ur a 
m#ma!$n!ng$g!arm #!i lr o(an%gpgiara p
%li!) u-rair aan p l ! u r a

 
 TUUA
N Diagno%$i#

aa$!amu uu"#a$ria# a"ni rao"nag
$g$gia"a" ap#!ln!nu/u/arara -airan

 !ngamil a0an p!m!ri#%aan


mi#roorgani%m! " a n %i$ologi

 
 TE RAPE UTIK 
 !ng!luar#an -airan'u"ara un$u#
m!nga$a%i #!lu0an
  Tmin! "nag#a$an% ai #!a lu (0paun#
%i p! r- oaan)
%!!lum p!ma%angan 1 S D

 
INDIKASI
 E2u%i pl!
ura
Pn! um o$0ora#

3i"ropn!umo$0ora#
%

 
KONTRA INDIKASI
 A%olu$ 4 Ti"a# a"a

R!la$i2 
 K ! a " a a n umum uru#, #! - u al i pun#%i
p l ! u r a " ! n g a n $u+uan $!rap!u$i#

5p5p5pnI unu2n2n#
!%ii #uli$ / a n g lua%
"i "a!ra0

 
PERSIAPAN TINDAKAN
Bahan dan alat Pasien

S$!$o%#op  &o$o $ora#% PA ' la$!ral
 Sarung $angan #! -il $!raru
 S!mpri$ " a n +arum %!#ali
pa#ai 6 - - " a n 78 - - Ruangan

Ka$!$!r 9 ! n a no. 7 : a$au 7 ; 
S!ai#n/a $in"a#an
 S!$ $ran2u%i "ila#u#an " i ruang $in"a#an
 Li"o-ain < =
 Bo$ol %$!ril i%i " ! n g a n -airan

a7a7a7>8>8u8u8a a -"-!%  !


$a"in! ( : 4 7) Al#o0ol ? 8 =
 B!$a"in!
 Ka%a S$!ril
Bo$ol #!- il  
PROSEDUR TINDAKAN
 Pa%i!n "ip!r%iap#an po%i%i "u"u#'%!$!nga0
" u " u # , %i%i / a n g %a#i$ m ! n g 0 a " a p "o#$!r / a n g
a#an m!la#u#an pun#%i
 Siap#an ala$ (/ang m u " a 0 "i+ang#au "o#$!r)
 B ! r i $an"a ( " ! n g a n %pi"ol) / a n g a#an " i pun#%i
Pun#%i "ila#u#an p a " a %!la iga @II a$au @III
p a " a gari% a#%ila po%$!rior
 D!%in2!#%i " a ! r a 0 / a n g $!la0 "i!ri $an"a
" ! n g a n !$a"in  al#o0ol

An!%$!%i " a ! r a 0 / an g $!la0 "i$an"ai ("imulai
" a r i %u#u$i% lalu $!ga# luru% # ! ara0 pl ! u r a
"ila#u#an $!pa$ " i " a ! r a 0 %!la iga), #!luar#an
li"o-ain p ! r l a 0 a n 0ingga $!ra%a +arum m!n!
mu% p l ! u r a , pa%$i#an $i"a# a " a p ! r " a r a 0 a n

 
 arum $!la0 m!n!mu% p l !ur a 4

airan ' u " a r a m u " a 0 "i$ari#

Di$!mpa$ / a ng %ama ma%u##an
#a$!$!r 9 ! n a no. 7 : %ampai m!
n!mu% p l !ura

Pi%$on +arum "i$ari# lalu "i%amung " !
n g a n %!$ in2u%

 
Apaila +umla0 -airan un$u# "iagno%$i#
%u"a0 -u#up 4

  Ta ri# +a rum " ! nga n - ! pa $ " ! nga n


ara0
 $!ga# luru%
Saa$ !#%pira%i " a n !#a% lu#a $u%u#an
%!g!ra "i$u$up " ! n g a n #a%a !$a"in
  i#a ! r$u+ua n $! ra p! u$i# ma #a pa " a
lo#a%i / a n g %ama "apa$ %!g!ra "ila#u#an
p ! n g ! l u a r a n -airan ' u " a r a " ! n g a n
m!ma%ang 1 S D mini ' 1 S D !%ar

 
P ! n g ! l u a r a n airan
 S!$iap #ali $i"a# m!l!i0i 7888 --

P ! n g ! l u a r a n "apa$ "ila#u#an
%!-ara %!rial

La#u#an u+i Ri9al$a
  T! $! %#a n %! " i#i$ - aira n pl! ura
#!
-airan Ri9al$a
 Bila $!r!n$u# -in-in !r#au$
ar$in/a u+i Ri9al$a ()
ar$in/a u+i Ri9al$a ()
PE NYULIT
P!r"ara0an
  T! r+a " i ila +a rum ' #a $! $! r 9! na m!
lu#ai
ar$!ri a$au 9 ! n a in$!r#o%$ali%
N/!ri
  T! r+a " i +i#a +a rum m ! lu#a i n! r9u%
in$!r#o%$ali%
3i"ropn!umo$0ora#% ' pn!umo$0ora#%

 TaTaT!$ar+ua "#ia !$li$a$a! ur"par"a m m 
a
%#u$#u# mpu!nla#l%uii +arum
P l!ural %0o-# ' ! " ! m a paru
  T! r+a "  i ila p! ngo%onga n rongga pl!
Em*%!ma %u#u$i%
 S ! r i n g $!r+a"i p a " a pa%i!n " ! n g a n

!la%$i%i$i #uli$ / a n g longgar $!ru$ama


p a " a orang $ua
Empi!ma
  T! r+a " i ila $in" a #a n " ila #u#an
$anpa
m ! n g i n " a 0 # a n prin%ip %$!rili$i

 
INTE RPRE S TAS I
a#ro%#opi% -airan

San$o#rom

S!ro%an$o#rom

S!ro0!moragi%

3!moragi%

Pu%

 
 !ni% airan
 S ! - a r a io#imia !2u%i p l ! u r a
$!ragi a$a% $ran%u"a$ " a n !#%u"a$

 
 Ta!l p!r!"aan $ran%u"a$ " a n !#%u"a$ %!-ara

io#imKEiTaE RANGAN  Tran%u"a$ E#%u"a$

K a " a r pro$!in " a l a m !2u%i  F


(g'"lC)
K a " a r pro$!in " a l a m !2u%i  8.6 F 8.6
K a " a r pro$!in " a l a m %!rum
K a " a r L D 3 " a l a m !2u%i (I.U)  <88 F <88

K a " a r L D 3 " a l a m !2u%i  8.; F 8.;

K a " a r L D 3 " a l a m %!rum


B!ra$ +!ni% -airan !2u%i  7.87; F 7.87;

Ri9al$a N!ga$i2  Po%i$i2 

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