Torakosentesis (Punksi Pleura) : Dr. Yusup Subagio Sutanto, SP.P
Torakosentesis (Punksi Pleura) : Dr. Yusup Subagio Sutanto, SP.P
Torakosentesis (Punksi Pleura) : Dr. Yusup Subagio Sutanto, SP.P
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 aan p l ! u r a
TUUA
N Diagno%$i#
aa$!amu uu"#a$ria# a"ni rao"nag
$g$gia"a" ap#!ln!nu/u/arara -airan
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- oaan)
%!!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 $!raru
S!mpri$ " 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 $!ra%a +arum m!n!
mu% p l ! u r a , pa%$i#an $i"a# a " a p ! r " a r a 0 a n
arum $!la0 m!n!mu% p l !ur a 4
airan ' u " a r a m u " a 0 "i$ari#
Di$!mpa$ / a ng %ama ma%u##an
#a$!$!r 9 ! n a no. 7 : %ampai m!
n!mu% p l !ura
Pi%$on +arum "i$ari# lalu "i%amung " !
n g a n %!$ in2u%
Apaila +umla0 -airan un$u# "iagno%$i#
%u"a0 -u#up 4
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#au$
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 $!r+a"i p a " a pa%i!n " ! n g a n
INTE RPRE S TAS I
a#ro%#opi% -airan
San$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
$!ragi a$a% $ran%u"a$ " a n !#%u"a$
Ta!l p!r!"aan $ran%u"a$ " a n !#%u"a$ %!-ara