Perbaikan Sepsis

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    SEPSIS

    Pembimbing : dr. Pelsi Sulaini, SpOG(K)

    OLEH

    Asri Noi!an"i #$%&''%&&

    Li"a Nara"iloa #$%&''%%

    *i!an +ebriani #$%&''%&'$

    POGA- PASA SA/ANA KE0I1ANAN

    +AK2L*AS KE1OK*EAN

    2NI3ESI*AS AN1ALAS

    *AH2N %

    1

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    1A+*A ISI

    DAFTAR ISI...............................................................................................................................i

    DAFTAR TABEL.....................................................................................................................iii

    DAFTAR BAGAN....................................................................................................................iv

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

    A. Latar Belakang...................................................................................................................1

    B. Tujuan Penulisan................................................................................................................

    BAB II TIN!AUAN PUSTA"A...............................................................................................#

    A. Se$sis...............................................................................................................................#

    1. De%enisi........................................................................................................................#

    . E$i&e'i(l(gi...............................................................................................................)

    #. Eti(l(gi Se$sis.............................................................................................................*

    ). Fisi(l(gis Perta+anan Tu,u+.......................................................................................-

    *. Pat(%isi(l(gi se$sis......................................................................................................-

    -. Fakt(r Resik( Se$sis.................................................................................................11

    e. Diagn(sa "linis.........................................................................................................1

    %. Penatalaksanaan.........................................................................................................1#

    g. "('$likasi................................................................................................................1)

    B. SIRS S/ste'i0 In%la'at(r/ Res$(ns S/n&r('e...........................................................12

    1. De%inisi......................................................................................................................12

    . Pat(%isi(l(gi...............................................................................................................12

    #. Pat(genesis................................................................................................................13

    ). Gejala "linik.............................................................................................................1

    *. Fakt(r Pre&is$(sisi....................................................................................................

    -. 4anaje'en................................................................................................................

    5. S/(k Se$sis......................................................................................................................)

    1. Pengertian..................................................................................................................)

    . Gejala S/(k Se$tik....................................................................................................)

    #. Pat(%isi(l(gi 4ani%estasi "linis S/(k Se$sis............................................................*

    ). Pe'eriksaan La,(rat(riuu'......................................................................................-

    *. Pr(gn(sis...................................................................................................................-

    -. 4anaje'en S/(k Se$sis &ala' "e+a'ilan Dan Pas0asalin.....................................2

    D. Disse'inate& Intravas0ular 5(agulati(n DI5..............................................................#)i

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    1. De%enisi......................................................................................................................#)

    . Eti(l(gi......................................................................................................................#)

    #. Pat(%isi(l(gi...............................................................................................................#*

    ). Tan&a &an Gejala.......................................................................................................#-

    *. Fakt(r Resik(.............................................................................................................#2

    -. Diagn(sis...................................................................................................................#2

    2. Penanganan................................................................................................................#6

    BAB III "ESI4PULAN..........................................................................................................)1

    DAFTAR PUSTA"A...............................................................................................................)#

    ii

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    1A+*A *A0EL

    Ta,el 1 "riteria &is%ungsi (rgan gan&a......................................................................................2

    Ta,el Ta+a$an SIRS..............................................................................................................13Ta,el # Ik+tisar terja&in/a s/(k se$sis.....................................................................................-

    Ta,el ) Gangguan %ungsi $a&a kerusakan (rgan......................................................................2

    Ta,el * Stan&ar $r(se&ur S/(k Se$sis.....................................................................................6

    Ta,el - Tera$i anti,i(tika.........................................................................................................#1

    Ta,el 2 In&ikasi $ersalinan.......................................................................................................#

    Ta,el 6 G(al Tera$i Pa&a 4anaje'en Dari Se$sis Berat Dan S/(k Se$sis............................#

    Ta,el 3 In&ikasi $e',e&a+an $a&a se$sis ,erat7 s/(k se$sis...................................................##

    Ta,el 18 In&ikat(r $r(gn(sis &ari luaran /ang ,uruk $a&a s/(k se$sis...................................#)

    iii

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    1A+*A 0AGAN

    Bagan 1 Ske'a $at(genesis se$sis............................................................................................3

    Bagan Alg(rit'a SIRS..........................................................................................................1

    iv

    http://d/BAHAN%20AJAR%20KULIAH%20S2%20xx/SEMESTER%20III/Penyakit%20infeksi/PERBAIKAN%20SEPSIS.doc#__RefHeading___Toc446530314http://d/BAHAN%20AJAR%20KULIAH%20S2%20xx/SEMESTER%20III/Penyakit%20infeksi/PERBAIKAN%20SEPSIS.doc#__RefHeading___Toc446530314
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    0A0 I

    PEN1AH2L2AN

    A. La"ar 0ela5ang

    Se$sis 'eru$akan res$(n +(st ter+a&a$ in%eksi /ang ,ersi%at siste'ik &an 'erusak. Se$sis

    &a$at 'engara+ $a&a se$sis ,erat &is%ungsi (rgan akut $a&a 0uriga in%eksi &an s/(k se$tik

    se$sis &ita',a+ +i$(tensi 'eski$un tela+ &i,erikan resusitasi 0airan. Se$sis ,erat &an s/(k

    se$tik a&ala+ 'asala+ kese+atan uta'a9 /ang 'e'$engaru+i jutaan (rang &i seluru+ &unia

    setia$ ta+un9 'ene:askan satu &ari e'$at (rang &an sering le,i+ Dellinger981.

    Insi&en se$sis 'eningkat &i se'ua :ila/a+ &i &unia &i'ana stu&i e$i&e'i(l(gi tela+

    &ilakukan. Bakteri gra' $(siti% tela+ 'enja&i $en/e,a, $aling u'u' &ari se$sis9 :alau$un

    (rganis'e ja'ur /ang $aling 0e$at 'eningkat &ala' insi&enn/a. 4eski$un $r($(rsi tingkat

    ke'atian se$sis ti&ak ,egitu tinggi9 ju'la+ (rang /ang 'eninggal &engan se$sis setia$ ta+un

    terus 'eningkat karena 'eningkatn/a ju'la+ kasus setia$ ta+un 4artin9 81.

    Se$sis 'eru$akan $en/e,a, ke'atian ter,an/ak $a&a $sien I5U &i A'erika Serikat.

    Se$sis terja&i $a&a 2*8.888 $en&u&uk &unia $erta+un9 &an le,i+ &ari 18.888 'eninggal

    teruta'a &inegara ,erke',ang9 na'un jau+ le,i+ jarang &i,an&ing ke'atian karena

    $er&ara+n atau +i$ertensi &ala' ke+a'ilan. Diantara $en&erita /ang &ira:at karena se$sis9 3;

    )

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    se$sis se0ara ,er'akna 'e'iliki &a'$ak jangka $anjang /aitu *8< $enurunan +ara$an

    +i&u$ &ala' li'a ta+un ke&e$an.

    S/ste'i0 In%la''at(r/ res$(nse s/n&r('e SIRS atau res$(n tu,u+ ter+a&a$

    in%la'asi siste'ik /ang 'en0aku$ kea&aan tertentu 'eru$akan gejala a:al se,elu'

    sese(rang terkena se$sis9 se&angkan DI5 'eru$akan kelainan $er&ara+an /ang 'engan0a'

    n/a:a9 teruta'a &ise,a,kan (l