Professional Documents
Culture Documents
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perencanaan tingkat perawatan dan Pasien dilakukan tindakan operasi
menghindari perkembangan yang akut evakuasi ICH.
selama jam pertama. Ukuran hematoma
telah diidentifikasi sebagai salah satu
prediktor yang paling penting dari
mortalitas 30 hari dan ekspansi bisa
memprediksi tingkat kerusakan neurologis.
Manajemen tekanan darah tetap, walaupun
kontroversial.5,6
Kasus
Pria usia 35 tahun datang dengan
penurunan kesadaran setelah mengalami
kecelakaan, mual (+), muntah (+), nyeri
kepala (+), terdapat perubahan perilaku,
riwayat kejang disangkal. Riwayat HT,
DM dan Stroke disangkal, Tekanan darah
140/80 mmHg, nadi 86 kali /menit, RR 18
kali/menit, suhu 36,6 0C, GCS 8, pupil
isokor, reflek cahaya positif. Hasil
pemeriksaan laboratorium, Hb :11,0 g/dL;
Ht : 35%; Eritrosit : 3,8 X 103/mm3;
gk/mdLeukosit 5,8 x 103/mm3; trombosit :
213 x 103/mm3. Gambar 2. CT scan non contras
Diskusi
ICH adalah Perdarahan
intraserebral adalah penyakit yang umum
dan serius.ICH primer mengacu pada
perdarahan spontan dari pembuluh
intraparenkim
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Tatalaksana operatif dipertimbang - Berdasarkan klasifikasi ICH pada
kan bila memenuhi indikasi.30,31 kasus ini adalah ICH traumatik.
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7. Gonzalez R dan Villalba JJ.2014. 14. Flaherty ML, Woo Daniel, and
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Volume 1. Hal 2-8. Florida Cambridge University Press, New
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15. Castel JP, Kissel P. Spontaneous
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Medical Student. 6th ed. Sugiharto hemorrhage. In:Youmans JR. ed.
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Untuk Mahasiswa Kedokteran. 1913
Edisi 6. Jakarta: EGC, 2006; 740-
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Hipertensif Abdul Gofar
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Human Anatomy. Version 3. Icon Saraf Departemen Ilmu Bedah
Learning System LLC, 2003. Fakultas Kedokteran Universitas
Sumatera Utara, Medan Suplemen
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Medical Physiology. 11th ed. Volume 39 y No. 3 y September
Elsevier Saunders, 2006; 685-97. 2006.
11. Dunn LT, Teasdale GM. Head 17. Broderick J, Connolly S, Feldmann
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of Surgery. 2nd ed. Volume 3. Association/ American Stroke
Oxford Press, 2000. Association Stroke Council;
American Heart Association/
12. Yadav YR, Mukerji G, Shenoy R, American Stroke Association High
Basoor A, Jain G, Nelson A. 2007. Blood Pressure Research Council;
"Endoscopic management of Quality of Care and Outcomes in
hypertensive intraventricular Research Interdisciplinary Working
haemorrhage with obstructive Group. Guidelines for the
hydrocephalus". BMC Neurol 7: management of spontaneous
1.:10.1186/1471-2377-7- intracerebral hemorrhage in adults:
1.PMC 1780056. PMID 17204141. 2007 update: a guideline from the
American Heart
13. Sanders MJ and McKenna K. 2001. Association/American Stroke
Mosbys Paramedic Textbook, 2nd Association Stroke Council, High
revised Ed. Chapter 22, "Head and Blood Pressure Research Council,
Facial Trauma." Mosby. and the Quality of Care and
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Outcomes in Research writing group of the Stroke
Interdisciplinary Working Group. Council, American Heart
Stroke 2007; 38(6): 20012023. Association. Circulation.
Epub 2007 May 3. 1996;94:116774
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31. Bullock M. Ross, Chesnut Randall, 34. Barrett RJ, Hyssain R, et al.
Ghajar Jamshid, et al. 2006. Frameless stereotactic aspiration
Surgical Management of and thrombolysis of spontaneous
Traumatic. Neurosurgery 58:S2- intracerebral hemorrhage.
25-S2-46 Neurocrit Care. 2005;3:23745.
32. AD, Gregson BA, et al. Early 35. Ogilvy CS, et al. :
surgery versus initial conservative Recommendations for the
treatment in patients with Management of Intracranial
spontaneous supratentorial Arteriovenous Malformations.
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International Surgical Trial in
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