REGISTER PASIEN BEDAH DIGESTIF

10-10–2018
RKBA
No Nama MR MRS Diagnosa Tindakan DPJP Kamar Keterangan
1 Arman MS 771809 7-10-2018 Icterus obstruksi ec cholangio ca + Monitoring vital sign SS 5.2
hipoalbumin + nfebris + diare akut
2 Darmawi bin harun 1084949 9-10-2018 Tumor esophagus Pro Assesment ulang EF 6
said/lk/01-07-2018

RKBB
No Nama MR MRS Diagnosa Tindakan DPJP Kamar Keterangan
1 Gono Tirtowijoyo / lk 1078646 6-10-2018 Observasi jaundice ec cholagio ca dd/ Pro Perbaikan KU EF 7.3 06-10-18
/ 31-12-1976 klatskin tumor +ca caput pancreas + Transfusi 2 kolf lagi Hb 7,1
anemia + Hipoalbuminemia R/ Cek lab post transfusi Leuko 10,5
PLT 177.000
Bil tot 18
Bil direk 13,4
Bil indirek 4,6
Alb : 2,4
2 Yuliana - 924528 10-10-2018 Adeno ca recti post Hartman procedur Kemoterapi folfox IV AL 3/2
sulastri/pr/12-10-
1961

RKBC
No Nama MR MRS Diagnosa Tindakan DPJP Kamar Keterangan
1 m. Yusuf/lk/12-06- 931654 10-10-2018 Colelitiasis post cholesistektomi perlaparascopy EF 3.1
1982 POD 1
2 Agung budi/11-02- 1075053 10-10-2018 Lymphoma Intra ABDOMEN Laparatomi Biopsi Kp Reseksi Tumor EF 6.2
1992

RBE
No Nama MR MRS Diagnosa Tindakan DPJP Kamar Keterangan
1 M. Zais Ardiansyah / 1046220 13-9-2018 Fistula Enterokutan Pro perbaikan KU HF 3.2 12-9-2018
lk / 1-9-1992 Hb 10,5
Leuko 16.800
Ht 31

1
2 Eny Chyntia / pr / 1082639 20-09-2018 Abses regio inguinal dextra + abses Pro perbaikan KU HF 1.5 25-09-2018
14-4-2003 dinding abdomen + hipoalbuminemia Pro drainase abses Hb 11,3
(2,8) + malnutrisi Albumin 2,8
3 Samsuri bin sakir / 1082870 5-10-2018 Tumor colon ascenden + non Pro perbaikan KU EF 5.3 4-10-2018
Laki- Laki / 1-8-75 visualiezed ginjal + anemia Transfusi PRC (Baru 1 kolf) Hb 5
Leuko 15.8
Ht 16
Trombo 660
4 Tonoh bin Bidin/ lk/ 1084851 07-10-2018 Luka tusuk abdomen anterior dengan Post laparatomi explorasi + EF 5.2 07-10-2018
06-06-1977 eviserasi usus + laserasi hepar segmen cholesistectomi + Jahit hepar + T-Tube Hb : 7,8
V, VI + Laserasi CBD + Hematom zona II Leu : 10.600
Ht : 23
PLT : 143.000
Alb : 2,9

5 Hartoni bin 1063998 08-10-2018 Signet ring cell ca recti T4NxMx + Pro khemoterapi Folfox IV seri ke II EF 3.5 05-10-2018
Manuden/ lk/ 07-12- Leukopenia Hb : 11,7
1977 Ht : 34
Leu : 2.800
PLT : 242.000

6 Nuraina bt KGS 1074675 10-10-2018 Tumor intra abdomen Laparatomi explorasi EF 2.4
amin/pr/30-01-1959
7 Suyatman bin 1080273 10-10-2018 Mucinous adeno ca colon transversum Pro kemoterapi folfox IV AL 3.6
sanak/lk/ 12-12-1973 T4N2bM1
8 Indo panca /pr/11- 1077356 08-09-2018 Ikterus obstruksi e.c susp batu CBD Post explore CBD + Cholesistectomi EF 1.1 Kel (-)
08-1976 POD II
9 Murni/ pr/ 72th 1081383 09-10-2018 Multiple cholelithiasis Explore CBD + Cholesistectomi EF 2.4

10 Maludi/ lk/ 60th 1081944 05-06-1968 Tumor recti 1/3 distal Post Hartman procedure HF 4.4 Diet NB

11 Rukinah/ pr/ 72th 09-10-2018 Hernia obturator sinistra inkarserata Post laparatomi explorasi POD 2 EF 2.2 -Diet Cair
-Mobilisasi
duduk
-NGT
pertahankan

2
RBP
No Nama MR MRS Diagnosa Tindakan DPJP Kamar Keterangan
1 Astri Dewi / pr / 14th 1084337 08-10-2018 Tumor esofagus + DLI Perbaikan KU SS RENCANA
Rencana gastrostomi MASUK

RPK
No Nama MR MRS Diagnosa Tindakan DPJP Kamar Keterangan
1 Horas 928696 11-09-2018 Fistula enterocutan high out put Pro perbaikan KU HF 3.1
nainggolan/lk/29-05-
1956
2 Achmad 1058711 10-10-2018 Adeno ca recti 1/3 distal Pro miles prosedur HF 4.2
Zulkarnain/lk/11-12-
1975

MAWAR
No Nama MR MRS Diagnosa Tindakan DPJP Kamar Keterangan
1 Kiswiyanto/ lk/ 06- 1075808 26-09-2018 Tumor gaster susp GIST + Anemia Pro laparatomi PDL 3.3 Menunggu hasil
02-1969 (kons Lab
ul ke
EF)

MATA
No Nama MR MRS Diagnosa Tindakan DPJP Kamar Keterangan
1 Rahmat bin 1081983 22-09-2018 Tumor rectosigmoid Post Hartman prosedur + ileostomy HF 5.5
kanel/lk/09-07-1971 perlindungan+ wound dehicense
2 Susiana/pr/10-04- 1058560 10-10-2018 Adeno ca recti Kemoterapi Folfov IV siklus ke VI AL 6.1
1976

Lematang 1.1
No Nama MR MRS Diagnosa Tindakan DPJP Kamar Keterangan
1 Wantjik bin Husin / lk 1083090 2-10-2018 Susp true cyst pankreas Post biopsi + drainase per laparotomi EF 6 1-10-18
/ 20-6-1949 Hb 11.3
Leuko 4.11
Ht 35
2 Laila hirzuma /pr/21- 1084282 08-10-2018 Tumor intra abdomen Post laparatomi explorasi + adesiolisis SS 4
02-1979 + appendektomi

3
3 Mipta hulumi/pr/10- 700612 10-10-2018 Cholelitiasis akut USG abdomen pro Assesment EF 9
08-1960

Lematang 1.2
No Nama MR MRS Diagnosa Tindakan DPJP Kamar Keterangan
1 Saan Asmad / Laki- 1082748 04-10-2018 Tumor recti 1/3 proximal Post laparatomi anterior reseksi EF 7.2 4-10-2018
Laki / 17-2-1957 INR 0.94
APTT 29.7

RA
No Nama MR MRS Diagnosa Tindakan DPJP Kamar Keterangan
1 Andri fitra / lk / 7-7- 1080726 13-9-2018 Varises esofagus + Anemia Pro hassad procedure EF 6.5 07/10/18
83 Transfusi PRC 5x200cc Hb 4,1

ICU
1 Sukasih bt Wakidi / 1083667 30-9-2018 Ileus obstruktif ec tumor rectosigmoid Post hartman procedure HF Bed 1 08-10-2018
pr / 19-6-1962 + Sepsis (GCS : E4 M5 VT = 9T) Hb 8,2
Leuko 4.100
Alb : 2,9
Ur : 208
Cr : 1,43

HCU
1 Hastati bt Harso / pr 929081 30-9-2018 Syok septic ec perforasi rectosigmoid + post Hartman procedure post Hartman HF Bed 1 08-10-2018
/ 1-1-56 Septic syok + Hipoalbuminemia procedure ai tumor rectosigmoid 2-10- Hb 9,9
18 Leuko 17.500
Ht 30
Alb 2,7

MUSI 2.2
1 Rohani PA/pr/06-07- 1064544 10-10-2018 Ca Recti 1/3 distal Pro ULAR/MILES procedure AL 15
2018

4
2 Sukarni ujer/lk/06- 1057407 10-10-2018 Adeno ca recti Pro reseksi anastomosis Kp Hartman HF 21
07-2018

PARU
No Nama MR MRS Diagnosa Tindakan DPJP Kamar Keterangan
1 Andi suryana/lk/44th Susp tumor rectosigmoid Anterior resection perlaparascopi kp HF
hatrtman
2 Sentot /lk/63th Striktur esophagus Pro gastrostomy EF

Yasmin C
No Nama MR MRS Diagnosa Tindakan DPJP Kamar Keterangan
1 Segenti/lk/65th 9-10-2018 Ileus obtruksi Pro MRCP EF

5
 REGISTER PASIEN BEDAH DIGESTIF
10-10–2018
Dr. Sarup Singh, SpB-KBD

RKBA
No Nama MR MRS Diagnosa Tindakan DPJP Kamar Keterangan
1 Arman MS bin M 771809 7-10-2018 Ikterus obstruktif ec susp cholagio ca Pro perbaikan KU SS 5.2 Lab 6-10-18
Amin / lk / 31-12- DD klatskin tumor pro stent Diet via NGT 1.200 Kkal Hb 10.2
1950 perendoskopi + hipoalbuminemia + Selesai koreksi albumin dan kalium Leuko 8.6
Febris Cek lab post koreksi Ht 23
Alb : 2,1
Bil tot : 10
Direk : 7,70
Indirek : 2,30
Ur : 60
Cr : 1,29
K : 2,7

PLI 1.1
No Nama MR MRS Diagnosa Tindakan DPJP Kamar Keterangan
1 Laila hirzuma /pr/21- 1084282 08-10-2018 Tumor intra abdomen Post laparatomi explorasi + adesiolisis SS 4 2
02-1979 + appendektomi

6
 REGISTER PASIEN BEDAH DIGESTIF
10-10–2018
Dr. Efman EU Manawan, SpB-KBD

RKBA
No Nama MR MRS Diagnosa Tindakan DPJP Kamar Keterangan
1 Darmawi bin harun 1084949 9-10-2018 Tumor esophagus Pro Assesment ulang EF 6
said/lk/01-07-2018

RKBB
No Nama MR MRS Diagnosa Tindakan DPJP Kamar Keterangan
1 Gono Tirtowijoyo / lk 1078646 6-10-2018 Observasi jaundice ec cholagio ca dd/ Pro Perbaikan KU EF 7.3 06-10-18
/ 31-12-1976 klatskin tumor +ca caput pancreas + Transfusi 2 kolf lagi Hb 7,1
anemia + Hipoalbuminemia R/ Cek lab post transfusi Leuko 10,5
PLT 177.000
Bil tot 18
Bil direk 13,4
Bil indirek 4,6
Alb : 2,4

RKBC
No Nama MR MRS Diagnosa Tindakan DPJP Kamar Keterangan
1 m. Yusuf/lk/12-06- 931654 10-10-2018 Colelitiasis post cholesistektomi perlaparascopy EF 3.1
1982 POD 1
2 Agung budi/11-02- 1075053 10-10-2018 Lymphoma Intra ABDOMEN Laparatomi Biopsi Kp Reseksi Tumor EF 6.2
1992

RBE
No Nama MR MRS Diagnosa Tindakan DPJP Kamar Keterangan
1 Samsuri bin sakir / 1082870 5-10-2018 Tumor colon ascenden + non Pro perbaikan KU EF 5.3 4-10-2018
Laki- Laki / 1-8-75 visualiezed ginjal + anemia Transfusi PRC (Baru 1 kolf) Hb 5
Leuko 15.8
Ht 16
Trombo 660

7
2 Tonoh bin Bidin/ lk/ 1084851 07-10-2018 Luka tusuk abdomen anterior dengan Post laparatomi explorasi + EF 5.2 07-10-2018
06-06-1977 eviserasi usus + laserasi hepar segmen cholesistectomi + Jahit hepar + T-Tube Hb : 7,8
V, VI + Laserasi CBD + Hematom zona II Leu : 10.600
Ht : 23
PLT : 143.000
Alb : 2,9

3 Hartoni bin 1063998 08-10-2018 Signet ring cell ca recti T4NxMx + Pro khemoterapi Folfox IV seri ke II EF 3.5 05-10-2018
Manuden/ lk/ 07-12- Leukopenia Hb : 11,7
1977 Ht : 34
Leu : 2.800
PLT : 242.000

4 Nuraina bt KGS 1074675 10-10-2018 Tumor intra abdomen Laparatomi explorasi EF 2.4
amin/pr/30-01-1959
5 Indo panca /pr/11- 1077356 08-09-2018 Ikterus obstruksi e.c susp batu CBD Post explore CBD + Cholesistectomi EF 1.1
08-1976 POD II
6 Murni/ pr/ 72th 1081383 09-10-2018 Multiple cholelithiasis Explore CBD + Cholesistectomi EF 2.4

7 Rukinah/ pr/ 72th 09-10-2018 Hernia obturator sinistra inkarserata Post laparatomi explorasi POD 2 EF 2.2

MAWAR
No Nama MR MRS Diagnosa Tindakan DPJP Kamar Keterangan
1 Kiswiyanto/ lk/ 06- 1075808 26-09-2018 Tumor gaster susp GIST + Anemia Pro laparatomi PDL 3.3 Menunggu hasil
02-1969 (kons Lab
ul ke
EF)

Lematang 1.1
No Nama MR MRS Diagnosa Tindakan DPJP Kamar Keterangan
1 Wantjik bin Husin / lk 1083090 2-10-2018 Susp true cyst pankreas Post biopsi + drainase per laparotomi EF 6 1-10-18
/ 20-6-1949 Hb 11.3
Leuko 4.11
Ht 35
8
2 Mipta hulumi/pr/10- 700612 10-10-2018 Cholelitiasis akut USG abdomen pro Assesment EF 9
08-1960

Lematang 1.2
No Nama MR MRS Diagnosa Tindakan DPJP Kamar Keterangan
1 Saan Asmad / Laki- 1082748 04-10-2018 Tumor recti 1/3 proximal Post laparatomi anterior reseksi EF 7.2 4-10-2018
Laki / 17-2-1957 INR 0.94
APTT 29.7

RA
No Nama MR MRS Diagnosa Tindakan DPJP Kamar Keterangan
1 Andri fitra / lk / 7-7- 1080726 13-9-2018 Varises esofagus + Anemia Pro hassad procedure EF 6.5 07/10/18
83 Transfusi PRC 5x200cc Hb 4,1

PARU
No Nama MR MRS Diagnosa Tindakan DPJP Kamar Keterangan
1 Sentot /lk/63th Striktur esophagus Pro gastrostomy EF

9
 REGISTER PASIEN BEDAH DIGESTIF
10-10–2018
Dr. Hafidh Komar, SpB-KBD

RBE
No Nama MR MRS Diagnosa Tindakan DPJP Kamar Keterangan
1 M. Zais Ardiansyah / 1046220 13-9-2018 Fistula Enterokutan Pro perbaikan KU HF 3.2 12-9-2018
lk / 1-9-1992 Hb 10,5
Leuko 16.800
Ht 31
2 Eny Chyntia / pr / 1082639 20-09-2018 Abses regio inguinal dextra + abses Pro perbaikan KU HF 1.5 25-09-2018
14-4-2003 dinding abdomen + hipoalbuminemia Pro drainase abses Hb 11,3
(2,8) + malnutrisi Albumin 2,8

RPK
No Nama MR MRS Diagnosa Tindakan DPJP Kamar Keterangan
1 Horas 928696 11-09-2018 Fistula enterocutan high out put Pro perbaikan KU HF 3.1
nainggolan/lk/29-05-
1956
2 Achmad 1058711 10-10-2018 Adeno ca recti 1/3 distal Pro miles prosedur HF 4.2
Zulkarnain/lk/11-12-
1975

RBE
No Nama MR MRS Diagnosa Tindakan DPJP Kamar Keterangan
1 Maludi/ lk/ 60th 1081944 05-06-1968 Tumor recti 1/3 distal Post Hartman procedure HF 4.4

10
ICU
1 Sukasih bt Wakidi / 1083667 30-9-2018 Ileus obstruktif ec tumor rectosigmoid Post hartman procedure HF Bed 1 08-10-2018
pr / 19-6-1962 + Sepsis (GCS : E4 M5 VT = 9T) Hb 8,2
Leuko 4.100
Alb : 2,9
Ur : 208
Cr : 1,43

HCU
1 Hastati bt Harso / pr 929081 30-9-2018 Syok septic ec perforasi rectosigmoid + post Hartman procedure post Hartman HF Bed 1 08-10-2018
/ 1-1-56 Septic syok + Hipoalbuminemia procedure ai tumor rectosigmoid 2-10- Hb 9,9
18 Leuko 17.500
Ht 30
Alb 2,7

PARU
No Nama MR MRS Diagnosa Tindakan DPJP Kamar Keterangan
1 Andi suryana/lk/44th Susp tumor rectosigmoid Anterior resection perlaparascopi kp HF
hatrtman

11
 REGISTER PASIEN BEDAH DIGESTIF
10-10–2018
Dr. Alsen Arlan, SpB-KBD

RKBB
No Nama MR MRS Diagnosa Tindakan DPJP Kamar Keterangan
1 Yuliana - 924528 10-10-2018 Adeno ca recti post Hartman procedur Kemoterapi folfox IV AL 3/2
sulastri/pr/12-10-
1961

RBE
1 Suyatman bin 1080273 10-10-2018 Mucinous adeno ca colon transversum Pro kemoterapi folfox IV AL 3.6
sanak/lk/ 12-12-1973 T4N2bM1

MATA
No Nama MR MRS Diagnosa Tindakan DPJP Kamar Keterangan
1 Susiana/pr/10-04- 1058560 10-10-2018 Adeno ca recti Kemoterapi Folfov IV siklus ke VI AL 6.1
1976

MUSI 2.2
1 Rohani PA/pr/06-07- 1064544 10-10-2018 Ca Recti 1/3 distal Pro ULAR/MILES procedure AL 15
2018

12