TRAUMA ABDOMEN

dr.Santyowibowo, SpB

MACAM

TRAUMA TAJAM

TRAUMA TUMPUL

TUSUKAN

BACOKAN TRAUMA TAJAM

TEMBAKAN

TRAUMA TUMPUL

STANG MOTOR

KELAINAN YANG DITIMBULKAN

Vulnus excoriatum Vulnus Laceratum TRAUMA TAJAM Vulnus scisum Vulnus punctum Perdarahan intra abdomen Perforasi usus

KELAINAN YANG DITIMBULKAN

Lecet
Memar otot TRAUMA TUMPUL Perdarahan intra abdominal Perforasi usus

SECONDARY SURVEY
PEMERIKSAAN PENUNJANG
USG FAST Focused Assessment with Sonography for Trauma. DPL ( diagnostic peritoneal lavage ) CT-scan Laparoskopi

Blunt abdominal trauma. Normal Morison pouch (ie, no free fluid).

Blunt abdominal trauma. Free fluid in the Morison pouch.

Blunt abdominal trauma. Normal splenorenal recess.

Blunt abdominal trauma. Free fluid in the splenorenal recess.

A standard diagnostic peritoneal lavage (DPL) catheter is secured in place following an open DPL. An aspirating syringe is attached to the catheter via extension tubing as the initial step in the evaluation for intraperitoneal blood.

CT image of a grade 4 splenic laceration from an auto-pedestrian accident.

CT image of a grade 4 renal laceration from a handlebar injury.

Ruptur LIEN, akibat kecelakaan lantas.

PENATALAKSANAAN
A. TRAUMA TAJAM - Tentukan tembus peritoneum atau tidak - Bila tidak tembus: t.a.a - Bila tembus: explorasi laparatomi B. TRAUMA TUMPUL - Observasi tanda-tanda hemoragik, shock, bila perlu laparatomi - R foto 3 posisi (terutama foto diafragma) bila free air (+)= perforasi (+)--laparatomi

Pada keduanya pasang douer katetermungkin tjd cidera traktus urinarius--hematuria