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7/25/2019 Sirosis Hepatis Isip Alvina
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Sirosis HepatisOleh :
dr. Alvina Ulfah Rusmayuni
Dokter Pembimbing:
dr. H. Abdul Halim, Sp. PD, SH, FINASIM
Dokter Pendamping:
dr. Hesti Samila
BAGIAN/SMF IM! P"N#A$I% DAAM
&S!D BAN'A&BA&!
BAN'A&BA&!
'an(ari) *+,-
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De.inisi
Penakit hati kronis ang di 0irikan
dengan distorsi arsitekt(r hati ang
normal oleh lembar lembar 1aringanikat dan nod(l regenerasi sel hati
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"tiologi
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"tiologi
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!lasifi"asi Sir#sis Hepatis
2 Berdasarkan m#rf#l#$i) Sherlo0k membagi
sirosis hepatis atas 3 1enis) ait( :
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2 Se0ara fun$si#nal) sirosis hepatis terbagi atas :
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%ambaran !lini"
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$omplikasi
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Pemeriksaan aboratori(m
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Penatalaksanaan
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$riteria diagnostik SH& berdasarkan
International A40ites 5l(b
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2 $riteria tambahan :
2 ,6 7ol(me (rin 8 9++ ml / hari
2 *6 Natri(m (rin 8 ,+ meg/liter
2 36 Osmolalitas (rin osmolalitas plasma2 ;6 "ritrosit (rin 8 9+ /lpb
2 96 Natri(m ser(m 8,3+ meg / liter
Sem(a kriteria maor har(s di1(mpai dalam
menegakkan diagnosa SH&) sedangkan 0riteriatambahan mer(pakan pend(k(ng (nt(k diagnosa SH&
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Prognosis : b(r(k) apabila :
2 Ikter(s ang menetap ata( bilir(bin darah ,)9 mg) tekanan
sstole 8 ,++ mmHg
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