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Hypertrophy Pyloric

Stenosis

305

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I.IDENTITAS PASIEN

Nama : An. Alfano

Umur : 1 bulan

Jenis elamin : !a"i#la"i No. $% : 150&&'(1

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Anamnesis

eluhan Utama: %untah

Se)a" usia 10 hr pasien *i"eluh"anmuntah menyemprot setiap *iberi AS+,

"emu*ian os *iba-a "e $S Aminah*ila"u"an pera-atan selama 1 minunamun ti*a" a*a perubahan, lalu *iru)u""e $SHS. Pasien lahir *ari ibu P&A0, cu"upbulan, lahir spontan, lansun menanis,ri-ayat "ebiruan /#, ! &,5 ". $i-ayatasma /#, aleri obat /#, ri-ayat "e)an /#.

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Pemeri"saan 2isi"

U : A"ti

H$ : 1'5 4mnt $$ : 3( 4mnt : &,1 "

Sat6& : 778 /u*ara bebas Suhu : 3(,9 o

epala : "on)unti;a anemis ##, s"lera i"teri" ## %alampati sulit *inilai

!eher : $6% bai"

"a, rh ##, -h ##

Ab*omen : supel, U /?, oli;e sin /?

@"stremitas : a"ral hanat, $< &B

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!aboratorium

Hb Ht L Tr PT INR APTT

15,6 '3 1'300 193000 11,3 1,0( &9,(

Na l a %

126 ',& 101 5,03 1,97

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Cianosa : Hypertrophy PyloricStenosis

$encana : Pyeloromyotomy perlaparascopy

Assesment : ASA +++

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P!ANN+ND P$@ 6P

ore"si hiponatremia *n Nal 38 30cc&' )am

%aintenance +=2C Nal 0,78 9 cc)am

ND< *ipasti"an terpasan

Puasa ( )am preop

+norm consent

+=2C *ipasti"an lancar

Se*ia *arah

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+NCUS+ # %A+N

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P6S< 6P@$A

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H+P@$

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Symptoms an* Sin

Pro)ectile ;omitin, non bilious,persistent, imme*iately ater meals

!ost o -eiht

Cehi*rasi

6li;e sin

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!aboratory

Hyponatremia

Hypo"alemia

Hypochloremic Al"alosis metaboli"

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USD

Pyloric muscle thic"ness I ' mm

Pyloric channel lenth I 1 mm

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Pyloromyotomy

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erima Kasih