dr.

Mahyudanil (dr177)

DAFTAR PASIEN BEDAH SARAF RSUP HAM

DIVISI TRAUMA

Selasa, 17 September 2019

RA4BS

No Ruangan Tgl Masuk MR Nama Umur Op Diagnosis Lab Radiologi Rencana Divisi
1 3.4.3 08/09/2019 78.96.47 Sudar 35 thn Traumatic SAH 08/09/2019 08/09/2019 Trauma
Dr. L + ICH (R) Hb/Ht/Leu/Plt: Shoulder joint kanan: Fraktur
Mahyudanil, parietal 15,3/46/15.660/333.000 komplit pada midclavicula kanan
Sp.BS Na/K/Cl: 138/3,9/107
BUN/Ur/Cr: 6/13/1,02 08/09/2019
KGDS: 213 Cervical PA/L (2 posisi): Tidak
PT: 15,5/14,3 INR: 1,11 tampak tanda-tanda fraktur pada
APTT: 27,9/33,8 vertebra cervikalis. Straight
cervical.

08/09/2019
Schaedel AP/L: Fraktur os
parietalis kanan

08/09/2019
Thorax Dewasa PA: Tidak
tampak kelainan pada jantung dan
paru. Fraktur komplit pada
midclavicula kanan
 dr. Mahyudanil (dr177)

2 3.4.4 13/9/2019 790206 Sudi Quasmo L/22 Trumatic ICH (L) 13/09/2019 13/09/2019
Dr. Mahyudanil, Genetia th Frontal + Hb/Ht/Leu/Plt: Thorax PA: Jantung dan paru
Sp.BS Nainggolan Depressed 16,3/46/28.870/265.000 dbn
Fracture (L) Na/K/Cl: 140/3,7/103
Frontal BUN/Ur/Cr: 9/19/0.79 Foto scheedel AP/L :
KGDS: 156 Fx pada ining sinus frontalis
PT: 21.3/14,0 INR: 1,55 dan ethmoidalis
APTT: 35.6/33,0
Foto Servikal :
Tak tampak kelainan vertebra
servikal

MSCT Scan Head:

ICH (frontal lobe) + IHH +
Multiple facial bone fx. +
Hematoma sinus + Fx Os
Frontal kiri + Subcutan
haematoma

3 2.4.1 13/9/2019 790290 Hulman D L/47 EDH (L) 13/09/2019

Dr. Mahyudanil, Simanjuntak tempoLral + SAH Hb/Ht/Leu/Plt:
Sp.BS Basal Sisterna 17.6/56/10.940/207.000
Na/K/Cl: 138/3,9/105
BUN/Ur/Cr: 8/17/0.75
KGDS: 106
PT: 14.5 (13)
INR: 1,03
APTT: 33.5 (32)

4 2.5.3 14/09/2019 57.69.00 Herlina P/63 Normal pressure 12/09/2019 (RSU Bina
Dr. Mahyudanil, Salome Br thn hidrosefalus Kasih)
Sp.BS Ginting Hb/Ht/Leu/Plt:
12,7/38,9/13.900/403.000
Na/K/Cl: 136/4,8/100
Ur/Cr: 44/0,9
KGDS: 62
 dr. Mahyudanil (dr177)

RA4BS - Anak

No Ruangan Tgl Masuk MR Nama Umur Op Diagnosis Lab Radiologi Rencana Divisi

5 3.7.3 15/9/2019 79.03.61 Febiola P/3 Contusio (R) 15/09/2019 Trauma

Dr.Mahyudanil, thn Temporal Hb/Ht/Leu/Plt:
Sp.BS 9,9/30/23.270/241.000
Na/K/Cl: 138/4,4/105
BUN/Ur/Cr: 10/21/0,46
KGDS: 111
PT: 13,6 (13,8)
INR: 0,98
APTT: 34,5 (32,5)

RB2A

No Ruangan Tgl Masuk MR Nama Umur Op Diagnosis Lab Radiologi Rencana Divisi
6 3.4.2 13/9/2019 79.03.01 Riskanah 14 Open depressed 14/09/2019 Trauma
Dr.Mahyudanil, Ramadhan thn/ L fracture os sinus Hb/Ht/Leu/Plt:
Sp.BS Lubis frontal tubula 14/42/12520/252.000
anterior Na/K/Cl: 133/3,9/103
BUN/Ur/Cr: 8/17/0.72
KGDS: 80
PT: 17,5(13)
INR: 1,26
APTT: 33 (32)
 dr. Mahyudanil (dr177)

RB 3

No Ruangan Tgl Masuk MR Nama Umur Op Diagnosis Lab Radiologi Rencana Divisi
7 3.3.2 12/09/2019 79.01.81 Nasril L/33 Traumatic SAH 14/09/2019 Trauma
Dr.Mahyudanil, th + Fracture o/t Hb/Ht/Leu/Plt:
Sp.BS (R) 9/26/13.260178.000
zygomaticum
13/09/2019
BUN/Ur/Cr: 10/21/0,87
Na/K/Cl: 138/4,1/105

12/09/2019
Hb/Ht/Leu/Plt:
10,4/30/14.150/183.000
PT/INR/APTT: 14,2(14)/
1,01/35,8 (33)
HBsAg: non reaktif
Anti HCV: non reaktif
Anti HIV: non reaktif

ICU PASBED
No Ruangan Tgl Masuk MR Nama Umur Op Diagnosis Lab Radiologi Rencana Divisi

8 Bed 5 15/9/2019 79.03.49 Arhot L/57 ICH (R) 15/09/2019 Trauma

Dr.Mahyudanil, Harahap thn temporal basal Hb/Ht/Leu/Plt:
Sp.BS + IVH + 12,1/32/9.360/264.000
fraktur (R) Na/K/Cl: 130/2,8/95
temporal BUN/Ur/Cr: 5/11/0,6
KGDS: 80
PT: 15,5 (13)
INR: 1,20
APTT: 26,9 (32)
TT: 15,7 (18,2)
pH/pCO2/pO2/HCO3/TCO2/BE
/SaO2: 7,45/21/203/14,6/15,2/-
8,4/100
Anti HIV: non reaktif
dr. Mahyudanil (dr177)