• PERDARAHAN PASCA OPERASI JANTUNG DENGAN PENGGUNAAN CARDIOPULMONARY BYPASSPADA PASIEN CORONARY ARTERY BYPASS GRAFT DAN OPERASI JANTUNG TERBUKA


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    • Abstract: PERDARAHAN PASCA OPERASI JANTUNG DENGAN PENGGUNAAN. CARDIOPULMONARY BYPASSPADA PASIEN ... Cardiopulmonary Bypass(CPB) become one of predisposition factor of bleeding incidence on post-heart ...

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Penulis : Rika Hapsari
Fakultas : Kedokteran
Program Studi : Pendidikan Dokter
IPK : 3.23
Pembimbing I : Agung Prasmono dr., Sp.B., Sp.BTKV
Pembimbing II : Solichul Hadi dr., Sp.PK(K)
PERDARAHAN PASCA OPERASI JANTUNG DENGAN PENGGUNAAN
CARDIOPULMONARY BYPASSPADA PASIEN CORONARY ARTERY
BYPASS GRAFT DAN OPERASI JANTUNG TERBUKA
Abstrak :
Cardiopulmonary Bypass(CPB) become one of predisposition factor of bleeding incidence on post-heart
surgery. It can be explained because using CPB will devastated blood hemostasis such as decreasing and
denaturizing blood coagulant factors, decreasing antitrombin-III function, protein C/S, plasminogen
activator inhibitor, DIC incidence, in addition hipotermi condition in CPB causes platelet dysfunction and
fibrinolisis activation. This research is to measure the amount of bleeding post-CPB on heart surgery and
researcher choosing CABG(Coronary Artery Bypass Graft) and open heart surgery because both of them
using CPB on its procedures commonly.This research is using descriptive retrospective method which is
describe and illustrate some cases in the past. Inclusion criteria consists of CABG and open heart-surgery
patients in ICCU(Intensive Coronary Care Unit) RSUD Dr. Soetomo Surabaya 2006 until 2007. Data
were collected from 10 CABG and 62 open heart surgery medical records which are bleeding on post
surgery. In ICCU observation, the blood on thorax drain was recorded from post surgery till put the
drain off.Result showed from 10 sample CABG patients, all of sample was bleeding post-surgery it means
that from all sample 100% was bleeding post-surgery. And from 62 open heart surgery samples found that
74% incidence of bleeding and 24% patients have no bleeding on post-surgery.Conclusion from this
research is Cardiopulmonary Bypass become predisposition factors of bleeding post-heart surgery on
CABG(Coronary Artery Bypass Graft) and open heart surgery.
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