laporan kematian neonatal by eka slamet lestari

7/23/2019 Laporan Kematian Neonatal by Eka Slamet Lestari

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LAPORAN KEMATIAN PERINATAL

Nama : By.Ny. ESL

No CM : 01324462

Umur : 3 hari

Tanggal MRS : 28 !"!m#!r 201$Tanggal %!ma&ian : 31 !"!m#!r 201$

iagno"i" '#u : ()* !+, -la"!n&a -r!ia marginal -a/a "!un/igrai/a hamil -r!&!rm /alam -!r"alinan ala ' a"! ahir

iagno"i" (na : 1. )o&!n"ial in!"i

2. angguan na-a" "!/ang !+, *M )n!umonia ong!ni&al

3. *i-o&!rmia "!/ang

4. R. ("i"ia "!/ang

$. N!o lailai BBLR %B SMR SC a+i !&al /i"&r!"" i#u ()* -la"!n&a -r!ia l!&a r!n/ah %) 1 hari

)!ny!#a# %!ma&ian : *M gra/! ''' gagal na-a"

Tim 5aga ':

Tim 5aga '':

Hari/tgl Follow Up Lab./pem.penunang !iagno"i" Terapi

I#!

$%/&$/$'&(

)am '*.''

+I,

%ronologi" :

S!orang2)1(0 3&ahun U% 30 74 minggu /a&ang ruuan /ariRSU Suraar&a /!ngan !&!rangan -la"!n&a l!&a r!n/ah

-la"!n&a -r!ia.)a"i!n m!ra"a hamil 9 #ulan. !raan anin ma"ih/ira"aan. %!n,!ng!n,!ng &!ra&ur #!lum /ira"aan. (ir aah

#!lum /ira"aan !luar..L!n/ir /arah ;7<. B(% /an B(B &a a/a

!luhan.

R) : Ri. (l!rgi+("ma+*T+M+)!ny. 5an&ung:

/i"angalRiaya& /!mam+&ran"u"i /i"angal.

%U : Bai CM=S : T: 100+80 mm*g Rr : 18 >+m!ni&

N : 80 >+m!ni& T : 36$ oCMa&a : C( ;+< S' ;+<

Thora> : ,+- /#n

(#/ : 'n"-!"i : -!ru& &am-a m!m#!"ar rog a#/om!n ;7<)al-a"i :"u-!l NT ;< &!ra#a anin &unggal 'U m!manang

-ui 55 1$0 >+ m!ni& r!gul!r T?U 1 ,m @ 190$ gr !n : =T: ula /in/ing agina /#n -or&io &am-a &!r#ua

$%-&$-$'&(

Ro tora AP0

M!nyoong gam#aran hyalinm!m#ran /i"!a"! gra/! '''

2812201$

*# :133 A

*,& : 39A(L : 10A

(T : 201A

(E :3.$0AMC= 104

MC* 380

MC*C 362

Eo"inoil 080

Ba"oil 020 N!&roil 490

Lim 4200

Mono"i& 10S : $2

(l# : 29

()* !+, -la"!n&a -r!iamarginal -a/a

"!un/igrai/a hamil -r!&!rm /alam -!r"alinan

ala ' a"! ahir

Lanu& -!r"alinan -!r aginamEalua"i

'n !>am!&ha"on 1 am-+ 12am'n =i,ilin 1 gr+8 am

#"!ra"i 10(a"i %U

("!l!ra"i -!r"alinan /!ngan

amnio&omi

1



/iam!&!r 4 ,m ! $0 &!ra#a -la"!n&a /i &!-i UE (% ;<

STL ;7< /arah ;< /i",hag! ;<US : Tam-a anin &unggal 'U -r!"!- 55 ;7<

B) 66 (C 236 ?C $0$E?BD 148$ gr Tam-a -la"!n&a marginal

(ir !&u#an !"an ,uu-

Ti/a &am-a !lainan ong!ni&al%!"an anin "aa& ini /alam !a/aan #ai

Na+%+ Ca : 131+ 80+ 061

*B"(g : Nonr!a&i ol. arah:

2812201$

#!T0

(n!mia normoromi normo"i&i "u"-! !, -ro"!" in!"i

212201$Ro tora AP0

M!nyoong gam#aran hyalin

m!m#ran /i"!a"! gra/! '''

Car/iom!galyT!r-a"ang NT /!ngan &i- /i"&al

&!r-roy!"i "!&inggi =Th 3

3012201$

*# :88 A*,& : 29A

(L : $3A(T : 16A

(E : 2$3AMC= 10$4

MC* 348

MC*C 330

Eo"inoil 110Ba"oil 080

N!&roil 2$30

Lim 6$90Mono"i& 10

)T 1$8()TT 60$

'NR 1340

S 362

(l# 2 Na+ %+ Ca : 12$+ 42+ 121

U1# : Tam-a anin &unggal 'U -r!"!- 55 ;7<

B) 66 (C 236 ?C$0$E?BD 148$ gr

Tam-a -la"!n&a marginal

(ir !&u#an !"an ,uu-

2



Ti/a &am-a !lainan

ong!ni&al%!"an anin "aa& ini /alam

!a/aan #ai

OK I#!

'2.3'

Bayi /ilahiran !ni" !lamin lailai BBL 1100 gr /i % '"!,ara SC+i i#u )EB &gl 2812201$ (S 4$6 anu" ;7< !lainan

ong!ni&al ;<BB 1100 gr )B 36 ,m

L% 29 ,mL 23 ,m

L'L( 6 ,m

)o&!n"ial in!"i

angguan na-a" "!/ang !+,

*M

)n!umoniaong!ni&al

*i-o&!rmia "!/ang

("i"ia "!/ang

N!o lailai BBLR %BSMR SC a+i !&al /i"&r!""

i#u ()* -la"!n&a -r!ial!&a r!n/ah %) 1 hari

%'E /ari #agian ana ! !luarga

NI4U

$%-&$-$'&(

S : S!"a na-a"

: !ra ;7< #iru ;< m!nangi"ua& ;7<↓ #ua ma&a ;7< NC*

;7< r!&ra"i /alam ;7< air !n&ry ;7<=S : *R : 0 60 /!&i !mu/ian *R 60>+mn& RR: ;< & :3$.60

C Sio2 : ;<

%!-ala :Ma&a : C( ;+< S' ;+<

Thora>: r!&ra"i ;7+7<

Cor : B5 ''' in&!n"i&a"urang)ulmo : S= ;7+7< l!mah RB% ;7+7<

(#/ : a",i&! ;7<E>& : a/ F F o!/ F F CRT G 2H

F F F F

)o&!n"ial in!"i


*M)n!umoniaong!ni&al

*i-o&!rmia "!/ang

("i"ia "!/ang

N!o lailai BBLR %B

SMR SC a+i !&al /i"&r!""i#u ()* -la"!n&a -r!ia

l!&a r!n/ah %) 1 hari

2 !n&ila"i

'=? 9$ 7 I S 7 40 7 Ca

gluona" $ mg /alam !, 46,,+am

'n (m-i,ilin $0 mg+12am'n !n&ami,in 4 mg+ 24 am

'n (mino-hillin 3 mg+ 2 am

'n (mo"&! $09 mg+ am'n Li-oun/in 04 ,,+am

)a"ang T5aga !hanga&an

NI4U

$2-&$-$'&(

S : S!"a na-a"

: !ra ;7< #iru ;< m!nangi"ua& ;7<↓ #ua ma&a ;7< NC*;7< r!&ra"i /alam ;7< air !n&ry ;7<

=S : *R : 0 60 /!&i !mu/ian *R 60>+mn& RR: ;< & :3$.60

C Sio2 : ;<

%!-ala :

Ma&a : C( ;+< S' ;+<Thora>: r!&ra"i ;7+7<


(#/ : a",i&! ;7<

)o&!n"ial in!"i

angguan na-a" "!/ang !+,*M

)n!umoniaong!ni&al

*i-o&!rmia "!/ang

("i"ia "!/ang

N!o lailai BBLR %BSMR SC a+i !&al /i"&r!""

i#u ()* -la"!n&a -r!ia


2 !n&ila"i

'=? 9$ 7 I S 7 40 7 Cagluona" $ mg /alam !, 46

,,+am'n (m-i,ilin $0 mg+12am

'n !n&ami,in 4 mg+ 24 am

'n (mino-hillin 3 mg+ 2 am'n (mo"&! $09 mg+ am

'n Li-oun/in 04 ,,+am)a"ang T

5aga !hanga&an

3



E>& : a/ F F o!/ F F CRT G 2H

F F F F

NI4U

3'-&$-$'&(

S : S!"a na-a"

: !ra ;7< #iru ;< m!nangi"ua& ;7<↓ #ua ma&a ;7< NC*

;7< r!&ra"i /alam ;7< air !n&ry ;7<

=S : *R : 0 60 /!&i !mu/ian *R 60>+mn& RR: ;< & :3$.60

C Sio2 : ;<

%!-ala :

Ma&a : C( ;+< S' ;+<Thora>: r!&ra"i ;7+7<


(#/ : a",i&! ;7<E>& : a/ F F o!/ F F CRT G 2H

F F F F

)o&!n"ial in!"i


*M)n!umoniaong!ni&al

*i-o&!rmia "!/ang

("i"ia "!/ang N!o lailai BBLR %B

SMR SC a+i !&al /i"&r!""i#u ()* -la"!n&a -r!ia


2 !n&ila"i

'=? 9$ 7 I S 7 40 7 Ca

gluona" $ mg /alam !, 46,,+am

'n (m-i,ilin $0 mg+12am'n !n&ami,in 4 mg+ 24 am

'n (mino-hillin 3 mg+ 2 am'n (mo"&! $09 mg+ am'n Li-oun/in 04 ,,+am

Eri&romy,in 4>$ mg -.o

NI4U

3&-&$-$'&(

'$.''

S : #iru ;7< "iano"i" ;7< manangi" ;<

: %U "ai& #!ra& "o-or oma=S: *R: 60>+1H Rr: ;< S-.2:;<

agalnaa",ar/ia, arr!"& =T) 7 R5) 3:1

2 $l-m

'3.5( S : "iano"i" ;7< g!ra a&i ;< m!nangi" ua& ;< m!m#ua ma&a

;<

: %U "ai& #!ra& "o-or oma=S: *R:30>+1JJ Rr: ;< S-2:;<

agalnaa",ar/ia, arr!"& =T) 7 R5) 3:1

2 $l-m

'n a/r!nalin 0.3mg i

'5.'' S : "iano"i" ;7< g!ra a&i ;< m!nangi" ua& ;< m!m#ua ma&a;<

: %U "ai& #!ra& "o-or oma=S: *R:30>+1JJ Rr: ;< S-2:;<

agalnaa",ar/ia, arr!"& R!"u"i&a"i : !luarga m!nola 2 $l-m

'n. (/r!nalin 0.3mgi

'5.$( S : "iano"i" ;7< g!ra a&i ;< m!nangi" ua& ;< m!m#ua ma&a;<

: %U "ai& #!ra& "o-or oma=S: *R: ;< Rr: ;< S-2:;<

)u-il mi/ria"i" ma>Bayi m!ninggal -uul 1.0$

i#

)a"i!n m!ninggal /i ha/a-an!luarga /o&!r /an -!raa&

4

laporan kematian neonatal by eka slamet lestari

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