238116650 epistaksis edit
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EPISTAKSIS
dr.Bestari JB, SpTHT-KLs
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EPISTAKSIS
Definisi : Keluarnya darah dari hidung
Etiologi
Trauma Infeksi Neoplasma
kelainan kongenital
kelainan sistemik
kelainan darah
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EPISTAKSIS
Anamnesis yang lengkap
Tensi, nadi, kesadaran dan laboratorium
Alat alat lampu kepala, spekulum hidung dan suction
Pemeriksaan
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EPISTAKSIS
Penatalaksanaan
Tiga prisip utama
Hentikan perdaraha
n
Cegah komplikasi
Cegah epistaksis berulang
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Epistaksis anterior
Lokasi tersering septum bagian depan
Sumber
• Pleksus Kiesselbach• A. etmoid anterior
Penatalaksanaan
• Kaustik• Tampon
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Epistaksis Posterior
Perdarahan hebat
Sumber• A. sfenopalatina• A. etmoid posterior
Predisposisi
• Hipertensi• Aterosklerosis
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Epistaksis Posterior
Penatalaksanaan Tampon posterior
( Bellocq ) Obat-obat hemostatika Ligasi arteri
• a. etmoid sayatan dekat kantus medius
• a. maksilaris interna operasi Caldwell-luc
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Komplikasi
Akibat epistaksisShock
Anemia
Iskemia serebri
Insufisiensi koroner
Infark myocard
Infus dan tranfusi secepatnya
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Komplikasi
Akibat usaha penanggulangan Tampon
sinusitis (ab& hanya 2-3 hr)
Hemotimpanum
Bloody tearsLaserasi
palatum mole dan bibir
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TERIMA KASIH
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