LAPORAN KEMATIAN ONKOLOGI
Nama
: Ny. S
No. RM
: 01315192
Umur
: 62 tahun
Diagnosis awal
: Ca oarii !!! C "ost o# "a$%ry a&'om$n $() "$r'arahan masi# "ost su&o"timal '$&ul%ing 'an "$r'arahan tumor &$' sus". M$'i)al &l$$'ing * riwayat syo% hi"ool$mi% t$ratasi * )ar'ia) arr$st 2+ * hi"o%al$mi *hi"onatr$mi
Diagnosis a%hir
: S$"sis, o$'$m "ulmo "$r&ai%an, Ca oarii !!! C "ost o# "a$%ry a&'om$n $() "$r'arahan masi# "ost su&o"timal '$&ul%ing 'an "$r'arahan "$r'arahan tumor &$' sus". M$'i)al M$'i)al &l$$'ing &l$$'ing * riwayat riwayat syo% hi"ool$mi% hi"ool$mi% t$ratasi * )ar'ia) )ar'ia) arr$st 2+ * hi"o%al$mi hi"o%al$mi *hi"onatr$mi
-$ny$ $ny$&a &a& & %$ma %$mati tian an
: Syo% Syo% s$" s$"si sis s
anggal anggal masu% RS
: 3 No$m&$r 2015
anggal anggal m$ninggal
: 15 D$s$m&$r 2015
im !
:
im !!
:
HARI/ TANGGA L 23(11(2015 MRS
PEMER EMERIK IKSA SAAN AN FISI FISIK K / FOLL OLLOW UP
S$orang -2/0 62 tahun, "asi$n 'atang %$ RSDM '$ngan ruu%an ruu%an 'ari RSUD Ngawi, Ngawi, '$ngan '$ngan %$t$rang %$t$rangan an )uriga )uriga - ''( tumor a&'om$n. -asi$n m$ng$luh a'anya &$nolan 'i "$rut s$a% 1 tahun yang lalu. -$r'arahan 'ari alan alan lahir 'isang%al. 'isang%al. Riwayat Riwayat %onta% %onta% &l$$'ing &l$$'ing 'isang%al. / '&n, / s$ring t$$rs$n'at4s$n'at, t$$rs$n'at4s$n'at, ny$ri 4, 'arah 4. Riwayat %$"utihan 'isang%al. 'isang%al. R-D : Riwayat 7( antung( asma( al$rgi( DM 'isang%al U : %oma 8S : D : 131(62 mm7g, N : 112 +(mnt, RR : S!M8, S : 3, 0 C Mata : C/ 4(4, S! 4(4
LAB LABORA ORATORIU RIUM / PENUNJANG LAIN 23(11(2015 Na 132 3,5 Cl 0,9; 02(12(2015 Darah rutin: 7& , 7)t 26, /< 6,3 / 12; /= 2,93 05(12(2015 7& 9,; 7)t 2 /< 9,3 / 32; /= 3,09 - 13,9 /- 26, >DS 1;1 S> 20 S>- 6 /l& 3,6 Cr 1,0 Ur 6 Na 136 ;,9 Cl 111
DIAGNOSIS
TERAPI
S$"sis, o$'$m "ulmo "$r&ai%an Ca oarii !!!C "$ngang%atan "a)%ing a&'om$n $() "$r'arahan masi# "ost su&o"timal '$&ul%ing, "ost syo% hi"ool$mi% t$ratasi * riwayat )ar'ia) arr$st 2+ * $#usi "l$ura '$+tra * an$mia 7& , * hi"o%al$mi 2,
!n M$ro"$n$m 1g( 2; + /n$s <$o@o+a)in 50 g( 2; !n M$troni'aAol 500 g( !n m$"raAol ;0 mg( 12 !n -C 1 g( M$'i%asi lu%a( 2 hari R$i$w -/ tunggu hasil + lain s$suai S an$st$si, 7 'an -aru -aru
D+ /n$st$si: -ost la"arotomi a(i - D-7 ?8
+ /n$st$si: !n <$o@o+a)in 50 g( 2; !n M$troni'aAol 500 g( !n m$"raAol ;0 mg( 12
D+ -aru :
hora+ : Cor '&n -ulmo SD8 *(*, R7 *(* minimal, R 4(4, wheezing -(4 /&' : su"$l, N 4, t$ra&a massa "a'at, t$rB%sir, "$rmu%aan rata '$ngan &atas %anan( %iri
$n : 8(U t$nang, 'in'ing agina '&n, "orsio ti'a% t$ra&a, t$ra&a massa tumor: 'is)harg$ 4, 'arah *
=#usi "l$ura '$+tra minimal $() m$tastasis Ca 'i "aru
!n -C 1 g( !n Raniti'in$ 1 g( sto" !n Ca glu%onas 1 am"( 2; !n #uros$mi'
+ -aru: 2 $ntilator
26(11(2015
!n M$ro"$n$m 1g( 2; + /n$s <$o@o+a)in 50 g( 2; !n M$troni'aAol 500 g( !n m$"raAol ;0 mg( 12 !n -C 1 g( M$'i%asi lu%a( 2 hari R$i$w -/ tunggu hasil + lain s$suai S an$st$si, 7 'an -aru
-2/0, 62th U : %oma 8S : D : 112(6 mm7g, N : +(mnt, RR : 16 +(mnt, S : 3,3 0 C Mata : C/ 4(4, S! 4(4 hora+ : Cor '&n -ulmo SD8 *(*, R7 *(* minimal, R 4(4, wheezing -(4 /&' : su"$l, N 4, t$ra&a massa "a'at, t$rB%sir, "$rmu%aan rata '$ngan &atas %anan( %iri $n : 8(U t$nang, 'in'ing agina '&n, "orsio ti'a% t$ra&a, t$ra&a massa tumor: 'is)harg$ 4, 'arah *
S$"sis, o$'$m "ulmo "$r&ai%an Ca oarii !!!C "$ngang%atan "a)%ing a&'om$n $() "$r'arahan masi# "ost su&o"timal '$&ul%ing, "ost syo% hi"ool$mi% t$ratasi * riwayat )ar'ia) arr$st 2+ * $#usi "l$ura '$+tra * an$mia 7& , * hi"o%al$mi 2,
+ /n$st$si: D+ /n$st$si: -ost la"arotomi a(i - D-7 ?8
Nor$"in$#rin mg(%g(am
0,1
D+ -aru : =#usi "l$ura '$+tra minimal $() m$tastasis Ca 'i "aru
15(12(2015 12.00
-0/0, 21th S: s$sa%, "$nurun an %$sa'aran : U $l$%, somnol$n 8S : D : 90(60 mm7g, N : 120 +(mnt, RR : ;0 +(mnt, S : 3.3 0 C Mata : C/ 4(4, S! 4(4 hora+ : Cor '&n -ulmo SD8 (, R7 *(*, R 4(4, wheezing -(4 /&' : $ra&a massa "a'at t$rB%sir >$n : 8(U t$nang, 'in'ing agina '&n, "orsio ti'a% t$ra&a, 'arah 4, 'is)harg$ 4
S$"sis, o$'$m "ulmo "$r&ai%an Ca oarii !!!C "$ngang%atan "a)%ing a&'om$n $() "$r'arahan masi# "ost su&o"timal '$&ul%ing, "ost syo% hi"ool$mi% t$ratasi * riwayat )ar'ia) arr$st 2+ * $#usi "l$ura '$+tra * an$mia 7& , * hi"o%al$mi 2,
-$r&ai%an U s$suai S /n$st$si !n C$#tria+on 2 gr( 2; am !n $torola) 1 am"( !n ...... 1g( + /n$st$si : C$% $l$%trolit ulang + -aru: 2 $ntilator
D+ /n$st$si:
-ost la"arotomi a(i - D-7 ?8 D+ -aru : =#usi "l$ura '$+tra minimal $() m$tastasis Ca 'i "aru
13.00
13.20
-0/0, 21 tahun S : "$nurunan %$sa'aran : U $l$%, %oma 8S : D 60(4, N : 60+(m$nit, RR: ;0+(m$nit, S: 3,; 0 C
-2/0, 62 tahun S:4 : 8S : D 4(4, N : 4 +(m$nit, RR: 4 +(m$nit, "u"il mi'riasis ma%simal
=a%uasi )airan "l$ura &ila )airan &$rtam&ah( &ila s$sa%
$&as%an alan na"as != %$luarga
R- != %$luarga
-asi$n 'inyata%an m$ninggal 'i ha'a"an 'o%t$r, "$rawat 'an %$luarga "asi$n != %$luarga "asi$n -$ny$&a& %$matian a'alah %om"li%asi %$ganasan
