Seorang Penderita SLE dengan Emboli Paru Akut dan Hipertensi Pulmonal (Studi Kasus)

Hendrata Erry Andisari, Gede Kambayana, Ketut Suega

Abstract


Kondisi Pulmonary embolism (PE) merupakan bagian dari spektrum penyakit yang disebut Venous thromboembolism (VTE).  Seorang pasien dengan keluhan utama batuk yang mengeluarkan dahak berwarna keputihan datang ke RSUP Sanglah, Bali untuk mendapatkan terapi. Riwayat sebelumnya, pasien pernah dirawat inap di RSUP Sanglah tersebut.

Saat ini diagnosis akhir pasien ini: SLE on treatment dengan moderate pulmonary hipertension dan suspek emboli paru, suspek pneumonia (HCAP) dengan severe sepsis dan syok sepsis, asidosis metabolik, observasi transaminitis ec reaktif dan hiponatremia kronik asimptomatik hipoosmoler euvolemic cb SIADH. Selanjutnya dilakukan tindakan terapi dan evaluasi terhadap terapi yang diberikan.

 

Kata kunci: SLE, emboli paru akut, hipertensi, studi kasus


Full Text:

PDF

References


Rahmatullah P. Tromboemboli Paru. In:Sudoyo AW, Setiyohadi B, Alwi I, Simadibrata M, Setiati S,(eds). Buku Ajar Ilmu Penyakit Dalam Edisi Kelima. Jakarta: Pusat Penerbitan Ilmu Penyakit Dalam; 2009. p. 2305–2314.

Samuel ZB. Deep Venous Thrombosis and Pulmonary Thromboembolism. In: Longo DL, Fauci AS, Kasper DL, Hauser SL, Jameson JL, Loscalzo J,(eds). Harrison’s Principles of Internal Medicine 18th Edition. New York: McGraw-Hill Medical; 2012. p.2170-2177.

Yung GL, Fedullo PF. Pulmonary Thromboembolic disease. In:Fishman AP, Elias JA, Fishman JA,Grippi MA, Senior RM, Pack AI, (eds). Fishman’s Pulmonary Disease and Disorder 4th Edition. New York: McGraw-Hill Medical; 2008. p.1423-1447.

Konstantinides S, Torbicki a., Agnelli G, Danchin N, Fitzmaurice D, Galie N, et al. ESC Guidelines on the diagnosis and management of acute pulmonary embolism. European Heart Journal 2014;283:1-48.

García-sanz MT, Pena-álvarez C, López-landeiro P, Bermo-domínguez A. Symptoms, location and prognosis of pulmonary embolism. Sociedade Portuguesa Journal of Pneumology 2014;20(4):194-9.

Truong TN, Jones DS, Dunn AS. Pulmonary Embolism. Hosp Med Clin J 2014;3(4):479-493.

Busse LW. Submassive Pulmonary Embolism. Crit Care Clin J 2014;30(3):447–73.

Perhimpunan Reumatologi Indonesia. Diagnosis dan Pengelolaan Lupus Eritematosus Sistemik. Jakarta: Perhimpunan Reumatologi Indonesia;2011.p.1- 46.

Gari AG, Telsemani A, Alwithenani R. Pulmonary Manifestations of Systemic Lupus Erythematosus. In: Systemic Lupus Erythematosus. Croatia: Intech;2012.p. 313-36.

Dhala A. Pulmonary arterial hypertension in systemic lupus erythematosus: current status and future direction. Clinical & Developmental Immunology. 2012;20(12):854-941.

Tapson VF, Mandel J, Geraldine F. Treatment of Acute Pulmonary Embolism. Uptodate[Internet] 2014 [cited 2014 January 19]. Available from: http://www.uptodate.com/contents/Treatment-of-Acute-Pulmonary-Embolism.

Stansby G, Agarwal R, Ballard S, Berridge D, Clark C, Day R,et al. Venous thromboembolic diseases: the management of venous thromboembolic diseases and the role of thrombophilia testing. NICE clinical guideline 2012;144:1-40.

Concepts C, Agnelli G, Becattini C. Acute Pulmonary Embolism. N Engl J Med 2010; 363:262-74.

Meyer G, Vicaut E, Danays T, Agnelli G, Becattini C, Beyer-Westendorf J, et al. Fibrinolysis for patients with intermediate-risk pulmonary embolism. N Engl J Med 2014;370(15):1402–11.

Konstantinides S. Thrombolysis in submassive pulmonary embolism? Yes. J Thromb Haemost 2003;1:1127-9.

Scridon T, Scridon C, Skali H, Alvarez A, Goldhaber SZ, Solomon SD. Prognostic significance of troponin elevation and right ventricular enlargement in acute pulmonary embolism. Am J Cardiol 2005;96:303-5.




DOI: http://dx.doi.org/10.30649/obj.v3i1.31

Refbacks

  • There are currently no refbacks.


Copyright (c) 2020 Oceana Biomedicina Journal

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

 

Translation: https://www.onlinedoctranslator.com

Duplication checking by: https://www.duplichecker.com

Plagiarism detection by: https://plagiarismdetector.net

 Zotero

Published by: Universitas Hang Tuah, Surabaya, Jawa Timur, Indonesia

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.