Vous êtes sur la page 1sur 13

ASITES

REFERAT

ASITES
ASITES adalah penimbunan cairan abnormal
dirongga peritoneum.
ASITES berasal dari bahasa latin askos yang
berarti kantong.

SIROSIS HEPATIS
75%

KEGANASAN
10%

ASITES
GAGAL JANTUNG
3%

TBC 2%

PENYEBAB LANGKA
LAINYA

KLASIFIKASI ASITES
ASITES TANPA KOMPLIKASI
GRADE 1 : asites hanya dapat terdeteksi lewat
USG.
GRADE 2 : asites yang menyebabkan distensi
perut moderat.
GRADE 3 : asites ditandai denga distensi
abdomen.

PATOFISIOLOGI
HIPERTENSI PORTAL.
HIPOALBUMINEMIA.
PENINGKATAN PEMBENTUKAN ALIRAN
DARAH LIMFE.
RETENSI NATRIUM DAN GANGGUAN
EKSRESI AIR.

DIAGNOSIS ASITES
ANAMNESIS
PF : Spider navy, palmar eritema, shifting
dullnes (+), undulasi (+).
PP : Tes fungsi hati, USG, CT-Scan abdomen
Pungsi asites
Pemeriksaan cairan asites

TATALAKSANA ASITES

Retriksi garam dan air


Diuretik
Paracintesis
Transjugular intrahepatic portosystemic shunt
(TIPS)

DAFTAR PUSTAKA

1. Cheney CP, Goldberg EM and Chopra S. Cirrhosis and portal hypertension: an


overview. In: Friedman LS and Keeffe EB, eds. Handbook of Liver Disease. 2 nd ed.
China, Pa: Churchill Livingstone; 2004:125-138
2. Friedman SL: Hepatic Fibrosis, In: Schiff ER, Sorrell MF, Maddrey WC, eds.
Schiffs Diseases of the Liver. 9th ed. Philadelphia, Pa: Lippincott-Raven; 2003:40928
3. Garcia-Tsao D and . Wongcharatrawee S. (VA Hepatitis C resource center
Program). Treatment of patients With Cirrhosis and Portal Hypertension Literature
Review and Summary of Recommended Interventions. Version 1 (October 2003).
Available from URL: www.va.gov/hepatitisc
4. Wolf DC. Cirrhosis.eMedicine Specialities. 1 Juli 2013. Available from URL:
http://www.emedicine.com/med/topic3183.htm

5. Lee D. Cirrhosis of the Live. MedicineNet.com, 1 Juli 2013. Available from


URL: http://www.medicinenet.com/cirrhosis/article.htm
6. Hernomo K. Pengelolaan perdarahan massif varises esophagus pada
sirosis hati. Thesis. Airlangga University Press, Surabaya,1983.
7. Nurdjanah K. Sirosis Hepatis. Dalam: Sudoyo S dkk, eds. Buku Ajar Ilmu
Penyakit Dalam, Jilid I, edisi 4, Jakarta, Pa: Balai Penerbit FKUI, 2007: 44346.
8. Lorraine MW. Sirosis Hati. Dalam: Sylvia AP, Lorraine MW. Sirosis. Edisi
keenam, Volume I. EGC, Jakarta: 2005;1:493-501.
9. Akil HAM. Asites. Dalam : Rasyad SB. Kumpulan Kuliah Hepatologi,
Palembang. 2008. 365-70.

10. Guadalupe Garsia-Tsao et al. Prevention and Management of Gastroesophagal Varices


and Variceal Hemorrhage in Cirrhosis. American Journal of Gastroenterology. United
States of America. 2007.
11. Pere Gines et al. Management of Cirrhosis and Ascites. The New England Journal of
Medicine. Massachusetts Medical Society. 2004;350:1646-54.
12. Silbernagl S, Lang F. Color Atlas of Pathophysiology. 1st ed. Stuttgart. New York:
Thieme; 2000. 170-5.
13. Mcphee SJ, Papadakis MA. Hepatology. In Thierney LM, editor. Current Medical
Diagnosis & Treatment. San Francisco, California: McGraw Hill ; 2008.
14. Chung RT, Podolsky DK. Cirrhosis and its complications. In Harrisons Principles of
Internal Medicine, ed by Fauci AS, Braunwald E et al., 17th edition, McGraw Hill Inc,
New York, 2008: 1858-67.
15. Europian Association for Study of the Liver. EASL clinical practise guidelines on the
management of ascites, spontaneous bacterial peritonitis, and hepatorenal syndrom in
cirrhosis. Journal of Hepatology 2010 vol. 53 j 397417

Vous aimerez peut-être aussi