PREEKLAMPSIA BERAT PADA KEHAMILAN PREMATUR DENGAN SINDROMA HELLP DAN KEADAAN AKUT PADA PENYAKIT GINJAL KRONIK STADIUM 5 SEVERE PREECLAMPSIA IN PREMATURE PREGNANCY WITH HELLP SYNDROME AND ACUTE ON CHRONIC KIDNEY DISEASE STAGE 5

• Utomo Budidarmo

  Author

• Anisya Lutfia Andini

  Author

abstrak 

Wanita, 30 tahun, kehamilan ketiga (G3P2A0) 33 minggu datang ke Instalasi Gawat Darurat karena pecah ketuban sejak 1 jam sebelum masuk rumah sakit. Pada pemeriksaan Pada pemeriksaan fisik didapatkan hipertensi, bengkak pada kaki dengan kesadaran baik. Tampak ketuban kehijauan dengan lendir darah pada pemeriksaan spekulum. Kardiotokografi menunjukan gawat janin kategori 3. Hasil laboratorium darah terdapat trombositopenia, gangguan fungsi hepar dan ginjal. Manajemen preeklampsia dan sindroma HELLP diberikan dan selanjutnya dilakukan seksio caesarea, pasien kemudian dirawat di ICU pasca operasi karena adanya gagal napas selama pembedahan, dan penyakit ginjal kronik. Bayi dirawat di NICU. Pasien dan bayi dapat dipulangkan pasca perawatan dalam keadaan baik.

abstract 

Woman, 30 years old, third pregnancy (G3P2A0) 33 weeks, came to the Emergency Room because of rupture of membranes since 1 hour before admission to hospital. On physical examination found hypertension, swelling of the legs and alert. Appears greenish amniotic fluid with bloody mucus on speculum examination. Cardiotocography showed category 3 fetal distress. Blood laboratory results showed thrombocytopenia, impaired liver and kidney function. Management of preeclampsia and HELLP syndrome were given and subsequent caesarean section was carried out, the patient was then admitted to the postoperative ICU because of respiratory failure during surgery, and chronic kidney disease. The baby is being treated in the NICU. The patient and baby can be discharged after treatment in good condition.

1. Utomo Budidarmo

   Spesialis Obstetrik Ginekologi RS Bhayangkara Tk.I Pusdokkes Polri, Jakarta

2. Anisya Lutfia Andini

   Dokter Muda, Fakultas Kedokteran UNIKA Atmajaya, Jakarta

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