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KONDISI TRAUMATIK SUBJEK ORTOPEDIK KOD MOR 2323 FRAKTUR SPINA & TORAK.

Published byHadi Gunawan Modified over 6 years ago

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Presentation on theme: "KONDISI TRAUMATIK SUBJEK ORTOPEDIK KOD MOR 2323 FRAKTUR SPINA & TORAK."— Presentation transcript:

1 KONDISI TRAUMATIK SUBJEK ORTOPEDIK KOD MOR 2323 FRAKTUR SPINA & TORAK

2 FRAKTUR TULANG SPINA Definisi:
Kecederaan/kerosakan pada turus vertebra & tisu neural

3 TULANG SPINA Cervical vertebral Thoracic vertebrae Lumbar vertebra
Sacrum Coccyx

4 Jenis – jenis kecederaan
Fraktur dan dislokasi spina Fraktur servikal spina Kecederaan korda servikal spina Fraktur toracik spina T2 – T10 Torakolumbar fraktur Lumbar fraktur

5 Klasifikasi Anterior, medial & posterior colum Tetap Tak tetap

6 Mekanisma kecederaan Hiperekstensi Fleksi
Peralihan axial (compression) Fleksi dan memusing Hyperektensi Fleksi

7 Diagnosa dan ciri klinikal
Kes kemalangan major Kes tak sedar diri selepas kemalangan Kesakitan. Kaku dlm keadaan leher/belakang Kebas

8 Investigasi X-ray CT scan MRI

9 Pengurusan dan rawatan
Rawatan kecemasan Larang gerak – kolar servikal Penjagaan kejururawatan Traksi tengkorak Pembedahan

10 Traksi Skull traction Halo-torasik

11 Komplikasi fraktur teruk
Fraktur C1 – C2 membawa maut Fraktur C3 – C4 gangguan pernafasan Fraktur C5 – C7 Tetraplegia & Quadraplegia

12 FRAKTUR TORasiK Definisi:
Fraktur yang melibatkan anggota torasik dan organ yang berkaitan.

13 The thoracic cage includes the thoracic vertebrae
Thoracic vertebral manubirum Body Xiphoid process True ribs Sternum Costal cartilage False ribs

14 Organ-organ yang terlibat
Tulang rusuk Paru-paru Jantung

15 Insiden Salah satu penyebab kematian trauma 15% memerlukan pembedahan
85% memerlukan prosidur pengurusan kecemasan

16 Pengurangan isipadu darah & oksigen di paru – paru
Patofisiologi Kecederaan dada Pengurangan isipadu darah & oksigen di paru – paru Hipoksia tisu

17 Kecederaan boleh mengancam nyawa
Penyumbatan salur udara Tension pneumotorak Open pneumotorak Massive hemotorak Flail chest Kardiak tamponade

18 Kecederaan lain Subkutaneous emphysema Kecederaan remuk pada dada
Simple pneumotorak Hemotorak Fraktur tulang rusuk

19 Rawatan dan pengurusan
Kajian primer Resusitasi Kajian sekundar Penjagaan khusus

20 Pengurusan dan rawatan
Thoracentesis – tension pneumotorak Chest tube insertion Pericardiocentesis Tranfusi darah Oksigen Analgesik Penjagaan kejururawatan

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