Ikterus & Kolestasis (Rev)

UKK Gastrohepatologi IDAI

PELATIHAN NASIONAL TATALAKSANA TERKINI DIARE & KOLESTASISSheraton Mustika Resort & Spa Hotel Yogyakarta, 23 – 24 Mei 2009


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Metabolisme Bilirubin

ekskresi

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Kadar bilirubin (Kramer,1969) :1. 4-8 mg/dL

2. 5-12 mg/dL 3. 8-16 mg/dL 4. 11-18 mg/dL5. >15 mg/dL



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Etiologi

ekskresi

produksi

uptake

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15Suchy F, Sokol R, Balistreri W. Liver Disease in Children. Edisi ke-2. 2001



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Umur Perimbangkan Fototerapi a

Fototerapi Trasfusi Tukar Jika Fototerapi

Intensif Gagalb

Trasfusi Tukar dan Fototerapi

Intensif

≤24 jamc - - - -

25-48 jam ≥12 ≥15 ≥20 ≥25

49-72 jam ≥15 ≥18 ≥25 ≥30

>72 jam ≥17 ≥20 ≥25 ≥30

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Hepatocellular



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Triangular Cord Sign



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Atresia Biliaris Sindrom Alagille

Normal


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HE staining of liver specimens showing paucity of theinterlobular ducts (Original magnification ×100).

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Ikterus & Kolestasis (Rev)

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