SKRINING MAKROSKOPIS CAIRAN PLEURA DARI EFUSI PLEURA DI UNIT LABORATORIUM PATOLOGI ANATOMI RUMAH SAKIT UMUM PENDIDIKAN HAJI ADAM MALIK MEDAN

  • Siti Aisyah Nasution Rumah Sakit Umum Pendidikan Haji Adam Malik Medan
Keywords: Pleural Effusion, Pleural fluid, Screening

Abstract

Background and aims: The lungs are wrapped by a membrane called the pleura and between the membranes and the lungs there is a pleural cavity which normally contains around 10-20 ml of fluid which serves as a lubricant so that the lungs can move freely while breathing. Pleural fluid screening is done by macroscopic observation of pleural fluid due to color, character (viscosity and turbidity) and odor maybe the either diagnostic or helpful in diagnosis. The objective of this study is to determine the most results from macroscopic screening of pleural fluid from pleural effusion at Anatomical Pathology Laboratory Unit of Central General Hospital of Haji Adam Malik, Medan. Methods: The study was a descriptive survey with primary data and secondary data. Conducted on June 2019 at the Anatomical Pathology Laboratory Unit of Haji Adam Malik Hospital, Medan. A total samples of 31 pleural fluid samples were macroscopic screened. Results: 31 pleural fluid samples that have been carried out by macroscopic screening showed that the color of the pleural fluid was red as much as 41.93%, thick pleural fluid 6.45%, and cloudy pleural fluid 74.20%. There more than 80% compatibility between macroscopic pleural fluid and estimated diagnosis. Also obtained data of patients with pleural effusion were most women as much as 51.61% and the most etiology of pleural effusion was inflammation of 86.21%. Conclusions: Most of pleural fluid samples showed compatibility with macroscopic and estimated diagnosis.

References

Alsagaff, H., Mukty, A.H., (2002). “Dasar-Dasar Ilmu Penyakit Paru”. Airlangga University Press. Surabaya: 768
Brunner and Suddart, (2001). “Buku Ajar Keperawatan Medikal Bedah”. Ed. 8. Jakarta: EGC
Desalew., Amanuel, M., Addis, A., Zewdu, A., Jemal, H., (2012). “Pleural Effusion: Presentation, Causes and Treatment Outcome in a Resource Limited Area”. Ethiopia Health; 4(1): 15-19
Dwianggita. (2016). “Etiologi Efusi Pleura Pada Pasien Rawat Inap di Rumah Sakit Umum Sanglah Denpasar Bali Tahun 2013”. Intisari Sains Medis; 7(1) Melalui https://isainsmedis.id/index.php/ism/article/download (Diakses pada tanggal 24 Maret 2019)
Eroschenko, P.V., (2008). “Respiratory System”. In : Eroschenko, P.V., eds. Difiore’s Atlas of Histology with Functinal Correlations. 11th ed. Philadelphia: 333-53
Havelock, T., Teoh, R., Laws, D., Gleeson, F., (2010). “Pleural Procedurs and Thoracic Ultrasound: British Thoracic Society Pleural Disease Guideline 2010”. Thorax; 65(Suppl 2): ii61-ii76
Khan, F.Y., Alsamawi., Yasin, M., Ibrahim, M., Hamza, A.S., Lingawi, M., Abbas, M., Musa, M.T., (2011). “Etiology of Pleural Effusion among Adults in The State of Qatar: a 1-year hospital- based study”. Eastern Mediterranean Helath Journal; 17(7): 611-618
Khristian, E., Inderiati, D., (2017). “Sitohistoteknologi”. Pusat Pendidikan Sumber Daya Manusia Kesehatan . Jakarta: 178-205
Klopp, M., (2013). “Chest Tube Placement in Principles and Practice of Interventional Pulmonology”. Spinger. New York. 585
Lee, Y.C.G., (2013). “Pleural Anatomy and Fluid Analysis in Principles and Practice of Interventional Pulmonology”. Springer. New York. 545-555
Light, R.W., 2011. “Pleural Controversy Optimal Chest Tube Size for Drainage”. Respirology; 16: 244-248
Light, R.W., Lee, Y.C.G., (2008). “Textbook of Pleural Disease”, Second Edition. Hodder Arnold: 209
Liu, Y.H., Lin, Y.C., Liang, S.J., Tu, C.Y., Chen, H.C., Chen, H.J., (2010). “Ultrasound-Guided Pigtail Chatheters for Drainage of Various Pleural Disease”. American Journal of Emergency Medicine; 28: 915-921
McGrath, E., Anderson, P.B., (2011). “Diagnosis of Plural Effusion: A Systematic Approach. American Journal of Critical Care”. Vol 20. No.2
MedLabTech Unite Blog. (2012). “Teknik Pewarnaan Giemsa”. Melalui http://mltunite.blogspot.com/2012/08/teknik-pewarnaan-giemsa.html (Diakses pada tanggal 10 April 2019)
Mescher, L.A., (2013). “The Respiratory System”. In : Mescher, L.A., eds. Janqueira’s Basic Histology Text and Atlas. 3th ed. Indiana. Bloomington
Perhimpunan Dokter Spesialis Patologi Indonesia dan Ikatan Teknisi Patologi Anatomi Indonesia. (2015). “Buku Pedoman Pelayanan Patologi Anatomi. Kementrian Kesehatan RI”. Jakarta
Price, S.A., Wilson, L.M., (2005). “Patofisiologi Konsep Klinis Proses-Proses Penyakit”. Vol 2. Ed 6. Jakarta: EGC
Robert, J.R., Custalow, C.B., Thomsen, T.W., and Hedges, J.R., (2014). “Robert and Hedges Clinical Procedurs in Emergency”. Sixth Edition. Elsevier Saunders. Philadelphia
Rubbin, J., (2013). “Pleural Effusion”. Melalui http://emedicine.medscape.com/article/299959 (Diakses pada tanggal 24 Maret 2019)
Segal, A., Frost, A.F., Silverman, F.J., (2012). “Chest Wall and Pleura”. In : Orell, R.S., Sterrett, F.G., eds. Orell & Sterrett’s Fine Needle Cytologi. 5th ed. Australia. p :210-53
Siregar, M.T., Wulan, W.S., Setiawan, D., Nuryati, A., (2018). “Kendali Mutu. Pusat Pendidikan Sumber Daya Manusia Kesehatan”. Jakarta: 191
Taeyun, (2014). “Gambaran Efusi Pleura Pada Pasien Karsinoma Paru di RSUP M. Djamil Padang Pada Tahun 2010-2014”. Universitas Andalas Padang.
Tobing, E., Widirahardjo. (2013). “Karakteristik Penderita Efusi Pleura di RSUP H. Adam Malik Medan Tahun 2011”. E-Jurnal Fakultas Kedokteran USU; 1 (1). E-Jurnal Online. Melalui https://jurnal.usu.ac.id/index.php/ejurnalfk/article/view/1354 (Diakses pada tanggal: 24/03/2019)
Yataco, J.C., Dweik, R.A., (2005). “Pleural Effusion: Evaluation and Management”. Cleveland Clinic Journal of Medicine. Vol 27: 10
Yu, H., (2011). “Management of Pleural Effusion, Empyema and Lung Abscess”. Semin Intervent Radiol; 28: 75-86
Published
2019-12-13
Section
Articles