SEORANG WANITA DENGAN ASPIRASI JARUM PENTUL HARI KE-14
DOI:
https://doi.org/10.22219/sm.Vol14.SMUMM1.6691Abstract
Aspirasi benda asing merupakan masalah global dan seringkali menyebabkan komplikasi yang mengancam jiwa,Aspirasi benda asing lebih sering terjadi pada anak-anak dibanding orang dewasa. Sekitar 75% sampai 85% aspirasi benda
asing terjadi pada anak dibawah 15 tahun yang lebih dari dua pertiga kasus terjadi pada anak-anak usia dibawah tiga tahun
(3). Di Amerika angka kematian pada anak usia di bawah 4 tahun mencapai 7% pada tahun 1986(5). Pada kasus ini, penderita
adalah seorang perempuan berumur 14 tahun, datang ke IRD dikonsulkan ke bagian paru dengan keluhan tertelan jarum
pentul saat sedang memakai hijab sambil bercanda dengan temannya. Kemudian dilakukan foto Rontgen tampak bentukan
metal jarum di daerah parakardial kanan Pada dewasa bronkus utama kanan lebih pendek dari bronkus utama kiri. Bronkus
utama kanan membentuk sudut 25 derajat dari garis median, sedangkan bronkus utama kiri membentuk sudut 45 derajat.
Pada anak usia dibawah 14 tahun hal ini tidak berlaku karena ukuran bronkus kanan dan kiri relatif sama, dengan percabangan
bronkus kiri tidak sedekat pada bronkus kanan. Selanjutnya dilakukan ekstraksi jarum pentul yang telah teraspirasi dengan
menggunakan bronkoskopi serat optik pada penderita. Ekstraksi jarum pentul berhasil dilakukan dengan baik.
Kata Kunci : Aspirasi, ekstraksi jarum pentul
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