Penatalaksanaan Prabedah Penderita dengan Trombositopenia
Abstract: Bleeding, either
medical or surgical bleeding, remains an important issue in surgery. Therefore,
complete blood count and bleeding time are routinely checked in patients
undergoing surgical procedures. To reduce the risk of medical bleeding,
pre-operative management for patients with low platelet count is crucial. The
first step in this management is to confirm the platelet count manually.
Transfusion of the platelet concentrate can be taken into consideration if the
plateletis very low (less than 50.000/mm3 assumed normal platelet function) or
the surgical procedures have a greater risk of bleeding. Platelet concentrate
can be produced from the apheresis of a single donor or the extraction of the
whole blood from multiple donors. The blood should be transfused by using a
special platelet transfusion set within 30 minutes. However, the transfusion of
platelet concentrate is not recommended for patients with Immune Trombocytopenia
Purpura. In thiscase, the autoimmune process will immediately destroy the
platelet, o immunosuppressant therapy is warranted.
Penulis: Vera
Kode Jurnal: jpkedokterandd090087
