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INSISI ABSES

RETROFARINGM. Hamzah Asadullah

DM THT RS SITI KHODIJAH SEPANJANG

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ABSES RETROFARING

Abses Retr!ar"#$ b"asa#%a d"temu&a# 'adaa#a& %a#$ berus"a d"ba(ah ) tahu#. Hal "#"

ter*ad" &are#a 'ada us"a tersebut rua#$retr!ar"#$ mas"h ber"s" &ele#*ar l"m!a mas"#$,mas"#$-,) buah 'ada s"s" &a#a# da# &"r".Kele#*ar "#" me#am'u#$ al"ra# l"m!a dar"h"du#$ s"#us 'ara#asal #as!ar"#$ !ar"#$tuba Eusta/h"us da# tel"#$a te#$ah. Pada us"ad" atas 0 tahu#&ele#*ar l"m!a a&a# me#$alam"atr1

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T2J2AN

Mem'ertaha#&a# *ala# #a!as %a#$ ade&uat 3

's"s" 'as"e# supine dengan leher ekstensi

'ember"a# O-

"#tubas" e#dtra&ea de#$a# 4"sual"sas"la#$su#$ 5 "#tubas" fber optik

tra&estm" 5 &r"&t"rtm"

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A6AT

S'ru"t de#$a# *arum #. 78 P"sau bedah lurus

Alat 'e#$h"sa'

Muth $a$

6ar%#$s&' d"re/t

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PENATA6AKSANAAN

Me#$atur 's"s" tre#dele#bur$ ba$"a# &e'ala mele&at" '"#$$"r#%aterlu&a" &eba(ah a$ar 'us #a#t" me#$al"r &e #as!ar"#$.

Pu#&s" de#$a# s'u"t de#$a# *arum d"amb"l seba#%a& 9 ba#%a%a.

I#/"s", ta#'a a#aestes"

, '"sau lurus

, Arah /ra#" /audal searah serabut tt su'a%a lu&a/e'at sembuh

, Pus d" "sa' de#$a# alat 'e#$h"sa'

Pe#der"ta d" MRS &a# &are#a luba#$ "#/"s" d" bu&a t"a' har" sam'a"

t"da& ada 'us &eluar. Pat&a# me#"la" has"l &er*a (a&tu "#/"s" &eluar'us

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KOMP6IKASI

Km'l"&as" abses retr!ar"#$ da'at ter*ad" a&"bat 37. Massa "tu se#d"r" 3 bstru&s" *ala# #a!as-. Ru'tur abses 3 as1&s"a as'"ras" '#eum#" abses

'aru:. Pe#%ebara# "#!e&s" &e daerah se&"tar#%a 3

a. "#!er"r 3 edema lar"#$ med"ast"#"t"s'leur"t"s em'"ema abses med"ast"#umb. lateral 3 trmbs"s 4e#a *u$ular"s ru'tur arter"&art"s abses 'ara!ar"#$

/. 'ster"r 3 stem"el"t"s da# ers" &llum#as'"#al"s

;. I#!e&s" "tu se#d"r" 3 necrotizing asciitis, sepsisdan kematian

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PROGNOSIS

Pada umum#%a 'r$#s"s abses retr!ar"#$ ba"&a'ab"la da'at d"d"a$#s"s se/ara d"#" de#$a#'e#a#$a#a# %a#$ te'at da# &m'l"&as" t"da&

ter*ad". Pada !ase a(al d"ma#a abses mas"h&e/"l ma&a t"#da&a# "#s"s" da# 'ember"a#a#t"b"t"&a %a#$ te'at da# ade&uatme#$has"l&a# 'e#%embuha# %a#$ sem'ur#a.A'ab"la telah ter*ad" med"ast"#"t"s a#$&amrtal"tas me#/a'a" ;< , )