Refrat THT Abses Leher Dalam

27 

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(1)

? ? ? p p ! " # ! $ p % &' (' ) * + ,' * - . /

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$ 0(c % 1 ! (2, c % ! ! ! ! c %

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? ?

Pada daerah eher erdapa beberapa ruang poensa yang dbaas oeh fasa serv a Fasa serv a dbag menad dua yau fasa superfsa dan fasa profunda. Kedua fasa n dpsahkan oeh oo pasma yang ps dan meuas ke aneror eher. Oo pasma sebeah nferor berasa dar fasa servka profunda dan kavkua sera meuas ke superor unuk bernsers d bagan nferor mandbua.6,8c

á Poongan aksa eher sengg orofarng (Dkup dar3 13)

(4)

á . Poongan obk eher (Dkup dar3 6)

Fasa superfsa ereak dbawah derms. In ermasuk ssem muskuoapenourek, yang meuas mua dar epkranum sampa ke aksa dan dada, dan dak ermasuk bagan dar daerah eher daam. Fasa profunda mengeng daerah eher daam dan erdr dar 3 apsan, yau3,6

-c apsan superfsa

-c apsan engah -c apsan daam.

à !" " #"

àuang poensa eher daam dbag menad ruang yang mebakan daerah sepanang eher, ruang suprahod dan ruang nfrahod.6,8

Acàuang yang mebakan sepanang eher erdr dar3

(5)

c ruang bahaya 0 ) c ruang preverebra.

Acàuang suprahod erdr dar3

c ruang submandbua c ruang parafarng c ruang paros c ruang maskor c ruang perons c ruang emporas. Ac àuang nfrahod3 c ruang prerakea.

á $ Poongan Saga Leher (Dkup dar3 6)

(6)

% p c 0 4 & p 2 ( 1 &&, '' 5( p (, 5 " 6,(& 7 '' p '' 8 ''2 ! 3" &p ( ' & , 2 * /919!$"à + %* 8 ''& + '' &2 2 5 &

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& ( : / + '3 ''''3/! Prevotella,cPorphyromonas,c sobacterimcspp,cPeptostreptococcscspp / Streptococcscpyogenicc anccStapylococcscares.c + ) p ) )) ))) ' ,( 5 9 " 6 2 7 '' ,,,, (

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"+ ; < : : ) 9 / 9 + "! 9 ,, ' & & , 2 2 ( ' ( 2, (2 ( ( & 5 , (2 *3( ) ) Prevotella,c sobacterimcspp,. / 0 ) +

(9)

" '(

/

$ ,c Streptococcsc sp,cc

aemofilsc inflenza,c Streptococcsc Penemonia,c oraxtellac catarrhalis,c lebsiellcsp,ceisseriacsp.$ Peptostreptococcs,c sobacterimccbacteroidescsp.cPsedomanascaerginosac

$ acteroides,c Prevotella sobacterim.< 3 + ) p 1 ) ) / ) / / Peptostreptococs,c Streptococsc

viridan,cStreptococscintermedis

#!+ p! /

(10)

p 1 ' = stafilokoksc ,, Streptococcsc haemolitycs ( Entrobacter ( Streptococcsc haemolytics ,( lebsiella spc ( Streptococcscnonchaemolytics (Psedomonasaerginosac( ' &5!&&5 52 55 2 5, $ Streptococcscviridan &Staphylococcscepidermidis 5 $

bacteroidessp9 "$ p ( ; > Streptococcscviridansc Staphylococcsc epidermidisc Staphylococcscaresc actroidescSpc Streptococcsc haemolyticsc lebsiellacpnemoniac Streptococcscpnemoniac ycobacterimcctbc naerobcgramcnegatifc eisseriacspc Peptostreptococcsc amrc Enterobacterc acillscspc Propionibacterimc cinetobacterc ctinimicosiscisraeliic Protescspc lepsiellacspcc ifidobacterimc icroaerophilicc streptococcsc Enterococcscspc oraxtellaccatarrhalisc anclainlainc 2 2 ( ' ' & 5 5 5 , 2 2 ( & 5 25 2 2 (( & & & , , & & & & & & 25 *3(

(11)

/ ' 2(

2( , 7 ''

5&

$ Streptococcsc viridan,c

lebsiellac pnemonia,c Stapylococcsc ares $ Prevotella,cPeptostreptococcs,cdancacteroides.9

" 1 5& $ 5, < < p $ ((, p < ( < $ , p ? ! 2 *3( * / 919!$"à + % * p '' 8 '' 2 , 2 , & Úandidac sp $ = Streptocccsc c

(12)

haemolitics 2 , lepsiellac sp ( Enterobacterc sp & Staphylococcsares (Staphilococcscepidermidisc 2E.cÚoli

2Protescvlgaris 2 *

Streptocccsc c haemolitics lebsiellac sp 9 " & 1 / 919!$" %* p''!8 '' ;$ ; Streptocccscchaemoliticsc lepsiellacspc Enterobactercspc Staphylococcsaresc Staphilococcscepidermidisc E.cÚolic Protescvlgaris 2 , ( & ( 2 2 2 *3( ) 55,2 $ &( 2& ((5( * ('5 = acteroidescfragillis & sobacterimcsp &Prevotellacspp '( !

, & 3 ctinomycessc spp ,

Ebacterimcspp ,lactobacillscspp 2 propionibacterimcspp , '&

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hotcpotatocvoiceà .

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/ $ , * $ $ + , "' $ , / c ,' "" " * 0 aircflidc levels, 0 0 0))? , 0G) (25

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c 9$ (5 )c ' ? ' " + p ( c 2 0 p 1 ( % 0 1 ( / ( / + 7 +@ = $

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< I I F I F ! 2, ,2 ,'5 2& p0 #9 FI( < F < $ " polimicrobial acteroidesspc ( / 2( "/p p - +&, 1!#' <5 ?&5 F%' + &5 . &, %?' +' / 5 J$ <J8I . clactamasec resistantcdrgc <$ < ?I %F :I%F ?I$ ?I $ p !p 0 <%F * pJ* *9G * * p pJ* p pJ* p pHp*H* *9GH*0 *3(

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F I lactamc inhibitor ( %F p K ))) ? ))) * ) ))) aemofillsc infelenza,c eisseriac spc ?I I ?I

c aemofillscsp Streptococcsc

pnemoniaeisseriaesp(

* / 919!$"à+ * % *

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lebsiellaprotesEnterobacter.(

+

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lebsiellaprotesEnterobacter.

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c %;eepc eckc Spacec nfection + 8

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