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7/22/2019 REFERAT EPIGLOTITIS
http://slidepdf.com/reader/full/referat-epiglotitis 1/14
4
IDI B
]ELCDAUFUDL
Epbgf`tbtbs dkut, dtdu ibdsd cbseiut hugd suprdgf`tbtbs dtdu fdrblgbtbs suprdgf`tbk,
dcdfda kedcddl blnfdjdsb dkut pdcd cderda suprdgf`tbs cdrb `r`ndrblg, ydlg jefbputb
blnfdjdsb pdcd epbgf`tbs, vdfekufd, drbtel`bc, cdl fbpdtdl drbepbgf`tbkd.4 Idkterb
pelyeidi epbgf`tbtbs teridlydk dcdfda Adej`pabfus blnfuelzde. Epbgf`tbtbs pdfblg
serblg terhdcb pdcd dldk-dldk ierusbd 9 - 3 tdaul ldjul dkabr-dkabr blb cbfdp`rkdl
idawd prevdfelsb cdl blsbcelsblyd jelblgkdt pdcd `rdlg cewdsd..9 @lset cdrb gehdfd
epbgf`tbtbs dkut ibdsdlyd terhdcb tbid-tbid cdl ierkejidlg seodrd oepdt. ]dcd pdsbel
dldk-dldk, gehdfd ydlg pdfblg serblg cbtejub dcdfda sesdk ldnds cdl strbc`r ydlgcbcdaufub `fea cejdj, secdlgkdl pdcd pdsbel cewdsd gehdfd ydlg terhdcb feiba
rblgdl, cdl ydlg pdfblg serblg cbkefuakdl dcdfda lyerb telgg`r`kdl cdl lyerb sddt
jelefdl.4
Cbdgl`sbs cdpdt cbiudt iercdsdrkdl rbwdydt perhdfdldl pelydkbt cdl tdlcd sertd
gehdfd kfblbs ydlg cbtejub, cdl cdrb n`t` Y`ltgel fdterdf feaer ydlg jejperfbadtkdl
ecejd epbgf`tbs (‖tauji sbgl‚) cdl cbfdtdsb cdrb abp`ndrblg.?
Suhudl utdjd cdrb
tdtdfdksdld pdcd pdsbel celgdl epbgf`tbtbs dkut dcdfda jelhdgd dgdr sdfurdl ldnds
tetdp teriukd cdl jeldlgdlb blneksb pelyeidi dtdu pelyeidi ydlg fdbllyd .3
7/22/2019 REFERAT EPIGLOTITIS
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9
IDI BB
SBLHDUDL ]U_SDKD
9.4 CENBLB_B
Epbgf`tbtbs dkut dcdfda sudtu kedcddl blnfdjdsb dkut ydlg terhdcb pdcd cderda
suprdgf`tbs cdrb `r`ndrblg, jefbputb epbgf`tbs, vdfekufd, drbtel`bc, cdl fbpdtdl
drbepbgf`tbkd, seablggd serblg hugd cbseiut celgdl suprdgf`tbtbs dtdu fdrblgbtbs
suprdgf`tbk.4
9.9 ESB@F@GB
]dcd `rdlg cewdsd `rgdlbsje teridlydk ydlg jelyeidikdl epbgf`tbtbs dkut
dcdfda Adej`pabfus blnfuelzd (95%) cbbkutb `fea A pdrdblnfuelzde, _trept`o`oous
pleuj`lbd cdl gr`up D strept`o`oob. ]elyeidi blneksb fdbl ydlg hdrdlg cbtejukdl
sepertb ydlg cbseidikdl _tdpayf`o`oous dureus, jyo`idoterbd, Idoter`bces
jefdlbl`gelbous, Elter`idoter of`dode, Esoaerboabd o`fb, Nus`idoterbuj
leor`pa`ruj, Kfeisbeffd pleuj`lbde, Lebsserbd jelblgbtbcbs, ]dsteureffd
juft`obcd), aerpes sbjpfex vbrus (A_^) cdl vbrus fdbllyd, blneksb j`l`luofe`sbs,
Odlcbcd dlc Dspergbffus (pdcd pdsbel celgdl bjjul`o`jpr`jbsec).
4
]elyeidi l`l-blneksb cdrb epbgf`tbtbs dkut cdpdt ierupd pelyeidi terjdf
(jdkdldl dtdu jblujdl ydlg pdlds, r`k`k, pelggulddl `idt-`idtdl terfdrdlg sepertb
k`kdbl cdl jdrbyudld) cdl ielcd dsblg ydlg tertefdl. Epbgf`tbtbs hugd cdpdt terhdcb
seidgdb redksb cdrb kej`terdpb pdcd cderda kepdfd cdl feaer.4
7/22/2019 REFERAT EPIGLOTITIS
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?
9.? E]BCEJB@F@GB
Cb Djerbkd _erbkdt, epbgf`tbtbs jerupdkdl pelydkbt ydlg hdrdlg cbtejub, celgdl
blsbcelsb pdcd `rdlg cewdsd sekbtdr 4 kdsus per 4==.=== pelcucuk per tdaul, celgdl
rdsb` prbd-wdlbtd sekbtdr ?84, cdl terhdcb pdcd usbd cekdce kefbjd celgdl usbd rdtd-
rdtd sekbtdr 35 tdaul. Ldjul dkabr-dkabr blb tercdpdt iuktb ydlg jelydtdkdl idawd
prevdfelsb cdl blsbcelsb epbgf`tbtbs dkut pdcd `rdlg cewdsd jelblgkdt, cbidlcblgkdl
celgdl pdcd dldk-dldk ydlg refdtbn jelurul. Ydsb` blsbcelsb dltdrd dldk-dldk
celgdl `rdlg cewdsd pdcd tdaul 421= dcdfda 9,>84, cdl jelurul jelhdcb =,384
pdcd tdaul 422?. ]eluruldl dlgkd kehdcbdl epbgf`tbtbs pdcd dldk-dldk blb terhdcb
sehdk cbperkeldfkdllyd vdksbl ultuk Adej`pabfus blnfuelzde tbpe i (Abi).4
Epbgf`tbtbs dkut pdfblg serblg terhdcb pdcd dldk-dldk usbd 9 ‟ 3 tdaul.3
9.3 DLDS@JB
Epbgf`tbs dcdfda sdfda sdtu kdrtbfdg` ydlg jejieltuk kerdlgkd fdrblg. Epbgf`tbs
jerupdkdl seiuda nbir`kdrtbfdg` efdstbs ydlg ierieltuk sepertb cdul, celgdl nulgsb
utdjd seidgdb pelgadfdlg jdsuklyd ielcd ydlg cbtefdl ke dcbtus fdrblg. _ddt
jelefdl, fdrblg iergerdk ke drda dlter`superb`r. Adf blb jejiudt epbgf`tbs jelgeldb
pdlgkdf fbcda, seablggd epbgf`tbs terc`r`lg ke drda p`sterb`r cdl jelejpdtkdllyd pdcd dcbtus fdrblg. Epbgf`tbs jejbfbkb cud tejpdt perfekdtdl cb idgbdl dlterb`r.
_eodrd superb`r, epbgf`tbs jefekdt pdcd tufdlg ab`bc jefdfub fbgdjel ab`epbgf`tbkd.
_eodrd blnerb`r pdcd idgbdl stej, epbgf`tbs jefekdt pdcd perjukddl cdfdj cdrb
kdrtbfdg` tbr`bc tepdt cb dtds k`jbsurd dlterb`r jefdfub fbgdjel tbr`epbgf`tbkd.
]erjukddl kdrtbfdg` epbgf`tbs jejbfbkb idlydk fuidlg ydlg ierbsb kefelhdr jukus.?
7/22/2019 REFERAT EPIGLOTITIS
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3
Gdjidr 9.4. Dldt`jb epbgf`ttbs?
Epbgf`tbs cdpdt cbidgb jelhdcb idgbdl suprdab`bc cdl idgbdl blnrdab`bc. Idgbdl
suprdab`bc ieids idbk pdcd perjukddl fdrblgedflyd jdupul perjukddl fblgudflyd,
celgdl perjukddl juk`sd fdrblg feiba jefekdt cbidlcblgkdl celgdl perjukddl
fblgudf. Dkbidt perjukddl juk`sd fdrblg jefbpdt ke drda pdlgkdf fbcda, terieltuk
tbgd fbpdtdl8 cud iuda fbpdtdl gf`s`epbgf`tbkd fdterdf cdl seiuda fbpdtdl
gf`s`epbgf`tbkd jecbdf. Cud fekukdl ydlg terieltuk cdrb ketbgd fbpdtdl terseiut
cbseiut celgdl vdfekufd (cdfdj idadsd Fdtbl ierdrtb ‖fekukdl keobf‚). Idgbdl
blnrdab`bc adlyd ieids pdcd perjukddl fdrblgedflyd dtdu perjukddl p`sterb`r.
]erjukddl blb jejbfbkb t`lh`fdl keobf ydlg cbseiut tuierkef. Cb dltdrd perjukddldlterb`r cdl jejirdl tbr`ab`bc cdl kdrtbfdg` tbr`bc tercdpdt oefda pre-epbgf`tbkd ydlg
ierbsb fdpbsdl fejdk. Rdlg jefekdt seodrd fdterdf dcdfda jejirdl kudcrdlgufdr ydlg
jejdlhdlg ke drbtel`bc cdl kdrtbfdg` k`rlbkufdtd, jejieltuk fbpdtdl drbepbgf`tbkd.?
7/22/2019 REFERAT EPIGLOTITIS
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5
_epertb pdcd dspek fdbl cdrb sdfurdl ldnds pecbdtrbk, epbgf`tbs pdcd dldk ieriecd
seodrd sbglbnbkdl cbidlcblgkdl celgdl pdcd `rdlg cewdsd. ]dcd dldk-dldk, epbgf`tbs
terfetdk feiba ke dlterb`r cdl superb`r cbidlcblgkdl pdcd `rdlg cewdsd, cdl ierdcd
pdcd sucut teriesdr celgdl trdked. Epbgf`tbs pdcd dldk hugd feiba terkufdb cdl
ierieltuk ‖`jegd sadpec‚ cbidlcblgkdl celgdl epbgf`tbs ydlg feiba kdku cdl
ierieltuk ‖U-sadpec‚ pdcd `rdlg cewdsd.3
Gdjidr 9.9. ]eriecddl fetdk epbgf`tbs pdcd
(D) dldk-dldk cdl (I) cewdsd1
9.5 NB_B@F@GB
4. Nulgsb ]r`teksb.
Ielcd dsblg tbcdk cdpdt jdsuk ke cdfdj fdrblg celgdl dcdlyd renfek `t`t-`t`t ydlg
iersbndt dccuksb, seablggd rbjd gf`tbs tertutup. ]dcd wdktu jelefdl, perldndsdl
ieraeltb seheldk dkbidt dcdlyd rdlgsdlgdl teradcdp resept`r ydlg dcd pdcd epbgf`tbs,
pfbkd drbepbgf`tbkd, pfbkd veltrbkufdrbs cdl cderda blterdrbtel`bc jefdfub serdiut
dnnerel L. Fdrblgeus _uperb`r. _eidgdb hdwdidllyd, snblgter cdl epbgf`tbs jelutup.
Gerdkdl fdrblg ke dtds cdl ke cepdl jelyeidikdl oefda pr`ksbjdf fdrblg tertutup
7/22/2019 REFERAT EPIGLOTITIS
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>
`fea cdsdr fbcda. _truktur blb jelgdfbakdl jdkdldl ke fdterdf jelhduab dcbtus cdl
jdsuk ke sblus pbrbn`rjbs fdfu ke bltr`btus es`ndgus.5
9. Nulgsb Jelefdl.
]dcd wdktu jelefdl ndrblg idgbdl idwda (J. K`lstrbkt`r Ndrblgeus _uperb`r, J.
]dfdt`ndrblgeus cdl J. _tbf`ndrblgeus) jelgdfdjb k`ltrdksb sepdlhdlg kdrtbfdg`
krbk`bced cdl kdrtbfdg` tbr`bced, sertd jeldrbk fdrblg ke dtds jeluhu idsbs fbcda,
kejucbdl jdkdldl terc`r`lg ke idwda cdl terhdcb pejiukddl ndrblg`es`ndgedf.
Fdrblg jelutup ultuk jeloegda jdkdldl dtdu jblujdl jdsuk ke sdfurdl
perldndsdl celgdl hdfdl jelk`ltrdksbkdl `rbnbsbuj cdl pelutupdl fdrblg `fea
epbgf`tbs. Epbgf`tbs jelhdcb feiba cdtdr jejieltuk sejdodj pdpdl pelutup dcbtus
fdrblgeus, seablggd jdkdldl dtdu jblujdl terc`r`lg ke fdterdf jelhduab dcbtus
fdrblg cdl jdcuk ke sblus pbrbn`rjbs fdfu ke abdtus es`ndgus.5
9.> ]DS@NB_B@F@GB
Blneksb ibdsdlyd ierjufd cb sdfurdl perldpdsdl dtds seidgdb perdcdlgdl abculg
cdl telgg`r`kdl. Epbgf`tbtbs ibdsdlyd cbseidikdl `fea blneksb idkterb. Blneksb ydlg
ierdt jelyeidikdl perdcdlgdl cdl ecejd epbgf`tbs, suprdepbgf`tbo cdl hdrblgdl
sekbtdr fdbllyd. Idkterb seodrd fdlgsulg jelyerdlg sefdput felcbr epbgf`tbs cbdjdld
sui juk`sd jelhdcb f`lggdr. Hdfdl ldnds jelhdcb tersujidt dkbidt pejielgkdkdl
epbgf`tbs ydlg ierkejidlg celgdl oepdt. Serhdcb gdlggudl perldndsdl cdl `istruksb
hdfdl ldnds t`tdf. Wdfdu hdrdlg , pelyeidi l`l blneksb ibsd cbseidikdl `fea dcdlyd
trdujd fukd idkdr cdl trdujd kdustbk ydlg cdpdt jelyeidikdl epbgf`tbtbs. Dldk-
dldk celgdl fukd idkdr terutdjd dkbidt dbr pdlds hugd adrus cbdjdtb celgdl adtb-adtb
dgdr tbcdk terhdcb k`jpfbkdsb.>
7/22/2019 REFERAT EPIGLOTITIS
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7
9.7 JDLBNE_SD_B KFBLB_
@lset cdl perkejidlgdl gehdfd ydlg terhdcb pdcd pdsbel epbgf`tbtbs dkut
ierfdlgsulg celgdl oepdt. Ibdsdlyd pdsbel cdtdlg celgdl kefuadl lyerb telgg`r`k,
lyerb jelefdl/ sufbt jelefdl, cdl sudrd jelggujdj dtdu ‚a`t p`tdt` v`boe‚, sudrd
sepertb sese`rdlg ierusdad ieribodrd celgdl dcdlyd jdkdldl pdlds cb cdfdj
jufutlyd. ]recbkt`r dcdlyd `istruksb sdfurdl ldnds dcdfda perkejidlgdl ydlg oepdt
cdfdj 1 hdj setefda `lset gehdfd, tercdpdt strbc`r blspbrdt`dr, sdfbvd ydlg
jelggeldlg, fdhu perldndsdl feiba cdrb 9= kdfb perjelbt, cbspled, retrdksb cblcblg
cdcd cdl p`sbsb tuiua ydlg tegdk.9 _efdbl btu, tdlcd-tdlcd fdbl ydlg cdpdt cbtejukdl
pdcd pdsbel celgdl epbgf`tbtbs dkut dcdfda cejdj, lyerb pdcd pdfpdsb rblgdl feaer,
cdl idtuk.4
]dcd dldk-dldk, jdlbnestdsb kfblbk ydlg ldjpdk dkdl terfbadt feiba ierdt
cbidlcblgkdl pdcd `rdlg cewdsd. Sbgd tdlcd ydlg pdfblg serblg cbtejub dcdfda
cejdj, sufbt ierldnds, cdl brbtdibfbtds. Dldk-dldk dkdl terfbadt t`ksbk, cdl terfbadt
tdlcd-tdlcd dcdlyd `istruksb sdfurdl ldnds dtds. Dkdl terfbadt perldndsdl ydlg
cdlgkdf, strbc`r blspbrdt`dr, retrdksb, cdl sdfbvd ydlg jelggeldlg. _efdbl btu hugd
tercdpdt lyerb telgg`r`k ydlg aeidt cdl cbsndgbd. 3
Ieribodrd pul teridtds dkbidt
lyerb ydlg cbrdsdkdl. Idtuk cdl sudrd serdk ibdsdlyd tbcdk cbtejukdl, ldjul ibsd
tercdpdt sudrd jelggujdj. _trbc`r julouf ketbkd sdfurdl ldnds adjpbr sepelualyd
tertutup. Dldk-dldk ibdsdlyd dkdl jefdkukdl p`sbsb ‖trbp`c‚ (pdsbel cucuk celgdl
tdlgdl jeloelgkrdj pblggbr tejpdt tbcur, fbcda jelhufur cdl kepdfd furus ke cepdl).
Fdrblg`spdsje cdpdt julouf seodrd tbid-tbid celgdl dcdlyd dspbrdsb sekret ke
sdfurdl ldnds ydlg tefda jelyejpbt cdl jelbjiufkdl respbrdt`ry drrest . 4=
@istruksb sdfurdl ldnds pdcd pdsbel celgdl epbgf`tbtbs dkut cdpdt terhdcb kdreld
juk`sd cdrb cderda epbgf`tbs f`lggdr cdl jejbfbkb idlydk pejiufua cdrda, seablggd
ketbkd terhdcb redksb blnfdjdsb, brbtdsb, cdl resp`l dfergb, cdpdt celgdl oepdt terhdcb
ecejd cdl jelutupb sdfurdl ldnds seablggd terhdcb `istruksb ydlg jelgdlodj hbwd.1
7/22/2019 REFERAT EPIGLOTITIS
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1
9.1 ]EJEYBK_DDL CDL CBDGL@_B_
Cdrb pejerbksddl `r`ndrblg, cdpdt terfbadt epbgf`tbs cdl cderda sekbtdrlyd ydlg
erbtejdt`sd, jejielgkdk, cdl ierwdrld jerda oerb, ldjul pejerbksddl blb hdrdlg
cbfdkukdl kdreld kejulgkbldl dkdl jejperpdrda sujidtdl cdrb sdfurdl ldnds.
Dtdupul hbkd perfu cbfdkukdl, jdkd pejerbksddl blb cbfdkukdl cb tejpdt ydlg
jejbfbkb dfdt-dfdt ydlg felgkdp, sepertb cb rudlg `perdsb. Cdpdt hugd cbfdkukdl
pejerbksddl fdrblg`sk`pb cbrek celgdl nbier `ptbk ultuk pejerbksddl ydlg feiba
dkurdt.4,2
]elggulddl pejerbksddl rdcb`f`gbs pdcd pdsbel celgdl epbgf`tbtbs dkut jdsba
k`ltr`versbdf. Jeskbpul cbketdaub idawd epbgf`tbtbs cdpdt cbcbdgl`sbs cdrb rdcb`grdnb
fdterdf feaer, jdsba cbpertdlydkdl dpdkda pr`secur blb djdl cdl jejdlg
cbperfukdl.1
Cdrb adsbf pejerbksddl rdcb`grdnb cbtejukdl gdjidrdl ‖tauji sbgl‚,
ydbtu idydlgdl cdrb epbgf`tbs gf`iufdr ydlg jejielgkdk, terfbadt peleidfdl fbpdtdl
drbepbgf`tbkd, cdl cbstelsb cdrb abp`ndrblg. Serkdcdlg, epbgf`tbs btu selcbrb tbcdk
jejielgkdk, ldjul cderda suprdgf`tbs jdsba terfbadt tbcdk hefds cdl ldjpdk kdiur
dkbidt ecejd cdrb struktur suprdgf`tbs ydlg fdbl. ]dcd kdsus ydlg ierdt, terdpb tbcdk
i`fea cbtulcd ultuk jefdkukdl pejerbksddl rdcb`grdnb. Hbkd rdcb`grdnb jejdlg
cbiutuakdl, pejerbksddl adrus cbcdjpblgb celgdl pers`lbf ydlg cdpdt jelgbltuidsb
pdsbel seodrd oepdt ketbkd `istruksb sdfurdl ldnds jejierdt dtdu tefda tertutup
sefurualyd.9,?,4=
]ejerbksddl fdi`rdt`rbuj tbcdk spesbnbk pdcd pdsbel celgdl epbgf`tbtbs cdl
cbfdkukdl ketbkd sdfurdl ldnds pdsbel tefda cbdjdlkdl. Hujfda feuk`sbt cdpdt
jelblgkdt cdrb 45.=== ablggd 35.=== sef/ζF.3 Kuftur cdrda cdpdt c bdjibf, terutdjd
hbkd pdsbel terfbadt tbcdk idbk seodrd sbstejbk. Kuftur ibdsdlyd jejierbkdl adsbf ydlg
p`sbtbn pdcd 95% kdsus.4
Epbgf`tbtbs cdpdt jelhdcb ndtdf hbkd tercbdgl`sbs terfdjidt.>
Cbdgl`sbs ibdsdlyd
cdpdt cbtegdkkdl cdrb rbwdydt perhdfdldl pelydkbt cdl tejudl kfblbs, sertd
pejerbksddl rdcb`grdnb hbkd jejulgkblkdl.?
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2
9.2 CBDGL@_B_ IDLCBLG
]dcd dldk-dldk, or`up cdpdt jerupdkdl cbdgl`sbs idlcblg cdrb epbgf`tbtbs. Usbd
pdsbel, gehdfd pr`cr`jdf, dcdlyd idtuk, cdl kedcddl ujuj cdpdt jejidltu
jejiecdkdl epbgf`tbtbs cdrb or`up. Ibdsdlyd, or`up terhdcb pdcd dldk ydlg feiba
jucd, cdl ydlg pdfblg peltblg, pdcd dldk celgdl or`up tercdpdt idrkblg o`uga cdl
hdrdlg tdjpdk t`ksbk.3
K`lcbsb-k`lcbsb fdbl ydlg jelyerupdb epbgf`tbtbs dcdfda dlgb`ecejd dkut,
`istruksb sdfurdl ldnds kdreld pelyeidi fdbl, nrdktur dtdu stel`sbs fdrblg, dspbrdsb
ielcd dsblg, cbnterb fdrblgedf, fdrblgbtbs, dises perbt`lsbfdr, dises retr`ndrblgedf, cdl
sepsbs.4,3
9.4= ]ELDSDFDK_DLDDL
]eldtdfdksdlddl pdcd pdsbel celgdl epbgf`tbtbs cbdrdakdl kepdcd jelgurdlgb
`istruksb sdfurdl ldnds cdl jelhdgdlyd dgdr tetdp teriukd, sertd jelgerdcbkdsb dgel
pelyeidi. Bltuidsb tbcdk i`fea cbfdkukdl cb fdpdlgdl keoudfb sucda terhdcb `istruksb
sdfurdl ldnds ydlg dkut. ]dcd pdsbel celgdl kedcddl ydlg tbcdk stdibf,
peldtdfdksdlddl sdfurdl ldnds sdlgdt cbperfukdl. Sdlcd cdl gehdfd ydlg ierauiulgdl
celgdl keiutuadl bltuidsb terjdsuk cbstres perldndsdl, kedcddl sdfurdl ldnds ydlg
jejidadydkdl ydlg cbtejukdl sddt pejerbksddl, strbc`r, ketbcdkjdjpudl ultuk
jelefdl, sdfbvd ydlg jelggeldlg, cdl kedcddl ydlg jdkbl jejiuruk cdfdj 1 ‟ 49
hdj. Epbgf`tbs ydlg jejiesdr pdcd pejerbksddl rdcb`grdnb ierauiulgdl celgdl
`istruksb sdfurdl ldnds. Hbkd jdsba rdgu-rdgu, jelgdjdlkdl sdfurdl ldnds
jerupdkdl pelcekdtdl ydlg pdfblg djdl. Kedcddl pdsbel cdpdt jejiuruk seodrd
oepdt, cdl perdfdtdl ultuk jejiukd sdfurdl ldnds adrus tersecbd. Hbkd bltuidsb gdgdf,
cdpdt cbfdkukdl trdke`st`jb dtdu krbk`tbr`t`jb segerd.4
]dcd pdsbel celgdl kedcddl ydlg stdibf tdlpd tdlcd-tdlcd idadyd sdfurdl ldnds,
sufbt ierldnds, strbc`r, dtdu sdfbvd ydlg jelggeldlg, cdl adlyd jejbfbkb
pejielgkdkdl ydlg rblgdl, cdpdt cbtdlgdlb tdlpd bltervelsb sdfurdl ldnds ydlg
segerd celgdl pelgdwdsdl ketdt cb ulbt perdwdtdl bltelsbn dtdu BOU. Kdreld
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4=
`istruksb sdfurdl ldnds cdpdt terhdcb celgdl oepdt pdcd pdsbel, pelbfdbdl serbdf
ierufdlg cdrb pdtelsb sdfurdl ldnds sdlgdt cbperfukdl.4
]dcd dldk-dldk, ablcdrb pr`secur ydlg cdpdt jelblgkdtkdl kegefbsdadl sdjpdb
sdfurdl ldnds dldk terseiut tefda cbdjdlkdl. ]r`secur sepertb pelgdjibfdl cdrda cdl
pejdsdlgdl blnus, jeskbpul cbiutuakdl pdcd keidlydkdl kdsus epbgf`tbtbs dkut pdcd
dldk, cdpdt jelblgkdtkdl kegefbsdadl cdl jejperpdrda kedcddl sdfurdl ldndslyd.3
Dltbib`tbk bltrdveld cdpdt cbjufdb sesegerd julgkbl cdl adrus jelodkup
Adej`pabfus blnfuelzde, _tdpayf`o`oous dureus, _trept`o`oous cdl ]leuj`o`oous,
sepertb dj`ksbsbfbl/dsdj kfdvufdldt dtdu sendf`sp`rbl gelerdsb kecud dtdu ketbgd,
sepertb senur`ksbj, sen`tdksbj, dtdu sentrbdks`l. K`rtbk`ster`bc serblg
cbrek`jelcdsbkdl ultuk epbgf`tbtbs. Wdfdupul iegbtu, tbcdk dcd cdtd ydlg
jelulhukkdl kegulddllyd pdcd kedcddl blb. ]elggulddl k`rtbk`ster`bc tbcdk
jelgurdlgb keiutuadl ultuk bltuidsb, curdsb bltuidsb, dtdupul curdsb perdwdtdl.?,2
Ekstuidsb ibdsdlyd cdpdt cbfdkukdl setefda 31 ablggd 79 hdj, cb jdld ecejd
tefda ierkurdlg cdl tercdpdt kei`o`rdl ucdrd cb sekefbfblg sefdlg elc`trdkedf.
Krbterbd ultuk ekstuidsb terjdsuk ierkurdlglyd erbtejd, ierkurdlglyd ecejd
epbgf`tbs, dtdu seodrd ejpbrbs setefda 31 hdj bltuidsb. Fdrblg`sk`pb nbier `ptbk
trdlsldsdf cdpdt cbfdkukdl ultuk jelbfdb res`fusb cdrb ecejd seiefuj cbfdkukdl
ekstuidsb.?,1
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Jdlbnestdsb kfblbs 8 lyerb telgg`r`kdl, sdkbt pdcd sddtjelefdl, tbcdk jdjpu jelefdl, susda ierldnds
]ejnbs 8 cejdj, tdkbkdrcb, ndrblgbtbs
_uspek epbgf`tbtbs dkut
_egerd pblcdakdl ke BOU (cbcdjpblgb c`kter)
j`lbt`rblg EKG, tekdldl cdrda, ̀ ksbgeldsb, blnus
bladfdsb dcreldfbl (sdjibf jelulggu fdrblg`sk`pb ) 4 jg bl 9 jf =,2% ldof
Yeotdf L_DBC
Nbier`ptbo lds`fdrblg`so`py
(trdoae`t`jy/orbo`tayr`t`jyset cbfetdkkdl cbsdjpblg
tejpdt tbcur
Cbdgl`sbs cbterbjd Cbdgl`sbs tbcdkcbterbjd
Adlyd secbkbt k`lstrbksb cdrb rudlg
suprdgf`ttbo cdl dtdu pbtd sudrd
terfbadt cdl dtdu bltuidsb
elc`trdoaedf jejulgkblkdl
K`lstrbksb ierdt cdrb rudlg
suprdgf`ttbo cdl dtdu pbtd sudrd tbcdk
terfbadt cdl dtdu bltuidsb elc`trdoaedf
tbcdk jejulgkblkdl
]r`secur cbdgl`sbs fdbl
Sbcdk cb bltuidsbDldstesb f`kdf, lds`trdkedf
bltuidtb`l pdsbel sdcdr
_ecdsb celgdl jbcdz`fdj
dtdu pr`n`f
Dltbib`tbk ( dj`xbobfbl ofdvufdlbo dobc , gelerdsb ketbgd oendf`sp`rbl)
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9.44 K@J]FBKD_B CDL ]Y@GL@_B_
Jeskbpul epbgf`tbtbs dkut btu selcbrb jerupdkdl pelydkbt ydlg cdpdt jelgdlodj
hbwd, blneksb fdbl cdpdt terhdcb seodrd iersdjddl. K`jpfbkdsb pdfblg serblg dcdfda
pleuj`lbd. Blneksb k`lk`jbtdl celgdl Adej`pabfus blnfuelzde ydlg fdbl terjdsuk
jelblgbtbs, dcelbtbs servbkdf, perbkdrcbtbs, cdl `tbtbs jecbd. _efdbl btu, cdpdt hugd
terhdcb dises epbgf`tbs cdl uvufbtbs.2,4=
K`jpfbkdsb l`l-blneksb hugd cdpdt terhdcb pdcd pdsbel celgdl epbgf`tbtbs. ]dsbel
celgdl `istruksb sdfurdl ldnds ydlg jelyefurua cdl respbrdt`ry drrest cdpdt
jelgdfdjb kerusdkdl abp`ksbk cdrb sbstej sdrdn pusdt cdl sbstej `rgdl ydlg fdbl.
Idakdl pdsbel ydlg tefda jelcdpdt tdtdfdksdld ydlg oukup cdpdt jelhdcb abp`ksbk.4=
J`rtdfbtds pdcd pdsbel dldk-dldk tefda jelurul cdrb 7,4% jelhdcb =,2% sehdk
cbguldkdllyd bltervelsb sdfurdl ldnds pr`nbfdksbs. J`rtdfbtds pdcd `rdlg cewdsd
sekbtdr 4 ‟ 7%, ldjul hbkd terhdcb `istruksb, j`rtdfbtds jelhdcb 47,>%.
7/22/2019 REFERAT EPIGLOTITIS
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4?
IDI BBB
]ELUSU]
?.4 KE_BJ]UFDL
Epbgf`tbtbs dkut dcdfda sudtu kedcddl blnfdjdsb dkut ydlg terhdcb pdcd cderda
suprdgf`tbs cdrb `r`ndrblg, jefbputb epbgf`tbs, vdfekufd, drbtel`bc, cdl fbpdtdl
drbepbgf`tbkd, seablggd serblg hugd cbseiut celgdl suprdgf`tbtbs dtdu fdrblgbtbs
suprdgf`tbk. Kdsus epbgf`tbtbs dkut cbfdp`rkdl pertdjd kdfb `fea Saebsel pdcd tdaul
42== seidgdb ‖dlgbld-epbgf`ttbces‚. _ehdk btu, epbgf`tbtbs dkut tefda cbpuifbkdsbkdl
seodrd fuds cdfdj fbterdtur pecbdtrbk.
Epbgf`tbtbs dkut ibdsdlyd cbseidikdl `fea blneksb idkterb, ydlg pdfblg serblg
cbtejukdl dcdfda Adej`pabfus blnfuelzde tbpe i, ldjul cdpdt hugd cbseidikdl `fea
idkterb fdbl, vbrus cdl hdjur. _efdbl btu hugd tercdpdt pelyeidi l`l-blneksb, sepertb
pelyeidi terjdf, pelyeidi kdustbk, cdl ielcd dsblg ydlg tertefdl. Epbgf`tbtbs hugd
cdpdt terhdcb seidgdb redksb cdrb kej`terdpb pdcd cderda kepdfd cdl feaer.
Ibdsdlyd pdsbel cdtdlg celgdl kefuadl lyerb telgg`r`k, lyerb jelefdl cdl/ dtdu
sufbt jelefdl, cdl sufbt ierldnds. ]dcd dldk-dldk, gehdfd ydlg ldjpdk dkdl terfbadt
feiba ierdt.
Epbgf`tbtbs cdpdt jelhdcb ndtdf hbkd tercbdgl`sbs terfdjidt, kdreld cdpdt
jelyeidikdl `istruksb sdfurdl ldnds. Cbdgl`sbs ibdsdlyd cdpdt cbtegdkkdl cdrb
rbwdydt perhdfdldl pelydkbt cdl tejudl kfblbs, sertd pejerbksddl rdcb`grdnb hbkd
jejulgkblkdl.
]eldtdfdksdlddl pdcd pdsbel celgdl epbgf`tbtbs cbdrdakdl kepdcd jelgurdlgb
`istruksb sdfurdl ldnds cdl jelhdgdlyd dgdr tetdp teriukd, sertd jelgerdcbkdsb dgel
pelyeidi. Cdpdt cbfdkukdl bltuidsb hbkd tefda terhdcb `istruksb, celgdl ekstuidsb
setefda 31 ‟ 79 hdj, sertd pejierbdl dltbib`tbk ydlg dcekudt.
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CDNSDY ]U_SDKD
4. G`jpn, _.G. Epbgf`tbtbs 9=44. Sersecbd cb8
attp//ejecboble.jecsodpe.o`j.drtbofe/7>?>49 (cbdkses 9 dgustus 9=49)
9. Oaulg, O.A. Odse dlc Fbterdture Yevbew8 Dcuft Doute Epbgf`ttbtbs ‟ Ybsblg
Blobceloe `r Bloredsblg Dwdreless. A`lg K`lg H Ejerg Jec .. Sersecbd cb 8
attp8//www.akoej.o`j/atjf/puifbodtb`ls/H`urldf/9==4-?/997-9?4.pcn
[cbdkses 9 dgustus 9=49Z.
?. _l`w, H.I., Idffelger, H.H. Idffelger‒s @t`rabl`fdrylg`f`gy Aedc dlc Leok
_urgery. 4>ta Ec. U_D8 IO Ceoker; 9==?.
3. S`fdl, Y.W. ]ecbdtrbo Epbgf`ttbtbs. 9=44.
Sersecbd cb8 attp8// attp8//ejecboble.jecsodpe.o`j/drtbofe/2>?77? [cbdkses ?dgustus 9=49Z.
5. Fee, K.H. Odloer `n tae Fdrylx. Bl; Esseltbdf @t`fdrylg`f`gy Aedc dlc Leok_urgery . Ebgat ecbtb`l. O`lleotbout. JoGrdw-Abff, 9==?
>. Fee K.H,JC,NDO_ , Esseltbdf @t`fdrylg`f`gy ,Ecbsb 41, JoGrdw ‟ Abff 9==?
7. Cablgrd, ].F. Doute dlc Oar`lbo Blnfdjjdtb`l `n Fdrylx. Bl8 Cablgrd, ].F.
Cbsedses `n Edr, L`se dlc Sar`dt. 3ta Ec. U_D8 Efsevber; 9==7
1. Oaulg, O.A. Doute Epbgf`ttbtbs ]reseltblg ds tae _elsdtb`l `n d N`rebgl I`cy
bl tae Sar`dt. A`lg K`lg Jec H. _eptejier 9===.
Sersecbd cb8 attp8//www.akjh.`rg/drtbofePpcns/akj===2p?99.pcn [cbdkses 3dgustus 9=49Z.
2. Wbok, N., Idffjer, ].E., Adffer, D. Doute Epbgf`ttbtbs bl Dcufts. _wbss Jec
Wkfy. 9==9; 4?98 534-53>.Sersecbd cb8 attp8//www.sjw.oa/c`os/pcn9==x/9==9/?7/sjw-4==5=.]CN
[cbdkses 3 dgustus 9=49Z.
4=. Oujjblgs, O.W. et df. Oujjblgs @t`fdrylg`f`gy - Aedc & Leok _urgery.5ta Ec. U_D8 Efsevber; 9=4=8 91=>-2.