referat ahanging final
TRANSCRIPT
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GANTUNG (HANGING)GANTUNG (HANGING)
Pembimbingdr. Abraham, Sp.F.Residen Pembimbing
dr.Elisa RompasKEPANITERAAN KLINIK
BAGIAN ILMU KEDOKTERAN FORENSIK DANMEDIKOLEGAL
Disusun oleh :PEGGY FALETIN LOAN F! U!RI"A##$%#&%$'UHAA" AUAN IN AYO F! U!RI"A##$%#&$#*
ERIA PRATI+I F! TRISA!TI%%###''LULU! AN"ANI F! UN"IP$$%#%##&$#%#%!HOIRUL FAHRIAL RO!I F! UN"IP$$%#%##&$#%#&'
TAUFAN PRAA"I!A F! UN"IP$$%#%##&$#%#&&UHAA" RIEF!Y F! UN"IP$$%#%##&$#%#-
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!
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LATAR BELAKANG
A"ib#$#s%"si#
Deng#n # s#'# melili$lehe(
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LATAR BELAKANG
R#)#n s#l#hin$e(&(e$#si
As&e"medi"oleg#l
Membu#$$e(#ng su#$u&e("#(#&id#n#
&engg#n$ung#n
&
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RUMUSAN MASALA*
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TU+UAN PENELITIAN-
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MANFAAT PENULISAN*
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,
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ASFIKSIA
De%nisi E&idemiologi -s. #no"si# Kl#si%"#si
Ge'#l# "lini" T#nd# umum
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ASFIKSIA
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ASFIKSIA
De%nisi E&idemiologi -s. #no"si# Kl#si%"#si
Ge'#l# "lini" T#nd# umum
/be(hen$in0# (es&i(#si 0#ng e1e"$i12cessation of eective respiration3 #$#u"e$i#d##n "emb#ng4"em&is 2absence of
pulsation3.5
"em#$i#n "#(en#
#s%"si#
#,*0A6m#" D. As&h07i#l de#$hs: # (e$(os&e8$i-e s$ud0 #nd (e-ie) o1 $he li$e(#$u(e. Am + Fo(ensi8 Med P#$hol
##
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ASFIKSIA
De%nisi E&idemiologi -s. #no"si# Kl#si%"#si
Ge'#l# "lini" T#nd# umum
G(#h#n MA. P#$holog0 o1 #s&h07i# de#$h @In$e(ne$. @Pl#8e un"no)n: Meds8#&e; !9= @u&d#$ed !9= No- !9; 8i$ed!9 +#n . A-#il#ble 1(om: h$$&:emedi8ine.meds8#&e.8om#($i8leC,,CC4o-e(-ie)#
#$
http://emedicine.medscape.com/article/1988699-overviewhttp://emedicine.medscape.com/article/1988699-overview -
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ASFIKSIA
De%nisi E&idemiologi -s. #no"si# Kl#si%"#si
Ge'#l# "lini" T#nd# umum
Ano"si# #d#l#h su#$u "e#d##n di m#n# $ubuhs#ng#$ "e"u(#ng#n o"sigen
O!
4 &embuluh d#(#h 4
4 e(i$(osi$ 4 4 '#(ing#n 4
Ano"si# #no"si"Ano"si# #nemi"Ano"si# s$#gn#n
Ano"si# his$o$o
As%"si
#D#hl#n S. As%"si#. In: D#hl#n S. Ilmu "edo"$e(#n 1o(ensi". Sem#(#ng: B#l#i
Pene(bi$ Uni-e(si$#s Di&onego(o; !99
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ASFIKSIA
De%nisi E&idemiologi -s. #no"si# Kl#si%"#si
Ge'#l# "lini" T#nd# umum
su1o"#si s$(#ngul#si #s%"si#"imi#)i
entrapment
&embe"#
n$e(sed#"
#s%"si#me"#ni"
#s%"si#
$(#um#$i"#s%"si#
'e(#$
8e"i"
g#n$ung
S#u-#ge#u A Boghossi#n E. l#ssi%8#$ion o1 #s&h07i#: $heneed 1o( s$#nd#(di6#$ion. + Fo(ensi8 S8i !99;23:!CH
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ASFIKSIA
De%nisi E&idemiologi -s. #no"si# Kl#si%"#si
Ge'#l# "lini" T#nd# umum
Ge'#l# "lini" sesu#i deng#n 1#se d# #s.Dis&neu!.Kon-ulsi
=.A&neu>.S$#dium #"hi( 2nal stage3
D#hl#n S. As%"si#. In: D#hl#n S. Ilmu "edo"$e(#n 1o(ensi". Sem#(#ng: B#l#i Pene(bi$ Uni-e(si$#s Di&onego(o; !99
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ASFIKSIA
De%nisi E&idemiologi -s. #no"si# Kl#si%"#si
Ge'#l# "lini" T#nd# umum
D#hl#n S. As%"si#. In: D#hl#n S. Ilmu "edo"$e(#n 1o(ensi". Sem#(#ng: B#l#i Pene(bi$ Uni-e(si$#s Di&onego(o; !99. Leb#m m#0#$ me(#h "ebi(u#n
2gel#&3
. Bus# h#lus d# hidung d#nmulu$
#-
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PEERI!SAAN T!P
Peme(i"s##n l#ngsung di TKP memb#n$umene$u"#n 8#(# "em#$i#n. P#d# "#susg#n$ung di(i dim#n# "o(b#n di$emu"#n
bi#s#n0# $en#ng d#l#m (u#ng $e(sembun0i#$#u $em$ 0#ng sud#h digun#"#n.
K#sus g#n$ung 2h#nging3 h#m&i( sel#lu
"#sus bunuh di(i mes"i&un #d# bebe(#"#sus 0#ng dil#&o("#n #d#l#h &embunuh#n.
$
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*#l4h#l 0#ng di&e(h#$i"#nd#l#m &eme(i"s##n TKP :
Sumbe( : llmu Kedo"$e(#n Fo(ensi" FKUI edisi!
$-
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!. Ree" -#g#l-
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. A&o&le"si# 2"onges$id# o$#"3Te"#n#n d# &embuluh -en#
men0eb#b"#n "onges$i d# &embuluhd#(#h o$#" d#n meng#"ib#$"#n "eg#g#l#n
si("ul#si.
*
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. Kom&(esi d# #($e(i"#(o$is
A($e(i "#(o$is seb#gi#n $e($u$u& olehmus8ulus s$e(no8leidom#s$oideus.
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A$0&i8#l h#nging Beb#n 0#ng di&e(lu"#n un$u" men0umb#$ #($e(i
-e($eb(#lis #d#l#h == "g Men0umb#$ -en# 'ugul#(is #d#l#h !! "g
In8om&le$e h#nging
be(#$ "el# 2 4 "g3 men0umb#$ #($e(i "#(o$is. -en# 'ugul#(is 'ug# $e($u$u& $e$#&i "el# $e$#&
mend#$ su&l#i d#(i #($e(i -e($eb(#lis sehingg# )#'#h$#m" semb#b d#n d#$ $imbul &e$e"ie
Demi"i#n &ul# d# "#sus g#n$ung 0#ng menggun#"#n'e(#$ leb#( d#n lun#"
*#mb#$#n $o$#l #($e(i lehe( mu"# #"#n $#m" &u8#$ d#n $id#" $e(d#$ &e$e"ie Ditemukan pada complete hanging typical hanging A$#u bil# &engg#n$ung#n dil#"u"#n deng#n
menggun#"#n 'e(#$ 0#ng "e8il d#n "e(#s.
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,. Peng#(uh be(#$ b#d#n d#ng(#-i$#si $e(h#d#& "em#$i#n
g#n$ung Be(d#s#("#n &eneli$#n di"e$#hui$e"#n#n4$e"#n#n 0#ng d#$membe(i"#n d#m" d#l#m h#l
men0eb#b"#n "em#$i#n #"ib#$ g#n$ung#$#u&un 'e(#$
g#0# $e(sebu$ sesu#i deng#n (umusFm.g
Be(i"u$ me(u"#n h#sil &eneli$i#n be(#$
d#n $inggi d# g#n$ung.
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&$
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C. Peng#(uh Be(#$ b#d#n d#ng(#-i$#si $e(h#d#& "em#$i#n 'e(#$.
K#sus 'e(#$ h#m&i( s#m# deng#n g#n$ung&e(bed##n #d# d# #s#l $en#g# 0#ngdibu$uh"#n un$u" mem&e("e8i ling"#(#n'e(#$.
P#d# 'e(#$#n deng#n $#li "e"u#$#n 'e(#$n0#be(#s#l d#(i $#(i"#n d# "edu# u'ungn0#sed#ng"#n d# &e(is$i)# g#n$ung"e"u#$#n 'e(#$n0# be(#s#l d#(i be(#$ b#d#n
m#u&un g(#-i$#si. *#l 0#ng s#ng#$ be(&eng#(uh i#l#h $en#g#
$#(i"#n #$#u&un 8e"i"#n
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>>
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PEMERIKSAAN +ENAA*
Peme(i"s##n lu#(:
. #'#h #'#h "ebi(u#n d#n semb#b
Bol# m#$# menon'ol Dil#$#si &u&il Pe(d#(#h#n sub"on'ung$i-# Lid#h 0#ng men'ulu(
Pe(d#(#h#n d#(i hidung #$#u $eling# Bibi( d#n memb(#n mu"os# bibi( "ebi(u#n Ai( liu( "elu#( d#(i mulu$
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Peme(i"s##n lu#(
!. Lehe(
Te(lih#$ 'e'#s d#(i 'e(#$
Dis$ensi -en# lehe( di #$#s 'e'#s
Lehe( e"si d# sisi be(l#)#n#n deng#n sim&ul 'e(#$
=. B#gi#n $ubuh l#in
T#(dieus s&o$s d# d#hi di #$#s "elo" m#$# di b#)#h"on'ung$i-#
Si#nosis #(n# "eungu#n d# e"s$(emi$#s b#)#h d#n b#gi#n
$e(b#)#h d#(i e"s$(emi$#s #$#s
Pengelu#(#n isi 1eses d#n u(in se8#(# $id#" seng#'#
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PEMERIKSAAN +ENAA*
Peme(i"s##n d#l#m:
. +#(ing#n sub"u$#n dib#)#h 'e'#s 'e(#$ did#$"#n"e(ing )#(n# &u8#$
!. Pl#$0sm# d#n s$e(nom#s$oid bis# menun'u""#n $#nd#&e(d#(#h#n d#n "#d#ng $e('#di (u&$u(e
=. F(#"$u( $ul#ng h0oid
>. In'u(0 d# #($e(i -e($eb(#
. F(#"$u( l#(ing
. P#(u4(u bis# $e(lih#$ "onges$i dis$ensi d#n
em%sem#$us deng#n b#n0#"n0# $#(dieus s&o$s d#sub&leu(#
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PERBEDAAN PENGGANTUNGANANTEMORTEM DENGAN POST
MORTEMNo.
P1233a24523a2 A2416or41m
P1233a24523a2 Pos46or41m
. T#nd# 'e'#s 'e(#$#n mi(ingbe(u ling"#(#n $e(&u$us 2non48on$inuous3 d#n le$#"n0# d#lehe( b#gi#n #$#s.
T#nd# 'e'#s 'e(#$#n bi#s#n0#be(ben$u" ling"#(#n u$uh28on$inuous3 #g#" si("ule( d#nle$#"n0# d# b#gi#n lehe( $id#"begi$u $inggi.
!. Sim&ul $#li bi#s#n0# $ungg#l$e(d#$ d# sisi lehe(.
Sim&ul $#li bi#s#n0# lebih d#(i s#$udii"#$"#n deng#n "u#$ d#ndile$#""#n d# b#gi#n den
lehe(.
=. E"imosis $#m" 'el#s d#s#l#h s#$u sisi d#(i 'e'#s&en'e(#$#n. Leb#m m#0#$$#m" di #$#s 'e'#s 'e(#$ d#nd# $ung"#i b#)#h.
E"imosis d# s#l#h s#$u sisi 'e'#s&en'e(#$#n $id#" #d# #$#u $id#"'el#s. Leb#m m#0#$ $e(d#$ d#b#gi#n $ubuh 0#ng mengg#n$ungsesu#i deng#n &osisi m#0#$ se$el#hmeningg#l.
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PERBEDAAN PENGGANTUNGAN
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PERBEDAAN PENGGANTUNGANANTEMORTEM DENGAN POST
MORTEMNo.
P1233a24523a2 A2416or41m
P1233a24523a2 Pos46or41m
. Si#nosis d# )#'#h bibi($eling# d#n l#in4l#in
Si#nosis d# b#gi#n )#'#h bibi($eling# d#n l#in4l#in $e(g#n$ung d#(i&en0eb#b "em#$i#n.
. #'#h membeng"#" d#n m#$#meng#l#mi "onges$i d#n #g#"menon'ol
T#nd#4$#nd# d# )#'#h d#n m#$#$id#" $e(d#$
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9
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KESIMPULAN
G#n$ung #d#l#h su#$u ben$u"s$(#ngul#si dim#n# $e"#n#n d# lehe(diseb#b"#n oleh bend# se&e($i l#so 0#ng
die(#$"#n oleh be(#$ b#d#n "o(b#n. G#n$ung $e(m#su" d#l#m golong#n
#s%"si#.
P#d# "#sus g#n$ung did#$"#n $#nd#4$#nd# umum #s%"si# d#n 'e'#s g#n$ung0#ng d#$ dibed#"#n deng#n 'e'#s
'e(#$.
#
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SARAN
Penge$#hu#n mengen#i 1o(ensi" memili"i#($i &en$ing d#l#m ilmu "edo"$e(#n"eh#"im#n "#(en# d#$ memb#n$u
&(oses &en0idi"#n. Oleh seb#b i$udis#(#n"#n #g#( do"$e( mengen#libe(b#g#i "#(#"$e(is$i" d# "e'#di#ng#n$ung b#i" i$u d# "e'#di#n g#n$ung
di(i m#u&un d# "e'#di#n g#n$ung 0#ngdiseb#b"#n oleh "#(en# &embunuh#n.
$
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TERIMA KASI*