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8/9/2019 Anatomie vasculaire lambeaux
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Gfgtkcmj bj ag puapj jt
gfgtkcmj vgsnuagmrj bj agcgmf jt bjs bkmits
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G qukm sjrt ufj puapj ;
• ^jfsmlmamtí ( bjs lrjs
fjrvjusjs skft sjfsmtmvjs)
!
Ag puapj jst a”kjma bj ag cgmf• Rkundjr (prmsjs)
! ^tglmamtí nutgfíj, skupajssj
Xuapj bj nkftrjlgssmstj
http://localhost/Users/SOSMains/Pictures/images_janv2011/main_doigts_juin09/Inclasse%CC%81s_main/3191-2%20eczema%20sur%20greffe
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• Jpgmssj
• ^tglaj
• ^jfsmlaj
• Mfbkakrj
Cgms pgs
trkp !
Nkccjft bkmt-àtrj ag puapj ;
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Jst-nj quj tkutjs ajs puapjs skft mbjftmqujs ;
• Kum, sur aj pagf gfgtkcmquj
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• Ajs puapjs skft bmeeírjftjs sur aj
pagf ekfntmkffja
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Gfgtkcmj bj ag puapj
• Ag puapj f”jst qu”ufj pgrtmj bj ag
tjrcmfgmskf bu bkmit
sndícg
mfnkcpajt, ma
cgfquj ajs
sjptg. ufjpuapj
irgmssjusj
sjrgmt
mfstglaj
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Gfgtkcmj bj ag puapj
• 7 pdgagfij kssjusj 3 aj suppkrt
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Gfgtkcmj bj ag puapj
• Ajs amigcjfts jt strunturjs lrjusjs
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Gfgtkcmj bj ag puapj
• Ag puapj jst nakmskffíj pgr bj
fkclrjux «
sjptg
¿, bjs lrjsnkaagiäfjs tjfbujs nkccj ajs nkrbjs
b”uf pgrgndutj rjamgft ag pjgu è a”ks jt
ekrcgft bjs ngvmtís rjcpamjs bj irgmssj
jt agmssjft pgssjr ajs vgmssjgux/fjres
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• Jpmbjrcj 8,9-8,= cc b”ípgmssjur
• Akfiujur0
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Gfgtkcmj ekfntmkffjaaj bj ag puapjprkxmcgaj (Xam MXB-lkrb prkxmcga bj ag
dkuppj)
• Xaus ípgmssj jt paus cklmaj quj ag pgrtmj
bmstgaj
• Cgmftjfuj agtírgajcjft pgr aj amigcjft
bj Eamft - zkfj «cíngfmquj¿ bjprídjfsmkf
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Gfgtkcmj ekfntmkffjaaj bj ag puapj bmstgaj
• Xgrtmj bmstgaj bmvmsíj jf nkcpgrtmcjfts
pgr bjs sjptg - zkfj bj sjfsmlmamtí
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Ag vgsnuagrmsgtmkf è agcgmf jt gux bkmits
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Egnj pgacgmrj0bjux grtärjs
ekrcgftpausmjurs
grngbjsgfgstkcktmqujs
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• Ekrcíj pgr a”ufmkf bj
a”grtärj rgbmgaj jt bu rgcjgu
pgacgmrj prkekfb bj a”grt
uafgmrj.
Grngbj pgacgmrj prkekfbj
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Grngbj pgacgmrj prkekfbj
• Bkffj a”grtärj pkaamnms
prmfnjps, > grtärjs
cítgngrpmjffjs pgacgmrjs, ajs
lrgfndjs pjrekrgftj pgacgmrjs,ajs lrgfndjs rínurrjftjs
pgacgmrjs.
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• Ekrcíj pgr a”ufmkf bj a”grtärj
uafgmrj jt bu rgcjgupgacgmrj supjrnmja
• Bkffj > grtärjs bmimtgajs
pgacgmrjs nkccufjs jt
a”grtärj bmimtgaj pgacgmrj
prkprj cíbmgaj bj B:
Grngbj pgacgmrj supjrnmjaaj
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Gfgstkcksjs mfnkfstgftjs jftrj ajsbjux rísjgux
• Mfnmbjfnj bj ag pjrtj bj ag cgmf
gpräs amigturjs grtírmjaajs0
• G \gbmgaj 3 :,7%, G Zafgmrj 3
7.5% (BjLgojy,
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Aj tjst b”Gaajf f”jst pgs qu”ufj nurmksmtí sícmkakimquj
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Grngbj bkrsgaj bu ngrpj
• Ekrcíj pgr a”ufmkf bjs
rgcjgux ngrpmjfs bkrsgux
cíbmga jt agtírga• Bkffj ajs grtärjs
cítgngrpmjffjs bkrsgajs < è
: qum bkffjft ajs grtärjsbmimtgajs bkrsgajs
• A”grtärj bkrsgaj cíbmgaj bj
B:
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Ajs grtärjs mftjrcítgngrpmjffjs bkrsgajs
• ^j bmvmsjft pkur
mrrmiujr ag egnj
bkrsgaj bj ag
prjcmärj pdgagfij
sjuajcjft +++
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Ugsnuagrmsgtmkf bmimtgaj
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G ag lgsj bu bkmit
• Gfgstkcksjs jftrj ajs lrgfndjs tjrcmfgajs
bjs grngbjs prkekfbj
jt supjrnmjaaj
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G ag lgsj bu bkmit
• Gfgstkcksj jftrj ajs lrgfndjstjrcmfgajs bj a”grngbj prkekfbj jt njaajs
bu rísjgu bkrsga
C
X7 X< X>
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Bkmits akfis
• Zf píbmnuaj bj ndgquj nòtí
• Fjre jf gvgft bj a”grtärj
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• Ajs bjux grtärjs skft rjamíjs pgr bjs
lrgfndjs trgfsvjrsgajs, rítrk-
tjfbmfjusjs gu nka bj X7 jt X<
• Ekrcgtmkf bjs vmfnuag
• Xkmft bj xmtí grtírmjaaj
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Gfgtkcmj
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Bgfs 78 % bjs ngs
Mfbjx (pjgu pgacgmrj)Gurmnuagmrj
Ma cgfquj aglrgfndjrgbmgaj
(mfbjx) kuuafgmrj(gurmnuagmrj)
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Ajs grtärjs bmimtgajs
• Jfvkmjft bj fkclrjusjs lrgfndjs
bkrsgajs, rígamsgft uf ejumaagij
gfgstkcktmquj
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Ag vgsnuagrmsgtmkf bkrsgaj
• Ugrmglaj
• Rräs skuvjft bjuxgrtärjs gvgft jt bjux
grtärjs gpräs a”MXX (pkmft
pmvkt bj rígamsgtmkf bjfkclrjux agcljgux)
Lrgig bg ^mavg @. Gfgtkcmnga lgsms ke bkrsga
fijr somf nkvjr. Rjnd dgfb ^uri
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\gppja bj a”gfgtkcmj
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7. Grndj cítgngrpmjffj.Lrgfndjs nutgfíjs pjrekrgftjs mssujs bj a”grtärj cítgngrpmjffj
2.Lrgfndjs pjrekrgftjs bkrsgajs mssujs bj a”grtärj bmimtgaj
:.Grngbj pgacgmrj prkekfbj
5.Grngbj pgacgmrj supjrnmjaaj9.Grtärj cítgngrpmjffj pgacgmrj
4.Grtärj bmimtgaj
=.Gfgstkcksj prkxmcgaj nkccmssurgaj
78.Gfgstkcksj bmstgaj nkrsk-pgacgmrj
77.Grtärj bmimtgaj
7
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Aj pkunj
• Ugsnuagrmsgtmkf bmeeírjftjjt mfbípjfbgftj jftrj aj
rísjgu pgacgmrj jt bkrsga
• Agcljgux bmeeírjfts
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Jt ag vgsnuagrmsgtmkf puapgmrj ;
• Jaaj jst ícmfjccjft vgrmglaj
• Nkccjfnj gu pam MXB pgr ufj
trmeurngtmkf aj paus skuvjft
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Gfgtkcmj vgsnuagmrj bj ag puapj
• Rrmeurngtmkf grtírmjaaj gu pam MXB (ufj lrgfndj pkur aj rjpam prkxmcga, ufj pkur aj
amt bj a”kfiaj, jt ufj pkur ag puapj qum vg sj
bmvmsjr)
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Jt ajs vjmfjs
• < rísjgux0
• Xrkekfb gu nkftgnt bjs grtärjs
• ^upjrnmja, surtkut bkrsga
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G a”jxtrícmtí bu bkmit
• Ag cg`krmtí bjs vjmfjs skft bkrsgajs
• Bmstrmlutmkf fkf systícgtmsgftjs, träspjtmtjs aj paus skuvjft
• Zfj vjmfj bkrsgaj prísjftj è a”MXB bgfs
54% bjs ngs, b”uf ngamlrj 6 8,: cc bgfs=5% bjs ngs
^cmtd BK jt ga. Rdj bmstga vjfkus gfgtkcy ke tdj fijr.
@ Dgfb ^uri 7==7? 75(8>->89
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Nkcptgij bjs vjmfjs è
a”ípkfyndmuc jt è a”MXB0
^juaj ag «
vjmfj bkrsgaj
¿
jst eríqujccjft prísjftj
jt bj tgmaaj suesgftj
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Ajs vjmfjs pgacgmrjs
skft bj pjtmtj tgmaaj jtträs prkndjs bj ag
pjgu bkft jaajs skft
träs bmenmajs è
bmssíqujr
Ma jxmstj bjs
gfgstkcksjs gvjn aj
rísjgu pgacgmrj (qum
rj`kmft ajs rísjguxtdífgrmjf jt
dypktdífgrmjf)
b b b b a
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Ajs vjmfjs gu bks bjs bkmits jt bj agcgmf
• Ajs vjmfjs bkrsgajsnmrnuajft sur aj lkrb agtírgabjs bkmits jt skft amíjs pgr
bj fkclrjusjs lrgfndjsnkccufmngftjs
• Jaajs sj ríufmssjft pkur
ekrcjr trkms vjmfjsbkrsgajs cítgngrpmjffjsqum sj ríufmssjft è ag lgsjbu >äcj cítgngrpmjf
b b b b a
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Ajs vjmfjs gu bks bjs bkmits jt bj agcgmf
• Bj nj rísjgu pgrtjft bjs
lrgfndjs qum sj ríufmrkft
gvjn ajs lrgfndjs rgbmgajs bj
a”mfbjx jt bu pkunj pkurekrcjr ag vjmfj nípdgamquj
• Jt bjs lrgfndjs uafgmrjs qum
gpräs ag ríufmkf gvjn ag vjmfj
bmimtgaj bkrsgaj bj
a”gurmnuagmrj sj prkakfijrkft
bgfs ag lgsmamquj
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G rjtjfmr
• Ajs fkclrjusjs gfgstkcksjs jftrj aj
rísjgu pgacgmrj
• Zfj vgsnuagrmsgtmkf grtírmjaaj bkrsgaj
qum bípjfb bu rísjgu pgacgmrj gu
fmvjgu bj a”MXX• Bjs vjmfjs surtkut bkrsgajs
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