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L'hémogramme

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L'hémogramme, un cours pour les étudiants en formation paramédicale...

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  • DOWNLOAD THAT BOOKS INTO AVAILABLE FORMAT (2019 Update) ......................................................................................................................... ......................................................................................................................... Download Full PDF EBOOK here { http://bit.ly/2m6jJ5M } ......................................................................................................................... Download Full EPUB Ebook here { http://bit.ly/2m6jJ5M } ......................................................................................................................... Download Full doc Ebook here { http://bit.ly/2m6jJ5M } ......................................................................................................................... Download PDF EBOOK here { http://bit.ly/2m6jJ5M } ......................................................................................................................... Download EPUB Ebook here { http://bit.ly/2m6jJ5M } ......................................................................................................................... Download doc Ebook here { http://bit.ly/2m6jJ5M } ......................................................................................................................... ......................................................................................................................... ................................................................................................................................... eBook is an electronic version of a traditional print book that can be read by using a personal computer or by using an eBook reader. (An eBook reader can be a software application for use on a computer such as Microsoft's free Reader application, or a book-sized computer that is used solely as a reading device such as Nuvomedia's Rocket eBook.) Users can purchase an eBook on diskette or CD, but the most popular method of getting an eBook is to purchase a downloadable file of the eBook (or other reading material) from a Web site (such as Barnes and Noble) to be read from the user's computer or reading device. Generally, an eBook can be downloaded in five minutes or less ......................................................................................................................... .............. Browse by Genre Available eBooks .............................................................................................................................. Art, Biography, Business, Chick Lit, Children's, Christian, Classics, Comics, Contemporary, Cookbooks, Manga, Memoir, Music, Mystery, Non Fiction, Paranormal, Philosophy, Poetry, Psychology, Religion, Romance, Science, Science Fiction, Self Help, Suspense, Spirituality, Sports, Thriller, Travel, Young Adult, Crime, Ebooks, Fantasy, Fiction, Graphic Novels, Historical Fiction, History, Horror, Humor And Comedy, ......................................................................................................................... ......................................................................................................................... .....BEST SELLER FOR EBOOK RECOMMEND............................................................. ......................................................................................................................... Blowout: Corrupted Democracy, Rogue State Russia, and the Richest, Most Destructive Industry on Earth,-- The Ride of a Lifetime: Lessons Learned from 15 Years as CEO of the Walt Disney Company,-- Call Sign Chaos: Learning to Lead,-- StrengthsFinder 2.0,-- Stillness Is the Key,-- She Said: Breaking the Sexual Harassment Story That Helped Ignite a Movement,-- Atomic Habits: An Easy & Proven Way to Build Good Habits & Break Bad Ones,-- Everything Is Figureoutable,-- What It Takes: Lessons in the Pursuit of Excellence,-- Rich Dad Poor Dad: What the Rich Teach Their Kids About Money That the Poor and Middle Class Do Not!,-- The Total Money Makeover: Classic Edition: A Proven Plan for Financial Fitness,-- Shut Up and Listen!: Hard Business Truths that Will Help You Succeed, ......................................................................................................................... .........................................................................................................................
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  • merci monsieur c'est vraiment compréhensible
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L'hémogramme

  1. 1. SS//AAbbddeessseemmeedd Par S / Abdessemed
  2. 2. S/Abdessemed Définition • L’hémogramme complet ou formule et numération sanguine est un examen de base en clinique, il est réaliser après un prélèvement de sang capillaire ou veineux prélevé sur un anticoagulant, le plus souvent l’EDTA (acide éthylène diamine tétra acétique).
  3. 3. L’hémogramme comporte une étude quantitative et une étude qualitative. L’étude quantitative : comprend • La numération des globules rouges • La numération des globules blancs • La numération des plaquettes • La détermination de l’hématocrite • Le dosage de l’hémoglobine • Le calcul des indices érythrocytaires S/Abdessemed
  4. 4. L étude qualitative : comprend • La préparation et la coloration des frottis sanguins • L étude du frottis sanguin : étude morphologique des GR et des plaquettes et l’établissement de la formule leucocytaire. • NB : A ces données s’ajoutent souvent la numération des réticulocytes. S/Abdessemed
  5. 5. Valeurs normales chez l’adulte Globules rouges S/Abdessemed Homme 4,5 à 5,5 .106 /mm3 Femme 4,0à 5,0 .106 /mm3 Hématocrite Homme 40 à 54 % Femme 37 à 47 % Hémoglobine Homme 13 à 16g/100ml Femme 11,5 à 15g/100ml VGM 75à 95 fl CCMH 30 à 35 % TCMH 27 à32 pg
  6. 6. Valeurs normales chez l’adulte S/Abdessemed (suite) Plaquettes 150 000 à 400 000 /mm3 Globules blancs 4000 à 10 000 /mm3 Granulocyte neutrophile 2000 à 7500 /mm3 (50 à 75 %) Granulocyte éosinophile 40à 400 /mm3 (1 à 3%) Granulocyte basophile 0 à 100 /mm3 (0 à 0,5 %) Lymphocyte 1500 à 4000 /mm3 (25 à 35 %) Monocyte 200 à 800 /mm3 (2 à 10 %)
  7. 7. Valeurs normales chez l’enfant : ( Hôpital Henri Mondor, Créteil) S/Abdessemed naissance 3 mois 1 an 3 à 6 ans 10 à 12 ans Hématies /mm3 4,0 à6,0 x106 3,2 à 4,8 x106 3,6 à 5,2 x106 4,1 à 5,5 x106 4,0 à 5,4 x106 Leucocytes/mm3 12,0à26,0x103 6,0 à 18,0x103 6,0 à 15,0x103 5,0 à 15,0x103 4,5 à 13,5x103 Plaquettes/mm3 150 à 400 x103 150à 400x103 150à 400x103 150à 400xx03 150à 400x103
  8. 8. Valeurs normales leucocytaires : S/Abdessemed (d’après Altman) p. neutrophiles p.éosinophiles p. basophiles lymphocytes monocytes naissance 6000 à 26000 20 à 850 0 à 640 2000 à 11000 400 à 3100 03 jours 1500 à 7000 200 à 2000 0 à 100 2000 à 5000 300 à 1100 07 jours 1500 à 10000 70 à 1100 0 à 250 2000 à 17000 300 à 2700 15 jours 1000 à 9500 70 à 1000 0 à 230 2000 à 17000 200 à 2400 01 an 1500 à 8500 50 à 700 0 à 200 4000 à 10500 50 à 1100 04 ans 1500 à 8500 20 à 650 0 à 200 2000 à 8000 0 à 800 06 ans 1500 à 8000 0 à 650 0 à 200 1500 à 7000 0 à 800 10 ans 1800 à 8000 0 à 600 0 à 200 1500 à 6500 0 à 800
  9. 9. S/Abdessemed Interprétation DEFAUT Paramètres EXCES Erythropénie GR Polyglobulie Hémodilution Hématocrite Hémoconcentration Anémie Hémoglobine Microcytose VGM Macrocytose Hypochromie CCMH* Hypochromie TCMH Thrombopénie Plaquettes HyperThrombocytose Leucopénie GB Hyperleucocytose Neutropénie Granulocyte neutrophile Polynucléose neutrophile Granulocyte éosinophile Hyper éosinophilie Granulocyte basophile Basocytose Lymphopénie Lymphocyte Hyper lymphocytose Mono cytopénie Monocyte Monocytose
  10. 10. Interprétation (suite) • La CCMH est considérée comme un indice moins sensible de l’hypochromie que la TCMH dans les anémies, en effet la TCMH diminue avant la CCMH dans l’installation d’un cas d’anémie S/Abdessemed
  11. 11. S/Abdessemed

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