{"id":20,"date":"2021-01-01T12:25:00","date_gmt":"2021-01-01T12:25:00","guid":{"rendered":""},"modified":"2022-09-28T20:05:33","modified_gmt":"2022-09-28T20:05:33","slug":"tout-savoir-sur-la-transfusion-et-les-produits-sanguins-labiles-psl","status":"publish","type":"post","link":"https:\/\/avo6.com\/?p=20","title":{"rendered":"Tout Savoir Sur La Transfusion et Les Produits Sanguins Labiles (PSL)"},"content":{"rendered":"<blockquote style=\"border: none; margin: 0px 0px 0px 40px; padding: 0px; text-align: left;\">\n<div style=\"clear: both; text-align: center;\">\n<p data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\"><img loading=\"lazy\" class=\"alignnone  wp-image-357\" src=\"https:\/\/avo6.com\/wp-content\/uploads\/2021\/01\/Transfusion-PSL-Poche-de-Sang.jpg\" alt=\"\" width=\"352\" height=\"185\" \/><\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">Apr\u00e8s avoir \u00e9t\u00e9 collect\u00e9s, les produits sanguins sont d\u00e9leucocyt\u00e9s, puis test\u00e9s et pr\u00e9par\u00e9s en vue de leur utilisation th\u00e9rapeutique. Deux types de d\u00e9riv\u00e9s sont obtenus:<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">&#8211; Les produits sanguins labiles (PSL) qui peuvent eux-m\u00eames \u00eatre l&rsquo;objet de qualifications particuli\u00e8res ou de transformations<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">&#8211; Les m\u00e9dicaments d\u00e9riv\u00e9s du sang<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;&quot;}\"><strong><span style=\"color: #ff0000;\"><u>I &#8211; LA DELEUCOCYTATION<\/u><\/span><\/strong><\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\"><strong>Principe<\/strong>\u00a0: diminution du nombre de leucocytes r\u00e9siduels dans les PSL \u00e0 travers un filtre sp\u00e9cifique, ou par centrifugation sur s\u00e9parateur de cellules. D\u00e9lai maximal de 24 h apr\u00e8s le pr\u00e9l\u00e8vement.<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\"><strong>\u00a0Le but est la r\u00e9duction du risque<\/strong>\u00a0:<\/p>\n<ul style=\"text-align: left;\">\n<li data-original-attrs=\"{&quot;style&quot;:&quot;margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l1 level1 lfo2; mso-pattern: solid white; mso-shading: windowtext;&quot;}\">De\u00a0la transmission de virus \u00e0 d\u00e9veloppement intra leucocytaire\u00a0(CMV, HTLV, EBV \u2026)<\/li>\n<li data-original-attrs=\"{&quot;style&quot;:&quot;margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l1 level1 lfo2; mso-pattern: solid white; mso-shading: windowtext;&quot;}\">De l\u2019apparition d\u2019allo-immunisation anti-HLA\u00a0(pouvant entra\u00eener des \u00e9tats r\u00e9fractaires \u00e0 la transfusion de plaquettes)<\/li>\n<li data-original-attrs=\"{&quot;style&quot;:&quot;margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l1 level1 lfo2; mso-pattern: solid white; mso-shading: windowtext;&quot;}\">Des r\u00e9actions frissons \u2013 hyperthermie<\/li>\n<li data-original-attrs=\"{&quot;style&quot;:&quot;margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l1 level1 lfo2; mso-pattern: solid white; mso-shading: windowtext;&quot;}\">De la transmission d\u2019infections bact\u00e9riennes\u00a0\u00a0en particulier Yersinia Enterolitica<\/li>\n<li data-original-attrs=\"{&quot;style&quot;:&quot;margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l1 level1 lfo2; mso-pattern: solid white; mso-shading: windowtext;&quot;}\">Am\u00e9lioration de la conservation des PSL<\/li>\n<li data-original-attrs=\"{&quot;style&quot;:&quot;margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l1 level1 lfo2; mso-pattern: solid white; mso-shading: windowtext;&quot;}\">Autres int\u00e9r\u00eats\u00a0:<\/li>\n<\/ul>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0. Filtration\u00a0\u00a0(pour micro agr\u00e9gats)<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;margin-bottom: 0cm; margin-left: 70.8pt; margin-right: 0cm; margin-top: 0cm; mso-pattern: solid white; mso-shading: windowtext;&quot;}\">. Diminution de l\u2019immuno suppression post transfusionnelle.<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0. Diminution de la charge virale de certains virus<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;margin-bottom: 0cm; margin-left: 70.8pt; margin-right: 0cm; margin-top: 0cm; mso-pattern: solid white; mso-shading: windowtext;&quot;}\">. Diminution peut \u00eatre de la charge des ATNC (Agents transmissibles non conventionnels.<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\"><span style=\"color: #ff0000;\"><strong data-original-attrs=\"{&quot;style&quot;:&quot;mso-bidi-font-weight: normal;&quot;}\"><u>II &#8211; EYTHROCYTES<\/u><\/strong><\/span><\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\"><strong data-original-attrs=\"{&quot;style&quot;:&quot;mso-bidi-font-weight: normal;&quot;}\"><u>Les Concentr\u00e9s de Globules Rouge<em>\u00a0(CGR)\u00a0:<\/em><\/u><\/strong><\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;&quot;}\">Un CGR provient d\u2019un seul donneur<\/p>\n<h3 style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-padding-alt: 0cm 0cm 0cm 0cm; mso-pattern: solid white; mso-shading: windowtext;&quot;}\">\u00a0&#8211;\u00a0Caract\u00e9ristiques\u00a0:<\/h3>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0. Contient une quantit\u00e9 sup\u00e9rieure ou \u00e9gale \u00e0 40 g d\u2019h\u00e9moglobine<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0. H\u00e9matocrite\u00a0: 50 &#8211; 70 %<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0. Leucocytes r\u00e9siduels\u00a0\u00a0&lt; 1,0 x 10\u00a0<sup>6<\/sup>.\u00a0\u00a0Plus une quantit\u00e9 de 100 ml SAGM (solution de conservation\u00a0: Ad\u00e9nine, Glucose et Mannitol en\u00a0\u00a0suspension Saline isotonique)<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;&quot;}\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0&#8211;\u00a0Conservation\u00a0:\u00a0<strong>42 jours de\u00a0\u00a0+ 2 \u00e0 +8 \u00b0C<\/strong><\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">\u00a0\u00a0\u00a0\u00a0\u00a0&#8211;\u00a0Indications\u00a0:<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">An\u00e9mie \u00e0 h\u00e9moglobine (Hb) inf\u00e9rieur \u00e0\u00a0\u00a07 g\/dl (mais tr\u00e8s variable en fonction du terrain et de la pathologie)<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0. 1 CGR augmente l\u2019h\u00e9moglobine de 0,7 \u00e0 1 g\/100 ml et l\u2019H\u00e9matocrite de 2 \u00e0 3 % chez l\u2019adulte.<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">. 3 ml\/kg augmente l\u2019h\u00e9moglobine de 1 g\/100 ml chez l\u2019enfant<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;&quot;}\">\u00a0Le plasma r\u00e9siduel en tr\u00e8s faible quantit\u00e9 ne pr\u00e9sente pas de probl\u00e8me de transfusion sauf si pr\u00e9sence<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;&quot;}\"><strong data-original-attrs=\"{&quot;style&quot;:&quot;mso-bidi-font-weight: normal;&quot;}\"><em>\u00a0CGR\u00a0\u00a0Ph\u00e9notype\u00a0:<\/em><\/strong><\/p>\n<h3 style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">1 &#8211; Ph\u00e9notype standard\u00a0:<\/h3>\n<h3 style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-padding-alt: 0cm 0cm 0cm 0cm; mso-pattern: solid white; mso-shading: windowtext;&quot;}\"><em data-original-attrs=\"{&quot;style&quot;:&quot;mso-bidi-font-style: normal;&quot;}\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<span style=\"color: #ff6600;\">\u00a0Uniquement syst\u00e9me Rh &#8211; Kell\u00a0: Antig\u00e9nes\u00a0 C, E , c , e , et K\u00a0\u00a0compatibles<\/span><\/em><\/h3>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Principe\u00a0: ne pas apporter d\u2019antig\u00e8ne \u00e9tranger au receveur<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-list: l0 level1 lfo4; mso-pattern: solid white; mso-shading: windowtext;&quot;}\">&#8211;\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Obligatoire pour\u00a0:<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0. Femmes jusqu\u2019\u00e0 la fin de la p\u00e9riode de procr\u00e9ation<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0. Receveur avec RAI positive<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0. Les polytransfus\u00e9s it\u00e9ratifs (ou futurs)\u00a0: thalass\u00e9miques, dr\u00e9panocytaires<\/p>\n<h3 style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">2 &#8211; Ph\u00e9notype \u00e9tendu<\/h3>\n<h3 style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-padding-alt: 0cm 0cm 0cm 0cm; mso-pattern: solid white; mso-shading: windowtext;&quot;}\"><em data-original-attrs=\"{&quot;style&quot;:&quot;mso-bidi-font-style: normal;&quot;}\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<span style=\"color: #ff6600;\">\u00a0\u00a0\u00a0Respect d\u2019au moins 1 Ag n\u00e9gatif autre que\u00a0\u00a0C, E, c, e ou K<\/span><\/em><\/h3>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Exemples\u00a0:\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Fya\u00a0\u00a0\u00a0\u00a0Fyb Jka\u00a0\u00a0\u00a0\u00a0\u00a0Jkb MNSs Lea\u00a0\u00a0\u00a0\u00a0Leb<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-list: l3 level1 lfo3; mso-pattern: solid white; mso-shading: windowtext;&quot;}\">&#8211;\u00a0\u00a0Obligatoire en cas d\u2019allo-immunisation pr\u00e9existante<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">Penser \u00e0 r\u00e9aliser un ph\u00e9notype \u00e9tendu avant toute transfusion chez les futurs polytransfus\u00e9s it\u00e9ratifs.<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;&quot;}\"><strong data-original-attrs=\"{&quot;style&quot;:&quot;mso-bidi-font-weight: normal;&quot;}\"><em>CGR\u00a0Compatibilis\u00e9\u00a0:\u00a0<\/em><\/strong><\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">La Compatibilit\u00e9 au laboratoire entre les Globules rouges (GR) de la poche et le s\u00e9rum ou plasma du receveur<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">&#8211; Obligatoire\u00a0:<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0. Receveur avec RAI positive<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0. Femmes enceintes<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0. Polytransfus\u00e9s it\u00e9ratifs<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0. Nouveau-n\u00e9s\u00a0: mais compatibilit\u00e9 avec le s\u00e9rum ou plasma de la m\u00e8re.<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">&#8211; D\u00e9lai de validit\u00e9\u00a0:<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a072 h\u00a0\u00a0\u00e0 partir du pr\u00e9l\u00e8vement<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Polytransfus\u00e9s it\u00e9ratifs\u00a0: 24 h maximum.<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">D\u00e9lai d&rsquo;obtention: environ 40 mn au labo<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;&quot;}\"><strong data-original-attrs=\"{&quot;style&quot;:&quot;mso-bidi-font-weight: normal;&quot;}\"><em>\u00a0CGR\u00a0CMV N\u00e9gatif\u00a0:\u00a0<\/em><\/strong><\/p>\n<p style=\"text-align: left;\">S\u00e9rologie du Cytom\u00e9galo Virus (CMV) n\u00e9gative chez les donneurs lors du don (or la s\u00e9ro-pr\u00e9valence est de 30 \u00e0 80 % chez les donneurs de sang, d\u2019o\u00f9 la difficult\u00e9 pour obtenir les produits<\/p>\n<p style=\"text-align: left;\">correspondants).<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">Indications\u00a0:<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">\u00a0\u00a0\u00a0\u00a0\u00a0Les Immuno-immatures (pr\u00e9matur\u00e9, nouveau-n\u00e9s)<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-pattern: solid white; mso-shading: windowtext;&quot;}\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0. Femmes enceintes CMV n\u00e9gatif\u00a0\u00a0ou\u00a0\u00a0inconnu<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-pattern: solid white; mso-shading: windowtext;&quot;}\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0. Immunod\u00e9prim\u00e9s CMV n\u00e9gatif ou\u00a0\u00a0inconnu<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-pattern: solid white; mso-shading: windowtext;&quot;}\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0. Attente de greffe<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-pattern: solid white; mso-shading: windowtext;&quot;}\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0. M\u0153lle osseuse : tout receveur<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-pattern: solid white; mso-shading: windowtext;&quot;}\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0. Receveur de greffe d\u2019organe CMV n\u00e9gatif<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-pattern: solid white; mso-shading: windowtext;&quot;}\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0. Transfusion f\u0153tale<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;&quot;}\"><strong data-original-attrs=\"{&quot;style&quot;:&quot;mso-bidi-font-weight: normal;&quot;}\"><em>CGR\u00a0\u00a0Irradi\u00e9\u00a0:<\/em><\/strong><\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;margin-bottom: .0001pt; mso-pattern: solid white; mso-shading: windowtext;&quot;}\">Irradiation de 25 \u00e0 45 grays pour \u00e9viter la GVH (r\u00e9action du greffon contre l\u2019h\u00f4te)<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;margin-bottom: .0001pt; mso-pattern: solid white; mso-shading: windowtext;&quot;}\">Indications :<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0. D\u00e9ficit immunitaire cellulaire s\u00e9v\u00e8re<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0. Transfusion f\u0153tale, nouveau-n\u00e9s<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0. Greffe de m\u0153lle<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0.\u00a0Don intra-familial (groupes sanguins rares)<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">Irradiation avant la distribution (environ 10 mn)<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;&quot;}\"><strong data-original-attrs=\"{&quot;style&quot;:&quot;mso-bidi-font-weight: normal;&quot;}\"><em>\u00a0<\/em><\/strong><strong data-original-attrs=\"{&quot;style&quot;:&quot;mso-bidi-font-weight: normal;&quot;}\"><em>CGR \u00a0D\u00e9plasmatis\u00e9\u00a0:<\/em><\/strong><strong data-original-attrs=\"{&quot;style&quot;:&quot;mso-bidi-font-weight: normal;&quot;}\"><em>\u00a0<\/em><\/strong><\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;&quot;}\">Soustraction de la majeure partie du plasma par triple centrifugation, \u00e9limination du surnageant (\u00ab\u00a0rin\u00e7age\u00a0\u00bb des globules rouges) et remise en suspension dans du s\u00e9rum physiologique<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-pattern: solid white; mso-shading: windowtext;&quot;}\">Indications :<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-pattern: solid white; mso-shading: windowtext;&quot;}\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0. Intol\u00e9rance aux\u00a0\u00a0prot\u00e9ines du plasma\u00a0:<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;margin-bottom: 0cm; margin-left: 141.6pt; margin-right: 0cm; margin-top: 0cm; mso-pattern: solid white; mso-shading: windowtext;&quot;}\">&#8211; Ant\u00e9c\u00e9dents d\u2019accident transfusionnel avec urticaire g\u00e9ante, choc anaphylactique, bronchospasme ou \u0153d\u00e8me de Quincke.<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-pattern: solid white; mso-shading: windowtext;&quot;}\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0&#8211; D\u00e9ficit en IgA avec pr\u00e9sence d\u2019anticorps anti IgA.<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-pattern: solid white; mso-shading: windowtext;&quot;}\">Conclusion\u00a0: cette transformation doit rester exceptionnelle et discut\u00e9e syst\u00e9matiquement avec l\u2019EFS.<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;&quot;}\"><em>\u00a0<\/em><strong data-original-attrs=\"{&quot;style&quot;:&quot;mso-bidi-font-weight: normal;&quot;}\"><em>CGR\u00a0\u00a0R\u00e9duction de Volume\u00a0:\u00a0<\/em><\/strong><\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;&quot;}\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Principe\u00a0: simple centrifugation et \u00e9limination d\u2019une partie du surnageant.<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;&quot;}\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0H\u00e9matocrite\u00a0: 70 \u00e0\u00a0\u00a085 %<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;&quot;}\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Indication\u00a0: uniquement en cas de risque majeur de surcharge volumique.<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;&quot;}\">Conclusion\u00a0:cette transformation doit rester exceptionnelle et discut\u00e9e syst\u00e9matiquement avec l\u2019EFS.<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;&quot;}\"><strong data-original-attrs=\"{&quot;style&quot;:&quot;mso-bidi-font-weight: normal;&quot;}\"><em>CGR\u00a0\u00a0Cryoconserv\u00e9\u00a0:<\/em><\/strong><\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\"><span data-original-tag=\"O:P\">\u00a0<\/span><\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;margin-bottom: .0001pt; mso-pattern: solid white; mso-shading: windowtext;&quot;}\">La Conservation Sup\u00e9rieur \u00e0\u00a0\u00a010 ans \u00e0 temp\u00e9rature\u00a0\u00a0&lt; &#8211; 80\u00b0C, et\u00a0\u00a0&gt; 20 ans \u00e0\u00a0\u00a0&#8211; 196\u00b0C.<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Int\u00e9r\u00eat\u00a0: groupes sanguins rares uniquement<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;margin-bottom: 0cm; margin-left: 159.95pt; margin-right: 0cm; margin-top: 0cm; mso-list: l2 level1 lfo1; mso-pattern: solid white; mso-shading: windowtext; tab-stops: list 159.95pt;&quot;}\">&#8211;\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0ph\u00e9notypes \u00e9rythrocytaires rares<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;margin-bottom: 0cm; margin-left: 159.95pt; margin-right: 0cm; margin-top: 0cm; mso-list: l2 level1 lfo1; mso-pattern: solid white; mso-shading: windowtext; tab-stops: list 159.95pt;&quot;}\">&#8211;\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0RAI + avec allo-anticorps multiples.<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-pattern: solid white; mso-shading: windowtext;&quot;}\">\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;margin-bottom: 0cm; margin-left: 49.55pt; margin-right: 0cm; margin-top: 0cm; mso-pattern: solid white; mso-shading: windowtext;&quot;}\">\u00a0Inconv\u00e9nients\u00a0:<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-pattern: solid white; mso-shading: windowtext;&quot;}\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0. Perte d\u2019environ 5 g d\u2019Hb<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-pattern: solid white; mso-shading: windowtext;&quot;}\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0. Conservation apr\u00e8s d\u00e9cong\u00e9lation de 24 H<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-pattern: solid white; mso-shading: windowtext;&quot;}\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0. Prix tr\u00e8s \u00e9lev\u00e9 et logistique tr\u00e8s lourde.<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;margin-bottom: .0001pt; mso-pattern: solid white; mso-shading: windowtext;&quot;}\"><span style=\"color: #ff0000;\"><strong data-original-attrs=\"{&quot;style&quot;:&quot;mso-bidi-font-weight: normal;&quot;}\"><u>III &#8211; LES CONCENTRES DE PLAQUETTES: CPA, CPS<\/u><\/strong><\/span><\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;margin-bottom: .0001pt; mso-pattern: solid white; mso-shading: windowtext;&quot;}\">La Conservation est de 5 jours entre + 20 \u00e0 + 24 \u00b0C en agitation lente et continue.<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<strong data-original-attrs=\"{&quot;style&quot;:&quot;mso-bidi-font-weight: normal;&quot;}\">Il ne faut jamais conserver \u00e0 + 4\u00b0C (activation des plaquettes)<\/strong><\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;margin-bottom: .0001pt; mso-pattern: solid white; mso-shading: windowtext;&quot;}\">a &#8211; Concentr\u00e9 de plaquettes issues de sang total\u00a0:<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;margin-bottom: 0cm; margin-left: 35.4pt; margin-right: 0cm; margin-top: 0cm; mso-pattern: solid white; mso-shading: windowtext;&quot;}\">Un CPS contient une quantit\u00e9 sup\u00e9rieure ou \u00e9gale 0,375\u00a0\u00a010\u00a0<sup>11<\/sup>\u00a0plaquettes dans 60 ml environ de plasma<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;&quot;}\">b &#8211; Concentr\u00e9 de plaquettes issues d\u2019aph\u00e9r\u00e8se (CPA)<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Pr\u00e9lev\u00e9 sur un seul donneur par cytaph\u00e9r\u00e8se<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Contient de 2 \u00e0 8 x10\u00a0<sup>11<\/sup>\u00a0\u00a0plaquettes dans 200 \u00e0 650 ml de plasma.<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;margin-bottom: .0001pt; mso-pattern: solid white; mso-shading: windowtext;&quot;}\"><span data-original-tag=\"O:P\">\u00a0<\/span><\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">&#8211; Isogroupe ABO si possible et en fonction des stocks<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">&#8211; Compatibilit\u00e9 ABO pas n\u00e9cessaire<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">&#8211; Compatibilit\u00e9 Rh D obligatoire sinon pr\u00e9voir une injection de gamma\u00a0\u00a0globulines anti D<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;margin-bottom: .0001pt; mso-pattern: solid white; mso-shading: windowtext;&quot;}\"><strong data-original-attrs=\"{&quot;style&quot;:&quot;mso-bidi-font-weight: normal;&quot;}\"><em>\u00a0<u>Les Concentr\u00e9 Plaquettaire Ph\u00e9notyp\u00e9\u00a0:<\/u><\/em><\/strong><\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Uniquement pour CPA<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0D\u00e9termination des Ag HLA (classe I) et\/ou HPA 1 \u00e0 5<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;margin-bottom: .0001pt; mso-pattern: solid white; mso-shading: windowtext;&quot;}\"><strong data-original-attrs=\"{&quot;style&quot;:&quot;mso-bidi-font-weight: normal;&quot;}\"><em><u>\u00a0Les Concentr\u00e9 Plaquettaire compatibilis\u00e9\u00a0:<\/u><\/em><\/strong><\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Pour\u00a0\u00a0syst\u00e8me HLA et\/ou HPA<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Idem ph\u00e9notype plaquette<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;margin-bottom: .0001pt; mso-pattern: solid white; mso-shading: windowtext;&quot;}\"><strong data-original-attrs=\"{&quot;style&quot;:&quot;mso-bidi-font-weight: normal;&quot;}\"><em><u>Les Concentr\u00e9 Plaquettaire\u00a0\u00a0avec autres qualifications et transformations:<\/u><\/em><\/strong><\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;margin-bottom: .0001pt; mso-pattern: solid white; mso-shading: windowtext;&quot;}\"><strong data-original-attrs=\"{&quot;style&quot;:&quot;mso-bidi-font-weight: normal;&quot;}\"><em>\u00a0Idem Pour les CGR<\/em><\/strong><\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0. CMV n\u00e9gatif<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0. Irradi\u00e9es<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;margin-bottom: 0cm; margin-left: 70.8pt; margin-right: 0cm; margin-top: 0cm; mso-pattern: solid white; mso-shading: windowtext;&quot;}\">. D\u00e9plasmatis\u00e9es\u00a0,\u00a0\u00a0mais perte de principe actif et diminution nette du rendement<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;margin-bottom: 0cm; margin-left: 177.2pt; margin-right: 0cm; margin-top: 0cm; mso-pattern: solid white; mso-shading: windowtext;&quot;}\">. Cryoconserv\u00e9es,\u00a0\u00a0mais alt\u00e9ration des plaquettes et peu ou pas de recirculation<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Remarque\u00a0:<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;margin-bottom: 0cm; margin-left: 106.2pt; margin-right: 0cm; margin-top: 0cm; mso-pattern: solid white; mso-shading: windowtext;&quot;}\">Ces qualifications ou transformations doivent \u00eatre identiques \u00e0 celles des CGR transfus\u00e9s chez le receveur.<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;margin-bottom: .0001pt; mso-pattern: solid white; mso-shading: windowtext;&quot;}\"><span style=\"color: #ff0000;\"><strong data-original-attrs=\"{&quot;style&quot;:&quot;mso-bidi-font-weight: normal;&quot;}\"><u>IV &#8211;\u00a0\u00a0LE PLASMA FRAIS CONGELE (PFC)\u00a0:<\/u><\/strong><\/span><\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;margin-bottom: .0001pt; mso-pattern: solid white; mso-shading: windowtext;&quot;}\"><strong>1 \u2013 Caract\u00e9ristiques\u00a0:<\/strong><\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">. Un PFC contient un volume\u00a0\u00a0de\u00a0\u00a0200 ml<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">. Conservation 1 an \u00e0 une temp\u00e9rature\u00a0\u00a0&lt;\u00a0\u00a0&#8211; 25\u00b0C<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">. Facteurs VIII &gt; 0,7 UI\/ml<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">. D\u00e9cong\u00e9lation par EFS sauf protocole particulier<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">. A transfuser dans les 6 Heures apr\u00e8s d\u00e9cong\u00e9lation<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\"><span data-original-tag=\"O:P\">\u00a0<\/span><\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-pattern: solid white; mso-shading: windowtext;&quot;}\"><strong>2 &#8211; Indications : 3 uniquement (selon la l\u00e9gislation)<\/strong><\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-pattern: solid white; mso-shading: windowtext;&quot;}\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0. CIVD<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;margin-bottom: 0cm; margin-left: 127.6pt; margin-right: 0cm; margin-top: 0cm; mso-pattern: solid white; mso-shading: windowtext;&quot;}\">. H\u00e9morragie massive avec effondrement de tous les facteurs de coagulation<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;margin-bottom: 0cm; margin-left: 127.6pt; margin-right: 0cm; margin-top: 0cm; mso-pattern: solid white; mso-shading: windowtext;&quot;}\">. D\u00e9ficit complexe en facteurs de la coagulation dont on ne poss\u00e8de pas les fractions coagulantes stables<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0. V\u00a0: Proconvertine<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0. XII\u00a0: Hagueman<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0. (XIII\u00a0: FSF)<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0. Autre indication hors l\u00e9gislation\u00a0: \u00e9changes plasmatiques.<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\"><strong>3 \u2013 Deux\u00a0\u00a0produits :<\/strong><\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<strong data-original-attrs=\"{&quot;style&quot;:&quot;mso-bidi-font-weight: normal;&quot;}\">&#8211; PFC s\u00e9curis\u00e9 issu d\u2019aph\u00e9r\u00e8se\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/strong><\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0&#8211;\u00a0<strong>PVA (viro att\u00e9nu\u00e9)<\/strong><\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\"><strong>4 &#8211; Transfusion de PFC<\/strong><\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0&#8211; Respecter la compatibilit\u00e9 ABO plasmatique<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-padding-alt: 0cm 0cm 0cm 0cm; mso-pattern: solid white; mso-shading: windowtext;&quot;}\">&#8211; Si probl\u00e8me de stock : possibilit\u00e9 de transfusion de plasma incompatible (maximum 200 ml\/10 kg)<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\"><span style=\"color: #ff0000;\"><strong data-original-attrs=\"{&quot;style&quot;:&quot;mso-bidi-font-weight: normal;&quot;}\"><u>V \u2013 SANG RECONSTITUE<\/u><\/strong><\/span><\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Reconstitution \u00e0 partir d\u2019un CGR d\u00e9leucocyt\u00e9 et d\u2019un PFC d\u00e9congel\u00e9<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Caract\u00e9ristiques\u00a0:<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0. Volume\u00a0: environ 350 ml<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0. Contenu en Hb\u00a0:\u00a0\u00b3\u00a040 g<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0. H\u00e9matocrite\u00a0: 40 \u00e0 60 %<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0. Conservation\u00a0: 6h \u00e0\u00a0\u00a0de +4\u00a0\u00a0\u00e0 +20\u00b0C<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0. Ne contient pas de plaquette<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Indication\u00a0: exsanguino-transfusion uniquement.<\/p>\n<h4 style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\"><span style=\"color: #ff0000;\"><strong data-original-attrs=\"{&quot;style&quot;:&quot;mso-bidi-font-weight: normal;&quot;}\"><u>VI &#8211; LES PRODUITS D\u2019AUTOTRANSFUSION\u00a0\u00a0PROGRAMMEE<\/u><\/strong><\/span><\/h4>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">&#8211; CGR issu de sang total ou d\u2019\u00e9rythrocytaph\u00e9r\u00e8se\u00a0:<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0. Non d\u00e9leucocyt\u00e9 en g\u00e9n\u00e9ral si issu de sang total<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0. Volume variable<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0. Contenu en Hb variable<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0. Conservation identique au CGR homologue (42 jours)<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">&#8211; PFC g\u00e9n\u00e9ralement issu de sang total<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0. Conservation : 42 jours \u00e0 une temp\u00e9rature\u00a0\u00a0&lt;\u00a0\u00a0&#8211; 25\u00b0C<\/p>\n<p style=\"text-align: left;\" data-original-attrs=\"{&quot;style&quot;:&quot;mso-pattern: solid white; mso-shading: windowtext;&quot;}\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0. Dur\u00e9e de conservation apr\u00e8s d\u00e9cong\u00e9lation : 72 heures par l\u2019EFS<\/p>\n<\/div>\n<\/blockquote>\n<div style=\"display: none;\">\n<p style=\"text-align: left;\">\n<div style=\"text-align: right;\">\n<p style=\"text-align: left;\">\n<p style=\"text-align: left;\">\n<p style=\"text-align: left;\">\n<p style=\"background: white; mso-pattern: solid white; mso-shading: windowtext; text-align: left;\"><b style=\"mso-bidi-font-weight: normal;\"><span lang=\"FR\" style=\"background: white; mso-pattern: solid white; mso-shading: windowtext;\">\u00a0<\/span><\/b><\/p>\n<p style=\"background: white; mso-pattern: solid white; mso-shading: windowtext; text-align: left;\"><b style=\"mso-bidi-font-weight: normal;\"><u><span lang=\"FR\" style=\"background: white; color: red; mso-pattern: solid white; mso-shading: windowtext;\">II &#8211; EYTHROCYTES<\/span><\/u><\/b><\/p>\n<p style=\"background: white; mso-pattern: solid white; mso-shading: windowtext; text-align: left;\"><b style=\"mso-bidi-font-weight: normal;\"><span lang=\"FR\" style=\"background: white; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-spacerun: yes;\">\u00a0<\/span><\/span><\/b><b style=\"mso-bidi-font-weight: normal;\"><\/b><\/p>\n<p style=\"background: white; mso-pattern: solid white; mso-shading: windowtext; text-align: left;\"><b style=\"mso-bidi-font-weight: normal;\"><u><span lang=\"FR\" style=\"background: white; color: #00b050; mso-pattern: solid white; mso-shading: windowtext;\">Les Concentr\u00e9s de Globules Rouge<i> (CGR)\u00a0:<\/i><\/span><\/u><\/b><\/p>\n<p style=\"background: white; mso-pattern: solid white; mso-shading: windowtext; text-align: left;\"><span lang=\"FR\" style=\"background: white; mso-pattern: solid white; mso-shading: windowtext;\">\u00a0<\/span><\/p>\n<div style=\"text-align: left;\"><span style=\"font-weight: normal;\"><span style=\"font-size: small;\">Un CGR provient d\u2019un seul donneur<\/span><\/span><\/div>\n<p style=\"text-align: left;\">\n<h1 style=\"background: white; border: none; margin-left: 28.3pt; mso-padding-alt: 0cm 0cm 0cm 0cm; mso-pattern: solid white; mso-shading: windowtext; text-align: left;\"><span style=\"font-size: small;\"><span lang=\"FR\" style=\"background: white; font-weight: normal; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-spacerun: yes;\">\u00a0<\/span>&#8211; <span style=\"color: #0070c0;\">Caract\u00e9ristiques<\/span>\u00a0:<\/span> <\/span><\/h1>\n<p style=\"background: white; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.3pt;\"><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-tab-count: 1;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>. Contient une quantit\u00e9 sup\u00e9rieure ou \u00e9gale \u00e0 40 g d\u2019h\u00e9moglobine<\/span><\/p>\n<p style=\"background: white; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.3pt;\"><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-tab-count: 1;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>. H\u00e9matocrite\u00a0: 50 &#8211; 70 %<\/span><\/p>\n<p style=\"background: white; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.3pt;\"><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-tab-count: 1;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>. Leucocytes r\u00e9siduels<span style=\"mso-spacerun: yes;\">\u00a0 <\/span>&lt; 1,0 x 10 <sup>6<\/sup><\/span><span style=\"text-indent: 0cm;\">.<\/span><span style=\"mso-spacerun: yes; text-indent: 0cm;\">\u00a0 <\/span><span style=\"text-indent: 0cm;\">Plus une quantit\u00e9 de 100 ml SAGM (solution de conservation\u00a0: Ad\u00e9nine, Glucose et Mannitol en<\/span><span style=\"mso-spacerun: yes; text-indent: 0cm;\">\u00a0 <\/span><span style=\"text-indent: 0cm;\">suspension Saline isotonique)<\/span><\/p>\n<p style=\"text-align: left;\"><span lang=\"FR\" style=\"background: white; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-tab-count: 1;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span><span style=\"mso-spacerun: yes;\">\u00a0<\/span>&#8211; <span style=\"color: #0070c0;\">Conservation<\/span>\u00a0: <b>42 jours de<span style=\"mso-spacerun: yes;\">\u00a0 <\/span>+ 2 \u00e0 +8 \u00b0C<\/b><\/span><\/p>\n<p style=\"background: white; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.3pt;\"><span lang=\"FR\" style=\"background: white; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-spacerun: yes;\">\u00a0\u00a0\u00a0\u00a0 <\/span>&#8211; <span style=\"color: #0070c0;\">Indications<\/span>\u00a0:<\/span><\/p>\n<p style=\"background: white; mso-pattern: solid white; mso-shading: windowtext; text-align: left;\"><span lang=\"FR\" style=\"background: white; mso-pattern: solid white; mso-shading: windowtext;\">An\u00e9mie \u00e0 h\u00e9moglobine (Hb) inf\u00e9rieur \u00e0<span style=\"mso-spacerun: yes;\">\u00a0 <\/span>7 g\/dl (mais tr\u00e8s variable en fonction du terrain et de la pathologie)<\/span><\/p>\n<p style=\"background: white; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.3pt;\"><span lang=\"FR\" style=\"background: white; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-tab-count: 2;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>. 1 CGR augmente l\u2019h\u00e9moglobine de 0,7 \u00e0 1 g\/100 ml et l\u2019H\u00e9matocrite de 2 \u00e0 3 % chez l\u2019adulte. <\/span><\/p>\n<p style=\"background: white; margin-left: 49.5pt; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.3pt;\"><span lang=\"FR\" style=\"background: white; mso-pattern: solid white; mso-shading: windowtext;\">. 3 ml\/kg augmente l\u2019h\u00e9moglobine de 1 g\/100 ml chez l\u2019enfant<\/span><\/p>\n<div style=\"text-align: left;\"><span style=\"font-size: small;\"><span style=\"font-weight: normal; mso-spacerun: yes;\">\u00a0<\/span><span style=\"font-weight: normal;\">Le plasma r\u00e9siduel en tr\u00e8s faible quantit\u00e9 ne pr\u00e9sente pas de probl\u00e8me de transfusion sauf si pr\u00e9sence<\/span><\/span><\/div>\n<p style=\"text-align: left;\">\n<p style=\"text-align: left;\"><b style=\"mso-bidi-font-weight: normal;\"><i><span lang=\"FR\" style=\"color: #00b050;\"><span style=\"mso-spacerun: yes;\">\u00a0<\/span>CGR\u00a0\u00a0Ph\u00e9notype\u00a0:<\/span><\/i><\/b><\/p>\n<h3 style=\"background: white; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 0cm;\"><span style=\"font-size: small;\"><span lang=\"FR\" style=\"background: white; color: #00b0f0; mso-bidi-font-weight: bold; mso-pattern: solid white; mso-shading: windowtext;\">1 &#8211; Ph\u00e9notype standard<\/span><span lang=\"FR\" style=\"background: white; color: #00b0f0; font-weight: normal; mso-pattern: solid white; mso-shading: windowtext;\">\u00a0: <\/span> <\/span><\/h3>\n<h2 style=\"background: white; border: none; mso-padding-alt: 0cm 0cm 0cm 0cm; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.3pt;\"><span style=\"font-size: small;\"><i style=\"mso-bidi-font-style: normal;\"><span lang=\"FR\" style=\"background: white; font-weight: normal; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-tab-count: 2;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>Uniquement syst\u00e9me Rh &#8211; Kell\u00a0: Antig\u00e9nes\u00a0 C, E , c , e , et K<span style=\"mso-spacerun: yes;\">\u00a0 <\/span>compatibles<\/span><\/i> <\/span><\/h2>\n<p style=\"background: white; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.3pt;\"><span lang=\"FR\" style=\"background: white; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-tab-count: 2;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>Principe\u00a0: ne pas apporter d\u2019antig\u00e8ne \u00e9tranger au receveur<\/span><\/p>\n<p style=\"background: white; margin-left: 36pt; mso-list: l0 level1 lfo4; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: -18pt;\"><!-- [if !supportLists]--><span lang=\"FR\" style=\"font-weight: normal; mso-bidi-font-weight: bold;\"><span style=\"mso-list: Ignore;\">&#8211;<span style=\"font-family: 'Times New Roman'; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span><\/span><\/span><!--[endif]--><span lang=\"FR\" style=\"background: white; mso-pattern: solid white; mso-shading: windowtext;\">Obligatoire pour<\/span><span lang=\"FR\" style=\"background: white; font-weight: normal; mso-bidi-font-weight: bold; mso-pattern: solid white; mso-shading: windowtext;\">\u00a0: <\/span><\/p>\n<p style=\"background: white; margin-left: 14.2pt; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.25pt;\"><span lang=\"FR\" style=\"background: white; font-weight: normal; mso-bidi-font-weight: bold; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-tab-count: 1;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>. Femmes jusqu\u2019\u00e0 la fin de la p\u00e9riode de procr\u00e9ation<\/span><\/p>\n<p style=\"background: white; margin-left: 14.2pt; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.25pt;\"><span lang=\"FR\" style=\"background: white; font-weight: normal; mso-bidi-font-weight: bold; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-tab-count: 1;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>. Receveur avec RAI positive<span style=\"mso-spacerun: yes;\">\u00a0 <\/span><\/span><\/p>\n<p style=\"background: white; margin-left: 14.2pt; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.25pt;\"><span lang=\"FR\" style=\"background: white; font-weight: normal; mso-bidi-font-weight: bold; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-tab-count: 1;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>. Les polytransfus\u00e9s it\u00e9ratifs (ou futurs)\u00a0: thalass\u00e9miques, dr\u00e9panocytaires <ins style=\"display: block; text-align: center;\" data-ad-client=\"ca-pub-7128425529060798\" data-ad-format=\"fluid\" data-ad-layout=\"in-article\" data-ad-slot=\"8816437527\"><\/ins> <\/span><\/p>\n<h3 style=\"background: white; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 0cm;\"><span style=\"font-size: small;\"><span lang=\"FR\" style=\"background: white; color: #00b0f0; mso-bidi-font-weight: bold; mso-pattern: solid white; mso-shading: windowtext;\">2 &#8211; Ph\u00e9notype \u00e9tendu<\/span> <\/span><\/h3>\n<h2 style=\"background: white; border: none; mso-padding-alt: 0cm 0cm 0cm 0cm; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.3pt;\"><span style=\"font-size: small;\"><i style=\"mso-bidi-font-style: normal;\"><span lang=\"FR\" style=\"background: white; font-weight: normal; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-tab-count: 2;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>Respect d\u2019au moins 1 Ag n\u00e9gatif autre que<span style=\"mso-spacerun: yes;\">\u00a0 <\/span>C, E, c, e ou K <\/span><\/i> <\/span><\/h2>\n<p style=\"background: white; mso-pattern: solid white; mso-shading: windowtext; text-align: left;\"><span lang=\"FR\" style=\"background: white; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-spacerun: yes;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>Exemples\u00a0:<span style=\"mso-tab-count: 1;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>Fya<span style=\"mso-spacerun: yes;\">\u00a0\u00a0\u00a0 <\/span>Fyb Jka<span style=\"mso-spacerun: yes;\">\u00a0\u00a0\u00a0\u00a0 <\/span>Jkb MNSs Lea<span style=\"mso-spacerun: yes;\">\u00a0\u00a0 <\/span><span style=\"mso-spacerun: yes;\">\u00a0<\/span>Leb<\/span><\/p>\n<p style=\"background: white; margin-left: 36pt; mso-list: l3 level1 lfo3; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: -18pt;\"><!-- [if !supportLists]--><span lang=\"FR\" style=\"font-weight: normal;\"><span style=\"mso-list: Ignore;\">&#8211;<span style=\"font-family: 'Times New Roman'; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;\">\u00a0 <\/span><\/span><\/span><span lang=\"FR\" style=\"background: white; mso-pattern: solid white; mso-shading: windowtext;\">Obligatoire en cas d\u2019allo-immunisation pr\u00e9existante<\/span><\/p>\n<p style=\"background: white; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 0cm;\"><span lang=\"FR\" style=\"background: white; mso-pattern: solid white; mso-shading: windowtext;\">Penser \u00e0 r\u00e9aliser un ph\u00e9notype \u00e9tendu avant toute transfusion chez les futurs polytransfus\u00e9s it\u00e9ratifs.<\/span><\/p>\n<p style=\"text-align: left;\"><b style=\"mso-bidi-font-weight: normal;\"><i><span lang=\"FR\" style=\"color: #00b050;\">CGR\u00a0Compatibilis\u00e9\u00a0:\u00a0<\/span><\/i><\/b><\/p>\n<p style=\"background: white; mso-pattern: solid white; mso-shading: windowtext; text-align: left;\"><span lang=\"FR\" style=\"background: white; font-weight: normal; mso-bidi-font-weight: bold; mso-pattern: solid white; mso-shading: windowtext;\">La Compatibilit\u00e9 au laboratoire entre les Globules rouges (GR) de la poche et le s\u00e9rum ou plasma du receveur <\/span><\/p>\n<p style=\"background: white; margin-left: 14.2pt; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.25pt;\"><span lang=\"FR\" style=\"background: white; font-weight: normal; mso-bidi-font-weight: bold; mso-pattern: solid white; mso-shading: windowtext;\">&#8211; Obligatoire\u00a0:<\/span><\/p>\n<p style=\"background: white; margin-left: 14.2pt; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.25pt;\"><span lang=\"FR\" style=\"background: white; font-weight: normal; mso-bidi-font-weight: bold; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-tab-count: 1;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>. Receveur avec RAI positive<span style=\"mso-spacerun: yes;\">\u00a0 <\/span><\/span><\/p>\n<p style=\"background: white; margin-left: 14.2pt; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.25pt;\"><span lang=\"FR\" style=\"background: white; font-weight: normal; mso-bidi-font-weight: bold; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-tab-count: 1;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>. Femmes enceintes<\/span><\/p>\n<p style=\"background: white; margin-left: 14.2pt; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.25pt;\"><span lang=\"FR\" style=\"background: white; font-weight: normal; mso-bidi-font-weight: bold; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-tab-count: 1;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>. Polytransfus\u00e9s it\u00e9ratifs<\/span><\/p>\n<p style=\"background: white; mso-pattern: solid white; mso-shading: windowtext; text-align: left;\"><span lang=\"FR\" style=\"background: white; font-weight: normal; mso-bidi-font-weight: bold; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-tab-count: 2;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>. Nouveau-n\u00e9s\u00a0: mais compatibilit\u00e9 avec le s\u00e9rum ou plasma de la m\u00e8re.<\/span><span lang=\"FR\" style=\"background: white; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-tab-count: 1;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span><\/span><\/p>\n<p style=\"background: white; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 28.3pt;\"><span lang=\"FR\" style=\"background: white; font-weight: normal; mso-bidi-font-weight: bold; mso-pattern: solid white; mso-shading: windowtext;\">&#8211; D\u00e9lai de validit\u00e9\u00a0:<\/span><\/p>\n<p style=\"background: white; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.3pt;\"><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-tab-count: 2;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>72 h <span style=\"mso-spacerun: yes;\">\u00a0<\/span>\u00e0 partir du pr\u00e9l\u00e8vement<\/span><\/p>\n<p style=\"background: white; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.3pt;\"><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-tab-count: 2;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>Polytransfus\u00e9s it\u00e9ratifs\u00a0: 24 h maximum.<\/span><\/p>\n<p style=\"background: white; margin-left: 21.3pt; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.3pt;\"><span lang=\"FR\" style=\"background: white; mso-pattern: solid white; mso-shading: windowtext;\">D\u00e9lai d&rsquo;obtention: environ 40 mn au labo<\/span><\/p>\n<p style=\"text-align: left;\"><b style=\"mso-bidi-font-weight: normal;\"><i><span lang=\"FR\" style=\"color: #00b050;\"><span style=\"mso-spacerun: yes;\">\u00a0<\/span>CGR\u00a0CMV N\u00e9gatif\u00a0:\u00a0<\/span><\/i><\/b><\/p>\n<p style=\"background: white; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 0cm;\"><span lang=\"FR\" style=\"background: white; mso-pattern: solid white; mso-shading: windowtext;\">S\u00e9rologie du Cytom\u00e9galo Virus (CMV) n\u00e9gative chez les donneurs lors du don (or la s\u00e9ro-pr\u00e9valence est de 30 \u00e0 80 % chez les donneurs de sang, d\u2019o\u00f9 la difficult\u00e9 pour obtenir les produits <ins style=\"display: block; text-align: center;\" data-ad-client=\"ca-pub-7128425529060798\" data-ad-format=\"fluid\" data-ad-layout=\"in-article\" data-ad-slot=\"8816437527\"><\/ins> correspondants).<\/span><\/p>\n<p style=\"background: white; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.3pt;\"><span lang=\"FR\" style=\"background: white; color: #00b0f0; mso-pattern: solid white; mso-shading: windowtext;\">Indications\u00a0:<\/span><\/p>\n<p style=\"background: white; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.3pt;\"><span lang=\"FR\" style=\"background: white; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-tab-count: 1;\">\u00a0\u00a0\u00a0\u00a0 <\/span>Les Immuno-immatures (pr\u00e9matur\u00e9, nouveau-n\u00e9s)<span style=\"mso-tab-count: 1;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span><\/span><\/p>\n<p style=\"background: white; margin: 0cm 0cm 0cm 14.2pt; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.25pt;\"><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-tab-count: 1;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>. Femmes enceintes CMV n\u00e9gatif<span style=\"mso-spacerun: yes;\">\u00a0 <\/span>ou<span style=\"mso-spacerun: yes;\">\u00a0 <\/span>inconnu <\/span><\/p>\n<p style=\"background: white; margin: 0cm 0cm 0cm 14.2pt; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.25pt;\"><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-tab-count: 1;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>. Immunod\u00e9prim\u00e9s CMV n\u00e9gatif ou<span style=\"mso-spacerun: yes;\">\u00a0 <\/span>inconnu<\/span><\/p>\n<p style=\"background: white; margin: 0cm 0cm 0cm 14.2pt; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.25pt;\"><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-tab-count: 1;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>. Attente de greffe<\/span><\/p>\n<p style=\"background: white; margin: 0cm 0cm 0cm 14.2pt; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.25pt;\"><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-tab-count: 2;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>. M\u0153lle osseuse : tout receveur<\/span><\/p>\n<p style=\"background: white; margin: 0cm 0cm 0cm 14.2pt; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.25pt;\"><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-tab-count: 2;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>. Receveur de greffe d\u2019organe CMV n\u00e9gatif<\/span><\/p>\n<p style=\"background: white; margin: 0cm 0cm 0cm 14.2pt; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.25pt;\"><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-tab-count: 1;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>. Transfusion f\u0153tale<\/span><\/p>\n<p style=\"text-align: left;\"><b style=\"mso-bidi-font-weight: normal;\"><i><span lang=\"FR\" style=\"color: #00b050;\">CGR\u00a0\u00a0Irradi\u00e9\u00a0:<\/span><\/i><\/b><\/p>\n<p style=\"background: white; margin-bottom: .0001pt; margin: 0cm; mso-pattern: solid white; mso-shading: windowtext; text-align: left;\"><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\">Irradiation de 25 \u00e0 45 grays pour \u00e9viter la GVH (r\u00e9action du greffon contre l\u2019h\u00f4te) <\/span><\/p>\n<p style=\"background: white; margin-bottom: .0001pt; margin: 0cm; mso-pattern: solid white; mso-shading: windowtext; text-align: left;\"><span lang=\"FR\" style=\"background: white; color: #00b0f0; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\">Indications :<\/span><\/p>\n<p style=\"background: white; margin-bottom: 0cm; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.3pt;\"><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-spacerun: yes;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span><span style=\"mso-tab-count: 1;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>. D\u00e9ficit immunitaire cellulaire s\u00e9v\u00e8re<\/span><\/p>\n<p style=\"background: white; margin-bottom: 0cm; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.3pt;\"><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-tab-count: 2;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>. Transfusion f\u0153tale, nouveau-n\u00e9s<\/span><\/p>\n<p style=\"background: white; margin-bottom: 0cm; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.3pt;\"><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-tab-count: 2;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span><\/span><span lang=\"NL\" style=\"background: white; mso-ansi-language: NL; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\">. Greffe de m\u0153lle<\/span><\/p>\n<p style=\"background: white; margin-bottom: 0cm; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.3pt;\"><span lang=\"NL\" style=\"background: white; mso-ansi-language: NL; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-tab-count: 2;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>. <\/span><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\">Don intra-familial (groupes sanguins rares)<\/span><\/p>\n<p style=\"background: white; margin-bottom: 0cm; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.25pt;\"><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\">Irradiation avant la distribution (environ 10 mn)<\/span><\/p>\n<p style=\"text-align: left;\"><b style=\"mso-bidi-font-weight: normal;\"><i><span lang=\"FR\" style=\"background: white; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-spacerun: yes;\">\u00a0<\/span><\/span><\/i><\/b><b style=\"mso-bidi-font-weight: normal;\"><i><span lang=\"FR\" style=\"color: #00b050;\">CGR \u00a0D\u00e9plasmatis\u00e9\u00a0:<\/span><\/i><\/b><b style=\"mso-bidi-font-weight: normal;\"><i><span lang=\"FR\" style=\"background: white; mso-pattern: solid white; mso-shading: windowtext;\">\u00a0<\/span><\/i><\/b><\/p>\n<p style=\"background: white; margin: 0cm; text-align: left;\">\n<div style=\"text-align: left;\">Soustraction de la majeure partie du plasma par triple centrifugation, \u00e9limination du surnageant (\u00ab\u00a0rin\u00e7age\u00a0\u00bb des globules rouges) et remise en suspension dans du s\u00e9rum physiologique<\/div>\n<p style=\"text-align: left;\">\n<p style=\"background: white; margin: 0cm 0cm 0cm 14.2pt; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.25pt;\"><span lang=\"FR\" style=\"background: white; color: #00b0f0; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\">Indications :<\/span><\/p>\n<p style=\"background: white; margin: 0cm 0cm 0cm 14.2pt; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.25pt;\"><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-tab-count: 2;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>. Intol\u00e9rance aux<span style=\"mso-spacerun: yes;\">\u00a0 <\/span>prot\u00e9ines du plasma\u00a0:<\/span><\/p>\n<p style=\"background: white; margin: 0cm 0cm 0cm 141.6pt; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 0.15pt;\"><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\">&#8211; Ant\u00e9c\u00e9dents d\u2019accident transfusionnel avec urticaire g\u00e9ante, choc anaphylactique, bronchospasme ou \u0153d\u00e8me de Quincke. <\/span><\/p>\n<p style=\"background: white; margin: 0cm 0cm 0cm 14.2pt; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.25pt;\"><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-tab-count: 3;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>&#8211; D\u00e9ficit en IgA avec pr\u00e9sence d\u2019anticorps anti IgA.<\/span><\/p>\n<p style=\"background: white; margin: 0cm 0cm 0cm 14.2pt; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.25pt;\"><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\">\u00a0<\/span><\/p>\n<p style=\"background: white; margin: 0cm 0cm 0cm 92.15pt; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: -2cm;\"><span lang=\"FR\" style=\"background: white; color: #00b0f0; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\">Conclusion<\/span><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\">\u00a0: cette transformation doit rester exceptionnelle et discut\u00e9e syst\u00e9matiquement avec l\u2019EFS.<\/span><\/p>\n<p style=\"text-align: left;\"><i><span lang=\"FR\" style=\"background: white; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-spacerun: yes;\">\u00a0<\/span><\/span><\/i><b style=\"mso-bidi-font-weight: normal;\"><i><span lang=\"FR\" style=\"color: #00b050;\">CGR\u00a0\u00a0R\u00e9duction de Volume\u00a0:\u00a0<\/span><\/i><\/b><\/p>\n<p style=\"text-align: left;\"><span lang=\"FR\"><span style=\"mso-tab-count: 1;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span><span style=\"color: #00b0f0;\">Principe<\/span>\u00a0: simple centrifugation et \u00e9limination d\u2019une partie du surnageant.<\/span><\/p>\n<p style=\"text-align: left;\"><span lang=\"FR\"><span style=\"mso-tab-count: 3;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>H\u00e9matocrite\u00a0: 70 \u00e0<span style=\"mso-spacerun: yes;\">\u00a0 <\/span>85 %<\/span><\/p>\n<p style=\"text-align: left;\"><span lang=\"FR\"><span style=\"mso-tab-count: 1;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span><span style=\"color: #00b0f0;\">Indication<\/span>\u00a0: uniquement en cas de risque majeur de surcharge volumique. <\/span><\/p>\n<p style=\"margin-left: 99.25pt; text-align: left; text-indent: -63.8pt;\"><span lang=\"FR\" style=\"background: white; color: #00b0f0; mso-pattern: solid white; mso-shading: windowtext;\">Conclusion<\/span><span lang=\"FR\" style=\"background: white; mso-pattern: solid white; mso-shading: windowtext;\">\u00a0:cette transformation doit rester exceptionnelle et discut\u00e9e syst\u00e9matiquement avec l\u2019EFS.<\/span><\/p>\n<p style=\"text-align: left;\"><b style=\"mso-bidi-font-weight: normal;\"><i><span lang=\"FR\" style=\"color: #00b050;\">CGR\u00a0\u00a0Cryoconserv\u00e9\u00a0:<\/span><\/i><\/b><\/p>\n<p style=\"background: white; margin-bottom: 0cm; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.3pt;\"><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\">\u00a0<\/span><\/p>\n<p style=\"background: white; margin-bottom: .0001pt; margin: 0cm; mso-pattern: solid white; mso-shading: windowtext; text-align: left;\"><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\">La Conservation Sup\u00e9rieur \u00e0<span style=\"mso-spacerun: yes;\">\u00a0 <\/span>10 ans \u00e0 temp\u00e9rature<span style=\"mso-spacerun: yes;\">\u00a0 <\/span>&lt; &#8211; 80\u00b0C, et<span style=\"mso-spacerun: yes;\">\u00a0 <\/span>&gt; 20 ans \u00e0<span style=\"mso-spacerun: yes;\">\u00a0 <\/span>&#8211; 196\u00b0C.<\/span><\/p>\n<p style=\"background: white; margin-bottom: 0cm; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.3pt;\"><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-tab-count: 1;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span><span style=\"color: #00b0f0;\">Int\u00e9r\u00eat<\/span> : groupes sanguins rares uniquement<\/span><\/p>\n<p style=\"background: white; margin: 0cm 0cm 0cm 159.95pt; mso-list: l2 level1 lfo1; mso-pattern: solid white; mso-shading: windowtext; tab-stops: list 159.95pt; text-align: left; text-indent: -18pt;\"><!-- [if !supportLists]--><span lang=\"FR\" style=\"mso-bidi-font-size: 10.0pt;\"><span style=\"mso-list: Ignore;\">&#8211;<span style=\"font-family: 'Times New Roman'; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span><\/span><\/span><!--[endif]--><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\">ph\u00e9notypes \u00e9rythrocytaires rares<\/span><\/p>\n<p style=\"background: white; margin: 0cm 0cm 0cm 159.95pt; mso-list: l2 level1 lfo1; mso-pattern: solid white; mso-shading: windowtext; tab-stops: list 159.95pt; text-align: left; text-indent: -18pt;\"><!-- [if !supportLists]--><span lang=\"FR\" style=\"mso-bidi-font-size: 10.0pt;\"><span style=\"mso-list: Ignore;\">&#8211;<span style=\"font-family: 'Times New Roman'; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span><\/span><\/span><!--[endif]--><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\">RAI + avec allo-anticorps multiples.<\/span><\/p>\n<p style=\"background: white; margin: 0cm 0cm 0cm 14.2pt; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.25pt;\"><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-tab-count: 1;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span><\/span><\/p>\n<p style=\"background: white; margin: 0cm 0cm 0cm 49.55pt; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.25pt;\"><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-spacerun: yes;\">\u00a0<\/span><span style=\"color: #00b0f0;\">Inconv\u00e9nients<\/span> : <\/span><\/p>\n<p style=\"background: white; margin: 0cm 0cm 0cm 14.2pt; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.25pt;\"><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-tab-count: 2;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>. Perte d\u2019environ 5 g d\u2019Hb<\/span><\/p>\n<p style=\"background: white; margin: 0cm 0cm 0cm 14.2pt; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.25pt;\"><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-tab-count: 2;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>. Conservation apr\u00e8s d\u00e9cong\u00e9lation de 24 H<\/span><\/p>\n<p style=\"background: white; margin: 0cm 0cm 0cm 14.2pt; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.25pt;\"><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-tab-count: 2;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>. Prix tr\u00e8s \u00e9lev\u00e9 et logistique tr\u00e8s lourde.<\/span><\/p>\n<p style=\"background: white; margin-bottom: 0cm; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.3pt;\"><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\">\u00a0<\/span><\/p>\n<p style=\"background: white; margin-bottom: .0001pt; margin: 0cm; mso-pattern: solid white; mso-shading: windowtext; text-align: left;\"><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\">\u00a0<\/span><\/p>\n<p style=\"background: white; margin-bottom: .0001pt; margin: 0cm; mso-pattern: solid white; mso-shading: windowtext; text-align: left;\"><b style=\"mso-bidi-font-weight: normal;\"><u><span lang=\"FR\" style=\"background: white; color: red; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\">III &#8211; LES CONCENTRES DE PLAQUETTES: CPA, CPS<\/span><\/u><\/b><\/p>\n<p style=\"background: white; margin-bottom: .0001pt; margin: 0cm; mso-pattern: solid white; mso-shading: windowtext; text-align: left;\"><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\">\u00a0<\/span><\/p>\n<p style=\"background: white; margin-bottom: .0001pt; margin: 0cm; mso-pattern: solid white; mso-shading: windowtext; text-align: left;\"><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\">La Conservation est de 5 jours entre + 20 \u00e0 + 24 \u00b0C en agitation lente et continue.<\/span><\/p>\n<p style=\"background: white; margin-bottom: 0cm; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.3pt;\"><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-tab-count: 2;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span><b style=\"mso-bidi-font-weight: normal;\">Il ne faut jamais conserver \u00e0 + 4\u00b0C (activation des plaquettes)<\/b><\/span><\/p>\n<p style=\"background: white; margin-bottom: .0001pt; margin: 0cm; mso-pattern: solid white; mso-shading: windowtext; text-align: left;\"><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\">\u00a0<\/span><\/p>\n<p style=\"background: white; margin-bottom: .0001pt; margin: 0cm; mso-pattern: solid white; mso-shading: windowtext; text-align: left;\"><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\">a &#8211; Concentr\u00e9 de plaquettes issues de sang total\u00a0:<\/span><\/p>\n<p style=\"background: white; margin: 0cm 0cm 0cm 35.4pt; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 35.4pt;\"><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\">Un CPS contient une quantit\u00e9 sup\u00e9rieure ou \u00e9gale 0,375<span style=\"mso-spacerun: yes;\">\u00a0 <\/span>10 <sup>11<\/sup> plaquettes dans 60 ml environ de plasma <\/span><\/p>\n<p style=\"background: white; margin: 0cm; text-align: left;\">\n<div style=\"text-align: left;\">b &#8211; Concentr\u00e9 de plaquettes issues d\u2019aph\u00e9r\u00e8se (CPA)<\/div>\n<p style=\"text-align: left;\">\n<p style=\"background: white; margin-bottom: 0cm; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.3pt;\"><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-tab-count: 1;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>Pr\u00e9lev\u00e9 sur un seul donneur par cytaph\u00e9r\u00e8se<\/span><\/p>\n<p style=\"background: white; margin-bottom: 0cm; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.3pt;\"><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-tab-count: 1;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>Contient de 2 \u00e0 8 x10 <sup>11<\/sup><span style=\"mso-spacerun: yes;\">\u00a0 <\/span>plaquettes dans 200 \u00e0 650 ml de plasma.<\/span><\/p>\n<p style=\"background: white; margin-bottom: .0001pt; margin: 0cm; mso-pattern: solid white; mso-shading: windowtext; text-align: left;\"><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\">\u00a0<\/span><\/p>\n<p style=\"background: white; margin-bottom: 0cm; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.3pt;\"><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\">&#8211; Isogroupe ABO si possible et en fonction des stocks<\/span><\/p>\n<p style=\"background: white; margin-bottom: 0cm; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.3pt;\"><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\">&#8211; Compatibilit\u00e9 ABO pas n\u00e9cessaire<\/span><\/p>\n<p style=\"background: white; margin-bottom: 0cm; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.3pt;\"><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\">&#8211; Compatibilit\u00e9 Rh D obligatoire sinon pr\u00e9voir une injection de gamma <span style=\"mso-spacerun: yes;\">\u00a0<\/span>globulines anti D<\/span><\/p>\n<p style=\"background: white; margin-bottom: .0001pt; margin: 0cm; mso-pattern: solid white; mso-shading: windowtext; text-align: left;\"><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\">\u00a0<\/span><\/p>\n<p style=\"background: white; margin-bottom: 0cm; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.3pt;\"><span lang=\"FR\" style=\"background: white; color: #00b050; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-tab-count: 1;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span><\/span><\/p>\n<p style=\"background: white; margin-bottom: .0001pt; margin: 0cm; mso-pattern: solid white; mso-shading: windowtext; text-align: left;\"><b style=\"mso-bidi-font-weight: normal;\"><i><span lang=\"FR\" style=\"background: white; color: #00b050; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-spacerun: yes;\">\u00a0<\/span><u>Les Concentr\u00e9 Plaquettaire Ph\u00e9notyp\u00e9\u00a0:<\/u><\/span><\/i><\/b><\/p>\n<p style=\"background: white; margin-bottom: .0001pt; margin: 0cm; mso-pattern: solid white; mso-shading: windowtext; text-align: left;\"><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\">\u00a0<\/span><\/p>\n<p style=\"background: white; margin-bottom: 0cm; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.3pt;\"><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-tab-count: 1;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>Uniquement pour CPA<\/span><\/p>\n<p style=\"background: white; margin-bottom: 0cm; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.3pt;\"><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-tab-count: 1;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>D\u00e9termination des Ag HLA (classe I) et\/ou HPA 1 \u00e0 5<span style=\"mso-tab-count: 3;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span><\/span><\/p>\n<p style=\"background: white; margin-bottom: .0001pt; margin: 0cm; mso-pattern: solid white; mso-shading: windowtext; text-align: left;\"><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\">\u00a0<\/span><\/p>\n<p style=\"background: white; margin-bottom: .0001pt; margin: 0cm; mso-pattern: solid white; mso-shading: windowtext; text-align: left;\"><b style=\"mso-bidi-font-weight: normal;\"><i><u><span lang=\"FR\" style=\"background: white; color: #00b050; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-spacerun: yes;\">\u00a0<\/span>Les Concentr\u00e9 Plaquettaire compatibilis\u00e9\u00a0:<\/span><\/u><\/i><\/b><b style=\"mso-bidi-font-weight: normal;\"><i><\/i><\/b><\/p>\n<p style=\"background: white; margin-bottom: 0cm; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.3pt;\"><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\">\u00a0<\/span><\/p>\n<p style=\"background: white; margin-bottom: 0cm; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.3pt;\"><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-tab-count: 2;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>Pour<span style=\"mso-spacerun: yes;\">\u00a0 <\/span>syst\u00e8me HLA et\/ou HPA<\/span><\/p>\n<p style=\"background: white; margin-bottom: 0cm; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.3pt;\"><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-tab-count: 2;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>Idem ph\u00e9notype plaquette<span style=\"mso-tab-count: 1;\">\u00a0 \u00a0 \u00a0<\/span><\/span><\/p>\n<p style=\"background: white; margin-bottom: .0001pt; margin: 0cm; mso-pattern: solid white; mso-shading: windowtext; text-align: left;\"><b style=\"mso-bidi-font-weight: normal;\"><i><u><span lang=\"FR\" style=\"background: white; color: #00b050; mso-pattern: solid white; mso-shading: windowtext;\">Les Concentr\u00e9 Plaquettaire <span style=\"mso-spacerun: yes;\">\u00a0<\/span>avec autres qualifications et transformations:<\/span><\/u><\/i><\/b><b style=\"mso-bidi-font-weight: normal;\"><i><\/i><\/b><\/p>\n<p style=\"background: white; margin-bottom: .0001pt; margin: 0cm; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 35.4pt;\"><b style=\"mso-bidi-font-weight: normal;\"><i><span lang=\"FR\" style=\"background: white; mso-pattern: solid white; mso-shading: windowtext;\">\u00a0<\/span><\/i><\/b><\/p>\n<p style=\"background: white; margin-bottom: .0001pt; margin: 0cm; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 35.4pt;\"><b style=\"mso-bidi-font-weight: normal;\"><i><span lang=\"FR\" style=\"background: white; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-spacerun: yes;\">\u00a0<\/span>Idem Pour les CGR<\/span><\/i><\/b><\/p>\n<p style=\"background: white; margin-bottom: 0cm; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.3pt;\"><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-tab-count: 1;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>. CMV n\u00e9gatif<\/span><\/p>\n<p style=\"background: white; margin-bottom: 0cm; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.3pt;\"><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-tab-count: 1;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>. Irradi\u00e9es<\/span><\/p>\n<p style=\"background: white; margin: 0cm 0cm 0cm 70.8pt; mso-pattern: solid white; mso-shading: windowtext; text-align: left;\"><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\">. D\u00e9plasmatis\u00e9es\u00a0,<span style=\"mso-spacerun: yes;\">\u00a0 <\/span>mais perte de principe actif et diminution nette du rendement<\/span><\/p>\n<p style=\"background: white; margin: 0cm 0cm 0cm 177.2pt; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: -106.3pt;\"><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\">. Cryoconserv\u00e9es,<span style=\"mso-spacerun: yes;\">\u00a0 <\/span>mais alt\u00e9ration des plaquettes et peu ou pas de recirculation <\/span><\/p>\n<p style=\"background: white; margin-bottom: 0cm; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.3pt;\"><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-tab-count: 1;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span><span style=\"color: #c00000;\">Remarque<\/span> :<\/span><\/p>\n<p style=\"background: white; margin: 0cm 0cm 0cm 106.2pt; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 0.5pt;\"><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\">Ces qualifications ou transformations doivent \u00eatre identiques \u00e0 celles des CGR transfus\u00e9s chez le receveur. <ins style=\"display: block; text-align: center;\" data-ad-client=\"ca-pub-7128425529060798\" data-ad-format=\"fluid\" data-ad-layout=\"in-article\" data-ad-slot=\"8816437527\"><\/ins> <\/span><\/p>\n<p style=\"background: white; margin: 0cm 0cm 0cm 106.2pt; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 0.5pt;\"><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\">\u00a0<\/span><\/p>\n<p style=\"background: white; margin: 0cm 0cm 0cm 106.2pt; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 0.5pt;\"><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\">\u00a0<\/span><\/p>\n<p style=\"background: white; margin-bottom: .0001pt; margin: 0cm; mso-pattern: solid white; mso-shading: windowtext; text-align: left;\"><b style=\"mso-bidi-font-weight: normal;\"><u><span lang=\"FR\" style=\"background: white; color: red; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\">IV &#8211;<span style=\"mso-spacerun: yes;\">\u00a0 <\/span>LE PLASMA FRAIS CONGELE (PFC)\u00a0:<\/span><\/u><\/b><\/p>\n<p style=\"background: white; margin-bottom: .0001pt; margin: 0cm; mso-pattern: solid white; mso-shading: windowtext; text-align: left;\"><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\">\u00a0<\/span><\/p>\n<p style=\"background: white; margin-bottom: .0001pt; margin: 0cm; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 14.2pt;\"><b><span lang=\"FR\" style=\"background: white; color: #0070c0; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\">1 \u2013 Caract\u00e9ristiques\u00a0: <\/span><\/b><\/p>\n<p style=\"background: white; margin-bottom: 0cm; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.3pt;\"><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\">. Un PFC contient un volume<span style=\"mso-spacerun: yes;\">\u00a0 <\/span>de <span style=\"mso-spacerun: yes;\">\u00a0<\/span>200 ml<\/span><\/p>\n<p style=\"background: white; margin-bottom: 0cm; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.3pt;\"><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\">. Conservation 1 an \u00e0 une temp\u00e9rature<span style=\"mso-spacerun: yes;\">\u00a0 <\/span>&lt;<span style=\"mso-spacerun: yes;\">\u00a0 <\/span>&#8211; 25\u00b0C<\/span><\/p>\n<p style=\"background: white; margin-bottom: 0cm; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.3pt;\"><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\">. Facteurs VIII &gt; 0,7 UI\/ml<\/span><\/p>\n<p style=\"background: white; margin-bottom: 0cm; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.3pt;\"><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\">. D\u00e9cong\u00e9lation par EFS sauf protocole particulier<\/span><\/p>\n<p style=\"background: white; margin-bottom: 0cm; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.3pt;\"><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\">. A transfuser dans les 6 Heures apr\u00e8s d\u00e9cong\u00e9lation<\/span><\/p>\n<p style=\"background: white; margin-bottom: 0cm; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.3pt;\"><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\">\u00a0<\/span><\/p>\n<p style=\"background: white; margin: 0cm 0cm 0cm 14.2pt; mso-pattern: solid white; mso-shading: windowtext; text-align: left;\"><b><span lang=\"FR\" style=\"background: white; color: #0070c0; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\">2 &#8211; Indications : 3 uniquement (selon la l\u00e9gislation)<\/span><\/b><\/p>\n<p style=\"background: white; margin: 0cm 0cm 0cm 14.2pt; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.25pt;\"><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-tab-count: 1;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>. CIVD<\/span><\/p>\n<p style=\"background: white; margin: 0cm 0cm 0cm 127.6pt; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: -2cm;\"><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\">. H\u00e9morragie massive avec effondrement de tous les facteurs de coagulation<\/span><\/p>\n<p style=\"background: white; margin: 0cm 0cm 0cm 127.6pt; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: -56.8pt;\"><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\">. D\u00e9ficit complexe en facteurs de la coagulation dont on ne poss\u00e8de pas les fractions coagulantes stables<\/span><\/p>\n<p style=\"background: white; margin-bottom: 0cm; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.3pt;\"><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-tab-count: 3;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>. V\u00a0: Proconvertine<\/span><\/p>\n<p style=\"background: white; margin-bottom: 0cm; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.3pt;\"><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-tab-count: 3;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>. XII\u00a0: Hagueman<\/span><\/p>\n<p style=\"background: white; margin-bottom: 0cm; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.3pt;\"><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-tab-count: 3;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>. (XIII\u00a0: FSF)<\/span><\/p>\n<p style=\"background: white; margin-bottom: 0cm; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.3pt;\"><span lang=\"FR\" style=\"background: white; mso-bidi-font-size: 10.0pt; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-tab-count: 1;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>. Autre indication hors l\u00e9gislation\u00a0: \u00e9changes plasmatiques.<\/span><span style=\"text-indent: 21.3pt;\">\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/span><\/p>\n<p style=\"background: white; margin-left: 21.3pt; mso-pattern: solid white; mso-shading: windowtext; text-align: left;\"><b><span lang=\"FR\" style=\"background: white; color: #0070c0; mso-pattern: solid white; mso-shading: windowtext;\">3 \u2013 Deux<span style=\"mso-spacerun: yes;\">\u00a0 <\/span>produits :<\/span><\/b><\/p>\n<p style=\"background: white; margin-left: 21.3pt; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.3pt;\"><span lang=\"FR\" style=\"background: white; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-tab-count: 1;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span><b style=\"mso-bidi-font-weight: normal;\">&#8211; PFC s\u00e9curis\u00e9 issu d\u2019aph\u00e9r\u00e8se<span style=\"mso-tab-count: 1;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span><\/b><\/span><\/p>\n<p style=\"background: white; margin-left: 21.3pt; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.3pt;\"><span lang=\"FR\" style=\"background: white; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-tab-count: 1;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>&#8211; <b>PVA (viro att\u00e9nu\u00e9)<\/b> <\/span><\/p>\n<p style=\"background: white; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.3pt;\"><b><span lang=\"FR\" style=\"background: white; color: #0070c0; mso-pattern: solid white; mso-shading: windowtext;\">4 &#8211; Transfusion de PFC<\/span><\/b><\/p>\n<p style=\"background: white; margin-left: 21.3pt; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.3pt;\"><span lang=\"FR\" style=\"background: white; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-tab-count: 1;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>&#8211; Respecter la compatibilit\u00e9 ABO plasmatique<span style=\"mso-tab-count: 3;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span><\/span><\/p>\n<p style=\"background: white; border: none; margin-left: 70.8pt; mso-padding-alt: 0cm 0cm 0cm 0cm; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 0cm;\"><span lang=\"FR\" style=\"background: white; mso-pattern: solid white; mso-shading: windowtext;\">&#8211; Si probl\u00e8me de stock : possibilit\u00e9 de transfusion de plasma incompatible (maximum 200 ml\/10 kg)<\/span><\/p>\n<p style=\"text-align: left;\">\n<p style=\"background: white; border: none; mso-padding-alt: 0cm 0cm 0cm 0cm; mso-pattern: solid white; mso-shading: windowtext; text-align: left;\"><span lang=\"FR\" style=\"background: white; mso-pattern: solid white; mso-shading: windowtext;\">\u00a0<\/span><\/p>\n<p style=\"background: white; margin-left: 21.3pt; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: -21.3pt;\"><b style=\"mso-bidi-font-weight: normal;\"><u><span lang=\"FR\" style=\"background: white; color: red; mso-pattern: solid white; mso-shading: windowtext;\">V \u2013 SANG RECONSTITUE<\/span><\/u><\/b><\/p>\n<p style=\"background: white; margin-left: 21.3pt; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: -21.3pt;\"><span lang=\"FR\" style=\"background: white; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-tab-count: 2;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>Reconstitution \u00e0 partir d\u2019un CGR d\u00e9leucocyt\u00e9 et d\u2019un PFC d\u00e9congel\u00e9<\/span><\/p>\n<p style=\"background: white; margin-left: 21.3pt; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: -21.3pt;\"><span lang=\"FR\" style=\"background: white; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-tab-count: 2;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>Caract\u00e9ristiques\u00a0: <\/span><\/p>\n<p style=\"background: white; margin-left: 21.3pt; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: -21.3pt;\"><span lang=\"FR\" style=\"background: white; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-tab-count: 4;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>. Volume\u00a0: environ 350 ml<span style=\"mso-tab-count: 1;\">\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span><\/span><\/p>\n<p style=\"background: white; margin-left: 21.3pt; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: -21.3pt;\"><span lang=\"FR\" style=\"background: white; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-tab-count: 4;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>. Contenu en Hb\u00a0: <\/span><span lang=\"FR\" style=\"background: white; font-family: Symbol; mso-ascii-font-family: Times; mso-char-type: symbol; mso-hansi-font-family: Times; mso-pattern: solid white; mso-shading: windowtext; mso-symbol-font-family: Symbol;\"><span style=\"mso-char-type: symbol; mso-symbol-font-family: Symbol;\">\u00b3<\/span><\/span><span lang=\"FR\" style=\"background: white; mso-pattern: solid white; mso-shading: windowtext;\"> 40 g<\/span><\/p>\n<p style=\"background: white; margin-left: 21.3pt; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: -21.3pt;\"><span lang=\"FR\" style=\"background: white; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-tab-count: 4;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>. H\u00e9matocrite\u00a0: 40 \u00e0 60 %<\/span><\/p>\n<p style=\"background: white; margin-left: 21.3pt; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: -21.3pt;\"><span lang=\"FR\" style=\"background: white; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-tab-count: 4;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>. Conservation\u00a0: 6h \u00e0<span style=\"mso-spacerun: yes;\">\u00a0 <\/span>de +4<span style=\"mso-spacerun: yes;\">\u00a0 <\/span>\u00e0 +20\u00b0C<\/span><\/p>\n<p style=\"background: white; margin-left: 21.3pt; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: -21.3pt;\"><span lang=\"FR\" style=\"background: white; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-tab-count: 4;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>. Ne contient pas de plaquette<\/span><\/p>\n<p style=\"background: white; mso-pattern: solid white; mso-shading: windowtext; text-align: left;\"><span lang=\"FR\" style=\"background: white; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-tab-count: 1;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>Indication\u00a0: exsanguino-transfusion uniquement.<\/span><\/p>\n<h5 style=\"background: white; margin-left: 0cm; mso-pattern: solid white; mso-shading: windowtext; text-align: left;\"><span style=\"font-size: small;\"><b style=\"mso-bidi-font-weight: normal;\"><u><span lang=\"FR\" style=\"background: white; color: red; mso-pattern: solid white; mso-shading: windowtext;\">VI &#8211; LES PRODUITS D\u2019AUTOTRANSFUSION<span style=\"mso-spacerun: yes;\">\u00a0 <\/span>PROGRAMMEE<\/span><\/u><\/b> <\/span><\/h5>\n<p style=\"background: white; margin-left: 21.3pt; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.3pt;\"><span lang=\"FR\" style=\"background: white; mso-pattern: solid white; mso-shading: windowtext;\">\u00a0<\/span><\/p>\n<p style=\"background: white; margin-left: 21.3pt; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.3pt;\"><span lang=\"FR\" style=\"background: white; mso-pattern: solid white; mso-shading: windowtext;\">&#8211; CGR issu de sang total ou d\u2019\u00e9rythrocytaph\u00e9r\u00e8se\u00a0:<\/span><\/p>\n<p style=\"background: white; margin-left: 21.3pt; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.3pt;\"><span lang=\"FR\" style=\"background: white; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-tab-count: 1;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>. Non d\u00e9leucocyt\u00e9 en g\u00e9n\u00e9ral si issu de sang total<\/span><\/p>\n<p style=\"background: white; margin-left: 21.3pt; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.3pt;\"><span lang=\"FR\" style=\"background: white; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-tab-count: 1;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>. Volume variable<\/span><\/p>\n<p style=\"background: white; margin-left: 21.3pt; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.3pt;\"><span lang=\"FR\" style=\"background: white; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-tab-count: 1;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>. Contenu en Hb variable<span style=\"mso-tab-count: 2;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span><\/span><\/p>\n<p style=\"background: white; margin-left: 21.3pt; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.3pt;\"><span lang=\"FR\" style=\"background: white; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-tab-count: 1;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>. Conservation identique au CGR homologue (42 jours)<\/span><\/p>\n<p style=\"background: white; margin-left: 21.3pt; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.3pt;\"><span lang=\"FR\" style=\"background: white; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-tab-count: 1;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span><\/span><\/p>\n<p style=\"background: white; margin-left: 21.3pt; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.3pt;\"><span lang=\"FR\" style=\"background: white; mso-pattern: solid white; mso-shading: windowtext;\">&#8211; PFC g\u00e9n\u00e9ralement issu de sang total<\/span><\/p>\n<p style=\"background: white; margin-left: 21.3pt; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.3pt;\"><span lang=\"FR\" style=\"background: white; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-tab-count: 1;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>. Conservation : 42 jours \u00e0 une temp\u00e9rature<span style=\"mso-spacerun: yes;\">\u00a0 <\/span>&lt;<span style=\"mso-spacerun: yes;\">\u00a0 <\/span>&#8211; 25\u00b0C<\/span><\/p>\n<p style=\"background: white; margin-left: 21.3pt; mso-pattern: solid white; mso-shading: windowtext; text-align: left; text-indent: 21.3pt;\"><span lang=\"FR\" style=\"background: white; mso-pattern: solid white; mso-shading: windowtext;\"><span style=\"mso-tab-count: 1;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>. Dur\u00e9e de conservation apr\u00e8s d\u00e9cong\u00e9lation : 72 heures par l\u2019EFS<\/span><\/p>\n<p style=\"background: white; font-size: 12pt; text-align: left;\"><span lang=\"FR\" style=\"background: white; mso-pattern: solid white; mso-shading: windowtext;\">\u00a0<\/span><\/p>\n<p style=\"background: white; font-size: 12pt; margin-left: 21.3pt; text-indent: -21.3pt; text-align: left;\"><span lang=\"FR\" style=\"background: white; mso-pattern: solid white; mso-shading: windowtext;\">\u00a0<\/span><\/p>\n<p style=\"font-size: 12pt; text-align: left;\"><span lang=\"FR\">\u00a0<\/span><\/p>\n<p style=\"text-align: left;\">\n<p style=\"font-size: 12pt; text-align: left;\">\n<p style=\"text-align: left;\">\n<div style=\"text-align: left;\"><\/div>\n<p style=\"text-align: left;\">\n<p style=\"text-align: left;\">\n<div style=\"text-align: left;\">Le site www.avo6.com propose un contenu \u00e9ditorial pour pr\u00e9server au mieux sa sant\u00e9. Des conseils et astuces qui vous accompagneront dans votre quotidien autour de la nutrition, les m\u00e9dicaments, beaut\u00e9, les analyses m\u00e9dicales, le bien-\u00eatre et les actualit\u00e9s m\u00e9dicales.<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Apr\u00e8s avoir \u00e9t\u00e9 collect\u00e9s, les produits sanguins sont d\u00e9leucocyt\u00e9s, puis test\u00e9s et pr\u00e9par\u00e9s en vue de leur utilisation th\u00e9rapeutique. Deux&hellip;<\/p>\n","protected":false},"author":2,"featured_media":132,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0},"categories":[2],"tags":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/avo6.com\/index.php?rest_route=\/wp\/v2\/posts\/20"}],"collection":[{"href":"https:\/\/avo6.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/avo6.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/avo6.com\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/avo6.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=20"}],"version-history":[{"count":3,"href":"https:\/\/avo6.com\/index.php?rest_route=\/wp\/v2\/posts\/20\/revisions"}],"predecessor-version":[{"id":711,"href":"https:\/\/avo6.com\/index.php?rest_route=\/wp\/v2\/posts\/20\/revisions\/711"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/avo6.com\/index.php?rest_route=\/wp\/v2\/media\/132"}],"wp:attachment":[{"href":"https:\/\/avo6.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=20"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/avo6.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=20"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/avo6.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=20"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}