!"#$%&%'()&*')+#&,-./+01#&,2/3('%)24"#&#)&*')+#&)+/2)#.#()&5&
6'$78(-#&./+4"-#&01#9&"(&3'$,#(&+#)+2#*#+&,#&:&/(%&
&
;(&<'$,#(&+#)+2#*#+&0/%)+-&,#&:&/(%&#%)&+-=-+-&/"&>?@&8'"+&8'$78(-#&#)&%23(#&,"&
=$')&8'%2)2=A&B#%&+/,2'3+/812#%&)1'+/024"#%&+-/$2%-#%&01#9&$#&*-)-+2(/2+#&)+/2)/()&.#))#()&
#(&-*2,#(0#&"(#&%2$1'"#))#&0/+,2/4"#&./$&,-$2.2)-#&#(&+/2%'(&,C"(&-8/(01#.#()&8$#"+/$A&
;(&/(&/"8/+/*/()&0#&8/)2#()&/*/2)&-)-&)+/2)-&8'"+&"(&-8/(01#.#()&8-+20/+,24"#&8/+&
8-+20/+,2'0#()1D%#&#)&/,.2(2%)+/)2'(&,#&="+'%-.2,#&#)&,#&0'+)20'E,#%&F&,'%#%&
,-3+#%%2*#%A&&
&
B'+%&,#&$C#G/.#(&0$2(24"#&/"&.'.#()&,#&$C/,.2%%2'(H&"(#&8'$78(-#&#)&"(#&
)/0170/+,2#&I#(*2+'(&JKL&M/))#.#()%&8/+&.2(")#N&%'()&8+-%#()#%H&/2(%2&4"#&,#%&M+"2)%&
0/+,2/4"#%&/%%'"+,2%A&B#%&*#2(#%&O"3"$/2+#%&%'()&,2%)#(,"#%H&#)&"(&8'"$%&O"3"$/2+#&
+-)+'3+/,#&#%)&,-)#0)-A&
&
BC-01'0/+,2'3+/812#&8#+.#)&,#&0'(=2+.#+&"(&&-8/(01#.#()&8-+20/+,24"#A&B#%&
)#.8%&,#&0'/3"$/)2'(&I6PQP!&#)&&/6PPQP>RN&#)&$#&M2$/(&%/(3"2(&I1-.'3+/..#H&M2$/(&
M2'012.24"#N&%'()&,/(%&$#%&*/$#"+%&"%"#$$#%A&BC-01'3+/812#&/M,'.2(/$#&.#)&#(&-*2,#(0#&
"(#&1-8/)'.-3/$2#&#)&$/&8+-%#(0#&,C"(&$24"2,#&4"2H&/8+D%&8'(0)2'(&#)&/(/$7%#H&%C/*D+#&
S)+#&"(&)+/(%%",/)&.',2=2-&IT&3Q,B&,#&8+')-2(#%H&,#(%2)-&,#&JHLULH&8/%&,#&M/0)-+2#%&'"&,#&
0#$$"$#%&*2%2M$#%NA&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
!"#$%&'($)
&
JQ&V(&3-(-+/$H&4"#$%&%'()&$#%&-$-.#()%&4"2&8#+.#))#()&,#&%"%8#0)#+&"(&-8/(01#.#()&
8-+20/+,24"#&5&&!"#$%&%'()&$#%&2()-+S)%&F&+-/$2%#+&"(#&-01'0/+,2'3+/812#&$'+%&,#&%"%8202'(&
,C-8/(01#.#()&8-+20/+,24"#&5&!"C#%)W0#&4"C"(#&)/.8'((/,#&0/+,2/4"#&5&&V%)W0#&4"C"(#&
)/.8'((/,#&#%)&8+-%#()#&,/(%&0#&0/%&F&$/&*"#&,#&$C-01'0/+,2'3+/812#&5&
&
UQ&!"#$$#%&%'()&$#%&0/"%#%&,C-8/(01#.#()&)+20/*2)/2+#&5&!"#$$#%&0/"%#%&8#"*#()&S)+#&
#G0$"#%&8'"+&0#&0/%&5)
&
XQ&Y"&*"&,#%&+-%"$)/)%H&4"#$&)+/2)#.#()&8+'8'%#+2#9W*'"%&&5&
&
*#+'($#$)
&
&
JQ& #,) -.,./01) 23415) 56,7) 145) .1.84,75) 239) :4/84774,7) ;4) 535:4<74/) 3,)
.:0,<=484,7):./9<0/;9234)>&
&
B#%& 0'..-.'+/)2=%& #)& $C/(/.(D%#&,#&0#)& /(2./$& 8#"*#()& =/2+#& 8#(%#+& F& "(&
-8/(01#.#()& 8-+20/+,24"#& ,/(%& $#& %#(%& 'Z& 2$%& %'()& 0#"G& ,C"(#& 2(%"==2%/(0#& 0/+,2/4"#&
,+'2)#A& >#8#(,/()H& $#%& %23(#%& %'()& )+'8& 8#"& 0/+/0)-+2%)24"#%& [& $-)1/+32#H& 2()'$-+/(0#& F&
$C#=='+)H&,2==20"$)-%&+#%82+/)'2+#%H&8#+)#&,#&8'2,%&#)&"(#&,2%)#(%2'(&/M,'.2(/$#&IJNA&\$&=/")&
(')#+& 4"C2$& #G2%)#& "(#& 8+-,2%8'%2)2'(& 8/+)20"$2D+#& ,#%& <'$,#(& ]#)+2#*#+& 8'"+& $#%&
-8/(01#.#()%&8-+20/+,24"#&I)'")#%&-)2'$'32#%&0'(='(,"#%NA&
BC#G/.#(& 0$2(24"#H& $"2& ('(& 8$"%H& (C#%)& 8/%& 8/)1'3('.'(24"#A& >#8#(,/()H& #(&
8+-%#(0#&,#&M+"2)%&0/+,2/4"#%&/%%'"+,2%H&,#&*#2(#%&O"3"$/2+#%&,2%)#(,"#%&#)&,C"(&8'"$%&
8/+/,'G/$&I8'"$%&=-.'+/$&.'2(%&='+)&8#(,/()&$C2(%82+/)2'(NH&$/&%"%8202'(&,C-8/(01#.#()&
8-+20/+,24"#&#%)&='+)#&IJNA&&
>#8#(,/()& )'"%& $#%& 012#(%& /*#0& -8/(01#.#()& 8-+20/+,24"#& (C'()& 8/%& ='+0-.#()& "(#&
/"%0"$)/)2'(&0/+,2/4"#&/('+./$#&I$#%&M+"2)%&0/+,2/4"#%&8#"*#()&S)+#&('+./"GNA&B#&8$"%&
%'"*#()H&./2%&8/%&%7%)-./)24"#.#()H&"(#&)/0170/+,2#H&"(#&)/0178(-#&#)Q'"&,#&$C/%02)#&
%'()&8+-%#()%&IJNA&
B'+%& ,C-8/(01#.#()& 8-+20/+,24"#H&,#%&.',2=20/)2'(%&,#&$CV><&8#"*#()&S)+#&
8+-%#()#%A& >#%& /('./$2#%& %#& 0/+/0)-+2%#()& 8/+& "(& 178'*'$)/3#& ,#%& 0'.8$#G#%& !]^&
I2(=-+2#"+%& F& J& .@N& ,/(%& #(*2+'(& _L& `& ,#%& 0/%& #)& F& "(#& /$)#+(/(0#& -$#0)+24"#& I,"#& /"&
a&M/$/(0#.#()&b&,"&0c"+&,/(%&$#&%/0&8-+20/+,24"#N&4"2&#%)&8+-%#()#&,/(%&T&F&TL&`&,#%&
0/%&I0=A&V><&d&8+-%#()-&,/(%&$/&=23"+#&JNA&;(#&)/0170/+,2#&%2("%/$#&#%)&%'"*#()&'M%#+*-#A&
V$$#&8#")&S)+#&/%%'02-#&'"&('(&F&&,#%&/+7)1.2#%&/"+20"$/2+#%&'"&*#()+20"$/2+#%&&(2)A&Y2(%2H&
$C#G/.#(& V><& #%)& "(& #G/.#(& ,C"(#& %#(%2M2$2)-& .-,2'0+#& 8'"+& $#& ,2/3('%)20&
,C-8/(01#.#()&8-+20/+,24"#A&eS.#&%2&%/&%8-02=202)-&I(')/..#()&#(&0#&4"2&0'(0#+(#&$#%&
/$)#+(/(0#%& -$#0)+24"#%N& #%)& .#2$$#"+#H& $#%& /('./$2#%& +#(0'()+-#%& (#& %'()& 8/%&
8/)1'3('.'(24"#%A&&IJNA&&
&
f23"+#&J&[&V><&Y&('+./$&#)&V><&d&/*#0&/$)#+(/(0#%&-$#0)+24"#%&I#()'"+-#%N&
B#%& +/,2'3+/812#%& )1'+/024"#%& .#))#()& 3-(-+/$#.#()& #(& -*2,#(0#& "(& 0c"+& ,#&
='+.#& 3$'M"$#"%#& I(')/..#()& #(& *"#& ,#& =/0# (2))H& ,#& )/2$$#& /"3.#()-#& #)& /*#0& ,#%&
0'()'"+%& M2#(& ./+4"-%H& %/"=& $'+%4"C"(& -8/(01#.#()& 8$#"+/$& #%)& /%%'02-A& >#)& #G/.#(&
,C2./3#+2#& (#& 8#+.#)& 0#8#(,/()& 8/%& ,#& 0'(=2+.#+& "(& -8/(01#.#()& 8-+20/+,24"#&[& 2$&
8#+.#)&,C-.#))+#&"(#&='+)#&%"%8202'(&IJNA&V(&#==#)H&%"+&"(#&+/,2'3+/812#&)1'+/024"#H&"(#&
%2$'"1#))#& 0/+,2/4"#& 3$'M"$#"%#& (#& 8#+.#)& 8/%& ,#& ,2==-+#(02#+& "(& -8/(01#.#()&
8-+20/+,24"#&,C"(#&0/+,2'8/)12#&#(&%)/,#&/*/(0-A (3)&
B#& a&3'$,& %)/(,/+,&b& 8#+.#))/()& ,C-)/M$2+& "(&,2/3('%)20&,#&0#+)2)",#&
,C-8/(01#.#()&8-+20/+,24"#&#%)&$C-01'0/+,2'3+/812#A&
&
!3415) 56,7) 145) 9,7./?75) @) /.01954/) 3,4) .<=6<0/;96-/0:=94) 16/5) ;4) 535:9<96,)
;A.:0,<=484,7):./9<0/;9234)>)&
&
B'+%& ,#& %"%8202'(& ,g-8/(01#.#()& 8-+20/+,24"#H& $C-01'0/+,2'3+/812#& 8#+.#)&,#&
0'(=2+.#+& #)& -*/$"#+& $/& %-*-+2)-& ,#& $C-8/(01#.#()& 8-+20/+,24"#&I*2%"/$2%/)2'(&,#&0#%&
-8/(01#.#()%&,D%&JLWJ_&.BNA (1)&
BC/(/$7%#& ,#& 0#)& -8/(01#.#()& #%)& "(#& -)/8#& ,-)#+.2(/()#& 8'"+& $#& ,2/3('%)20& ,#& $/&
8-+20/+,2)#&2(=#0)2#"%#&IM/0)-+2#((#N&'"&,#&$7.81'.#%A&>#)&#G/.#(&#%)&8/+&0'()+#&8#"&
%#(%2M$#& 8'"+& & $/& .2%#& #(& -*2,#(0#& ,#& 0#$$"$#%& )".'+/$#%& I.-%')1-$2'.#%& '"&
1-./(32'%/+0'.#%& (')/..#()N& 0/+& $#%& 0#$$"$#%& (-'8$/%24"#%& (#& ,#%4"/.#()& 8/%&
=+-4"#..#()A& B#& 8$"%& %'"*#()& $#%& -8/(01#.#()%& 8-+20/+,24"#%& ,"& 012#(& %'()&,#%&
)+/(%%",/)%&.',2=2-%&I8#"Q8/%&,#&0#$$"$#%H&,#(%2)-&%"8-+2#"+#&F&JHLJ_H&0'(0#()+/)2'(&#(&
8+')-2(#%& %"8-+2#"+#& F& X3Q,BH& 8/%& ,#& M/0)-+2#%NA& h/(%& 4"#$4"#%& 0/%& 2$& 8#")& %C/32+& ,C"(&
#G%",/)&I8+-%#(0#&,#&M/0)-+2#%&#)&,#&8$"%&,#&XLLL&0#$$"$#%&Q&iBH&.S.#&0+2)D+#%&8'"+&$#%&
8+')-2(#%&#)&$/&,#(%2)-NA&;(#&-)2'$'32#&2(=#0)2#"%#&#%)&/$'+%&$/&8$"%&8+'M/M$#&&4"C2$&%C/32%%#&
,C"(#&'+232(#&1-./)'3D(#H&'"&,#&$/&.23+/)2'(&,C"(&0'+8%&-)+/(3#+A (2)&
&
BC-01'3+/812#& 8#+.#)& /"%%2& ,C#==#0)"#+& "(#& 8'(0)2'(& -01'3"2,-#& 8'"+& ,2.2("#+& $#&
*'$".#&,"&$24"2,#&,C-8/(01#.#()&$'+%&,#&)/.8'((/,#A&&
&
B/& .2%#& #(& -*2,#(0#& ,#& ./%%#I%N&#%)&8'%%2M$#&8/+&-01'0/+,2'3+/812#A&B/&0'"8#&
8/+/%)#+(/$#&,+'2)#&#%)&$/&8$"%&")2$#A&>#8#(,/()&$#%&./%%#%&,#&$C/)+2".&,+'2)&(')/..#()&
$'+%&,C1-./(32'%/+0'.#&%'()&.2#"G&*2%"/$2%/M$#%&/*#0&"(#&0'"8#&8/+/%)#+(/$#&3/"01#A&
BC/M%#(0#&,#&./%%#&*2%2M$#&F&$C-01'0/+,2'3+/812#&(#&8#+.#)&8/%&,C-$2.2(#+&"(&8+'0#%%"%&
(-'8$/%24"#&,#%&178')1D%#%&0/+&[&
W 0#+)/2(#%& ./%%#%& %'()& ,2==202$#%& F& .#))+#& #(& -*2,#(0#A& B/& %#(%2M2$2)-& ,#&
$C-01'0/+,2'3+/812#&#%)&$2-#&F&$C#G8-+2#(0#&,#&$C'8-+/)#"+&(1 ; 4).&
W 0#+)/2(%& 8+'0#%%"%& (-'8$/%24"#%& (#& 8#"*#()& 8/%& S)+#& ,2/3('%)24"-%& 8/+&
-01'0/+,2'3+/812#& I0/%& ,#%& .-%')1-$2'.#%& (')/..#()NA& ;(#& M2'8%2#& #)& "(#&
/(/$7%#&12%)'$'324"#&%'()&/$'+%&(-0#%%/2+#%A&&&&&&&
B/&8+-%#(0#&,#&$24"2,#&,/(%&$#&%/0&8-+20/+,24"#&=/02$2)#&$C#G/.#(&-01'3+/8124"#&[&,/(%&$/&
.#%"+#& ,"& 8'%%2M$#& I,'(0& %#$'(& $/& %)/M2$2)-& ,"& 8/)2#()N& $/& +#01#+01#& ,#& ./%%#I%N& ,'2)&
S)+#&+-/$2%-#&/*/()&8'(0)2'(&,"&$24"2,#A&&
\$&#%)&/"%%2&2()-+#%%/()&,C#==#0)"#+&"(&,'%/3#&,#&$/&)+'8'(2(#&\&/*/()&,#&8'(0)2'((#+&$#&
$24"2,#A& V(& #==#)H& "(#& -)",#& /& ,-.'()+-& 4"C"( -8/(01#.#()& 8-+20/+,24"#& %#0'(,/2+#& F&
"(&1-./(32'%/+0'.#&0/+,2/4"#&#%)&/%%'02-&F&"(#&0'(0#()+/)2'(&%/(3"2(#&#(&)+'8'(2(#&\&
%"8-+2#"+#& F& 0#$$#& .#%"+-#& $'+%& ,C-8/(01#.#()& 8-+20/+,24"#& ,j& F& "(#& 8-+20/+,2)#&
2,2'8/)124"#&IUHkk&(3Q.B&#(&.'7#((#&&ILHLl&#)&KkHJ:&(3Q.BN&0'()+#&LHLX&F&LHLl&(3Q.BN&
(5)A& >#)& #G/.#(& #%)& .S.#& 8$"%& %#(%2M$#& 4"#& $C-01'0/+,2'3+/812#& 8'"+& ,-)#0)#+& "(&
1-./(32'%/+0'.#&[& >#+)/2(%& 012#(%& (#& 8+-%#()/()& 8/%& ,#& %23(#%& -01'0/+,2'3+/8124"#%&
,C1-./(32'%/+0'.#& ./2%& "(#& 0'(0#()+/)2'(& %-+24"#& #(& )+'8'(2(#& -$#*-#& '()& #"& "(&
1-./(32'%/+0'.#&,-0'"*#+)&F&$C12%)'$'32#&I_NA&&
&
f2(/$#.#()H&'(&8'"++/&/"%%2&*-+2=2#+&%2&"(&-8/(01#.#()&8$#"+/$&#%)&8+-%#()H&0#&4"2&,'((#&
"(#&2,-#&%"+&$/&3+/*2)-&#)&$/&01+'(202)-&,#&$/&8/)1'$'32#&I$'+%&,C-8/(01#.#()&8-+20/+,24"#&
01#9&$#&012#(H&$C/%02)#&/88/+/m)&/*/()&$C-8/(01#.#()&8$#"+/$NA&
&
!3A457B<4) 23A3,4) 708:6,,0;4)<0/;90234)>) V%)W0#& 4"C"(#& )/.8'((/,#& #%)& 8+-%#()#&
,/(%&0#&0/%&F&$/&*"#&,#&$C-01'0/+,2'3+/812#5)
)
)
&
;(#& )/.8'((/,#& 0/+,2/4"#& #%)& 8+-%#()#& $'+%4"C"(& -8/(01#.#()& 8-+20/+,24"#&&
8+'*'4"#& "(#& 8+#%%2'(& 2()+/W8-+20/+,24"#& %"8-+2#"+#& F& $/& 8+#%%2'(& ,2/%)'$24"#& ,#&
$C/)+2".&,+'2)&I,'(0&%"8-+2#"+#&F&KW:&..?3&N (6)A&&
&
B#&*'$".#&,C-8/(01#.#()&8-+20/+,24"#&#()+/2(/()&"(#&)/.8'((/,#&8#")&S)+#&)+D%&
*/+2/M$#& ,C"(& /(2./$& F& $C/")+#A& >#02& ,-8#(,& ,#& $/& +/82,2)-& ,C/00"."$/)2'(& ,#&
$C-8/(01#.#()&#)&,#& $/&=2M+'%#Q8#+)#&,C-$/%)202)-&,"&8-+20/+,#A&VG8-+2.#()/$#.#()H&,#%&
*'$".#%& ,#& UL& F& JLL& .B& 2(O#0)-%& ,/(%& $C#%8/0#& 8-+20/+,24"#& '()& 8"& 8+'*'4"#+& "(#&
)/.8'((/,#A& B'+%& ,#& 81-('.D(#& 01+'(24"#H& ,#%& *'$".#%& O"%4"CF& U& $2)+#%& I3+/(,#%&
+/0#%N&8#"*#()&S)+#&8+-%#()%&/"&.'.#()&'Z&"(#&)/.8'((/,#&%#&,-*#$'88# (6)A&&
&
B'+%&,#&)/.8'((/,#&$/&8+#%%2'(&,"&$24"2,#& ,C-8/(01#.#()&#()+/2(#&"(&,-=/")&,#&
+#.8$2%%/3#&,#&$C'+#2$$#&,+'2)#&$'+%&,#&$/&,2/%)'$#A&Y"&,-8/+)&0#&81-('.D(#&#%)&0'.8#(%-&
8/+& "(#& 1/"%%#& ,#& $/& =+-4"#(0#& 0/+,2/4"#& #)& ,#& $/& +-%2%)/(0#& 8-+281-+24"#A& B'+%4"#& $/&
8+#%%2'(&,#*2#()&)+'8&='+)#H&$#&+#.8$2%%/3#&,"&0c"+&3/"01#&#%)&8#"&F&8#"&0'.8+'.2%A&B/&
M/2%%#&,"&,-M2)&0/+,2/4"#&#)&,#&$/&8+#%%2'(&/+)-+2#$$#&#()+/2(#&"(&01'0&0/+,2'3-(24"#[&2$&
%C/32)&,'(0&,C"(#&"+3#(0#&*2)/$# (6).
h/(%&0#&0/%H&$C-01'3+/812#&+-/$2%-#&.#)&M2#(&#(&-*2,#(0#&"(#&)/.8'((/,#&
0/+,2/4"#&I8/+'2&/)+2/$#&,+'2)#&0'(0/*#H&0=A&=$D01#&M$#"&%"+&$C2./3#&,C-01'0/+,2'3+/812#&
+-/$2%-#NA&
&
&
Ici l’échographie met en évidence une tamponnade (cf flèche)
CD) !341145) 56,7) 145) <03545) ;A.:0,<=484,7) 7/9<0E9709/4)>) !341145) <03545) :43E4,7)
?7/4)4F<1345):63/)<4)<05>)
&
B#%&0/"%#%&,C-8/(01#.#()&)+2W0/*2)/2+#&%'()&$#%&%"2*/()#%&I,/(%&$C'+,+#&,#%&178')1D%#%&
$#%&8$"%&=+-4"#()#%&,/(%&0#&0/%N&[&
1 / 9 100%
La catégorie de ce document est-elle correcte?
Merci pour votre participation!

Faire une suggestion

Avez-vous trouvé des erreurs dans linterface ou les textes ? Ou savez-vous comment améliorer linterface utilisateur de StudyLib ? Nhésitez pas à envoyer vos suggestions. Cest très important pour nous !