Différences entre versions de « Coagulation intravasculaire disséminée (CIVD) »
De médecine.top
| Ligne 20 : | Ligne 20 : | ||
|- | |- | ||
| Thrombocytes | | Thrombocytes | ||
| − | | | + | | ≤ 100 G/l |
| 1 | | 1 | ||
|- | |- | ||
| | | | ||
| − | | | + | | ≤ 50 G/l |
| 2 | | 2 | ||
|- | |- | ||
| Ligne 36 : | Ligne 36 : | ||
|- | |- | ||
| Fibrinogène | | Fibrinogène | ||
| − | | | + | | ≤ 1 g/l |
| 1 | | 1 | ||
|- | |- | ||
Version du 6 janvier 2021 à 10:24
Etiologie[1]
- Sepsis and severe infection e.g. meningococcemia
- Trauma e.g. severe head injury
- Organ destruction e.g. pancreatitis, brain injury, burns
- Malignancy solid tumors, promyelocytic leukaemia
- Obstetric complications amniotic fluid embolism, placental abruption, pre-eclampsia
- Vascular abnormalities: large haemangiomata, vascular aneurysm
- Severe liver failure
- Toxic insults: snake bite, recreational drugs
- Immunological insults: ABO transfusion incompatibility, transplant rejection
- Purpura fulminans
Diagnostic
- Clinique et
- Biologique
| Paramètre[2] | Valeur | Points |
|---|---|---|
| Thrombocytes | ≤ 100 G/l | 1 |
| ≤ 50 G/l | 2 | |
| TP | < 60% | 1 |
| < 45% | 2 | |
| Fibrinogène | ≤ 1 g/l | 1 |
| Marqueurs de la fibrinolyse | > 1000 ng/ml | 2 |
| > 4000 ng/ml | 3 |
- Critères ISTH pour CIVD: https://www.mdcalc.com/isth-criteria-disseminated-intravascular-coagulation-dic
