Coagulation intravasculaire disséminée (CIVD)
De médecine.top
Révision datée du 10 avril 2020 à 11:30 par Julien (discussion | contributions)
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
