{"id":22622,"date":"2018-11-07T17:47:34","date_gmt":"2018-11-07T16:47:34","guid":{"rendered":"https:\/\/saintjoseph.agepcom.fr\/?post_type=service&#038;p=12414"},"modified":"2022-04-21T15:53:35","modified_gmt":"2022-04-21T13:53:35","slug":"thrombose-veineuse-ou-phlebite","status":"publish","type":"service","link":"https:\/\/devhml.givememore.net\/specialites\/medecine-vasculaire-phlebologie\/pathologies\/thrombose-veineuse-ou-phlebite\/","title":{"rendered":"Thrombose veineuse ou phl\u00e9bite"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\" id=\"liee-a-la-formation-d-un-caillot-thrombus-dans-une-veine-profonde-de-la-jambe-le-plus-souvent\">Li\u00e9e \u00e0 la formation d\u2019un caillot (thrombus) dans une veine profonde (de la jambe le plus souvent)<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Elle se traduit par un <strong>\u0153d\u00e8me<\/strong> douloureux. Les veines superficielles peuvent aussi \u00eatre le si\u00e8ge de caillot, se manifestant par un cordon indur\u00e9, rouge et douloureux. La phl\u00e9bite superficielle peut se compliquer par une extension \u00e0 une veine profonde.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"le-diagnostic-doit-etre-confirme-aussi-rapidement-que-possible\">Le diagnostic doit \u00eatre confirm\u00e9 aussi rapidement que possible :<\/h3>\n\n\n\n<ul class=\"wp-block-list\"><li>dosage des D-dim\u00e8res par une simple prise de sang ; s\u2019ils sont n\u00e9gatifs, le diagnostic de phl\u00e9bite peut \u00eatre \u00e9limin\u00e9<\/li><li>r\u00e9alisation d\u2019un \u00e9cho-Doppler \u00e0 la recherche du caillot dans la veine<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">En fonction de la probabilit\u00e9 de l\u2019existence d\u2019une <strong>embolie pulmonaire<\/strong> associ\u00e9e, un angioscanner des vaisseaux pulmonaires recherchera directement les caillots dans les art\u00e8res pulmonaires ou une scintigraphie (inhalation d\u2019un produit radioactif avec photos par une cam\u00e9ra sp\u00e9ciale) recherchera un trouble de l\u2019irrigation du poumon (d\u00e9fect de perfusion).<br>Comme pour la phl\u00e9bite, le dosage des D-dim\u00e8res permet d\u2019\u00e9liminer une embolie pulmonaire si le taux est n\u00e9gatif.<br>Un bilan \u00e0 la recherche d\u2019une cause ayant pu favoriser la thrombose sera r\u00e9alis\u00e9 en fonction du contexte de survenue.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Le traitement repose sur les <strong>anticoagulants<\/strong> \u00e0 d\u00e9buter d\u00e8s la suspicion diagnostique, en l\u2019absence de contre-indications. Le traitement d\u00e9bute avec des injections d\u2019h\u00e9parine. Le relais est pris si possible d\u00e8s le premier jour pas des comprim\u00e9s d\u2019anticoagulants (anti-vitamines K). Le traitement durera plusieurs semaines mais pourra varier d\u2019un patient \u00e0 l\u2019autre. Le traitement anticoagulant n\u00e9cessite une surveillance biologique r\u00e9guli\u00e8re par l\u2019INR.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Li\u00e9e \u00e0 la formation d\u2019un caillot (thrombus) dans une veine profonde (de la jambe le plus souvent) Elle se traduit par un \u0153d\u00e8me douloureux. Les veines superficielles peuvent aussi \u00eatre le si\u00e8ge de caillot, se manifestant par un cordon indur\u00e9, rouge et douloureux. La phl\u00e9bite superficielle peut se compliquer par une extension \u00e0 une veine [&hellip;]<\/p>\n","protected":false},"author":25,"featured_media":0,"parent":18545,"menu_order":6,"template":"","meta":{"_acf_changed":false,"advgb_blocks_editor_width":"","advgb_blocks_columns_visual_guide":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":null,"stick-header-meta":null,"header-above-stick-meta":null,"header-main-stick-meta":null,"header-below-stick-meta":null,"astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"etablissements":[],"services":[],"class_list":["post-22622","service","type-service","status-publish","hentry"],"acf":[],"featured_img":false,"coauthors":[],"author_meta":{"author_link":"https:\/\/devhml.givememore.net\/author\/usersync\/","display_name":"usersync"},"relative_dates":{"created":"Publi\u00e9 8 ans il y a","modified":"Mis \u00e0 jour 4 ans il y a"},"absolute_dates":{"created":"Publi\u00e9 le 7 novembre 2018","modified":"Mise \u00e0 jour le 21 avril 2022"},"absolute_dates_time":{"created":"Publi\u00e9 le 7 novembre 2018 17 h 47 min","modified":"Mise \u00e0 jour le 21 avril 2022 15 h 53 min"},"featured_img_caption":"","tax_additional":{"etablissements":{"linked":[],"unlinked":[],"slug":"etablissements","name":"\u00c9tablissements"},"services":{"linked":[],"unlinked":[],"slug":"services","name":"Services"}},"series_order":"","_links":{"self":[{"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/service\/22622","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/service"}],"about":[{"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/types\/service"}],"version-history":[{"count":1,"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/service\/22622\/revisions"}],"predecessor-version":[{"id":22634,"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/service\/22622\/revisions\/22634"}],"up":[{"embeddable":true,"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/service\/18545"}],"wp:attachment":[{"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/media?parent=22622"}],"wp:term":[{"taxonomy":"etablissements","embeddable":true,"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/etablissements?post=22622"},{"taxonomy":"services","embeddable":true,"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/services?post=22622"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}