{"id":1901,"date":"2010-10-01T01:00:00","date_gmt":"2010-10-01T00:00:00","guid":{"rendered":"https:\/\/angh.net\/abstracts\/hemodilution-post-hemorragie-quelle-cinetique-quelle-importance\/"},"modified":"2018-10-20T18:39:55","modified_gmt":"2018-10-20T16:39:55","slug":"hemodilution-post-hemorragie-quelle-cinetique-quelle-importance","status":"publish","type":"post","link":"https:\/\/angh.net\/abstracts\/hemodilution-post-hemorragie-quelle-cinetique-quelle-importance\/","title":{"rendered":"H\u00e9modilution post-h\u00e9morragie : quelle cin\u00e9tique ? quelle importance ?"},"content":{"rendered":"<p><strong>2010<\/strong><\/p>\n<p><em>Arnaud Pauwels, Agathe Chantal Simo, Abdelkrim Medini, Claire Lecouillard-Trilling, Catherine Pannetier, Val\u00e9rie Dhalluin-Venier, Dominique Agard<br \/>\nService d\u2019H\u00e9pato-Gastroent\u00e9rologie, Centre Hospitalier, BP 30071, 95503 GONESSE Cedex<\/em><\/p>\n<p><strong>H\u00e9patologie <\/strong>&#8211; \u00a02010-09-03 &#8211;\u00a0CO &#8211;<\/p>\n<p>________________________________<\/p>\n<p>Lors d\u2019une h\u00e9morragie, la perte de sang est compens\u00e9e simultan\u00e9ment par une vasoconstriction et par un transfert de liquide de l\u2019espace interstitiel vers l\u2019espace vasculaire afin de maintenir la pression art\u00e9rielle. Au d\u00e9cours, la vasoconstriction se l\u00e8ve progressivement tandis que s\u2019accentue l\u2019h\u00e9modilution. Il en r\u00e9sulte que le taux d\u2019h\u00e9moglobine continue de diminuer alors m\u00eame que l\u2019h\u00e9morragie est interrompue. Ce ph\u00e9nom\u00e8ne est bien connu, mais sa cin\u00e9tique et son importance en clinique restent mal \u00e9valu\u00e9es.<\/p>\n<p>Patients et m\u00e9thodes : Pour \u00eatre inclus dans cette \u00e9tude r\u00e9trospective, les patients devaient satisfaire les crit\u00e8res suivants : 1) h\u00e9morragie digestive haute jug\u00e9e significative (h\u00e9mat\u00e9m\u00e8se franche et\/ou m\u00e9l\u00e9na) ; 2) d\u00e9lai h\u00e9morragie-admission &lt; 24h ; 3) h\u00e9morragie non active \u00e0 l\u2019admission ; 4) absence de saignement actif lors de l\u2019endoscopie ; 5) absence de signes endoscopiques pr\u00e9dictifs de r\u00e9cidive h\u00e9morragique pr\u00e9coce ; 6) absence de r\u00e9cidive h\u00e9morragique clinique ; 7) suivi pendant au moins 4 jours sans transfusion. L\u2019\u00e9volution du taux d\u2019h\u00e9moglobine de J1 (admission) \u00e0 J5 a \u00e9t\u00e9 \u00e9tudi\u00e9e.<\/p>\n<p>R\u00e9sultats : De mars 2005 \u00e0 septembre 2006, 75 patients ont \u00e9t\u00e9 admis pour h\u00e9morragie digestive haute. Huit satisfaisaient les crit\u00e8res d\u2019inclusion. Le taux d\u2019h\u00e9moglobine m\u00e9dian \u00e0 l\u2019admission \u00e9tait de 11,4 g\/dl (extr\u00eames : 9,1-16,2). Le delta du taux d\u2019h\u00e9moglobine entre J1 et J2 \u00e9tait de -1,3 \u00b1 0,6 g\/dL ; entre J2 et J3 : -0,7 \u00b1 0,6 ; entre J3 et J4 : -0,5 \u00b1 0,5 ; et entre J4 et J5 : +0,1 \u00b1 0,3. Le delta moyen du taux d\u2019h\u00e9moglobine entre J1 et J4 \u00e9tait de -2,5 \u00b1 0,5 g\/dL (min : -1,5 ; max : -3,4).<\/p>\n<p>Conclusion : Apr\u00e8s admission au d\u00e9cours d\u2019une h\u00e9morragie digestive haute de moyenne abondance, l\u2019h\u00e9modilution se prolonge pendant trois jours et se traduit par une diminution du taux d\u2019h\u00e9moglobine de 2 \u00e0 3 g\/dL.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>2010 Arnaud Pauwels, Agathe Chantal Simo, Abdelkrim Medini, Claire Lecouillard-Trilling, Catherine Pannetier, Val\u00e9rie Dhalluin-Venier, Dominique Agard Service d\u2019H\u00e9pato-Gastroent\u00e9rologie, Centre Hospitalier, BP 30071, 95503 GONESSE Cedex H\u00e9patologie &#8211; \u00a02010-09-03 &#8211;\u00a0CO &#8211; ________________________________ Lors d\u2019une h\u00e9morragie, la perte de sang est compens\u00e9e simultan\u00e9ment par une vasoconstriction et par un transfert de liquide de l\u2019espace interstitiel vers l\u2019espace [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[3],"tags":[21],"class_list":["post-1901","post","type-post","status-publish","format-standard","hentry","category-hepatologie","tag-21"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>H\u00e9modilution post-h\u00e9morragie : quelle cin\u00e9tique ? 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