{"id":1051,"date":"2025-02-17T18:24:40","date_gmt":"2025-02-17T15:24:40","guid":{"rendered":"https:\/\/azu-uffenheim.de\/diagnostic-des-thromboses\/"},"modified":"2025-02-17T18:24:40","modified_gmt":"2025-02-17T15:24:40","slug":"diagnostic-des-thromboses","status":"publish","type":"post","link":"https:\/\/azu-uffenheim.de\/fr\/diagnostic-des-thromboses\/","title":{"rendered":"Diagnostic des thromboses"},"content":{"rendered":"\n\n\n<p>Une \u00e9tude clinique a montr\u00e9 que les m\u00e9decins suspectent beaucoup plus fr\u00e9quemment la pr\u00e9sence d\u2019une thrombose veineuse profonde (TVP) qu\u2019elle n\u2019existe r\u00e9ellement. La principale raison r\u00e9side dans les sympt\u00f4mes relativement non sp\u00e9cifiques. Les patients se plaignent souvent d\u2019une sensation de lourdeur ou de tension dans les jambes, ou d\u2019un gonflement. Ces sympt\u00f4mes peuvent se manifester de mani\u00e8re similaire dans de nombreuses affections diff\u00e9rentes. Par cons\u00e9quent, le diagnostic en m\u00e9decine g\u00e9n\u00e9rale n\u00e9cessite une approche structur\u00e9e :<\/p>\n\n\n\n<p>Dans un premier temps, le m\u00e9decin de famille \u00e9value la probabilit\u00e9 d\u2019une TVP \u00e0 l\u2019aide du score de Wells. Cet outil permet de calculer la probabilit\u00e9 d\u2019occurrence en tenant compte des facteurs de risque suivants :<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Y a-t-il un cancer actif ?<\/li>\n\n\n\n<li>Une chirurgie r\u00e9cente ou une immobilisation prolong\u00e9e de la jambe ?<\/li>\n\n\n\n<li>Un alitement de plus de 3 jours ou une intervention chirurgicale au cours des 3 derniers mois ?<\/li>\n\n\n\n<li>Une douleur \u00e0 la pression le long des veines profondes ?<\/li>\n\n\n\n<li>Un gonflement de toute la jambe ?<\/li>\n\n\n\n<li>Une circonf\u00e9rence de la jambe affect\u00e9e sup\u00e9rieure de plus de 3 cm par rapport \u00e0 l\u2019autre jambe ?<\/li>\n\n\n\n<li>Un \u0153d\u00e8me unilat\u00e9ral ?<\/li>\n\n\n\n<li>Des veines superficielles pro\u00e9minentes ?<\/li>\n\n\n\n<li>Une thrombose ou une embolie ant\u00e9rieure ?<\/li>\n<\/ul>\n\n\n\n<p>Il existe diff\u00e9rentes versions du score de Wells. La d\u00e9marche m\u00e9dicale ult\u00e9rieure d\u00e9pend du nombre de r\u00e9ponses positives :<\/p>\n\n\n\n<p>Si un seul ou aucun des crit\u00e8res ci-dessus ne s\u2019applique, les D-dim\u00e8res\u2014produits de d\u00e9gradation de la coagulation dans le sang\u2014peuvent \u00eatre mesur\u00e9s. S\u2019ils ne sont pas \u00e9lev\u00e9s, une thrombose est improbable et aucune investigation suppl\u00e9mentaire n\u2019est n\u00e9cessaire. Si deux crit\u00e8res ou plus sont remplis, la probabilit\u00e9 est d\u00e9j\u00e0 d\u2019au moins 55 %. Dans ce cas, une \u00e9chographie de compression des jambes doit \u00eatre r\u00e9alis\u00e9e imm\u00e9diatement. Tous les thrombus ne sont pas directement visibles \u00e0 l\u2019\u00e9chographie. Par cons\u00e9quent, le m\u00e9decin comprime \u00e9galement la veine avec la sonde \u00e9chographique. Si la veine est obstru\u00e9e par un thrombus, elle ne peut pas \u00eatre comprim\u00e9e. Certains thrombus sont initialement trop petits pour \u00eatre d\u00e9tect\u00e9s par \u00e9chographie. Les directives actuelles recommandent donc un contr\u00f4le de suivi dans un d\u00e9lai d\u2019une semaine pour identifier les thrombus en croissance.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Une \u00e9tude clinique a montr\u00e9 que les m\u00e9decins suspectent beaucoup plus fr\u00e9quemment la pr\u00e9sence d\u2019une thrombose veineuse profonde (TVP) qu\u2019elle n\u2019existe r\u00e9ellement. La principale raison r\u00e9side dans les sympt\u00f4mes relativement non sp\u00e9cifiques. Les patients se plaignent souvent d\u2019une sensation de lourdeur ou de tension dans les jambes, ou d\u2019un gonflement. Ces sympt\u00f4mes peuvent se manifester<\/p>\n","protected":false},"author":1,"featured_media":956,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[58],"tags":[],"class_list":["post-1051","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-conseils-de-sante-fr"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Diagnostic des thromboses - azu-uffenheim.de<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/azu-uffenheim.de\/fr\/diagnostic-des-thromboses\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Diagnostic des thromboses - azu-uffenheim.de\" \/>\n<meta property=\"og:description\" content=\"Une \u00e9tude clinique a montr\u00e9 que les m\u00e9decins suspectent beaucoup plus fr\u00e9quemment la pr\u00e9sence d\u2019une thrombose veineuse profonde (TVP) qu\u2019elle n\u2019existe r\u00e9ellement. La principale raison r\u00e9side dans les sympt\u00f4mes relativement non sp\u00e9cifiques. Les patients se plaignent souvent d\u2019une sensation de lourdeur ou de tension dans les jambes, ou d\u2019un gonflement. Ces sympt\u00f4mes peuvent se manifester\" \/>\n<meta property=\"og:url\" content=\"https:\/\/azu-uffenheim.de\/fr\/diagnostic-des-thromboses\/\" \/>\n<meta property=\"og:site_name\" content=\"azu-uffenheim.de\" \/>\n<meta property=\"article:published_time\" content=\"2025-02-17T15:24:40+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/azu-uffenheim.de\/wp-content\/uploads\/2025\/02\/AzuUffenheimBild0004.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1920\" \/>\n\t<meta property=\"og:image:height\" content=\"1080\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"admin\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"\u00c9crit par\" \/>\n\t<meta name=\"twitter:data1\" content=\"admin\" \/>\n\t<meta name=\"twitter:label2\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/azu-uffenheim.de\\\/fr\\\/diagnostic-des-thromboses\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/azu-uffenheim.de\\\/fr\\\/diagnostic-des-thromboses\\\/\"},\"author\":{\"name\":\"admin\",\"@id\":\"https:\\\/\\\/azu-uffenheim.de\\\/#\\\/schema\\\/person\\\/2c283feea9908ff438388908bf3b3000\"},\"headline\":\"Diagnostic des thromboses\",\"datePublished\":\"2025-02-17T15:24:40+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/azu-uffenheim.de\\\/fr\\\/diagnostic-des-thromboses\\\/\"},\"wordCount\":400,\"publisher\":{\"@id\":\"https:\\\/\\\/azu-uffenheim.de\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/azu-uffenheim.de\\\/fr\\\/diagnostic-des-thromboses\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/azu-uffenheim.de\\\/wp-content\\\/uploads\\\/2025\\\/02\\\/AzuUffenheimBild0004.jpg\",\"articleSection\":[\"Conseils de sant\u00e9\"],\"inLanguage\":\"fr-FR\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/azu-uffenheim.de\\\/fr\\\/diagnostic-des-thromboses\\\/\",\"url\":\"https:\\\/\\\/azu-uffenheim.de\\\/fr\\\/diagnostic-des-thromboses\\\/\",\"name\":\"Diagnostic des thromboses - azu-uffenheim.de\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/azu-uffenheim.de\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/azu-uffenheim.de\\\/fr\\\/diagnostic-des-thromboses\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/azu-uffenheim.de\\\/fr\\\/diagnostic-des-thromboses\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/azu-uffenheim.de\\\/wp-content\\\/uploads\\\/2025\\\/02\\\/AzuUffenheimBild0004.jpg\",\"datePublished\":\"2025-02-17T15:24:40+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/azu-uffenheim.de\\\/fr\\\/diagnostic-des-thromboses\\\/#breadcrumb\"},\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/azu-uffenheim.de\\\/fr\\\/diagnostic-des-thromboses\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\\\/\\\/azu-uffenheim.de\\\/fr\\\/diagnostic-des-thromboses\\\/#primaryimage\",\"url\":\"https:\\\/\\\/azu-uffenheim.de\\\/wp-content\\\/uploads\\\/2025\\\/02\\\/AzuUffenheimBild0004.jpg\",\"contentUrl\":\"https:\\\/\\\/azu-uffenheim.de\\\/wp-content\\\/uploads\\\/2025\\\/02\\\/AzuUffenheimBild0004.jpg\",\"width\":1920,\"height\":1080,\"caption\":\"Illustratives Foto zur medizinischen Thematik\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/azu-uffenheim.de\\\/fr\\\/diagnostic-des-thromboses\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"\u0413\u043b\u0430\u0432\u043d\u0430\u044f \u0441\u0442\u0440\u0430\u043d\u0438\u0446\u0430\",\"item\":\"https:\\\/\\\/azu-uffenheim.de\\\/fr\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Diagnostic des thromboses\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/azu-uffenheim.de\\\/#website\",\"url\":\"https:\\\/\\\/azu-uffenheim.de\\\/\",\"name\":\"azu-uffenheim.de\",\"description\":\"IHR MEDIZINISCHES  VERSORGUNGSZENTRUM IN UFFENHEIM\",\"publisher\":{\"@id\":\"https:\\\/\\\/azu-uffenheim.de\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/azu-uffenheim.de\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"fr-FR\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/azu-uffenheim.de\\\/#organization\",\"name\":\"ZU \u00c4RZTEZENTRUM UFFENHEIM\",\"url\":\"https:\\\/\\\/azu-uffenheim.de\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\\\/\\\/azu-uffenheim.de\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/azu-uffenheim.de\\\/wp-content\\\/uploads\\\/2024\\\/12\\\/AZU_Logo_Farbig.png\",\"contentUrl\":\"https:\\\/\\\/azu-uffenheim.de\\\/wp-content\\\/uploads\\\/2024\\\/12\\\/AZU_Logo_Farbig.png\",\"width\":3143,\"height\":532,\"caption\":\"ZU \u00c4RZTEZENTRUM UFFENHEIM\"},\"image\":{\"@id\":\"https:\\\/\\\/azu-uffenheim.de\\\/#\\\/schema\\\/logo\\\/image\\\/\"}},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/azu-uffenheim.de\\\/#\\\/schema\\\/person\\\/2c283feea9908ff438388908bf3b3000\",\"name\":\"admin\",\"sameAs\":[\"https:\\\/\\\/9000web.com\\\/azu\"],\"url\":\"https:\\\/\\\/azu-uffenheim.de\\\/fr\\\/author\\\/admin\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Diagnostic des thromboses - azu-uffenheim.de","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/azu-uffenheim.de\/fr\/diagnostic-des-thromboses\/","og_locale":"fr_FR","og_type":"article","og_title":"Diagnostic des thromboses - azu-uffenheim.de","og_description":"Une \u00e9tude clinique a montr\u00e9 que les m\u00e9decins suspectent beaucoup plus fr\u00e9quemment la pr\u00e9sence d\u2019une thrombose veineuse profonde (TVP) qu\u2019elle n\u2019existe r\u00e9ellement. La principale raison r\u00e9side dans les sympt\u00f4mes relativement non sp\u00e9cifiques. Les patients se plaignent souvent d\u2019une sensation de lourdeur ou de tension dans les jambes, ou d\u2019un gonflement. Ces sympt\u00f4mes peuvent se manifester","og_url":"https:\/\/azu-uffenheim.de\/fr\/diagnostic-des-thromboses\/","og_site_name":"azu-uffenheim.de","article_published_time":"2025-02-17T15:24:40+00:00","og_image":[{"width":1920,"height":1080,"url":"https:\/\/azu-uffenheim.de\/wp-content\/uploads\/2025\/02\/AzuUffenheimBild0004.jpg","type":"image\/jpeg"}],"author":"admin","twitter_card":"summary_large_image","twitter_misc":{"\u00c9crit par":"admin","Dur\u00e9e de lecture estim\u00e9e":"2 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/azu-uffenheim.de\/fr\/diagnostic-des-thromboses\/#article","isPartOf":{"@id":"https:\/\/azu-uffenheim.de\/fr\/diagnostic-des-thromboses\/"},"author":{"name":"admin","@id":"https:\/\/azu-uffenheim.de\/#\/schema\/person\/2c283feea9908ff438388908bf3b3000"},"headline":"Diagnostic des thromboses","datePublished":"2025-02-17T15:24:40+00:00","mainEntityOfPage":{"@id":"https:\/\/azu-uffenheim.de\/fr\/diagnostic-des-thromboses\/"},"wordCount":400,"publisher":{"@id":"https:\/\/azu-uffenheim.de\/#organization"},"image":{"@id":"https:\/\/azu-uffenheim.de\/fr\/diagnostic-des-thromboses\/#primaryimage"},"thumbnailUrl":"https:\/\/azu-uffenheim.de\/wp-content\/uploads\/2025\/02\/AzuUffenheimBild0004.jpg","articleSection":["Conseils de sant\u00e9"],"inLanguage":"fr-FR"},{"@type":"WebPage","@id":"https:\/\/azu-uffenheim.de\/fr\/diagnostic-des-thromboses\/","url":"https:\/\/azu-uffenheim.de\/fr\/diagnostic-des-thromboses\/","name":"Diagnostic des thromboses - azu-uffenheim.de","isPartOf":{"@id":"https:\/\/azu-uffenheim.de\/#website"},"primaryImageOfPage":{"@id":"https:\/\/azu-uffenheim.de\/fr\/diagnostic-des-thromboses\/#primaryimage"},"image":{"@id":"https:\/\/azu-uffenheim.de\/fr\/diagnostic-des-thromboses\/#primaryimage"},"thumbnailUrl":"https:\/\/azu-uffenheim.de\/wp-content\/uploads\/2025\/02\/AzuUffenheimBild0004.jpg","datePublished":"2025-02-17T15:24:40+00:00","breadcrumb":{"@id":"https:\/\/azu-uffenheim.de\/fr\/diagnostic-des-thromboses\/#breadcrumb"},"inLanguage":"fr-FR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/azu-uffenheim.de\/fr\/diagnostic-des-thromboses\/"]}]},{"@type":"ImageObject","inLanguage":"fr-FR","@id":"https:\/\/azu-uffenheim.de\/fr\/diagnostic-des-thromboses\/#primaryimage","url":"https:\/\/azu-uffenheim.de\/wp-content\/uploads\/2025\/02\/AzuUffenheimBild0004.jpg","contentUrl":"https:\/\/azu-uffenheim.de\/wp-content\/uploads\/2025\/02\/AzuUffenheimBild0004.jpg","width":1920,"height":1080,"caption":"Illustratives Foto zur medizinischen Thematik"},{"@type":"BreadcrumbList","@id":"https:\/\/azu-uffenheim.de\/fr\/diagnostic-des-thromboses\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"\u0413\u043b\u0430\u0432\u043d\u0430\u044f \u0441\u0442\u0440\u0430\u043d\u0438\u0446\u0430","item":"https:\/\/azu-uffenheim.de\/fr\/"},{"@type":"ListItem","position":2,"name":"Diagnostic des thromboses"}]},{"@type":"WebSite","@id":"https:\/\/azu-uffenheim.de\/#website","url":"https:\/\/azu-uffenheim.de\/","name":"azu-uffenheim.de","description":"IHR MEDIZINISCHES  VERSORGUNGSZENTRUM IN UFFENHEIM","publisher":{"@id":"https:\/\/azu-uffenheim.de\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/azu-uffenheim.de\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"fr-FR"},{"@type":"Organization","@id":"https:\/\/azu-uffenheim.de\/#organization","name":"ZU \u00c4RZTEZENTRUM UFFENHEIM","url":"https:\/\/azu-uffenheim.de\/","logo":{"@type":"ImageObject","inLanguage":"fr-FR","@id":"https:\/\/azu-uffenheim.de\/#\/schema\/logo\/image\/","url":"https:\/\/azu-uffenheim.de\/wp-content\/uploads\/2024\/12\/AZU_Logo_Farbig.png","contentUrl":"https:\/\/azu-uffenheim.de\/wp-content\/uploads\/2024\/12\/AZU_Logo_Farbig.png","width":3143,"height":532,"caption":"ZU \u00c4RZTEZENTRUM UFFENHEIM"},"image":{"@id":"https:\/\/azu-uffenheim.de\/#\/schema\/logo\/image\/"}},{"@type":"Person","@id":"https:\/\/azu-uffenheim.de\/#\/schema\/person\/2c283feea9908ff438388908bf3b3000","name":"admin","sameAs":["https:\/\/9000web.com\/azu"],"url":"https:\/\/azu-uffenheim.de\/fr\/author\/admin\/"}]}},"_links":{"self":[{"href":"https:\/\/azu-uffenheim.de\/fr\/wp-json\/wp\/v2\/posts\/1051","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/azu-uffenheim.de\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/azu-uffenheim.de\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/azu-uffenheim.de\/fr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/azu-uffenheim.de\/fr\/wp-json\/wp\/v2\/comments?post=1051"}],"version-history":[{"count":0,"href":"https:\/\/azu-uffenheim.de\/fr\/wp-json\/wp\/v2\/posts\/1051\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/azu-uffenheim.de\/fr\/wp-json\/wp\/v2\/media\/956"}],"wp:attachment":[{"href":"https:\/\/azu-uffenheim.de\/fr\/wp-json\/wp\/v2\/media?parent=1051"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/azu-uffenheim.de\/fr\/wp-json\/wp\/v2\/categories?post=1051"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/azu-uffenheim.de\/fr\/wp-json\/wp\/v2\/tags?post=1051"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}