Management of thrombocytopenia in the ICU (pregnancy excluded)

被引:34
|
作者
Van der Linden, Thierry [1 ]
Souweine, Bertrand [2 ]
Dupic, Laurent [3 ]
Soufir, Lilia [4 ]
Meyer, Pascal [5 ]
机构
[1] Univ Lille Nord France, Serv Reanimat Polyvalente, Grp Hosp Inst Catholique Lille, Fac Libre Med, F-59462 Lomme Lez Lille, France
[2] CHU Gabriel Montpied, Serv Reanimat Polyvalente, F-63003 Clermont Ferrand, France
[3] CHU Necker Enfants Malades, Serv Reanimat Medicochirurg, F-75743 Paris 15, France
[4] Grp Hosp Paris St Joseph, Serv Reanimat Chirurg, F-75014 Paris, France
[5] CH Sud Francilien Site Corbeil, Serv Reanimat Polyvalente, F-91106 Corbeil Essonnes, France
来源
关键词
Thrombocytopenia; Critical care; Adults; Expert recommendations;
D O I
10.1186/2110-5820-2-42
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Thrombocytopenia is a very frequent disorder in the intensive care unit. Many etiologies should be searched, and therapeutic approaches differ according to these different causes. However, no guideline exists regarding optimum practices for these situations in critically ill patients. We present recommendations for the management of thrombocytopenia in intensive care unit, excluding pregnancy, developed by an expert group of the French-Language Society of Intensive Care (Societe de Reanimation de Langue Francaise (SRLF), the French Language Group of Paediatric Intensive Care and Emergencies (GFRUP) and of the Haemostasis and Thrombosis Study Group (GEHT) of the French Society of Haematology (SFH). The recommendations cover six fields of application: definition, epidemiology, and prognosis; diagnostic approach; therapeutic aspects; thrombocytopenia and sepsis; iatrogenic thrombocytopenia, with a special focus on heparin-induced thrombocytopenia; and thrombotic microangiopathy.
引用
收藏
页数:6
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