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| Content Provider | African Journals Online (AJOL) |
|---|---|
| Author | Patrice Zabsonré Georges Rosario Christian Millogo Jonas Koudougou Kologo Jean Yves Toguyeni André Samadoulougou Georges Kinda Nobila Valentin Yaméogo Anna Tall Thiam Jean Baptiste Tougma Yibar Kambiré Benoît Sanon |
| Abstract | Etudier le profil des patients hospitalisés pour hémorragie sous traitement anticoagulant. Il s’est agi d’une étude rétrospective à visée descriptive sur une période de 02 ans allant du 1er Janvier 2007 au 31 Décembre 2008, dans le Service de Cardiologie du Centre Hospitalier Universitaire- Yalgado Ouédraogo. Tous les patients hospitalisés présentant une hémorragie sous anticoagulant ont été inclus dans l'étude. L’âge moyen des patients était de 49,31 ± 17,68 ans, le sex-ratio était de 2,17. L’infarctus du myocarde était la première indication du traitement anticoagulant avec une fréquence de 21,05%. L’anti Vitamine K (AVK) a été pourvoyeur d’hémorragies dans 63,16% (n = 12) des cas contre 36,84% (n = 7) pour les Héparines de Bas Poids Moléculaire (HBPM); Il s’agissait de 10 cas d’hémorragie majeure et de neuf cas d’hémorragie mineure. La durée moyenne du traitement AVK était de 16 semaines ± 58 semaines. Le saignement par le tractus digestif était le plus fréquent (31,58%) et dans 89,47% des cas, le traitement était associé à un antiagrégant plaquettaire. L’arrêt définitif de l’anticoagulant constituait la prise en charge de l’accident hémorragique dans 73,68%. Il y avait quatre (21,05%) décès. L’inaccessibilité des antidotes comme le sulfate de protamine et les PPSD (Prothrombine Proconvertine Stuart B) constituent un véritable frein à la prise en charge adéquate des complications; mais une meilleure éducation de patients utilisateur de ces drogues constituerait la plus importante des préventions, car plus de 50% de ces accidents sont évitables. |
| Ending Page | 6 |
| Starting Page | 1 |
| File Format | |
| e-ISSN | 19378688 |
| Journal | Pan African Medical Journal |
| Issue Number | 1 |
| Volume Number | 29 |
| Language | English |
| Publisher Date | 2018-08-29 |
| Access Restriction | Open |
| Subject Keyword | General Science Humanities Health Anticoagulant hémorragie thrombose veineuse |
| Content Type | Text |
| Resource Type | Article |
| Subject | Medicine Decision Sciences |
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