{"id":7908,"date":"2026-01-04T10:23:07","date_gmt":"2026-01-04T09:23:07","guid":{"rendered":"https:\/\/kineaphp.fr\/?p=7908"},"modified":"2026-01-04T10:26:42","modified_gmt":"2026-01-04T09:26:42","slug":"score-de-wells-thrombose-veineuse-profonde","status":"publish","type":"post","link":"https:\/\/kineaphp.fr\/?p=7908","title":{"rendered":"Score de Wells (TVP)"},"content":{"rendered":"\n<p>Pour suspicion de thrombose veineuse profonde<br>Pour calculer le score en ligne : <a href=\"https:\/\/www.sfmu.org\/calculateurs\/TVP.htm\">https:\/\/www.sfmu.org\/calculateurs\/TVP.htm<\/a><\/p>\n\n\n\n<p><strong>Score de Wells<\/strong><br>11 crit\u00e8res <\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>cancer actif (+1)<\/li>\n\n\n\n<li>paralysie, par\u00e9sie ou immobilisation r\u00e9cente du membre avec un pl\u00e2tre (+1)<\/li>\n\n\n\n<li>Alitement r\u00e9cent > 3 jours ou chirurgie majeure &lt; 4 semaines (+1)<\/li>\n\n\n\n<li>Sensibilit\u00e9 localis\u00e9e du syst\u00e8me veineux profond (+1)<\/li>\n\n\n\n<li>Oed\u00e8me global de tout le membre (+1)<\/li>\n\n\n\n<li>Circonf\u00e9rence du mollet > 3 cm \/\/ membre CL (+1)<\/li>\n\n\n\n<li>Oed\u00e8me prenant le godet (+1)<\/li>\n\n\n\n<li>Circulation veineuse collat\u00e9rale (+1)<\/li>\n\n\n\n<li>ATCD de thrombose veineuse (+1)<\/li>\n\n\n\n<li>Historique de TVP (+1)<\/li>\n\n\n\n<li>Autre diag au moins aussi probable que la TVP (-2)<\/li>\n<\/ul>\n\n\n\n<p><strong>Addition des scores<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>si score \u2264 1 \u21d2 probabilit\u00e9 faible entre 3,5 et 8,1%<\/li>\n\n\n\n<li>si score = 1 ou 2 \u21d2 probabilit\u00e9 interm\u00e9diaire entre 13,3 et 23,9%<\/li>\n\n\n\n<li>si score > 2 \u21d2 probabilit\u00e9 \u00e9lev\u00e9e entre 36,3 et 61,5%<\/li>\n<\/ul>\n\n\n\n<p><strong>CAT<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>si score \u2264 2 \u21d2 dosage des D-dim\u00e8res<\/li>\n\n\n\n<li>si \u2264 500 \u00b5g \u21d2 exclure diag TVP (proba de 1,2% d\u2019en avoir une)<\/li>\n\n\n\n<li>si > 500 \u00b5g \u21d2 \u00e9cho de compression veineuse<\/li>\n\n\n\n<li>si score > 2 \u21d2 \u00e9cho de compression veineuse<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Pour suspicion de thrombose veineuse profondePour calculer le score en ligne : https:\/\/www.sfmu.org\/calculateurs\/TVP.htm Score de Wells11 crit\u00e8res Addition des scores CAT<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[429],"tags":[],"class_list":["post-7908","post","type-post","status-publish","format-standard","hentry","category-tests-et-evaluation-de-la-cheville-et-du-pied"],"_links":{"self":[{"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/posts\/7908","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=7908"}],"version-history":[{"count":4,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/posts\/7908\/revisions"}],"predecessor-version":[{"id":7912,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/posts\/7908\/revisions\/7912"}],"wp:attachment":[{"href":"https:\/\/kineaphp.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=7908"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=7908"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=7908"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}