{"id":41,"date":"2009-02-24T18:55:56","date_gmt":"2009-02-24T18:55:56","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/hemdic\/"},"modified":"2025-05-14T21:02:36","modified_gmt":"2025-05-14T21:02:36","slug":"hemdic","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/hemdic\/","title":{"rendered":"Criterios Diagn\u00f3stico para Coagulaci\u00f3n Intravascular Diseminada (CID)"},"content":{"rendered":"<div class=\"7ca9444b8380138fe077da07353677a4\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>La coagulaci\u00f3n intravascular diseminada es una afecci\u00f3n en la que se desarrollan peque\u00f1os co\u00e1gulos de sangre en todo el torrente sangu\u00edneo, bloqueando los vasos sangu\u00edneos peque\u00f1os. El aumento de la coagulaci\u00f3n agota las plaquetas y los factores de coagulaci\u00f3n necesarios para controlar el sangrado, lo que provoca un sangrado excesivo.<\/p>\n<p><!--more--><\/p>\n<table style=\"border-collapse: collapse; width: 100%;\" border=\"1\">\n<tbody>\n<tr>\n<td width=\"119\"><strong>Clasificaci\u00f3n<\/strong><\/td>\n<td width=\"232\"><strong>Definici\u00f3n<\/strong><\/td>\n<td width=\"232\"><strong>Criterios<\/strong><strong>\u00a0Diagn\u00f3stico<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"119\">Biol\u00f3gica\u00a0CID<\/td>\n<td width=\"232\">Defecto hemost\u00e1tico sin manifestaciones cl\u00ednicas<\/td>\n<td width=\"232\">D\u00edmero D Elevado<br \/>\n<strong>y<\/strong><br \/>\n1 criterio mayor para consumo de plaquetas o factores de coagulaci\u00f3n<br \/>\n<strong>o<\/strong><br \/>\n2 criterios menores para consumo de plaquetas o factores de coagulaci\u00f3n<\/td>\n<\/tr>\n<tr>\n<td width=\"119\">Cl\u00ednica\u00a0CID<\/td>\n<td width=\"232\">Defecto hemost\u00e1tico con manifestaciones isqu\u00e9micas o hemorr\u00e1gicas<\/td>\n<td width=\"232\">Lo mismo que arriba + sangrado microvascular y\/o trombosis<\/td>\n<\/tr>\n<tr>\n<td width=\"119\">CID\u00a0Complicado<\/td>\n<td width=\"232\">Defecto hemost\u00e1tico con manifestaciones isqu\u00e9micas o hemorr\u00e1gicas que pone en riesgo la funci\u00f3n de \u00f3rganos o el pron\u00f3stico del paciente<\/td>\n<td width=\"232\">Lo mismo que arriba + fallo org\u00e1nico (\u00fanico o m\u00faltiple)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p style=\"font-weight: 400;\"><strong>Detalles de los criterios de laboratorio<\/strong><\/p>\n<p style=\"font-weight: 400;\">D\u00edmero D mayor de 500 \u00b5g\/L<\/p>\n<p style=\"font-weight: 400;\">Consumo\u00a0de\u00a0plaquetas<\/p>\n<ul style=\"font-weight: 400;\">\n<li>Menor: conteo de plaquetas entre 50 y 100.000\u00b7\/mm<sup>3<\/sup><\/li>\n<li>Mayor: conteo de plaquetas menor de 50.000\u00b7\/mm<sup>3<\/sup><\/li>\n<\/ul>\n<p style=\"font-weight: 400;\">Consumo\u00a0de\u00a0factores\u00a0de\u00a0coagulaci\u00f3n<\/p>\n<ul style=\"font-weight: 400;\">\n<li>Menor: RIN del TP entre 1,2 y 1,5<\/li>\n<li>Mayor: RIN del TP mayor de 1,5<\/li>\n<\/ul>\n<p style=\"font-weight: 400;\">RIN del TP = rango internacional normatizado del tiempo de protrombina. La elevaci\u00f3n de los D\u00edmero D no son espec\u00edficos de CID. Igualmente, las manifestaciones cl\u00ednicas de CID no son espec\u00edficas.<\/p>\n<p><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<p style=\"font-weight: 400;\"><strong>Bibliograf\u00eda<\/strong><strong>;<\/strong><\/p>\n<ol>\n<li>Taylor\u00a0FB Jr, Toh CH, Hoots WK, Wada H, Levi M; Scientific Subcommittee on Disseminated Intravascular Coagulation (DIC) of the International Society on Thrombosis and Haemostasis (ISTH). Towards definition, clinical and laboratory criteria, and a scoring system for disseminated intravascular coagulation. Thromb Haemost. 2001 Nov;86(5):1327-30.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/11816725\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Creado: Ago 04, 2005<\/p>\n<p>&nbsp;<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>La coagulaci\u00f3n intravascular diseminada es una afecci\u00f3n en la que se desarrollan peque\u00f1os co\u00e1gulos de sangre en todo el torrente sangu\u00edneo, bloqueando los vasos sangu\u00edneos peque\u00f1os. El aumento de la coagulaci\u00f3n agota las plaquetas y los factores de coagulaci\u00f3n necesarios para controlar el sangrado, lo que provoca un sangrado excesivo.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[171],"tags":[1348,1870,942,941,16,15,14,13,947,946,945,1381,944],"class_list":["post-41","post","type-post","status-publish","format-standard","hentry","category-hematology","tag-cardiology","tag-cid","tag-coagulacion","tag-coagulation","tag-criteria","tag-criterios","tag-diagnostic","tag-diagnostico","tag-dic","tag-diseminada","tag-disseminated","tag-hematology","tag-intravascular"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/41","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/comments?post=41"}],"version-history":[{"count":2,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/41\/revisions"}],"predecessor-version":[{"id":8997,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/41\/revisions\/8997"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=41"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=41"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=41"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}