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<strong>FA</strong>ISABILITE, PERCEPTIONS <strong>ET</strong> PERSPECTIVES<br />

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<strong>FA</strong><strong>CU</strong>LTÉ <strong>DE</strong> MÉ<strong>DE</strong>CINE, <strong>DE</strong> <strong>PHA</strong><strong>RMA</strong><strong>CIE</strong> <strong>ET</strong> D’O<strong>DO</strong><strong>NT</strong>O - STOMATOLOGIE<br />

ANNÉE UNIVERSITAIRE 2004 – 2005<br />

ADMINISTRATION<br />

<strong>DO</strong>YEN : MOUSSA TRAORÉ – PROFESSEUR<br />

1 er ASSESSEUR : MASSA SANOGO – MAITRE <strong>DE</strong> CONFERENCES<br />

2 ème ASSESSEUR : GANGALY DIALLO – MAITRE <strong>DE</strong> CONFERENCES AGRÉGÉ<br />

SECR<strong>ET</strong>AIRE PRINCIPAL : YENIMEGUE ALBERT <strong>DE</strong>MBÉLÉ – MAITRE <strong>DE</strong><br />

CONFERENCES AGRÉGÉ<br />

AGE<strong>NT</strong> COMPTABLE : M me COULIBALY <strong>FA</strong>TOUMATA TALL – CO<strong>NT</strong>RÔLEUR <strong>DE</strong>S<br />

FINANCES<br />

LES PROFESSEURS HONORAIRES<br />

M. Alou BA Ophtalmologie<br />

M. Bocar SALL Orthopédie – Traumatologie – Secourisme<br />

M. Souleymane SANGARÉ Pneumo – phtisiologie<br />

M. Yaya FO<strong>FA</strong>NA Hématologie<br />

M. Mamadou L. TRAORÉ Chirurgie Générale<br />

M. Balla COULIBALY Pédiatrie<br />

M. Mamadou <strong>DE</strong>MBÉLÉ Chirurgie Générale<br />

M. Mamadou KOUMARÉ Pharmacognosie<br />

M. Mohamed TOURÉ Pédiatrie<br />

M. Ali Nouhoum DIALLO Médecine interne<br />

M. Aly GUIN<strong>DO</strong> Gastro - Entérologie<br />

LISTE DU PERSONNEL ENSEIGNA<strong>NT</strong> PAR D.E.R. & PAR GRA<strong>DE</strong><br />

D.E.R. CHIRURGIE <strong>ET</strong> SPÉCIALITÉS CHIRURGICALES<br />

1. PROFESSEURS<br />

M. Abdel Karim KOUMARÉ Chirurgie Générale<br />

M. Sambou SOUMARÉ Chirurgie Générale<br />

M. Abdou Alassane TOURÉ Orthopédie – Traumatologie, Chef de D.E.R.<br />

M. Kalilou OUATTARA Urologie<br />

M. Amadou <strong>DO</strong>LO Gynéco – Obstétrique<br />

M. Alhousseini Ag MOHAMED O.R.L.<br />

2. MAITRES <strong>DE</strong> CONFÉRENCES AGRÉGÉS<br />

M. Abdoulaye DIALLO Ophtalmologie<br />

M. Djibril SANGARÉ Chirurgie Générale<br />

M. Abdoul Kader TRAORE Dit DIOP Chirurgie Générale<br />

M. Abdoulaye DIALLO Anesthésie – Réanimation<br />

M. Gangaly DIALLO Chirurgie Viscérale<br />

<br />

2


M. Mamadou TRAORÉ Gynéco – Obstétrique<br />

3. MAITRES <strong>DE</strong> CONFÉRENCES<br />

M me SY Aïda SOW<br />

Gynéco – Obstétrique<br />

M. Salif DIAKITÉ Gynéco - Obstétrique<br />

4. MAITRES ASSISTA<strong>NT</strong>S<br />

M me DIALLO Fatimata S. DIABATÉ<br />

Gynéco – Obstétrique<br />

M. Sadio YÉNA Chirurgie Générale et Thoracique<br />

M. Filifing SISSOKO Chirurgie Générale<br />

M. Issa DIARRA Gynéco - Obstétrique<br />

M. Youssouf COULIBALY Anesthésie – Réanimation<br />

M. Samba Karim TIMBO O.R.L.<br />

5. ASSISTA<strong>NT</strong>S CHEFS <strong>DE</strong> CLINIQUE<br />

M me Diénéba <strong>DO</strong>UMBIA<br />

Anesthésie – Réanimation<br />

M. Mamadou L. DIOMBANA Stomatologie<br />

M. Sékou SIDIBÉ Orthopédie – Traumatologie<br />

M. Abdoulaye DIALLO Anesthésie – Réanimation<br />

M. Tiéman COULIBALY Orthopédie – Traumatologie<br />

M me TRAORÉ J. THOMAS<br />

Ophtalmologie<br />

M. Nouhoum ONGOIBA Anatomie & Chirurgie Générale<br />

M. Zanafon OUATTARA Urologie<br />

M. Zimogo Zié SANOGO Chirurgie Générale<br />

M. Adama SANGARÉ Orthopédie – Traumatologie<br />

M me TOGOLA Fanta KONIPO<br />

O.R.L.<br />

M. Sanoussi BAMANI Ophtalmologie<br />

M. Doulaye SACKO Ophtalmologie<br />

M. Ibrahim ALWATA Orthopédie – Traumatologie<br />

M. Lamine TRAORÉ Ophtalmologie<br />

M. Mady MAKALOU Orthopédie – Traumatologie<br />

M. Aly TEMBELY Urologie<br />

M. Niani MOUNKORO Gynécologie – Obstétrique<br />

M. Tiemoko D. COULIBALY Odontologie<br />

M. Souleymane TOGORA Odontologie<br />

M. Mohamed KÉITA O.R.L.<br />

D.E.R. <strong>DE</strong> S<strong>CIE</strong>NCES FONDAME<strong>NT</strong>ALES<br />

1. PROFESSEURS<br />

M. Daouda DIALLO Chimie Générale & Minérale<br />

M. Siné BAYO Anatomie – Pathologie – Histoembryologie<br />

M. Amadou DIALLO Biologie<br />

M. Moussa HARAMA Chimie Organique<br />

M. Ogobara <strong>DO</strong>UMBO Parasitologie – Mycologie<br />

<br />

3


2. MAITRES <strong>DE</strong> CONFÉRENCES AGRÉGÉS<br />

M. Yénimégué Albert <strong>DE</strong>MBÉLÉ Chimie Organique<br />

M. Anatole TOUNKARA Immunologie, Chef de D.E.R.<br />

M. Amadou TOURÉ Histoembryologie<br />

M. Flabou BOUGOU<strong>DO</strong>GO Bactériologie - Virologie<br />

M. Amanaga <strong>DO</strong>LO Parasitologie<br />

3. MAITRES <strong>DE</strong> CONFÉRENCES<br />

M. Bakary M. CISSÉ Biochimie<br />

M. Abdourahamane MAIGA Parasitologie<br />

M. Adama DIARRA Physiologie<br />

M. Mamadou KONÉ Physiologie<br />

M. Massa SANOGO Chimie Analytique<br />

4. MAITRES ASSISTA<strong>NT</strong>S<br />

M. Mahamadou CISSÉ Biologie<br />

M. Sékou F. M. TRAORÉ Entomologie Médicale<br />

M. Abdoulaye DABO Malacologie, Biologie Animale<br />

M. Abdourahamane TOUNKARA Biochimie<br />

M. Ibrahim I. MAIGA Bactériologie – Virologie<br />

M. Moussa Issa DIARRA Biophysique<br />

M. Kaourou <strong>DO</strong>UCOURÉ Biologie<br />

M. Bouréma KOURIBA Immunologie<br />

M. Souleymane DIALLO Bactériologie – Virologie<br />

M. Cheick Bougadari TRAORÉ Anatomie – Pathologie<br />

M. Lassana <strong>DO</strong>UMBIA Chimie Organique<br />

5. ASSISTA<strong>NT</strong>S<br />

M. Mounirou BABY Hématologie<br />

M. Mahamadou A. THÉRA Parasitologie<br />

M. Mangara M. BAGAYOGO Entomologie Moléculaire Médicale<br />

M. Guimogo <strong>DO</strong>LO Entomologie Moléculaire Médicale<br />

M. Abdoulaye TOURÉ Entomologie Moléculaire Médicale<br />

M. Djibril SANGARÉ Entomologie Moléculaire Médicale<br />

M. Moctar DIALLO Biologie – Parasitologie<br />

M. Boubacar TRAORÉ Immunologie<br />

D.E.R. <strong>DE</strong> ME<strong>DE</strong>CINE <strong>ET</strong> SPÉCIALITES MÉDICALES<br />

1. PROFESSEURS<br />

M. Abdoulaye Ag RHALY Médecine Interne<br />

M. Mamadou K. TOURÉ Cardiologie<br />

M. Mahamane MAIGA Néphrologie<br />

M. Baba KOUMARÉ Psychiatrie, Chef de D.E.R.<br />

M. Moussa TRAORÉ Neurologie<br />

M. Issa TRAORÉ Radiologie<br />

M. Mamadou M. KÉITA Pédiatrie<br />

M. Hamar A. TRAORÉ Médecine Interne<br />

<br />

4


M. Dapa Aly DIALLO Hématologie<br />

M. Moussa Y. MAIGA Hépato – Gasto – Entérologie<br />

2. MAITRES <strong>DE</strong> CONFÉRENCES AGRÉGÉS<br />

M. Toumani SIDIBÉ Pédiatrie<br />

M. Bah KÉITA Pneumo – Phtisiologie<br />

M. Boubacar DIALLO Cardiologie<br />

M. Somita KÉITA Dermato – Leprologie<br />

M. Abdel Kader TRAORÉ Médecine Interne<br />

M. Siaka SIDIBÉ Radiologie<br />

M. Mamadou <strong>DE</strong>MBÉLÉ Médecine Interne<br />

3. MAITRES ASSISTA<strong>NT</strong>S<br />

M. Mamady KANÉ Radiologie<br />

M me Tatiana KÉITA<br />

Pédiatrie<br />

M me TRAORÉ Mariam SYLLA<br />

Pédiatrie<br />

M. Adama D. KÉITA Radiologie<br />

M me SIDIBÉ Assa TRAORÉ<br />

Endocrinologie<br />

M me Habibatou DIAWARA<br />

Dermatologie<br />

4. ASSISTA<strong>NT</strong>S CHEFS <strong>DE</strong> CLINIQUE<br />

M. Bou DIAKITÉ Psychiatrie<br />

M. Bougouzié SANAGO Gastro – Entérologie<br />

M. Saharé FONGORO Néphrologie<br />

M. Bakoroba COULIBALY Psychiatrie<br />

M. Kassoum SANOGO Cardiologie<br />

M. Seydou DIAKITÉ Cardiologie<br />

M. Mahamadou B. CISSÉ Pédiatrie<br />

M. Arouna TOGORA Psychiatrie<br />

M me DIARRA Assétou SOUCKO<br />

Médecine Interne<br />

M. Boubacar TOGO Pédiatrie<br />

M. Mahamadou TOURÉ Radiologie<br />

M. Idrissa A. CISSÉ Dermatologie<br />

M. Mamadou B. DIARRA Cardiologie<br />

M. Anselme KONATÉ Hépato – Gastro – Entérologie<br />

M. Moussa T. DIARRA Hépato – Gastro – Entérologie<br />

M. Souleymane DIALLO Pneumologie<br />

M. Souleymane COULIBALY Psychologie<br />

M. Daouda K. MI<strong>NT</strong>A Maladies Infectieuses<br />

M. Soungalo DAO Maladies Infectieuses<br />

5. ASSISTA<strong>NT</strong><br />

M. Cheick Oumar GUI<strong>NT</strong>O Neurologie<br />

<br />

5


D.E.R. <strong>DE</strong>S S<strong>CIE</strong>NCES <strong>PHA</strong><strong>RMA</strong>CEUTIQUES<br />

1. PROFESSEURS<br />

M. Boubacar Sidiki CISSÉ Toxicologie<br />

M. Gaoussou KANOUTÉ Chimie Analytique, Chef de D.E.R.<br />

2. MAITRE <strong>DE</strong> CONFÉRENCES AGRÉGÉ<br />

M. Ousmane <strong>DO</strong>UMBIA Pharmacie Chimique<br />

M. Drissa DIALLO Matières Médicales<br />

3. MAITRES <strong>DE</strong> CONFÉRENCES<br />

M. Boulkassoum HAIDARA Législation<br />

M. Elimane MARIKO Pharmacologie<br />

4. MAITRES ASSISTA<strong>NT</strong>S<br />

M. Bénoit KOUMARÉ Chimie Analytique<br />

M. Alou KÉITA Galénique<br />

M. Ababacar I. MAIGA Toxicologie<br />

M. Yaya KANE Galénique<br />

5. ASSISTA<strong>NT</strong>S<br />

M me Rokia SANOGO<br />

Pharmacognosie<br />

M. Saïbou MAIGA Législation<br />

M. Ousmane KOITA Parasitologie Moléculaire<br />

D.E.R. <strong>DE</strong> SA<strong>NT</strong>É PUBLIQUE<br />

1. PROFESSEUR<br />

M. Sidi Yaya SIMAGA Santé Publique, Chef de D.E.R.<br />

2. MAITRE <strong>DE</strong> CONFÉRENCES AGRÉGÉ<br />

M. Moussa A. MAIGA Santé Publique<br />

3. MAITRE <strong>DE</strong> CONFÉRENCES<br />

<br />

6


M. Sanoussi KONATÉ Santé Publique<br />

4. MAITRES ASSISTA<strong>NT</strong>S<br />

M. Bocar G. TOURÉ Santé Publique<br />

M. Adama DIAWARA Santé Publique<br />

M. Hamadoun SANGHO Santé Publique<br />

M. Massambou SACKO Santé Publique<br />

M. Alassane A. DICKO Santé Publique<br />

5. ASSISTA<strong>NT</strong>S<br />

M. Samba DIOP Anthropologie Médicale<br />

M. Seydou <strong>DO</strong>UMBIA Epidémiologie<br />

M. Oumar THIÉRO Biostatistique<br />

CHARGÉS <strong>DE</strong> COURS & ENSEIGNA<strong>NT</strong>S VACATAIRES<br />

M. N’Golo DIARRA Botanique<br />

M. Bouba DIARRA Bactériologie<br />

M. Salikou SANOGO Physique<br />

M. Bokary Y. SACKO Biochimie<br />

M. Boubacar KA<strong>NT</strong>É Galénique<br />

M. Souleymane GUIN<strong>DO</strong> Gestion<br />

M me <strong>DE</strong>MBELE Sira DIARRA<br />

Mathématiques<br />

M. Modibo DIARRA Nutrition<br />

M me MAIGA Fatoumata SOKONA<br />

Hygiène du milieu<br />

M. Mahamadou TRAORÉ Génétique<br />

M. Yaya COULIBALY Législation<br />

ENSEIGNA<strong>NT</strong>S EN MISSION<br />

Pr. Doudou BA<br />

Pr. Babacar <strong>FA</strong>YE<br />

Pr. Éric PICHARD<br />

Pr. Mounirou CISSÉ<br />

Pr. Amadou Papa DIOP<br />

Bromatologie<br />

Pharmacodynamie<br />

Pathologie Infectieuse<br />

Hydrologie<br />

Biochimie<br />

<br />

7


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167


TABLE D’HEMODILUTION NORMOVOLEMIQUE (HOMMES)<br />

VOLUME SANGUIN TOTAL (VST en l).<br />

T 1.50 1.55 1.60 1.65 1.70 1.75 1.80 1.85 1.90 1.95<br />

P<br />

40 3.18 3.32 3.48 3.64 3.82<br />

45 3.40 3.55 3.70 3.87 4.04 4.23<br />

50 3.63 3.77 3.93 4.09 4.27 4.45 4.65<br />

55 3.85 4.00 4.15 4.32 4.49 4.68 4.88 5.09<br />

60 4.08 4.22 4.38 4.54 4.72 4.90 5.10 5.31 5.53<br />

65 4.30 4.45 4.60 4.77 4.94 5.13 5.33 5.54 5.76 5.99<br />

70 4.53 4.67 4.83 4.99 5.17 5.35 5.55 5.76 5.98 6.21<br />

75 4.75 4.90 5.05 5.22 5.39 5.58 5.78 5.99 6.21 6.44<br />

80 5.12 5.28 5.44 5.62 5.80 6.00 6.21 6.43 6.66<br />

85 5.50 5.67 5.84 6.03 6.23 6.44 6.66 6.89<br />

90 5.89 6.07 6.25 6.45 6.66 6.88 7.11<br />

95 6.29 6.48 6.68 6.89 7.11 7.34<br />

100 6.70 6.90 7.11 7.33 7.56<br />

P : Poids (en Kg) T : Taille (en m) Réf (82)<br />

VOLUME SANGUIN A PRELEVER (en l) Pour un hématocrite final de 30%<br />

Hti 35 37 39 41 43 45 47 49 51 53<br />

VST<br />

3.25 0.50 0.68 0.85 1.02 1.17 1.32 1.46 1.59 1.72 1.85<br />

3.50 0.54 0.73 0.92 1.09 1.26 1.42 1.57 1.72 1.86 1.99<br />

3.75 0.58 0.79 0.98 1.17 1.35 1.52 1.68 1.84 1.99 2.13<br />

4.00 0.62 0.84 1.05 1.25 1.44 1.62 1.80 1.96 2.12 2.28<br />

4.25 0.66 0.89 1.12 1.33 1.53 1.72 1.91 2.09 2.26 2.42<br />

4.50 0.69 0.94 1.18 1.41 1.62 1.82 2.02 2.21 2.39 2.56<br />

4.75 0.73 1.00 1.25 1.48 1.71 1.93 2.13 2.33 2.52 2.70<br />

5.00 0.77 1.05 1.31 1.56 1.80 2.03 2.24 2.45 2.65 2.85<br />

5.25 0.81 1.10 1.38 1.64 1.89 2.13 2.36 2.58 2.79 2.99<br />

5.50 0.85 1.15 1.44 1.72 1.98 2.23 2.47 2.70 2.92 3.13<br />

5.75 0.89 1.21 1.51 1.80 2.07 2.33 2.58 2.82 3.05 3.27<br />

6.00 0.92 1.26 1.57 1.87 2.16 2.43 2.69 2.94 3.18 3.41<br />

6.25 0.96 1.31 1.64 1.95 2.25 2.53 2.81 3.07 3.32 3.56<br />

6.50 1.00 1.36 1.71 2.03 2.34 2.64 2.92 3.19 3.45 3.70<br />

6.75 1.04 1.42 1.77 2.11 2.43 2.74 3.03 3.31 3.58 3.84<br />

7.00 1.08 1.47 1.84 2.19 2.52 2.84 3.14 3.43 3.71 3.98<br />

7.25 1.12 1.52 1.90 2.26 2.61 2.94 3.25 3.56 3.85 4.13<br />

7.50 1.16 1.57 1.97 2.34 2.70 3.04 3.37 3.98 3.98 4.27<br />

Hti : Hématocrite initial en % Réf (82)<br />

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168


TABLE D’HEMODILUTION NORMOVOLEMIQUE (FEMME)<br />

VOLUME SANGUIN TOTAL (VST en l).<br />

T 1.40 1.45 1.50 1.55 1.60 1.65 1.70 1.75 1.80<br />

P<br />

30 2.09 2.22 2.35 2.50 2.65<br />

35 2.25 2.38 2.52 2.66 2.81 2.98<br />

40 2.42 2.54 2.68 2.82 2.98 3.14 3.32<br />

45 2.58 2.71 2.84 2.99 3.14 3.31 3.48 3.66<br />

50 2.75 2.87 3.01 3.15 3.31 3.47 3.64 3.83 4.02<br />

55 2.91 3.04 3.17 3.32 3.47 3.63 3.81 3.99 4.19<br />

60 3.07 3.20 3.34 3.48 3.63 3.80 3.97 4.16 4.35<br />

65 3.36 3.50 3.64 3.80 3.96 4.14 4.32 4.52<br />

70 3.66 3.81 3.96 4.13 4.30 4.48 4.68<br />

75 3.97 4.13 4.29 4.46 4.65 4.84<br />

80 4.29 4.45 4.63 4.81 5.01<br />

P=Poids (en Kg) T=Taille (en m) Réf (77)<br />

VOLUME SANGUIN A PRELEVER (en l) Pour un hématocrite final de 30%<br />

Ht 35 37 39 41 43 45 57 49 51 53<br />

VST<br />

2.00 0.31 0.42 0.52 0.62 0.72 0.81 0.90 0.98 1.06 1.14<br />

2.25 0.35 0.47 0.59 0.70 0.81 0.91 1.01 1.10 1.19 1.28<br />

2.50 0.39 0.52 0.66 0.78 0.90 1.01 1.12 1.23 1.33 1.42<br />

2.75 0.42 0.58 0.72 0.86 0.99 1.12 1.23 1.35 1.46 1.57<br />

3.00 0.46 0.63 0.79 0.94 1.08 1.22 1.35 1.47 1.59 1.71<br />

3.25 0.50 0.68 0.85 1.02 1.17 1.32 1.46 1.59 1.72 1.85<br />

3.50 0.54 0.73 0.92 1.09 1.26 1.42 1.57 1.72 1.86 1.99<br />

3.75 0.58 0.79 0.98 1.17 1.35 1.52 1.68 1.84 1.99 2.13<br />

4.00 0.62 0.84 1.05 1.25 1.44 1.62 1.80 1.96 2.12 2.28<br />

4.25 0.66 0.89 1.12 1.33 1.53 1.72 1.91 2.09 2.26 2.42<br />

4.50 0.69 0.94 1.18 1.41 1.62 1.82 2.02 2.21 2.39 2.56<br />

4.75 0.73 1.00 1.25 1.48 1.71 1.93 2.13 2.33 2.52 2.70<br />

5.00 0.77 1.05 1.31 1.56 1.80 2.03 2.24 2.45 2.65 2.85<br />

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Hti : Hématocrite initial (en %) Réf (77)<br />

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169


#),-;1_>)


SERME<strong>NT</strong> D’HIPPOCRATE<br />

En présence des Maîtres de cette faculté, de mes chers condisciples, devant<br />

l’effigie d’Hippocrate, je promets et je jure, au nom de l’être suprême, d’être<br />

fidèle aux lois de l’honneur et de la probité dans l’exercice de la Médecine.<br />

Je donnerai mes soins gratuits à l’indigent et n’exigerai jamais un salaire au<br />

dessus de mon travail, je ne participerai à aucun partage clandestin d’honoraires.<br />

Admis à l’intérieur des maisons, mes yeux ne verront pas ce qui s’y passe, ma<br />

langue taira les secrets qui me seront confiés et mon état ne servira pas à<br />

corrompre les mœurs, ni à favoriser le crime.<br />

Je ne permettrai pas que des considérations de religion, de race, de parti ou de<br />

classe viennent s’interposer entre mon devoir et mon patient. Je garderai le<br />

respect absolu de la vie humaine dès la conception.<br />

Même sous la menace, je n’admettrai pas de faire usage de mes connaissances<br />

médicales contre les lois de l’humanité.<br />

Respectueux et reconnaissant envers mes Maîtres, je rendrai à leurs enfants<br />

l’instruction que j’ai reçue de leurs pères.<br />

Que les hommes m’accordent leur estime si je suis fidèle à mes promesses. Que<br />

je sois couvert d’opprobre et méprisé de mes condisciples si j’y manque.<br />

Je Le Jure !<br />

<br />

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172

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