#男生帮女朋友口吸伤口确诊三级暴露#
Rush to the hot search
On October 14, a small group in Nanchang, Jiangxi Province
Use your mouth to help your girlfriend who was scratched by a stray cat clean the wound
Told by a doctor that it is a third-degree exposure
(Highest level of rabies exposure)
Arouse heated discussions among netizens
This operation is really a TV series to watch too much
Come and learn serious science together
What is tertiary exposure?
Rabies is known to be a case fatality rate
Almost 100% of diseases
The so-called "rabies exposure" refers to being subjected to
Rabies, suspected rabies
or a healthy rabies host animal that cannot be identified
Biting, scratching, licking mucous membranes
or broken skin
and open wounds, mucosal contact
Possible infection with the rabies virus
Animal saliva or tissue
According to the way and extent
Rabies exposure was classified as grade 3
At each level, there are corresponding preventive treatment methods
Experts remind that it is not advisable to clean the wound with the mouth! The level of rabies virus exposure does not only depend on the degree of skin lesions, but is related to the number of nerves in the exposed area, the mouth nerves are dense and close to the brain, and the risk of infection is higher than that of the limbs and other parts after exposure.
What to do after grade 3 exposure?
After the first tertiary exposure
Wounds should be treated promptly
Injection of immune impulse
Rabies vaccination
The correct wound management is as follows
Simply put: rinse first, then disinfect (the sooner the better!). ）：
· rinse
1. Rinse all bites and scratches alternately and thoroughly with soapy water (or other weak alkaline detergent, professional rinse solution) and running water at a certain pressure for about 15 minutes.
2. Then wash the wound with normal saline.
3. Finally, use sterile skim cotton to suck up the residual liquid at the wound to avoid leaving soapy water or detergent on the wound.
When deep wounds are flushed, the inside of the wound can be perfused and rinsed with a syringe or special irrigation equipment to achieve comprehensive and thorough.
· disinfect
After rinsing, rub the wound with diluted iodophor or other skin and mucous membrane disinfectants with virus inactivation effect (such as quaternary ammonium disinfectants, etc.) (if there is a lot of broken tissue in the wound, it should be debridement first).
· Prevention of other infections
Depending on the wound contamination or infection, antibiotics should be used appropriately to reduce infections other than rabies virus. Particular attention should be paid to the comprehensive judgment of whether to use tetanus vaccine and its passive immune agents based on the nature of the wound and previous immunization history.
Do not do this when you are in close contact with your dog
▲Source: WHO
In addition, there are often people who ask: if you are bitten by a turtle, do you want to get a rabies vaccine?
To answer questions in this episode, non-mammals such as birds, fish, insects, lizards, turtles, and snakes do not infect and transmit rabies, so exposure to these animals does not require rabies post-exposure immunoprophylaxis and rabies vaccination. (There are also bites or scratches from people, so you don't need to worry about getting the rabies virus and you don't need to get a rabies vaccine.) ）
Source: People's Network Science Popularization Comprehensive Youth Zhejiang