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女生被老鼠咬后反咬一口?医生也懵了

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12月21日,江苏无锡一女子称自己不慎被老鼠咬到手,后反咬老鼠头进行报复。

当事人称,事后去看了医生,已经打了针,人暂时没有什么事。医生则表示从业以来没见过先例,为她打了破伤风和狂犬疫苗。

该女子晒出了印有无锡市锡山人民医院的急诊病例,病例显示其18岁,被老鼠咬伤右手,并反咬老鼠,自诉唇角有伤口,要求进行狂犬病及破伤风治疗。时间为12月21日23点12分。

12月22日,该网友告诉记者,当事人是其室友,时老鼠跑进屋内后被室友抓住,老鼠就咬了她一口,室友觉得自己被挑衅了就朝着老鼠的头咬了一口,留下了两个牙印。其称,室友现在无大碍,告诫她以后不要再做出此行为。

有网友回忆起了

自己被老鼠咬后的经历

被老鼠咬了该咋办?

据长春疾控,理论上,作为哺乳动物的鼠类肯定可以感染和传播狂犬病病毒(比如旱獭),但由于常见的老鼠体形小,如果被患狂犬病的狗或大型动物咬伤,几乎不可能生还,所以老鼠传播狂犬病的风险可以忽略不计,自然界也没有发现过鼠类之间传播狂犬病。千万不要认为,老鼠天生携带狂犬病病毒。

人类的狂犬病99%以上是犬类传播的,其次是猫、蝙蝠等动物。目前,还未报道过老鼠传播狂犬病给人类的案例。

所以,被老鼠咬伤只是在理论上可能感染狂犬病,但实际从未发生过,所以没必要接种狂犬病疫苗。

老鼠咬伤并不会传播鼠疫,被老鼠身上的跳蚤叮咬,才可能感染鼠疫杆菌。不过,鼠疫也像出血热一样,有疫区的概念,疫区之外的老鼠,它们身上的跳蚤并不携带鼠疫杆菌。

人类感染出血热主要是因为接触或吸入含有病毒的老鼠分泌物,目前还没有听说过老鼠咬伤感染的案例。所以,不能认为老鼠咬伤就需要接种出血热疫苗。即使真的因为老鼠咬伤而感染了出血热病毒,接种出血热疫苗也来不及预防,因为不是所有疫苗都适合暴露后的应急接种。

正确处理老鼠咬伤。出血热从感染到发病,可有7—14天的潜伏期;出血热疫苗从接种到产生抗体,大概需要2周的时间。因此,感染出血热后再注射出血热疫苗,难以起到防治出血热的目的。正确的做法应该是及时去医院规范处理伤口,观察两周,如果出现发热、感冒症状,及时医院就诊,尽最大努力把治疗关口前移。记住下面四个步骤:

  • 冲洗:用清水或肥皂冲洗伤口15分钟。

  • 清洁:先用生理盐水冲洗伤口,去除残留的清洗剂,再用无菌脱脂棉将伤口处残留液吸干。

  • 消毒:用碘伏或其他具有病毒灭活效力的皮肤黏膜消毒剂涂擦伤口消毒。

  • 就医:根据伤口部位、大小、深度,以及动物是否家养、野生或流浪、是否呈现病态等情况,综合评估,及早就医。

冲洗:用清水或肥皂冲洗伤口15分钟。

清洁:先用生理盐水冲洗伤口,去除残留的清洗剂,再用无菌脱脂棉将伤口处残留液吸干。

消毒:用碘伏或其他具有病毒灭活效力的皮肤黏膜消毒剂涂擦伤口消毒。

就医:根据伤口部位、大小、深度,以及动物是否家养、野生或流浪、是否呈现病态等情况,综合评估,及早就医。

(综合福建日报、南方日报、燕赵都市报、极目新闻等)

本期编辑 邹姗

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