Expose the processing order after second liver virus accidentally

The injury that brush a skin is not cutaneous slight abrade, how to want " most urgent " undertake handling? A day, doctor Li is seeing a doctor to the patient inside consulting room, rush into suddenly come 3 people, panic-stricken, no matter others is in,also see a doctor, among them one cries greatly: "Doctor, most urgent! Most urgent! Liver of his good second, ask you to think way quickly! Or him this was over all one's life! " Doctor Li looks up to look, 3 people are sweating, among them complexion of a youth is pale, angst uneasiness, covering closely with closefisted oneself knee. Doctor Li asks him to unlock a hand to check cut, he says malcontently however: "Doctor, cut does not have what to matter, I am infection be givinged by second liver virus, you think way quickly, whether to go up alexipharmic ah? " he loosens eventually hand, what are " most urgent " ? Brush a skin to hurt namely just. Original, they are some factory workers, a moment ago went together forest, having among them is the person that second liver virus is carried. In forest process, produced bagatelle friend carelessly, a tree topples as it happens breaks the upper arm of this person that take poison, another end breaks the knee of the person on the side of him at the same time, the condition of an injury is not serious, it is the injury that brush a skin. Because gave a bit blood, the cut of the two people in fluster comes up against one place, drive at once then hurry to a hospital to beg treat. Doctor Li understood a situation, affirm above all, they come for a short while the hospital is correct. This kind of circumstance cries " expose second liver virus accidentally " , contacted second liver virus accidentally namely, be affected likely really by place of second liver virus, ought to adopt an emergency measures to try to prevent. Basis " guideline of prevention and cure of chronic hepatitis B " requirement, undertake passive immunity instantly above all, globulin of immunity of inject hepatitis B, at the same time even the mark content of virus of liver of exsanguinate assay second. "What is active and passive, we are not clear also, ask you to give alexipharmic quickly! " ground of 3 individual all with one voice say. Doctor Li injected to youth of the injury that brush a skin instantly globulin of hepatitis B immunity 400 units. "The alexipharmic that you say had injected. This kind of alexipharmic is globulin of immunity of liver of efficient price second actually, the second liver virus that inbreak can be counteracted by globulin of second liver immunity, won't affect second liver. " Doctor Li affectionately says. "So simple? Can you assure to be infected by second liver virus no longer? " 3 people do not believe this stitch can have so big effect a bit. "Keep telephone number please, so that inform you of assay result. " Doctor Li exhorts. The following day assay result came out, doctor Li makes a telephone call to youth of the injury that brush a skin immediately: "Fight in your blood - HBs is electropositive, fight one HBc electropositive also. This explains you ever had contracted second liver virus in the past, had ended infection now, and gained the immune strength to second liver, although do not inject globulin of hepatitis B immunity, also can be kept clear of inside the system that second liver virus enters you, you are false alarm. " the boy is a bit muddleheaded, cried to rise in the phone: "When did I contract second liver virus? Be when good? How does myself know not at all? " Doctor Li explains to him again: "Be in our country, the multitude that already had 58% contracted second liver virus, among them major person relies on his immune function to keep clear of second liver virus, antibody produced inside body (fight - HBs) , won't get second liver again, this kind of infection cries ' recessive infection ' . Virus of liver having second still keeps inside the human body of about 9% only, become the person that take poison. " get hurt the boy was stupefied a little while, seemed to understand, burst out laughing. Lay between two days, boy of the injury that brush a skin looks for Doctor Li suddenly again, he asks: "Inside my body early produced antibody, do not need globulin of immunity of inject second liver actually this kind of medicine, but I injected again this kind of medicine, is this meeting harmful to my body? " " sure. Actually, globulin of second liver immunity basically also is to fight - HBs, after inject, just be in your blood grow in quantity a few fight - HBs just. " Doctor Li adds, "The condition is critical at that time, do not know to whether antibody exists inside your body again, injecting first is correct. If exsanguinate assay is fought - HBs is electronegative, inject even second liver is vaccinal. " subsequently, the active immunity that Doctor Li explained to virus of precautionary second liver is affected to him again and passive immunity problem. The boy went approvingly, "Most urgent " the story of the injury that brush a skin comes here to also end. The ① of 　 of processing program 　 after exposing second liver virus accidentally is handled to the hospital as soon as possible (should be in after exposing inside 24 hours) ; ② instantly content of mark of liver of exsanguinate examination second (second liver two half-and-half) ; ③ need not await second liver two half-and-half result, can inject first globulin of second liver immunity (liver of second of HBIG); ④ basis the result of two half-and-half, decide to whether need vaccine of inject second liver again, if fight - HBs is electropositive, do not need inject; ⑤ to check antigen of second liver surface (HBsAg) is electropositive, the specification is gone to already already affected ⑥ of; of second liver virus to check HBsAg negative, fight - HBs is electronegative, want vaccine of inject second liver. Vaccinal need injects 3 times, after exposing 1, 6 a month, months inject 1 times each again. After 6 months even exsanguinate examination, if be fought in serum - HBs is electropositive, explain lash-up measure is very successful, won't reinfection second liver. If antibody is electronegative, still need vaccine of liver of new inject second. (responsibility edits: King sea E)