A few days ago, an article is passed in the heat on the net, " the son threw one Jiao, took bout danger spot accordingly unexpectedly. . . . . . " .
Pa of a treasure writes the article, write very calmly objective, special anxious:
The darling of a 20 lunar age threw one Jiao in the home, large hole was cut on the head, shed a lot of blood, went hitting tetanic needle in hospital processing process, have not wants to produce irritability shock actually, be apart of yin and yang of within an inch of.
Space is a bit long
Slide right, watch event probably through
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After a lot of parents had looked, express concern in succession:
" dozen tetanus is too terrible, have so big risk actually? "
" does the child fall defeated a skin to need to break catch a cold after all? "
To this, the Laoshi of accept of expert contented goosefoot of vaccinal have an inoculation expresses clear point of view -- this child, do not need to break catch a cold, this danger sopt, ought not to go at all.
How is we will listen to teacher of contented goosefoot accept analysed.
Tetanus of ≠ of tetanic immunity precaution is vaccinal
Before listening to me to analyse, everybody must understand next tetanic immunity to prevent, tetanus has two kinds of immunity to prevent kind:
1.Tetanus is vaccinal
It is to point to the vaccine that makes human body active produce tetanic antibody.
Tetanic vaccine with other vaccine normally a make it combines vaccine, be familiar with quite e.g. us, children convention is free and vaccinal white 100 broken vaccine and white broken vaccine, and need at one's own expenses vaccinal 4 couplet vaccine and 5 couplet vaccine, tetanic vaccine was included inside.
By the period of time after stipulating vaccinal tetanus is vaccinal (think 10 years commonly) inside, the tetanic antibody inside human body can be maintained in higher level, can effective precaution is tetanic, so vaccinal tetanic vaccine is the crucial step that prevents tetanus.
2.Preparation of tetanic passive immunity (broken avoid)
With tetanic vaccinal have an inoculation after horses or human body, from inside the blood of horses or human body abstraction goes out, the serum that contains tetanic antibody.
Originate the serum of horses, often be called to fight tetanic serum (Ma Yuan is broken avoid) ; Originate the serum of human body, often be called tetanic immunity globulin (person source is broken avoid) .
Inject is broken avoid be equivalent to giving human body inject tetanic antibody directly, can raise human body quickly to be opposite the immune force of tetanic toxin, but this kind of effect can keep very short time only, what come on in tetanus normally is preclinical inside already invalidation.
Comparative these two kinds of means, no matter still be sure from degree of effectiveness for a given period of time for degree, tetanic vaccine should be avoided than defeating more safe, actual effect is longer also.
Photograph comparing rises, broken avoid still have a major flaw -- the likelihood brings about serious allergy.
Foreign statistic, ma Yuan defeats the allergic rate that avoid to be 5% ～ 30% , deadly rate is 1 / 10 thousand. Even if is to be thought special safety, the person source that need not become allergic test is broken avoid, its still have the allergic rate of 2 ‰ .
More terrible is: Only occasionally Ma Yuan defeats the hospital avoid can inject, but patient allergic, must use desensitization inject method at this moment (inject after dilute namely roughly) .
Law of inject of this kind of desensitization is breakneck also, the person that has 14.1% still is met allergic, 1.2% meetings produce irritability shock.
The child in this incident, hit tetanic needle is Ma Yuan broken avoid (not be tetanic vaccine) .
Allergic nearly is deadly
Where is the problem after all
Side effect of equestrian source vaccine is so serious, still let the child hit, be err of doctor in charge of a case?
Either.
What say in the article is very clear, the clinician knows Ma Yuan cuts the risk that avoid completely.
In inject Ma Yuan is defeated before avoiding, also did a skin to try to darling by the regulation, the result is electronegative, show darling does not have allergic evidence namely, so ability can inject to darling.
The skin tries negative but produce irritability shock actually however, this kind of phenomenon reflects the uncertainty that gives medicine helplessly.
Everybody doesn't have responsibility, can blame good luck to get a person only.
This darling has necessary inject to defeat avoid, this ability is crucial question.
2017, our country came on stage " consensus of expert of precaution of Chinese tetanic immunity, 2017 edition " .
Tetanic expert consensus points out: In existing have an inoculation and go to a doctor big environment falls, tetanic immune precaution is the phenomenon that existing to be out of line actually: Vaccinal doctor is in charge of vaccinal tetanic vaccine, the clinician is in charge of preparation of immunity of inject tetanus passivity.
Tetanic expert consensus still points out: After getting hurt, not divisional and particular case is used broken avoid, do not have scientific basis.
What the clinician knows to vaccinal action is very little, bring about preparation of tetanic passive immunity to be abused.
Why can this baby take danger spot? The disaster that is caused by this kind of error namely.
Have an inoculation of child whole journey is too white 100 broken
Need not defeat at all avoid processing
I am in and contact the discovery after deepness understands when the treasure Mom of job family, this child was not necessary to break avoid, the reason is:
Have an inoculation of child whole journey is too white 100 broken vaccine
White the vaccine that 100 broken vaccine are free have an inoculation, have an inoculation leads a demand, normally for the vaccinal rate of children exceeds 95% .
According to the regulation of our country, children needs to be in 3, 4, 5 with 18 lunar age each are vaccinal 1 agent is white 100 broken vaccine.
The record shows the darling have an inoculation that treasure Mom offers, darling has stipulated by the country age have an inoculation passes 4 lotions white 100 broken vaccine, 1 agent is the have an inoculation before 2 months finally.
Tetanic expert consensus affirms: Whole journey have an inoculation is too white the 100 person that defeat vaccine, do not have inside 5 years necessary use broken avoid.
Only this, with respect to enough source of this stitch horse defeats cognizance darling to avoid and be not had necessary.
The treasure Mom in incident thinks back to, doctor of emergency call family treated darling condition, doing communication circumstance to fell to open suture operation sheet hardly, tetanus is odd, had not asked darling has have an inoculation, also had not asked us otherwise wants to choose immune globulin.
I do not feel accident, because most clinician is in,vaccine is dilettante on vaccinal problem, the cut that they acquire deals with knowledge also is lacked to vaccine the consideration of history of have an inoculation (this also is the error that mentions in tetanic expert consensus) .
According to the record of treasure pa, the child defeats the 19th minute of occurrence allergy after avoiding in inject horse source shape (vomiting) , the 23rd minute produces irritability shock namely (the whole body is purple, lose consciousness) .
Not bad, child parent follows the doctor's advice sincerely, stay in the hospital watch 30 minutes, strive for valuable time for rescue.
The child can make the same score smooth An An, than what strong.
