系列问答3：关于伤口是否感染

noix

原文链接

http://www.medhelp.org/posts/HIV-Prevention/finger-cut-risk/show/1448565

Dear Dr,

I have read many many previous posts, butmost deal with paper cuts.

To the point...I cut my thumb, a  scoop of skin cut off about 5mm long and 3mmwide. It bled and formed a scab.

24 hours later i fingered a CSW &received unprotected handjob, but am worried because i noticed that the scabhad a crack in it and i could see into the cut. It was not bleeding at all.

to be honest im not even sure it definatleycame into contact with  vaginalsecretions.

3 weeks later i have a painful right earand mild pain on the right of my throat, and one episode of diarrhoea and postnasal drip for 2 days (which has now cleared up)

Is there a risk? i cant bear the anxiety(am testing at 28 days with duo soon)

ps, on a personal note i admire your work (asa fellow, but inexperienced, junior medic)

问：

亲爱的医生：

我读了很多先前的问答，但仍然受困扰于纸张割伤的问题。

直说吧，我的拇指割破了，伤口约5毫米长，3毫米宽。流血然后结痂。

24小时后，我为一位女性性工作者指交，并接受了无套手淫。我之所以担心是因为我注意到痂有裂口，我可以看见里面的伤口，但完全不流血。实话说，我都不能确定是否沾上了阴道分泌物。

三周后，我右耳朵疼，喉咙也有轻微疼痛，一次腹泻和两天的鼻后滴涕（现已痊愈）

有危险吗？我精神紧张。

答：

Welcome to the Forum. A s a reader of ourForum, you what I am about to tell you- there is no risk to this exposure.  No risk at all.  To begin with, you do not know that this personhad HIV.  Most commercial sex workers donot have HIV. Secondly, HIV is not spread through superficial contamination ofcuts, scrapes and wounds, even recent ones and the wound you describe was 24hours later.  The healing process whichcloses of wounds and cuts begins immediately as the bleeding stops, preventingrisk for infection.  that your healingwound had a crack in it does not change this.

欢迎来到论坛。作为论坛的读者，我想要告诉你的是：这种暴露没风险，完全没有。首先，你并不知道对方是否感染HIV。大多数性工作者没有感染HIV。其次，HIV不会通过皮肤表层感染，诸如切口、刮伤以及一般伤口，哪怕是最近的伤口和你所描述的24小时以后的伤口。人体自我修复的过程能够闭合伤口和切口，此过程在血流停止后立即开始，阻止感染风险。你所说的愈合中的伤口有所破裂并不会有任何改变。

there is no reason to worry.  The earache, diarrhea and other problems youdescribe are unrelated coincidence, not a manifestation of HIV.

完全没有理由去担心。耳痛，腹泻，以及你所描述的其它问题都是不相关的巧合，并不是HIV的表现。

I realize that you will get tested for yourown peace of mind but, form a medical perspective, testing is not even neededin relationship to this exposure.

如果是为了心理平静，我觉得你可能需要检测。但从医学角度来说，在这种情况下，检测是不必要的。

I hope my comments are helpful to you. EWH

我希望我的回答能对你有所帮助。

mtdxbt

谢谢，好贴，必须顶，我的情况是被动手淫，手指倒刺红红的，第二天结痂，有插入行为，肯定没有流血。正准备去测个四周

艾滋病咨询

楼主，可我不是24小时的伤口，也不清楚当时手指进入阴道的时候有没有出血，只是事后发现手指伤口有点血。肯定是我的血。也是裂了道口子

noix

艾滋病咨询 发表于 2011-12-29 11:23
楼主，可我不是24小时的伤口，也不清楚当时手指进入阴道的时候有没有出血，只是事后发现手指伤口有点血。肯 ...

抱歉，我不是专家。我只是负责翻译，尽量准确。其中内容自行判断