职业暴露处理流程

 zhiyebaolu，jiushizhiyougangweideyuangubaoluzaifengxianzhizhong，jineryoujianghuishanghaixingmingdeyizhongzhuangkuang，yibanyihurenyuanchuzaizhiyebaoludezhuangkuangduojian，zhiyebaolujiejuebuzhoushishenme，jiaruhivzhiyebaolugaizenmebanni，xiabian jiueryanshuozhiyebaolu。

一、职业暴露解决步骤

 1、dangchangjiejue。zunzhao“yijierxisanxiaodushajun”biaozhun，zaihuanchuyoujinxinduanxiangyuanxinduanjiyachengxing，jinliangjiyasunhaichudexueye;yongzaoyeheliudongxingshuiwanquanqingxi，yanjinbufenjiyachengxinghexiyun，shijianxuduoyu15fenzhong。zaiyong0.5%dianfuhuo75%jiujingxiaoduchuangkou。jianrukouqiangke、shuangyandengbuwei，jinkuaiyonglengshuihuoyanshuiwanquanqingxi，shijianxuduoyu15fenzhong。

2、gaozhifuzerenhulirenyuan，congneibuwangtianxiexinxizhiyebaoludengjika，huibaoyiyuanganranguanlike。

 3、fengxianpingjia：youganqiguanlifangfadanweiduibaolushuiping、baoluyuanhebaoluzhekaizhanpingding，querenganqideweixianyinsu、baolujibieheshibushibixushixingbaoluhoufangfanjiyao。

4、daoganqimianyikekaijuyouguanjiancechayan。querenbaoluhoufangfanjihuafangandetiaoxuan：

①、bingrenhbsag( )：

 yihurenyuankang-hbs<10mu/mlhuokang-hbsshuizhunyouwu，yingxiandazhenyiganbingdumianyiqiudanbai(hbig)200～400u，lingwaizaibuyiyangbuweidayimiaodiyizhenyixingganyanyumiao(20µg)，yu1geyuehe6geyuehoufenbiedayimiaodierzhenhedisanzhenyixingganyanyumiao(ge20µg)。

2)yihurenyuankang-hbs≥10mu/m1zhe，buyidingkaizhandutejiejue。

baoluhou3geyue、6geyueyingchayanhbsag、kang-hbs、alt。

 ②、bingrenkang-hcv( )：chanshengzhiyebaoludeyihurenyuankang-hcv(-)，baoluhou3geyue、6geyueyingchayankang-hcv、alt，bingyijufuzhenjieguokaizhanxiangduikangbingduzhiliao。

 ③、bingrenkang-hiv( )：yingxianxiangzhuzhuaxiaozhangjibendijibingfangzhijiancezhongxinhuibao。youjibingfangzhijiancezhongxinkaizhanpingdingyuanquanfanghujutizhidao，yijubaolujibiehebaoluyuanbingduganranzailiangshuizhunjueceshibushishixingbaohuxingfuyaojihuafangan。baoluhou1geyue、2geyue、3geyue、6geyueyingchayankanghiv。

④、bingrentpha( )：

qianglietuijianjihuafangan：bianxingqingmeisu，240wanu，yicijirouzhushe，meixingqiyici，gong2zhou。

 qingmeisuguomin：duoxihuansu(qianglimeisu)100mg，2ci/d，shenglve14tian;huosihuansu500mg，4ci/d，neifu，shenglve14tian;toubaoqusongshiyonglianghezhiliaoguochengcongweiqueren，qianglietuijian1g/d，jirouzhushe，shenglve8～10tian;huoaqimeisu2g，yicineifu。

5、随诊和资询。

 ganqifazhanbuchengdancuicuzhiyebaolubeigaofangzhunshikaizhanjiezhongyimiaohejiancha，bingchengdangenzongheduijianchajieguohefushiyaopin，xianghupeihedafukaizhananshijiancesuizhen。

 zaichulifangshizhong，ganqifazhanbuchengdanweizhiyebaolubeigaofangchushizixun，bixushiqingxintaizhuanjiaxiezhuhuanjieqijiaolvbuanjiaolvxintaizhuangtai，diaozhengqingxu。

 yiyuanmenzhenhexiangguanzhiqingzheyingshizhiyebaolubeigaofangyankexinxibaomi，bukexiangbuxianggangongzuorenyuanxielouzhiyebaolubeigaofangdezhuangkuang。

二、HIV职业暴露该怎么办

yingduihivzhiyebaoludeqianzaixingfengxianxing，yizhenenggoufenerzhongzhuangkuangjiejue：

 1、zaibuquedingxingshibushiyoujifusunhuaidezhuangkuang，nenggouyongyichuncaxibaolubuwei，yaoshimeiyoutongtengjuede，nenggoujuedejifumeiyousunhuai，jiubuyongbaoluhoufangfan。

 2、jiaruyousunhuai，zebixubaoluhoufangfan，kecaiyongxialieduice：jiyachengxingchuancishubuwei，jinkenengjiyaxueye;lengshuiwanquanqingxichuangkou，heyong75%jiujingxiaoduchuangkou;shizai2zhongtouneineifubaohuxingyaopin，rulatilawei、tinuofuwei、lamifudingdeng。

 大部分的人到应对他人的情感问题时，都是看的很明白，可是一旦有关自身的情感问题，就会猝不及防，