英语好的朋友请帮忙翻译一下

qing2006

在MEDHELP上看的,用GOOGLE,看的不是很明白,请英语好的朋友帮助翻译下

Deep Cut With A Lot of Blood
by Myka1974, Aug 07, 2010 11:48AM
Hi Dr. I hope you are enjoying the summerSummers eve anti-itch. We have yet to see any evidence of summerSummers eve anti-itch where I live, but we're hopeful. A few days ago, I took my 7 month old to a community playgroup as we've been dealing with some motor development issues. They have various toys to play with. My baby was sitting playing with a few toys and all of a sudden started to cry really hard and I noticed she was bleeding from the handHand or foot spasms
Hand tremor. There was a cutCuts and puncture wounds on her fingerAmputated finger
Amyloidosis on the fingers
Clubbed fingers
Cryoglobulinemia - of the fingers
Herpes zoster (shingles) on the hand and fingers
Janeway lesion on the finger
Kawasaki's disease, peeling of the fingertips
Nail abnormalities
Replantation of digits
Ringworm, tinea manuum on the finger
Skin cancer, melanoma on the fingernail about a centimetre long and it was quite deep. I examined the toy and noticed there were a few smears of blood on the back of it and I started to worry that the blood was from another child or parent who cutCuts and puncture wounds themselves on the same sharp metal piece that was sticking out of the back part of the toy a few minutes before my child did.

I have looked for information on this website and the CDC website. I did read that HIV is not spread via environmental surfaces, but I am worried that my baby may have had an exposure due to a possible short time frame between cuts and due to the fact that there was a deep cut not just a touch to intact skin. Was this a risk? I'm hoping you can give me more information about HIV transmission, and eliminate my fears at the same time. Please respond!



by Edward W Hook, MD, Aug 07, 2010 12:18PM
Welcome to the Forum.  We receive many questions of this sort and I realize that when a child is involved all of one's concerns are amplified.  I have happy to report to you that there is no meaningful risk of HIV to your child from this cut. the reason of this are both due to the facts related to the way HIV is transmitted and a logical analysis of the risk from such a cut.  Let's analyze the risk of a cut first.

The chance that there was someone else's blood on the toy your child's cut was from another person, much less, an HIV infected person is close to zero.  IF there was someone else's blood present (which is doubtful) it was most likely another child’s blood.  HIV is a relatively rare infection and even more so amongst children, thus, from the perspective of shear logic, it is unlikely that there was contaminated blood present on the toy which injured your child.

From a scientific perspective, even if there was HIV infected blood present, any virus present would not be infectious.  The HIV virus dies very quickly outside of the body and the smearing process that would lead to blood smears would just accelerate that by promoting drying and environmental exposures.   

My advice is not to worry about the possibility of HIV form such a cut.  I hope my comments are helpful to you and that your child's cut heals quickly and uneventfully.  EWH