69岁阿伯被罗非鱼扎伤，3天后高烧39℃，整条手臂红肿！医生：“72小时可夺命”，务必戴手套！

开渔季过后，海鲜供应充足，很多人实现了“海鲜自由”。海鲜虽美味，但是一定要注意一件事：小心别被海鲜刺伤。

A 69-year-old man surnamed Qin (pseudonym) has recovered after a fish spine puncture led to a severe Vibrio vulnificus infection, prompting doctors to warn about the risks of handling seafood as supplies surge following a fishing moratorium.

被鱼刺扎了一下

3天后右手疼到动不了

近日，69岁的秦伯（化名）在家处理罗非鱼，右手掌不小心被鱼刺扎了一下。伤口不大，也没怎么出血，他简单冲了冲水，就没再当回事。

谁知3天后，秦伯突然发起高烧，体温最高烧到39℃，右手掌又红又肿，还一路蔓延到整条手臂，手掌背侧鼓起一个个水疱，右手疼得根本没法活动。

While cleaning a tilapia at home, Qin was pierced in his right palm. The wound was small and bled little, so he rinsed it with water and thought nothing more of it.

Three days later, he developed a fever, with his temperature peaking at 39 C. His right hand became red and swollen, the inflammation spread up his entire arm, blisters appeared on the back of his hand, and pain left him unable to move his right hand.

秦伯的手

家人赶紧把他送到当地医院。抽血结果显示，秦伯的炎症指标明显升高，医生怀疑是“创伤弧菌感染”。用了几天抗生素后，他的手仍然红肿。情急之下，秦伯被转到深圳市第三人民医院感染重症医学科。

入院后，深圳市第三人民医院感染重症医学科张嘉诚医生第一时间为秦伯安排了病原微生物高通量基因检测，结果检测为创伤弧菌。

At a local hospital, blood tests showed markedly elevated inflammatory markers, and a Vibrio vulnificus infection was suspected. After several days of antibiotics, the swelling persisted. 

Qin was then transferred to the Shenzhen Third People's Hospital. There, a doctor arranged high-throughput genetic testing for pathogens, which confirmed the diagnosis. 

显微镜下的创伤弧菌

“创伤弧菌被称为‘海洋杀手’，常藏在海产品身上。”据了解，罗非鱼本身是广盐性鱼类，很多养殖塘靠近沿海河口，水体本身就带有创伤弧菌，鱼体自然会被附着。

感染重症医学科一病区王福祥主任医师介绍，这种细菌毒性强、进展快，通过伤口进入人体后，可能在短时间内引发坏死性筋膜炎、脓毒性休克，严重的要截肢，甚至危及生命。

Chief Physician Wang Fuxiang described the bacterium as highly virulent and fast-moving. Once it enters through a wound, it can cause necrotizing fasciitis and septic shock within a short period, potentially leading to amputation or death.

秦伯入院后，一边精准抗感染，一边准备手术。经过16天的治疗，他的体温恢复正常，右手红肿一点点消退，各项炎症指标明显下降，血培养也转为阴性；秦伯顺利出院，回家继续换药康复。

医生提醒

一定要记得戴手套

医生提醒，创伤弧菌俗称“海洋中的无情杀手”，常寄生在鱼、虾、蟹、贝类等海洋生物中，偏爱温暖盐水环境，起病隐匿、进展迅猛、致死率极高。

若感染后48小时内未接受规范治疗，死亡率超50%；72小时未干预死亡率接近100%，市民需高度警惕日常处理海鲜时的潜在风险。

Vibrio vulnificus, often called a "ruthless killer of the sea", is a bacterium that lives in fish, shrimp, crabs, and shellfish and prefers warm saltwater. It has an insidious onset, progresses rapidly, and carries an extremely high fatality rate. 

Without standard treatment within 48 hours, mortality exceeds 50 percent; without intervention within 72 hours, it approaches 100 percent, according to doctors.

日常处理海鲜时，记住这几点：

①处理海鲜戴手套。手上有伤口时，千万别直接接触海水或海鲜。

②被扎伤后立即处理。清水冲洗，从心脏近端向远端把血挤一挤，涂碘酒消毒，尽快去医院。

③有伤口别碰海水。手上有伤口时，不要下海，也不要直接接触海水和海鲜。

④出现这些信号立刻就医。伤口红肿热痛并快速扩散、发烧、打寒战、起水疱。就诊时一定要主动告诉医生“被海鲜扎伤过”，这句话能帮医生快速锁定病因，争取治疗时间。

⑤这几类人要格外当心。慢性肝病、糖尿病、肿瘤患者，长期服用免疫抑制剂的人，以及老年人，感染后更容易发展成重症。

如果不慎被海鲜刺伤

正确处理方法如下

如果伤口较浅，及时将表面血液挤出，流动水下冲洗伤口5分钟，消毒伤口；如果伤口较深，经过基础的处理后，需要立即就医。

For shallow wounds, surface blood should be squeezed out, the wound rinsed under running water for five minutes, and disinfected. For deep wounds, immediate medical attention is required after basic first aid.

来源：杭州日报 南方都市报 中国青年报 深圳大件事

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