洪雅人速看→备孕、哺乳能打新冠疫苗吗？接种禁忌症有哪些？
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一周医讲
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在新冠疫苗接种过程中，常常会遇到一些疑问，哪些情况能打，哪些情况不能打？比如，备孕、哺乳、月经期的女性可以接种新冠疫苗吗？心脑血管疾病及高血压、糖尿病患者，能否接种新冠疫苗？
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针对这些疑问，在由四川省卫生健康委员会指导，四川大学华西医院、四川省疾病预防控制中心、四川省卫生健康宣教中心制作的《一周医讲》栏目中，我们邀请到四川大学华西医院呼吸与危重症医学科主任梁宗安教授为大家解答。
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1.女性在备孕、哺乳，月经期、人工流产术后，可以接种新冠疫苗吗？
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答：女性在月经期、备孕期间可以接种。无禁忌症的哺乳期女性，可以接种，如接种新冠疫苗后出现不适反应，建议就医后由相关科室医生评估是否需要暂停哺乳。人工流产术后，若身体恢复良好，没有其他不适的话，可以接种。
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Q:
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2.心血管疾病及高血压、糖尿病患者，能否接种新冠疫苗？
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答：若心血管疾病处于稳定状态，可以接种，不影响服用长期在使用的药物。
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心血管疾病大多为慢性疾病，如冠心病、心衰、心律失常等，需要长期治疗控制。若近期做过介入手术、术后恢复快、疾病情况稳定，基本不会影响疫苗接种。即便体内植入支架、起搏器、封堵器、人工瓣膜等，也可以接种疫苗。
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高血压患者血压在收缩压160mmHg，舒张压100mmHg以内，可以接种。接种时保持心情平稳，以免血压升高影响接种。
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糖尿病患者在空腹血糖≤13.9mmol/L，无急性并发症（酮症酸中毒、高渗状态、乳酸酸中毒）情况下，可以接种。
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Q:
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3.患有肺结核、慢阻肺、慢支炎，可以接种新冠疫苗吗？
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答：患者在既往肺结核规范治疗结束，已进入抗结核治疗巩固期病情平稳后，可以接种。慢阻肺非急性发作期，无明显咳喘，可以接种。
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4.恶性肿瘤患者，可以接种新冠疫苗吗？
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答：单用内分泌治疗且病情稳定者，放化疗、静脉用靶向药物、免疫药物等抗肿瘤结束后3个月及以上病情稳定者，可以接种；
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口服靶向药物病情稳定者需专科医生评估是否可以接种新冠疫苗；恶性肿瘤患者手术前后，进行化疗、放疗、静脉使用靶向药物、免疫药物治疗期间暂缓接种。
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终末期、未抗肿瘤治疗但病情严重者不可接种。
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哪些情况能接种？
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哪些情况不能接种？
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专家权威解答
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58种新冠疫苗接种情况
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Q:
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哪些情况能接种？哪些情况不能接种？
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答：
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可以接种的情况
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1.已知对尘螨、食物（鸡蛋、花生、海鲜、芒果）、花粉、酒精、青霉素、头孢或者其他药物过敏，可以接种。
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2.患有心脏病、冠心病，冠状动脉粥样硬化等疾病，不是急性发作期，可以接种。
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3.健康状况稳定，药物控制良好的慢性病人群不作为新冠病毒疫苗接种禁忌人群，建议接种。
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4.高血压药物控制稳定，血压低于160/100mmHg，可以接种。
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5.糖尿病药物控制稳定，空腹血糖≤13.9mmol/L，无急性并发症（酮症酸中毒、高渗状态、乳酸酸中毒），可以接种。
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6.甲减患者服用稳定剂量左甲状腺素（优甲乐），甲功正常，可以接种。
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7.慢性湿疹没有明显发作，且处于非治疗阶段，可以接种。
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8.慢性荨麻疹当前症状不明显，且处于非治疗阶段，可以接种。
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9.慢性鼻炎、慢性咽炎症状不明显，可以接种。
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10.慢性肝炎非治疗阶段，肝功正常，可以接种。
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11.肺结核不是活动期，可以接种。
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12.银屑病非脓疱型等急性类型，处于非治疗阶段，可以接种。
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13.白癜风处于非治疗阶段，可以接种。
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14.慢阻肺非急性发作期，无明显咳喘，可以接种。
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15.强直性脊柱炎无急性疼痛表现，且炎症指标无明显异常可以接种。
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16.抑郁症药物控制良好，生活工作如常，可以接种。
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17.精神疾病患者，病情稳定，可以接种。
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18.用于治疗糖尿病的各种药物（包括注射胰岛素），均不作为疫苗接种的禁忌。
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19.免疫系统疾病（系统性红斑狼疮、类风湿关节炎、干燥综合征等等）总体原则是谨慎接种。一般情况下，在病情稳定时可以接种新冠灭活疫苗和重组亚单位疫苗。
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20.恶性肿瘤术后超过三年，不再进行放化疗；肾病综合征；肾移植后吃免疫抑制药物；艾滋病患者、HIV感染者，建议接种灭活疫苗或重组亚单位疫苗。
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21.阴道炎，尿道炎等泌尿系统感染，无发热，处于非治疗阶段，可以接种。
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22.单纯腹泻，无发热，每日不超过三次，可以接种。
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23.心脏病、支架、搭桥、安装起搏器，术后恢复正常，可以接种。
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24.器官移植术后，恢复良好，体征平稳，建议用新冠灭活疫苗。
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25.脑梗塞治愈者，或有后遗症(且病情稳定、血压控制平稳)者，可以接种。
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26.阑尾炎术后、人工流产术后，身体恢复良好，没有其他不适的话，可以接种。
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27.骨折、外伤，无感染发热，可以接种。
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28.备孕期、哺乳期可以接种，哺乳期可继续哺乳。
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29.男性不存在因备孕不能接种新冠病毒疫苗的问题。
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30.月经期，可以接种。
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31.侏儒症，可以接种。
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暂缓接种的情况
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1.任何原因（感冒、伤口感染、局部炎症）引起的发热（腋下体温≥37.3℃），暂缓接种。
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2.痛风发作、重感冒、心梗、脑梗等疾病急性发作期，暂缓接种。
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3.恶性肿瘤患者手术前后，正在进行化疗、放疗期间，暂缓接种。
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4.头痛，头晕，恶心，呕吐，胸闷，胃部不适等，暂缓接种，查明原因再考虑是否接种。
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5.荨麻疹发作期，有皮肤瘙痒症状，暂缓接种。
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6.诺如病毒或其它病毒引起的急性腹泻，暂缓接种。
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不能接种的情况
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1.患有未控制的癫痫和其他严重神经系统疾病者（如横贯性脊髓炎、格林巴利综合症、脱髓鞘疾病等），不能接种。
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2.既往接种疫苗出现严重过敏反应者（如急性过敏反应、血管神经性水肿、呼吸困难等），不能接种。
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3.对疫苗成分及辅料过敏者不能接种，灭活新冠病毒疫苗辅料主要包括：磷酸氢二钠、氯化钠、磷酸二氢钠、氢氧化铝。
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4.正在发热者，或患急性疾病，或慢性疾病的急性发作期，或未控制的严重慢性病患者。
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5.妊娠期妇女不能接种。
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6.患血小板减少症或出血性疾病的，不能接种。
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其他情况
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1.接种后发现怀孕不需要终止妊娠，建议做好孕期检查和随访。
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2.对于有备孕计划的女性，不必仅因接种新冠病毒疫苗而延迟怀孕计划。
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3.新冠病毒疫苗不推荐与其他疫苗同时接种。其他疫苗与新冠病毒疫苗的接种间隔应大于14 天。
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4.任何情况下，当因动物致伤、外伤等原因需接种狂犬病疫苗、破伤风疫苗、狂犬病免疫球蛋白、破伤风免疫球蛋白时， 不考虑间隔，优先接种上述疫苗和免疫球蛋白。
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5.如果先接种了狂犬疫苗、破伤风疫苗、狂犬病免疫球蛋白、破伤风免疫球蛋白等，需先完成上述疫苗最后一针接种，间隔 14 天后可以接种新冠病毒疫苗。
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6.注射人免疫球蛋白者应至少间隔1个月以上接种本疫苗，以免影响疫苗免疫效果。
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7.既往新冠肺炎病毒感染者（患者或无症状感染者），在充分告知基础上，可在6个月后接种1剂新冠病毒疫苗。
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8.在疫苗接种前无需开展新冠病毒核酸及抗体检测。
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9.接种后不建议常规检测抗体作为免疫成功与否的依据。
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10.现阶段建议用同一个疫苗产品完成接种。如遇当地疫苗无法继续供应、或者异地接种等特殊情况，无法用同一个疫苗产品完成接种时，可采用相同种类的其他生产企业的疫苗产品完成接种。
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11.新冠灭活疫苗需要接种2剂，未按免疫程序完成者，建议尽早补种。免疫程序无需重新开始，补种完成相应剂次即可。
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12.新冠灭活疫苗在14-21天完成2剂接种的，无需补种。
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13.现阶段暂不推荐加强免疫。新冠灭活疫苗按照免疫程序完成两剂次，不再加强。
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14.其他情况请咨询接种点医生。
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15.没有上臂人员，可以在大腿前外侧中部，肌内注射。
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来源:洪雅融媒
</p> 高血压可以打啊？ 前几天才打了第二针，第二针咋这么痛 在外面的半年后是不是要重新去打啊？ 蛋堡 发表于 2021-9-13 08:54
在外面的半年后是不是要重新去打啊？
可以去打加强针吧 蛋堡 发表于 2021-9-13 08:54
在外面的半年后是不是要重新去打啊？
好像要，我一个北方的朋友打疫苗的时候医生说喊他半年后重新打，现在的针不晓得，之前打的针要重新打 已经打完
哦
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