咨询描述:狗狗脚趾头肿起来了,还有血泡,挤出来有血,用了***,一直没彻底好
回复总结:狗狗脚趾头红肿需要口服抗生素抑制感染,如果有血肿需要进行穿刺放液,后续可以少量涂抹一些抗感染的外用药作为辅助。通常狗狗趾间炎感染的用药时间较长,需要坚持给狗狗用药并且需要佩戴伊丽莎白圈。同时建议给狗狗增加一次体外驱虫,预防和排除是由于螨虫等寄生虫造成。
问题大致一样,细节不同?
徐灿
执业兽医师
晚上好,家长,这种情况大概率是指间炎,我需要了解一下,最近一段时间有没有其他症状?他有没有总是舔爪子?上一次做体外驱虫是什么时候呢?检查一下有没有其他地方的皮屑或者是结痂呢?***是如何使用的?是口服还是液体呢?请详细的描述一下。
1.最近没有其他症状
2.没有总是舔爪子
3.上次体外驱虫3个月前
4.没有皮屑,屁股上有一小处结痂
5.***是液体涂抹的
徐灿
执业兽医师
对于这种情况来说,实际上,外用的药物并不重要,最主要的是口服抗生素,因为需要抑制感染,然后定期的,如果有血肿的话,需要穿刺放液,后续可以少量涂抹一些***作为辅助,主要是抗生素类的即可。只不过需要佩戴伊丽莎白圈,而且这种情况的用药很长时间。
徐灿
执业兽医师
一般来说,常规的抗生素的药物就可以,只不过需要长期口服,我帮你开一个方案,你可以参考,同时,建议增加一次体外驱虫,预防和排除是由于螨虫等寄生虫造成。
我想起来了当时地板非常湿,他好像是因为这个才得趾间炎的
徐灿
执业兽医师
是这样的,一般来说,长时间关在笼子里面或者是比较潮湿的环境,才容易患有该疾病,所以一般来说都是使用外用的乳膏,配合上抗生素使用效果比较好,主要是因为光用抗生素类乳膏效果实际上不太好,最好是能够含有一定量的激素,能够达到消肿的目的。
徐灿
执业兽医师
在上面的话,已经帮你开了一个方案,是常用的抗生素,一般来说,每公斤25毫克,一天吃两次就行,这种情况肯定得吃很长一段时间,建议配合我帮你开的***使用,因为单纯的用外用抗生素,对于这种情况来说效果不好,另外,还需要佩戴伊丽莎白圈,防止舔食。
医生建议及处方根据当前病情给出,仅适用于本次问诊
蘑菇宠医处方笺
用法用量需根据患宠的年龄、体重等信息开具,此处方暂不展示
{"252645":{"id":252645,"case_id":30329,"user_id":1296147,"to_user_id":1885197,"type":3,"content":"一般来说,常规的抗生素的药物就可以,只不过需要长期口服,我帮你开一个方案,你可以参考,同时,建议增加一次体外驱虫,预防和排除是由于螨虫等寄生虫造成。","media":{"images":{},"videos":{},"business_params":{"prescription_id":103884}},"is_doctor":1,"status":1,"created_at":"2022-02-20 01:21:25","show_rx":true,"rx_info":{"id":103884,"rx_no":2.02202200121205e+24,"user_id":1885197,"doctor_user_id":1296147,"is_independent":0,"case_id":2631771,"pet_info":{"pet_id":275066,"pet_name":"比熊","pet_nickname":"熊熊","pet_gender":2,"pet_birth":"0-6","pet_weight":5,"pet_vaccination_status":1,"pet_in_insect_repellent_status":1,"pet_out_insect_repellent_status":1,"pet_age_format":"6个月"},"diagnose":"指尖炎","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2022-02-20 01:21:20","updated_at":"2022-02-20 01:21:25","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":8638,"prescription_id":103884,"doctor_user_id":1296147,"product_id":709,"product_sku_id":752,"dose":25,"dose_unit":"mg","use_method":"口服","frequency":"每天2次","days":7,"number":2,"remark":"每公斤25毫克一天两次","created_at":"2022-02-20 01:21:20","updated_at":"2022-02-20 01:21:20","product_info":{"id":709,"hash_id":"lazo6rxWXWpOqD9E","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":5,"sell_point":"速诺(阿莫西林克拉维酸钾片)250mg","title":"辉瑞速诺(阿莫西林克拉维酸钾片)250mg×10片\/板","recommend_reason":{"0":"适用于宠物由敏感细菌引起的皮肤及软组织感染、呼吸道感染","1":"治疗宠物革兰氏阴性和革兰氏阳性敏感细菌的感染","2":"用于肠炎及其他感染,如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"呼吸道感染,肠炎,腹泻,便血,真菌感染,猫癣,脓皮症","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"250mg规格1板"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/0c5606ffe97cfdbe080e7c31980a047d.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":677,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:43:15","updated_at":"2024-11-24 10:15:11","ins":{"id":5,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"阿莫西林克拉维酸钾片","trade_name":"速诺","en_name":"Synulox Palatable Tablets","brand_name":"辉瑞","is_prescription":1,"cover":"\/drug\/2020\/10\/b4e16954b19120b0d777543dde23b1da.JPG","specification":"250mg×10片×10板\/盒","reference_price":2200,"component":"阿莫西林和克拉维酸钾","indication":"适用于犬由敏感细菌引起的各种感染,及治疗犬革兰氏阴性和革兰氏阳性敏感细菌的感染。\n1、如皮肤及软组织感染脓性皮炎、脓肿和肛腺炎、蜂窝组织炎、伤口感染、腹内脓毒症等。\n2、牙感染(牙龈炎)。\n3、尿道感染,如膀胱炎、尿道炎、肾盂肾炎、前列腺炎、盆腔炎、淋病奈瑟菌尿路感染及软性下疳等。\n4、呼吸道感染,如鼻窦炎、扁桃体炎、咽炎、急慢性支气管炎、慢性支气管炎急性发作、肺炎、肺脓肿和支气管合并感染。\n5、肠炎及其他感染,如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染等。","usage_dosage":"口服。每天吃2次,连用5-7天。每次用量如下:\n体重9-12kg,吃0.5片;\n体重13-15kg,吃0.75片;\n体重16-22kg,吃1片;\n体重23-30kg,吃1.5片;\n体重31-40kg,吃2片;\n体重41kg及以上请购买同品500mg规格的产品。\n\n注:一些慢性感染(慢性皮炎、慢性膀胱炎和慢性呼吸道感染)的治疗可连用10-28天。","contraindication":"1. 仓鼠、豚鼠、沙鼠、灰鼠和家兔禁用。\n2. 其他草食动物慎用。\n3.对青霉素过敏者禁止接触本品。","adverse_reaction":"1.恶心、腹泻和皮肤丘疹是最常见的不良反应。\n2.本品为青霉素类药物,若出现过敏反应可使用肾上腺素治疗。","attention":"1.不要对病情严重的动物使用口服抗生素,因其胃肠道吸收可能不可靠,这些患病动物可能需要静脉注射剂。\n2.避免在对其他β-内酰胺类抗菌药(包含头孢菌素类)有过敏反应的动物使用。\n3.片剂由防潮箔包裹,给药前不要取出。\n4.对青霉素过敏者如果不慎接触,应该立刻去找医生救助。\n5.孕畜慎用。\n4.使用后请洗手。\n5.不要让小孩接触到此产品。","interaction":"1.避免同时使用抑菌性抗生素(如四环素、红霉素)。\n2.不要给鸟类同时使用别嘌呤醇、β-内酰胺和氨基糖苷类抗菌剂在体内有协同作用。\n3.本品和氨苄西林有完全交叉耐药性,与青霉素类和头孢菌素类有交叉耐药性。","approval_no":"(2018)外兽药证字11号","storage_method":"密封,在凉暗干燥处保存。","validity":"2年","manufacturer":"意大利豪普特制药厂(Haupt Pharma Latina S.R.L)","status":1,"created_at":"2020-10-23 12:09:57","updated_at":"2020-10-23 16:00:00"}},"product_sku_info":{"id":752,"product_id":709,"title":"辉瑞速诺(阿莫西林克拉维酸钾片)250mg×10片\/板","advword":null,"price":98,"market_price":119,"cost_price":0,"stock":726,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"250mg规格1板"}},"cover":null,"thumb":"","sale_count":715,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:43:15","updated_at":"2024-11-24 19:59:41"}},"1":{"id":8639,"prescription_id":103884,"doctor_user_id":1296147,"product_id":793,"product_sku_id":835,"dose":1,"dose_unit":"g","use_method":"涂抹","frequency":"每天2次","days":14,"number":2,"remark":"一天涂抹两次","created_at":"2022-02-20 01:21:20","updated_at":"2022-02-20 01:21:20","product_info":{"id":793,"hash_id":"650KvV4QAE4WXBEd","class_ids":{"0":1,"1":2},"category_ids":{"14":175},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":98,"sell_point":"金盾 肤美宁 醋酸氟轻松消炎杀螨膏","title":"金盾 肤美宁 醋酸氟轻松消炎杀螨膏 20g\/支\/盒","recommend_reason":{"0":"用于湿疹、过敏性皮炎、皮肤瘙痒等皮肤病"},"baike_guide_text":"","baike_article_hash_id":"","advword":"疥螨性皮肤病,皮肤瘙痒,湿疹,过敏性皮炎,皮肤病","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"20g"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2023\/03\/d0531223abab03bde0d5f7250e1c4079.jpg","images":{"0":"https:\/\/cdn.moguvet.com\/shop\/2023\/03\/6611f11086f8c75be8407c3349fb42d7.png"},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":35,"max_price":35,"sale_count":39,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 18:59:33","updated_at":"2024-10-20 09:54:57","ins":{"id":98,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"醋酸氟轻松乳膏","trade_name":"消炎杀螨膏","en_name":"Fluorocarbon acetate ointment","brand_name":"金盾","is_prescription":0,"cover":"\/drug\/2020\/11\/f76e1e33e67dad2a121303450d137cbb.jpg","specification":"20g\/支\/盒","reference_price":40,"component":"醋酸氟轻松","indication":"主要用于各种皮肤病,如湿疹,过敏性皮炎,疥螨性皮肤病和皮肤瘙痒等。","usage_dosage":"直接将药膏涂在问题部位,涂抹前先将患处污染物、结痂等清除干净,1天2次。视情况,连用5-7天。可同时配合金盾蜱螨洗剂使用,效果更好。症状消失后,亲也不要着急停药,继续使用本品3-5天以巩固效果不复发哦。","contraindication":"1.对本药及基质成分过敏者和对其他糖皮质激素过敏者禁用。\n2.急性细菌性、真菌性及病毒性等感染性皮肤病禁用。","adverse_reaction":"1.长期或大面积应用,可引起皮肤萎缩、毛细血管扩张、毛囊炎,增加对感染的易感性等。\n2.应用于面部可发生痤疮样皮炎、口周皮炎等。偶可引起接触性皮炎。","attention":"1.使用后应将管盖拧紧。\n2.请将此药放在儿童不能触及的地方。\n3.对本品过敏宠物紧致使用。\n4.避免宠物吞食。\n5.本品为膏剂,赋形剂受外界温度的变化可能存在膏体硬度差异,不影响使用效果。","interaction":"","approval_no":"兽药字100381593","storage_method":"密闭,阴凉处保存。","validity":"2年","manufacturer":"南京金盾动物药业有限责任公司","status":1,"created_at":"2020-11-16 16:05:55","updated_at":"2020-11-16 16:05:55"}},"product_sku_info":{"id":835,"product_id":793,"title":"金盾 肤美宁 醋酸氟轻松消炎杀螨膏 20g\/支\/盒","advword":null,"price":35,"market_price":55,"cost_price":0,"stock":56,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"20g"}},"cover":null,"thumb":"","sale_count":44,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-20 18:59:33","updated_at":"2024-10-19 21:13:27"}}},"drug_data_bak":{"0":{"id":8638,"prescription_id":103884,"doctor_user_id":1296147,"product_id":709,"product_sku_id":752,"dose":25,"dose_unit":"mg","use_method":"口服","frequency":"每天2次","days":7,"number":2,"remark":"每公斤25毫克一天两次","created_at":"2022-02-20 01:21:20","updated_at":"2022-02-20 01:21:20","product_info":{"id":709,"hash_id":"lazo6rxWXWpOqD9E","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":5,"sell_point":"速诺(阿莫西林克拉维酸钾片)250mg","title":"辉瑞速诺(阿莫西林克拉维酸钾片)250mg×10片\/板","recommend_reason":{"0":"适用于宠物由敏感细菌引起的皮肤及软组织感染、呼吸道感染","1":"治疗宠物革兰氏阴性和革兰氏阳性敏感细菌的感染","2":"用于肠炎及其他感染,如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"呼吸道感染,肠炎,腹泻,便血,真菌感染,猫癣,脓皮症","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"250mg规格1板"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/0c5606ffe97cfdbe080e7c31980a047d.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":677,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:43:15","updated_at":"2024-11-24 10:15:11","ins":{"id":5,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"阿莫西林克拉维酸钾片","trade_name":"速诺","en_name":"Synulox Palatable Tablets","brand_name":"辉瑞","is_prescription":1,"cover":"\/drug\/2020\/10\/b4e16954b19120b0d777543dde23b1da.JPG","specification":"250mg×10片×10板\/盒","reference_price":2200,"component":"阿莫西林和克拉维酸钾","indication":"适用于犬由敏感细菌引起的各种感染,及治疗犬革兰氏阴性和革兰氏阳性敏感细菌的感染。\n1、如皮肤及软组织感染脓性皮炎、脓肿和肛腺炎、蜂窝组织炎、伤口感染、腹内脓毒症等。\n2、牙感染(牙龈炎)。\n3、尿道感染,如膀胱炎、尿道炎、肾盂肾炎、前列腺炎、盆腔炎、淋病奈瑟菌尿路感染及软性下疳等。\n4、呼吸道感染,如鼻窦炎、扁桃体炎、咽炎、急慢性支气管炎、慢性支气管炎急性发作、肺炎、肺脓肿和支气管合并感染。\n5、肠炎及其他感染,如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染等。","usage_dosage":"口服。每天吃2次,连用5-7天。每次用量如下:\n体重9-12kg,吃0.5片;\n体重13-15kg,吃0.75片;\n体重16-22kg,吃1片;\n体重23-30kg,吃1.5片;\n体重31-40kg,吃2片;\n体重41kg及以上请购买同品500mg规格的产品。\n\n注:一些慢性感染(慢性皮炎、慢性膀胱炎和慢性呼吸道感染)的治疗可连用10-28天。","contraindication":"1. 仓鼠、豚鼠、沙鼠、灰鼠和家兔禁用。\n2. 其他草食动物慎用。\n3.对青霉素过敏者禁止接触本品。","adverse_reaction":"1.恶心、腹泻和皮肤丘疹是最常见的不良反应。\n2.本品为青霉素类药物,若出现过敏反应可使用肾上腺素治疗。","attention":"1.不要对病情严重的动物使用口服抗生素,因其胃肠道吸收可能不可靠,这些患病动物可能需要静脉注射剂。\n2.避免在对其他β-内酰胺类抗菌药(包含头孢菌素类)有过敏反应的动物使用。\n3.片剂由防潮箔包裹,给药前不要取出。\n4.对青霉素过敏者如果不慎接触,应该立刻去找医生救助。\n5.孕畜慎用。\n4.使用后请洗手。\n5.不要让小孩接触到此产品。","interaction":"1.避免同时使用抑菌性抗生素(如四环素、红霉素)。\n2.不要给鸟类同时使用别嘌呤醇、β-内酰胺和氨基糖苷类抗菌剂在体内有协同作用。\n3.本品和氨苄西林有完全交叉耐药性,与青霉素类和头孢菌素类有交叉耐药性。","approval_no":"(2018)外兽药证字11号","storage_method":"密封,在凉暗干燥处保存。","validity":"2年","manufacturer":"意大利豪普特制药厂(Haupt Pharma Latina S.R.L)","status":1,"created_at":"2020-10-23 12:09:57","updated_at":"2020-10-23 16:00:00"}},"product_sku_info":{"id":752,"product_id":709,"title":"辉瑞速诺(阿莫西林克拉维酸钾片)250mg×10片\/板","advword":null,"price":98,"market_price":119,"cost_price":0,"stock":726,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"250mg规格1板"}},"cover":null,"thumb":"","sale_count":715,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:43:15","updated_at":"2024-11-24 19:59:41"}},"1":{"id":8639,"prescription_id":103884,"doctor_user_id":1296147,"product_id":793,"product_sku_id":835,"dose":1,"dose_unit":"g","use_method":"涂抹","frequency":"每天2次","days":14,"number":2,"remark":"一天涂抹两次","created_at":"2022-02-20 01:21:20","updated_at":"2022-02-20 01:21:20","product_info":{"id":793,"hash_id":"650KvV4QAE4WXBEd","class_ids":{"0":1,"1":2},"category_ids":{"14":175},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":98,"sell_point":"金盾 肤美宁 醋酸氟轻松消炎杀螨膏","title":"金盾 肤美宁 醋酸氟轻松消炎杀螨膏 20g\/支\/盒","recommend_reason":{"0":"用于湿疹、过敏性皮炎、皮肤瘙痒等皮肤病"},"baike_guide_text":"","baike_article_hash_id":"","advword":"疥螨性皮肤病,皮肤瘙痒,湿疹,过敏性皮炎,皮肤病","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"20g"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2023\/03\/d0531223abab03bde0d5f7250e1c4079.jpg","images":{"0":"https:\/\/cdn.moguvet.com\/shop\/2023\/03\/6611f11086f8c75be8407c3349fb42d7.png"},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":35,"max_price":35,"sale_count":39,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 18:59:33","updated_at":"2024-10-20 09:54:57","ins":{"id":98,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"醋酸氟轻松乳膏","trade_name":"消炎杀螨膏","en_name":"Fluorocarbon acetate ointment","brand_name":"金盾","is_prescription":0,"cover":"\/drug\/2020\/11\/f76e1e33e67dad2a121303450d137cbb.jpg","specification":"20g\/支\/盒","reference_price":40,"component":"醋酸氟轻松","indication":"主要用于各种皮肤病,如湿疹,过敏性皮炎,疥螨性皮肤病和皮肤瘙痒等。","usage_dosage":"直接将药膏涂在问题部位,涂抹前先将患处污染物、结痂等清除干净,1天2次。视情况,连用5-7天。可同时配合金盾蜱螨洗剂使用,效果更好。症状消失后,亲也不要着急停药,继续使用本品3-5天以巩固效果不复发哦。","contraindication":"1.对本药及基质成分过敏者和对其他糖皮质激素过敏者禁用。\n2.急性细菌性、真菌性及病毒性等感染性皮肤病禁用。","adverse_reaction":"1.长期或大面积应用,可引起皮肤萎缩、毛细血管扩张、毛囊炎,增加对感染的易感性等。\n2.应用于面部可发生痤疮样皮炎、口周皮炎等。偶可引起接触性皮炎。","attention":"1.使用后应将管盖拧紧。\n2.请将此药放在儿童不能触及的地方。\n3.对本品过敏宠物紧致使用。\n4.避免宠物吞食。\n5.本品为膏剂,赋形剂受外界温度的变化可能存在膏体硬度差异,不影响使用效果。","interaction":"","approval_no":"兽药字100381593","storage_method":"密闭,阴凉处保存。","validity":"2年","manufacturer":"南京金盾动物药业有限责任公司","status":1,"created_at":"2020-11-16 16:05:55","updated_at":"2020-11-16 16:05:55"}},"product_sku_info":{"id":835,"product_id":793,"title":"金盾 肤美宁 醋酸氟轻松消炎杀螨膏 20g\/支\/盒","advword":null,"price":35,"market_price":55,"cost_price":0,"stock":56,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"20g"}},"cover":null,"thumb":"","sale_count":44,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-20 18:59:33","updated_at":"2024-10-19 21:13:27"}}}}}}
微信扫一扫
立即问宠医