咨询描述:症状描述:边牧两岁。背上起很多皮屑,皮屑是一圈一圈脱落。
患病时长:2个月左右
用药情况:用了*****,****。药浴,
回复总结:狗狗身上有皮屑考虑是脓皮症引起,可能是由于细菌感染导致的症状。建议给狗狗口服治疗脓皮症的药,同时需要喷治疗脓皮症的喷剂。用药期间需要给狗狗把指甲修剪平整并且佩戴伊丽莎白圈,防止狗狗抓挠患处加重感染。如果狗狗全身出现相关症状,需要先把狗狗的毛发剃掉,然后给狗狗喷药治疗效果会比较好一些。在用药的同时需要给狗狗穿一件衣服,注意保暖。
问题大致一样,细节不同?
刘文飞
执业兽医师
根据您讲到的详细症状,我初步分析狗狗是皮肤病的症状,但仅仅根据目前的信息还不能做出进一步的判断。我还有几个问题需要向你核实一下:
1.您家狗狗快两岁了,体重大概是15千克,皮肤的症状用您上述的两种药品有没有好转
2.您养狗狗大概多长时间了,狗狗平时都吃哪种食物,最近有没有给狗狗换过食物或者吃过什么特殊的东西,有没有呕吐、腹泻的症状;
4.狗狗有没有出现咳嗽,打喷嚏,流鼻涕的症状,您正常有没有给狗狗用过什么药;
5.狗狗目前精神状态怎么样,有没有吃东西.喝水,狗狗有没有接种过疫苗,做过体内体外的驱虫,最近一次做体外驱虫是什么时间
6.狗狗居住的环境有没有突然降温,狗狗趴在垫子上,还是地板上
以上这些情况您仔细回忆后详细的描述给我,对我给宝贝目前情况做判断以及制定治疗方案有非常大的帮助,感谢您的配合。
没有出现咳嗽什么的,这些症状。用了那两种药,没有多大好转。一直吃的是**的狗粮,换也是换的这个牌子的狗粮。精神状态很好。这两天倒是有降温,但是前面没有。他是爬在笼子里面,有一个塑料垫板,接种过疫苗,体内驱虫也做过,但是是三个月一做。体外驱虫有时候忘了,最近一次体外驱虫是上周
刘文飞
执业兽医师
您好,狗狗主人,收到您的详细描述结合图片来看,狗狗目前皮肤的这个症状是脓皮症的症状,脓皮症是细菌感染导致的症状,需要给狗狗口服治疗脓皮症的药,还需要喷治疗脓皮症的喷剂,脓皮症治疗周期比较长,一般需要半个月到一个月左右的时间,狗狗才会正常恢复,用药期间需要给狗狗把指甲修剪平整,戴上嘴套子,防止狗狗抓挠,舔舐,有助于早日康复,狗狗如果只有背部有这种情况,给他喷药吃口服药就可以。如果全身有这种症状,需要把毛毛给狗狗剃掉,然后给狗狗喷药,效果会比较好一些。用药的同时需要给狗狗穿一件衣服,注意保暖,不然踢毛毛之后狗狗会出现着凉感冒的症状,您还需要把狗狗带的窝拿到太阳底下晒,有助于杀菌消毒。然后狗狗居住的环境需要每周给狗狗消一次毒,日常生活中每三个月做一次体内驱住,每个月做一次体外驱虫,能有效的降低脓皮症的感染
确定么?都两个月了,也没流脓,只是起皮屑,而且皮肤也没有红疹啥的啊。
刘文飞
执业兽医师
您好,狗狗主人 根据我接诊的病例,做的临床检查,狗狗就是脓皮症的症状,您是**的脓皮症的特点吗,不是所有的狗狗症状都是一样的,就比如感冒,每个人的表现症状也是不一样的,您要是不放心可以领狗狗去做皮肤刮片镜检,然后确诊
刘文飞
执业兽医师
根据狗狗的情况,我给它开个处方。处方里面的1.*********,对狗狗脓皮症引起的炎症作用效果比较好,按狗狗的体重用药;2.****喷剂对狗狗皮肤表面抑菌效果比较好,您可以根据需求自行选择购买
刘文飞
执业兽医师
您好,狗狗主人,狗狗目前的这种症状是有炎症的,您要是不放心可以给狗狗查血常规,看白细胞总数(正常是5.5-19.5,超过19.5就是炎症)然后在做皮肤镜检刮片,就可以确诊
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
{"265290":{"id":265290,"case_id":31744,"user_id":1345841,"to_user_id":1917549,"type":3,"content":"根据狗狗的情况,我给它开个处方。处方里面的1.*********,对狗狗脓皮症引起的炎症作用效果比较好,按狗狗的体重用药;2.****喷剂对狗狗皮肤表面抑菌效果比较好,您可以根据需求自行选择购买","media":{"images":{},"videos":{},"business_params":{"prescription_id":106498}},"is_doctor":1,"status":1,"created_at":"2022-03-21 22:00:46","show_rx":true,"rx_info":{"id":106498,"rx_no":2.0220321215635501e+24,"user_id":1917549,"doctor_user_id":1345841,"is_independent":0,"case_id":2667496,"pet_info":{"pet_id":280970,"pet_name":"边境牧羊犬","pet_nickname":"闹闹","pet_gender":2,"pet_birth":"1-11","pet_weight":15,"pet_vaccination_status":1,"pet_in_insect_repellent_status":1,"pet_out_insect_repellent_status":1,"pet_age_format":"1岁11个月"},"diagnose":"脓皮症","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2022-03-21 21:56:35","updated_at":"2022-03-21 22:00:46","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":14441,"prescription_id":106498,"doctor_user_id":1345841,"product_id":811,"product_sku_id":853,"dose":3,"dose_unit":"毫升","use_method":"外喷","frequency":"每天3次","days":14,"number":1,"remark":"","created_at":"2022-03-21 21:56:35","updated_at":"2022-03-21 21:56:35","product_info":{"id":811,"hash_id":"kAW7LMp6734BVDnv","class_ids":{"0":1,"1":2},"category_ids":{"0":169},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":69,"sell_point":"百灵金方复方麝香珍珠抑菌液伤口喷剂","title":"贝里奥百灵金方复方麝香珍珠抑菌液伤口喷剂 30ml\/瓶\/盒","recommend_reason":{"0":"用于犬猫各种外科手术后伤口愈合处给药治疗","1":"用于新生结跏伤口处蛤药治疗","2":"用于犬猫开放性伤口、敏感部位眼、鼻、外生殖器等的绐药治疗"},"baike_guide_text":"","baike_article_hash_id":"","advword":"咬伤,烫伤,外科手术,结痂伤口,开放性伤口,敏感部位创口,伤口喷剂","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"30ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/7f5aff146f95bd383ecf53015f42f28e.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":58,"max_price":58,"sale_count":137,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-21 16:33:39","updated_at":"2024-11-04 18:21:10","ins":{"id":69,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"复方麝香珍珠抑菌液","trade_name":"百灵金方抑菌液","en_name":"","brand_name":"贝里奥","is_prescription":0,"cover":"\/drug\/2020\/11\/768c331426b801f70f74b7146bbdbf01.JPG","specification":"30ml\/瓶\/盒","reference_price":85,"component":"麝香、珍珠、冰片、白芷、细胞集落因子等。","indication":"1.用于犬猫各种外科手术后伤口愈合处给药治疗。\n2.用于防咬伤、烫伤、交通伤等污染创口,或已经产生耐药菌创口的治疗用药。\n3.用于新生结跏伤口处蛤药治疗。\n4.用于开放性伤口的绐药治疗。\n5.用于犬机体敏感部位眼、鼻、口腔、外生殖器等创口的给药治疗。","usage_dosage":"直接将百灵金方伤口喷喷于伤口处,每日3-4次。方便、快捷,便于护理。","contraindication":"","adverse_reaction":"","attention":"","interaction":"","approval_no":"","storage_method":"密封,在凉暗干燥处保存。","validity":"2年","manufacturer":"河南威灵仙宠生物科技有限公司","status":1,"created_at":"2020-11-06 15:16:42","updated_at":"2020-11-06 15:16:42"}},"product_sku_info":{"id":853,"product_id":811,"title":"贝里奥百灵金方复方麝香珍珠抑菌液伤口喷剂 30ml\/瓶\/盒","advword":null,"price":58,"market_price":80,"cost_price":0,"stock":38,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"30ml"}},"cover":null,"thumb":"","sale_count":144,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-21 16:33:39","updated_at":"2024-11-04 18:19:56"}},"1":{"id":14442,"prescription_id":106498,"doctor_user_id":1345841,"product_id":709,"product_sku_id":752,"dose":0.75,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":14,"number":1,"remark":"","created_at":"2022-03-21 21:56:35","updated_at":"2022-03-21 21:56:35","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":673,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:43:15","updated_at":"2024-11-21 14:28:26","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":730,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"250mg规格1板"}},"cover":null,"thumb":"","sale_count":711,"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":"2024-11-21 14:19:59"}}},"drug_data_bak":{"0":{"id":14441,"prescription_id":106498,"doctor_user_id":1345841,"product_id":811,"product_sku_id":853,"dose":3,"dose_unit":"毫升","use_method":"外喷","frequency":"每天3次","days":14,"number":1,"remark":"","created_at":"2022-03-21 21:56:35","updated_at":"2022-03-21 21:56:35","product_info":{"id":811,"hash_id":"kAW7LMp6734BVDnv","class_ids":{"0":1,"1":2},"category_ids":{"0":169},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":69,"sell_point":"百灵金方复方麝香珍珠抑菌液伤口喷剂","title":"贝里奥百灵金方复方麝香珍珠抑菌液伤口喷剂 30ml\/瓶\/盒","recommend_reason":{"0":"用于犬猫各种外科手术后伤口愈合处给药治疗","1":"用于新生结跏伤口处蛤药治疗","2":"用于犬猫开放性伤口、敏感部位眼、鼻、外生殖器等的绐药治疗"},"baike_guide_text":"","baike_article_hash_id":"","advword":"咬伤,烫伤,外科手术,结痂伤口,开放性伤口,敏感部位创口,伤口喷剂","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"30ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/7f5aff146f95bd383ecf53015f42f28e.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":58,"max_price":58,"sale_count":137,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-21 16:33:39","updated_at":"2024-11-04 18:21:10","ins":{"id":69,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"复方麝香珍珠抑菌液","trade_name":"百灵金方抑菌液","en_name":"","brand_name":"贝里奥","is_prescription":0,"cover":"\/drug\/2020\/11\/768c331426b801f70f74b7146bbdbf01.JPG","specification":"30ml\/瓶\/盒","reference_price":85,"component":"麝香、珍珠、冰片、白芷、细胞集落因子等。","indication":"1.用于犬猫各种外科手术后伤口愈合处给药治疗。\n2.用于防咬伤、烫伤、交通伤等污染创口,或已经产生耐药菌创口的治疗用药。\n3.用于新生结跏伤口处蛤药治疗。\n4.用于开放性伤口的绐药治疗。\n5.用于犬机体敏感部位眼、鼻、口腔、外生殖器等创口的给药治疗。","usage_dosage":"直接将百灵金方伤口喷喷于伤口处,每日3-4次。方便、快捷,便于护理。","contraindication":"","adverse_reaction":"","attention":"","interaction":"","approval_no":"","storage_method":"密封,在凉暗干燥处保存。","validity":"2年","manufacturer":"河南威灵仙宠生物科技有限公司","status":1,"created_at":"2020-11-06 15:16:42","updated_at":"2020-11-06 15:16:42"}},"product_sku_info":{"id":853,"product_id":811,"title":"贝里奥百灵金方复方麝香珍珠抑菌液伤口喷剂 30ml\/瓶\/盒","advword":null,"price":58,"market_price":80,"cost_price":0,"stock":38,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"30ml"}},"cover":null,"thumb":"","sale_count":144,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-21 16:33:39","updated_at":"2024-11-04 18:19:56"}},"1":{"id":14442,"prescription_id":106498,"doctor_user_id":1345841,"product_id":709,"product_sku_id":752,"dose":0.75,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":14,"number":1,"remark":"","created_at":"2022-03-21 21:56:35","updated_at":"2022-03-21 21:56:35","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":673,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:43:15","updated_at":"2024-11-21 14:28:26","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":730,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"250mg规格1板"}},"cover":null,"thumb":"","sale_count":711,"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":"2024-11-21 14:19:59"}}}}}}
微信扫一扫
立即问宠医