咨询描述:医生,我家十个多月的银渐层,晚上感觉它呼吸急促腹部起伏明显,摸了一下鼻子比较干燥有点发白。有拍片子,我家猫都按时做了疫苗,也查了传染病没有。它现在就是喘,从前几天开始就喘得越来越厉害了,躺在地上喘,呕吐,小便失禁。晚上的话会好一点,但是呼吸很快每分钟七八十次。
回复总结:如果猫咪出现呼吸急促、喘气、无力、失禁的症状,可能是猫咪身体存在缺氧。其次,也有可能是肺水肿或者心脏方面的问题。建议主人要给予猫咪充足的氧气环境,帮助它的呼吸顺畅。同时需要一定的营养补给,给予流质的罐头或者羊奶粉,并且少食多餐进行喂食。另外,主人最好带猫咪到宠物医院进行严格监护以及心脏检查。
问题大致一样,细节不同?
朱鹭迪
执业兽医师
您好,我已经详细了解您提供的病例相关资料。根据您讲到的猫咪呼吸困难的情况,初步判定是为呼吸系统或心血管系统疾病。但仅仅根据目前的病例情况,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.猫咪出现这个情况是什么时间开始的呢?突然开始还是有一个过程?;2. 这个期间有没有出现喷嚏、流鼻涕的情况?; 3. 在喘的过程中是否有张口呼吸的状况?; 4. 食欲和排泄的情况是怎么样的呢?;以上这些情况您仔细回忆后详细的描述给我,包括您上述所说到的动物的X光片也可以提供给我,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。另外,把您家爱宠的『年龄、体重』 提供一下,待会儿咱们沟通后如果涉及用药建议,方便为宝贝开具处方。(若您需要离开本诊室,稍后可以到官方微信公众号“蘑菇宠医”内找到问诊订单继续和我沟通。 )
1、他就是前几天开始喘,越来越厉害,感觉有点尿失禁,在地上喘着就尿了,以前没生过什么病。2.没有打喷嚏,流鼻涕,食欲不怎么样,白天喘的厉害,晚上好一点但是呼吸快,也不吃东西搁地上喘。图片我发过来了,那个红色的是他吐的,是血有血吗。
6公斤,1岁1个月
为保护用户隐私不显示图片/视频
朱鹭迪
执业兽医师
您好,感谢您的答复,根据您所提供的病例信息和图片来看,目前动物表现出的症状主要是喘、无力、失禁的情况,这种状况下都提示动物身体存在缺氧情况。红色的分泌物为血性分泌物。在X光片显示肺部目前存在肺水肿的影像特征,并且心脏的轮廓以及形状不是正常形态。您的宝贝大致诊断为肺水肿并且怀疑心脏也存在问题。
导致肺水肿的原因有很多:1、心源性;2、异物吸入性;3、感染性(病毒、细菌、真菌)等;心脏方面问题主要提示肥厚性心脏病的可能性最高。由于猫咪品种为银渐层(英国短毛猫),这类型品种属于先天性心脏病高发品种。
持续缺氧的状况会导致动物死亡。这种情况下建议您要给予它充足的氧气环境,帮助它的呼吸顺畅。同时要给予一定的营养补给,少食多餐进行喂食。有条件的话,需要带到医院进行严格监护以及心脏方面的进一步检查。(若您需要离开本诊室,稍后可以到官方微信公众号“蘑菇宠医”内找到问诊订单继续和我沟通。 )
好的医生,您解答的很细致,但我现在情况是这样,小区被封了,暂时出不去。吸氧的话我家里有一个机器,但我不太会使用,另外像这种情况我可以给他吃点什么药暂时先稳住吗。或者您可以给我一个可以在家实施的治疗方案吗。您说的营养食物,指的是哪些呢。
朱鹭迪
执业兽医师
您好,根据猫咪的情况,目前吸氧您可以给予它制作一个氧箱(用航空,外在的洞使用塑料带稍微围挡),然后将氧气管插入在箱体。箱体内铺上软垫让猫咪能够得到充足的。根据宝贝的情况,我给它开个处方。处方里面的 1.***,主要针对目前宝贝吐血的情况,保护胃肠粘膜,防止由于喘气而导致的胃肠反流和食道胃壁灼伤。 2. *******主要针对目前肺部渗出的情况 。3、*******主要针对它目前肺部渗出情况,加速水分的代谢。您可以根据需求自行选择购买。
朱鹭迪
执业兽医师
您好,除了上述处方,营养食物方面,您可以给予流质的罐头或者羊奶粉。如果购物条件有限,可以考虑使用搅拌机把鸡胸肉打成肉泥,煮熟给予动物进食。
好的。谢谢医生,我用了这些药出现哪些症状证明是有好转呢
朱鹭迪
执业兽医师
正常猫咪的呼吸次数(安静状态下)在35-55次/min,如果呼吸次数从目前的急促呼吸状况缓和下来,呼吸次数减少或者趋近于正常,那说明动物状况有所好转。也可以观察动物的粘膜情况:从粉白或紫白转变成粉红色,这也提示动物情况有所好转。再者就是进食状况恢复也是好转的指向之一。
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
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