咨询描述:你好,原因:9岁猫因为舔舐皮肤病药物急性肝衰竭。治疗:目前已经输液10天,有打消炎和部分保肝药物。有但是体况一天比一天差,三天前开始无法自助进食,发烧,虚弱。
回复总结:针对猫咪肝脏受损的情况,建议对症给予保肝和解毒治疗,需要给猫咪注射肝细胞生长因子以及口服保肝药物,促进肝脏修复。如果在治疗期间出现发烧的症状,说明身体炎症反应比较严重,建议给猫咪做B超检查,评估腹腔炎症情况,确诊有炎症还需要做抗炎处理。如果猫咪发病时不吃东西,需要用流质的肝脏处方罐头来注射喂食。
问题大致一样,细节不同?
王广龙
执业兽医师
由于您在提问里面没有描述您家宝贝的情况以及您的问题,您现在可以先详细的描述一下。1.给我讲一下宝贝的基础信息,像品种、年龄、体重、是否打过疫苗和驱虫过等2.宝贝现在都有哪些疾病症状?(若有视频和图片可以上传来我看看)3.它这样子多久了?4.是否在线下动物医院就医过?(若有检查报告可以以照片形式传上来我看看)5.是否用过药?用药的详细情况都讲一下。
这2个图片是这几天的药物清单,从4月5日到现在的
为保护用户隐私不显示图片/视频
王广龙
执业兽医师
根据您的描述,现在这个猫是吃到皮肤病药物导致肝脏功能损伤导致肝衰竭,目前没有看到检查结果,没有办法评估现在情况是怎么样的,现在这种肝脏损伤,治疗上只能输液和保肝和解毒治疗,还要促进肝细胞生长,对症治疗并发症,现在看这个用药没有问题的,只能等他肝脏慢慢修复和缓解,不吃东西情况就要用流质肝脏处方罐头来注射器喂的。
1.品种:加菲,年龄9岁半,体重3.15(生病期间没有减轻过),疫苗驱虫齐全 2.症状:4月5日因精神萎靡,食用量减少,送医体检,体检报告2次如图 3.从4月3日左右到现在,之前几天只是精神萎靡,近3日出现高烧,全身无力,食欲废绝 4.在线下就医过,打了10天针,体况一天不如一天
为保护用户隐私不显示图片/视频
王广龙
执业兽医师
现在肝脏检查指标有在下降的,说明肝脏功能在恢复,之前肝脏指标都是爆表的,现在只有坚持用药,现在治疗是有效果的,保肝药可以用***和水***比较好,还有***输液和肝细胞生长因子注射,还要辅助灌食利于肝肝恢复。
肝脏指标虽然降了,但是近三天精神状态突然不好,且伴随发高烧,是怎么回事呢,她之前还有一个胰腺指标刚好卡在临界线上
王广龙
执业兽医师
现在有发烧情况,说明身体炎症反应比较厉害,看到精神状态比较差,说明现在肝脏损伤同时有感染情况,看看有没有其他并发症,如胰腺炎和腹膜炎和胆囊炎情况,需要做B超检查去评估腹腔情况。胰腺指标这个也是一个并发症问题,需要评估有没有胰腺炎问题。
1.胆囊问题已排除,没有阻塞,有拍B超 2.胰腺炎有轻微的,不是很严重 消炎药有推荐的么?因为*****打了10天 一天比一天差
王广龙
执业兽医师
没有胆囊炎问题是最好的,现在胰腺炎和肝脏损伤问题,抗生素选择主要是用肝脏副作用小的抗生素就可以,可以用**或者******。
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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