咨询描述:你好,金毛狗狗7岁了,去年背部长了三个乒乓球大小的疙瘩,后面破溃自己愈合了,不过其中有一个包破了后就一直有脓血出来,反反复复的,到今年快一年时间了,发现破溃的地方有菜花状肉芽长出,但是周围一圈皮肤比较硬,按一按有时还有脓血渗出来,不知道这种情况要怎样治疗
患病时长:一年
回复总结:狗狗身上的疙瘩破溃流脓可能是脂肪瘤或者皮肤肉瘤引起,也可能是皮肤长期感染形成的皮肤肉芽肿。建议最好带狗狗去宠物医院做局部彩超查看破溃位置内部情况,同时做局部组织和分泌物的细胞学检查,根据检查结果对症采取治疗措施。如果暂时不方便就诊,可以先把患处结痂清理掉,如果有脓可以用双氧水冲洗。如果腔隙大还需要做引流,如果不大可以直接使用消炎喷剂,配合具有去腐生肌作用的外用药膏帮助局部恢复。
问题大致一样,细节不同?
王园龙
执业兽医师
据您讲到的戴维的情况
我初步判断很可能是脂肪瘤,或者是皮肤肉瘤,也可能是皮肤长期感染形成的皮肤肉芽肿,然后反复刺激感染,导致一直不好。
但仅仅根据目前您描述的情况,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. 戴维身上患处就这一个地方吗?
2.这一年里这个位置是反反复复总是结痂然后又破硕然后恢复又破硕么?
3.戴维的饮食,精神状态,吃喝排便排尿,都正常吗?
4.您给他都用过什么药呢?有得到控制么?
5有没有具体检查过呢?如果有得话都做了什么检查呢?
6.这个位置确定没有受过外伤么?比如其他狗狗咬过,或者硬物扎过?
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。
1.患处就这一个地方,以前三个包,另外两个破溃结痂后就好了,就这个包破了后,一直不好,结痂后又会有脓血出来,反反复复的。
2.一直比较贪吃,饮食还可以,就是胖,但是可能是年纪大了精神状态不如从前,带出去还是能感觉出来他挺兴奋的。排便排尿都正常,没问题。
3.没有用什么药,就是有时给它用双氧水清洁伤口,再上点碘伏和****,也就最近用了点****
4.没有做过检查,也没有被其他动物或者东西扎过咬过。因为我们市内不让养大型犬,他曾经在狗场寄养了很长时间,回来身上就有三个脓包,狗场老板说是金毛都爱长,破了结痂了就好了。可这个长了一年了,反反复复,狗子也遭罪
王园龙
执业兽医师
感谢您的回复。
1.这个位置已经反反复复一年了,我觉得您应该带戴维去宠物医院做一下检查,需要做一个局部的彩超,看一下这个破的位置内部倒地有多大多深。
还需要做一下局部组织和分泌物的细胞学检查,如果只是感染,可以考虑是手术清创处理还是外用药处理。
如果细胞学检查怀疑有病变,那需要切一块这个位置的组织送一个病理检查,然后等病理结果出来以后再做相应治疗。
以上是根据戴维的情况,我觉得需要做的相应检查。
2.就是即便不做这些检查,也带去宠物医院让医生具体看一下,然后根据情况制定清创和用药方案采食最稳妥的方法。
3.如果您是在没时间带戴维去就医,那也可以在家处理。
首先需要把结痂都扣掉,暴露患处,如果有脓,可以用双氧水冲洗,里面的腔也需要冲洗。
如果腔隙大的话需要做引流,如果不大,可以直接用一些消炎的喷剂,然后用一些去腐生肌的外用药膏,帮助局部恢复。
4.皮肤有结痂就需要扣掉,要让它从里面愈合,从皮肤里往皮肤外生长。以免表皮过早愈合导致皮下持续感染。
里面的腔怎么清洗,要用注射器清洗吗?引流怎么操作,另外去腐生肌的外用药物有什么药能用,需不需要给他用点消炎药
我把结的痂用双氧水清洗了,能明显看到有新肉生出来,就总是往外渗脓血,每次以为好了就又出了
王园龙
执业兽医师
1.里面的腔需要用双氧水冲洗,冲洗干净以后需要再用生理盐水冲洗干净。可以用注射器去掉针头冲洗。
2.腔大的话需要用无菌的纱布做引流,把用浸泡过******溶液的纱布填充在创伤腔内,每1-2天更换一次。如果有脓可以随着纱布一起带出来或者流出来。
3.恢复周期大概需要28天。
根据戴维的情况,我给它开个处方。
处方里面的
1. ***抑菌液伤口喷剂。这个药是消炎喷剂,在用双氧水和生理盐水清洁完患处后5分钟,可以喷这个药在患处,起到杀菌的作用,每天两次,每次2-3喷,连用30天。
2.*******抑菌膏,这个膏剂有去腐生肌的作用,喷剂用完10分钟后使用,每天两次涂抹,小的腔隙也需要涂抹进去。连用30天。
3.***********片,这个药是消炎药,可以控制皮肤感染,口服每天两次每次2粒,连用14天。
您可以根据需求自行选择购买。
用药7天后需要回来复诊,然后再帮您制定下一步方案。
谢谢,王医生特别仔细,耐心,另外问下****是开的300mg一整盒70粒吗?还是只开了七盒49粒,我怕狗狗不够天数吃
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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