狗狗抽搐是什么原因引起的

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患宠信息:博美/妹妹/14岁1个月

咨询描述:狗狗14岁,博美犬,前天突然开始抽搐,有流口水但是不吐白沫,是从面部抽搐到全身抽搐,抽搐时间持续大概1分钟左右,检查以后说是肝肾没有问题,考虑癫痫或者中毒、心脏有问题,但是这个检查又必须发作的时候做,我们这儿没有医院有那个设备……到昨天早上一共抽搐了6次,昨天白天到今天早上没有抽搐过,但是就是没有力气,也吃了饭喝了水,没精神,昨天喂了葡萄糖

回复总结:狗狗出现抽搐、流口水的症状,常见病因有反应性癫痛、中毒、低血糖、肝脏疾病、产后低血钙症、尿毒症、先天性畸形、炎性感染、脑部疾病、心血管性疾病、病毒感染。 针对这种情况,建议先服用抗癫痫痉挛的药物以及保护心脏的药物进行控制,同时配合使用营养神经的药物。另外,需要给狗狗补钙。如果有条件,建议带狗狗去宠物医做血常规、生化检验、拍片、B超、ct和核磁共振,然后根据检查结果对症治疗。

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王广龙

执业兽医师

根据您的描述,现在这个狗狗有持续性抽搐情况,对于这种老年狗狗,除了肝肾问题之外还有其他病原会导致的,这个没有检查情况下很难定位到哪一个位置有问题,按照目前这种症状从以下几个方面考虑:常见病因1)颅外性原因(反应性癫痛性抽搐)。2)中毒、代谢性疾病、低血糖、肝脏疾病、产后低血钙症、高脂蛋白血症、超高箍度血症、电解质紊乱、高渗透压性血症、严重的尿毒症。3)颅内性原因(继发性瘢痫性抽搐)。 4)先天性畸形、脑积水、肿瘤、脑部炎性疾病、感染性炎性疾病、肉芽肿性脑膜炎、坏死性脑炎、血管性疾病、出血、梗塞、瘢痕组织、犬瘟热病毒感染。5)特发性癫痫(原发性癫痫) 需要做检查是血常规和生化和拍片和B超和ct和核磁共振检查。假如没有条件下去做检查,只能够用谢抗癫痫和痉挛药物控制,和营养神经治疗。

生化是做了的,血常规也查了,犬瘟也做了,也说有可能是缺钙,像这种它在发病得时候能够做什么?平时不发病的时候能不能喂点抑制癫痫发作类的药或者护心脏的药?

为保护用户隐私不显示图片/视频

王广龙

执业兽医师

现在这种缺钙可能性很小,没有测血钙水平吗?没有测游离钙和血钙。现在可以做只能说对症治疗,吃下面这种补钙和抗癫痫抽搐药物和保护心脏药物控制。

那个能怎么测呢?我们没有叫测,那吃这些药有没有副作用,万一不是那个病呢?或者混合吃有没有交叉影响

王广龙

执业兽医师

抽血测的,跟生化检查测的,不是这个病吃这个补钙影响不是很大,吃多排多,代谢掉。不是这个病吃这些药没有什么效果,假如是就有效果。

哦,好的,这些都是可以同时混合吃的吗

王广龙

执业兽医师

最好是分开吃的,这个用药频率不一样,分早晚吃,分开用药。

怎么吃呢?那个早上哪个晚上,还有就是吃多少呢

王广龙

执业兽医师

*****一天一次的,一次3ml,早上吃的,抗癫痫药,一天两次的,一次吃三分之一,早晚吃,心脏病药一天吃两次,一次吃半片。

是长期喂还是喂一个月?还有其它需要注意的地方吗

王广龙

执业兽医师

需要长期终身维持治疗的,这个抽搐才可能会缓解,目前心脏问题容易出现危险的,抽搐时注意吸氧和呼吸通畅,避免低血氧的问题。

医生建议及处方根据当前病情给出,仅适用于本次问诊

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猫:每只15mg,每周2次\n5.控制猫应激时的吼叫(如驾车时):2-3mg\/kg,口服\n6.抗破伤风等导致的惊厥:1-4mg\/kg,口服,每天2次","contraindication":"肝肾功能不全、支气管哮喘或呼吸抑制的患病动物禁用。严重贫血、心脏疾患的患病动物及怀孕动物慎用。","adverse_reaction":"常见的不良反应有镇静、共济失调、多食、多饮、多尿等,相对犬而言,猫的多饮多尿较为少见。体重的增加是服用苯巴比妥药物的常见问题,而且这可能是个无法避免的副作用,要控制饮食,尽管宠物表现的很饿。肝毒性进展是一种罕见的并发症,显着的肝毒性的临床特征包括厌食、沉郁、腹水和偶见的黄疸,偶见肝性皮肤病,极少数病例可引起贫血、血小板减少和中性粒细胞的减少,其它不常见副反应有面部或全身性的瘙痒、免疫介导的超敏反应,如发烧、皮疹和淋巴结增大,引起胰腺炎、猫假性淋巴瘤(罕见),通常这些不良反应在停药和适当的治疗后,是可逆的。","attention":"1.中毒时可用安钠咖、戊四氮、尼可刹米等中枢兴奋药解救。\n2.内服中毒的初期,可先用1:2000的高锰酸钾洗胃,再以硫酸钠(忌用硫酸镁)导泻,并结合用碳酸氢钠碱化尿液以加速药物排泄。","interaction":"","approval_no":"兽药字150041225","storage_method":"常温通风的环境。","validity":"3年","manufacturer":"济宁万禾生物科技有限公司","status":0,"created_at":"2021-12-01 16:47:12","updated_at":"2024-10-10 10:52:48"}},"product_sku_info":{"id":861,"product_id":819,"title":"拜卡拜维安苯巴比妥片 100mg×8片×2板\/盒","advword":null,"price":108,"market_price":160,"cost_price":0,"stock":0,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"16片盒装"}},"cover":null,"thumb":"","sale_count":881,"status":0,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-21 17:39:56","updated_at":"2024-10-02 13:19:01"}},"2":{"id":21827,"prescription_id":109827,"doctor_user_id":1179411,"product_id":764,"product_sku_id":806,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":7,"number":1,"remark":"","created_at":"2022-04-27 08:56:01","updated_at":"2022-04-27 08:56:01","product_info":{"id":764,"hash_id":"R0LPkmpM03x3bVXD","class_ids":{"0":1},"category_ids":{"6":167},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":87,"sell_point":"贝心安 匹莫苯丹咀嚼片2.5mg","title":"欧博方贝心安 匹莫苯丹咀嚼片 2.5mg×8片×4板\/盒","recommend_reason":{"0":"用于治疗由心脏瓣膜关闭不全或犬充血性心力衰竭","1":"用于治疗大型犬临床前扩张型心肌病","2":"用于治疗犬前粘液瘤性二尖瓣疾病,延缓充血性心力衰竭发生"},"baike_guide_text":"","baike_article_hash_id":"","advword":"心脏病,心肌病,充血性心力衰竭,心脏","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"2.5mg×8片×4板\/盒"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2023\/07\/3e8ad3654fff021f027660022d75409a.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":288,"max_price":288,"sale_count":20,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 14:34:55","updated_at":"2024-10-30 16:37:48","ins":{"id":87,"hash_id":"","class_ids":"[\u00221\u0022]","title":"欧博方贝心安 匹莫苯丹咀嚼片 2.5mg×8片×4板\/盒","common_name":"匹莫苯丹咀嚼片","trade_name":"贝心安","en_name":"Pimobendan Chewable Tablets","brand_name":"欧博方","is_prescription":1,"cover":"\/drug\/2023\/07\/acd33dcec4091f93d7f2272cbd35770b.jpg","specification":"2.5mg×8片×4板\/盒","reference_price":400,"component":"匹莫苯丹","indication":"1.用于治疗由心脏瓣膜关闭不全(二尖瓣和或三尖瓣返流)或扩张型心肌病引起的犬充血性心力衰竭。\n2.用于治疗大型犬临床前扩张型心肌病(无症状,经超声心动图诊断伴随左心收缩末期和舒张末期直径加大)。\n3.用于治疗犬临床前粘液瘤性二尖瓣疾病(无症状的心脏收二尖瓣杂音和心脏增大),延缓充血性心力衰竭临床症状的发生。","usage_dosage":"以匹莫苯丹计。内服:每Ikg体重,犬0.25mg,一日2次。","contraindication":"1.禁用于肥大型心肌病或由临床非功能性或生理性原因(如大动脉狭窄)不宜增加心输出量的患犬。\n2.本品主要经肝脏代谢,禁用于严重肝功能不全的患犬。","adverse_reaction":"1.极少数患犬中可能发生轻微的心率加快和呕吐,与给药剂量相关,减小剂量后症状可自行消失。极少数患犬可能出现短暂的腹泻、厌食或昏睡。\n2.在极少数患犬中可能影响初期止血作用(黏膜出血或皮下出血),目前尚不确定与匹莫苯丹相关,但在停止治疗后可自行恢复。\n3.在极少数情况,治疗犬二尖瓣疾病可能引起二尖瓣返流增加。","attention":"","interaction":"","approval_no":"兽药字(2019)153717041","storage_method":"密封保存。","validity":"2年","manufacturer":"青岛欧博方医药科技有限公司","status":1,"created_at":"2020-11-10 11:57:12","updated_at":"2023-07-14 11:19:15"}},"product_sku_info":{"id":806,"product_id":764,"title":"欧博方贝心安 匹莫苯丹咀嚼片 2.5mg×8片×4板\/盒","advword":null,"price":288,"market_price":480,"cost_price":0,"stock":80,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"2.5mg×8片×4板\/盒"}},"cover":null,"thumb":"","sale_count":20,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-20 14:34:55","updated_at":"2024-10-30 16:34:50"}}}}}}

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