咨询描述:你好 2个多月的幼猫 从1.7米左右掉下 然后吐了一丝血 颜色很淡 吃还正常 走路也基本正常 就是不活泼了 现在很担心
回复总结:如果猫咪从高处摔下后出现吐血的症状,可能是摔伤引发了肺部或胸腔出血。如果猫咪吃喝和走路都正常,而且身体按压没有疼痛反应,处理办法上建议给猫咪服用宠物专用抗生素和糖皮质激素类药物控制症状。同时,尽量猫咪的活动量,选择静养比较稳妥。如果医疗条件特别充足,建议带猫咪去拍摄X光片,检查胸腔之内是否存在较大量的出血。
问题大致一样,细节不同?
徐灿
执业兽医师
晚上好,这种情况能不能拍摄一段视频发过来看一下?我需要了解一下具体的情况,另外检查一下有没有呼吸的急促?是否存在体温的丧失,到现在为止有没有瞳孔放大呢?食欲正常吗?请详细的描述一下,以便于分析,另外检查一下肢体有没有某些地方的按压疼痛?
(若您需要离开本诊室,稍后可以到微信官方微信公众号“蘑菇宠医”内找到问诊订单继续和我沟通。)
老师你好 呼吸声人靠近就变大了 人不靠近感觉是正常的 摔完当时没有出血 然后过了30秒左右 出血了 但是颜色很淡 稍微带点红色 然后摔完给它吃了一个猫条 3cm左右营养膏 之后抱了一会儿 走路也正常 还能跑起来 只是不活泼了 手指放旁边它还玩 视频和照片都上传了
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
我已经看到了视频,看上去状态还可以,但是他有眼睛的分泌物,所以一定是存在着某些微生物感染的,平时的话,有打喷嚏吗?有没有什么其他的异常?请详细的描述一下,同时检查一下身体所有位置有没有按压疼痛?如果说没有的话,那么大部分后期都可以通过口服抗生素等药物来恢复的。
眼睛分泌物呢个一直有 在家也打喷嚏 我按压了身体 腿的部位 它也不叫 只是抗拒让按压 和平时的状态 但是就是感觉它很难受 放到凳子上不咋动 2个多小时了 一直这个状态 刚刚我进去看 它已经从凳子跳下来了 现在是好像恢复了一点 眼角呢个我擦拭了 擦不掉 猫猫现在还没有打疫苗 唯一异常就是呼吸声音比平时大 呼呼的
徐灿
执业兽医师
总体来看,它是存在着微生物感染的,而且已经时间很长了,同时,现在这次损伤不是特别重,但是后续一定要使用药物,如果你需要的话,我可以帮你开一个常规的处方,但是需要提出处方申请,现在尽量的要对他减少移动。选择静养比较稳妥。
主要是吐了那一点血 太吓人了 直接躺下然后就吐出来呢个 吓得我赶紧就打开猫条看它还能吃不 结果吃了一个猫条 吃了营养膏 吃的是还挺欢实的 就是现在害怕摔的内脏有损伤 而且这个猫猫不睡窝 带回家只有9天时间 泪痕也比较重 害怕它摔出来问题 走也能走 跑的不快了 没把它放凳子之前 也就是12点左右的时候 它还3个卧室来回走动 放到凳子上以后就不太动了 这个图片是刚接回来的时候的样子
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
这种情况肯定会有损伤的,而且重点怀疑血液应该是来自于肺部,但是后续也没有太好的办法,一般都是用糖皮质激素类药物配合上抗生素进行治疗的,所以一般是建议后续用药一段时间,一般得治疗5到7天左右。
因为血液颜色很淡 还有一些不知道是唾液还是水 所以我还怀疑是不是摔下来的时候咬破了舌头 但是吃饭也正常 之前猫猫在猫舍的时候拉肚子 现在一直给吃的是 鸡胸肉加益生菌 用羊奶粉冲泡 猫粮也吃一些 排便啥的都正常 那老师你给我开点药 这个问题不大吧 它现在还可以跳下来 但是不知道能不能上去
徐灿
执业兽医师
我帮你开了一个常用的方案,里面包括抗生素,还有一些****,主要是为了顺带的治疗一下眼睛,一般来说,可能得用药5到7天左右,但这也是正常的,要坚持用药,平时的话,注意把眼睛周边擦一擦,处理一下干净即可。
那猫猫问题不会很严重吧 后续按照这个吃药治疗 因为家里白天基本没有人 也属于一个安静的环境 今天摔的太高了 将近1.8m 摔下去就躲到椅子下面去了
徐灿
执业兽医师
实际上还是有一些问题的,如果医疗条件特别充足,还是建议拍摄一张X光片,看一下胸腔之内是否存在较大量的出血,但是精神状态上来看还是可以的,可以选择后续自主恢复,只不过用药时间比较长,然后去按照上面的方案进行药物使用就行,但是想要完全治愈眼睛的问题,可能需要7到9天,这主要是因为周期造成的。
谢谢医生 摔了到现在 它嘴角在没有出现任何东西 舔鼻子的时候 我观察了它的口腔也没有血迹 因为我们城市比较小 宠物医院都不太好 害怕带去医院一顿检查下来怕它更受不了
徐灿
执业兽医师
是这样的,应急反应的问题也是必须得考虑的,所以个人建议还是口服药物比较稳妥一些。
老师您好 猫猫今早起来 状态倒是好了一点 吃喝拉撒也正常 我看见一下尿液和粪便没有带血 还是状态不佳 出现了偶尔甩头的症状
徐灿
执业兽医师
这种情况就是比像这种存在有少量的分泌物或者是血液,后续的话过一段时间就可以恢复,但是后续要用一段时间的抗生素的药物,用于加快恢复。
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
{"302132":{"id":302132,"case_id":35736,"user_id":1296147,"to_user_id":1973833,"type":3,"content":"我帮你开了一个常用的方案,里面包括抗生素,还有一些****,主要是为了顺带的治疗一下眼睛,一般来说,可能得用药5到7天左右,但这也是正常的,要坚持用药,平时的话,注意把眼睛周边擦一擦,处理一下干净即可。","media":{"images":{},"videos":{},"business_params":{"prescription_id":110821}},"is_doctor":1,"status":1,"created_at":"2022-05-07 02:41:41","show_rx":true,"rx_info":{"id":110821,"rx_no":2.0220507024130503e+24,"user_id":1973833,"doctor_user_id":1296147,"is_independent":0,"case_id":2727878,"pet_info":{"pet_id":292143,"pet_name":"折耳银渐层","pet_nickname":"发财","pet_gender":2,"pet_birth":"0-2","pet_weight":1,"pet_vaccination_status":0,"pet_in_insect_repellent_status":0,"pet_out_insect_repellent_status":0,"pet_age_format":"2个月"},"diagnose":"外伤 疑似支原体感染","signature":"","deadline":null,"status":1,"send_status":1,"use_status":1,"created_at":"2022-05-07 02:41:30","updated_at":"2022-05-07 12:17:02","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":24034,"prescription_id":110821,"doctor_user_id":1296147,"product_id":693,"product_sku_id":736,"dose":1,"dose_unit":"ml","use_method":"口服","frequency":"每天2次","days":7,"number":2,"remark":"按照指导计量使用","created_at":"2022-05-07 02:41:30","updated_at":"2022-05-07 02:41:30","product_info":{"id":693,"hash_id":"650KvV4Qv9gWXBEd","class_ids":{"0":1,"1":2},"category_ids":{"43":200},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":40,"sell_point":"远征芪圣齐苷素黄芪多糖口服液","title":"远征芪圣齐苷 素黄芪多糖口服液 20ml\/瓶","recommend_reason":{"0":"用于调节机体免疫应答水平","1":"用于产后恢复期、病愈康复期等","2":"促进肠道固有益生菌增殖"},"baike_guide_text":"","baike_article_hash_id":"","advword":"肾衰竭,肝脏问题,黄疸,肝炎,真菌感染,皮肤病,猫癣","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"20ml\/瓶"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2022\/02\/340d4cf2fe15c62843bf97c147f8e983.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":58,"max_price":58,"sale_count":114,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 14:07:09","updated_at":"2024-11-13 13:44:39","ins":{"id":40,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"芪圣齐苷素黄芪多糖口服液","common_name":"黄芪多糖口服液","trade_name":"芪圣齐苷素","en_name":"Huang Qi Duo Tang Kou Fu Ye","brand_name":"远征","is_prescription":0,"cover":"\/drug\/2022\/02\/3e862d5a3cc73e783e0f0a2e0716095f.jpg","specification":"20ml\/瓶","reference_price":70,"component":"黄芪多糖(每100mL相当于原生药150g)、低聚木糖、吡啶甲酸铬等。","indication":"1.调节机体免疫应答水平,提高抗体滴度,提高疾病治愈率,缩短病程。\n2.增强抗病力,刺激机体内源性干扰素产生,各类病毒性疾病的辅助治疗。\n3.寄生虫、真菌感染以及免疫缺陷引起的脱毛、皮肤破溃、愈合缓慢等症的辅助用药。\n4.产后恢复期、病愈康复期、免疫前后、外出、运输途中以及疫病流行期保健预防使用。\n5.幼宠、老龄宠物免疫力低下以及各种原因引起的肝脏损伤、肾脏损伤、脂肪肝、高血脂和糖尿病的辅助治疗。\n6.促进肠道固有益生菌增殖,降低肠道抗原负荷。\n7.各类中毒造成的肝损伤。","usage_dosage":"1.犬、猫口服:5kg体重以下每次1滴管;5~10kg体重每次2滴管;10kg体重以上每次3滴管。\n2.每日2次,可直接口服或滴入饮水、日粮中自由采食。\n3.专家建议:连续使用1~2个疗程,每个疗程为一周。幼宠免疫前后一周使用,提高免疫效果。","contraindication":"","adverse_reaction":"尚未见不良反应。","attention":"","interaction":"","approval_no":"兽药字030465231","storage_method":"置于阴凉干燥处保存","validity":"2年","manufacturer":"河北远征禾木药业有限公司","status":1,"created_at":"2020-10-30 18:42:45","updated_at":"2022-02-14 16:14:54"}},"product_sku_info":{"id":736,"product_id":693,"title":"远征芪圣齐苷 素黄芪多糖口服液 20ml\/瓶","advword":null,"price":58,"market_price":78,"cost_price":0,"stock":40,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"20ml\/瓶"}},"cover":null,"thumb":"","sale_count":120,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 14:07:09","updated_at":"2024-11-13 13:38:15"}},"1":{"id":24035,"prescription_id":110821,"doctor_user_id":1296147,"product_id":700,"product_sku_id":743,"dose":10,"dose_unit":"mg","use_method":"口服","frequency":"每天2次","days":14,"number":1,"remark":"每公斤十毫克一天两次","created_at":"2022-05-07 02:41:30","updated_at":"2022-05-07 02:41:30","product_info":{"id":700,"hash_id":"V9we7N4JmypPbGWA","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":38,"sell_point":"巧乐林 盐酸多西环素片","title":"远征巧乐林 盐酸多西环素片 10mg×8片×2板\/盒","recommend_reason":{"0":"用于犬猫病毒性疾病的继发感染","1":"用于各类菌等引起的呼吸系统感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"支气管炎,疱疹病毒,猫杯状病毒,眼结膜潮红,间歇性咳嗽,脓性鼻汁,支原体,衣原体,链球菌,葡萄球菌,呼吸道问题,呼吸道感染","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"10mg盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/858b435a4f1ccd8d05963148bb210722.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":75,"max_price":75,"sale_count":187,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 14:25:03","updated_at":"2024-11-20 09:26:04","ins":{"id":38,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"盐酸多西环素片","trade_name":"巧乐林","en_name":"","brand_name":"远征","is_prescription":1,"cover":"\/drug\/2020\/10\/8a78184c305b76fa318ea81f60ad3e80.JPG","specification":"10mg×8片×2板\/盒","reference_price":128,"component":"盐酸多西环素","indication":"1.应用于病毒性疾病(如犬副流感、犬传染性支气管炎、猫疱疹病毒、猫杯状病毒等)的继发感染。\n2.支原体、衣原体、链球菌、葡萄球菌、巴氏杄菌和支气管败血性博德特菌等引起的呼吸系统感染,钩端螺旋体、立克次氏体、弓形体、埃利希氏体和血巴尔通体等疾病的治疗。","usage_dosage":"犬猫口服。5~10mg\/kg体重,1~2次\/日,连用3~5天。","contraindication":"对多西环素过敏的动物禁用。","adverse_reaction":"","attention":"孕宠慎用。","interaction":"","approval_no":"兽药字030461354","storage_method":"置于阴凉干燥处保存","validity":"2年","manufacturer":"河北远征药业有限公司","status":1,"created_at":"2020-10-30 17:26:57","updated_at":"2020-10-30 17:26:57"}},"product_sku_info":{"id":743,"product_id":700,"title":"远征巧乐林 盐酸多西环素片 10mg×8片×2板\/盒","advword":null,"price":75,"market_price":128,"cost_price":0,"stock":123,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"10mg盒装"}},"cover":null,"thumb":"","sale_count":191,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 14:25:03","updated_at":"2024-11-20 09:15:28"}}},"drug_data_bak":{"0":{"id":24034,"prescription_id":110821,"doctor_user_id":1296147,"product_id":693,"product_sku_id":736,"dose":1,"dose_unit":"ml","use_method":"口服","frequency":"每天2次","days":7,"number":2,"remark":"按照指导计量使用","created_at":"2022-05-07 02:41:30","updated_at":"2022-05-07 02:41:30","product_info":{"id":693,"hash_id":"650KvV4Qv9gWXBEd","class_ids":{"0":1,"1":2},"category_ids":{"43":200},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":40,"sell_point":"远征芪圣齐苷素黄芪多糖口服液","title":"远征芪圣齐苷 素黄芪多糖口服液 20ml\/瓶","recommend_reason":{"0":"用于调节机体免疫应答水平","1":"用于产后恢复期、病愈康复期等","2":"促进肠道固有益生菌增殖"},"baike_guide_text":"","baike_article_hash_id":"","advword":"肾衰竭,肝脏问题,黄疸,肝炎,真菌感染,皮肤病,猫癣","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"20ml\/瓶"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2022\/02\/340d4cf2fe15c62843bf97c147f8e983.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":58,"max_price":58,"sale_count":114,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 14:07:09","updated_at":"2024-11-13 13:44:39","ins":{"id":40,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"芪圣齐苷素黄芪多糖口服液","common_name":"黄芪多糖口服液","trade_name":"芪圣齐苷素","en_name":"Huang Qi Duo Tang Kou Fu Ye","brand_name":"远征","is_prescription":0,"cover":"\/drug\/2022\/02\/3e862d5a3cc73e783e0f0a2e0716095f.jpg","specification":"20ml\/瓶","reference_price":70,"component":"黄芪多糖(每100mL相当于原生药150g)、低聚木糖、吡啶甲酸铬等。","indication":"1.调节机体免疫应答水平,提高抗体滴度,提高疾病治愈率,缩短病程。\n2.增强抗病力,刺激机体内源性干扰素产生,各类病毒性疾病的辅助治疗。\n3.寄生虫、真菌感染以及免疫缺陷引起的脱毛、皮肤破溃、愈合缓慢等症的辅助用药。\n4.产后恢复期、病愈康复期、免疫前后、外出、运输途中以及疫病流行期保健预防使用。\n5.幼宠、老龄宠物免疫力低下以及各种原因引起的肝脏损伤、肾脏损伤、脂肪肝、高血脂和糖尿病的辅助治疗。\n6.促进肠道固有益生菌增殖,降低肠道抗原负荷。\n7.各类中毒造成的肝损伤。","usage_dosage":"1.犬、猫口服:5kg体重以下每次1滴管;5~10kg体重每次2滴管;10kg体重以上每次3滴管。\n2.每日2次,可直接口服或滴入饮水、日粮中自由采食。\n3.专家建议:连续使用1~2个疗程,每个疗程为一周。幼宠免疫前后一周使用,提高免疫效果。","contraindication":"","adverse_reaction":"尚未见不良反应。","attention":"","interaction":"","approval_no":"兽药字030465231","storage_method":"置于阴凉干燥处保存","validity":"2年","manufacturer":"河北远征禾木药业有限公司","status":1,"created_at":"2020-10-30 18:42:45","updated_at":"2022-02-14 16:14:54"}},"product_sku_info":{"id":736,"product_id":693,"title":"远征芪圣齐苷 素黄芪多糖口服液 20ml\/瓶","advword":null,"price":58,"market_price":78,"cost_price":0,"stock":40,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"20ml\/瓶"}},"cover":null,"thumb":"","sale_count":120,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 14:07:09","updated_at":"2024-11-13 13:38:15"}},"1":{"id":24035,"prescription_id":110821,"doctor_user_id":1296147,"product_id":700,"product_sku_id":743,"dose":10,"dose_unit":"mg","use_method":"口服","frequency":"每天2次","days":14,"number":1,"remark":"每公斤十毫克一天两次","created_at":"2022-05-07 02:41:30","updated_at":"2022-05-07 02:41:30","product_info":{"id":700,"hash_id":"V9we7N4JmypPbGWA","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":38,"sell_point":"巧乐林 盐酸多西环素片","title":"远征巧乐林 盐酸多西环素片 10mg×8片×2板\/盒","recommend_reason":{"0":"用于犬猫病毒性疾病的继发感染","1":"用于各类菌等引起的呼吸系统感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"支气管炎,疱疹病毒,猫杯状病毒,眼结膜潮红,间歇性咳嗽,脓性鼻汁,支原体,衣原体,链球菌,葡萄球菌,呼吸道问题,呼吸道感染","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"10mg盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/858b435a4f1ccd8d05963148bb210722.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":75,"max_price":75,"sale_count":187,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 14:25:03","updated_at":"2024-11-20 09:26:04","ins":{"id":38,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"盐酸多西环素片","trade_name":"巧乐林","en_name":"","brand_name":"远征","is_prescription":1,"cover":"\/drug\/2020\/10\/8a78184c305b76fa318ea81f60ad3e80.JPG","specification":"10mg×8片×2板\/盒","reference_price":128,"component":"盐酸多西环素","indication":"1.应用于病毒性疾病(如犬副流感、犬传染性支气管炎、猫疱疹病毒、猫杯状病毒等)的继发感染。\n2.支原体、衣原体、链球菌、葡萄球菌、巴氏杄菌和支气管败血性博德特菌等引起的呼吸系统感染,钩端螺旋体、立克次氏体、弓形体、埃利希氏体和血巴尔通体等疾病的治疗。","usage_dosage":"犬猫口服。5~10mg\/kg体重,1~2次\/日,连用3~5天。","contraindication":"对多西环素过敏的动物禁用。","adverse_reaction":"","attention":"孕宠慎用。","interaction":"","approval_no":"兽药字030461354","storage_method":"置于阴凉干燥处保存","validity":"2年","manufacturer":"河北远征药业有限公司","status":1,"created_at":"2020-10-30 17:26:57","updated_at":"2020-10-30 17:26:57"}},"product_sku_info":{"id":743,"product_id":700,"title":"远征巧乐林 盐酸多西环素片 10mg×8片×2板\/盒","advword":null,"price":75,"market_price":128,"cost_price":0,"stock":123,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"10mg盒装"}},"cover":null,"thumb":"","sale_count":191,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 14:25:03","updated_at":"2024-11-20 09:15:28"}}}}}}
微信扫一扫
立即问宠医