回复总结:针对猫咪支气管炎,用药治疗方面建议给猫咪使用消肿、镇咳的药物以及抗炎、抗过敏的药物,同时配合服用抗生素类药物,抑制炎症感染。用药治疗一周左右,如果猫咪症状还是不见好转,建议带猫咪去宠物医院做呼吸道PCR五联检测,排查疱疹病毒或支原体感染的因素。
问题大致一样,细节不同?
陈昆明
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。包括但不限于1.给我讲一下宝贝的基础信息,像是品种、年龄、体重、是否绝育等2.宝贝现在都有哪些疾病症状?(若有视频可以上传来我看看)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。
您好,我家猫从去年11月开始咳嗽 打喷嚏 找了好几家医院 都是确定为支气管炎 图片是今年2月份拍的 然后 一直都有雾化 打针 吃药 不见好
昨天问医生说建议 做鼻腔镜和ct 因为需要麻醉 我想问一下 就是还有保守的治疗吗
为保护用户隐私不显示图片/视频
陈昆明
执业兽医师
猫咪家长,从您提供的DR片子来看不像是支气管炎,片子正位心影偏大,侧位心尖部腹侧和心基部头侧有膨出的阴影。结合我个人临床经验判断为心包有炎症或轻微积液。我画圈标注的地方和正常心脏侧位影像是不一样的
昨天做了心超 都是正常的 它现在就是间歇性咳嗽 天气冷的时候一天会咳个一两次 热起来不会,但是鼻子在睡觉的时候呼吸声蛮大 一天会打好几个鼻涕 然后打出来的是脓鼻涕
食欲和其他方面全部都没什么异样都正常
为保护用户隐私不显示图片/视频
陈昆明
执业兽医师
心脏彩超是最近几年才发展的,也是影像学诊断的中高阶操作,因此大多数宠物医院的心超医生对心超的操作与判断准确性都不高,且机器设备效果质量也良莠不齐。我个人更倾向与心包炎和有过敏症状的诊断,同时通过你提供的打喷嚏症状,不排除还有疱疹病毒或支原体感染的可能。所以建议如下:1,做一个猫呼吸道PCR(核酸)五联检测。2,如果不检查,建议抗生素连续使用一周,配合类固醇药物抗炎抗过敏,再结合消肿和镇咳药物治疗一周,看情况再说。
好的 那我带它去检查pcr 那ct和鼻腔镜有必要做吗
陈昆明
执业兽医师
处方中的药:****,抗生素对支原体有效果。****口服液,止咳药。*****片,抗炎抗过敏。
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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