小狗突然又吐又拉

{"307116":{"id":307116,"case_id":36275,"user_id":1401608,"to_user_id":1978020,"type":3,"content":"您好看到您描述的情况了，这种基本不是特别像寄生虫原因导致的。就是你这种的话可能就会有两种可能了。一种可能的话，就是考虑饮食吃东西消化不良刺激导致的急性胃肠炎。第二种的话就要考虑肠道异物了，就是他偷吃到什么东西可能导致一个肠道梗阻。就是你这种的话你如果说要是想要保守治疗那就是在最后一次呕吐之后停食停水六个小时，六个小时不吐的情况下再给他少量多次喂食，同时这个期间可以给他使用一些止吐和止泻的药。如果说要是持续呕吐控制不住就肯定需要进一步检查了。根据宝贝的情况，我给它开个处方。处方里面的1.****，止吐，每天3次，每次1片。2.***，强力止泻，每天2次，每次1.5片。您可以根据需求自行选择购买","media":{"images":{},"videos":{},"business_params":{"prescription_id":111168}},"is_doctor":1,"status":1,"created_at":"2022-05-10 09:36:32","show_rx":true,"rx_info":{"id":111168,"rx_no":2.02205100935595e+24,"user_id":1978020,"doctor_user_id":1401608,"is_independent":0,"case_id":2732265,"pet_info":{"pet_id":0,"pet_name":"犬","pet_nickname":"犬","pet_gender":1,"pet_birth":"1-0","pet_weight":15,"pet_vaccination_status":0,"pet_in_insect_repellent_status":0,"pet_out_insect_repellent_status":0,"pet_age_format":"1岁"},"diagnose":"胃肠炎？异物？","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2022-05-10 09:35:59","updated_at":"2022-05-10 09:36:32","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":24818,"prescription_id":111168,"doctor_user_id":1401608,"product_id":726,"product_sku_id":768,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天3次","days":7,"number":1,"remark":"","created_at":"2022-05-10 09:35:59","updated_at":"2022-05-10 09:35:59","product_info":{"id":726,"hash_id":"ZXn76zg92bx9boBN","class_ids":{"0":1,"1":2,"2":3,"5":6},"category_ids":{"30":189},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":25,"sell_point":"米丁宁 西咪替丁片 0.1g","title":"保灵米丁宁 西咪替丁片 0.1g×64片\/盒","recommend_reason":{"0":"用于治疗和预防胃、十二指肠溃疡及反流性食管炎","1":"用于化学刺激引起的糜烂性胃炎、应激性溃疡和上消化道出血","2":"降低IBD引起的肠道溃疡,有效防止IBD引起的肠道缩短。"},"baike_guide_text":"","baike_article_hash_id":"","advword":"慢性胃炎,溃疡,便血","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"0.1g盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/01\/f16a8ae34e3870e56b0d54252f62ee1a.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":138,"max_price":138,"sale_count":256,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 15:28:36","updated_at":"2024-06-11 09:54:57","ins":{"id":25,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022,\u00223\u0022,\u00226\u0022]","title":"","common_name":"西咪替丁片","trade_name":"西替康","en_name":"Cimetidine Tablets","brand_name":"保灵","is_prescription":1,"cover":"\/drug\/2020\/10\/b7a07a9ce5a0dd3d0787924c3a5744d6.PNG","specification":"0.1g×24片\/盒","reference_price":110,"component":"西咪替丁","indication":"1.用于治疗和预防胃、十二指肠溃疡及反流性食管炎。\n2.用于化学刺激引起的糜烂性胃炎。\n3.应激性溃疡和上消化道出血。\n4.降低IBD引起的肠道溃疡,有效防止IBD引起的肠道缩短。","usage_dosage":"内服：6~10kg的犬猫使用1\/2片，体重10~20kg的犬使用1片，一日3次。连用28日。","contraindication":"对该药过敏者禁用。","adverse_reaction":"1.可能引起性犬的乳房暂时性轻微肿胀或雄性犬乳房发育症。\n2.雄犬可能出现前列腺减重,该现象可逆并对生殖功能无影响。","attention":"1.本品仅用于对症治疗,建议出现持续性呕吐症状的犬猫在治疗前进行适当的检查以诊断病因。\n2.对于肾功能不全的犬,需适当调整给药剂量。\n3.本品未进行妊娠期和乳期靶动物的相关研究，应在执业兽医指导下进行妊娠期和哺乳期用药。\n4.本品可能与β受体拮抗剂、钙通道拮抗剂、苯二氮卓类、巴比妥类、苯妥英、茶碱、氨茶碱、华法林和利多卡因等药物产生临床相互作用，当含并用药时，应减低这些药物的使用剂量。\n5.本品可能引起胃酸升高导致药物吸收降低，需要借助酸性介质促进吸收。与氢氧化铝或氢氧化镁、甲氧氯普胺、地高辛和酮康唑的用药间隔至少为2小时。\n6.本品开封后.剩余药片应放在泡罩包装中避光保存。\n7.置儿至无法触及处。","interaction":"1.本品若与氢氧化铝、氧化镁等抗酸剂合用时,本品的吸收可能减少,故一般不提倡同用。\n2.本品与硝西泮(硝基安定)、地西泮(安定)、茶碱、普蔡洛尔(心得安)、苯妥英钠、阿司匹林等同用时。均可使这些药物的血药浓度升高,作用增强,出现不良反应,甚至是毒性反应,故本品不宜与这些药物共同使用。\n3.本品与氨基糖苷类抗生素如庆大霉素等同用时可能导致呼吸抑制或呼吸停止。","approval_no":"兽药字020167014","storage_method":"密封保存。","validity":"2年","manufacturer":"天津市保灵动物保健品有限公司","status":1,"created_at":"2020-10-27 17:58:14","updated_at":"2020-10-27 18:18:40"}},"product_sku_info":{"id":768,"product_id":726,"title":"保灵米丁宁 西咪替丁片 0.1g×64片\/盒","advword":null,"price":138,"market_price":240,"cost_price":0,"stock":158,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"0.1g盒装"}},"cover":null,"thumb":"","sale_count":270,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 15:28:36","updated_at":"2024-06-11 06:55:02"}},"1":{"id":24819,"prescription_id":111168,"doctor_user_id":1401608,"product_id":914,"product_sku_id":955,"dose":1.5,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2022-05-10 09:35:59","updated_at":"2022-05-10 09:35:59","product_info":{"id":914,"hash_id":"ZjEadAxN72pJl2L9","class_ids":{"0":1,"1":2},"category_ids":{"31":190},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":218,"sell_point":"坦必欣碱式碳酸铋片 0.5g","title":"汉维宠仕坦必欣碱式碳酸铋片 0.5g×8片×5板\/盒","recommend_reason":{"0":"止泻药，用于胃肠炎及腹泻等。"},"baike_guide_text":"","baike_article_hash_id":"","advword":"拉稀,腹泻,止泻","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"5板盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2022\/02\/e1795862e0fe2674b4866ad361ade8e1.JPG","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":188,"max_price":188,"sale_count":36,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2022-02-12 17:43:00","updated_at":"2024-04-09 09:03:50","ins":{"id":218,"hash_id":"9MqykBxrQXgwb1Or","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"坦必欣碱式碳酸铋片","common_name":"碱式碳酸铋片","trade_name":"坦必欣","en_name":"Diarrop","brand_name":"汉维宠仕","is_prescription":0,"cover":"\/drug\/2022\/02\/1cf40dfa9b5914428de492ca32cb6e17.JPG","specification":"0.5g×7片×5板\/盒","reference_price":300,"component":"碱式碳酸铋","indication":"止泻药，用于胃肠炎及腹泻等。","usage_dosage":"内服：犬猫轻微腹泻每10kg一片，一天一次；犬猫严重腹泻每10kg一片，一天两次。","contraindication":"","adverse_reaction":"本品不经过血液循环，未出现不良反应。\n个别会出现便秘情况，停药即可恢复。","attention":"每次服用最多不超过4片，症状缓解即可减少为药量。","interaction":"","approval_no":"兽药字090241563","storage_method":"密封，在干燥处保存","validity":"2年","manufacturer":"上海汉维生物医药科技有限公司","status":1,"created_at":"2022-02-12 14:39:44","updated_at":"2022-03-03 11:54:25"}},"product_sku_info":{"id":955,"product_id":914,"title":"汉维宠仕坦必欣碱式碳酸铋片 0.5g×8片×5板\/盒","advword":null,"price":188,"market_price":240,"cost_price":0,"stock":60,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"5板盒装"}},"cover":null,"thumb":"","sale_count":40,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2022-02-12 17:43:00","updated_at":"2024-11-11 10:35:02"}}},"drug_data_bak":{"0":{"id":24818,"prescription_id":111168,"doctor_user_id":1401608,"product_id":726,"product_sku_id":768,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天3次","days":7,"number":1,"remark":"","created_at":"2022-05-10 09:35:59","updated_at":"2022-05-10 09:35:59","product_info":{"id":726,"hash_id":"ZXn76zg92bx9boBN","class_ids":{"0":1,"1":2,"2":3,"5":6},"category_ids":{"30":189},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":25,"sell_point":"米丁宁 西咪替丁片 0.1g","title":"保灵米丁宁 西咪替丁片 0.1g×64片\/盒","recommend_reason":{"0":"用于治疗和预防胃、十二指肠溃疡及反流性食管炎","1":"用于化学刺激引起的糜烂性胃炎、应激性溃疡和上消化道出血","2":"降低IBD引起的肠道溃疡,有效防止IBD引起的肠道缩短。"},"baike_guide_text":"","baike_article_hash_id":"","advword":"慢性胃炎,溃疡,便血","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"0.1g盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/01\/f16a8ae34e3870e56b0d54252f62ee1a.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":138,"max_price":138,"sale_count":256,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 15:28:36","updated_at":"2024-06-11 09:54:57","ins":{"id":25,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022,\u00223\u0022,\u00226\u0022]","title":"","common_name":"西咪替丁片","trade_name":"西替康","en_name":"Cimetidine Tablets","brand_name":"保灵","is_prescription":1,"cover":"\/drug\/2020\/10\/b7a07a9ce5a0dd3d0787924c3a5744d6.PNG","specification":"0.1g×24片\/盒","reference_price":110,"component":"西咪替丁","indication":"1.用于治疗和预防胃、十二指肠溃疡及反流性食管炎。\n2.用于化学刺激引起的糜烂性胃炎。\n3.应激性溃疡和上消化道出血。\n4.降低IBD引起的肠道溃疡,有效防止IBD引起的肠道缩短。","usage_dosage":"内服：6~10kg的犬猫使用1\/2片，体重10~20kg的犬使用1片，一日3次。连用28日。","contraindication":"对该药过敏者禁用。","adverse_reaction":"1.可能引起性犬的乳房暂时性轻微肿胀或雄性犬乳房发育症。\n2.雄犬可能出现前列腺减重,该现象可逆并对生殖功能无影响。","attention":"1.本品仅用于对症治疗,建议出现持续性呕吐症状的犬猫在治疗前进行适当的检查以诊断病因。\n2.对于肾功能不全的犬,需适当调整给药剂量。\n3.本品未进行妊娠期和乳期靶动物的相关研究，应在执业兽医指导下进行妊娠期和哺乳期用药。\n4.本品可能与β受体拮抗剂、钙通道拮抗剂、苯二氮卓类、巴比妥类、苯妥英、茶碱、氨茶碱、华法林和利多卡因等药物产生临床相互作用，当含并用药时，应减低这些药物的使用剂量。\n5.本品可能引起胃酸升高导致药物吸收降低，需要借助酸性介质促进吸收。与氢氧化铝或氢氧化镁、甲氧氯普胺、地高辛和酮康唑的用药间隔至少为2小时。\n6.本品开封后.剩余药片应放在泡罩包装中避光保存。\n7.置儿至无法触及处。","interaction":"1.本品若与氢氧化铝、氧化镁等抗酸剂合用时,本品的吸收可能减少,故一般不提倡同用。\n2.本品与硝西泮(硝基安定)、地西泮(安定)、茶碱、普蔡洛尔(心得安)、苯妥英钠、阿司匹林等同用时。均可使这些药物的血药浓度升高,作用增强,出现不良反应,甚至是毒性反应,故本品不宜与这些药物共同使用。\n3.本品与氨基糖苷类抗生素如庆大霉素等同用时可能导致呼吸抑制或呼吸停止。","approval_no":"兽药字020167014","storage_method":"密封保存。","validity":"2年","manufacturer":"天津市保灵动物保健品有限公司","status":1,"created_at":"2020-10-27 17:58:14","updated_at":"2020-10-27 18:18:40"}},"product_sku_info":{"id":768,"product_id":726,"title":"保灵米丁宁 西咪替丁片 0.1g×64片\/盒","advword":null,"price":138,"market_price":240,"cost_price":0,"stock":158,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"0.1g盒装"}},"cover":null,"thumb":"","sale_count":270,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 15:28:36","updated_at":"2024-06-11 06:55:02"}},"1":{"id":24819,"prescription_id":111168,"doctor_user_id":1401608,"product_id":914,"product_sku_id":955,"dose":1.5,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2022-05-10 09:35:59","updated_at":"2022-05-10 09:35:59","product_info":{"id":914,"hash_id":"ZjEadAxN72pJl2L9","class_ids":{"0":1,"1":2},"category_ids":{"31":190},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":218,"sell_point":"坦必欣碱式碳酸铋片 0.5g","title":"汉维宠仕坦必欣碱式碳酸铋片 0.5g×8片×5板\/盒","recommend_reason":{"0":"止泻药，用于胃肠炎及腹泻等。"},"baike_guide_text":"","baike_article_hash_id":"","advword":"拉稀,腹泻,止泻","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"5板盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2022\/02\/e1795862e0fe2674b4866ad361ade8e1.JPG","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":188,"max_price":188,"sale_count":36,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2022-02-12 17:43:00","updated_at":"2024-04-09 09:03:50","ins":{"id":218,"hash_id":"9MqykBxrQXgwb1Or","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"坦必欣碱式碳酸铋片","common_name":"碱式碳酸铋片","trade_name":"坦必欣","en_name":"Diarrop","brand_name":"汉维宠仕","is_prescription":0,"cover":"\/drug\/2022\/02\/1cf40dfa9b5914428de492ca32cb6e17.JPG","specification":"0.5g×7片×5板\/盒","reference_price":300,"component":"碱式碳酸铋","indication":"止泻药，用于胃肠炎及腹泻等。","usage_dosage":"内服：犬猫轻微腹泻每10kg一片，一天一次；犬猫严重腹泻每10kg一片，一天两次。","contraindication":"","adverse_reaction":"本品不经过血液循环，未出现不良反应。\n个别会出现便秘情况，停药即可恢复。","attention":"每次服用最多不超过4片，症状缓解即可减少为药量。","interaction":"","approval_no":"兽药字090241563","storage_method":"密封，在干燥处保存","validity":"2年","manufacturer":"上海汉维生物医药科技有限公司","status":1,"created_at":"2022-02-12 14:39:44","updated_at":"2022-03-03 11:54:25"}},"product_sku_info":{"id":955,"product_id":914,"title":"汉维宠仕坦必欣碱式碳酸铋片 0.5g×8片×5板\/盒","advword":null,"price":188,"market_price":240,"cost_price":0,"stock":60,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"5板盒装"}},"cover":null,"thumb":"","sale_count":40,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2022-02-12 17:43:00","updated_at":"2024-11-11 10:35:02"}}}}}}