咨询描述:医生您好,我家猫咪早上眼睛突然就流眼泪睁不开(如图)。我之前在您这问诊过,当时也是这只眼睛,就是光流眼泪,没其他问题,可能是细菌感染,所以后来买了**的滴眼液,用了五天,用到第三天的时候眼泪就少了,第五天基本好了,所以昨天第六天就没给它用,然后昨天晚上半夜眼睛还没问题,早上六点的时候起床看它也没看出啥问题,七点半的时候在看就突然这样了。
回复总结:猫咪眼睛有严重肿胀的症状,可能是疱疹病毒感染导致的,也就是猫鼻支。针对这种情况,处理办法上建议给猫咪使用宠物专用消炎药,抗菌消炎,防止疱疹病毒继发细菌和呼吸道感染,同时配合使用增强免疫力、抑制疱疹病毒繁殖的专用药。另外,针对眼部问题,建议给猫咪使用抗炎消肿的特效滴眼液。
问题大致一样,细节不同?
陆文健
执业兽医师
看了您发来的照片,猫咪左眼明显肿胀,这种情况和上一次流泪多不一样,我怀疑疱疹病毒感染的可能性比较大。我需要了解几个问题:
1、上次您咨询我的时候,我教您使用**滴眼液,这个滴眼液什么时候开始使用的?什么时候开始停用的?
2、猫咪这几天有没有打喷嚏、流鼻涕的症状?
3、您的猫咪今年有没有免疫注射?最近一次免疫是什么时候注射的?
1.上次九号问完就买了滴眼液,因为疫情17号才到,17号晚上开始用的,用到23号晚上,我看好了,所以昨天24已经没用了。
2.猫咪这几天身体健康,没打喷嚏流鼻涕,吃饭啥的也正常,但刚刚我看到它鼻子很干(昨天没有问题),不知道是否发烧,家里没有量体温设备
3.今年没有注射免疫,免疫是它三个月来我家之前注射的
陆文健
执业兽医师
您的猫咪的眼睛急性严重肿胀,和原来的是严重流泪情况不太一样,上次您的猫咪是细菌感染导致流泪,使用**滴眼液有效,这次我的判断您的猫咪的眼睛应该是由疱疹病毒感染导致,也就是猫鼻支,如果确诊需要去医院检测疱疹病毒是否阳性。并且这一段时间疱疹病毒感染导致眼睛肿胀,但不出现呼吸道症状的病例很多,给您的建议按疱疹病毒感染的疾病进行治疗。
下面我给您的猫咪开个处方,处方中的:
1、***,抗菌消炎,防止疱疹病毒继发细菌呼吸道感染;
2、*****,增强免疫力、抑制疱疹病毒繁殖;
3、*****特效滴眼液,用于疱疹病毒引起的眼睛肿胀发炎有效。
可家里没有其他宠物,猫咪也不出门,是怎呢感染上的呢?现在鼻子很干,吃喝挺正常,就是不太精神的样子,有发烧的可能吗?
陆文健
执业兽医师
建议处方:
1、****(阿莫西林克拉维酸钾片),50mg×10片/板,口服一次1片,一天2次,连用5天;
2、**** ,1g×10袋/盒,口服一次1袋,一天2次,连用5天;
3、****特效滴眼液,10ml/支/盒,滴眼一次2-3滴,一天3次,连用7天。
陆文健
执业兽医师
几点说明:
1、很多猫咪携带疱疹病毒,而且疱疹病毒传染性很强,这种疾病是可以引起发烧的,您可以测量一下体温。
2、在药物没有到家之前,先使用**滴眼液滴眼,虽然可能效果不明显,但可以防止疱疹病毒继发细菌感染。
陆文健
执业兽医师
这个病对于成年猫咪没有致命性,一般都能治好,也不需要输液或者增加很多药物进行治疗。在治疗过程中有什么异常情况及时找我复诊,我给您分析和建议。
就是我想带它去医院确诊看看,但是它应激反应太大,医院离我家也很远,它到陌生环境受不了,我家两层楼,我们平时住在二楼,它也在二楼没下过楼,之前有次用猫包带它下去,它反映就特别大。所以医生,我看到有猫鼻支试纸,用这个测管用吗?还有就是我怕如果它不是猫鼻支用这些药会有什么副作用吗?
陆文健
执业兽医师
您可使用猫鼻支的试纸进行检测,但需要根据规范进行操作。我给您开的这些药物没有多大副作用,是常用药物,比如***,不发病的时候,也需要经常喂一些,有对疱疹病毒感染的预防效果。
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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