咨询描述：博美6个月，打过疫苗两针，因为前天中午不小心吃了差不多一颗葡萄，下午出现呕吐现象 三次，昨天下午吐了 一次带番茄颜色(不知道是不是血)去医院检查出了细小阳性，体温39.4偏高，因为资金有限，在宠物医院输液十几分钟就带回家了，凌晨三点多左右自己喝了点水，也不知道是不是有的好转，想咨询药物治疗，该怎么办呢？(到目前没有便血的情况)
患病时长：3天
症状描述：呕吐 食欲不振 精神压抑 但是遇到陌生人很活泼兴奋
医院检查：细小病毒阳性 体温39.4
用药情况：在医院输液十几分钟就停止了
回复总结：一般情况下，1kg体重的狗狗如果吃到3颗以上葡萄可能会造成狗狗中毒，狗狗葡萄中毒会出现肾衰竭，症状表现为：呕吐、腹泻、饮水增多、小便次数和小便量增多。如果狗狗吃葡萄后出现呕吐的症状，建议给狗狗灌石蜡油10ml左右，也可以是食用油5ml左右。然后，建议给狗狗补充益生菌，迅速调整肠道菌平衡 ，增强胃消化功能。另外，建议给狗狗适量补充复合维生素、微量元素以及其他营养物质。
问题大致一样，细节不同？
陆文健
执业兽医师
看了您发来的化验报告，显示细小病毒阳性，有明显的炎症，血常规血小板下降比较严重，生化检测出碱性磷脂酶升高（肝脏损伤指标）外，其他指标问题不大。没有肾衰竭的指标出现（葡萄中毒会导致狗狗的肾衰）。
为了给您制定一个合理的治疗用药方案，我需要了解一下问题：
1、昨天呕吐了几次？今天早上到现在呕吐了几次？呕吐物是什么样子？
2、昨天拉稀了几次？今天早上到现在拉稀了几次？大便是软便还是水便？如果有大便和呕吐物的照片发给我参考；
3、狗狗饮水量大不大？小便频繁吗？或者小便尿液量感觉比平时增加或者降低？
4、您如果自己治疗，会不会肌肉注射或者输液？
1:昨天下午吐了一次，今天早上自己喝了点水没有呕吐
2:昨天到今天都没有拉稀，3天只便便过一次正常
3:狗狗饮水量不大，一天一次小便，尿液增加
4:自己治疗不会肌肉注射和输液
陆文健
执业兽医师
根据您描述的狗狗症状，既不像葡萄中毒，也不像是细小感染的症状。您这几天给狗狗有没有喂带骨头的食物？或者狗狗有没有乱吃东西的习惯？狗狗有没有弓背的动作？您发一个狗狗目前的视频给我参考。
陆文健
执业兽医师
一般1kg体重的狗狗如果吃到3颗以上葡萄可能会造成狗狗中毒，狗狗葡萄中毒主要出现肾衰竭，主要症状表现为：呕吐、腹泻、饮水增多、小便次数和小便量增多。您的资料上狗狗体重1kg，吃了一颗葡萄，您描述的狗狗出现一次口服，小便量有增多，可能轻微中毒的现象。另外医院的化验虽然细小阳性，但细小感染会出现严重的呕吐和水样腹泻，但您的狗狗除昨天下午呕吐一次后，没有再呕吐，也没有拉稀的症状，所以您的狗狗不像是细小感染。
目前您的狗狗主要症状是：昨天下午番茄样呕吐物，说明呕吐物带血，3天没有大便，精神状态和食欲比较差。我的判断您的狗狗可能的病因是：1、误食葡萄轻微中毒；2、狗狗误食异物，导致胃肠道可能出现堵塞的情况。
给您的治疗建议是：1、给狗狗灌一些石蜡油（10ml左右），或者食用油（5ml左右），最好是石蜡油，肠道不会吸收。主要是润肠作用，对于一些胃肠道轻微的堵塞，有比较好的疗效；2、给狗狗补充益生菌；3、给狗狗补充含有复合维生素、微量元素的营养性药物。其他注意事项：1、给狗狗灌服温开水，一天大概50ml以上，分5-6次灌服，可以使用注射器往狗狗嘴里慢慢灌；2、给狗狗补充酸奶，酸奶对于胃肠道消化功能有帮助。
根据狗狗可能的葡萄轻微中毒，以及可能的误食异物，给您的狗狗开一个处方，供您参考。处方中：1、****益生菌，迅速调整肠道菌平衡 ，增强胃消化功能；2、****，含有复合维生素、微量元素以及其他营养物质，宠物腹泻、呕吐、急慢性胃炎肠炎有辅助治疗的功能；3、石蜡油（10ml左右）或者食用油（5ml左右），灌服一次。石蜡油或者食用油需要自己购买或者使用。
陆文健
执业兽医师
建议处方：
1、*****益生菌，5gx5袋/盒，一次口服0.5袋，一天2次，连用5天；
2、****** ，60ml/瓶，一次口服1ml，一天2次，连用5-7天。
陆文健
执业兽医师
其他注意事项：
1、石蜡油（10ml左右）或者食用油（5ml左右），灌服一次。
2、给狗狗灌服温开水，一天大概50ml以上，分5-6次灌服，可以使用注射器往狗狗嘴里慢慢灌；
3、饮食上给狗狗补充酸奶，酸奶对于胃肠道消化功能有帮助。
请用药3天后复诊，根据您的狗狗恢复的情况再来考虑是否需要调整治疗方案，有问题可随时在线联系。
陆文健
执业兽医师
石蜡油可以去药店购买，益生菌和****需要去宠物医院购买。另外狗狗今天的状况有没有比较明显的好转？
精神状况还是压抑，没有呕吐现象，尿尿了一次，就是烟屎增多了
陆文健
执业兽医师
您按我给您的方案处理一下，3天后复诊，如果有异常情况，可随时在线联系。
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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