咨询描述:您好我家狗九岁了,前段时间不吃东西,检查是子宫蓄脓做了手术,当时术前指标正常。现在手术五天了,一直不进食,只喝水,哈还呕吐。今天生化完说是肾衰竭
回复总结:狗狗子宫蓄脓手术后呕吐考虑是术后并发症导致的肾急性肾衰竭、急性肾衰,也可能是胰腺炎引起的。针对这种情况,建议再给狗狗进行输液治疗,输液主要是根据血气的检查结果进行补液,通过输液帮助狗狗毒素代谢,同时也可以口服药物渗透,效果会更明显。如果有胰腺炎,需要增加胰腺药物,如果是肾衰,可以通过输液和口服药看是否能把指标降下去,如果指标不下降可能需要透析治疗。
问题大致一样,细节不同?
孙厚福
执业兽医师
我初步子宫蓄脓术后肾衰竭。但仅仅根据目前还不能做出进一步的判断。我还有几个问题需要向你核实一下
1.是否有术前和术后化验单可以上传看一下
2.术后是否每天消炎?
3.是否检查过胰腺炎?
4.医生目前治疗方案?
5.术后治疗处方是否有?
除此之外,宝贝目前的症状来讲,您提供给我的信息有限,暂时我还无法给您一些保守的治疗建议,所以另外我需要和主人您再了解一些宝贝的情况。希望主人您仔细提供给我。方便我更好的分析宝贝的病情,并给出更准确的诊断和保守的治疗建议。感谢您的配合。
目前就是术后每天输液,消炎药这两天加了****止吐。狗年龄大了,而且我妈喂得特别胖小狗26.5斤,流浪狗养了九年。没有做胰腺炎检查,图片您可以看下是今天刚做的
为保护用户隐私不显示图片/视频
孙厚福
执业兽医师
1.化验单看炎症高,同时肾脏指标升高明显四级肾衰(最高级别)
2不排除有胰腺炎继发肾衰竭(建议可以做一下胰腺炎检查)
3如果有胰腺炎需要增加胰腺药物
4.肾衰可以通过输液和口服药看一下是否能把指标降下去。如果还是不下降可能需要透析治疗
输液和口服药用什么药效果比较好呢?她这种治愈的概率大不?为什么术前指标都是正常的呢?现在一下子就肾衰竭了
孙厚福
执业兽医师
目前可能肾脏指标已经有问题,但是肾血液指标可能是正常的,另外术后的话可能会出现并发症,就是肾急性肾衰竭,同时的话有可能有胰腺炎也可能出现并发症急性肾衰,所以目前的话再给他进行输液进行治疗,输液主要是根据血气的检查结果进行补液,通过输液帮助他毒素代谢,同时的话可以口服渗透,可能效果会更明显一些。另外对症治疗比如呕吐可以输入****,同时注射***
我给它开个处方。处方里面的1. 肾透调理肾功能10kg口服一片一天三次
2.***调理肾功能,4kg口服1.0ml早晚各一次
孙厚福
执业兽医师
目前指标还是非常高的如果下降不了只能透析才有希望,如果通过输液和口服药物慢慢下降正常可以恢复过来。
输液主要输什么药呢?这个消炎药这几天输得不是更加加重了他肾的负担了么?
孙厚福
执业兽医师
输液主要根据血气调整酸性平衡和离子紊乱
如果目前做不了血气可以先说声**跟*****。
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
{"312041":{"id":312041,"case_id":36761,"user_id":1321141,"to_user_id":1978573,"type":3,"content":"目前可能肾脏指标已经有问题,但是肾血液指标可能是正常的,另外术后的话可能会出现并发症,就是肾急性肾衰竭,同时的话有可能有胰腺炎也可能出现并发症急性肾衰,所以目前的话再给他进行输液进行治疗,输液主要是根据血气的检查结果进行补液,通过输液帮助他毒素代谢,同时的话可以口服渗透,可能效果会更明显一些。另外对症治疗比如呕吐可以输入****,同时注射***\n我给它开个处方。处方里面的1. 肾透调理肾功能10kg口服一片一天三次\n2.***调理肾功能,4kg口服1.0ml早晚各一次","media":{"images":{},"videos":{},"business_params":{"prescription_id":111230}},"is_doctor":1,"status":1,"created_at":"2022-05-10 20:30:06","show_rx":true,"rx_info":{"id":111230,"rx_no":2.0220510202843503e+24,"user_id":1978573,"doctor_user_id":1321141,"is_independent":0,"case_id":2732855,"pet_info":{"pet_id":0,"pet_name":"狗狗","pet_nickname":"犬","pet_gender":2,"pet_birth":"13-0","pet_weight":10,"pet_vaccination_status":1,"pet_in_insect_repellent_status":1,"pet_out_insect_repellent_status":1,"pet_age_format":"13岁"},"diagnose":"子宫蓄脓,肾衰竭","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2022-05-10 20:28:43","updated_at":"2022-05-10 20:30:06","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":24954,"prescription_id":111230,"doctor_user_id":1321141,"product_id":772,"product_sku_id":814,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天3次","days":30,"number":1,"remark":"","created_at":"2022-05-10 20:28:43","updated_at":"2022-05-10 20:28:43","product_info":{"id":772,"hash_id":"VNA3DJxLP2xMGaOw","class_ids":{"0":1,"1":2},"category_ids":{"0":166},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":194,"sell_point":"肾透阿尔法酮酸片","title":"摩登狗肾透阿尔法酮酸片 60粒\/瓶","recommend_reason":{"0":"本产品为肾脏高效清洗剂,减轻尿毒症的症状","1":"确保宠物在患病期间的营养摄入,减少代谢并发症","2":"减轻尿蛋白,纠正钙磷代谢紊乱,使碳水化合物代谢正常"},"baike_guide_text":"","baike_article_hash_id":"","advword":"肾衰,肾衰竭,尿毒症,内分泌失调","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"60粒盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/3ce928077874cba7681a492a12965bbc.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":498,"max_price":498,"sale_count":13,"tags":"","sort":0,"status":0,"delete_status":0,"created_at":"2021-12-20 15:10:47","updated_at":"2024-09-30 10:27:28","ins":{"id":194,"hash_id":"ay8LblpOnPx9EdBq","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"肾透阿尔法酮酸片","common_name":"阿尔法酮酸片","trade_name":"肾透","en_name":"Nephrocure for dog","brand_name":"摩登狗","is_prescription":0,"cover":"\/drug\/2021\/12\/5743659f51b45999c7cfa7e214e28ee7.jpeg","specification":"60粒\/瓶","reference_price":780,"component":"阿尔法酮酸","indication":"本产品为肾脏高效清洗剂。减轻尿毒症的症状,保护现有正常的肾功能,延缓肾脏疾病的恶化。确保宠物在患病期间的营养摄入,减少肾功能不全导致的代谢并发症,防止机体蛋白质降解。减轻尿蛋白,纠正钙磷代谢紊乱,使碳水化合物代谢正常,纠正脂质代谢紊乱,调理内分泌失调。","usage_dosage":"犬猫口服,1日3次,每10kg体重1-2片,用餐期间喂服,必要时遵医嘱。","contraindication":"高血钙凝和氨基酸代谢障凝病。","adverse_reaction":"","attention":"","interaction":"","approval_no":"","storage_method":"25度以下,干燥保存","validity":"3年","manufacturer":"摩登狗(美国)宠物用品有限公司","status":1,"created_at":"2021-12-22 18:18:51","updated_at":"2021-12-22 18:18:51"}},"product_sku_info":{"id":814,"product_id":772,"title":"摩登狗肾透阿尔法酮酸片 60粒\/瓶","advword":null,"price":498,"market_price":780,"cost_price":0,"stock":87,"stock_alarm":100,"spec_data":{"1":{"name":"规格","option":"60粒盒装"}},"cover":null,"thumb":"","sale_count":13,"status":0,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-20 15:10:47","updated_at":"2024-09-30 10:27:28"}},"1":{"id":24955,"prescription_id":111230,"doctor_user_id":1321141,"product_id":757,"product_sku_id":799,"dose":2,"dose_unit":"ml","use_method":"口服","frequency":"每天2次","days":30,"number":1,"remark":"","created_at":"2022-05-10 20:28:43","updated_at":"2022-05-10 20:28:43","product_info":{"id":757,"hash_id":"EqNmov45JEgnJ5yO","class_ids":{"0":1,"1":2},"category_ids":{"35":194},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":168,"sell_point":"宠圣康 宠物添加剂预混合饲料(RD-130)","title":"蓝特斯宠圣康 宠物添加剂预混合饲料(RD-130)60ml\/瓶\/盒","recommend_reason":{"0":"宠物肾脏疾病相关的氮血症期","1":"高磷血症期、低钾血症期等","2":"宠物肾脏疾病相关的贫血期、血液及尿酸碱值异常期"},"baike_guide_text":"","baike_article_hash_id":"","advword":"贫血,高磷血,低钾血,氮血症,尿酸","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"60ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/01\/c9f71557f932d319ee0abedf27135bd1.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":24,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 17:56:43","updated_at":"2024-06-16 09:54:38","ins":{"id":168,"hash_id":"","class_ids":"[1,2]","title":"宠物添加剂预混合饲料(RD-100)","common_name":"宠物添加剂预混合饲料(RD-100)","trade_name":"宠圣康","en_name":"Pet additive premixed feed(RD-100)","brand_name":"蓝特斯","is_prescription":0,"cover":"\/drug\/2021\/03\/dd456360aad2ff5e44d54f1913df7aad.jpg","specification":"60ml\/瓶","reference_price":118,"component":"维生素A、维生素C、维生素E、维生素B,、维生素B。、维生素B,、烟酰胺、叶酸、赖氨酸、牛磺酸、蛋氨酸、柠檬酸钾、硫酸亚铁等","indication":"1.宠物肾脏疾病相关的氮血症期\n2.高磷血症期、低钾血症期等\n3.宠物肾脏疾病相关的贫血期\n4.宠物肾脏疾病相关的血液及尿酸碱值异常期","usage_dosage":"犬猫每4kg体重1ml,以此类推。混饲或直接饲喂。一天2次。用前请摇匀。(新老版本随机发货)","contraindication":"","adverse_reaction":"","attention":"","interaction":"","approval_no":"苏饲预字(2018)768336","storage_method":"应储存于干燥、通风、避光、清洁的环境,不得与有毒有害等污染物混贮","validity":"24个月","manufacturer":"江苏益品实业有限公司","status":1,"created_at":"2021-03-17 18:18:13","updated_at":"2024-06-01 18:22:09"}},"product_sku_info":{"id":799,"product_id":757,"title":"蓝特斯宠圣康 宠物添加剂预混合饲料(RD-130)60ml\/瓶\/盒","advword":null,"price":98,"market_price":120,"cost_price":0,"stock":75,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"60ml"}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/01\/8ba5ea825479f6909eff96c71a6d3c78.jpg","thumb":"","sale_count":25,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 17:56:43","updated_at":"2024-06-16 08:37:00"}}},"drug_data_bak":{"0":{"id":24954,"prescription_id":111230,"doctor_user_id":1321141,"product_id":772,"product_sku_id":814,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天3次","days":30,"number":1,"remark":"","created_at":"2022-05-10 20:28:43","updated_at":"2022-05-10 20:28:43","product_info":{"id":772,"hash_id":"VNA3DJxLP2xMGaOw","class_ids":{"0":1,"1":2},"category_ids":{"0":166},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":194,"sell_point":"肾透阿尔法酮酸片","title":"摩登狗肾透阿尔法酮酸片 60粒\/瓶","recommend_reason":{"0":"本产品为肾脏高效清洗剂,减轻尿毒症的症状","1":"确保宠物在患病期间的营养摄入,减少代谢并发症","2":"减轻尿蛋白,纠正钙磷代谢紊乱,使碳水化合物代谢正常"},"baike_guide_text":"","baike_article_hash_id":"","advword":"肾衰,肾衰竭,尿毒症,内分泌失调","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"60粒盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/3ce928077874cba7681a492a12965bbc.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":498,"max_price":498,"sale_count":13,"tags":"","sort":0,"status":0,"delete_status":0,"created_at":"2021-12-20 15:10:47","updated_at":"2024-09-30 10:27:28","ins":{"id":194,"hash_id":"ay8LblpOnPx9EdBq","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"肾透阿尔法酮酸片","common_name":"阿尔法酮酸片","trade_name":"肾透","en_name":"Nephrocure for dog","brand_name":"摩登狗","is_prescription":0,"cover":"\/drug\/2021\/12\/5743659f51b45999c7cfa7e214e28ee7.jpeg","specification":"60粒\/瓶","reference_price":780,"component":"阿尔法酮酸","indication":"本产品为肾脏高效清洗剂。减轻尿毒症的症状,保护现有正常的肾功能,延缓肾脏疾病的恶化。确保宠物在患病期间的营养摄入,减少肾功能不全导致的代谢并发症,防止机体蛋白质降解。减轻尿蛋白,纠正钙磷代谢紊乱,使碳水化合物代谢正常,纠正脂质代谢紊乱,调理内分泌失调。","usage_dosage":"犬猫口服,1日3次,每10kg体重1-2片,用餐期间喂服,必要时遵医嘱。","contraindication":"高血钙凝和氨基酸代谢障凝病。","adverse_reaction":"","attention":"","interaction":"","approval_no":"","storage_method":"25度以下,干燥保存","validity":"3年","manufacturer":"摩登狗(美国)宠物用品有限公司","status":1,"created_at":"2021-12-22 18:18:51","updated_at":"2021-12-22 18:18:51"}},"product_sku_info":{"id":814,"product_id":772,"title":"摩登狗肾透阿尔法酮酸片 60粒\/瓶","advword":null,"price":498,"market_price":780,"cost_price":0,"stock":87,"stock_alarm":100,"spec_data":{"1":{"name":"规格","option":"60粒盒装"}},"cover":null,"thumb":"","sale_count":13,"status":0,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-20 15:10:47","updated_at":"2024-09-30 10:27:28"}},"1":{"id":24955,"prescription_id":111230,"doctor_user_id":1321141,"product_id":757,"product_sku_id":799,"dose":2,"dose_unit":"ml","use_method":"口服","frequency":"每天2次","days":30,"number":1,"remark":"","created_at":"2022-05-10 20:28:43","updated_at":"2022-05-10 20:28:43","product_info":{"id":757,"hash_id":"EqNmov45JEgnJ5yO","class_ids":{"0":1,"1":2},"category_ids":{"35":194},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":168,"sell_point":"宠圣康 宠物添加剂预混合饲料(RD-130)","title":"蓝特斯宠圣康 宠物添加剂预混合饲料(RD-130)60ml\/瓶\/盒","recommend_reason":{"0":"宠物肾脏疾病相关的氮血症期","1":"高磷血症期、低钾血症期等","2":"宠物肾脏疾病相关的贫血期、血液及尿酸碱值异常期"},"baike_guide_text":"","baike_article_hash_id":"","advword":"贫血,高磷血,低钾血,氮血症,尿酸","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"60ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/01\/c9f71557f932d319ee0abedf27135bd1.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":24,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 17:56:43","updated_at":"2024-06-16 09:54:38","ins":{"id":168,"hash_id":"","class_ids":"[1,2]","title":"宠物添加剂预混合饲料(RD-100)","common_name":"宠物添加剂预混合饲料(RD-100)","trade_name":"宠圣康","en_name":"Pet additive premixed feed(RD-100)","brand_name":"蓝特斯","is_prescription":0,"cover":"\/drug\/2021\/03\/dd456360aad2ff5e44d54f1913df7aad.jpg","specification":"60ml\/瓶","reference_price":118,"component":"维生素A、维生素C、维生素E、维生素B,、维生素B。、维生素B,、烟酰胺、叶酸、赖氨酸、牛磺酸、蛋氨酸、柠檬酸钾、硫酸亚铁等","indication":"1.宠物肾脏疾病相关的氮血症期\n2.高磷血症期、低钾血症期等\n3.宠物肾脏疾病相关的贫血期\n4.宠物肾脏疾病相关的血液及尿酸碱值异常期","usage_dosage":"犬猫每4kg体重1ml,以此类推。混饲或直接饲喂。一天2次。用前请摇匀。(新老版本随机发货)","contraindication":"","adverse_reaction":"","attention":"","interaction":"","approval_no":"苏饲预字(2018)768336","storage_method":"应储存于干燥、通风、避光、清洁的环境,不得与有毒有害等污染物混贮","validity":"24个月","manufacturer":"江苏益品实业有限公司","status":1,"created_at":"2021-03-17 18:18:13","updated_at":"2024-06-01 18:22:09"}},"product_sku_info":{"id":799,"product_id":757,"title":"蓝特斯宠圣康 宠物添加剂预混合饲料(RD-130)60ml\/瓶\/盒","advword":null,"price":98,"market_price":120,"cost_price":0,"stock":75,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"60ml"}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/01\/8ba5ea825479f6909eff96c71a6d3c78.jpg","thumb":"","sale_count":25,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 17:56:43","updated_at":"2024-06-16 08:37:00"}}}}}}
微信扫一扫
立即问宠医