狗狗子宫蓄脓手术后呕吐

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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。

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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

这个严重不?是能够治愈的么?

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

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狗狗子宫蓄脓手术后精神不好,如果当时狗狗做手术的时候,器械缝线有没有污染,如果机械和缝线还有医生的操作是无菌的环境下操作的,说明狗狗的手术是很成功的。不是手术过程中造成的污染引起炎症居高不下,但是狗狗自身炎症反应比较严重。目前这种情况会出现败血症的情况,需要每隔半小时检测一次体温。目前还需要给狗狗输大量消炎药,还需要输营养液。

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陈奕达

执业兽医师

如果狗狗是有子宫蓄脓,手术后最好是考虑进行输液治疗,连续输液7到10天的时间,这样消炎以及控制感染的效果是最好的,建议使用宠物专用头孢噻呋注射液。狗狗当天的炎症感染确实比较高,建议可以在停止输液之后,使用宠物专用恩诺沙星口服用药,来帮助狗狗控制炎症,效果能好一些,需要持续服用7天左右,然后再次复查血常规,看炎症的控制程度如何,之后考虑是否停药。

狗狗子宫蓄脓手术后还是尿血

邓薄鸿

执业兽医师

狗子前期尿血,医院判断说是子宫蓄脓,做了切除手术。现在手术后第十天,狗狗近期天天刨地板,又出现了尿血。请问,这个子宫是有蓄脓么?这是怎么个情况?

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狗狗子宫蓄脓手术后肚子有点鼓

朱保录

执业兽医师

您好,感谢您对我的信任!问题我已经看到,正在分析并编辑文字回复您的问题,大概需要十几分钟的时间,请勿恢复此消息,以免浪费您的追问次数。

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狗狗子宫蓄脓手术后,就单纯的说子宫蓄脓手术以后,保证至少7天的抗生素,是有必要的。另外,这个角度来说,再给几天的注射用的保肝药也是可以的,但之后就不用过多给太多药物了,就等一段时间再做生化检查,但是crp会建议拆线的时候再做一次。

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