咨询描述：泰迪狗体温低不吃不喝。你好，医生，我家狗从昨天下午开始体温偏低，36度3，不吃也不喝，做了个抽血检查，这边的医生也说不出个所以然来，麻烦您看一下这个抽血和crp的结果
回复总结：引起gg 贫血的原因有很多，主要有犬巴贝斯虫感染、立克次氏体、血液病等。如果是犬巴贝斯虫感染或者立克次氏体导致的贫血，狗狗会有发烧的症状。如果是白血病，可能没有发烧的症状，但可能会出现淋巴结肿胀的症状。如果不能确定导致狗狗贫血的原因，建议带狗狗去宠物医院做PCR核酸检测爱利希氏体、血巴尔通氏体、附红细胞体是否是阳性，如果怀疑血液病，还需要做细胞病理显微镜检查，检查中性粒细胞细胞核的形态。
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，主要问题是贫血非常严重，另外不管是白细胞值上升还是CRP提示狗狗有炎症，另外狗狗有没有做生化检测？我还有几个问题需要向您了解一下：1、狗狗年龄、体重、公母？2、狗狗有没有什么病史？发病有多长时间了？3、目前有什么症状？小便有没有咖啡色？有没有呕吐和拉稀？麻烦您详细描述一下；4、这段时间有没有用药？使用了什么药物？以上这些情况您仔细回忆后详细的描述给我，对我给狗狗目前情况做判断以及制定治疗方案有非常大的帮助，感谢您的配合。
没有做生化检测，只有这两个结果。
1.狗狗年龄是5个月，体重10公斤，公狗
2.前两天脖子上长了个大包，吃了几天消炎药好了，这次发病有两天了，伴随着后大腿根肿胀。在宠物医院打了两针，脖子上又开始鼓包
3.目前不吃不喝没有力气，小便没有咖啡色，早上吐了一点，不拉稀
4.图片是今天在宠物医院拿的药，宠物医院的医生一直说让我家狗去输血，但是他那里没有输血的条件
为保护用户隐私不显示图片/视频
陆文健
执业兽医师
从您的化验报告来看，狗狗主要问题是贫血很严重，引起贫血的原因有很多，主要有犬巴贝斯虫感染、立克次氏体（爱利希氏体、血巴尔通氏体、附红细胞体）、血液病（比如白血病）等原因。一般如果是犬巴贝斯虫感染或者立克次氏体（爱利希氏体、血巴尔通氏体、附红细胞体），狗狗都有发烧的症状。如果是白血病可能没有发烧的症状，但可能会出现淋巴结肿胀的症状，也就是您描述的脖子淋巴结鼓包的情况。
目前还不能确定您的狗狗的导致贫血的原因，我怀疑您的狗狗血液病导致严重贫血的可能性比较大。医院给您开的药物是补血药，如果找不到病因，不管是补血和输液，都是没有多大效果，也只能暂缓病情。
如果不进一步进行检查的话，我给您建议治疗方案是：1、口服*****，对立克次氏体（爱利希氏体、血巴尔通氏体、附红细胞体）导致的贫血有效；2、口服***8，可能对血液病暂时有效，但不确定血液病比如是否是白细胞，还是血液红细胞溶解等疾病，只能暂时缓解。下面我给您开个处方供您参考。
目前狗狗的大腿根已经消肿挺多了，之前吃的消炎药是图片里这种。
请问一下怎么才能确定导致狗狗贫血的原因呢？做生化检查可以吗？
为保护用户隐私不显示图片/视频
陆文健
执业兽医师
建议处方：1、********，50mg×8片×2板/盒，一次口服1片，一天1次，连用5-7天，口服药物时最好和食物混合在一起，比如放在酸奶中给予；2、*********，5mg×100片/瓶，一次口服1片，一天1次，连用5-7天。处方里面的：1、*******对立克次氏体（爱利希氏体、血巴尔通氏体、附红细胞体）导致的贫血有效；2、*****，可能对血液病暂时有效。
请问做生化检查可以知道导致狗狗贫血的原因吗？还是需要做别的检查？
陆文健
执业兽医师
我回答您的问题：1、您图片上的药物是****，对于立克次氏体感染导致贫血无效，****有效；2、做生化只能判断狗狗肝功能、肾功能、胰腺功能等有无问题，不能确诊狗狗贫血的原因；3、确诊狗狗贫血的原因，如果怀疑立克次氏体感染，需要使用PCR核酸检测爱利希氏体、血巴尔通氏体、附红细胞体是否是阳性；如果怀疑血液病，需要检查白细胞，主要是中性粒细胞细胞核的形态，也就是血液细胞病理显微镜检查。
陆文健
执业兽医师
如果需要确诊您的狗狗贫血的原因，需要去比较大的医院才可以，一般小医院很难确诊。
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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