咨询描述:猫的左后脚肿起来了,一碰就疼,不敢走路..
回复总结:猫咪脚肿了可能是由于外力撞击、骨折、内部血肿、感染等原因引起。如果暂时不方便就诊,考虑给猫咪口服消炎药,同时局部涂抹具有消炎消肿作用的药膏。然后需要把猫咪患处的毛发剃掉,每天早晚热敷30分钟。如果后续猫咪的状态有明显变差甚至不吃不喝,考虑患处出现比较严重的病变,需要到宠物医院采血检查是否会有全身感染,还需要进行穿刺查看是否血肿或者骨折,同时进行输液治疗。
问题大致一样,细节不同?
邓薄鸿
执业兽医师
您好,根据您讲到的宝贝的情况,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.猫咪出现这种情况多久了,自己有没有舔舐。2.观察表面有没有明显的外伤或者扎东西了之类的。3.现在精神状态怎么样,能否正常吃喝。以上这些情况您仔细回忆后详细的描述给我,对我给宝贝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。另外,把您家爱宠的信息补充完整,特别是『年龄、体重』,待会儿咱们沟通后如果涉及用药建议,方便为宝贝开具处方。
因为没有仔细观察不确定肿了多久,表面没有外伤以及扎东西,状态:一天就吃了一包咕噜酱,喝了点水
邓薄鸿
执业兽医师
就是因为像他这种突然的话目前不确定可能是外力撞击.骨折.内部血肿.感染这些都是有一定可能性的就是像这种的话你如果说是在家保守治疗就是考虑口服消炎药,同时局部涂抹****膏消炎消肿,把毛发都剃掉,每天早晚热敷30分钟了。但是如果说要是他状态有明显变差甚至不吃不喝的话你这个时候就要考虑这个位置是一个比较严重的病变,你需要到医院一方面采血检查一下会不会有个全身感染,那个时候可能需要输液治疗,在就是局部的话给他进行穿刺看一下里面是不是有一些血肿还是说骨折之类的。根据宝贝的情况,我给它开个处方。处方里面的1.**,****消炎,每天2次,4公斤吃一片。2.****膏,局部涂抹消炎消肿,每天2次。您可以根据需求自行选择购买
邓薄鸿
执业兽医师
因为就是这种从照片看的话,就是刚才跟你说的这几种原因了,但是具体哪方面就不是单纯的可以通过照片确定了。目前这种就是需要看猫咪状态,要是状态都很好,那么就是刚才跟你说的消炎和抹药。要是状态明显变差了,那么这种就需要专业的检查确定具体方面,再决定我们后续的治疗方案的
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
{"317913":{"id":317913,"case_id":37292,"user_id":1401608,"to_user_id":1973188,"type":3,"content":"就是因为像他这种突然的话目前不确定可能是外力撞击.骨折.内部血肿.感染这些都是有一定可能性的就是像这种的话你如果说是在家保守治疗就是考虑口服消炎药,同时局部涂抹****膏消炎消肿,把毛发都剃掉,每天早晚热敷30分钟了。但是如果说要是他状态有明显变差甚至不吃不喝的话你这个时候就要考虑这个位置是一个比较严重的病变,你需要到医院一方面采血检查一下会不会有个全身感染,那个时候可能需要输液治疗,在就是局部的话给他进行穿刺看一下里面是不是有一些血肿还是说骨折之类的。根据宝贝的情况,我给它开个处方。处方里面的1.**,****消炎,每天2次,4公斤吃一片。2.****膏,局部涂抹消炎消肿,每天2次。您可以根据需求自行选择购买","media":{"images":{},"videos":{},"business_params":{"prescription_id":110774}},"is_doctor":1,"status":1,"created_at":"2022-05-06 16:39:13","show_rx":true,"rx_info":{"id":110774,"rx_no":2.02205061638345e+24,"user_id":1973188,"doctor_user_id":1401608,"is_independent":0,"case_id":2727217,"pet_info":{"pet_id":291982,"pet_name":"布偶","pet_nickname":"吉祥","pet_gender":1,"pet_birth":"0-9","pet_weight":7,"pet_vaccination_status":1,"pet_in_insect_repellent_status":0,"pet_out_insect_repellent_status":0,"pet_age_format":"9个月"},"diagnose":"掌部肿胀","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2022-05-06 16:38:34","updated_at":"2022-05-06 16:39:13","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":23926,"prescription_id":110774,"doctor_user_id":1401608,"product_id":711,"product_sku_id":754,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":14,"number":1,"remark":"","created_at":"2022-05-06 16:38:34","updated_at":"2022-05-06 16:38:34","product_info":{"id":711,"hash_id":"kAW7LMp6eaxBVDnv","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":3,"sell_point":"速诺(阿莫西林克拉维酸钾片)50mg","title":"辉瑞速诺(阿莫西林克拉维酸钾片) 50mg×10片×3板","recommend_reason":{"0":"适用于宠物由敏感细菌引起的皮肤及软组织感染、呼吸道感染","1":"治疗宠物革兰氏阴性和革兰氏阳性敏感细菌的感染","2":"用于肠炎及其他感染,如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"呼吸道感染,肠炎,腹泻,便血,真菌感染,猫癣,脓皮症","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"50mg规格3板装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/26f5438f35ed21efc2894dffea9f399f.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":128,"max_price":128,"sale_count":152,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:48:09","updated_at":"2024-10-13 10:35:05","ins":{"id":3,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"阿莫西林克拉维酸钾片","trade_name":"速诺","en_name":"Synulox Palatable Tablets","brand_name":"辉瑞","is_prescription":1,"cover":"\/drug\/2020\/10\/46c3ccae52804b92b0e341800e809e95.JPG","specification":"50mg×10片×10板\/盒","reference_price":800,"component":"阿莫西林和克拉维酸钾","indication":"适用于犬猫由敏感细菌引起的各种感染,及治疗犬猫革兰氏阴性和革兰氏阳性敏感细菌的感染。\n1、如皮肤及软组织感染脓性皮炎、脓肿和肛腺炎、蜂窝组织炎、伤口感染、腹内脓毒症等。\n2、牙感染(牙龈炎)。\n3、尿道感染,如膀胱炎、尿道炎、肾盂肾炎、前列腺炎、盆腔炎、淋病奈瑟菌尿路感染及软性下疳等。\n4、呼吸道感染,如鼻窦炎、扁桃体炎、咽炎、急慢性支气管炎、慢性支气管炎急性发作、肺炎、肺脓肿和支气管合并感染。\n5、肠炎及其他感染,如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染等。","usage_dosage":"口服。每天吃2次,连用5-7天。每次用量如下:\n体重1-2kg,吃半粒; \n体重3-5kg,吃1粒; \n体重6-9kg,吃2粒;\n体重10-13kg,吃3粒;\n体重14-18kg,吃4粒;\n体重≥19kg,请购买同品250mg规格的产品。\n\n注:一些慢性感染(慢性皮炎、慢性膀胱炎和慢性呼吸道感染)的治疗可连用10-28天。","contraindication":"1. 仓鼠、豚鼠、沙鼠、灰鼠和家兔禁用。\n2. 其他草食动物慎用。\n3.对青霉素过敏者禁止接触本品。","adverse_reaction":"1.恶心、腹泻和皮肤丘疹是最常见的不良反应。\n2.本品为青霉素类药物,若出现过敏反应可使用肾上腺素治疗。","attention":"1.不要对病情严重的动物使用口服抗生素,因其胃肠道吸收可能不可靠,这些患病动物可能需要静脉注射剂。\n2.避免在对其他β-内酰胺类抗菌药(包含头孢菌素类)有过敏反应的动物使用。\n3.片剂由防潮箔包裹,给药前不要取出。\n4.对青霉素过敏者如果不慎接触,应该立刻去找医生救助。\n5.孕畜慎用。\n4.使用后请洗手。\n5.不要让小孩接触到此产品。","interaction":"1.避免同时使用抑菌性抗生素(如四环素、红霉素)。\n2.不要给鸟类同时使用别嘌呤醇、β-内酰胺和氨基糖苷类抗菌剂在体内有协同作用。\n3.本品和氨苄西林有完全交叉耐药性,与青霉素类和头孢菌素类有交叉耐药性。","approval_no":"(2018)外兽药证字10号","storage_method":"密封,在凉暗干燥处保存。","validity":"2年","manufacturer":"意大利豪普特制药厂(Haupt Pharma Latina S.R.L)","status":1,"created_at":"2020-10-21 13:48:10","updated_at":"2020-10-23 15:55:39"}},"product_sku_info":{"id":754,"product_id":711,"title":"辉瑞速诺(阿莫西林克拉维酸钾片) 50mg×10片×3板","advword":null,"price":128,"market_price":159,"cost_price":0,"stock":1091,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50mg规格3板装"}},"cover":null,"thumb":"","sale_count":161,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:48:09","updated_at":"2024-10-24 21:20:57"}},"1":{"id":23927,"prescription_id":110774,"doctor_user_id":1401608,"product_id":812,"product_sku_id":854,"dose":1,"dose_unit":"mg","use_method":"涂抹","frequency":"每天2次","days":14,"number":1,"remark":"","created_at":"2022-05-06 16:38:34","updated_at":"2022-05-06 16:38:34","product_info":{"id":812,"hash_id":"VjX39W4zDPxQ0bvZ","class_ids":{"0":1,"1":2},"category_ids":{"8":169},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":4,"sell_point":"百灵金方抑菌膏10g","title":"贝里奥百灵金方抑菌膏 10g\/瓶\/盒","recommend_reason":{"0":"用于手术、术后切口、咬伤、烫伤、交通伤等创面感染","1":"用于细菌、真菌引起的皮肤及粘膜感染","2":"用于子宫及产道、外生殖器及肛门腺的感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"皮肤病,脓皮症,细菌感染","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"10g"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/8fd35c62b90e9eb884e32c271cdcc0c1.jpeg","images":{"0":"https:\/\/cdn.moguvet.com\/shop\/2023\/06\/b4a90fdc25766615b045299982a0dbf6.jpg","1":"https:\/\/cdn.moguvet.com\/shop\/2023\/06\/cb0fcbe97a1a93d979f82fbf7e02ddd2.jpg"},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":88,"max_price":88,"sale_count":282,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-21 16:36:03","updated_at":"2024-11-23 10:02:34","ins":{"id":4,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"百灵金方抑菌膏","trade_name":"百灵金方膏","en_name":"","brand_name":"贝里奥","is_prescription":0,"cover":"\/drug\/2020\/10\/a76d880a7848393054bd1d4991a3b027.JPG","specification":"10g\/瓶","reference_price":130,"component":"麝香、珍珠、冰片、细胞集落因子等。","indication":"1.手术中、术后切口、咬伤、烫伤、交通伤等创面感染、已经产生耐药菌的创面治疗。\n2.细菌、真菌引起的皮肤及粘膜感染、已经形成溃烂、溃疡等皮下组织感染。\n3.子宫及产道感染。\n4.外生殖器及肛门腺的感染。","usage_dosage":"1.外用,将膏体涂于创面,用量视感染面积大小而取,每日更换一次。\n2.溃烂疮面有流脓、渗血、渗水情况的,配合百灵金方粉撒在疮面薄薄一层,疮面周围涂百灵金方软膏,纱布包扎即可。","contraindication":"","adverse_reaction":"","attention":"1.外用,严禁内服。\n2.内含麝香,孕畜慎用。","interaction":"","approval_no":"","storage_method":"密封,在凉暗干燥处保存。","validity":"2年","manufacturer":"河南威灵仙宠生物科技有限公司","status":1,"created_at":"2020-10-21 14:13:33","updated_at":"2020-10-29 16:06:30"}},"product_sku_info":{"id":854,"product_id":812,"title":"贝里奥百灵金方抑菌膏 10g\/瓶\/盒","advword":null,"price":88,"market_price":140,"cost_price":0,"stock":762,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"10g"}},"cover":null,"thumb":"","sale_count":291,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-21 16:36:03","updated_at":"2024-11-22 21:33:14"}}},"drug_data_bak":{"0":{"id":23926,"prescription_id":110774,"doctor_user_id":1401608,"product_id":711,"product_sku_id":754,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":14,"number":1,"remark":"","created_at":"2022-05-06 16:38:34","updated_at":"2022-05-06 16:38:34","product_info":{"id":711,"hash_id":"kAW7LMp6eaxBVDnv","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":3,"sell_point":"速诺(阿莫西林克拉维酸钾片)50mg","title":"辉瑞速诺(阿莫西林克拉维酸钾片) 50mg×10片×3板","recommend_reason":{"0":"适用于宠物由敏感细菌引起的皮肤及软组织感染、呼吸道感染","1":"治疗宠物革兰氏阴性和革兰氏阳性敏感细菌的感染","2":"用于肠炎及其他感染,如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"呼吸道感染,肠炎,腹泻,便血,真菌感染,猫癣,脓皮症","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"50mg规格3板装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/26f5438f35ed21efc2894dffea9f399f.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":128,"max_price":128,"sale_count":152,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:48:09","updated_at":"2024-10-13 10:35:05","ins":{"id":3,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"阿莫西林克拉维酸钾片","trade_name":"速诺","en_name":"Synulox Palatable Tablets","brand_name":"辉瑞","is_prescription":1,"cover":"\/drug\/2020\/10\/46c3ccae52804b92b0e341800e809e95.JPG","specification":"50mg×10片×10板\/盒","reference_price":800,"component":"阿莫西林和克拉维酸钾","indication":"适用于犬猫由敏感细菌引起的各种感染,及治疗犬猫革兰氏阴性和革兰氏阳性敏感细菌的感染。\n1、如皮肤及软组织感染脓性皮炎、脓肿和肛腺炎、蜂窝组织炎、伤口感染、腹内脓毒症等。\n2、牙感染(牙龈炎)。\n3、尿道感染,如膀胱炎、尿道炎、肾盂肾炎、前列腺炎、盆腔炎、淋病奈瑟菌尿路感染及软性下疳等。\n4、呼吸道感染,如鼻窦炎、扁桃体炎、咽炎、急慢性支气管炎、慢性支气管炎急性发作、肺炎、肺脓肿和支气管合并感染。\n5、肠炎及其他感染,如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染等。","usage_dosage":"口服。每天吃2次,连用5-7天。每次用量如下:\n体重1-2kg,吃半粒; \n体重3-5kg,吃1粒; \n体重6-9kg,吃2粒;\n体重10-13kg,吃3粒;\n体重14-18kg,吃4粒;\n体重≥19kg,请购买同品250mg规格的产品。\n\n注:一些慢性感染(慢性皮炎、慢性膀胱炎和慢性呼吸道感染)的治疗可连用10-28天。","contraindication":"1. 仓鼠、豚鼠、沙鼠、灰鼠和家兔禁用。\n2. 其他草食动物慎用。\n3.对青霉素过敏者禁止接触本品。","adverse_reaction":"1.恶心、腹泻和皮肤丘疹是最常见的不良反应。\n2.本品为青霉素类药物,若出现过敏反应可使用肾上腺素治疗。","attention":"1.不要对病情严重的动物使用口服抗生素,因其胃肠道吸收可能不可靠,这些患病动物可能需要静脉注射剂。\n2.避免在对其他β-内酰胺类抗菌药(包含头孢菌素类)有过敏反应的动物使用。\n3.片剂由防潮箔包裹,给药前不要取出。\n4.对青霉素过敏者如果不慎接触,应该立刻去找医生救助。\n5.孕畜慎用。\n4.使用后请洗手。\n5.不要让小孩接触到此产品。","interaction":"1.避免同时使用抑菌性抗生素(如四环素、红霉素)。\n2.不要给鸟类同时使用别嘌呤醇、β-内酰胺和氨基糖苷类抗菌剂在体内有协同作用。\n3.本品和氨苄西林有完全交叉耐药性,与青霉素类和头孢菌素类有交叉耐药性。","approval_no":"(2018)外兽药证字10号","storage_method":"密封,在凉暗干燥处保存。","validity":"2年","manufacturer":"意大利豪普特制药厂(Haupt Pharma Latina S.R.L)","status":1,"created_at":"2020-10-21 13:48:10","updated_at":"2020-10-23 15:55:39"}},"product_sku_info":{"id":754,"product_id":711,"title":"辉瑞速诺(阿莫西林克拉维酸钾片) 50mg×10片×3板","advword":null,"price":128,"market_price":159,"cost_price":0,"stock":1091,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50mg规格3板装"}},"cover":null,"thumb":"","sale_count":161,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:48:09","updated_at":"2024-10-24 21:20:57"}},"1":{"id":23927,"prescription_id":110774,"doctor_user_id":1401608,"product_id":812,"product_sku_id":854,"dose":1,"dose_unit":"mg","use_method":"涂抹","frequency":"每天2次","days":14,"number":1,"remark":"","created_at":"2022-05-06 16:38:34","updated_at":"2022-05-06 16:38:34","product_info":{"id":812,"hash_id":"VjX39W4zDPxQ0bvZ","class_ids":{"0":1,"1":2},"category_ids":{"8":169},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":4,"sell_point":"百灵金方抑菌膏10g","title":"贝里奥百灵金方抑菌膏 10g\/瓶\/盒","recommend_reason":{"0":"用于手术、术后切口、咬伤、烫伤、交通伤等创面感染","1":"用于细菌、真菌引起的皮肤及粘膜感染","2":"用于子宫及产道、外生殖器及肛门腺的感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"皮肤病,脓皮症,细菌感染","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"10g"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/8fd35c62b90e9eb884e32c271cdcc0c1.jpeg","images":{"0":"https:\/\/cdn.moguvet.com\/shop\/2023\/06\/b4a90fdc25766615b045299982a0dbf6.jpg","1":"https:\/\/cdn.moguvet.com\/shop\/2023\/06\/cb0fcbe97a1a93d979f82fbf7e02ddd2.jpg"},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":88,"max_price":88,"sale_count":282,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-21 16:36:03","updated_at":"2024-11-23 10:02:34","ins":{"id":4,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"百灵金方抑菌膏","trade_name":"百灵金方膏","en_name":"","brand_name":"贝里奥","is_prescription":0,"cover":"\/drug\/2020\/10\/a76d880a7848393054bd1d4991a3b027.JPG","specification":"10g\/瓶","reference_price":130,"component":"麝香、珍珠、冰片、细胞集落因子等。","indication":"1.手术中、术后切口、咬伤、烫伤、交通伤等创面感染、已经产生耐药菌的创面治疗。\n2.细菌、真菌引起的皮肤及粘膜感染、已经形成溃烂、溃疡等皮下组织感染。\n3.子宫及产道感染。\n4.外生殖器及肛门腺的感染。","usage_dosage":"1.外用,将膏体涂于创面,用量视感染面积大小而取,每日更换一次。\n2.溃烂疮面有流脓、渗血、渗水情况的,配合百灵金方粉撒在疮面薄薄一层,疮面周围涂百灵金方软膏,纱布包扎即可。","contraindication":"","adverse_reaction":"","attention":"1.外用,严禁内服。\n2.内含麝香,孕畜慎用。","interaction":"","approval_no":"","storage_method":"密封,在凉暗干燥处保存。","validity":"2年","manufacturer":"河南威灵仙宠生物科技有限公司","status":1,"created_at":"2020-10-21 14:13:33","updated_at":"2020-10-29 16:06:30"}},"product_sku_info":{"id":854,"product_id":812,"title":"贝里奥百灵金方抑菌膏 10g\/瓶\/盒","advword":null,"price":88,"market_price":140,"cost_price":0,"stock":762,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"10g"}},"cover":null,"thumb":"","sale_count":291,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-21 16:36:03","updated_at":"2024-11-22 21:33:14"}}}}}}
微信扫一扫
立即问宠医