咨询描述:你好,我们狗狗心衰,抢救过来了,现在东西也吃了,尿也尿了,就是站不稳,能走几步,摇摇晃晃,走几步就要趴下,我想问一下,狗狗还能站起来吗?去年3月份发现有心脏病,就一直在吃药,上星期六突然发作了,很厉害
回复总结:针对狗狗心衰、站不起来的症状,如果是心脏肥大导致的心力衰竭,治疗方面建议给狗狗使用含有辅酶Q10成分的药物,一天2次,连用10天,同时还需要配合服用提高心脏功能的药物,一天1次,连用30天。如果狗狗有明显的气喘的症状,建议给狗狗进行吸氧治疗,一次吸氧时间控制在30-45分钟,一天2-3次。
问题大致一样,细节不同?
陆文健
执业兽医师
根据您目前提供的信息,还不能做出进一步的判断。请您尽可能详细描述一下发病过程,并逐条回答以下问题,一次性发给我:1、狗狗品种、年龄、体重、公母?目前精神状态和食欲怎么样?2、狗狗有没有做过彩超?确定心脏什么问题导致的心衰?狗狗心脏问题持续有多长时间了?期间吃了那些药物?把药物名称告诉我。3、这次狗狗心衰主要有哪些症状?拍片有没有肺水肿?4、医院使用了什么药物进行治疗的?5、目前狗狗有没有呼吸急促、气喘或者咳嗽的症状?
这两天好多了,东西也吃了去,尿也尿了,就是站不稳,不知道怎么回事,后面还能站起来吗,谢谢
陆文健
执业兽医师
狗狗心衰可能会导致肺水肿、肾功能衰竭、心源性腹水等疾病。由于没有看到您的狗狗的化验报告,不好确定狗狗由于心衰引起的其他脏器有没有问题。单纯的狗狗心衰主要导致缺氧、呼吸困难等症状,只要控制好心脏问题,狗狗当然可以站起来。狗狗的站不起来的原因并不是腿部问题,而是缺氧或者其他疾病导致腿无力,控制好心力衰竭,可以站起来的。
约克夏,公的,13,7.5斤,目前精神可以,食欲也吃了,去年3月做过了,心脏肥大,高血压,有一年了,一直吃***,***,**,激素(泼),降压药,**,这次发病,喘,,舌头吐出来了,没有拍片,以前拍片没有肺水肿,这次抢救,马上给他吸氧,打了两针利尿的针,目前狗狗要是动的厉害,就要呼吸急促,气喘,咳嗽也有,但是没有以前厉害了,以前晚上厉害,去年三月份发现的时候,没有这次厉害,就在医院吸了三天氧气就回家了,吸了大概两小时就能站起来了,这次不知道怎么回事
陆文健
执业兽医师
看了您的描述,您的狗狗是心肌肥大引起的心力衰竭,使用的药物很多,我和您说明一下您使用到的药物的使用方法以及注意事项:1、狗狗心衰最常用的控制药物是***,其次是****(也就是您说的减压药物,心元素),***或者***需要长期服用;2、***主要成分是氨茶碱,主要功能是扩展支气管,在狗狗气喘的时候时候,不气喘不需要使用;3、利尿剂,估计是***,使用利尿剂一般在心衰导致肺水肿的时候需要使用,如果没有肺水肿不需要使用,而且如果长时间使用呋塞米会导致低血钾;4、***(您说的激素),这个药物一般不用做心脏问题的治疗;5、实际上另外一种营养性的对心脏功能有一定帮助的,并且没有副作用的药物,建议需要使用,辅酶Q10。这个药物没有副作用,可以提高心脏的功能,可以长期使用。目前主要问题您的狗狗心脏问题的严重程度到了什么样情况?吸氧也是严重心力衰竭的狗狗常用的有效的治疗方法。您的狗狗站不起来,应该和缺氧有关,缺氧可以导致全身无力、休克等症状。
陆医生,我现在每天给他吸4个小时的氧,我们心衰很厉害,不知道能不能逃过这个天热,再说,我们岁数也大了,让它过一天是一天,就是它后续能站起来吗?我也没有什么要求,只要它能站起来就👌了,谢谢
陆文健
执业兽医师
您的狗狗13岁,确实是老龄狗了,关于治疗的问题,我给您的建议如下:1、****和****需要长期使用,如果狗狗呼吸困难现象消失的话,可以停用几天也是可以的;2、建议给狗狗口服,****,可以提高心脏的功能,可以长期使用,没有副作用。3、关于吸氧,一天给它吸氧4个小时,时间可能有点长,吸氧过量也会导致氧气中毒。我的建议如果狗狗有明显的气喘的话,需要吸氧,没有明显气喘可以不用吸氧,一次吸氧时间控制在30-45分钟,一天2-3次就可以了。4、关于饮食医院应该有医嘱,我的建议还是少量多次喂食,控制盐分和脂肪,补充符合维生素和微量元素,供应充足的饮水。
陆文健
执业兽医师
建议处方:1、****&辅酶Q10
2.5mgx12片/盒,口服一次0.5片,一天2次,连用10天;2、****,0.5g×30片/盒,一次口服1片,一天1次,连用30天。
陆文健
执业兽医师
您家里如果有匹莫苯丹的话,就不需要购买摩登狗优心乐,就使用家里的匹莫苯丹就可以了。联合宠心舒一起使用。
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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