咨询描述:孙医生,您好,我家狗狗去年确诊为口腔鳞状上皮细胞癌,位置在左上牙龈处位置,从去年到现在一直都是出现什么症状解决什么问题,目前吃的有消炎药,激素,靶向药,还有些护肝护胃的药,隔三差五的去医院做检测,炎症高了还得输液,想问下就是它这个炎症除了输液还有什么办法能控制的吗?现在消炎药都吃了好几种了,速诺,头孢,麻佛,现在在吃恩诺沙星,炎症还是很高,嘴里今天又出血了,您这又什么好的方案吗?这个是晚上突然又出血了,跑了趟医院,做个化验,打了个止血
回复总结:如果狗狗患了口腔鳞状上皮细胞癌是无法痊愈的,只能去维持狗狗生命。需要给狗狗吃消炎药控制住炎症,同时外用抗菌喷剂进行杀菌,每天可以三次进行冲洗,另外可以配合中药抗肿药,看是否能延缓肿瘤的生长,如果可以控制出血的情况并且肿瘤增长不是很严重,正常就可以维持生命。
问题大致一样,细节不同?
孙厚福
执业兽医师
我初步诊断口腔鳞状上皮癌。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
昨晚后来休息了耽误一点时间还请谅解。
1.之前确诊做的病理切片?
2.血液检查看贫血严重可能出血原因导致可以注射补血药物同时口服补血药物,另外配合打止血药物
3.血液检查炎症高可以换成恩诺沙星拜有利
4.靶向药物吃的什么?
5.目前食欲怎么样?
6.是否有口腔照片可以上传看一下
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。
1.对,做的活检,确诊鳞状上皮细胞癌
2.补血一直吃补血肝精的呢,但是还是贫血,它这个指标一直在20-30多之前徘徊,炎症高就会偶尔出血,一出血,饭就吃的少,所以每个月都输好几次液补充,昨天晚上又流血了,打了止血针还是流,现在又补液了
3.消炎药一直都吃的呢,这最近再吃拜有力,吃了12天了,但感觉好像效果一般了,炎症还是很高
4.靶向药目前吃的人的,吃了有一段时间了,以前包挺大的,吃上包有所减小,但炎症一直高低徘徊,鼻子,眼睛里都有浓,都是从嘴里烂的地方串上去了
5.这几天吃的还可以
6.它检查的东西太多了,每隔几天流测个血常规,一个月做一次生化,我给您看下它最近的生化报告,还有现在脸的照片,嘴里它不让板开看
您看还有什么要问的,它是去年11月份发现的,刚开始以为是牙的问题吃饭垫牙疼,后来拔了两颗牙,不愈合,后来坐活检确诊肿瘤
为保护用户隐私不显示图片/视频
孙厚福
执业兽医师
口腔鳞状上皮癌是无法痊愈的,只能去维持,目前在现有的基础上,如果吃了这个消炎药拜有利效果不好,可以再换成麻佛可以再吃一段时间看一下,吃药只是控制它的炎症,肯定是依旧存在的。同时外面可以用可鲁喷剂进行杀菌,每天可以三次进行冲洗,另外的话可以配合中药抗肿药看一下是否能延缓肿瘤的这个生长,如果出血可以控制住肿瘤增长不是很严重,正常就可以维持生命。
肿瘤目前为止是没有长大,但是它那一片现在烂的挺厉害,主要是浓多,这几天补液再消炎看下怎么样,没吃靶向药之前一直吃中药的呢,后来吃了靶向药又吃别的护肝,护胃的就没再吃中药了,您对中药这个有了解吗?我之前吃的中药的方子是这个
为保护用户隐私不显示图片/视频
孙厚福
执业兽医师
我给它开个处方。处方里面的1. ***10kg口服一片早晚各一次
2.**口喷外用杀菌喷剂
3.**10kg口服一片一天一次
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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