咨询描述:我家母猫绝育拆线后 今天已经拆线第三四天了 还是有一个孔 一直不愈合 偶尔还会流出一点血水 周围没有红肿
回复总结:针对猫咪绝育后伤口流血水的情况,处理办法上建议给猫咪口服宠物专用广谱消炎用药,抑制炎症感染。然后,对于伤口位置建议每天使用生理盐水冲洗,帮助猫咪清创。清创后,还需要给猫咪使用宠物专用外伤药膏。如果没有缝合线排斥的问题,一般5-7天左右即可逐渐康复。如果用药后持续不见好,缝合线排斥的概率比较大,建议给猫咪进行二次缝合手术。
问题大致一样,细节不同?
陈奕达
执业兽医师
根据您讲到的猫咪拆线位置出现不愈合,我初步分析有可能还有持续性感染,或者内部有缝合线排斥,皮肤收到刺激引发的不愈合状况,但仅仅根据目前信息还不能做出进一步的判断。我还有几个问题需要向您核实一下:
1. 猫咪的缝合线,用的是什么线?;
2. 猫咪拆线之后,是否坚持使用外伤药?每天进行消毒处置?
3. 猫咪现在吃喝玩排便状态如何?;
4.猫咪拆线之后,是否控制活动范围?是否静养?;
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,把您家爱宠具体的『体重』提供一下,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。
不知道是什么线 每天用的碘伏擦拭 吃喝排便都很正常 也可以正常玩耍 精神状态也还可以 活动基本都在阳台 体重七斤多左右
为保护用户隐私不显示图片/视频
陈奕达
执业兽医师
从图片上看,猫咪这种情况还是伤口内有感染问题,并且在内部缝合线未知的情况下,需要考虑是否有缝合线排斥的问题。这种情况有两个方案来帮助猫咪。1.给猫咪使用宠物专用广谱消炎用药。然后伤口位置,每天使用生理盐水冲洗,清创。最后上宠物专用外伤药膏。如果没有缝合线排斥的问题,一般5-7天左右即可逐渐康复。2.需要询问主治医生,使用的什么缝合线缝合腹壁,然后估算排斥的概率。如果排斥概率比较大,那么就需要考虑二次手术,来解决猫咪的问题。
如果暂时不方便采取第二天方法,可以先保守使用第一条方案,如果7天之后,伤口还是没有康复,那么缝合线排斥的可能性高达90%。那么就需要二次手术。
根据肉包的情况,我给宝贝开个处方。
处方里面的
1. ***,宠物专用广谱消炎用药,控制炎症感染。
2. ***药膏,宠物专用外伤用药,清洗干净伤口之后,可以上入到伤口内部。均匀涂抹皮肤患处,禁止舔舐,口服。
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
{"340494":{"id":340494,"case_id":39659,"user_id":1249218,"to_user_id":1852251,"type":3,"content":"从图片上看,猫咪这种情况还是伤口内有感染问题,并且在内部缝合线未知的情况下,需要考虑是否有缝合线排斥的问题。这种情况有两个方案来帮助猫咪。1.给猫咪使用宠物专用广谱消炎用药。然后伤口位置,每天使用生理盐水冲洗,清创。最后上宠物专用外伤药膏。如果没有缝合线排斥的问题,一般5-7天左右即可逐渐康复。2.需要询问主治医生,使用的什么缝合线缝合腹壁,然后估算排斥的概率。如果排斥概率比较大,那么就需要考虑二次手术,来解决猫咪的问题。\n\n\n如果暂时不方便采取第二天方法,可以先保守使用第一条方案,如果7天之后,伤口还是没有康复,那么缝合线排斥的可能性高达90%。那么就需要二次手术。\n\n\n根据肉包的情况,我给宝贝开个处方。\n处方里面的\n1. ***,宠物专用广谱消炎用药,控制炎症感染。\n2. ***药膏,宠物专用外伤用药,清洗干净伤口之后,可以上入到伤口内部。均匀涂抹皮肤患处,禁止舔舐,口服。","media":{"images":{},"videos":{},"business_params":{"prescription_id":101749}},"is_doctor":1,"status":1,"created_at":"2022-01-28 17:59:49","show_rx":true,"rx_info":{"id":101749,"rx_no":2.0220128175932502e+24,"user_id":1852251,"doctor_user_id":1249218,"is_independent":0,"case_id":2595531,"pet_info":{"pet_id":269651,"pet_name":"加菲猫","pet_nickname":"肉包","pet_gender":4,"pet_birth":"1-0","pet_weight":0,"pet_vaccination_status":1,"pet_in_insect_repellent_status":1,"pet_out_insect_repellent_status":1,"pet_age_format":"1岁"},"diagnose":"初步分析是有伤口内感染,或者缝合线排斥的问题,引发了一系列症状(有待进一步确诊)","signature":"\/signature\/2021\/12\/c9bc3ee36e7e61a8a6b1d241ce0cd612.png","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2022-01-28 17:59:32","updated_at":"2022-01-28 17:59:49","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":3891,"prescription_id":101749,"doctor_user_id":1249218,"product_id":705,"product_sku_id":748,"dose":20,"dose_unit":"mg","use_method":"口服","frequency":"每天1次","days":7,"number":1,"remark":"","created_at":"2022-01-28 17:59:32","updated_at":"2022-01-28 17:59:32","product_info":{"id":705,"hash_id":"650KvV4Q3ExWXBEd","class_ids":{"0":1,"1":2},"category_ids":{"0":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":32,"sell_point":"拜有利恩诺沙星风味片 15mg","title":"拜耳拜有利恩诺沙星风味片 15mg×10片\/盒","recommend_reason":{"0":"用于治疗由敏感菌引起的犬和猫消化道","1":"泌尿道和皮肤及伤口感染,以及犬的呼吸道感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"皮肤病,呼吸道问题,腹泻","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"15mg盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/69539d8ea46e7ab2f6b99019dcc2030f.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":72,"max_price":72,"sale_count":391,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:24:12","updated_at":"2024-11-03 09:44:06","ins":{"id":32,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"拜耳拜有利恩诺沙星风味片","common_name":"恩诺沙星片","trade_name":"拜有利风味片","en_name":"Enrofloxacin Tablets","brand_name":"拜耳","is_prescription":1,"cover":"\/drug\/2020\/10\/330c93234fb1f45075611ee9aa3f8e2e.JPG","specification":"15mg×10片\/盒","reference_price":125,"component":"恩诺沙星","indication":"1.用于治疗由敏感菌引起的犬和猫消化道。\n2.泌尿道和皮肤及伤口感染,以及犬的呼吸道感染。","usage_dosage":"以恩诺沙星计。内服:一次量,每1kg体重,犬、猫5mg,每日一次。连用5-10天。","contraindication":"","adverse_reaction":"","attention":"","interaction":"","approval_no":"(2014)外兽药证字46号","storage_method":"遮光、密闭保存。","validity":"5年","manufacturer":"KVP Kiel有限责任公司","status":1,"created_at":"2020-10-30 14:48:35","updated_at":"2022-01-14 15:41:28"}},"product_sku_info":{"id":748,"product_id":705,"title":"拜耳拜有利恩诺沙星风味片 15mg×10片\/盒","advword":null,"price":72,"market_price":98,"cost_price":0,"stock":439,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"15mg盒装"}},"cover":null,"thumb":"","sale_count":406,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:24:12","updated_at":"2024-11-02 16:33:59"}},"1":{"id":3892,"prescription_id":101749,"doctor_user_id":1249218,"product_id":789,"product_sku_id":831,"dose":1,"dose_unit":"ml","use_method":"涂抹","frequency":"每天3次","days":7,"number":1,"remark":"","created_at":"2022-01-28 17:59:32","updated_at":"2022-01-28 17:59:32","product_info":{"id":789,"hash_id":"L7kR354mQ24X8V1q","class_ids":{"0":1,"1":2},"category_ids":{"8":169},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":2,"sell_point":"复合溶菌酶抗菌消炎凝胶30g","title":"可鲁复合溶菌酶抗菌消炎凝胶 30g\/支\/盒","recommend_reason":{"0":"用于手术切口、骨折外固定支架伤口等皮肤创口","1":"用于阴囊炎、趾间炎等局部皮肤感染","2":"安放导尿管、鼻饲管时,润滑和抗感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"黑下巴,皮肤病,细菌感染,溢脂性皮炎,脓皮症","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"30g"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/2d5fb6f2345052da66c545c7f216a846.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":68,"max_price":68,"sale_count":282,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 18:09:35","updated_at":"2024-10-31 16:43:45","ins":{"id":2,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"复合溶菌酶抗菌凝胶","trade_name":"可鲁凝胶","en_name":"Compound Lysozgme Antibacterial Gel","brand_name":"可鲁","is_prescription":0,"cover":"\/drug\/2020\/10\/a1e373fd288413041f78ef44d47e2da6.JPG","specification":"30g\/支","reference_price":100,"component":"溶葡萄球菌酶、溶菌酶、醋酸氯己定、冰片、甘油等","indication":"1.皮肤创口护理:手术切口、食管插管切口、骨折外固定支架伤口等。\n2.局部皮肤感染:慢性溃疡、阴囊炎、趾间炎、毛囊炎、感染伤口等。\n3.安放导尿管、鼻饲管时,涂抹于导管上,起润滑和抗感染作用。","usage_dosage":"1.创面涂薄薄一层即可,数分钟形成白色保护膜。\n2.每日2-3次涂抹于患处,创面较大需要增加使用频率。\n3.配合可鲁复合溶葡萄球菌酶喷剂使用效果更好,可鲁喷剂喷洒于患处,作用1分钟或自然晾干,可鲁凝胶均匀涂抹于患处。","contraindication":"","adverse_reaction":"","attention":"1.凝胶涂抹后形成保护膜,保护患处,避免接触污染物。\n2.本品需作为原剂使用,切勿用水稀释过后使用。\n3.放置于宠物和儿童接触不到的地方。","interaction":"本品不能与双氧水、高锰酸钾、碘制剂等氧化性物质配伍或合用。","approval_no":"","storage_method":"置于阴凉干燥处保存","validity":"2年","manufacturer":"昆山博青生物科技有限公司","status":1,"created_at":"2020-10-21 13:42:55","updated_at":"2020-10-26 14:35:57"}},"product_sku_info":{"id":831,"product_id":789,"title":"可鲁复合溶菌酶抗菌消炎凝胶 30g\/支\/盒","advword":null,"price":68,"market_price":100,"cost_price":0,"stock":1100,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"30g"}},"cover":null,"thumb":"","sale_count":293,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-20 18:09:35","updated_at":"2024-10-31 16:20:31"}}},"drug_data_bak":{"0":{"id":3891,"prescription_id":101749,"doctor_user_id":1249218,"product_id":705,"product_sku_id":748,"dose":20,"dose_unit":"mg","use_method":"口服","frequency":"每天1次","days":7,"number":1,"remark":"","created_at":"2022-01-28 17:59:32","updated_at":"2022-01-28 17:59:32","product_info":{"id":705,"hash_id":"650KvV4Q3ExWXBEd","class_ids":{"0":1,"1":2},"category_ids":{"0":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":32,"sell_point":"拜有利恩诺沙星风味片 15mg","title":"拜耳拜有利恩诺沙星风味片 15mg×10片\/盒","recommend_reason":{"0":"用于治疗由敏感菌引起的犬和猫消化道","1":"泌尿道和皮肤及伤口感染,以及犬的呼吸道感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"皮肤病,呼吸道问题,腹泻","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"15mg盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/69539d8ea46e7ab2f6b99019dcc2030f.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":72,"max_price":72,"sale_count":391,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:24:12","updated_at":"2024-11-03 09:44:06","ins":{"id":32,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"拜耳拜有利恩诺沙星风味片","common_name":"恩诺沙星片","trade_name":"拜有利风味片","en_name":"Enrofloxacin Tablets","brand_name":"拜耳","is_prescription":1,"cover":"\/drug\/2020\/10\/330c93234fb1f45075611ee9aa3f8e2e.JPG","specification":"15mg×10片\/盒","reference_price":125,"component":"恩诺沙星","indication":"1.用于治疗由敏感菌引起的犬和猫消化道。\n2.泌尿道和皮肤及伤口感染,以及犬的呼吸道感染。","usage_dosage":"以恩诺沙星计。内服:一次量,每1kg体重,犬、猫5mg,每日一次。连用5-10天。","contraindication":"","adverse_reaction":"","attention":"","interaction":"","approval_no":"(2014)外兽药证字46号","storage_method":"遮光、密闭保存。","validity":"5年","manufacturer":"KVP Kiel有限责任公司","status":1,"created_at":"2020-10-30 14:48:35","updated_at":"2022-01-14 15:41:28"}},"product_sku_info":{"id":748,"product_id":705,"title":"拜耳拜有利恩诺沙星风味片 15mg×10片\/盒","advword":null,"price":72,"market_price":98,"cost_price":0,"stock":439,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"15mg盒装"}},"cover":null,"thumb":"","sale_count":406,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:24:12","updated_at":"2024-11-02 16:33:59"}},"1":{"id":3892,"prescription_id":101749,"doctor_user_id":1249218,"product_id":789,"product_sku_id":831,"dose":1,"dose_unit":"ml","use_method":"涂抹","frequency":"每天3次","days":7,"number":1,"remark":"","created_at":"2022-01-28 17:59:32","updated_at":"2022-01-28 17:59:32","product_info":{"id":789,"hash_id":"L7kR354mQ24X8V1q","class_ids":{"0":1,"1":2},"category_ids":{"8":169},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":2,"sell_point":"复合溶菌酶抗菌消炎凝胶30g","title":"可鲁复合溶菌酶抗菌消炎凝胶 30g\/支\/盒","recommend_reason":{"0":"用于手术切口、骨折外固定支架伤口等皮肤创口","1":"用于阴囊炎、趾间炎等局部皮肤感染","2":"安放导尿管、鼻饲管时,润滑和抗感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"黑下巴,皮肤病,细菌感染,溢脂性皮炎,脓皮症","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"30g"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/2d5fb6f2345052da66c545c7f216a846.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":68,"max_price":68,"sale_count":282,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 18:09:35","updated_at":"2024-10-31 16:43:45","ins":{"id":2,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"复合溶菌酶抗菌凝胶","trade_name":"可鲁凝胶","en_name":"Compound Lysozgme Antibacterial Gel","brand_name":"可鲁","is_prescription":0,"cover":"\/drug\/2020\/10\/a1e373fd288413041f78ef44d47e2da6.JPG","specification":"30g\/支","reference_price":100,"component":"溶葡萄球菌酶、溶菌酶、醋酸氯己定、冰片、甘油等","indication":"1.皮肤创口护理:手术切口、食管插管切口、骨折外固定支架伤口等。\n2.局部皮肤感染:慢性溃疡、阴囊炎、趾间炎、毛囊炎、感染伤口等。\n3.安放导尿管、鼻饲管时,涂抹于导管上,起润滑和抗感染作用。","usage_dosage":"1.创面涂薄薄一层即可,数分钟形成白色保护膜。\n2.每日2-3次涂抹于患处,创面较大需要增加使用频率。\n3.配合可鲁复合溶葡萄球菌酶喷剂使用效果更好,可鲁喷剂喷洒于患处,作用1分钟或自然晾干,可鲁凝胶均匀涂抹于患处。","contraindication":"","adverse_reaction":"","attention":"1.凝胶涂抹后形成保护膜,保护患处,避免接触污染物。\n2.本品需作为原剂使用,切勿用水稀释过后使用。\n3.放置于宠物和儿童接触不到的地方。","interaction":"本品不能与双氧水、高锰酸钾、碘制剂等氧化性物质配伍或合用。","approval_no":"","storage_method":"置于阴凉干燥处保存","validity":"2年","manufacturer":"昆山博青生物科技有限公司","status":1,"created_at":"2020-10-21 13:42:55","updated_at":"2020-10-26 14:35:57"}},"product_sku_info":{"id":831,"product_id":789,"title":"可鲁复合溶菌酶抗菌消炎凝胶 30g\/支\/盒","advword":null,"price":68,"market_price":100,"cost_price":0,"stock":1100,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"30g"}},"cover":null,"thumb":"","sale_count":293,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-20 18:09:35","updated_at":"2024-10-31 16:20:31"}}}}}}
微信扫一扫
立即问宠医