咨询描述：小猫三个月接回家，回家的时候刚好广州的天气比较冷，冻感冒了，咳嗽，流鼻涕，发烧，状态不佳。去医院做了血常规，猫瘟，猫鼻支，耳螨镜检查，和五种病毒检测，猫支原体和猫杯状病毒阳性，医生开了***，***，***，***化痰，莫比新吃了一段时间没有效果，再换的***。猫的精神状态和吃喝都正常，就是一直还是会咳嗽和打喷嚏，呼吸急促。请问是什么问题呢？血常规和猫瘟，猫支笔都正常，血常规是血小板偏多。
回复总结：猫咪出现咳嗽、打喷嚏的症状，治疗方面建议给猫咪口服宠物专用广谱消炎药，同时配合服用清热解毒、止咳平喘的药物。如果猫咪咳嗽、打喷嚏一直不好，建议增加使用提高免疫力的药物，同时配合雾化治疗，需要生理盐水10毫升，含有氢钠霉素成分的抗生素2毫升，含有林可霉素的抗生素毫升以及含有醋酸地塞米松的注射剂1毫升，每次雾化5分钟，一天3次即可。然后，建议给猫咪做好保暖，避免着凉。
问题大致一样，细节不同？
陈奕达
执业兽医师
根据您的描述，以及提供化验结果来分析。猫咪是由于杯状病毒，以及支原体引发的呼吸道感染问题，从而导致了一系列症状。这种情况下，除了您上述的几种用药以外，个人建议再给猫咪配合一些宠物专用****口服液以及呼吸道清热解毒，止咳平喘，缓解打喷嚏等症状的用药，综合性治疗，效果更好。同时还可以再配合一些雾化疗法，可以针对猫咪呼吸道直接给药，进行治疗。（10毫升生理盐水，加上2毫升***，2毫升***，1毫升***），每次雾化5分钟，一天3次即可。
同时治疗呼吸道最关键的一点，就是生活环境温度不能着凉，因为着凉，会导致呼吸道感染反反复复，久治不愈，甚至进一步发展加重。（建议生活环境温度恒温25℃左右，不能有过大温差）。
雾化在做的，用的是15毫升生理盐水，0.25毫升的***，0.25毫升的***，一天两次，一次十分钟。这个用量您再帮我看一下，是否合适，我可以一天两次，一次二十分钟吗？
另外医生能否提供药名给我，我去药店买。已经快吃药吃了一个月了，中间断药了一个星期，以及不小心手凉了一次
陈奕达
执业兽医师
您好，1.雾化建议更换我给您的方案，并且药物浓度增加一些，效果会更好。2.根据猫咪的情况，我给宝贝开个处方。（配合您上述的用药，共同治疗）
处方里面的
1. ***，提高猫咪免疫力，加速疾病康复。
2. ***，宠物专用呼吸道清热解毒，止咳平喘口服液，缓解打喷嚏症状。
好的。麻烦医生帮忙开一下雾化的药水，我试一下。如果在网上买药的话，大概多久能到呀？我自己的这个药水，浓度需要在增加吗？我看网上说****和氨茶碱不能同时使用，是否真实
陈奕达
执业兽医师
您好，1.您可以使用图片上我的方案。也可以把您现在的药物浓度改成，15毫升生理盐水，2毫升****，1毫升***。***如果猫咪没有呼吸急促的症状，可以不使用。2.如果在平台购买，一般需要2-3天左右到货。3.雾化可以一同使用，不过是需要在特殊情况下，例如狗狗有呼吸急促的时候。
为保护用户隐私不显示图片/视频
陈奕达
执业兽医师
补充一下，雾化时间建议改成每次5-10分钟，一天3次即可。如果咳嗽症状减轻，一天2次即可。
首先，我开头说了是有呼吸急促的症状的，我是想求证，***和***是否可以同时使用，目前已经有了，这两样是否加加一个***
陈奕达
执业兽医师
您好，1.如果呼吸急促不严重，我不建议使用***（个人认为雾化使用***，效果一般）。如果喘息严重，那么可以给予口服或者打针使用***。效果比雾化更好一些。2.如果暂时不想口服以及打针给予***可以在雾化没，把***提升到0.5毫升。3.雾化的情况下，可以同时使用***以及***，同时加入***。
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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