咨询描述:你好,我家狗两周前开始用后脚踹脸颊,后来发现流血了发臭就给他戴伊丽莎白圈然后用碘伏消毒涂红霉素软膏。一直好不了并且左右脸颊都有伤口了,脸颊旁边的毛发不知道为什么是湿的并且发臭很严重。后来给她洗过一次伤口发现伤口处有类似于黄色绿色的脓还有类似结痂的东西。现在发臭很严重尽管待着伊丽莎白圈也会想挠伤口。
回复总结:狗狗脸上潮湿发臭,主要是因为感染后出现的脓性分泌物导致的。建议尽快带狗狗去宠物医院就医,将患处及周围的毛发完全剃干净,然后做皮肤采样镜检,看有哪些病原体过度增殖,确定病因后对症治疗。如果检查发现只是单纯的细菌感染,可以剃开毛发后用纱布块沾上生理盐水,给狗狗把患处完全擦拭干净,然后外喷抗菌消炎的喷剂并配合口服消炎药即可。如果还有真菌感染,就还得配合使用其他的抗真菌药物。
问题大致一样,细节不同?
文茂桂
执业兽医师
您好,从图片和描述来看,初步诊断狗狗两侧脸颊有严重的细菌或者真菌感染的情况,可能和潮湿以及外伤有关,并且不能完全排除寄生虫叮咬后造成感染的可能性。它两侧脸颊潮湿发臭主要是因为感染后出现的脓性分泌物导致的。目前已经持续两周以上没有好转的情况,这边建议尽快带它就医,将患处及周围的毛发完全剃干净,然后做皮肤采样镜检(这个检查一般**元左右),看看有哪些病原体过度增殖,然后根据情况再来拟订下一步用药方案。如果检查发现只是单纯的细菌感染,那么剃开毛发后用纱布块沾上生理盐水,给它把患处完全擦拭干净,然后喷****抗菌消炎喷剂并配合口服消炎药即可。若是还有真菌感染的话,那就还得配合使用其他的抗真菌药物(比如****及外用抗真菌的香波作局部清洗)。治疗期间需要24小时戴着伊丽莎白圈,防止抓挠导致症状加重,直到完全康复后再取伊丽莎白圈。另外,去医院顺便掰开嘴巴看看口腔内部有无严重的牙结石和口腔炎症。
平时要保持环境及它患处清洁干燥,这样更有利于恢复。
我们现在在上海封城医院不开门,想问一下有没有推荐的药物我们可以购买。
文茂桂
执业兽医师
十分抱歉,刚才在处理门诊,让您久等了。
如果暂时实在不方便就医,那就先给它将患处毛发全部剃干净,尽量剃宽一些,完全暴露出患处,然后用医用纱布块沾上生理盐水给它擦拭干净,再用百灵金方抗菌消炎喷剂给它喷患处,并且配合口服**消炎,治疗期间需要一直戴着伊丽莎白圈防止抓挠,否则不仅效果不佳,反而可能越来越严重。
这边我将****抗菌消炎喷剂和速诺开在处方里供您参考。****每天喷三次,连用一周。**每天两次,每次1.5片,连用一周。
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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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":21198,"prescription_id":109547,"doctor_user_id":1104154,"product_id":811,"product_sku_id":853,"dose":1,"dose_unit":"适量","use_method":"外喷","frequency":"每天3次","days":7,"number":1,"remark":"","created_at":"2022-04-24 20:10:32","updated_at":"2022-04-24 20:10:32","product_info":{"id":811,"hash_id":"kAW7LMp6734BVDnv","class_ids":{"0":1,"1":2},"category_ids":{"0":169},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":69,"sell_point":"百灵金方复方麝香珍珠抑菌液伤口喷剂","title":"贝里奥百灵金方复方麝香珍珠抑菌液伤口喷剂 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18:21:10","ins":{"id":69,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"复方麝香珍珠抑菌液","trade_name":"百灵金方抑菌液","en_name":"","brand_name":"贝里奥","is_prescription":0,"cover":"\/drug\/2020\/11\/768c331426b801f70f74b7146bbdbf01.JPG","specification":"30ml\/瓶\/盒","reference_price":85,"component":"麝香、珍珠、冰片、白芷、细胞集落因子等。","indication":"1.用于犬猫各种外科手术后伤口愈合处给药治疗。\n2.用于防咬伤、烫伤、交通伤等污染创口,或已经产生耐药菌创口的治疗用药。\n3.用于新生结跏伤口处蛤药治疗。\n4.用于开放性伤口的绐药治疗。\n5.用于犬机体敏感部位眼、鼻、口腔、外生殖器等创口的给药治疗。","usage_dosage":"直接将百灵金方伤口喷喷于伤口处,每日3-4次。方便、快捷,便于护理。","contraindication":"","adverse_reaction":"","attention":"","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":"2020-11-06 15:16:42","updated_at":"2020-11-06 15:16:42"}},"product_sku_info":{"id":853,"product_id":811,"title":"贝里奥百灵金方复方麝香珍珠抑菌液伤口喷剂 30ml\/瓶\/盒","advword":null,"price":58,"market_price":80,"cost_price":0,"stock":38,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"30ml"}},"cover":null,"thumb":"","sale_count":144,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-21 16:33:39","updated_at":"2024-11-04 18:19:56"}}}}}}
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