咨询描述:您好,狗狗几个月前之前生过一窝小狗,生小狗前乳头有小的肿块,生过之后肿块有变小,但给小狗断奶后肿块持续增大,有时会有伤口出血现象。最近用了口服消炎药和调理激素的药,但是效果不是很好,今天一看狗狗,肿块上有伤口了,怀疑是自己咬的?同时还有很重的腥臭味。
回复总结:狗狗乳房有肿块主要考虑两个可能性:一个是乳房发炎,被细菌感染后出现破溃和肿胀,另一个是乳腺肿瘤。建议先给狗狗戴好伊丽莎白圈,防止狗狗舔舐和啃咬,然后尽快带狗狗去医院检查确诊,确定病因后再对症治疗。如果不方便带狗狗去医院,可以先给狗狗戴好伊丽莎白圈,然后用生理盐水冲洗干净狗狗患处,并用医用纱布块给狗狗擦干净,清理干净患处后再给狗狗涂抹抑菌膏,配合口服含有阿莫西林和克拉维酸钾成分的消炎药,每天两次。
问题大致一样,细节不同?
文茂桂
执业兽医师
您好,从图片和视频来看,主要考虑两个可能性:1,乳房发炎,被细菌感染后出现破溃和肿胀。2,乳腺肿瘤(可能性较高)。
目前这种情况单靠保守治疗效果不佳,建议先给它戴个伊丽莎白圈防止舔舐和啃咬,然后尽快带它就医,初步查血常规、crp、生化、X光、穿刺细胞学检查。看看炎症情况、有无肝肾功能异常、有无身体内其他部位异常团块(如果体内其他地方有团块就很麻烦)、初步诊断有无乳腺肿瘤等。后续要根据检查结果选择手术方案处理才行,另外建议把切除部分送活检。
我这边有点事需要耽搁半个小时左右,您有疑问可继续提出追问,等会我看到后会第一时间回复您。
为什么会有洞呢 是可能她自己咬的吗?可以用人用的外用抗生素涂抹吗?
文茂桂
执业兽医师
这是疾病严重到一定程度出现的溃烂,不一定是它啃烂的,只不过持续啃咬和舔舐肯定是会导致症状加重的。目前这个状况单靠局部上药和口服抗生素的方案治疗,效果微乎其微,从图片和视频来看是需要手术才能解决的,因此不建议只是在家用抗生素软膏涂抹,而且平台和医生本人都是不推荐给动物使用人药的。
如果实在实在不方便就医,那么初步可以先按以下方案处理:1,戴好伊丽莎白圈,防止舔舐和啃咬。2,用生理盐水冲洗干净患处并用医用纱布块给它擦干净。3,清理干净患处后上****抑菌膏,每天两次,每次用药之前都要先清理干净患处。4,口服**消炎,每公斤体重25毫克,每天两次。
这边将**和****开在处方里供您参考(再次建议尽快带它就医最好)
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
{"341705":{"id":341705,"case_id":39787,"user_id":1104154,"to_user_id":1686249,"type":3,"content":"这是疾病严重到一定程度出现的溃烂,不一定是它啃烂的,只不过持续啃咬和舔舐肯定是会导致症状加重的。目前这个状况单靠局部上药和口服抗生素的方案治疗,效果微乎其微,从图片和视频来看是需要手术才能解决的,因此不建议只是在家用抗生素软膏涂抹,而且平台和医生本人都是不推荐给动物使用人药的。\n如果实在实在不方便就医,那么初步可以先按以下方案处理:1,戴好伊丽莎白圈,防止舔舐和啃咬。2,用生理盐水冲洗干净患处并用医用纱布块给它擦干净。3,清理干净患处后上****抑菌膏,每天两次,每次用药之前都要先清理干净患处。4,口服**消炎,每公斤体重25毫克,每天两次。\n这边将**和****开在处方里供您参考(再次建议尽快带它就医最好)","media":{"images":{},"videos":{},"business_params":{"prescription_id":103508}},"is_doctor":1,"status":1,"created_at":"2022-02-15 21:30:50","show_rx":true,"rx_info":{"id":103508,"rx_no":2.02202152130255e+24,"user_id":1686249,"doctor_user_id":1104154,"is_independent":0,"case_id":2625535,"pet_info":{"pet_id":245047,"pet_name":"白熊串萨摩","pet_nickname":"嘟嘟","pet_gender":2,"pet_birth":"8-5","pet_weight":0,"pet_vaccination_status":0,"pet_in_insect_repellent_status":0,"pet_out_insect_repellent_status":0,"pet_age_format":"8岁5个月"},"diagnose":"乳房炎?乳腺肿瘤?","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2022-02-15 21:30:25","updated_at":"2022-02-15 21:30:50","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":7774,"prescription_id":103508,"doctor_user_id":1104154,"product_id":709,"product_sku_id":752,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":5,"number":1,"remark":"","created_at":"2022-02-15 21:30:25","updated_at":"2022-02-15 21:30:25","product_info":{"id":709,"hash_id":"lazo6rxWXWpOqD9E","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":5,"sell_point":"速诺(阿莫西林克拉维酸钾片)250mg","title":"辉瑞速诺(阿莫西林克拉维酸钾片)250mg×10片\/板","recommend_reason":{"0":"适用于宠物由敏感细菌引起的皮肤及软组织感染、呼吸道感染","1":"治疗宠物革兰氏阴性和革兰氏阳性敏感细菌的感染","2":"用于肠炎及其他感染,如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"呼吸道感染,肠炎,腹泻,便血,真菌感染,猫癣,脓皮症","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"250mg规格1板"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/0c5606ffe97cfdbe080e7c31980a047d.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":673,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:43:15","updated_at":"2024-11-21 14:28:26","ins":{"id":5,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"阿莫西林克拉维酸钾片","trade_name":"速诺","en_name":"Synulox Palatable Tablets","brand_name":"辉瑞","is_prescription":1,"cover":"\/drug\/2020\/10\/b4e16954b19120b0d777543dde23b1da.JPG","specification":"250mg×10片×10板\/盒","reference_price":2200,"component":"阿莫西林和克拉维酸钾","indication":"适用于犬由敏感细菌引起的各种感染,及治疗犬革兰氏阴性和革兰氏阳性敏感细菌的感染。\n1、如皮肤及软组织感染脓性皮炎、脓肿和肛腺炎、蜂窝组织炎、伤口感染、腹内脓毒症等。\n2、牙感染(牙龈炎)。\n3、尿道感染,如膀胱炎、尿道炎、肾盂肾炎、前列腺炎、盆腔炎、淋病奈瑟菌尿路感染及软性下疳等。\n4、呼吸道感染,如鼻窦炎、扁桃体炎、咽炎、急慢性支气管炎、慢性支气管炎急性发作、肺炎、肺脓肿和支气管合并感染。\n5、肠炎及其他感染,如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染等。","usage_dosage":"口服。每天吃2次,连用5-7天。每次用量如下:\n体重9-12kg,吃0.5片;\n体重13-15kg,吃0.75片;\n体重16-22kg,吃1片;\n体重23-30kg,吃1.5片;\n体重31-40kg,吃2片;\n体重41kg及以上请购买同品500mg规格的产品。\n\n注:一些慢性感染(慢性皮炎、慢性膀胱炎和慢性呼吸道感染)的治疗可连用10-28天。","contraindication":"1. 仓鼠、豚鼠、沙鼠、灰鼠和家兔禁用。\n2. 其他草食动物慎用。\n3.对青霉素过敏者禁止接触本品。","adverse_reaction":"1.恶心、腹泻和皮肤丘疹是最常见的不良反应。\n2.本品为青霉素类药物,若出现过敏反应可使用肾上腺素治疗。","attention":"1.不要对病情严重的动物使用口服抗生素,因其胃肠道吸收可能不可靠,这些患病动物可能需要静脉注射剂。\n2.避免在对其他β-内酰胺类抗菌药(包含头孢菌素类)有过敏反应的动物使用。\n3.片剂由防潮箔包裹,给药前不要取出。\n4.对青霉素过敏者如果不慎接触,应该立刻去找医生救助。\n5.孕畜慎用。\n4.使用后请洗手。\n5.不要让小孩接触到此产品。","interaction":"1.避免同时使用抑菌性抗生素(如四环素、红霉素)。\n2.不要给鸟类同时使用别嘌呤醇、β-内酰胺和氨基糖苷类抗菌剂在体内有协同作用。\n3.本品和氨苄西林有完全交叉耐药性,与青霉素类和头孢菌素类有交叉耐药性。","approval_no":"(2018)外兽药证字11号","storage_method":"密封,在凉暗干燥处保存。","validity":"2年","manufacturer":"意大利豪普特制药厂(Haupt Pharma Latina S.R.L)","status":1,"created_at":"2020-10-23 12:09:57","updated_at":"2020-10-23 16:00:00"}},"product_sku_info":{"id":752,"product_id":709,"title":"辉瑞速诺(阿莫西林克拉维酸钾片)250mg×10片\/板","advword":null,"price":98,"market_price":119,"cost_price":0,"stock":730,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"250mg规格1板"}},"cover":null,"thumb":"","sale_count":711,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:43:15","updated_at":"2024-11-21 14:19:59"}},"1":{"id":7775,"prescription_id":103508,"doctor_user_id":1104154,"product_id":812,"product_sku_id":854,"dose":1,"dose_unit":"适量","use_method":"涂抹","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2022-02-15 21:30:25","updated_at":"2022-02-15 21:30:25","product_info":{"id":812,"hash_id":"VjX39W4zDPxQ0bvZ","class_ids":{"0":1,"1":2},"category_ids":{"8":169},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":4,"sell_point":"百灵金方抑菌膏10g","title":"贝里奥百灵金方抑菌膏 10g\/瓶\/盒","recommend_reason":{"0":"用于手术、术后切口、咬伤、烫伤、交通伤等创面感染","1":"用于细菌、真菌引起的皮肤及粘膜感染","2":"用于子宫及产道、外生殖器及肛门腺的感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"皮肤病,脓皮症,细菌感染","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"10g"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/8fd35c62b90e9eb884e32c271cdcc0c1.jpeg","images":{"0":"https:\/\/cdn.moguvet.com\/shop\/2023\/06\/b4a90fdc25766615b045299982a0dbf6.jpg","1":"https:\/\/cdn.moguvet.com\/shop\/2023\/06\/cb0fcbe97a1a93d979f82fbf7e02ddd2.jpg"},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":88,"max_price":88,"sale_count":281,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-21 16:36:03","updated_at":"2024-11-10 18:08:41","ins":{"id":4,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"百灵金方抑菌膏","trade_name":"百灵金方膏","en_name":"","brand_name":"贝里奥","is_prescription":0,"cover":"\/drug\/2020\/10\/a76d880a7848393054bd1d4991a3b027.JPG","specification":"10g\/瓶","reference_price":130,"component":"麝香、珍珠、冰片、细胞集落因子等。","indication":"1.手术中、术后切口、咬伤、烫伤、交通伤等创面感染、已经产生耐药菌的创面治疗。\n2.细菌、真菌引起的皮肤及粘膜感染、已经形成溃烂、溃疡等皮下组织感染。\n3.子宫及产道感染。\n4.外生殖器及肛门腺的感染。","usage_dosage":"1.外用,将膏体涂于创面,用量视感染面积大小而取,每日更换一次。\n2.溃烂疮面有流脓、渗血、渗水情况的,配合百灵金方粉撒在疮面薄薄一层,疮面周围涂百灵金方软膏,纱布包扎即可。","contraindication":"","adverse_reaction":"","attention":"1.外用,严禁内服。\n2.内含麝香,孕畜慎用。","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":"2020-10-21 14:13:33","updated_at":"2020-10-29 16:06:30"}},"product_sku_info":{"id":854,"product_id":812,"title":"贝里奥百灵金方抑菌膏 10g\/瓶\/盒","advword":null,"price":88,"market_price":140,"cost_price":0,"stock":763,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"10g"}},"cover":null,"thumb":"","sale_count":290,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-21 16:36:03","updated_at":"2024-11-10 09:35:28"}}},"drug_data_bak":{"0":{"id":7774,"prescription_id":103508,"doctor_user_id":1104154,"product_id":709,"product_sku_id":752,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":5,"number":1,"remark":"","created_at":"2022-02-15 21:30:25","updated_at":"2022-02-15 21:30:25","product_info":{"id":709,"hash_id":"lazo6rxWXWpOqD9E","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":5,"sell_point":"速诺(阿莫西林克拉维酸钾片)250mg","title":"辉瑞速诺(阿莫西林克拉维酸钾片)250mg×10片\/板","recommend_reason":{"0":"适用于宠物由敏感细菌引起的皮肤及软组织感染、呼吸道感染","1":"治疗宠物革兰氏阴性和革兰氏阳性敏感细菌的感染","2":"用于肠炎及其他感染,如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"呼吸道感染,肠炎,腹泻,便血,真菌感染,猫癣,脓皮症","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"250mg规格1板"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/0c5606ffe97cfdbe080e7c31980a047d.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":673,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:43:15","updated_at":"2024-11-21 14:28:26","ins":{"id":5,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"阿莫西林克拉维酸钾片","trade_name":"速诺","en_name":"Synulox Palatable Tablets","brand_name":"辉瑞","is_prescription":1,"cover":"\/drug\/2020\/10\/b4e16954b19120b0d777543dde23b1da.JPG","specification":"250mg×10片×10板\/盒","reference_price":2200,"component":"阿莫西林和克拉维酸钾","indication":"适用于犬由敏感细菌引起的各种感染,及治疗犬革兰氏阴性和革兰氏阳性敏感细菌的感染。\n1、如皮肤及软组织感染脓性皮炎、脓肿和肛腺炎、蜂窝组织炎、伤口感染、腹内脓毒症等。\n2、牙感染(牙龈炎)。\n3、尿道感染,如膀胱炎、尿道炎、肾盂肾炎、前列腺炎、盆腔炎、淋病奈瑟菌尿路感染及软性下疳等。\n4、呼吸道感染,如鼻窦炎、扁桃体炎、咽炎、急慢性支气管炎、慢性支气管炎急性发作、肺炎、肺脓肿和支气管合并感染。\n5、肠炎及其他感染,如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染等。","usage_dosage":"口服。每天吃2次,连用5-7天。每次用量如下:\n体重9-12kg,吃0.5片;\n体重13-15kg,吃0.75片;\n体重16-22kg,吃1片;\n体重23-30kg,吃1.5片;\n体重31-40kg,吃2片;\n体重41kg及以上请购买同品500mg规格的产品。\n\n注:一些慢性感染(慢性皮炎、慢性膀胱炎和慢性呼吸道感染)的治疗可连用10-28天。","contraindication":"1. 仓鼠、豚鼠、沙鼠、灰鼠和家兔禁用。\n2. 其他草食动物慎用。\n3.对青霉素过敏者禁止接触本品。","adverse_reaction":"1.恶心、腹泻和皮肤丘疹是最常见的不良反应。\n2.本品为青霉素类药物,若出现过敏反应可使用肾上腺素治疗。","attention":"1.不要对病情严重的动物使用口服抗生素,因其胃肠道吸收可能不可靠,这些患病动物可能需要静脉注射剂。\n2.避免在对其他β-内酰胺类抗菌药(包含头孢菌素类)有过敏反应的动物使用。\n3.片剂由防潮箔包裹,给药前不要取出。\n4.对青霉素过敏者如果不慎接触,应该立刻去找医生救助。\n5.孕畜慎用。\n4.使用后请洗手。\n5.不要让小孩接触到此产品。","interaction":"1.避免同时使用抑菌性抗生素(如四环素、红霉素)。\n2.不要给鸟类同时使用别嘌呤醇、β-内酰胺和氨基糖苷类抗菌剂在体内有协同作用。\n3.本品和氨苄西林有完全交叉耐药性,与青霉素类和头孢菌素类有交叉耐药性。","approval_no":"(2018)外兽药证字11号","storage_method":"密封,在凉暗干燥处保存。","validity":"2年","manufacturer":"意大利豪普特制药厂(Haupt Pharma Latina S.R.L)","status":1,"created_at":"2020-10-23 12:09:57","updated_at":"2020-10-23 16:00:00"}},"product_sku_info":{"id":752,"product_id":709,"title":"辉瑞速诺(阿莫西林克拉维酸钾片)250mg×10片\/板","advword":null,"price":98,"market_price":119,"cost_price":0,"stock":730,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"250mg规格1板"}},"cover":null,"thumb":"","sale_count":711,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:43:15","updated_at":"2024-11-21 14:19:59"}},"1":{"id":7775,"prescription_id":103508,"doctor_user_id":1104154,"product_id":812,"product_sku_id":854,"dose":1,"dose_unit":"适量","use_method":"涂抹","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2022-02-15 21:30:25","updated_at":"2022-02-15 21:30:25","product_info":{"id":812,"hash_id":"VjX39W4zDPxQ0bvZ","class_ids":{"0":1,"1":2},"category_ids":{"8":169},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":4,"sell_point":"百灵金方抑菌膏10g","title":"贝里奥百灵金方抑菌膏 10g\/瓶\/盒","recommend_reason":{"0":"用于手术、术后切口、咬伤、烫伤、交通伤等创面感染","1":"用于细菌、真菌引起的皮肤及粘膜感染","2":"用于子宫及产道、外生殖器及肛门腺的感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"皮肤病,脓皮症,细菌感染","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"10g"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/8fd35c62b90e9eb884e32c271cdcc0c1.jpeg","images":{"0":"https:\/\/cdn.moguvet.com\/shop\/2023\/06\/b4a90fdc25766615b045299982a0dbf6.jpg","1":"https:\/\/cdn.moguvet.com\/shop\/2023\/06\/cb0fcbe97a1a93d979f82fbf7e02ddd2.jpg"},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":88,"max_price":88,"sale_count":281,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-21 16:36:03","updated_at":"2024-11-10 18:08:41","ins":{"id":4,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"百灵金方抑菌膏","trade_name":"百灵金方膏","en_name":"","brand_name":"贝里奥","is_prescription":0,"cover":"\/drug\/2020\/10\/a76d880a7848393054bd1d4991a3b027.JPG","specification":"10g\/瓶","reference_price":130,"component":"麝香、珍珠、冰片、细胞集落因子等。","indication":"1.手术中、术后切口、咬伤、烫伤、交通伤等创面感染、已经产生耐药菌的创面治疗。\n2.细菌、真菌引起的皮肤及粘膜感染、已经形成溃烂、溃疡等皮下组织感染。\n3.子宫及产道感染。\n4.外生殖器及肛门腺的感染。","usage_dosage":"1.外用,将膏体涂于创面,用量视感染面积大小而取,每日更换一次。\n2.溃烂疮面有流脓、渗血、渗水情况的,配合百灵金方粉撒在疮面薄薄一层,疮面周围涂百灵金方软膏,纱布包扎即可。","contraindication":"","adverse_reaction":"","attention":"1.外用,严禁内服。\n2.内含麝香,孕畜慎用。","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":"2020-10-21 14:13:33","updated_at":"2020-10-29 16:06:30"}},"product_sku_info":{"id":854,"product_id":812,"title":"贝里奥百灵金方抑菌膏 10g\/瓶\/盒","advword":null,"price":88,"market_price":140,"cost_price":0,"stock":763,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"10g"}},"cover":null,"thumb":"","sale_count":290,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-21 16:36:03","updated_at":"2024-11-10 09:35:28"}}}}}}
微信扫一扫
立即问宠医