咨询描述:猫咪前腿被门挤了,去医院拍了片子,是骨裂,猫咪腿还能轻微着地,想问下这种情况是否可以自愈,猫咪3个月大
回复总结:如果猫咪骨裂程度不高,而且腿能够着地行走,这种情况是可以自愈的。但是需要进行人为帮助,首先给猫咪进行外夹板固定,防止患肢着力摆动,造成骨折位置二次受力损伤。然后,建议给猫咪口服促进骨头愈合的药物,同时配合服用抗炎止疼的药物以及宠物专用广谱消炎用药。如果没有其它问题,一般2-3个月即可康复。另外,治疗期间需要定期复查x光片,查看猫咪恢复程度,一般2周左右一次即可。
问题大致一样,细节不同?
陈奕达
执业兽医师
根据您的描述,1.猫咪这种情况是可以自愈的。2.但是需要进行一下人为帮助。首先需要给予猫咪进行一下外夹板固定,防止患肢着力摆动,造成骨折位置二次受力损伤。其次需要给予猫咪口服一些促进骨头愈合,抗炎止疼,广谱消炎用药。3.如果不严重,并且没有其它问题的情况下,一般2-3个月即可康复。4.需要定期复查x光片,查看猫咪恢复程度,一般2周左右一次即可。
这个片子看起来骨裂的情况是否严重?医院医生告诉我这是长斜形骨裂,不好做外固定,那么外固定是否有什么方法?
陈奕达
执业兽医师
您好,1.严格意义上来讲,猫咪这种程度已经不能算是骨裂了,已经处于骨折状态了,只不过骨头骨折位置没有错位(还是比较严重的)。2.外固定是可以进行的,只不过这个是手法是否过关的问题(技术问题)。确实有一定外固定的失败率,但是没有办法,外固定是除了手术治疗的唯一能够帮助猫咪现在病情的方式。3.猫咪受伤患肢是前肢还是后肢?
受伤的是前肢。我去医院医生说收拾要五六千,这个确实有点吓人了,那固定的话我们自己能做吗,还是去医院让医生做外固定?
陈奕达
执业兽医师
好的,1.如果是前肢,可以给予进行夹板外固定治疗,这个没有问题的。费用也不像手术一样那么高昂,一般在****左右即可搞定,地区不同,费用会有所差别。但是有一定的失败率。外固定,对于医生的技术有一定的要求,所以有的医生可能无法给予猫咪进行。2.自行无法给予猫咪进行外固定,需要专业手法的。
我们观察了一下猫咪,他的手着地走了一会,然后就缩着腿不着地了,然后休息一会后又着地走了,这个阶段要一直关起来养吗,需要注意些什么。然后高清片子到了,麻烦您再看一下
为保护用户隐私不显示图片/视频
陈奕达
执业兽医师
您好,1.x光片很清晰了,我还是比较倾向于我的判断。2.猫咪这种情况是需要静养的,可以关在笼子里饲养一段时间。(不论如何饲养,只要猫咪不剧烈运动,上窜下跳就行)。
陈奕达
执业兽医师
您好,然后这边根据猫咪的情况,我给宝贝开个促进骨骼愈合处方。供您采纳参考一下。
处方里面的
1. ***,宠物专用广谱消炎,控制炎症。
2. ***,宠物专用营养关节用药,促进关节骨骼疾病恢复。
3. ***,宠物专用抗炎止疼用药,缓解疼痛。
4.补钙口服液,提供钙质,促进骨头愈合。
非常感谢您的详细讲解和推荐,我们考虑一下,刚刚问了附近的宠物医院,他们说做不了外固定,说这个位置是我刚给一个宠物医院打电话,他们说也是做不了,说因为他那个夹着的那个地方是肌肉顺着往下长的,如果做了固定之后,它就会一直动,一动的话那个固定就会跑,到时候他的骨头就长不上。不知道您这边医院在哪里,是他们技术不成熟,还是这种情况的确做不了?
陈奕达
执业兽医师
您好,并不是做不了,而是有失败率,以及技术要求,所以有的医生不愿意给予猫咪进行外固定夹板。建议多多询问一下,或者去更大的宠物医院就诊。加班掉就掉,怕啥,掉了重新绑就好了😂 。
我这边有个医生说,可以用弹力带包扎,或者不包扎直接静养,还有一个可以用石膏固定,问了很多只有这两家可以做,您看哪种方式可靠些,还有就是如果不做固定处理只吃药,有恢复的可能吗?
陈奕达
执业兽医师
您好,1.夹板固定就可以了,其它的方案对于猫咪来讲,个人认为不太适合。2.如果实在没有医生可以做,个人建议考虑石膏固定,更稳妥一些。3.不进行固定,一但发生意外,骨折位置受力,可能会出现二次损伤问题,从而加重病情。
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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