回复总结：针对狗狗肛门长肿瘤的情况，处理办法上建议给狗狗进行手术治疗，把肿瘤彻底切除，因为保守用药治疗可能会达不到效果。如果暂时不方便带狗狗去宠物医院做手术，建议先给狗狗患处使用宠物专用外用广谱消炎杀菌药膏，然后还需要配合口服宠物专用消炎用药，控制患处的炎症感染。
问题大致一样，细节不同？
陈奕达
执业兽医师
您好，由于您在提问里面没有描述您家宝贝的情况以及您的问题，您现在可以先详细的描述一下。包括但不限于
1.给我讲一下宝贝的基础信息，像是品种、年龄、体重、是否绝育等。
2.宝贝现在都有哪些疾病症状？（若有视频可以上传来我看看）
3.它这样子多久了？
4.是否在线下动物医院就医过？（若有检查报告可以以照片形式传上来我看看）
5.是否用过药？用药的详细情况都讲一下。
您好 我家是比熊狗狗，12年 肛门出长了一个包，去看了，6月1号医生给挤破了，今天又有点出血，想问问能动手术吗
陈奕达
执业兽医师
根据您的描述，个人初步分析狗狗很有可能是有肛门腺的问题。然后我还有几个问题询问您一下，以进一步了解狗狗的病情，然后帮您进行分析。1.狗狗是否还有其它疾病病史？2.狗狗现在吃喝玩排便状态如何？3.是否有狗狗发病位置图片？4.医生给出的诊断是什么？5.是否给予狗狗进行检查？可以把结果发送过来。
前面看过是心脏有点肥大，排便没有问题，医生诊断说是肿瘤，动手术年龄大打麻药怕不行，位置在肛门左上方，今天又有点出血
陈奕达
执业兽医师
您好，1.如果是肿瘤问题，并且破溃，那么确实需要考虑手术进行治疗。因为保守治疗效果是非常差的。2.但是狗狗有心脏病问题，这种情况手术治疗，确实风险系数过大，所以需要稳妥一些。3.所以这种情况我的建议，①进一步确诊什么类型的肿瘤，是否有转移。②进一步判断心脏病等级，以及是否还有其它基础疾病。③如果狗狗身体还可以，能够承受手术以及麻醉，并且肿瘤可以切除，那么个人建议择期就进行手术。④麻醉可以选择呼吸麻醉，能够安全一些。
看的时候医生给挤破的，平常小狗身上容易长一些小疙瘩，还割了一次，挤了有几天了，今天又有点出血
陈奕达
执业兽医师
好的，根据您的描述，1.如果暂时不想手术，那么可以考虑给予狗狗破溃位置使用一些宠物专用外用广谱消炎杀菌药膏。然后配合一些口服消炎用药，控制一下感染即可。2.然后观察一下后续的损伤恢复程度如何。
陈奕达
执业兽医师
然后您可以告诉我狗狗的体重信息，我可以帮您开具一套用药，并且帮您计算好用法用量，供您采纳参考一下。
嗯 要是肿瘤能挤破吗，局部麻醉能行吗，好的 体重25斤 谢谢
陈奕达
执业兽医师
您好，1.肿瘤也会被挤压破的，但是正常来讲是不建议挤压破的，因为容易感染，而且不好愈合。2.局部麻醉无法进行手术。3.然后这边根据狗狗的情况，我给宝贝开个处方。供您采纳参考一下。
处方里面的
1. ***，宠物专用广谱消炎，控制炎症感染。
2. **药膏，宠物专用外伤消炎杀菌药膏，均匀涂抹患处即可，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
{"344270":{"id":344270,"case_id":40046,"user_id":1249218,"to_user_id":1394126,"type":3,"content":"您好，1.肿瘤也会被挤压破的，但是正常来讲是不建议挤压破的，因为容易感染，而且不好愈合。2.局部麻醉无法进行手术。3.然后这边根据狗狗的情况，我给宝贝开个处方。供您采纳参考一下。\n处方里面的\n1. ***，宠物专用广谱消炎，控制炎症感染。\n2. **药膏，宠物专用外伤消炎杀菌药膏，均匀涂抹患处即可，禁止舔舐，口服。","media":{"images":{},"videos":{},"business_params":{"prescription_id":114039}},"is_doctor":1,"status":1,"created_at":"2022-06-08 13:26:56","show_rx":true,"rx_info":{"id":114039,"rx_no":2.0220608132653502e+24,"user_id":1394126,"doctor_user_id":1249218,"is_independent":0,"case_id":2768947,"pet_info":{"pet_id":0,"pet_name":"狗狗","pet_nickname":"狗狗","pet_gender":1,"pet_birth":"0-0","pet_weight":12.5,"pet_vaccination_status":0,"pet_in_insect_repellent_status":0,"pet_out_insect_repellent_status":0,"pet_age_format":"1个月内"},"diagnose":"初步分析是有肿瘤破溃问题，导致了一系列症状（有待进一步确诊）","signature":"\/signature\/2021\/12\/c9bc3ee36e7e61a8a6b1d241ce0cd612.png","deadline":null,"status":1,"send_status":1,"use_status":1,"created_at":"2022-06-08 13:26:53","updated_at":"2022-06-08 13:47:25","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":31347,"prescription_id":114039,"doctor_user_id":1249218,"product_id":706,"product_sku_id":749,"dose":1.3,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":7,"number":1,"remark":"","created_at":"2022-06-08 13:26:53","updated_at":"2022-06-08 13:26:53","product_info":{"id":706,"hash_id":"ay8LblpOKVp9EdBq","class_ids":{"0":1,"1":2},"category_ids":{"0":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":33,"sell_point":"拜有利恩诺沙星风味片 50mg","title":"拜耳拜有利恩诺沙星风味片 50mg×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":"50mg盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/1988349ed1be553a88eea3abc43ee00c.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":88,"max_price":88,"sale_count":397,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:25:59","updated_at":"2024-11-18 11:17:10","ins":{"id":33,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"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\/4d389fce8db21b6a36a3a1009ec2a1de.JPG","specification":"50mg×10片\/盒","reference_price":160,"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":"（2019）外兽药证字52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 14:50:56","updated_at":"2022-01-14 15:42:03"}},"product_sku_info":{"id":749,"product_id":706,"title":"拜耳拜有利恩诺沙星风味片 50mg×10片\/盒","advword":null,"price":88,"market_price":108,"cost_price":0,"stock":0,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50mg盒装"}},"cover":null,"thumb":"","sale_count":411,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:25:59","updated_at":"2024-11-18 11:04:31"}},"1":{"id":31348,"prescription_id":114039,"doctor_user_id":1249218,"product_id":812,"product_sku_id":854,"dose":0.5,"dose_unit":"ml","use_method":"涂抹","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2022-06-08 13:26:53","updated_at":"2022-06-08 13:26:53","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":31347,"prescription_id":114039,"doctor_user_id":1249218,"product_id":706,"product_sku_id":749,"dose":1.3,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":7,"number":1,"remark":"","created_at":"2022-06-08 13:26:53","updated_at":"2022-06-08 13:26:53","product_info":{"id":706,"hash_id":"ay8LblpOKVp9EdBq","class_ids":{"0":1,"1":2},"category_ids":{"0":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":33,"sell_point":"拜有利恩诺沙星风味片 50mg","title":"拜耳拜有利恩诺沙星风味片 50mg×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":"50mg盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/1988349ed1be553a88eea3abc43ee00c.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":88,"max_price":88,"sale_count":397,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:25:59","updated_at":"2024-11-18 11:17:10","ins":{"id":33,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"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\/4d389fce8db21b6a36a3a1009ec2a1de.JPG","specification":"50mg×10片\/盒","reference_price":160,"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":"（2019）外兽药证字52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 14:50:56","updated_at":"2022-01-14 15:42:03"}},"product_sku_info":{"id":749,"product_id":706,"title":"拜耳拜有利恩诺沙星风味片 50mg×10片\/盒","advword":null,"price":88,"market_price":108,"cost_price":0,"stock":0,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50mg盒装"}},"cover":null,"thumb":"","sale_count":411,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:25:59","updated_at":"2024-11-18 11:04:31"}},"1":{"id":31348,"prescription_id":114039,"doctor_user_id":1249218,"product_id":812,"product_sku_id":854,"dose":0.5,"dose_unit":"ml","use_method":"涂抹","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2022-06-08 13:26:53","updated_at":"2022-06-08 13:26:53","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
