咨询描述:我家猫是美短,八个月,一个月前从大概一米五高处摔下出现跛行,一直没有恢复,今天带去诊所检查,X片显示髋关节发育不良,想问下是否是此疾病,如果是的话如何治疗
回复总结:如果猫咪从高处摔下后出现跛行的症状,考虑是骨折导致的。治疗方面,建议给猫咪口服宠物专用广谱消炎药,同时配合服用营养骨关节的药物以及止痛药。注意,止痛药不能长期吃,一般吃5-7天需要停药,之后停一周再继续吃。如果猫咪症状持续不见好转,建议带猫咪去宠物医院做切除手术,把断掉的骨头取出来。
问题大致一样,细节不同?
孙厚福
执业兽医师
我初步诊断股骨头骨折根据目前还不能做出进一步的判断。我还有几个问题需要向你核实一下
1.之前走路都正常吗?
2.正常可以手术恢复正常
3.目前疼痛走路会出现跛行
4.目前是否用了药物?
5.如果有走路视频可以上传看一下
除此之外,宝贝目前的症状来讲,您提供给我的信息有限,暂时我还无法给您一些保守的治疗建议,所以另外我需要和主人您再了解一些宝贝的情况。希望主人您仔细提供给我。方便我更好的分析宝贝的病情,并给出更准确的诊断和保守的治疗建议。
摔之前走路没有跛,只是屁股有些摇晃,从小两条后腿髌关节好像靠在一起走路,摔之后是渐进的跛行加重,目前没有用任何药物,刚拍了下走路视频,医生,如果要做手术是要怎么做哇,大概费用是多少呀,现在需要用什么药物缓解他的痛苦吗
为保护用户隐私不显示图片/视频
孙厚福
执业兽医师
目前片子看之前摔伤导致股骨头骨折
两个方案一个就是保守治疗口服***软骨素,同时配合口服止痛药,但是止痛药不能长期吃一般吃5-7天需要停药。之后停一周再继续吃
第二个方案切除股骨头把断掉股骨头取出来,同时另外一侧可能需要打磨切除
手术费每个城市收费标准不一样正常需要***-***左右
我给它开个处方。处方里面的1. ***软骨素早晚各半片修复软骨
2.止痛药***每公斤体重0.1ml一天一次
孙厚福
执业兽医师
如果保守也是看后面恢复情况,如果后面走路正常不疼痛那就是保守成功,但是可能之后也会影响跳跃。
如果保守不成功还是需要手术,不然可能还会一直疼痛跛行,慢慢这个腿肌肉会萎缩。
这个骨折是什么性质的骨折哇,具体是骨裂还是压缩性或者不稳定性骨折呢,保守治疗后续会导致骨头错位吗?
孙厚福
执业兽医师
刚才上手术耽误一点时间还请谅解
目前考虑之前摔完导致股骨头骨折,当然之后再做片子评估一下
就是股骨头和股骨颈骨折,这个之后看恢复情况。目前可以先保守看一下,不好转建议手术治疗
拍片子的地方的医生说右边的股骨头没发育出来,您说的骨折是哪边哇,那我家猫有没有髋关节发育不良呢
孙厚福
执业兽医师
1.正常是需要侧位片子再评估一下
2.从片子看有髋关节发育不良但是因为摔完之后出现不排除有骨折情况。
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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