咨询描述：症状描述:三个月大的小体博美，犬瘟，拉稀，咳嗽，流鼻涕，发烧
患病时长：从检测出犬瘟到现在已经14天
医院检查：打了七天血清、退烧药、抗病毒药，后面又打了六天消炎药
用药情况：口服中药
回复总结：狗狗感染犬瘟，期间会出现打喷嚏、流鼻涕、咳嗽、发烧、腹泻、呕吐的症状，中后期如果比较严重会引起神经症状，比如身体局部抽搐、犬瘟热引起的脑炎等等，一般病程在1.5-2个月左右。其次，犬瘟热是出现什么症状就需要集中治疗，等症状缓解消失后，可以在家提高免疫力，抗病毒即可。但是需要注意，整个生病期间需要每天检测两次体温，掌握狗狗的体温情况，如果有体温异常需要及时就医，以免发烧严重引起肺炎以及神经症状。
问题大致一样，细节不同？
王园龙
执业兽医师
据您讲到的美美犬瘟感染的情况分析
1.犬瘟热是犬的第一大传染病，病程在1.5-2个月左右，期间会出现打喷嚏，流鼻涕，咳嗽，发烧，腹泻，呕吐，中后期严重的话会引起神经症状，比如身体局部抽搐，犬瘟热引起的脑炎等等。
2.这个病是出现什么症状就需要集中治疗，症状缓解消失后，可以在家提高免疫力，抗病毒就可以。
3.整个生病期间需要每天检测两次体温，如果有体温异常需要及时就医的。
但仅仅根据目前您描述的情况，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. 美美现在都有什么症状？有打喷嚏，流眼泪，咳嗽，或者喘么？还有腹泻或者呕吐吗？有没有抽搐，或者身体抖动的症状？
2.现在精神状态，饮食，排便排尿都正常吗？
3.目前口服的中药都有哪些？可以拍一下发给我？
4.每天都有检测体温吗？
5.生病后主要饮食都有哪些？你家里温度大概有多少？
以上这些情况您仔细回忆后详细的描述给我，对我给宝贝目前情况做判断以及制定治疗方案有非常大的帮助，感谢您的配合。另外，把您家爱宠的『年龄、体重』提供一下，待会儿咱们沟通后如果涉及用药建议，方便为宝贝开具处方。
1.小狗三个月大，体重0.7kg
2.经过两个星期的治疗已经没有呕吐和腹泻咳嗽等症状，只有轻微鼻涕，便便成型，但有点稀，睡梦中有抖动，不知道是不是因为犬瘟
3.口服中药是医院医生提供的，不清楚配方，一日三次，每次3ml
4.体温没有每日监测，最高有发烧到40度，然后送医就诊
5.除了发烧的时候，平时精神状态很好，吃东西不知道饱，我一般是一天三到四顿少量喂她，主要是羊奶粉，幼犬狗粮，益生菌
6.昨晚犬瘟复测为弱阳性
想问下医生她这种情况后续还需要打针吗？因为前两个星期打针打的太多了，有点心疼
王园龙
执业兽医师
感谢您的回复。
1.犬瘟热疾病在家调养期间必须每天测两次体温，要掌握狗狗得体温情况，如果有异常还是需要即使就医的。以免发烧严重引起肺炎以及神经症状。
2.如果前期的症状都已经解决暂时消失了，那可以在家口服药调养，精心喂养就可以，并且提高免疫力，建议每周复查一次血常规看一下血液情况。
3.能吃能喝就暂时没什么问题，但是别吃的太多，太杂，引起胃肠道反应就行。
4.如果没有其他症状的情况下，比如呕吐，腹泻，喘，严重的咳嗽，打喷嚏流鼻涕。是可以暂时不需要打针的。只要饮食都正常的情况下就可以在家口服药调养。医院开的中药可以吃一段时间。
如果有再出现疾病症状，那需要按照情况针对性的治疗就可以的。这个病的病程比较长，也比较麻烦，所以不是全程在打针，说白了就是有什么症状治什么症状，没有症状就可以口服药回家休息。
这个狗狗是我网购的，一买回来我就做了犬瘟细小冠状等检查，那个时候是冠状弱阳性。医生说冠状弱阳性有可能会爆发，也可能引起细小，所以打了几天针。但是过了六天突然就发烧，然后变成犬瘟了，而且测试结果是很强的阳性。我想问一下这是什么原因，是冠状病毒引起的吗，还是传染引起的
王园龙
执业兽医师
犬冠状病毒不会直接引发犬瘟的。
应该是犬冠状病毒感染后，狗狗免疫力降低导致感染了犬瘟热。
昨晚复测是很浅的犬瘟阳性了，是否代表它自身已经产生抗体，按目前的情况后期抽搐的概率应该不是很高吧？要到什么时候才算彻底脱离危险期，什么时候算痊愈
王园龙
执业兽医师
1.具体病毒量不可以用试纸板的深浅来判断的，需要用pcr核酸检测才可以确定具体病毒量。
2.引起的神经症状是由于犬瘟热病毒侵袭神经细胞或者脑导致的，如果核酸检查病毒量很少，也能说明后期侵害神经的概率比较小，但是病毒随时都有可能增值，所以整个疾病期(1.5-2个月)都需要提高免疫力，抗病毒的。
3.彻底痊愈需要2个月以后了。发病一般1.5个月以上可以考虑脱离危险。
那后面还有什么要注意的事项吗，需要保暖吗？它的饮食需要增加一点吗，每天都在到处找吃的像吃不饱似的。。而且它每天喝很多很多水，是正常的吗，要不要控制一下
王园龙
执业兽医师
1.别睡太凉的地方就可以，不用特殊保暖。
饮食的话需要按照您买的狗粮指导的每天克数吃就可以。可以每天3-4餐，别吃撑着就可以。
2.接下来就是正常喂养，提高免疫力，每天检测体温，暂时不可以打疫苗。不可以洗澡。
口服清热解毒的药品，应该您当地医院开的中药就是清热解毒的。每7-10天做一次血常规复查，看看血液指标情况。
3.这个多饮的情况可能是天气太热导致的，也可能是口服这个中药导致的，具体需要问一下医生这个中药会导致多饮的情况不。
它的饮食每天我只喂两顿狗粮主食，其余两顿是喝的奶粉，一顿才十几粒，它总吃不饱，但是喂多了就拉肚子，消化功能太弱怎么办？益生菌有在吃，但是一天最多三十粒，超过就腹泻。
王园龙
执业兽医师
如果总是吃不饱的话，而且一次吃得多会有腹泻的情况，那建议您4-6小时给美美喂一吃食物，一次
10-15粒，每天可以吃食4-6次，把狗粮换成犬肠道处方粮，并且配合益生菌和调解胃肠的药就可以。奶粉需要暂时停用，看看能否缓解消化不良腹泻的情况。
稍后我会把具体的肠道处方粮，益生菌和调解胃肠的药帮您推荐一下，您可以看看能否改善情况。
王园龙
执业兽医师
根据美美的情况，我给它开个处方。
处方里面的
1.*******处方粮，这个是肠道处方粮，用在狗狗肠道功能紊乱消化不良期的粮食，可以直接更换
用法用量：口服，4-6次，每次15粒，用药30天
2.********活菌制剂.这个是益生菌，主要用来帮助狗狗肠道菌群恢复，帮助消化，预防腹泻。
用法用量：口服，每天2次，每次0.5包，用药7天
3.******宠物添加剂预混合饲料.这个药是补充肠道营养，有止泻，恢复肠道功能的作用
用法用量：口服，每天2次，每次1ml，用药14天
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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