咨询描述:狗被其他狗咬伤了 皮肉分离了 第二天发现皮肤发黑了 还有烂肉味 需要把发黑的皮肤切除吗
回复总结:狗狗被咬伤后皮肤开始变黑,考虑发黑的皮肤应该是坏死了。这种情况需要切除坏死的皮肤,然后针对溃烂处进行清创处理,并且做好缝合。如果暂时不方便带狗狗去医院,建议先用抑菌液冲洗患处,冲洗干净伤口后,再给狗狗患部以及伤口外发红的皮肤涂抹抑菌膏,然后配合口服消炎药。治疗期间需要保持清洁干燥,不可以让狗狗舔舐、抓挠伤口。如果用药期间狗狗状态不好,出现不吃不喝或者发烧的情况,需要立即带狗狗去就近宠物医院检查。
问题大致一样,细节不同?
王园龙
执业兽医师
据您讲到的狗狗得情况
我初步判断发黑的皮肤应该是坏死了,并且局部有溃烂的情况,这个情况需要切除坏死的皮肤,然后针对溃烂处进行清创处理,并且做好缝合。
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. 宝贝您养了多久,多大年龄了?是何时被咬的?家里还有其他动物吗?
2. 宝贝的饮食,精神状态都正常吗?有没有发烧呢?具体咬在哪个位置上了?可以附带照片发过来。
3.宝贝有没有打狂犬疫苗?
4.有没有外用药或者是口服消炎药控制感染?
5.您可以给宝贝测个体温,水银体温计顶在大腿根内侧,顶紧点测5分钟。告诉我宝贝的体温。
6.还有宝贝的体重以及过往病史(是否有药物过敏史),疫苗以及驱虫情况。
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。
狗养了大概六七年了 是二十二号下午被咬的 狗狗现在不吃食就喝点水 伤口在肩膀处 狗狗疫苗应该是去年打的 昨天晚上吃了点消炎药 在伤口上也扫了一些
22号被咬之后妈妈没注意以为就是个小伤口 就只做了简单的皮外的消毒 昨天晚上 闻着味道不对 就用家里的工具把伤口剪开了 工具都做了消毒 但是因为设备不齐全没敢把坏死的黑皮都剪掉
为保护用户隐私不显示图片/视频
王园龙
执业兽医师
根据宝宝的情况,我给它开个处方。
处方里面的
1. **********最先用这个药冲洗患处,才脏东西冲洗干净后再用下一个药。
用法用量:冲洗,每天2次,每次2ml,用药14天
2.*******抑菌膏,冲洗干净伤口后,用这个药均匀涂抹在伤口里,以及伤口外发红的皮肤上。
用法用量:涂抹,每天2次,每次均匀涂抹到伤口上,用药14天
3.**********片.这个是口服消炎药,控制感染帮助恢复的。
用法用量:口服,前14天每天2次,每次2片,
第15天开始每天两次每次1粒口服,直到总用药时间为28天,第29天停药。
🐱🐶 🐶 注意
1.这个伤口已经清理的很干净了,以后保持这个状态就可以,如果您不带狗狗去宠物医院的话,那就不要再给他切除皮肤科,太疼了。
2.这个伤口恢复期至少需要28天。期间要保持清洁干燥,不可以舔到,如果能舔能抓,那需要保护好,不然容易二次感染。
3.正常饮食,禁止鱼虾蟹类的食物。
4.坚持上药,每7天需要复诊一次的,然后根据情况调整方案。
5.如果用药期间狗狗状态不好,不吃不喝,或者发烧的话,那需要立即带狗狗去就近宠物医院做一下体检。
我现在疫情在家出不去 只有简单的消毒水和碘伏 还有人吃得消炎药 可以用人吃得消炎药给它上到伤口处吗
王园龙
执业兽医师
1.您可以试试网上买药,看看能不能快递送到。如果快递都停了,那只能先用家里的药品做处理了。等可以买到药或者解封后立即换药,或者带去宠物医院在处理。
2.您发一下家里药品都有什么,实在买不到我说的药,我看看家里药品整合一下怎么用
王园龙
执业兽医师
那只能用碘伏消毒,并且保持伤口位置清洁干燥,这两种药都不能往伤口上外用的。
也不能给狗狗口服,这两种药对狗狗胃肠的副作用比较大,所以都不能用的。
您最好再试试找找有没有消炎的外用药膏。
外用的消炎药膏只有红霉素软膏了 狗狗1处有一个伤口 2,3处里面有空腔 就是皮肉分离的状态 但是不知道为什么1处的上面黑了 感觉是淤血不是很确定 用棉签压1处黑色部分时间长一点会变红 松开还是黑色 黑色部分没有皮肉分离的表现 但是开口处有腐肉味道散发 需要剪开伤口清理吗
为保护用户隐私不显示图片/视频
王园龙
执业兽医师
那就先用*****涂伤口吧。
1处这位置是局部的瘀血导致的发黑。这个按时消毒就可以了。
2.3处皮下有腐烂,然后已经形成了皮下的腔隙,主要是您手机药品不够啊,暂时还是不要剪开清创了,可以顺着开口的缝隙反复冲洗,把里面的脏东西清理干净,再上药,这样是避免大面积感染的最有效的办法。
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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