咨询描述:症状描述:你好,我家柯基刚满一岁,上周三凌晨两点突然出现剧烈的倒吸情况(倒吸情况已附视频),每次倒吸持续时间大约一分钟,声音巨大,一晚上大约倒吸了五六次,明显感觉呼吸不顺,喘气时时刻在倒吸的边缘徘徊。于是回想起来在一周之前出现过咳痰的情况,当时去医院拿了多西环素吃了几天。这次倒吸严重,带她去宠物医院,医生查了血(验血情况已附图两张),也没发烧,打了小针头孢污奎,连打了五天并且已经吃了六天的***和***。现在是第七天感觉还是没好全,打针的前两天精神状态比较好,现在在家精神一般,但食欲明显增加,偶尔倒吸和咳嗽,现在能明显听出狗狗有痰,还是浓痰的声音,但从没见她咳出来过。请问您觉得狗狗是什么病因?狗狗还需要进一步治疗吗,还是先观察一阵?
医院检查:没发烧,抽血检查结果已附图片
回复总结:狗狗出现倒吸气以及咳嗽的症状,考虑是呼吸道感染引发的问题。治疗方面,建议给狗狗口服宠物专用广谱消炎药,控制呼吸道炎症感染的情况,同时配合服用清热解毒、止咳平喘的药物,缓解呼吸道症状。如果条件允许,建议给狗狗进行呼吸道影像以及呼吸道病原检测,确定病因后再对症治疗。
问题大致一样,细节不同?
陈奕达
执业兽医师
根据您的描述,狗狗这种情况是属于呼吸道感染问题,呼吸道粘膜敏感,然后出现的症状。这种疾病治疗的时间比较久,而且可能会不定时复发,尤其是着凉引,或者生活环境有比较大灰尘的时候。然后狗狗如果现在没有完全康复,还是需要继续用药治疗的,现在停止用药,狗狗反复的可能性更大。然后除了给予上述口服,打针用药以外,还可以考虑再给予狗狗配合一下雾化治疗的方法,效果会更好一些。
陈医生您好,我去的医院没有雾化机,医生让我自己买一个压缩空气的雾化机,灌上生理盐水给狗狗使用,请问您觉得可以吗?还是我带狗狗去其他医院做雾化比较好呢,您有没有推荐的适合狗狗现在状况的药呢,目前多西环素只剩一粒,还在喝肺力咳合剂当中。还有就是,您觉得我家狗狗还需要做拍片等一系列进一步的检查吗?目前只是查了血。辛苦陈医生!
陈奕达
执业兽医师
您好,1.雾化器很好获得,并且使用简单,一般人的药店就有卖,可以自行购买使用。2.狗狗这种情况还是建议进行一些呼吸道影像,以及呼吸道病原(病毒,支原体,衣原体)等检测的,这样可以避免漏诊,误诊的情况发生。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,控制呼吸道感染。
2. ***,宠物专用呼吸道清热解毒,止咳平喘口服液。
3. ****,宠物专用呼吸道抗生素,止咳平喘,缓解呼吸道症状。
陈奕达
执业兽医师
雾化治疗方案,15-20毫升生理盐水,加1毫升地塞米松,2毫升庆大霉素,2毫升林可霉素。中等雾量,每次5分钟左右,一天2-3次。
太详细了,感谢陈医生!您觉得狗狗现在还需要继续打针吗,前五天每天都打***的小针,现在有两天没打了,小针打久了担心会不会对狗狗产生副作用?而且感觉打的这个小针只有在前两天效果显著,后面就没啥感觉了,看狗狗状态也是只是把症状压住了但没治好。您觉得我家狗狗这个症状严重么,是个什么程度的呼吸道感染呢?太担心了,唉!辛苦陈医生耐心解答!
陈奕达
执业兽医师
您好,1.个人认为还是需要继续打针的,可以持续打针连续用药2周左右,都是在狗狗承受范围内。2.从现在的整体一状态来讲,个人认为狗狗处于一个中度的疾病状态。整体还是不错的,不过还是需要继续耐心治疗,以及观察狗狗的后续恢复。
打针的话用什么药比较合适呢?这个呼吸道感染病因是过敏引起的,还是被传染或其他呢?平时生活环境还有饮食方面需要注意什么呀,遛狗的时候喜欢带狗狗去草地跑,平时狗狗不爱睡狗窝爱趴在地上睡
陈奕达
执业兽医师
您好,1.可以考虑更换成宠物专用***注射液,每公斤0.1-0.2毫升,一天一次,皮下或者肌肉注射。2.具体病因,需要进一步化验判断,现在暂时无法分析判断。3.正常吃喝,然后注意不能着凉,因为着凉会进一步加重狗狗的病情。4.禁止狗狗趴在凉的地面休息。
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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