咨询描述：医生你好，我看到学校里一只野猫不知道怎么了，感觉不像是普通得猫癣，可能是受伤感染了，现在每天都没有精神，估计快不行了。不知道该怎么帮组它。我们现在封校也不能出门，麻烦医生看看是什么病症，能不能开店药或者外用的喷雾或者软膏。如果需要打针应该也可以，我之前看过宠物医院的人打针，应该可以自己操作。
回复总结：如果猫咪耳朵出现外伤感染，还有化脓的症状，首先必须要给猫咪清创，清创之后，局部需使用皮肤的消炎药，同时还需要口服抗生素。注意，整个治疗期间你都必须要给猫咪佩戴伊丽莎白项圈，不能让猫咪去抓或者是挠这个部位，避免抓或者是挠造成二次伤害。如果是非常严重的外伤感染，最好是打针治疗。
问题大致一样，细节不同？
郭秋萍
执业兽医师
根据您讲到的猫的情况，自己上传的图片，我初步 他是有很严重的外伤，而且已经流脓了，不排除同时有耳螨感染，但仅仅根据目前信息，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. 猫咪是什么时候开始出现这些临床症状的？
2. 你能够检查一下猫咪耳朵里面，有没有咖啡色或者黄色的耳分泌物？
3. 他平时自己有没有抓或者是挠这只耳朵？
4. 他之前有没有什么疾病史？最近精神食欲大小便情况怎么样？
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，把您家爱宠的信息补充完整，特别是『年龄、体重』，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，我不知道什么时候开始出现这个现象，我是昨天发现这个猫咪有这个现象的
2，耳朵里面有少量分泌物，不知道是耳屎还是耳螨导致
3，没有看到它抓挠的动作，它基本已经失去行动能力了，大部分时间都是趴着
4，不知道病史，发现它的时候就非常没有精神，喂了一点东西吃得不多，食欲并不好。
医生您好，希望您能仔细看一下问诊信息，您问的情况大部分都提供在第一次问诊的信息里了。而且我也说明了这是学校里的野猫，不可能知道关于它的病史，体重，年龄这些信息，希望您务实一点，不要套路！谢谢！
郭秋萍
执业兽医师
而且你也要尽可能地告诉我询问的所有的信息，虽然他是一只野猫，但是我也是把它当作一条生命在对待的。我问你，你不知道的，可以说不知道，但是如果我不问你，我就不知道你知不知道，那么对于我来说会漏诊很多信息。再次，如果我不知道他的详细体重我怎么告诉你用药的剂量呢？所以我们并不是敌对关系，你也没必要对我有这么大的意见。
对于你提到的猫咪的这些情况，首先他的耳后背明显是有外伤已经化脓感染了，这种情况除非是细菌感染进入到血液，造成他菌血症或者败血症，一般不会造成他精神食欲特别差的，更不会影响到它的行动能力。所以，很有可能它是多重疾病并发。
因为你没有办法出去检查，那么对于他的行动能力问题，就没办法帮你诊断和治疗，但是对于他的外伤可以给你提供救治意见。
针对他的外伤感染，首先必须要给他清创，清创之后，局部需要给他使用皮肤消炎药，同时还需要给他口服抗生素。在整个治疗期间你都必须要给他佩戴伊丽莎白项圈，不能让他去抓或者是挠这个部位，因为你不可能24小时看着他，他极有可能在你的视线范围之外，出现抓或者是挠，尤其是在伤口愈合过程中非常痒，会去抓或者是挠造成二次伤害。
还有他这种外伤感染是非常严重的外伤感染，正常来讲最好是打针治疗，但是注射针剂你必须要去宠物医院开，我们平台是没有办法给你开注射用药，我们只能开口服药，你实在是没有办法去医院，那你可以退而求其次，按照下面的处方去给他处理。
但是你要有心理准备，对于流浪猫来说，他的病史往往是很复杂的，单纯处理外伤，不一定是让他得到彻底的救治。你们想救治他的这种爱心我能理解，但是并不是说你有爱心，他就一定能够康复。
根据猫咪的情况，我给它开个处方。处方里面的1. ***，抗生素，一天两次，一次12.5毫克每千克体重，你需要想办法给它称重后计算投喂量。
2.生理盐水，纱布块，自己去药店购买，给它冲洗伤口，所有的脓液都需要挤出来清洗干净。
3. ***，去腐生肌，每天一次，抹于患处。
您可以根据需求自行选择购买。
外伤恢复可能需要30天左右。更有可能后期需要手术清创治疗。
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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