咨询描述:症状描述:昨天开始不吃不喝没有精神查出贫血,输液一天。今天复查还是维持昨天一样的情况仍然不吃不喝。巴贝斯虫监测阴性
用药情况:***50ml,***一支50ml。****一支配50ml。***一支配50ml。***100ml配全体营养液输液
回复总结:针对狗狗贫血的情况,最好的治疗方案是带狗狗去宠物医院进行输血治疗,同时配合静脉输液,给狗狗补充体液和能量。然后,建议给狗狗做血液寄生虫排查,同时进行全身影像学、x光片、彩超以及ct检查,找出贫血的病因,进一步判断是否有肿瘤以及脾脏方面的问题。如果有脾脏或者肿瘤问题,需要进行手术,甚至化疗治疗。
问题大致一样,细节不同?
陈奕达
执业兽医师
根据您上传的化验结果来看,狗狗确实有比较严重的贫血问题。但是无法做出进一步的贫血病因的诊断。然后从治疗的角度来讲,个人建议考虑进行输液治疗。
然后在排除血液寄生虫的情况下,个人建议给予狗狗进行全身影像学的检查,x光片,彩超,甚至ct检查。进一步判断是否有肿瘤以及脾脏方面的异常问题,从而引发严重贫血的症状。
然后我还有几个问题追问您一下,以进一步了解狗狗的病情。1.狗狗最近是否误食了葱类食物?2.狗狗除了不吃不喝,是否还有其它症状?
大小便正常尿液偏黄,既往身体非常好从来没有生病。星期五下午跑出去玩了两个小时应该不会误食洋葱。但是无法排除是否误食引起生病。除了不吃不喝没有精神别的都还好。今天早上小便正常量大便偏硬前面土色后面偏红不像血有一点点类试鸡油或冻子样的物体在大便中断。昨天开始一口水都不愿意喝一直到现在。目前正在输液。本地医生暂时没有给出疾病原因
陈奕达
执业兽医师
您好,从狗狗现在的化验结果,确实无法进一步判断病因。需要再给予狗狗进行影像学检查,判断是否有肿瘤或者脾脏方面的问题。然后以狗狗的贫血程度,建议考虑进行输血治疗。
目前找不到血源,再一个我也担心出现医生说的溶血风险。想找一个更安全有效的治疗方法。最好能先吃点东西。因为这个不吃不喝也算是突然出现的体重目前还是正常。
陈奕达
执业兽医师
您好,1.狗狗这种情况如果寻找不到血源,可以先要是给予犬血浆,进行应急使用。2.最有效的治疗,就是输血。然后进一步的治疗,就需要进行深入检查确诊。如果有脾脏或者肿瘤问题,那么就需要考虑手术,甚至化疗的治疗。3.说实话,狗狗生病大多数都是突然出现症状的。因为在没有症状的情况下,狗狗不会说话表达,所以我们观察不到狗狗有生病的问题。4.体重在没有长期生病的情况下,一般不会有什么变化。
现在输了两天***和***今天复查血红蛋白还是低如果不输血是不是有生命危险?我们也害怕输血同样有生命危险。现在这个用药还需要补充哪些药物呢?
陈奕达
执业兽医师
您好,1.是的,如果红细胞一直不上升,确实会有生命危险。2.输血可以给予狗狗进行血型的适配,只要同血型,危险系数会降到最低。3.如果狗狗没有呕吐,可以再配合一些促进食欲恢复,以及补血口服液,来帮助狗狗恢复。
然后我这边给宝贝开个处方,供您采纳参考(配合输液打针治疗)。
处方里面的
1. 维生素口服液,补充消化道营养,促进食欲恢复。
2. ***,宠物专用补血口服液,促进贫血的恢复。
现在最麻烦的就是狗狗一口水都不喝今天就用注射器灌了5ml葡萄糖。这种情况输液几天合适呢?一直输到血常规正常还是几天呢?
陈奕达
执业兽医师
您好,如果狗狗不自主进食,可以在没有呕吐的情况下,人为的用针管给予温柔灌喂。以少吃多餐为原则进行喂食。输液最少持续一周的时间,然后一周之后,根据狗狗当时的状态,考虑下一步的治疗方案。
影像是做ct还是b超呢?心脏昨天医生听了一下觉得还好。狗狗毕竟才9岁多还想它能多活几年
陈奕达
执业兽医师
您好,可以先进行x光片以及超声检查。以狗狗现在的体况ct检查有一些麻醉的风险。可以在x光以及超声结果出来之后,再考虑是否需要进行ct检查。
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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