咨询描述:您好,我狗狗过马路被车撞了,现在一个星期了还是不能走路,四肢老是像划水一样乱动不知道能不能好,该怎么办?
回复总结:狗狗被车撞后出现抽搐、大小便失禁的症状,可能是车祸造成了脑震荡或者脑损伤。如果条件允许,建议带狗狗去宠物医院进行核磁共振检查脑出血或者脑损伤情况,或者拍片检查狗狗有没有脑水肿,然后根据检查结果对症治疗。如果暂时不方便去宠物医院就诊,建议先保持狗狗安静,使用注射器给狗狗补充食物。然后,给狗狗口服抗生素和含有泼尼松龙成分的药物控制大脑炎症。
问题大致一样,细节不同?
陆文健
执业兽医师
您的狗狗被车撞击后,出现四肢划水状,不能收大脑神经控制正常走路,,这种情况和狗狗造成的脑震荡或者脑损伤有关,应该是小脑、前庭、迷路等神经损伤导致。
但仅仅根据您目前提供的信息,还不能做出进一步的判断。麻烦您发一个狗狗的视频给我参考,我还有几个问题需要向您核实一下:
1、狗狗被车撞击后,当时狗狗有哪些症状?有没有送医院检查治疗?或者您自己给狗狗注射止血敏等止血药物?
2、狗狗经过一周恢复后,除四肢划水状外,其他还有没有抽搐、呕吐、大小便失禁等症状?
3、狗狗目前吃食和饮水情况怎么样?
以上这些情况您仔细回忆后详细的描述给我,对我给狗狗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。
被撞后出现痉挛,大小便失禁,有给狗狗用抗水肿滴药,现在一周了还有大小便失禁没有呕吐,有抽搐,目前只能给吃点鸡蛋,而且还是用注射器打的流食
现在喝水吃东西都不能自己吃,没有明显的外伤也没有流血只是刚被撞了以后嘴里有少量来血
陆文健
执业兽医师
看了您发来的视频,结合您描述所提到的,狗狗四肢呈划水状、有抽搐、大小便失禁等症状,狗狗应该是被撞后,造成严重脑震荡,可能导致大脑中枢有损伤或者有较大量的出血
如果有条件的话需要进行核磁共振检查脑出血或者脑损伤情况,或者可以拍片检查狗狗有没有脑水肿。但目前很多宠物医院的医疗技术和设备达不到要求,可能很难判断狗狗大脑损伤或者出血的程度,而且即使能检查,狗狗的脑部手术难度很大,很少医院能做脑部手术。
目前我给您的建议是:
1、保持狗狗的安静,继续使用注射器给狗狗补充食物;
2、药物的话可以尝试使用抗生素(比如***)和泼尼松龙控制一下大脑炎症,可能会有帮助,目前还不能确定狗狗有没有脑水肿,如果有脑水肿,可以使用利尿药(***),可以促进脑积水排出。下面我给您的狗狗开个处方供您参考。
陆文健
执业兽医师
狗狗的这种情况不好判断,不管是动物还是人类,脑损伤或者脑部出血,造成局部神经中枢的神经死亡,而神经细胞一旦死亡,不可恢复,所以目前没有办法判断狗狗能不能有所恢复,或者恢复到什么程度。但如果大脑损伤不是很严重的话,通过用药治疗,以及以后帮助狗狗锻炼,是可以慢慢会有所改善的。
陆文健
执业兽医师
根据狗狗被车撞击,造成大脑损伤或者脑部出血的情况,我给它开个处方。处方里面的:
1、****,抗菌消炎;
2、****,抑制大脑损伤后的炎症。
建议处方:
1、***(阿莫西林克拉维酸钾片),50mg×10片/板,一次口服1片,一天2次,连用5天;
2、**** ,5mg×100片/瓶,一次口服0.5片,一天1次,连用5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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50mg×10片\/板","advword":null,"price":48,"market_price":59,"cost_price":0,"stock":9249,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50mg规格1板"}},"cover":null,"thumb":"","sale_count":1808,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:50:13","updated_at":"2024-11-21 22:49:09"}},"1":{"id":35244,"prescription_id":115826,"doctor_user_id":1388751,"product_id":774,"product_sku_id":816,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":5,"number":1,"remark":"混合在食物中给予","created_at":"2022-06-27 19:37:49","updated_at":"2022-06-27 19:37:49","product_info":{"id":774,"hash_id":"7GDJdPpkE6gWkR6K","class_ids":{"0":1,"1":2},"category_ids":{"0":173},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":63,"sell_point":"摩登狗泼尼松龙 P5 5mg","title":"摩登狗泼尼松龙 P5 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