咨询描述:我家的猫,脖子里有一个鼓包,软软的,轻轻一摸就叫的特别厉害,感觉特别疼,而且还特别没精神,总睡觉
回复总结:针对猫猫脖子里面有个包的情况,如果是柔软的并且里面有液体,主要考虑是脓肿或者血肿的问题。如果是血肿,直接抽掉里面的血液然后进行压迫即可。但是如果是脓肿,就需要在抽掉液体的同时使用抗生素来抗菌消炎。如果近期有给猫咪鼓包的位置打过疫苗或者注射过其它别的针剂,也可能是打针引起的。
问题大致一样,细节不同?
魏新立
执业兽医师
主人您好,宝贝这个位置有没有打过疫苗或者其它别的针剂呢?如果是柔软的,里面有液体的情况,主要考虑脓肿或者血肿的问题,如果近期有给宝贝这个位置打过疫苗或者注射过其它别的针剂,则更多的就是要考虑打针因素引起的。
如果有条件,正确的诊断流程是,可以给宝贝局部做一个B超的检查,看里面是液体还是软组织,然后用无菌细针穿刺采集少量的分泌物或者组织样本做细胞学的检查,看具体是血肿?脓肿?还是单纯肿块的问题,然后再有接下来的治疗方案,比如如果是血肿,直接抽掉里面的血液,然后进行压迫,但是如果是脓肿,就需要在抽掉的同时,需要里面使用抗生素来抗菌消炎,又或者是肿块,可能就有必要切除掉,送检做病理学分析,确定肿块的性质,这对预后给药有很好的帮助。
没有打过和其他针剂,它这种情况,会不会死?感觉它特别没精神,不吃不喝
魏新立
执业兽医师
如果长时间不吃不喝,宝贝的状态会越来越不好的,会有低血糖的症状,甚至严重时会引发脂肪肝的问题,我们还是有必要给宝贝做局部肿胀的检查,如果是单纯的炎性反应,我们可以给宝贝用抗菌和消炎镇痛的药物,同时戴好伊丽莎白脖圈,避免宝贝去抓挠,用抗生素和消炎的药物,应该对牠会有帮助的。
魏新立
执业兽医师
也可以用注射器少量多次强制喂食流体的食物,或者给猫咪煮点新鲜的鸡胸肉,看牠要不要进食呢!
魏新立
执业兽医师
如果猫咪才一岁多,并且肿胀质地偏软,肿瘤的可能性是极低的,通常肿瘤质地会比较硬,生长速度迅速,触诊也不会有明显的疼痛症状的。我更怀疑炎性肿胀或者血肿的问题。
那现在需要怎么做?感觉它特别痛苦,可以开一些止疼的药物吗?它的嗓子有些哑,几乎快叫不出来了
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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