咨询描述:捡到的4个月大英短公猫,3斤重,到家一周多了,瞳孔总是很大,对手势刺激不敏感不眨眼,流口水,呼吸急促,瘫软无力,看着很痛苦,持续十几个小时后恢复点了,吃喝正常,后腿无力,每天都会发作,目前没有抽搐。去医院让做全套检查一万多起步我没做
回复总结:猫咪出现呼吸急促、瘫软无力的症状,属于神经症状,跟大脑异常有一定关系,比如脑炎或者脑水肿。处理办法上,建议带猫咪去宠物医院做大脑的核磁共振检查,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,建议给猫咪口服含有阿莫西林克拉维酸钾成分的药物,起到抗菌消炎的作用。同时,配合服用含有泼尼松龙成分的药物,抑制特异性免疫反应。此外,还需要口服利尿药,对脑水肿有效。
问题大致一样,细节不同?
陆文健
执业兽医师
根据您目前提供的信息,还不能做出进一步的判断。我还有几个问题需要向您核实一下:
1、您描述的猫咪的这些症状是一直存在,还是发作一段时间的时候存在?如果再发作的一段时间存在,一般持续多长时间?在不发作的时候,猫咪您描述的症状是不是消失?
2、猫咪的这种情况,是不是到家后就已经发生?到家一周到现在,猫咪的症状有没有加重?
3、您平时给猫咪喂了那些食物?猫咪有没有口臭?您检查一下猫咪的口腔粘膜或者舌头等部位有没有红色或者白色的溃疡斑块?
4、医院是不是什么化验都没有做?比如检测杯状病毒、疱疹病毒、血常规、血液生化有没有进行化验?
5、这段时间使用过什么药物吗?药物名称?使用时间?疗效?
以上这些情况您仔细回忆后详细的描述给我,对我给猫咪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。
不是一直这样,发作一次十几个小时,不发作的时候不流口水,呼吸正常,吃喝拉尿正常,精神失常,但是后腿无力,每天都会发作,到家就这样的,症状没有加重,平时就***猫粮,***主食罐,***冻干,***奶粉,都是进口的,有点口气但是口腔没有炎症,去医院医生检查了没有口炎,体检结果也都正常,没有猫瘟杯疱,目前没有用药
陆文健
执业兽医师
是不是不管是在发作期,没有发作期,猫咪眼睛对于手势反应都是迟钝?猫咪走路情况怎么样?也就是您感觉猫咪视力怎么样?
刚才打错字了,发病时候精神萎靡,不发作的时候精神正常,就是后腿无力,发不发作眼睛对手势刺激都不会眨眼,我用手比划吓唬他,他都不眨眼,除非碰到,走路视力正常,一叫名字就过来,不发作的时候挺爱玩的,难受就去猫砂盆趴着,我买了***和***还没用
陆文健
执业兽医师
猫咪一天发作的时间是10多个小时?每天一次?一般发作时间是在一天的那个时间段?有没有规律吗?
昨天是从中午一点开始,一直到夜里两点还是难受,今早活蹦乱跳了,从上午9点开始到现在又开始了,没有规律
陆文健
执业兽医师
目前猫咪的这些症状是神经症状,也就是猫咪大脑有异常,但不能确定是癫痫病、还是脑炎或者脑水肿。
根据您描述的信息,虽然猫咪似乎有发作期,但我的判断猫咪这种情况应该不是癫痫病,癫痫发作不可能一天一次,持续时间也很长。
我目前怀疑,猫咪有脑水肿的可能,但确诊确实比较困难,可能需要做大脑的核磁共振等检查,费用确实不低。不知道医院判断猫咪大概是什么病因?
我给您的尝试治疗建议是:
1、口服***,抗菌消炎;
2、口服泼尼松龙,抑制特异性免疫反应;
3、使用利尿药***,对脑水肿会有效。
您如果考虑使用我的方案尝试治疗的话,我给您的猫咪开个处方,供您参考。
医生也说可能是神经性问题,那我买的那个止痛药还需要吗?
陆文健
执业兽医师
购买的***可以给猫咪使用,那个***是一种解热、镇痛、消炎的药物,如果是脑水肿,使用泼尼松龙效果要比***好。目前现在不能确诊猫咪的病因,但我的判断猫咪脑积水或者脑水肿的可能性比较大,应该还是比较轻微的。您自己考虑一下,是使用***+***进行尝试治疗,还是使用***+***+***进行尝试治疗?您的猫咪体重3公斤还是3斤?
感谢感谢,当然听你的,***家里有,50mg的,用法用量?猫咪3斤2两,另外两种药的用法用量?如果是脑水肿,这个病可以治愈的吗?
陆文健
执业兽医师
脑积水有先天性的,也就是大脑结构在胚胎发育时有异常;也有后天性的,比如缺乏维生素A、脑炎、或者其他疾病导致。如果您的猫咪是脑水肿的话,应该是先天性的,这种情况可能很难治愈,但随着猫咪的生长可能会有所改善。下面我给您的猫咪开个处方,供您参考。
陆文健
执业兽医师
建议处方:
1、***(阿莫西林克拉维酸钾片),50mg×10片/板,一次口服0.5片,一天2次,连用5-7天;
2、***,5mg×100片/瓶,一次口服1/4片,一天2次,连用5-7天;
3、***呋塞米片,20mg×7片×5板/盒,一次口服1/4片,一天1次,连用3-5天,尽可能不要超过5天。
陆文健
执业兽医师
几点说明:
1、您购买的***可以给猫咪喂,可以喂7天以上;***暂时不使用;
2、使用我给您开的处方,有利尿剂,猫咪可能会增加饮水量和小便量,给猫咪供应充足的饮水;
3、如果猫咪是脑积水或者脑水肿,我给您的猫咪治疗后,应该会有明显的疗效。
请用药3天后复诊,根据您的猫咪恢复的情况再来考虑是否需要调整治疗方案,有问题可随时在线联系。
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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