咨询描述：两个月幼猫偶尔打喷嚏，声音沙哑，叫声小，偶尔流眼泪
回复总结：幼猫出现打喷嚏、声音沙哑的症状，可能是呼吸道感染引发的，也不排除有支原体、衣原体、疱疹病毒或者是波士杆菌以及杯状病毒等因素。处理办法上，建议给猫咪口服含有盐酸多西环素成分的药物，对抗炎症感染以及病毒感染。此外，还需要配合服用提高免疫力的药物，促进猫咪快速恢复。
问题大致一样，细节不同？
徐灿
执业兽医师
你好家长，对于这种情况来说，能不能拍摄一段视频发过来看一下？我想了解一下具体的情况，一般来说，这种情况主要考虑的就是支原体衣原体的感染，疱疹病毒或者是波士杆菌以及杯状病毒等等，检查一下口腔之中有没有臭味儿？有没有发热和第三眼睑的突出？有没有什么别的不同或者异常？请详细的描述一下。现在她的吃喝是正常的吗？
吃喝正常，玩的比较欢，刚刚又打了一次喷嚏，下午的时候发现有耳螨，还比较严重，就用维克的耳漂清洁涂了***，最近羊奶粉加猫粮，还有些吐奶的症状
徐灿
执业兽医师
能不能拍摄一段视频？发过来看一下，我想了解一下具体的症状和表现，后续如果你需要的话，我可以帮你开一个常用的方案，但是需要提出处方申请，因为他的精神状态不错，而且吃东西有逆向诊断的空间。
有滴用这个，家里还有一猫一狗两个原住民，目前没有出现什么症状问题
为保护用户隐私不显示图片/视频
这个症状有三四天了，睡的比较多，声音沙哑着有时还叫不出声，它的前主人给它们洗澡比较勤，抱回来前还洗了一次
徐灿
执业兽医师
这个是治疗疱疹病毒的，但是相对来说，关联性不是很强，这种情况建议是增加一些四环素类抗生素的使用，而且建议增加一次体外驱虫，因为有耳螨，同时，需要增加一些提高免疫力的药物进行使用，从精神状态上来说，还是不错的，如果你需要的话，我可以帮你开一个常用方案，但是需要提出处方申请。
另外，建议是把羊奶粉停了，因为羊奶粉很多都会造成乳糖不耐受，她总是吐奶，很大程度上和这个有关。
多西环素每天1/8片吃了三四天了
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
一般来说，多西环素是有效的，配合上其他的一些提高免疫力的药物，会更好一些，然后现有方案也可以后续再增加一次体外驱虫即可。
只用再加一次体外驱虫吗？体内需要吗？多西环素还要再吃几天？需要单独隔离吗？
徐灿
执业兽医师
体外的驱虫，你可以把耳朵清理干净之后直接点入耳朵里面，这样的话可以有效的治疗耳螨，体内驱虫，如果没有做的话，也可以做一次。
一般来说，多西环素至少也得再吃3到5天，有条件的话，最好是单独隔离。
徐灿
执业兽医师
实际上是可以的，只要正确的用药，那么一般并没有太多的问题，不过驱虫的时候一定要注意用药剂量，用药量错误的话，容易中毒。
徐灿
执业兽医师
现在要做的就是进行一次体外驱虫，然后把驱虫药可以点到耳朵里面，然后用一些中药的提高免疫力的配合上多西环素用，如果你需要的话，我可以帮你开一个方案，但是需要提出处方申请。体内驱虫的话也可以安排一下。
徐灿
执业兽医师
没事的，不用谢，我帮你开了一个常用的方案，后续的话，口服液可以多用一段时间，配合着多西环素会有较好的效果。体内驱虫的话，可以共同用药，一般也并没有什么问题。
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
{"382068":{"id":382068,"case_id":43988,"user_id":1296147,"to_user_id":2085488,"type":3,"content":"没事的，不用谢，我帮你开了一个常用的方案，后续的话，口服液可以多用一段时间，配合着多西环素会有较好的效果。体内驱虫的话，可以共同用药，一般也并没有什么问题。","media":{"images":{},"videos":{},"business_params":{"prescription_id":119476}},"is_doctor":1,"status":1,"created_at":"2022-08-01 21:10:59","show_rx":true,"rx_info":{"id":119476,"rx_no":2.02208012110575e+24,"user_id":2085488,"doctor_user_id":1296147,"is_independent":0,"case_id":2844475,"pet_info":{"pet_id":316462,"pet_name":"英短银渐层","pet_nickname":"奶包","pet_gender":2,"pet_birth":"0-2","pet_weight":1,"pet_vaccination_status":0,"pet_in_insect_repellent_status":0,"pet_out_insect_repellent_status":0,"pet_age_format":"2个月"},"diagnose":"驱虫 黄芪多糖","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2022-08-01 21:10:57","updated_at":"2022-08-01 21:10:59","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":43253,"prescription_id":119476,"doctor_user_id":1296147,"product_id":693,"product_sku_id":736,"dose":1,"dose_unit":"ml","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"按照指导计量使用","created_at":"2022-08-01 21:10:57","updated_at":"2022-08-01 21:10:57","product_info":{"id":693,"hash_id":"650KvV4Qv9gWXBEd","class_ids":{"0":1,"1":2},"category_ids":{"43":200},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":40,"sell_point":"远征芪圣齐苷素黄芪多糖口服液","title":"远征芪圣齐苷 素黄芪多糖口服液 20ml\/瓶","recommend_reason":{"0":"用于调节机体免疫应答水平","1":"用于产后恢复期、病愈康复期等","2":"促进肠道固有益生菌增殖"},"baike_guide_text":"","baike_article_hash_id":"","advword":"肾衰竭,肝脏问题,黄疸,肝炎,真菌感染,皮肤病,猫癣","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"20ml\/瓶"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2022\/02\/340d4cf2fe15c62843bf97c147f8e983.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":58,"max_price":58,"sale_count":114,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 14:07:09","updated_at":"2024-11-13 13:44:39","ins":{"id":40,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"芪圣齐苷素黄芪多糖口服液","common_name":"黄芪多糖口服液","trade_name":"芪圣齐苷素","en_name":"Huang Qi Duo Tang Kou Fu Ye","brand_name":"远征","is_prescription":0,"cover":"\/drug\/2022\/02\/3e862d5a3cc73e783e0f0a2e0716095f.jpg","specification":"20ml\/瓶","reference_price":70,"component":"黄芪多糖（每100mL相当于原生药150g）、低聚木糖、吡啶甲酸铬等。","indication":"1.调节机体免疫应答水平，提高抗体滴度，提高疾病治愈率，缩短病程。\n2.增强抗病力，刺激机体内源性干扰素产生，各类病毒性疾病的辅助治疗。\n3.寄生虫、真菌感染以及免疫缺陷引起的脱毛、皮肤破溃、愈合缓慢等症的辅助用药。\n4.产后恢复期、病愈康复期、免疫前后、外出、运输途中以及疫病流行期保健预防使用。\n5.幼宠、老龄宠物免疫力低下以及各种原因引起的肝脏损伤、肾脏损伤、脂肪肝、高血脂和糖尿病的辅助治疗。\n6.促进肠道固有益生菌增殖，降低肠道抗原负荷。\n7.各类中毒造成的肝损伤。","usage_dosage":"1.犬、猫口服：5kg体重以下每次1滴管；5~10kg体重每次2滴管；10kg体重以上每次3滴管。\n2.每日2次，可直接口服或滴入饮水、日粮中自由采食。\n3.专家建议：连续使用1~2个疗程，每个疗程为一周。幼宠免疫前后一周使用，提高免疫效果。","contraindication":"","adverse_reaction":"尚未见不良反应。","attention":"","interaction":"","approval_no":"兽药字030465231","storage_method":"置于阴凉干燥处保存","validity":"2年","manufacturer":"河北远征禾木药业有限公司","status":1,"created_at":"2020-10-30 18:42:45","updated_at":"2022-02-14 16:14:54"}},"product_sku_info":{"id":736,"product_id":693,"title":"远征芪圣齐苷 素黄芪多糖口服液 20ml\/瓶","advword":null,"price":58,"market_price":78,"cost_price":0,"stock":40,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"20ml\/瓶"}},"cover":null,"thumb":"","sale_count":120,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 14:07:09","updated_at":"2024-11-13 13:38:15"}},"1":{"id":43254,"prescription_id":119476,"doctor_user_id":1296147,"product_id":872,"product_sku_id":913,"dose":0.25,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":1,"number":1,"remark":"每公斤0.25片","created_at":"2022-08-01 21:10:57","updated_at":"2022-08-01 21:10:57","product_info":{"id":872,"hash_id":"VNA3DJxL9BpMGaOw","class_ids":{"0":2},"category_ids":{"0":179},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":133,"sell_point":"猫用拜宠清双羟萘酸噻嘧啶吡喹酮片","title":"拜耳猫用拜宠清双羟萘酸噻嘧啶吡喹酮片 2片\/拆零","recommend_reason":{"0":"用于治疗猫的线虫和绦虫混合感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"猫内驱虫药,线虫,绦虫,弓首蛔虫,管形钩口线虫","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"2片拆零"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2022\/01\/da5345c78db090321ca9c9abdd035943.JPG","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":58,"max_price":58,"sale_count":43,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2022-01-11 15:34:54","updated_at":"2024-11-19 09:08:40","ins":{"id":133,"hash_id":"","class_ids":"[\u00222\u0022]","title":"","common_name":"双羟萘酸噻嘧啶吡喹酮片","trade_name":"拜宠清（猫用）","en_name":"Pyrantel Pamoate and Praziquantel Tablet","brand_name":"拜耳","is_prescription":0,"cover":"\/drug\/2020\/12\/3b54b69be46f71b3e1fad41171d41f33.JPG","specification":"8片×1板\/盒","reference_price":388,"component":"双羟萘酸噻嘧啶、吡喹酮","indication":"用于治疗猫的线虫和绦虫混合感染。如猫弓首蛔虫成虫、管形钩口线虫成虫、巴西钩口线虫成虫、多房棘球绦虫、犬复孔绦虫、泡状带绦虫、中殖孔绦虫属、乔伊绦虫等。","usage_dosage":"以本品计。内服:一次量,每4kg体重,猫1片（详见说明书）（每0.399g：双羟萘酸噻嘧啶0.23g+吡喹酮0.02g）","contraindication":"","adverse_reaction":"","attention":"无需制定休药期。","interaction":"","approval_no":"（2019）外兽药证字70号","storage_method":"常温保存。","validity":"4年","manufacturer":"KVP Kiel有限责任公司","status":1,"created_at":"2020-12-22 17:59:02","updated_at":"2020-12-22 17:59:02"}},"product_sku_info":{"id":913,"product_id":872,"title":"拜耳猫用拜宠清双羟萘酸噻嘧啶吡喹酮片 2片\/拆零","advword":null,"price":58,"market_price":118,"cost_price":0,"stock":66,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"2片拆零"}},"cover":null,"thumb":"","sale_count":47,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2022-01-11 15:34:54","updated_at":"2024-11-18 21:25:11"}}},"drug_data_bak":{"0":{"id":43253,"prescription_id":119476,"doctor_user_id":1296147,"product_id":693,"product_sku_id":736,"dose":1,"dose_unit":"ml","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"按照指导计量使用","created_at":"2022-08-01 21:10:57","updated_at":"2022-08-01 21:10:57","product_info":{"id":693,"hash_id":"650KvV4Qv9gWXBEd","class_ids":{"0":1,"1":2},"category_ids":{"43":200},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":40,"sell_point":"远征芪圣齐苷素黄芪多糖口服液","title":"远征芪圣齐苷 素黄芪多糖口服液 20ml\/瓶","recommend_reason":{"0":"用于调节机体免疫应答水平","1":"用于产后恢复期、病愈康复期等","2":"促进肠道固有益生菌增殖"},"baike_guide_text":"","baike_article_hash_id":"","advword":"肾衰竭,肝脏问题,黄疸,肝炎,真菌感染,皮肤病,猫癣","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"20ml\/瓶"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2022\/02\/340d4cf2fe15c62843bf97c147f8e983.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":58,"max_price":58,"sale_count":114,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 14:07:09","updated_at":"2024-11-13 13:44:39","ins":{"id":40,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"芪圣齐苷素黄芪多糖口服液","common_name":"黄芪多糖口服液","trade_name":"芪圣齐苷素","en_name":"Huang Qi Duo Tang Kou Fu Ye","brand_name":"远征","is_prescription":0,"cover":"\/drug\/2022\/02\/3e862d5a3cc73e783e0f0a2e0716095f.jpg","specification":"20ml\/瓶","reference_price":70,"component":"黄芪多糖（每100mL相当于原生药150g）、低聚木糖、吡啶甲酸铬等。","indication":"1.调节机体免疫应答水平，提高抗体滴度，提高疾病治愈率，缩短病程。\n2.增强抗病力，刺激机体内源性干扰素产生，各类病毒性疾病的辅助治疗。\n3.寄生虫、真菌感染以及免疫缺陷引起的脱毛、皮肤破溃、愈合缓慢等症的辅助用药。\n4.产后恢复期、病愈康复期、免疫前后、外出、运输途中以及疫病流行期保健预防使用。\n5.幼宠、老龄宠物免疫力低下以及各种原因引起的肝脏损伤、肾脏损伤、脂肪肝、高血脂和糖尿病的辅助治疗。\n6.促进肠道固有益生菌增殖，降低肠道抗原负荷。\n7.各类中毒造成的肝损伤。","usage_dosage":"1.犬、猫口服：5kg体重以下每次1滴管；5~10kg体重每次2滴管；10kg体重以上每次3滴管。\n2.每日2次，可直接口服或滴入饮水、日粮中自由采食。\n3.专家建议：连续使用1~2个疗程，每个疗程为一周。幼宠免疫前后一周使用，提高免疫效果。","contraindication":"","adverse_reaction":"尚未见不良反应。","attention":"","interaction":"","approval_no":"兽药字030465231","storage_method":"置于阴凉干燥处保存","validity":"2年","manufacturer":"河北远征禾木药业有限公司","status":1,"created_at":"2020-10-30 18:42:45","updated_at":"2022-02-14 16:14:54"}},"product_sku_info":{"id":736,"product_id":693,"title":"远征芪圣齐苷 素黄芪多糖口服液 20ml\/瓶","advword":null,"price":58,"market_price":78,"cost_price":0,"stock":40,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"20ml\/瓶"}},"cover":null,"thumb":"","sale_count":120,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 14:07:09","updated_at":"2024-11-13 13:38:15"}},"1":{"id":43254,"prescription_id":119476,"doctor_user_id":1296147,"product_id":872,"product_sku_id":913,"dose":0.25,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":1,"number":1,"remark":"每公斤0.25片","created_at":"2022-08-01 21:10:57","updated_at":"2022-08-01 21:10:57","product_info":{"id":872,"hash_id":"VNA3DJxL9BpMGaOw","class_ids":{"0":2},"category_ids":{"0":179},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":133,"sell_point":"猫用拜宠清双羟萘酸噻嘧啶吡喹酮片","title":"拜耳猫用拜宠清双羟萘酸噻嘧啶吡喹酮片 2片\/拆零","recommend_reason":{"0":"用于治疗猫的线虫和绦虫混合感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"猫内驱虫药,线虫,绦虫,弓首蛔虫,管形钩口线虫","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"2片拆零"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2022\/01\/da5345c78db090321ca9c9abdd035943.JPG","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":58,"max_price":58,"sale_count":43,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2022-01-11 15:34:54","updated_at":"2024-11-19 09:08:40","ins":{"id":133,"hash_id":"","class_ids":"[\u00222\u0022]","title":"","common_name":"双羟萘酸噻嘧啶吡喹酮片","trade_name":"拜宠清（猫用）","en_name":"Pyrantel Pamoate and Praziquantel Tablet","brand_name":"拜耳","is_prescription":0,"cover":"\/drug\/2020\/12\/3b54b69be46f71b3e1fad41171d41f33.JPG","specification":"8片×1板\/盒","reference_price":388,"component":"双羟萘酸噻嘧啶、吡喹酮","indication":"用于治疗猫的线虫和绦虫混合感染。如猫弓首蛔虫成虫、管形钩口线虫成虫、巴西钩口线虫成虫、多房棘球绦虫、犬复孔绦虫、泡状带绦虫、中殖孔绦虫属、乔伊绦虫等。","usage_dosage":"以本品计。内服:一次量,每4kg体重,猫1片（详见说明书）（每0.399g：双羟萘酸噻嘧啶0.23g+吡喹酮0.02g）","contraindication":"","adverse_reaction":"","attention":"无需制定休药期。","interaction":"","approval_no":"（2019）外兽药证字70号","storage_method":"常温保存。","validity":"4年","manufacturer":"KVP Kiel有限责任公司","status":1,"created_at":"2020-12-22 17:59:02","updated_at":"2020-12-22 17:59:02"}},"product_sku_info":{"id":913,"product_id":872,"title":"拜耳猫用拜宠清双羟萘酸噻嘧啶吡喹酮片 2片\/拆零","advword":null,"price":58,"market_price":118,"cost_price":0,"stock":66,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"2片拆零"}},"cover":null,"thumb":"","sale_count":47,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2022-01-11 15:34:54","updated_at":"2024-11-18 21:25:11"}}}}}}
微信扫一扫
立即问宠医
