咨询描述:猫咪早上开始突发性呕吐,去医院化验了血常规saa和胰腺,具体报告如下。呕吐上午一共发生五次,第一次是刚喂完早饭猫粮和冻干,呕吐出食物残渣,第二次是黄水,后两次是白色泡沫,最后一次由于用猫条喂食了***和***呕吐物是猫条的颜色,基本上吃啥吐啥。
回复总结:猫咪呕吐食物残渣和黄水,有可能是吃了什么异物堵塞在胃到十二指肠的位置,引起的胰腺指标脂肪酶上升,并且出现明显的胃肠道的症状。处理办法上,建议最好给狗狗查腹部B超或X光片,然后根据检查结果进行对症治疗。如果实不方便再做确诊,可以先对症进使用消炎、止吐的药物治疗,同时输液给与营养。
问题大致一样,细节不同?
赵一强
执业兽医师
主人你好,按照您的描述,宝贝目前的方案结果提示的是胰腺炎的问题,但是这么小的猫才九个月大,出现胰腺炎这种老年病,我觉得可能性非常低。那么最有可能的是宝贝有可能吃了什么异物堵塞在胃到12指肠的位置。引起的胰腺指标脂肪酶上升,并且出现明显的胃肠道的症状。
所以我的建议是您最好给宝贝查一下腹部B超或X光片。或者您最好好好的回忆一下宝贝在发病前有没有吃过家里什么可能导致他异物的东西塑料,针线,线绳等。
如果实在想不到也不方便再做确诊的话,可以先对阵的消炎止吐,输液给与营养,保护肠胃。看一下效果。
好的它比较喜欢肯塑料,其他的想不起来据说塑料比较透不好观察,我晚上去打消炎针和止吐针观察一下可以吗
赵一强
执业兽医师
主人你好,没错的,如果吃了塑料的话,经验丰富的腹部B超的医生有可能会通过B超影像判断出是否吃了异物。拍片子的话就必须要灌钡餐造影了。
可以的,您可以先对症治疗一下,然后有什么其他的情况或者异常随时向我追问。
好的医生我看它从一点到现在就没有吐过了,刚刚也在我旁边要食物了。我给了水没有给粮。现在这种情况会是好转的迹象吗?还是因为食物都被吐出去了,给粮还会吐呢?我可以今天先观察一下,明天上午带它去打消炎止吐针可以吗?一般有异物的情况是怎么处理的是猫可以自行排出还是需要胃肠镜之类的手段。怎么判断呢,这个水我现在给了,粮食什么时候给比较好呢?谢谢医生
赵一强
执业兽医师
主人你好,精神状态良好的话,可以再观察看看。
一般胃肠道症状都是建议禁食禁水24小时观察一下。
有异物的情况下,就是我上面说的这几种情况,包括腹部B超和X光片的检查,因为胃镜是需要麻醉的,而且他只能看在胃里边儿的异物。所以这个一般都是最后一项检查的项目。
喂水如果不呕吐的话,您可以过上四个小时以后少喂点食物
医生我看今天的检查胰腺指标2.7虽然可能偏高但是还是落在正常值呀,会是胰腺炎吗?精神状态还可以,逗猫棒也会玩,但不如以往活泼。下午喂食了水和一小块罐头,目前为止没有吐。但是出现了吃完经常性的舔嘴唇过一会就好了。抚摸肚子也会呼噜呼噜声没有抗拒摸肚子,这种情况我也不知道怎么办了。目前放假在小城市,诊所感觉一般,医生像这种情况要怎么系统性治疗啊。求解
赵一强
执业兽医师
主人你好,宝贝的生化结果脂肪酶挺高的呀,不是2.7啊。我看了一下化验单,没有你说的2.7这个结果。您自己再好好看看。
至于宝贝舔嘴,这是一个典型的恶心,反胃,想吐的表现。提示宝贝的肠胃还是不 正常。
治疗的话,我上面也提到了,如果您方便的话,最好给他做一下影像学的检查,排除一下异物的可能性。或者就按照胃肠炎进行对症的消炎,止吐,保护胃肠等药物治疗。您可以参考看一下。方便的话,可以在当地的宠物医院直接给予这些对症的针剂注射治疗。如果需要我给您开具处方的,我下一条回复可以给您针对宝贝的症状开具处方。
为保护用户隐私不显示图片/视频
好的医生我说的2.7是另一个化验单什么浓度2.7如下图,今日已经打了止吐针和消炎针,我打算明日去打第二针的时候做一下x光,可以先直接拍吗,钡餐要做吗第一次片子出来看看需不需要钡餐吗?医生如果方便的话可以帮我开些药吗和治疗方案什么的,我想追加提问次数要怎么操作呀
为保护用户隐私不显示图片/视频
医生这是刚刚去拍了x光正位有点挡着可能
为保护用户隐私不显示图片/视频
赵一强
执业兽医师
主人你好,所以我才和您说,宝贝这个年龄得胰腺炎的可能性很低,您看您家宝贝应该是因为别的原因导致了胰腺指标上升。么猫的fpl特异性脂肪酶的检测结果2.7。是属于正常的。所以我上面和你讲可以先保守的对症处理治疗看一下。拍X光片的话,一些低显眼的物是不显影的,比如塑料,线绳,布条等。
我这边可以根据宝贝的阵容给您对症的消炎,止吐和保护肠胃的药物建议。
然后你刚刚上传的这两张X光片子,没有看到特别明显的高显影异物。可以再观察看看,或者按我说的灌钡餐检查看一下。
我这边先把药物给你开出来,你可以先参考看一下。然后我再额外赠送您一次追问次数。
赵一强
执业兽医师
家长你好!考虑到目前的问诊暂未沟通出结论,我额外赠送你1次追问次数,以顺利完成本次问诊咨询。
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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0.1g","title":"保灵米丁宁 西咪替丁片 0.1g×64片\/盒","recommend_reason":{"0":"用于治疗和预防胃、十二指肠溃疡及反流性食管炎","1":"用于化学刺激引起的糜烂性胃炎、应激性溃疡和上消化道出血","2":"降低IBD引起的肠道溃疡,有效防止IBD引起的肠道缩短。"},"baike_guide_text":"","baike_article_hash_id":"","advword":"慢性胃炎,溃疡,便血","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"0.1g盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/01\/f16a8ae34e3870e56b0d54252f62ee1a.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":138,"max_price":138,"sale_count":256,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 15:28:36","updated_at":"2024-06-11 09:54:57","ins":{"id":25,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022,\u00223\u0022,\u00226\u0022]","title":"","common_name":"西咪替丁片","trade_name":"西替康","en_name":"Cimetidine Tablets","brand_name":"保灵","is_prescription":1,"cover":"\/drug\/2020\/10\/b7a07a9ce5a0dd3d0787924c3a5744d6.PNG","specification":"0.1g×24片\/盒","reference_price":110,"component":"西咪替丁","indication":"1.用于治疗和预防胃、十二指肠溃疡及反流性食管炎。\n2.用于化学刺激引起的糜烂性胃炎。\n3.应激性溃疡和上消化道出血。\n4.降低IBD引起的肠道溃疡,有效防止IBD引起的肠道缩短。","usage_dosage":"内服:6~10kg的犬猫使用1\/2片,体重10~20kg的犬使用1片,一日3次。连用28日。","contraindication":"对该药过敏者禁用。","adverse_reaction":"1.可能引起性犬的乳房暂时性轻微肿胀或雄性犬乳房发育症。\n2.雄犬可能出现前列腺减重,该现象可逆并对生殖功能无影响。","attention":"1.本品仅用于对症治疗,建议出现持续性呕吐症状的犬猫在治疗前进行适当的检查以诊断病因。\n2.对于肾功能不全的犬,需适当调整给药剂量。\n3.本品未进行妊娠期和乳期靶动物的相关研究,应在执业兽医指导下进行妊娠期和哺乳期用药。\n4.本品可能与β受体拮抗剂、钙通道拮抗剂、苯二氮卓类、巴比妥类、苯妥英、茶碱、氨茶碱、华法林和利多卡因等药物产生临床相互作用,当含并用药时,应减低这些药物的使用剂量。\n5.本品可能引起胃酸升高导致药物吸收降低,需要借助酸性介质促进吸收。与氢氧化铝或氢氧化镁、甲氧氯普胺、地高辛和酮康唑的用药间隔至少为2小时。\n6.本品开封后.剩余药片应放在泡罩包装中避光保存。\n7.置儿至无法触及处。","interaction":"1.本品若与氢氧化铝、氧化镁等抗酸剂合用时,本品的吸收可能减少,故一般不提倡同用。\n2.本品与硝西泮(硝基安定)、地西泮(安定)、茶碱、普蔡洛尔(心得安)、苯妥英钠、阿司匹林等同用时。均可使这些药物的血药浓度升高,作用增强,出现不良反应,甚至是毒性反应,故本品不宜与这些药物共同使用。\n3.本品与氨基糖苷类抗生素如庆大霉素等同用时可能导致呼吸抑制或呼吸停止。","approval_no":"兽药字020167014","storage_method":"密封保存。","validity":"2年","manufacturer":"天津市保灵动物保健品有限公司","status":1,"created_at":"2020-10-27 17:58:14","updated_at":"2020-10-27 18:18:40"}},"product_sku_info":{"id":768,"product_id":726,"title":"保灵米丁宁 西咪替丁片 0.1g×64片\/盒","advword":null,"price":138,"market_price":240,"cost_price":0,"stock":158,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"0.1g盒装"}},"cover":null,"thumb":"","sale_count":270,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 15:28:36","updated_at":"2024-06-11 06:55:02"}}}}}}
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