咨询描述:医生您好,我家约克夏6岁,公,未绝育,半个月前从沙发上摔下来,第二天带去医院检查轻微肺出血,脖子第5,6节骨挫伤(骨玮翘起来不到30度)高血压,休息到现在还是前肢左脚不受力,疼痛,严重的时候弓背,腹部很紧,检查了血常规,生化,器脏未受损,指标相对正常,但是就是经常性出现疼痛,只能偶尔吃一颗止痛药,平时吃在医院开的修复颈椎的中成药,降压药,维生素b1,b12,甲钴胺,请问这种左前肢疼痛是因为骨挫伤压迫神经吗?后期需要如何治疗呢
回复总结:狗狗摔到骨挫伤,并且出现明显疼痛的症状,建议最好带狗狗去宠物医院进行整个脊椎的ct扫描检查,进一步判断损伤以及是否有压迫,以及疾病程度,然后进一步判断是否需要进行手术治疗。另外,保守治疗方案,除了给予止疼等用药以外,建议再给狗狗吃一些营养关节用药,帮助狗狗恢复。
问题大致一样,细节不同?
陈奕达
执业兽医师
根据您讲到的信息,我初步分析狗狗这种疼痛,跟脊椎或者颈椎变形,压破是有很大关系的。狗狗这种情况,建议进行一下整个脊椎的ct扫描检查,进一步判断损伤以及是否有压迫,以及疾病程度,然后进一步判断是否需要进行手术治疗。
而保守治疗方案,除了给予止疼等上述用药以外,建议再给予狗狗吃一些营养关节用药,这样可以帮助狗狗恢复。
(若您需要离开本诊室,稍后可以到官方微信公众号“蘑菇宠医”内找到问诊订单继续和我沟通。)
陈奕达
执业兽医师
您好,1.静养,保守治疗,恢复的概率在50-70%左右。2.如果不用药物帮助狗狗,那么自行恢复的概率在50%以下。
陈奕达
执业兽医师
好的,这边根据狗狗的情况,我给宝贝开个处方。供您采纳参考一下(可以配合您上述的用药,一同帮助狗狗)
处方里面的
1.***,宠物专用营养关节用药,帮助狗狗关节疾病恢复。
您可以根据需求自行选择购买。
陈奕达
执业兽医师
您好,没有,只是营养关节用药。这个药物需要配合您上述的药物一同给予狗狗,进行配合治疗。药物没有神药,我们家狗狗的疾病问题,不是单纯吃一种药物就可以解决的。严重的情况下,可能还需要考虑进行手术治疗。(没有炎症感染的情况下,不用给予消炎用药)
陈奕达
执业兽医师
您好,术后恢复程度,需要进一步检查ct之后,才能进行分析。手术风险在20-30%左右,还是有一些的。不过狗狗如果没有什么基础性疾病问题,那么相对风险就会降低一些。
医生,请问有没有针对舒缓他压迫神经的药呢(不要激素药)
陈奕达
执业兽医师
您好,没有。其它方面的用药,就需要对于狗狗进一步的检查确诊才能够使用。而且需要进行打针或者输液用药了。
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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