咨询描述:你好,我家狗狗博美13斤,8月13号被车碾压了,当时疼的哇哇叫,由于这里去宠物医院不方便,就一直在家里疗养。最开始给了消炎药,还有***软膏,小便正常。大便没排,可以吃一些鸡胸肉,火腿肠,三天后一直没排小便,后来给与开塞露后排了很多。大小便的时候可以爬去卫生间,然后艰难的站起来。后来大便排了以后就开始吐,什么都不吃,我给了***口服,吐好转,可是就是不吃东西。我又给了益生菌口服,准备输液,因为几天没有吃,血管看不到,也没输成,考虑到肯定有电解质紊乱,就给了口服补液盐少许,最近几天,食欲较差,偶尔可以喝点水,吃点有味道的肉。精神也不好。今天疼的厉害,有时候会疼的叫。你说这会康复吗?
回复总结:狗狗被车压了疼得直叫,很有可能是有后肢关节或者骨盆,腰部之后的脊椎出现了损伤问题,从而导致了一系列症状。跟外力碾压或者撞击有关系。之所以现在能够勉强行走,应该是损伤并不太严重。如果暂时不方便就诊检查治疗,可以在家先给狗狗吃宠物专用广谱消炎药,以及缓解神经水肿的药物,和营养神经方面的口服药来进行治疗。用药后,观察5-7天的时间。如果有效果,可以持续用药2-3周左右,直到疾病康复为止即可。
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,我暂时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. 狗狗受伤之后,是否做过检查?都检查了什么项目?
2. 狗狗生活环境温度能达到多少度?是否有昼夜温差?
3. 狗狗是否还有有其它症状?
4. 狗狗是单侧后肢无力,还是双侧后肢无力?
5.狗狗后肢脚掌疼痛感觉如何?是否有减弱或者消失?
以上这些情况您仔细回忆后详细的描述给我,对我给宝贝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。
狗狗受伤后一直在空调屋里,目前可以肯定腿子是没问题的。站立行走了几次。后肢脚掌会有疼痛的感觉。我自己也是学医的。稍微懂一点
没有其他的症状。就是精神不好。其实前几天还不错。来人了会叫。就是最近好像一天比一天差
陈奕达
执业兽医师
好的,感谢您的回复,谢谢。还需要麻烦您给我提供更多的信息(仔细回复我图片上标记的问诊信息) 那么我就可以进一步的了解宠物的情况 给出更多的结果,然后给您推荐最适合宝贝的方案以及药物,供您采纳。十分感谢您的信任,谢谢
如果有狗狗行走的小视频就更好了。
为保护用户隐私不显示图片/视频
我这里不方便去宠物医院。几乎没有做过检查。它好像是腰没有力气,一般是要大小便的时候会努力站起来。一般站一会儿没力气就趴下了。
陈奕达
执业兽医师
好的,非常感谢您的回复,谢谢。根据您描述的症状以及提供的信息,以个人的经验判断宝贝很有可能是有后肢关节或者骨盆,腰部之后的脊椎出现了损伤问题,从而导致了一系列症状。跟外力碾压或者撞击有关系。之所以现在能够勉强行走,应该是损伤并不太严重。
如果暂时不方便就诊检查治疗,可以在家先给宝贝吃一些宠物专用广谱消炎,缓解神经水肿,抗炎,营养神经方面的口服药来进行治疗,观察5-7天的时间。如果有效果,可以持续用药2-3周左右,直到疾病康复为止即可。
说实话,狗狗这种情况治疗,治愈率只有30-40%左右。(如果严重的情况下,可能需要考虑手术治疗)
如果考虑在家保守治疗,您可以告诉我,然后这边可以帮您开具一套用药,并且帮您计算好用法用量,供您采纳参考一下。
最近背部好像添了新伤。前几天都没出血,今天感觉有出血。会不会是它经常活动,骨头刺破了?
为保护用户隐私不显示图片/视频
陈奕达
执业兽医师
狗狗这种皮肤的破损,很有可能是由于碾压,导致皮下发炎,损伤,然后出现了感染导致的。没有进一步进行x光片检查的情况下,无法判断是否有骨头刺破或者刺激局部皮肤的问题。个人认为应该不是骨头刺破的,因为如果是骨头问题,要比现在的情况严重很多。
陈奕达
执业兽医师
您好,由于长时间没有收到您的回复,这边根据现有信息以及宝贝的症状,帮您开具一些用药,供您采纳参考,然后如果您有什么疑问,可以继续提问,我会一一为您解答。
处方里面的
1. ***,宠物专用广谱消炎,控制炎症。
2. ***,宠物专用营养关节用药,促进关节疾病恢复。
3. ***,宠物专用抗炎止疼用药,缓解疼痛,缓解神经水肿问题。
4.维生素口服液,补充维生素,可以起到营养神经效果。
您可以根据需求自行选择购买。
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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