咨询描述:医生您好,咱家猫猫 3个月左右 是两个月左右的时候买的 ,然后有一次不小心把猫猫摔倒了,结果就开始打喷嚏 ,鼻子还喷出血了,当时摔倒的那一边变色了,深绿色,隔几天就正常了,但是我们周末两天回家去,回来看到他眼睛 很吓人如图请看视频,(但是吃喝玩跳都挺正常)然后我们就带到了医院去检测,如图检测结果,医生给我们开了药 也没有开收据,,在此 我想询问几个问题:1.这种情况是不是杯状病毒呢,? 如果是我们要怎么处理? 2医生用药合理吗,有没有故意骗我们是杯状病毒, 只是普通的病症呢?谢谢医生解答
(疫苗情况:刚刚接种第二针
医院检查:杯状病毒 下图有图片
用药情况:图片形式展示出来
回复总结:如果猫咪感染杯状病毒,会出现的症状表现有:脓性的眼分泌物和鼻腔分泌物、打喷嚏、眼睛结膜炎等症状。如果猫咪疑似的症状,建议最好给猫咪做呼吸道五联检查,看看是否有感染。如果猫咪是杯状病毒感染症状,需要正常给猫咪用消炎药以及抗病毒的药物。如果条件允许,最好是给猫咪进行输液、打针治疗。
问题大致一样,细节不同?
刘文飞
执业兽医师
根据您讲到的详细症状,仅仅根据目前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.您家猫咪三个月大了,体重大概是1千克,猫咪摔完当时是摔到了鼻子和眼睛吗,视频脸部的情况拍照片发我看看,视频看不太清,摔完多久做的检查,做检查时猫咪的特征是怎样的
2.您养猫咪大概多长时间了,猫咪平时都吃哪种食物,最近有没有给猫咪换过食物或者吃过什么特殊的东西,骨头之类的坚硬物,导致猫咪出现呕吐的症状,呕吐的是未消化的食物,还是白色粘液,或者黄色粘液,有没有血丝,有没有腹泻的症状;
3.猫咪吃饭,喝水,排便,排尿,玩的状态是正常的
4.猫咪有没有出现咳嗽,流眼泪,打喷嚏,流鼻涕的症状,您正常有没有给猫咪用过图片的药有没有好转,家里几只猫咪
5.猫咪目前精神状态怎么样,有没有吃东西,喝水,猫咪有没有接种过疫苗,做过体内体外的驱虫。
6.猫咪居住的环境有没有突然降温,猫咪趴在垫子上,还是地板上
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。另外,把您家爱宠的信息补充完整,特别是年龄、体重」,待会儿咱们沟通后如果涉及用药建议,方便为宝贝开具处方。
摔倒之后和 眼睛下面变红的间隔时间,在20几天左右;摔倒的一半侧着摔倒的,呕吐的话这段时间没有呕吐过,在此之前呕吐过的,棕色猫粮的颜色还有一点点白色;摔倒之后这段时间有时候打喷嚏 家里就这一只没有做过驱虫 现在状态正常在垫子或者我们床上 地板上情况很少 夏天了这段时间再开空调 疫苗打了两针了 摔完之后 20天左右才做的检查 正常都是吃的猫粮 或者鸡胸肉
刘文飞
执业兽医师
您好,猫咪面部的照片在发我一下,猫咪有没有咳嗽,打喷嚏,流鼻涕,流眼泪的症状,猫咪有没有眼结膜发红,口腔溃疡,流口水的症状,体温是多少。
没有流口水 口腔溃疡应该是没有的 现在是流眼泪 眼泪处分泌物较多 也有点流眼泪 眼睛睁不开有点 体温不清楚的
刘文飞
执业兽医师
您好,猫咪主人,收到您发的图片,猫咪泪痕严重,说明流眼泪比较多,猫咪如果患有杯状病毒,会有脓性的眼分泌物和鼻腔分泌物,同时伴有打喷嚏、眼睛结膜炎的症状。口腔内有粘膜溃疡的症状。个别的猫咪嘴边会有一些黑色的脏东西,测量体温会有明显发高烧的症状,通常体温会超过39度,猫咪检查项目比较多,其中ic和fcv是阳性,猫ic是呼吸道疾病,猫呼吸道五联ic这个检查是指的同时做肺炎衣原体,肺炎支原体,以及呼吸道合胞病毒,腺病毒,柯萨奇病毒的检查,通过检查这五种病原体的igm抗体,看看是否有感染,从猫咪目前的临床症状,再结合猫咪的检查结果来看,猫咪是杯状病毒感染症状,需要正常给猫咪用医生所开的这几种药。猫咪不是普通的疾病,而是传染病,用药是合理的,有事实依据,如果说猫咪吃饭喝水正常,拉粑粑排尿正常,没有出现流眼泪、流鼻涕,打喷嚏咳嗽的任何病理症状,医生也没有检查报告,而给您开了治疗杯状病毒感染的药,这个就属于是骗您了。
麻烦医生 推荐用药 下,(针对此病毒)。还有 抵抗力免疫力的药 预防以后复发
刘文飞
执业兽医师
根据猫咪的情况,我给它开个处方。处方里面的1.猫鼻支特效滴眼液对猫咪杯状病毒引起的流眼泪作用效果比较好,2.免疫因子口服液针对于杯状病毒的治疗作用以及提高免疫力效果比较好,您可以根据需求自行选择购买还有口服的阿昔洛韦是抗病毒的,平台暂时断货您可以在线下宠物医院自己购买。预防方面就是接种猫三联疫苗,通常来讲就是预防猫瘟、杯状、疱疹这三种病毒的疫苗,一般在猫两个月大的时候就可以开始接种疫苗了,首次需要连续接种三针猫三联疫苗,每一针间隔二十一天左右。如果出现了精神、食欲不好、打喷嚏、拉软便、拉稀等情况,一定要等到猫咪恢复健康之后再去打疫苗
那怎么办 就是趁着这次看病 正好去打的第二针疫苗, 有什么影响啊?…………..
刘文飞
执业兽医师
猫咪目前的这种情况不能接种疫苗,需要等猫咪康复之后才可以接种疫苗,康复后接种疫苗事件距离会拉长,产生抗体的水平也会下降,所以可以追加一针加强针(也就是多打一针疫苗)
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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