咨询描述:猫和其他动物打架,眼球掉出来了,挂在外眼框外面,已经在流脓了,主人不在家,也不方便送去宠物医院治疗
患病时长:7天左右
回复总结:针对猫咪打架眼球流脓的情况,处理办法上建议去医院。如果症状严重,可能需要把这个眼球摘除。同时,抗生素类药物的使用是必须的。如果不用药,长时间的感染会造成不吃东西,还有败血,是有概率会死亡的。需要给猫咪使用喷剂,用于眼部消炎。同时,需要佩戴伊丽莎白圈。
问题大致一样,细节不同?
徐灿
执业兽医师
你好,对这种情况来说,能不能拍摄一段视频发过来看一下?对于这种情况来说,一般肯定是要去医院的,后续的话,因为眼睛已经出来了,而且化脓了,那么后续的话,肯定是要把这个眼球摘除,同时,抗生素类药物的使用是必须的,这种情况没有办法说再塞回去,因为塞回去的话会加重化脓和感染。
徐灿
执业兽医师
手术费的话,一般比较便宜,一般在***元左右,当然,这个得看一下当地的收费标准,有些时候可能在***左右,相对来说,手术还是较为简单的,但是需要做两次,因为一般就是把眼球周边的韧带剪断,然后把后面的视神经剪断之后,用棉纱填塞,之后缝合眼皮,其次,二次手术的时候就要把这个棉纱取出来。
至于抗生素的话,用药时间会长一些,我帮你开了一个方案,你可以参考使用,后续的话要坚持用药。
徐灿
执业兽医师
如果不用药的话,这个是有可能的,因为长时间的感染会造成不吃东西,还有败血,那么是有概率会死亡的,有一些耐受能力比较强的,可能会活下来,但是也必须用药,而且需要使用喷剂,用于眼部消炎,同时,需要佩戴伊丽莎白圈。不过这不是首选推荐。
也就是说,不管是否手术,抗生素的使用都是必须的,如果不处置不用药的话,有较大的死亡率。
之前找不到医生询问,有给吃了一点小剂量人吃的阿莫西林,再吃这个药,会影响吗?现在能够吃一点东西,是状况有缓解吗
徐灿
执业兽医师
阿莫西林是完全可以用的抗生素,但是问题是我需要看一下他的程度,抗生素的话是必须持续性使用的,但是超过7到10天以上建议是更换一个药物,我上面帮你开了喹诺酮类的,你可以参考,主要是因为长时间用单一某种药物,容易造成继发性问题。
所以请拍这张照片发过来看一下,我需要看一下具体的情况。然后喷剂的话,后续我会给出建议。
因为怕伤口烂掉,又不知道怎么消毒就用了一点云南白药止血
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
我需要问一下,他现在有在正常吃东西吗?,如果有在正常吃东西的话,那么还可以考虑保守治疗,但是也不建议,最好只能做摘除。
当然,如果你确定需要保守处理,那么需要保证它能够正常的吃喝,以及有一定的精神。保守治疗的方案我帮你开了一个,后续的话,你可以参考使用。但是用药时间,尤其是抗生素的用药时间会很长。
还有就是需要佩戴伊丽莎白圈,防止抓挠扩散
这几天都都有给它用人吃的阿莫西林,就是怕不好,所以用的剂量会比较,现在精神恢复还好,饿了会叫,会吃一些东西了
徐灿
执业兽医师
实际上,绝大部分最终还是以摘除为主,实在不愿意的话也没办法,毕竟是别人的猫咪,建议是更换一下抗生素,在没有收到药物之前,你可以给他吃阿莫西林,按照每公斤25毫克,一天给他吃两次,然后正常的让他吃东西就行。
等到收到药物之后给他吃恩诺沙星,属于喹诺酮类的,每公斤五毫克,一天也是两次,眼睛喷剂的话,一天2到3次就行,主要是为了预防感染和发炎,然后记得给它带上伊丽莎白圈,别让他抓挠
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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