猫咪得传染性腹膜炎怎么办

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回复总结:针对猫咪得传染性腹膜炎,如果猫咪已经有高炎症,有肝脏损伤,白球比还很低。对于这种情况,一般都是建议后续,自己在家里面进行每天的打针,这样的话能够减少应激反应,也能避免一定的往返奔波。但是后续的话,除了441之外,还应当在最初期的时候增加少量的抗生素,护肝药物和一定量的糖皮质激素类药物。主要的目的就是缓解肝脏损伤,减少炎症。

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徐灿

执业兽医师

你好,家长,请问有什么需要询问的呢?是关于疾病方面的吗?又或者是其他的问题,如果是疾病方面的话,请详细的说明一下临床症状,并且补全一下动物的基本信息,其中包括年龄,体重,品种,疫苗接种情况,驱虫历史等等。如果有做过什么检查的话,请一并的提交一下检查结果。

你好,加菲猫一岁半,2.8公斤,疫苗驱虫都齐全,麻烦帮我看一下我家小猫咪是不是得猫传腹了,最近精神状态不好,饮食都是正常的

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徐灿

执业兽医师

请问能否重新提交一下呢?因为我这边看不到,我无法点开,然后查看,应该是系统出了问题,不过我要问一下他的白球比是多少?有没有低于0.6?同时,肚子有没有变大?最近一段时间有没有食欲下降或者肌肉萎缩?能不能拍摄一段猫咪的视频?发过来看一下。

徐灿

执业兽医师

请重新提交一下,因为我这边点不开。

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白球比是0.54 肚子变大了,从发情之后就一直食欲不太好,瘦了很多 肌肉萎缩没发现 视频我上传不了,点不出来

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徐灿

执业兽医师

非常感谢,我已经看到了 实际上,基本就能确定应该就是传染性腹膜炎,因为他的症状,还有化验指标都非常的明显。有高炎症,有肝脏损伤,白球比还很低,这种情况基本上就能确诊,对于这种情况来说,一般都是建议后续的话,自己在家里面进行每天的打针,这样的话能够减少应激反应,也能避免一定的往返奔波。但是后续的话,除了441之外,还应当在最初期的时候增加少量的抗生素,护肝药物和一定量的糖皮质激素类药物。主要的目的就是缓解肝脏损伤,减少炎症。

好的,谢谢,请问还需要搭配什么一起用么,还有饮食方面需要怎么喂养,然后今天抽了一个积液检查

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徐灿

执业兽医师

我需要问一下,这些不会都是抽出来的积液吧? 首先需要和你说一下,对于传染性腹膜炎,肚子里面有积液的,绝对是不能抽的,因为这些积液里面仍然是含有蛋白质的,如果抽的话,有的时候容易暴毙。一般来说都是要等着他缓慢的自己消下去,这种实际上是一种蛋白质失衡的一种表现,再让他失去蛋白质的话,后续都是要靠身体的肌肉和组织去弥补这些腹腔内的积液中的蛋白质。是一个非常危险的行为。 至于用药的话,一般都是441为主,还有就是些护肝的糖,皮质激素类的和少量抗生素。如果你需要的话,可以提出处方申请,我可以帮你开一个常用方案

是的,都是抽出来的积液,那个医生说抽了查就能确证了,然后我觉得小猫的肚子现在更大了,请问怎么申请处方?

徐灿

执业兽医师

一般来说,抽取少量的做化验是可以的,但是一般来说都是在一毫升之内,肚子里面的积液一定要知道,绝对不能抽,因为临床上有很多的案例,抽完之后就暴毙,因为液体之中都是有溶质的,最重要的就是蛋白质,本身就比较怕蛋白质丢失,还要去抽掉他的积液,那么,后续只能是造成她的身体状态急速下降,还有就是大量的蛋白质丢失。所以这个行为是完全被禁止的。 至于处方申请的话,在左下角,不过平台上不允许出售注射针剂,441的话,还得去其他渠道购买。

然后就是今天晚上拉肚子了,之前一直都是正常的,那这个积液已经抽了有没有可以缓解的办法

徐灿

执业兽医师

一般来说,想要缓解的话,可能没什么好办法,因为已经抽出来了,不能再推回去了,可能能做的只能是再输点白蛋白,当然,最重要的就是让它正常的饮食吃东西,然后续的话,大部分都可以逐渐的恢复,但是最重要的是最近七天,因为抽完一次之后,七天之内全都是危险期,有可能在这一段时间之内暴毙。 这些就是所有的配合用药了,能够完全支撑到他康复,护肝药物的话,吃完这一盒就行,然后泼尼松可以用2到3个星期,抗生素的话,用1到2个星期就可以

那它现在拉肚子正常么? 然后那个宠物医院建议是吃药,打441的针水的话要过三天才有针水,小猫如果再过三天打可不可以,您觉得是吃药还是打针效果好,我把药的图片发给您帮忙看一下

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徐灿

执业兽医师

一般来说,我建议是打针,因为相对来说用药稳定,而且性价比比较高,可以控制量,因为治疗传染性腹膜炎的这个441,他是按照体重来打的,打针的话更好控制。一般来说,还是建议尽快的用上441的,肯定是越快越好,然后还需要搭配上上面这几个药物,护肝,消炎,还需要消除感染。然后你需要买一个小的电子秤,每天称量她的体重之后核算用药剂量再打针。

打针的话是怎么计算量呢

徐灿

执业兽医师

按照指导剂量,因为市面上的药物没有一个统一的规格,一般来说就是公斤体重的零点几毫升,然后再乘以他的体重,就是他的最终用药量,比如说1.5公斤重,每公斤用0.4毫升,然后一次就是注射0.6毫升。

好的,非常感谢,消炎药是要吃的对吧 就是买您刚才发给我的这几个药么?

徐灿

执业兽医师

对的,上面我帮你开的三个药物,里面就是有抗生素的,一个是护肝的,因为它是一种代谢性疾病,后续主要是肝脏损伤为主,还有一个是减缓炎症的,就是醋酸泼尼松,还有一个就是抗生素,至于剂量的话,后面有备注。如果哪个剂量不明确的话,你可以直接问我

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对于猫咪湿性传染性腹膜炎这个疾病,再针对传腹进行用药的同时,还需要通过抽取腹水、给予利尿剂等治疗方案,尽可能快的控制腹水,缓解猫咪的症状,让猫咪恢复食欲。其次,在猫咪恢复食欲之前,可以给猫咪进行输液支持治疗,补充能量和营养。对于针对传染性腹膜炎的药物,选择441、376这类针对性的药物即可。另外,传染性腹膜炎还可能引发肝脏功能衰竭等并发症,因此在治疗过程中,还需要配合保肝类的药物进行治疗。

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针对猫咪腹膜炎,猫咪的白球比达到0.4,这种化验结果确实需要高度怀疑是有猫传腹的问题。这种情况下,还需要结合消化道淋巴结彩超,以及猫咪冠状病毒化验,来进行综合性诊断。如果在猫咪有腹水的情况下,还需要对腹水进行李凡他实验,来进一步的确诊。如果猫咪真的患有传染性腹膜炎问题,那么需要使用针对性的药剂,来进行抗病毒打针以及输液治疗。

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