咨询描述:尿闭导尿四天了,急性肾衰竭,输液服药消炎都做了,还是没食欲,是不是很危险
回复总结:针对猫咪肾衰竭,并且没有食欲的情况,处理办法上建议给猫咪复查生化指标,需要看猫咪生化指标的肌酐,尿素氮有没有下降。如果说指标都是在恢复的情况,一般危险性很低了,因为有的猫咪尿闭后就是会长时间不吃不喝的。只要猫咪指标能够恢复到正常范围内,这个时候哪怕是猫咪不吃东西也可以考虑强制灌输的,这个一般危险性比较低。
问题大致一样,细节不同?
邓薄鸿
执业兽医师
您好,看到您描述的情况了,就是有猫咪第一天的化验结果的话可以上传一下,其次的话就是目前已经治疗四天的话有没有给他复查生化指标。这种的话你主要还是需要看他这种生化指标的肌酐,尿素氮有没有下降,如果说这种指标都是在恢复的情况下,那么一般危险性很低了,因为有的猫咪尿闭后就是会长时间不吃不喝的,就是只要他的这种指标能够恢复到正常范围内的话,这个时候哪怕是他不吃东西也可以考虑强制灌输的,这个一般危险性比较低。如果说指标没有任何变化甚至越来越严重了,那么这种情况是非常危险的
邓薄鸿
执业兽医师
如果说有下降的话,那么这种相对来说危险性还没有那么高,就是这种的话还是需要继续输液治疗的。一般的话如果说能够在五到七天之内恢复正常是属于一个常规的治疗时间了
医院讲,拔掉导尿管还是不能自己排尿的话,就要做造口手术
邓薄鸿
执业兽医师
就是拔掉导尿管之后的话,你主要看他能不能尿,就是拔掉导尿管之后完全恢复正常肯定不是一天两天了,就是只要他能够自己去尿出来的情况下,可能就是对症用药这种一段时间之后让他慢慢排尿量恢复正常,如果说还是就是反复这种尿不出来的情况下,那就只能说考虑下进行尿道造口手术了。嗯,后遗症的话就是这种可能会有一定的逆行性感染的风险,但是你这个阶段的话完全尿不出来就已经是必须要做没有其他选择了
这个手术难度大吗?对医生要求高吗?术后会不会出现漏尿之类的症状
邓薄鸿
执业兽医师
就是这种的话,你如果说单纯的难度的话都不是说难度非常高的手术的,还算属于比较常见的。一般漏尿的话会有这种可能的,但是概率很低,一般出现的话主要就是他这种严重感染之后可能会是有漏尿。
另外,拔掉导尿管,是不是可以回家观察一下排尿,熟悉的环境是不是会放松一点?不行再送回医院
邓薄鸿
执业兽医师
就是你这种的话你哪怕是换环境回家之后,对于他这种可能也不一定会有太大的改善的,因为他这种主要就是已经是出现这种严重的疾病原因了。目前这个阶段的话,如果说是有住院还是考虑直接住院会更好
邓薄鸿
执业兽医师
根据宝贝的情况,我给它开个处方。处方里面的1.***,保护肾脏,每天2次,每次1.5毫升。2.***,针对各种泌尿系统疾病,每天2次,每次4片。. 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
{"405669":{"id":405669,"case_id":46404,"user_id":1401608,"to_user_id":2144651,"type":3,"content":"根据宝贝的情况,我给它开个处方。处方里面的1.***,保护肾脏,每天2次,每次1.5毫升。2.***,针对各种泌尿系统疾病,每天2次,每次4片。. 您可以根据需求自行选择购买","media":{"images":{},"videos":{},"business_params":{"prescription_id":124390}},"is_doctor":1,"status":1,"created_at":"2022-09-26 10:10:38","show_rx":true,"rx_info":{"id":124390,"rx_no":2.0220926100951502e+24,"user_id":2144651,"doctor_user_id":1401608,"is_independent":0,"case_id":2906665,"pet_info":{"pet_id":331381,"pet_name":"英短橘猫","pet_nickname":"麦麦","pet_gender":1,"pet_birth":"2-7","pet_weight":6,"pet_vaccination_status":1,"pet_in_insect_repellent_status":1,"pet_out_insect_repellent_status":1,"pet_age_format":"2岁7个月"},"diagnose":"尿闭","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2022-09-26 10:09:51","updated_at":"2022-09-26 10:10:38","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":53839,"prescription_id":124390,"doctor_user_id":1401608,"product_id":757,"product_sku_id":799,"dose":1.5,"dose_unit":"ml","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2022-09-26 10:09:51","updated_at":"2022-09-26 10:09:51","product_info":{"id":757,"hash_id":"EqNmov45JEgnJ5yO","class_ids":{"0":1,"1":2},"category_ids":{"35":194},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":168,"sell_point":"宠圣康 宠物添加剂预混合饲料(RD-130)","title":"蓝特斯宠圣康 宠物添加剂预混合饲料(RD-130)60ml\/瓶\/盒","recommend_reason":{"0":"宠物肾脏疾病相关的氮血症期","1":"高磷血症期、低钾血症期等","2":"宠物肾脏疾病相关的贫血期、血液及尿酸碱值异常期"},"baike_guide_text":"","baike_article_hash_id":"","advword":"贫血,高磷血,低钾血,氮血症,尿酸","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"60ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/01\/c9f71557f932d319ee0abedf27135bd1.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":24,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 17:56:43","updated_at":"2024-06-16 09:54:38","ins":{"id":168,"hash_id":"","class_ids":"[1,2]","title":"宠物添加剂预混合饲料(RD-100)","common_name":"宠物添加剂预混合饲料(RD-100)","trade_name":"宠圣康","en_name":"Pet additive premixed feed(RD-100)","brand_name":"蓝特斯","is_prescription":0,"cover":"\/drug\/2021\/03\/dd456360aad2ff5e44d54f1913df7aad.jpg","specification":"60ml\/瓶","reference_price":118,"component":"维生素A、维生素C、维生素E、维生素B,、维生素B。、维生素B,、烟酰胺、叶酸、赖氨酸、牛磺酸、蛋氨酸、柠檬酸钾、硫酸亚铁等","indication":"1.宠物肾脏疾病相关的氮血症期\n2.高磷血症期、低钾血症期等\n3.宠物肾脏疾病相关的贫血期\n4.宠物肾脏疾病相关的血液及尿酸碱值异常期","usage_dosage":"犬猫每4kg体重1ml,以此类推。混饲或直接饲喂。一天2次。用前请摇匀。(新老版本随机发货)","contraindication":"","adverse_reaction":"","attention":"","interaction":"","approval_no":"苏饲预字(2018)768336","storage_method":"应储存于干燥、通风、避光、清洁的环境,不得与有毒有害等污染物混贮","validity":"24个月","manufacturer":"江苏益品实业有限公司","status":1,"created_at":"2021-03-17 18:18:13","updated_at":"2024-06-01 18:22:09"}},"product_sku_info":{"id":799,"product_id":757,"title":"蓝特斯宠圣康 宠物添加剂预混合饲料(RD-130)60ml\/瓶\/盒","advword":null,"price":98,"market_price":120,"cost_price":0,"stock":75,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"60ml"}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/01\/8ba5ea825479f6909eff96c71a6d3c78.jpg","thumb":"","sale_count":25,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 17:56:43","updated_at":"2024-06-16 08:37:00"}},"1":{"id":53840,"prescription_id":124390,"doctor_user_id":1401608,"product_id":807,"product_sku_id":849,"dose":4,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":14,"number":1,"remark":"","created_at":"2022-09-26 10:09:51","updated_at":"2022-09-26 10:09:51","product_info":{"id":807,"hash_id":"3a0E6Qpj6yp2b9Rk","class_ids":{"0":1,"1":2},"category_ids":{"38":197},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":71,"sell_point":"贝里奥益宠堂三金益石丹 宠物营养补充剂犬猫通用 0.4g×12粒×5板\/盒","title":"贝里奥益宠堂三金益石丹 宠物营养补充剂犬猫通用 0.4g×12粒×5板\/盒","recommend_reason":{"0":"促进猫泌尿综合症(FC、尿结石、尿闭等)的康复","1":"用于犬猫尿结石症的改善和调理","2":"改善和调理犬猫各种水肿"},"baike_guide_text":"","baike_article_hash_id":"","advword":"猫泌尿综合症,FC,尿结石,尿闭,尿淋漓,尿结晶,尿浑浊,尿痛,血尿,尿闭,水肿","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"60粒"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2023\/08\/efccf51b46e33b1c0cc3cf9d0cf50a03.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":138,"max_price":138,"sale_count":141,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-21 16:25:06","updated_at":"2024-10-24 11:17:20","ins":{"id":71,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"贝里奥益宠堂三金益石丹宠物营养补充剂犬猫通用","common_name":"宠物营养补充剂","trade_name":"贝里奥益宠堂三金益石丹","en_name":"……","brand_name":"贝里奥","is_prescription":0,"cover":"\/drug\/2023\/08\/57122606c6536b520cb181190014f766.jpg","specification":"0.4g×12粒×5板\/盒","reference_price":180,"component":"海金沙、金钱草、鸡内金、泽泻、茯苓、车前草、牛膝、黄芪、当归、蔓越莓等","indication":"1.促进猫泌尿综合症(FC、尿结石、尿闭等)的康复,主要表现为尿淋漓,尿结石,尿结晶,尿浑浊,尿痛,血尿,尿闭等。\n2.大描尿结石症的改善和调理。\n3.改善和调理犬猫各种水肿。","usage_dosage":"直接饲喂或混入食物中,特殊情况下请在宠物医师指导下使用。每日两次\n犬猫体重<2.5kg,每次0.5粒;\n犬猫体重2.5-5kg,每次1粒;\n犬猫体重5-10kg,每次2粒;\n犬猫体重10-15kg,每次3粒;\n犬猫体重15-20kg,每次4粒;\n犬猫体重>20kg,每次5粒。","contraindication":"妊娠期动物慎用。\n禁止饲喂反刍动物。","adverse_reaction":"暂未见不良反应。","attention":"","interaction":"","approval_no":"豫饲预(2021)11465","storage_method":"本品应储存于干燥、清洁、通风处。","validity":"2年","manufacturer":"河南贝里奥生物科技有限公司","status":1,"created_at":"2020-11-06 16:12:07","updated_at":"2023-10-05 12:26:51"}},"product_sku_info":{"id":849,"product_id":807,"title":"贝里奥益宠堂三金益石丹 宠物营养补充剂犬猫通用 0.4g×12粒×5板\/盒","advword":null,"price":138,"market_price":180,"cost_price":0,"stock":230,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"60粒"}},"cover":null,"thumb":"","sale_count":150,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-21 16:25:06","updated_at":"2024-10-24 10:55:34"}}},"drug_data_bak":{"0":{"id":53839,"prescription_id":124390,"doctor_user_id":1401608,"product_id":757,"product_sku_id":799,"dose":1.5,"dose_unit":"ml","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2022-09-26 10:09:51","updated_at":"2022-09-26 10:09:51","product_info":{"id":757,"hash_id":"EqNmov45JEgnJ5yO","class_ids":{"0":1,"1":2},"category_ids":{"35":194},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":168,"sell_point":"宠圣康 宠物添加剂预混合饲料(RD-130)","title":"蓝特斯宠圣康 宠物添加剂预混合饲料(RD-130)60ml\/瓶\/盒","recommend_reason":{"0":"宠物肾脏疾病相关的氮血症期","1":"高磷血症期、低钾血症期等","2":"宠物肾脏疾病相关的贫血期、血液及尿酸碱值异常期"},"baike_guide_text":"","baike_article_hash_id":"","advword":"贫血,高磷血,低钾血,氮血症,尿酸","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"60ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/01\/c9f71557f932d319ee0abedf27135bd1.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":24,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 17:56:43","updated_at":"2024-06-16 09:54:38","ins":{"id":168,"hash_id":"","class_ids":"[1,2]","title":"宠物添加剂预混合饲料(RD-100)","common_name":"宠物添加剂预混合饲料(RD-100)","trade_name":"宠圣康","en_name":"Pet additive premixed feed(RD-100)","brand_name":"蓝特斯","is_prescription":0,"cover":"\/drug\/2021\/03\/dd456360aad2ff5e44d54f1913df7aad.jpg","specification":"60ml\/瓶","reference_price":118,"component":"维生素A、维生素C、维生素E、维生素B,、维生素B。、维生素B,、烟酰胺、叶酸、赖氨酸、牛磺酸、蛋氨酸、柠檬酸钾、硫酸亚铁等","indication":"1.宠物肾脏疾病相关的氮血症期\n2.高磷血症期、低钾血症期等\n3.宠物肾脏疾病相关的贫血期\n4.宠物肾脏疾病相关的血液及尿酸碱值异常期","usage_dosage":"犬猫每4kg体重1ml,以此类推。混饲或直接饲喂。一天2次。用前请摇匀。(新老版本随机发货)","contraindication":"","adverse_reaction":"","attention":"","interaction":"","approval_no":"苏饲预字(2018)768336","storage_method":"应储存于干燥、通风、避光、清洁的环境,不得与有毒有害等污染物混贮","validity":"24个月","manufacturer":"江苏益品实业有限公司","status":1,"created_at":"2021-03-17 18:18:13","updated_at":"2024-06-01 18:22:09"}},"product_sku_info":{"id":799,"product_id":757,"title":"蓝特斯宠圣康 宠物添加剂预混合饲料(RD-130)60ml\/瓶\/盒","advword":null,"price":98,"market_price":120,"cost_price":0,"stock":75,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"60ml"}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/01\/8ba5ea825479f6909eff96c71a6d3c78.jpg","thumb":"","sale_count":25,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 17:56:43","updated_at":"2024-06-16 08:37:00"}},"1":{"id":53840,"prescription_id":124390,"doctor_user_id":1401608,"product_id":807,"product_sku_id":849,"dose":4,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":14,"number":1,"remark":"","created_at":"2022-09-26 10:09:51","updated_at":"2022-09-26 10:09:51","product_info":{"id":807,"hash_id":"3a0E6Qpj6yp2b9Rk","class_ids":{"0":1,"1":2},"category_ids":{"38":197},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":71,"sell_point":"贝里奥益宠堂三金益石丹 宠物营养补充剂犬猫通用 0.4g×12粒×5板\/盒","title":"贝里奥益宠堂三金益石丹 宠物营养补充剂犬猫通用 0.4g×12粒×5板\/盒","recommend_reason":{"0":"促进猫泌尿综合症(FC、尿结石、尿闭等)的康复","1":"用于犬猫尿结石症的改善和调理","2":"改善和调理犬猫各种水肿"},"baike_guide_text":"","baike_article_hash_id":"","advword":"猫泌尿综合症,FC,尿结石,尿闭,尿淋漓,尿结晶,尿浑浊,尿痛,血尿,尿闭,水肿","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"60粒"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2023\/08\/efccf51b46e33b1c0cc3cf9d0cf50a03.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":138,"max_price":138,"sale_count":141,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-21 16:25:06","updated_at":"2024-10-24 11:17:20","ins":{"id":71,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"贝里奥益宠堂三金益石丹宠物营养补充剂犬猫通用","common_name":"宠物营养补充剂","trade_name":"贝里奥益宠堂三金益石丹","en_name":"……","brand_name":"贝里奥","is_prescription":0,"cover":"\/drug\/2023\/08\/57122606c6536b520cb181190014f766.jpg","specification":"0.4g×12粒×5板\/盒","reference_price":180,"component":"海金沙、金钱草、鸡内金、泽泻、茯苓、车前草、牛膝、黄芪、当归、蔓越莓等","indication":"1.促进猫泌尿综合症(FC、尿结石、尿闭等)的康复,主要表现为尿淋漓,尿结石,尿结晶,尿浑浊,尿痛,血尿,尿闭等。\n2.大描尿结石症的改善和调理。\n3.改善和调理犬猫各种水肿。","usage_dosage":"直接饲喂或混入食物中,特殊情况下请在宠物医师指导下使用。每日两次\n犬猫体重<2.5kg,每次0.5粒;\n犬猫体重2.5-5kg,每次1粒;\n犬猫体重5-10kg,每次2粒;\n犬猫体重10-15kg,每次3粒;\n犬猫体重15-20kg,每次4粒;\n犬猫体重>20kg,每次5粒。","contraindication":"妊娠期动物慎用。\n禁止饲喂反刍动物。","adverse_reaction":"暂未见不良反应。","attention":"","interaction":"","approval_no":"豫饲预(2021)11465","storage_method":"本品应储存于干燥、清洁、通风处。","validity":"2年","manufacturer":"河南贝里奥生物科技有限公司","status":1,"created_at":"2020-11-06 16:12:07","updated_at":"2023-10-05 12:26:51"}},"product_sku_info":{"id":849,"product_id":807,"title":"贝里奥益宠堂三金益石丹 宠物营养补充剂犬猫通用 0.4g×12粒×5板\/盒","advword":null,"price":138,"market_price":180,"cost_price":0,"stock":230,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"60粒"}},"cover":null,"thumb":"","sale_count":150,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-21 16:25:06","updated_at":"2024-10-24 10:55:34"}}}}}}
微信扫一扫
立即问宠医