咨询描述：公狗，11岁，未绝育，在高原，心脏肥大。突然发现一侧耳朵里长了一串增生物，很像一串葡萄，连接点只有一个，软的 很用棉签检查有点流脓
回复总结：狗狗耳朵长了一串东西，首先是有很严重的感染问题，严重的感染就会导致有炎性反应增生。如果狗狗耳道内有脓性分泌物的话，说明感染的问题仍然存在，需要给狗狗使用清洗耳道的洗耳液和抗菌消炎的耳药。每次都应该清洗的干干净净，在治疗耳朵疾病的同时要佩戴好伊丽莎白圈，避免狗狗反复性抓挠耳朵，否则这样会导致感染的问题加重。另外，也可以先用生理盐水做清洗，用棉签蘸生理盐水，一点一点的做耳朵的清洁工作。
问题大致一样，细节不同？
魏新立
执业兽医师
从您发的照片看，宝贝耳道首先是有很严重的感染问题，严重的感染就会导致有炎性反应增生，所以您描述的像葡萄串一样的增生物，应该就是感染问题引起的。在临床上增生一般是不可逆的，但是，目前如果宝贝耳道内有脓性分泌物的话，说明感染的问题仍然存在，所以我们需要给宝贝使用清洗耳道的洗耳液和抗菌消炎的耳药。每次都应该清洗的干干净净，在治疗耳朵疾病的同时要佩戴好伊丽莎白圈，避免宝贝反复性抓挠耳朵，否则这样会导致感染的问题加重。
谢谢医生这么晚还打扰您。有别的医生说是耵聍腺瘤 但是狗狗没有挠耳朵 感觉不痛不痒 跟网络上耵聍腺瘤的形态也不一样。医生 这个确定是感染形成的像葡萄一样的增生吗？确定不是耵聍腺瘤吗？
另外 这个增生看着有点密集恐惧症 后续怎么治疗呢？需要手术吗？还是慢慢自己消掉还是会掉?需要什么样的方式干预呢？我很怕是耵聍腺瘤 因为我觉得他的身体不适合做手术 又怕是恶性。
魏新立
执业兽医师
并不能准确判断会不会是肿瘤的情况，从照片上看我更怀疑像是增生的问题，确定会不会是肿瘤的疾病，需要做病理组织学检查，任何通过一个图片就确诊为肿瘤的诊断方法都是不科学的。
如果是增生的问题是不可逆的，只有通过做手术，才能将增生物切除，如果没暂时没有办法送到医院，我建议可以给宝贝先做耳道的清洗和抗感染治疗，至少可以不让问题变得更加严重。当然，如果有条件的话也可以给宝贝做麻醉，然后取少量的组织送检，看具体是不是肿瘤的问题，然后再采取不同类型的治疗措施。
我在网上看了耵聍腺瘤的照片 感觉跟他的不是很像。他的是葡萄状 虽然有很多小颗粒 但是是一个整体，不是那种一颗一颗在皮肤上。狗狗现在年纪比较大 心脏也不是很好 我很怕做手术会有问题。我们现在疫情还在封控 没有办法买药和送医院。有什么可以做的呢。
魏新立
执业兽医师
推荐临床上常用的耳道清洗液和耳药，您可以参考了解一下，每天给宝贝清洗耳道至少一次，坚持使用两周左右的时间，然后再观察耳道内的情况会不会有明显的改善。
我们在拉萨 现在疫情 快递都停了。如果家里能用什么去做清洁呢？
魏新立
执业兽医师
那可以先用生理盐水做清洗，用棉签蘸生理盐水，一点一点的做耳朵的清洁工作，保持耳道内干燥，对控制感染也会有很好的帮助。
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
{"405908":{"id":405908,"case_id":46432,"user_id":1003358,"to_user_id":1253318,"type":3,"content":"推荐临床上常用的耳道清洗液和耳药，您可以参考了解一下，每天给宝贝清洗耳道至少一次，坚持使用两周左右的时间，然后再观察耳道内的情况会不会有明显的改善。","media":{"images":{},"videos":{},"business_params":{"prescription_id":124435}},"is_doctor":1,"status":1,"created_at":"2022-09-27 02:03:15","show_rx":true,"rx_info":{"id":124435,"rx_no":2.02209270203125e+24,"user_id":1253318,"doctor_user_id":1003358,"is_independent":0,"case_id":2907397,"pet_info":{"pet_id":147130,"pet_name":"泰迪","pet_nickname":"小叮","pet_gender":1,"pet_birth":"10-6","pet_weight":18,"pet_vaccination_status":1,"pet_in_insect_repellent_status":0,"pet_out_insect_repellent_status":0,"pet_age_format":"10岁6个月"},"diagnose":"耳道内感染，增生","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2022-09-27 02:03:12","updated_at":"2022-09-27 02:03:15","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":53947,"prescription_id":124435,"doctor_user_id":1003358,"product_id":740,"product_sku_id":782,"dose":5,"dose_unit":"滴","use_method":"耳道内用药","frequency":"每天1次","days":14,"number":1,"remark":"耳道清洗","created_at":"2022-09-27 02:03:12","updated_at":"2022-09-27 02:03:12","product_info":{"id":740,"hash_id":"YW7Jkz4R3vglE6M1","class_ids":{"0":1,"1":2,"2":3},"category_ids":{"19":180},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":83,"sell_point":"耳漂 多库酯钠及水杨酸洗耳液","title":"维克耳漂 多库酯钠及水杨酸洗耳液 60ml\/瓶\/盒","recommend_reason":{"0":"抗菌消炎，可彻底溶解耳垢、清洁耳道","1":"减低耳疥虫侵袭及耳道感染","2":"对中耳炎、外耳炎、耳疮有很好的辅助治疗作用"},"baike_guide_text":"","baike_article_hash_id":"","advword":"中耳炎,外耳炎,耳疮,干爽耳道,耳疥虫","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"60ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/70a71f09c5be5dd4b537b1366b12732c.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":79,"max_price":79,"sale_count":85,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 16:46:50","updated_at":"2024-11-22 09:13:39","ins":{"id":83,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"多库酯钠及水杨酸洗耳液","trade_name":"耳漂","en_name":"Epiotic","brand_name":"维克","is_prescription":0,"cover":"\/drug\/2020\/11\/90083777f092a2a445872e039427dfb7.jpg","specification":"60ml\/瓶\/盒","reference_price":89,"component":"多库酯钠、水杨酸、PCMX（EDTA缓冲液）、维克专利单糖抗附着成分。","indication":"1.抗菌消炎，可彻底溶解耳垢、清洁耳道，同时产生消毒除臭之功效。\n2.可减低耳疥虫侵袭及耳道感染。\n3.对中耳炎、外耳炎、耳疮有很好的辅助治疗作用。\n4.能有效的溶解耳道内的分泌物及清除耳垢。\n5.有收敛、除臭、消毒及干爽耳道的功能，有助于耳上皮组织更生。","usage_dosage":"1.使用前摇匀。旋转白色的滴嘴使其打开，把足够量的耳漂滴进耳道内，轻轻按摩耳朵几分钟以利渗透，让犬猫自己甩掉耳朵内多余的耳漂，可以用蘸取耳漂的棉球清洗耳朵外面的部分。\n2.耳道疾病期间，每天使用2-3次，直至症状消失。\n3.正常情况下，每周清洗耳朵1-2次。\n4.在用其他药物治疗外耳炎之前，也可以进行耳道清洗。","contraindication":"","adverse_reaction":"","attention":"1.仅供动物局部使用。\n2.建议不要用棉棒探入耳道擦拭。\n3.勿在鼓膜破裂时使用。","interaction":"","approval_no":"","storage_method":"温室保存。每次使用后，请旋紧瓶盖","validity":"2年","manufacturer":"法国维克有限公司（Virbac）","status":1,"created_at":"2020-11-09 18:01:29","updated_at":"2020-11-09 18:01:29"}},"product_sku_info":{"id":782,"product_id":740,"title":"维克耳漂 多库酯钠及水杨酸洗耳液 60ml\/瓶\/盒","advword":null,"price":79,"market_price":108,"cost_price":0,"stock":56,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"60ml"}},"cover":null,"thumb":"","sale_count":89,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 16:46:50","updated_at":"2024-11-21 19:02:43"}},"1":{"id":53948,"prescription_id":124435,"doctor_user_id":1003358,"product_id":719,"product_sku_id":761,"dose":1,"dose_unit":"滴","use_method":"耳道内用药","frequency":"每天1次","days":14,"number":1,"remark":"用于抗菌消炎","created_at":"2022-09-27 02:03:12","updated_at":"2022-09-27 02:03:12","product_info":{"id":719,"hash_id":"02EmLAg020po1NwW","class_ids":{"0":1,"1":2},"category_ids":{"0":180},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":81,"sell_point":"耳肤灵 复方制霉菌素软膏","title":"威隆耳肤灵 复方制霉菌素软膏 10g\/支\/盒","recommend_reason":{"0":"用于宠物耳螨，细菌性耳炎，真菌耳炎，耳痒，流脓","1":"用于宠物日常护理，除臭去垢，消肿止痒等"},"baike_guide_text":"","baike_article_hash_id":"","advword":"耳螨,细菌性耳炎,真菌耳炎,耳痒,流脓,中耳炎","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"10g"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/0f029a6a91f74b81ebbb12202f072aac.png","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":139,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 14:41:10","updated_at":"2024-11-22 09:13:39","ins":{"id":81,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"复方制霉菌素软膏","trade_name":"耳肤灵","en_name":"Compound Nystatin Ointment","brand_name":"威隆","is_prescription":0,"cover":"\/drug\/2020\/11\/4a3baa3a0e8f0d632c635b1dd6f13ff8.png","specification":"10g\/支\/盒","reference_price":130,"component":"硫酸新霉素，制霉菌素，氯菊酯曲安奈德","indication":"1.用于宠物耳螨，细菌性耳炎，真菌耳炎，耳痒，流脓。\n2.也可用于宠物日常护理，除臭去垢，消肿止痒等。","usage_dosage":"1.外用药每日一次，直至康复。耳螨疗程一般3到4周。如患中耳炎，需搭配抗生素治疗，连续用药两周。\n2.首先应清洁耳朵外部，再取适量豌豆粒大小的药量，挤入耳道内。\n3.轻轻按摩耳朵根部10秒，让液体均匀覆盖在耳道黏膜上。","contraindication":"","adverse_reaction":"","attention":"1.用药前检查耳朵鼓膜完整性，不要让药膏污染被毛，特别是要防止猫舔。\n2.本品仅动物使用。\n3.放置到儿童不能拿到的位置。","interaction":"","approval_no":"（2016）外兽药证字39号","storage_method":"密封保存。","validity":"3年","manufacturer":"法国威隆制药股份有限公司Vetoquinol S.A.","status":1,"created_at":"2020-11-09 16:40:33","updated_at":"2020-11-09 16:40:33"}},"product_sku_info":{"id":761,"product_id":719,"title":"威隆耳肤灵 复方制霉菌素软膏 10g\/支\/盒","advword":null,"price":98,"market_price":120,"cost_price":0,"stock":25,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"10g"}},"cover":null,"thumb":"","sale_count":151,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 14:41:10","updated_at":"2024-11-21 19:02:43"}}},"drug_data_bak":{"0":{"id":53947,"prescription_id":124435,"doctor_user_id":1003358,"product_id":740,"product_sku_id":782,"dose":5,"dose_unit":"滴","use_method":"耳道内用药","frequency":"每天1次","days":14,"number":1,"remark":"耳道清洗","created_at":"2022-09-27 02:03:12","updated_at":"2022-09-27 02:03:12","product_info":{"id":740,"hash_id":"YW7Jkz4R3vglE6M1","class_ids":{"0":1,"1":2,"2":3},"category_ids":{"19":180},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":83,"sell_point":"耳漂 多库酯钠及水杨酸洗耳液","title":"维克耳漂 多库酯钠及水杨酸洗耳液 60ml\/瓶\/盒","recommend_reason":{"0":"抗菌消炎，可彻底溶解耳垢、清洁耳道","1":"减低耳疥虫侵袭及耳道感染","2":"对中耳炎、外耳炎、耳疮有很好的辅助治疗作用"},"baike_guide_text":"","baike_article_hash_id":"","advword":"中耳炎,外耳炎,耳疮,干爽耳道,耳疥虫","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"60ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/70a71f09c5be5dd4b537b1366b12732c.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":79,"max_price":79,"sale_count":85,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 16:46:50","updated_at":"2024-11-22 09:13:39","ins":{"id":83,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"多库酯钠及水杨酸洗耳液","trade_name":"耳漂","en_name":"Epiotic","brand_name":"维克","is_prescription":0,"cover":"\/drug\/2020\/11\/90083777f092a2a445872e039427dfb7.jpg","specification":"60ml\/瓶\/盒","reference_price":89,"component":"多库酯钠、水杨酸、PCMX（EDTA缓冲液）、维克专利单糖抗附着成分。","indication":"1.抗菌消炎，可彻底溶解耳垢、清洁耳道，同时产生消毒除臭之功效。\n2.可减低耳疥虫侵袭及耳道感染。\n3.对中耳炎、外耳炎、耳疮有很好的辅助治疗作用。\n4.能有效的溶解耳道内的分泌物及清除耳垢。\n5.有收敛、除臭、消毒及干爽耳道的功能，有助于耳上皮组织更生。","usage_dosage":"1.使用前摇匀。旋转白色的滴嘴使其打开，把足够量的耳漂滴进耳道内，轻轻按摩耳朵几分钟以利渗透，让犬猫自己甩掉耳朵内多余的耳漂，可以用蘸取耳漂的棉球清洗耳朵外面的部分。\n2.耳道疾病期间，每天使用2-3次，直至症状消失。\n3.正常情况下，每周清洗耳朵1-2次。\n4.在用其他药物治疗外耳炎之前，也可以进行耳道清洗。","contraindication":"","adverse_reaction":"","attention":"1.仅供动物局部使用。\n2.建议不要用棉棒探入耳道擦拭。\n3.勿在鼓膜破裂时使用。","interaction":"","approval_no":"","storage_method":"温室保存。每次使用后，请旋紧瓶盖","validity":"2年","manufacturer":"法国维克有限公司（Virbac）","status":1,"created_at":"2020-11-09 18:01:29","updated_at":"2020-11-09 18:01:29"}},"product_sku_info":{"id":782,"product_id":740,"title":"维克耳漂 多库酯钠及水杨酸洗耳液 60ml\/瓶\/盒","advword":null,"price":79,"market_price":108,"cost_price":0,"stock":56,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"60ml"}},"cover":null,"thumb":"","sale_count":89,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 16:46:50","updated_at":"2024-11-21 19:02:43"}},"1":{"id":53948,"prescription_id":124435,"doctor_user_id":1003358,"product_id":719,"product_sku_id":761,"dose":1,"dose_unit":"滴","use_method":"耳道内用药","frequency":"每天1次","days":14,"number":1,"remark":"用于抗菌消炎","created_at":"2022-09-27 02:03:12","updated_at":"2022-09-27 02:03:12","product_info":{"id":719,"hash_id":"02EmLAg020po1NwW","class_ids":{"0":1,"1":2},"category_ids":{"0":180},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":81,"sell_point":"耳肤灵 复方制霉菌素软膏","title":"威隆耳肤灵 复方制霉菌素软膏 10g\/支\/盒","recommend_reason":{"0":"用于宠物耳螨，细菌性耳炎，真菌耳炎，耳痒，流脓","1":"用于宠物日常护理，除臭去垢，消肿止痒等"},"baike_guide_text":"","baike_article_hash_id":"","advword":"耳螨,细菌性耳炎,真菌耳炎,耳痒,流脓,中耳炎","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"10g"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/0f029a6a91f74b81ebbb12202f072aac.png","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":139,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 14:41:10","updated_at":"2024-11-22 09:13:39","ins":{"id":81,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"复方制霉菌素软膏","trade_name":"耳肤灵","en_name":"Compound Nystatin Ointment","brand_name":"威隆","is_prescription":0,"cover":"\/drug\/2020\/11\/4a3baa3a0e8f0d632c635b1dd6f13ff8.png","specification":"10g\/支\/盒","reference_price":130,"component":"硫酸新霉素，制霉菌素，氯菊酯曲安奈德","indication":"1.用于宠物耳螨，细菌性耳炎，真菌耳炎，耳痒，流脓。\n2.也可用于宠物日常护理，除臭去垢，消肿止痒等。","usage_dosage":"1.外用药每日一次，直至康复。耳螨疗程一般3到4周。如患中耳炎，需搭配抗生素治疗，连续用药两周。\n2.首先应清洁耳朵外部，再取适量豌豆粒大小的药量，挤入耳道内。\n3.轻轻按摩耳朵根部10秒，让液体均匀覆盖在耳道黏膜上。","contraindication":"","adverse_reaction":"","attention":"1.用药前检查耳朵鼓膜完整性，不要让药膏污染被毛，特别是要防止猫舔。\n2.本品仅动物使用。\n3.放置到儿童不能拿到的位置。","interaction":"","approval_no":"（2016）外兽药证字39号","storage_method":"密封保存。","validity":"3年","manufacturer":"法国威隆制药股份有限公司Vetoquinol S.A.","status":1,"created_at":"2020-11-09 16:40:33","updated_at":"2020-11-09 16:40:33"}},"product_sku_info":{"id":761,"product_id":719,"title":"威隆耳肤灵 复方制霉菌素软膏 10g\/支\/盒","advword":null,"price":98,"market_price":120,"cost_price":0,"stock":25,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"10g"}},"cover":null,"thumb":"","sale_count":151,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 14:41:10","updated_at":"2024-11-21 19:02:43"}}}}}}
微信扫一扫
立即问宠医
