回复总结:针对狗狗胆囊炎,用药治疗方面建议给狗狗吃治疗胆囊炎的抗生素,可以选择含有阿莫西林克拉维酸钾成分的抗生素或者含有恩氟沙星成分的抗生素。按照胆囊炎治疗,只是经验性的治疗,并不是确诊的治疗,建议按照醫院的去给他治疗用药,第二种就是再做进一步的检查,确诊之后再去用药治疗,不过无论是什么情况,他目前因为有炎症,抗生素肯定是需要使用的。
问题大致一样,细节不同?
郭秋萍
执业兽医师
根据您讲到的狗狗的情况,我初步判断需要给它使用抗生素和肝胆用药,但仅仅根据目前信息,还不能做出进一步的判断。我还有几个问题需要向你核实一下:
1. 狗狗9岁多,没有打疫苗吗?有没有定期做体内外驱虫呢?它之前有没有什么疾病史?
2. 他目前主要有哪些临床症状?去医院具体做了哪些检查?可以把所有的化验报告都发过来我看一下吗?
3. 他现在精神食欲大小便情况怎么样?
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。
郭秋萍
执业兽医师
你可以先把我上面的这些狗狗的信息都详细告诉我一下吗?
我必须要根据他的病情来给你制定治疗方案。
目前不爱吃饭,可能是换粮的原因,没大便,小便正常,昨晚上发现不吃饭,然后发烧40.5度,抱去医院打针今天零晨1点半左右吃粮了,目前没吃精神头今天还行@年龄9年半,体重11斤
为保护用户隐私不显示图片/视频
郭秋萍
执业兽医师
从你上传的化验单来看,他的总胆固醇升高和甘油三酯高,只能说明他体内的油脂成分比较高,你家狗狗是不是很胖?
肌酸激酶升高可能有肌肉损伤或者是心脏损伤,碱性磷酸酶身高,一般也是肌肉损伤会这样,然后就是肠管有炎症会出现这个情况。
单从生化不能判断,他一定有胆囊炎。有没有给他做腹部B超检查,他有没有胆囊壁增厚?有没有胆囊里面出现胆泥?
他发烧,不一定是胆囊炎造成的,然后他血常规怎么样,然后急性期的炎症指标怎么样?
单纯发烧食欲下降,你需要给他打退热针,然后给他注射抗生素治疗。
我给你发了两个检查单子,没有血常规那项吗?我家狗狗我11斤,看你的诊断书,狗狗还不一定是胆囊炎,但是狗狗不敢直腰,肚子还挺硬,
为保护用户隐私不显示图片/视频
郭秋萍
执业兽医师
我这边只收到了你发的生化单,你没有发血常规单子过来。
是的,从生化的化验报告来看,它不一定是胆囊炎。
弓背,肚子硬,不一定是胆囊出问题,急性胰腺炎也会这样,然后肾结石也会这样,膀胱发炎也会这样的。
你必须要结合其他的检查来确诊,比如说一定要做腹部B超检查。
这个是不是血常规?医院让打一周吊瓶是按照胆囊炎治疗,那我现在应该怎样治疗?
为保护用户隐私不显示图片/视频
郭秋萍
执业兽医师
他的第二张单子是血常规的单子。血常规主要是有炎症,所以他发热是因为炎症造成的。
他现在按照胆囊炎治疗,只是经验性的治疗,并不是确诊的治疗。你有两种方案:一种就是按照醫院的去给他治疗用药,第二种就是再做进一步的检查,确诊之后再去用药治疗,不过无论是什么情况,他目前因为有炎症,抗生素肯定是需要使用的。
我再给狗狗做一次腹部B超检查,除了打吊瓶,口服的抗生素吃啥效果好?我想给狗狗除了打吊瓶再给吃点口服的抗生素
郭秋萍
执业兽医师
你先看医生给他使用的是什么抗生素,一般口服的最常用的抗生素就是***或者***。最后不要和医院用相同的抗生素,容易剂量超量。
***,一天两次,一次1.5片,连用7天。
***,一天一次,一次0.5片,连用7天。
郭秋萍
执业兽医师
已经给你开了口服抗生素哟!
它目前主要就是消炎,然后最好是做腹部b超,确诊有哪些内科疾病。
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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