回复总结:狗狗一直喘粗气还嘤嘤叫,考虑的就是心脏肥大,或者是心脏的问题,有可能会有反流。这种情况,必须尽快的拍摄一张胸片所以说心脏彩超。如果暂时不方便去宠物医院就诊,建议给狗狗口服氨茶碱,但是氨茶碱只是刺激呼吸的,并不能解决原发原因,还是需要使用护心的药物,最好是优先拍摄胸片。
问题大致一样,细节不同?
徐灿
执业兽医师
你好,我需要问一下狗狗有没有心脏方面的疾病?能不能拍一段视频过来?检查一下有没有呼吸的杂音?有没有舌头发紫?运动过后,心跳速度加快吗?之前有没有什么别的疾病?检查一下两腿之间有没有发热?我需要先看一下视频,做一个初步分析。
徐灿
执业兽医师
先检查一下体温,看一下有没有发热,还有就是听一下呼吸的声音,有没有呼吸的杂音?回顾一下,是不是每天晚上的时候会有加重?
我摸了一下两腿之间不热,常温状态。之前一直没什么疾病。这会就是喘粗气,还嘤嘤的叫。之前也有过一次这种情况,以为是家里有点热,开窗让它凉快一下就好了,刚才还是让它凉快一下这次没什么效果,然后我进去他就跑到我身边,让它趴下之后喘气有点缓解,但是我离开之后,他就一直在门这里喘粗气也不睡觉,有时候还嘤嘤的
徐灿
执业兽医师
这种情况的话,必须尽快的拍摄一张胸片,结合年龄来看,考虑的就是心脏肥大,或者是心脏的问题,有可能会有反流,所以说心脏彩超也是需要做一个的。后续你可以把化验的结果发给我,我会给出新的建议或者治疗方案。
目前有什么办法让它缓解一下吗,感觉它比较焦虑,也不睡觉,这边去医院的条件也不是很方便
徐灿
执业兽医师
目前来说没有太好的办法,可能用一些氨茶碱会有一定的效果,但是相对来说,建议是优先排查心肺功能的问题,这种情况一定要找到原发原因,个人建议是优先排查心脏的问题。她的年龄就决定了心脏疾病可能性的概率会很高
徐灿
执业兽医师
一般来说,会用一些增加心脏搏动,还有就是维护心脏功能的一些药物去使用,如果你需要的话,我可以帮你开一个常用的方案,但是需要提出处方申请。
那它现在这个状态,喘粗气,嘤嘤叫就只能先这样吗,用了药会有缓解吗
徐灿
执业兽医师
我已经帮你开了一个常用的方案,分别是增加心脏收缩,维护心脏功能,还有就是促进呼吸,总共三个药物,要坚持用药,尤其是治疗心脏的药物,必须长时间使用。
徐灿
执业兽医师
家长你好!考虑到目前的问诊暂未沟通出结论,我额外赠送你3次追问次数,以顺利完成本次问诊咨询。
徐灿
执业兽医师
大部分用完药物之后都会有缓解,首先就是它没有呼吸的杂音,也没有发热,那么就排除了肺部感染或者感染造成,所以说再结合年龄来看,基本上能确定是心脏问题,而且现在是晚上夜间,一般来说,心脏问题大部分都是在晚上十点到次日凌晨四点容易加重。
那我明天去买点氨茶碱先给他试试,那它这会一直也不睡觉怎么办
徐灿
执业兽医师
我需要和你说一下,氨茶碱只是刺激呼吸的,并不能解决原发原因,还是需要使用护心的药物,最好是优先拍摄胸片,然后今天晚上要尽快的找到药,一般来说,超过四点以后会逐渐的症状缓解,别的一般没有太好的办法,除非是吸氧
大夫,我昨天后来把它从栏杆里放出来之后,他就可以安静的睡觉了,就在栏杆里就不太行,早上起来让它回去一会他又像晚上一样了,它之前一直都在栏杆里呆着,这是不是最近有发情的情况啊,它一直没绝育
徐灿
执业兽医师
这个实际上不一定,但是我个人建议是拍摄一张胸片,最起码也要对心脏大小做一个评估,因为他的年龄比较大,要以排查为主。
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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