咨询描述:一百天左右迷你宾莎犬,摔到左后腿,本地拍了片,开了钙片和***,医生让静养,昨夜前肢腋下测温38.5,大小便基本正常,食量偏小,昨天不太动,今天感觉精神状态还可以,想让医生帮忙看看静养的话能恢复吗,伤到的是不是圈起来的部位
症状描述:无可见外伤,后腿不落地,躺下不活动,精神还可以
患病时长:48小时
医院检查:拍片,骨折
用药情况:当晚喂了一颗云南白药胶囊保险子,并在压痛处喷云南白药气雾剂,第二天拍片后喂上海宏威公司钙王+河北瑞辉关节康
症状描述:
回复总结:狗狗摔倒后腿不落地了,如果错位过多,那么需要考虑进行手术内固定治疗。静养的变数太多了,虽然可以逐渐的恢复,但是出现后遗症的概率很高,个人是不建议的。伤筋动骨一百天,不过狗狗一般不用这么久,大概45-70天左右,就可以逐渐的恢复。不过恢复程度是需要根据治疗程度,以及狗狗体质来看的。
问题大致一样,细节不同?
陈奕达
执业兽医师
您好,感谢您的信任,谢谢。从您上传的x光片来看,狗狗骨盆以及膝盖位置有问题。然后骨盆这里的问题还好,应该不是很严重。但是膝盖这里,和有可能已经出现了骨折以及轻微错位问题。狗狗是否还有拍摄的侧位x光片?
为保护用户隐私不显示图片/视频
没有侧位,拍了两张,收了两份钱,但感觉都是同样体位,另外一个片子我没有看到,医生说还好没有错位。而且他说的盆骨问题是图片上你标注的右侧那根,他说不在了,当时我就表示怀疑,所以上来问一下
陈奕达
执业兽医师
好的,感谢您的回复,谢谢。1.狗狗的骨盆问题,个人认为不太严重,大多数可以静养治疗。2.但是膝盖位置这里,必须拍摄侧位x光片,才能进行评估骨折程度,以及是否有过多错位。然后考虑是否需要进行手术治疗,还是外固定夹板的保守治疗。3.而狗狗的口服用药,这个没有问题,适合狗狗现在的病情。
刚才又追问了本地拍片医生,确定两张都是仰卧拍的,他说侧面拍了也看不清,确定错位不多。如果错位不多的话,就静养能恢复吗,大概需要多久,毕竟内固定价格比较高,外固定的话效果可能不是太理想。我在考虑去本地其他地方再拍一张侧位的
陈奕达
执业兽医师
您好,1.建议您更换一个靠谱的主治医生或者宠物医院,侧位片没有看不清的,只能是诊疗条件受到限制的问题。2.如果错位过多,那么需要考虑进行手术内固定治疗。静养的变数太多了,虽然可以逐渐的恢复,但是出现后遗症的概率很高,个人是不建议的。3.伤筋动骨一百天,不过狗狗一般不用这么久,大概45-70天左右,就可以逐渐的恢复。不过恢复程度是需要根据治疗程度,以及狗狗体质来看的。
你好,陈医生,今天下午会自己起来活动,刚才又换地方拍了个侧位的,麻烦再帮忙看一下,医生建议还是做内交叉固定,说外固定在关节上,意义不大,费用包括后期二次拆除,大概六七千,有点接受不了,毕竟差不多够买三只了。如果不做处理,药物静养的话会不会引起炎症
为保护用户隐私不显示图片/视频
陈奕达
执业兽医师
您好,1.从侧位x片来看,错位还是比较严重的,个人也是建议考虑手术治疗。保守治疗这条腿留下坡脚后遗症的概率高达80-70%。2.发炎的概率确实有,不过可以给予狗狗口服一些宠物专用广谱消炎用药,控制炎症的感染。
如果只是坡脚就接受吧,留着手术费给它娶媳妇都够2了😭,麻烦陈医生给我开点消炎用药,止疼的应该不用了,我看昨天疼有时候会抖,今天没有症状了。
陈奕达
执业兽医师
好的,这边根据狗狗的情况,我给宝贝开个处方。
处方里面的
1. ****,宠物专用广谱消炎,控制炎症。
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
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