咨询描述:狗狗十岁 ,最初腿上长了一个类似小疙瘩一样的东西,差不多有半年左右,最近开始频繁的舔,然后小疙瘩开始变大周围的毛发有点脱落,前几天去本地的宠物医院看了,那个医生用针头把疙瘩戳破后只挤出来了献血并没有脓水,然后连续打了三天的针,还给开了这两种药,但是今天看,腿上的包比治疗前更大了!!
回复总结:狗狗腿上有小疙瘩没有脓,这种情况怀疑狗狗腿部有可能是肿瘤的情况。建议给狗狗做一个临床检查,看一下肿瘤是良性的还是恶性的。是否已经扩散,需不需要切除。皮肤肿瘤的治疗包括手术、放射治疗、化学治疗等,或这些治疗的组合治疗。如果狗狗目前年龄比较大了,身体情况不允许做手术就需要给狗狗吃药保守治疗,观察症状。
问题大致一样,细节不同?
刘文飞
执业兽医师
您好,狗狗主人,狗狗十岁多了,腿上长了一个疙瘩,前几天去宠物医院给狗狗做了治疗,治疗的时候,医生把疙瘩里面的血水穿刺完全挤出来,然后用的药也是按照炎症感染去用药的,但是并没有效果,目前长得比之前还大了。这种情况怀疑狗狗腿部有可能是肿瘤的情况,建议给狗狗做一个临床检查,看一下肿瘤是良性的还是恶性的。是否已经扩散,需不需要切除。皮肤肿瘤的治疗包括手术、放射治疗、化学治疗等,或这些治疗的组合治疗,狗狗目前年龄比较大了,如果身体情况不允许做手术就需要给狗狗吃药保守治疗,观察症状
请问如果吃药保守治疗治疗的话,需要吃什么药?生命只会剩下很少了吗?因为我家狗狗有心脏病,呼吸麻醉对她来说太危险了…查看肿瘤是否是恶性是要取样送检吗?
刘文飞
执业兽医师
您好,查看皮肤组织的疙瘩是良性还是恶性需要切一块患部皮肤,然后去送检,有心脏病做不了手术,只能吃药保守治疗,狗狗病情用药控制住,您后期护理得当狗狗还会再陪您几年的,需要给狗狗患部剃干净毛毛,防止细菌二次感染,用碘伏消毒,消完毒涂抹图片用的药,再给狗狗口服药,坚持用药观察狗狗的症状,用药期间需要给狗狗带上伊丽莎白圈,防止狗狗舔舐,在给狗狗把指甲修剪平整光滑,防止狗狗抓挠,有利于狗狗早日康复。一般每三个月做一次体内驱虫,每一个月做一次体外驱虫,定期做好驱虫可以降低狗狗皮肤炎症感染的风险,还需要给狗狗居住的环境做好驱蚊虫工作,您目前需要给狗狗居住的环境,每周消一次毒,用宠物专用的消毒液消毒,消完毒之后保持环境清洁干燥,狗狗住的窝拿出去多晒晒太阳,有助于杀菌消毒,以上分析与建议您可以先参考一下。
根据狗狗的情况,我给它开个处方。处方里面的1.阿莫西林克拉维酸钾,对狗狗皮肤的炎症作用效果比较好,按狗狗的体重用药;三黄双丁片抗肿瘤效果比较好,这是一个中医成分的药,我们平台暂时缺货您自己购买,买兽药字(2015)020166540,狗狗每次吃一片,坚持吃一个月,您可以根据需求自行选择购买
好的,非常感谢您!如果我先用药的保守治疗这样可以吗?肿瘤送检我这小县城和市里都没有这个技术
嗯嗯!那最后个问题医生!口服用药就是阿莫西林克拉维酸钾和三黄双丁片,外涂用药就是我图里的那两个,对吧?外涂用药什么时候停止用药合适呢?口服用药也都是服用一个月吗?
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
{"444703":{"id":444703,"case_id":50364,"user_id":1345841,"to_user_id":2218176,"type":3,"content":"您好,查看皮肤组织的疙瘩是良性还是恶性需要切一块患部皮肤,然后去送检,有心脏病做不了手术,只能吃药保守治疗,狗狗病情用药控制住,您后期护理得当狗狗还会再陪您几年的,需要给狗狗患部剃干净毛毛,防止细菌二次感染,用碘伏消毒,消完毒涂抹图片用的药,再给狗狗口服药,坚持用药观察狗狗的症状,用药期间需要给狗狗带上伊丽莎白圈,防止狗狗舔舐,在给狗狗把指甲修剪平整光滑,防止狗狗抓挠,有利于狗狗早日康复。一般每三个月做一次体内驱虫,每一个月做一次体外驱虫,定期做好驱虫可以降低狗狗皮肤炎症感染的风险,还需要给狗狗居住的环境做好驱蚊虫工作,您目前需要给狗狗居住的环境,每周消一次毒,用宠物专用的消毒液消毒,消完毒之后保持环境清洁干燥,狗狗住的窝拿出去多晒晒太阳,有助于杀菌消毒,以上分析与建议您可以先参考一下。\n根据狗狗的情况,我给它开个处方。处方里面的1.阿莫西林克拉维酸钾,对狗狗皮肤的炎症作用效果比较好,按狗狗的体重用药;三黄双丁片抗肿瘤效果比较好,这是一个中医成分的药,我们平台暂时缺货您自己购买,买兽药字(2015)020166540,狗狗每次吃一片,坚持吃一个月,您可以根据需求自行选择购买","media":{"images":{},"videos":{},"business_params":{"prescription_id":131976}},"is_doctor":1,"status":1,"created_at":"2022-12-23 08:22:13","show_rx":true,"rx_info":{"id":131976,"rx_no":2.02212230820385e+24,"user_id":2218176,"doctor_user_id":1345841,"is_independent":0,"case_id":2985615,"pet_info":{"pet_id":349262,"pet_name":"泰迪","pet_nickname":"花椒","pet_gender":4,"pet_birth":"10-3","pet_weight":10,"pet_vaccination_status":0,"pet_in_insect_repellent_status":1,"pet_out_insect_repellent_status":1,"pet_age_format":"10岁3个月"},"diagnose":"疑似皮肤肿瘤","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2022-12-23 08:20:38","updated_at":"2022-12-23 08:22:13","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":69393,"prescription_id":131976,"doctor_user_id":1345841,"product_id":709,"product_sku_id":752,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":14,"number":1,"remark":"","created_at":"2022-12-23 08:20:38","updated_at":"2022-12-23 08:20:38","product_info":{"id":709,"hash_id":"lazo6rxWXWpOqD9E","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":5,"sell_point":"速诺(阿莫西林克拉维酸钾片)250mg","title":"辉瑞速诺(阿莫西林克拉维酸钾片)250mg×10片\/板","recommend_reason":{"0":"适用于宠物由敏感细菌引起的皮肤及软组织感染、呼吸道感染","1":"治疗宠物革兰氏阴性和革兰氏阳性敏感细菌的感染","2":"用于肠炎及其他感染,如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"呼吸道感染,肠炎,腹泻,便血,真菌感染,猫癣,脓皮症","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"250mg规格1板"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/0c5606ffe97cfdbe080e7c31980a047d.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":673,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:43:15","updated_at":"2024-11-21 14:28:26","ins":{"id":5,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"阿莫西林克拉维酸钾片","trade_name":"速诺","en_name":"Synulox Palatable Tablets","brand_name":"辉瑞","is_prescription":1,"cover":"\/drug\/2020\/10\/b4e16954b19120b0d777543dde23b1da.JPG","specification":"250mg×10片×10板\/盒","reference_price":2200,"component":"阿莫西林和克拉维酸钾","indication":"适用于犬由敏感细菌引起的各种感染,及治疗犬革兰氏阴性和革兰氏阳性敏感细菌的感染。\n1、如皮肤及软组织感染脓性皮炎、脓肿和肛腺炎、蜂窝组织炎、伤口感染、腹内脓毒症等。\n2、牙感染(牙龈炎)。\n3、尿道感染,如膀胱炎、尿道炎、肾盂肾炎、前列腺炎、盆腔炎、淋病奈瑟菌尿路感染及软性下疳等。\n4、呼吸道感染,如鼻窦炎、扁桃体炎、咽炎、急慢性支气管炎、慢性支气管炎急性发作、肺炎、肺脓肿和支气管合并感染。\n5、肠炎及其他感染,如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染等。","usage_dosage":"口服。每天吃2次,连用5-7天。每次用量如下:\n体重9-12kg,吃0.5片;\n体重13-15kg,吃0.75片;\n体重16-22kg,吃1片;\n体重23-30kg,吃1.5片;\n体重31-40kg,吃2片;\n体重41kg及以上请购买同品500mg规格的产品。\n\n注:一些慢性感染(慢性皮炎、慢性膀胱炎和慢性呼吸道感染)的治疗可连用10-28天。","contraindication":"1. 仓鼠、豚鼠、沙鼠、灰鼠和家兔禁用。\n2. 其他草食动物慎用。\n3.对青霉素过敏者禁止接触本品。","adverse_reaction":"1.恶心、腹泻和皮肤丘疹是最常见的不良反应。\n2.本品为青霉素类药物,若出现过敏反应可使用肾上腺素治疗。","attention":"1.不要对病情严重的动物使用口服抗生素,因其胃肠道吸收可能不可靠,这些患病动物可能需要静脉注射剂。\n2.避免在对其他β-内酰胺类抗菌药(包含头孢菌素类)有过敏反应的动物使用。\n3.片剂由防潮箔包裹,给药前不要取出。\n4.对青霉素过敏者如果不慎接触,应该立刻去找医生救助。\n5.孕畜慎用。\n4.使用后请洗手。\n5.不要让小孩接触到此产品。","interaction":"1.避免同时使用抑菌性抗生素(如四环素、红霉素)。\n2.不要给鸟类同时使用别嘌呤醇、β-内酰胺和氨基糖苷类抗菌剂在体内有协同作用。\n3.本品和氨苄西林有完全交叉耐药性,与青霉素类和头孢菌素类有交叉耐药性。","approval_no":"(2018)外兽药证字11号","storage_method":"密封,在凉暗干燥处保存。","validity":"2年","manufacturer":"意大利豪普特制药厂(Haupt Pharma Latina S.R.L)","status":1,"created_at":"2020-10-23 12:09:57","updated_at":"2020-10-23 16:00:00"}},"product_sku_info":{"id":752,"product_id":709,"title":"辉瑞速诺(阿莫西林克拉维酸钾片)250mg×10片\/板","advword":null,"price":98,"market_price":119,"cost_price":0,"stock":730,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"250mg规格1板"}},"cover":null,"thumb":"","sale_count":711,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:43:15","updated_at":"2024-11-21 14:19:59"}}},"drug_data_bak":{"0":{"id":69393,"prescription_id":131976,"doctor_user_id":1345841,"product_id":709,"product_sku_id":752,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":14,"number":1,"remark":"","created_at":"2022-12-23 08:20:38","updated_at":"2022-12-23 08:20:38","product_info":{"id":709,"hash_id":"lazo6rxWXWpOqD9E","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":5,"sell_point":"速诺(阿莫西林克拉维酸钾片)250mg","title":"辉瑞速诺(阿莫西林克拉维酸钾片)250mg×10片\/板","recommend_reason":{"0":"适用于宠物由敏感细菌引起的皮肤及软组织感染、呼吸道感染","1":"治疗宠物革兰氏阴性和革兰氏阳性敏感细菌的感染","2":"用于肠炎及其他感染,如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"呼吸道感染,肠炎,腹泻,便血,真菌感染,猫癣,脓皮症","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"250mg规格1板"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/0c5606ffe97cfdbe080e7c31980a047d.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":673,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:43:15","updated_at":"2024-11-21 14:28:26","ins":{"id":5,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"阿莫西林克拉维酸钾片","trade_name":"速诺","en_name":"Synulox Palatable Tablets","brand_name":"辉瑞","is_prescription":1,"cover":"\/drug\/2020\/10\/b4e16954b19120b0d777543dde23b1da.JPG","specification":"250mg×10片×10板\/盒","reference_price":2200,"component":"阿莫西林和克拉维酸钾","indication":"适用于犬由敏感细菌引起的各种感染,及治疗犬革兰氏阴性和革兰氏阳性敏感细菌的感染。\n1、如皮肤及软组织感染脓性皮炎、脓肿和肛腺炎、蜂窝组织炎、伤口感染、腹内脓毒症等。\n2、牙感染(牙龈炎)。\n3、尿道感染,如膀胱炎、尿道炎、肾盂肾炎、前列腺炎、盆腔炎、淋病奈瑟菌尿路感染及软性下疳等。\n4、呼吸道感染,如鼻窦炎、扁桃体炎、咽炎、急慢性支气管炎、慢性支气管炎急性发作、肺炎、肺脓肿和支气管合并感染。\n5、肠炎及其他感染,如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染等。","usage_dosage":"口服。每天吃2次,连用5-7天。每次用量如下:\n体重9-12kg,吃0.5片;\n体重13-15kg,吃0.75片;\n体重16-22kg,吃1片;\n体重23-30kg,吃1.5片;\n体重31-40kg,吃2片;\n体重41kg及以上请购买同品500mg规格的产品。\n\n注:一些慢性感染(慢性皮炎、慢性膀胱炎和慢性呼吸道感染)的治疗可连用10-28天。","contraindication":"1. 仓鼠、豚鼠、沙鼠、灰鼠和家兔禁用。\n2. 其他草食动物慎用。\n3.对青霉素过敏者禁止接触本品。","adverse_reaction":"1.恶心、腹泻和皮肤丘疹是最常见的不良反应。\n2.本品为青霉素类药物,若出现过敏反应可使用肾上腺素治疗。","attention":"1.不要对病情严重的动物使用口服抗生素,因其胃肠道吸收可能不可靠,这些患病动物可能需要静脉注射剂。\n2.避免在对其他β-内酰胺类抗菌药(包含头孢菌素类)有过敏反应的动物使用。\n3.片剂由防潮箔包裹,给药前不要取出。\n4.对青霉素过敏者如果不慎接触,应该立刻去找医生救助。\n5.孕畜慎用。\n4.使用后请洗手。\n5.不要让小孩接触到此产品。","interaction":"1.避免同时使用抑菌性抗生素(如四环素、红霉素)。\n2.不要给鸟类同时使用别嘌呤醇、β-内酰胺和氨基糖苷类抗菌剂在体内有协同作用。\n3.本品和氨苄西林有完全交叉耐药性,与青霉素类和头孢菌素类有交叉耐药性。","approval_no":"(2018)外兽药证字11号","storage_method":"密封,在凉暗干燥处保存。","validity":"2年","manufacturer":"意大利豪普特制药厂(Haupt Pharma Latina S.R.L)","status":1,"created_at":"2020-10-23 12:09:57","updated_at":"2020-10-23 16:00:00"}},"product_sku_info":{"id":752,"product_id":709,"title":"辉瑞速诺(阿莫西林克拉维酸钾片)250mg×10片\/板","advword":null,"price":98,"market_price":119,"cost_price":0,"stock":730,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"250mg规格1板"}},"cover":null,"thumb":"","sale_count":711,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:43:15","updated_at":"2024-11-21 14:19:59"}}}}}}
微信扫一扫
立即问宠医