咨询描述:猫瘟第六天,白细胞0.15,输过血,一直上不来,现在应该怎么办?
回复总结:针对猫咪猫瘟白细胞一直上不来的情况,猫咪现在这种情况,建议考虑再次输血治疗,来增加白细胞数量,增加升白药物用量,建议加倍。然后,除了单抗之类的抗病毒用药,建议增加抗病毒血清。输血之前,建议检查一下猫咪肝脏,肾脏的代谢功能是否有异常。如果猫咪没有持续性呕吐,建议给予口服一些宠物专用提高免疫力,促进消化道粘膜恢复的用药。
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。根据我们的沟通,
1.猫咪现在这种情况,建议考虑再次输血治疗,来增加白细胞数量。
2.增加升白药物用量,建议加倍。
3.除了单抗之类的抗病毒用药,建议增加抗病毒血清。
4.输血之前,建议检查一下猫咪肝脏,肾脏的代谢功能是否有异常。
5.如果猫咪没有持续性呕吐,建议给予口服一些宠物专用提高免疫力,促进消化道粘膜恢复的用药。
然后这边根据猫咪的情况,我给宝贝开个处方。供您采纳参考一下。
处方里面的
1. 因子口服液,提高猫咪免疫力。
2. ***,宠物专用提供消化道营养,减轻消化道炎症,促进消化道粘膜恢复口服液。
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
{"446618":{"id":446618,"case_id":50543,"user_id":1249218,"to_user_id":2202986,"type":3,"content":"您好,感谢您的信任,谢谢。根据我们的沟通,\n1.猫咪现在这种情况,建议考虑再次输血治疗,来增加白细胞数量。\n2.增加升白药物用量,建议加倍。\n3.除了单抗之类的抗病毒用药,建议增加抗病毒血清。\n4.输血之前,建议检查一下猫咪肝脏,肾脏的代谢功能是否有异常。\n5.如果猫咪没有持续性呕吐,建议给予口服一些宠物专用提高免疫力,促进消化道粘膜恢复的用药。\n\n\n\n然后这边根据猫咪的情况,我给宝贝开个处方。供您采纳参考一下。\n处方里面的\n1. 因子口服液,提高猫咪免疫力。\n2. ***,宠物专用提供消化道营养,减轻消化道炎症,促进消化道粘膜恢复口服液。\n\n您可以根据需求自行选择购买。","media":{"images":{},"videos":{},"business_params":{"prescription_id":130297}},"is_doctor":1,"status":1,"created_at":"2022-12-03 11:44:31","show_rx":true,"rx_info":{"id":130297,"rx_no":2.02212031144235e+24,"user_id":2202986,"doctor_user_id":1249218,"is_independent":0,"case_id":2969229,"pet_info":{"pet_id":345198,"pet_name":"豹猫","pet_nickname":"皮蛋","pet_gender":1,"pet_birth":"0-3","pet_weight":1,"pet_vaccination_status":0,"pet_in_insect_repellent_status":1,"pet_out_insect_repellent_status":1,"pet_age_format":"3个月"},"diagnose":"猫瘟病毒","signature":"\/signature\/2021\/12\/c9bc3ee36e7e61a8a6b1d241ce0cd612.png","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2022-12-03 11:44:23","updated_at":"2022-12-03 11:44:31","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":66045,"prescription_id":130297,"doctor_user_id":1249218,"product_id":822,"product_sku_id":864,"dose":0.5,"dose_unit":"ml","use_method":"口服","frequency":"每天3次","days":14,"number":1,"remark":"","created_at":"2022-12-03 11:44:23","updated_at":"2022-12-03 11:44:23","product_info":{"id":822,"hash_id":"QKNDzP4DKzpewlnv","class_ids":{"0":2},"category_ids":{"0":194},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":113,"sell_point":"博莱宠猫免疫因子口服液","title":"博莱宠猫免疫因子口服液 40ml\/瓶\/盒","recommend_reason":{"0":"用于猫瘟热、猫疱疹、猫杯状等病毒性感染的治疗","1":"用于避免注射免疫间隙带来的危险,提高猫的疫苗免疫效果","2":"提高猫机体免疫和抗应激能力,用于预防和治疗猫的免疫缺陷症"},"baike_guide_text":"","baike_article_hash_id":"","advword":"免疫因子,转移因子,猫瘟热,猫疱疹,猫杯状病毒,抗感染,免疫抑制","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"40ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/76b8b9d459253e1767a58cc27ad058d2.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":118,"max_price":118,"sale_count":103,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-21 17:49:15","updated_at":"2024-11-21 16:07:12","ins":{"id":113,"hash_id":"","class_ids":"[\u00222\u0022]","title":"","common_name":"猫免疫因子口服液","trade_name":"转移因子","en_name":"Feline Transfer Factor Oral Solution","brand_name":"博莱宠","is_prescription":0,"cover":"\/drug\/2020\/11\/9e4855c55a2c26d4fb2fcf8a11a8bea7.JPG","specification":"40ml\/瓶\/盒","reference_price":198,"component":"小分子活性多肽,氨基酸和多聚核苷酸。","indication":"本品为高效免疫增强剂,有提高猫的免疫力和抗感染的作用。\n1.用于猫瘟热病毒、猫疱疹病毒、猫杯状病毒等病毒性感染的治疗。\n2.疫苗接种时同时口服转移因子,能够起到免疫补位作用,有效避免免疫间隙带来的危险,提高猫的疫苗免疫效果。\n3.提高猫机体免疫和抗应激能力,用于预防和治疗猫的免疫缺陷症,因应激、药物、手术等原因造成的免疫抑制。","usage_dosage":"按0.4ml\/kg体重口服,每日1~2次,可直接口服,也可混合于饮水、食物中饲喂,连续使用1周以上。","contraindication":"对转移因子有过敏史的猫禁用。","adverse_reaction":"","attention":"","interaction":"","approval_no":"","storage_method":"阴凉干燥处保存,开启后2-8°冷藏保存。30日内用完。","validity":"2年","manufacturer":"北京和安恒盛生物科技有限公司","status":1,"created_at":"2020-11-23 16:15:51","updated_at":"2020-11-23 16:15:51"}},"product_sku_info":{"id":864,"product_id":822,"title":"博莱宠猫免疫因子口服液 40ml\/瓶\/盒","advword":null,"price":118,"market_price":160,"cost_price":0,"stock":975,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"40ml"}},"cover":null,"thumb":"","sale_count":105,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-21 17:49:15","updated_at":"2024-11-21 16:07:12"}},"1":{"id":66046,"prescription_id":130297,"doctor_user_id":1249218,"product_id":750,"product_sku_id":792,"dose":0.5,"dose_unit":"ml","use_method":"口服","frequency":"每天2次","days":14,"number":1,"remark":"","created_at":"2022-12-03 11:44:23","updated_at":"2022-12-03 11:44:23","product_info":{"id":750,"hash_id":"ay8LblpORVx9EdBq","class_ids":{"0":1,"1":2},"category_ids":{"35":194},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":183,"sell_point":"威常康宠物添加剂预混合饲料 (SP-130)","title":"蓝特斯威常康 宠物添加剂预混合饲料 (SP-130) 60ml\/瓶","recommend_reason":{"0":"宠物腹泻、呕吐、急慢性胃炎肠炎、胃肠道手术恢复阶段","1":"宠物胰腺分泌功能不全(EPI)、胰腺炎、结肠炎、炎症性肠道疾病(IBD)阶段","2":"宠物的便秘状况等"},"baike_guide_text":"","baike_article_hash_id":"","advword":"肠胃,菌群,消化,胰腺","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"60ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/01\/dd27793dd41de67c0aaf5a1e9cb9bf85.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":204,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 17:15:03","updated_at":"2024-11-20 13:34:38","ins":{"id":183,"hash_id":"","class_ids":"[1,2]","title":"宠物添加剂预混合饲料 (SP-100)","common_name":"宠物添加剂预混合饲料 (SP-100)","trade_name":"威常康","en_name":"Pet additive premixed feed(SP-100)","brand_name":"蓝特斯","is_prescription":0,"cover":"\/drug\/2021\/03\/64e01ac610e38021efc1c5ba8c91ab19.png","specification":"60ml\/瓶","reference_price":118,"component":"葡萄糖浆、纯净水、低聚果糖、维生素B1、维生素B2、维生素B6、维生素B12、维生素C、烟酰胺、叶酸、硫酸锌、硫酸亚铁、氯化钾、谷氨酰胺等","indication":"1.宠物腹泻、呕吐、急慢性胃炎肠炎、胃肠道手术恢复阶段\n2.宠物胰腺分泌功能不全(EPI)、胰腺炎、结肠炎、炎症性肠道疾病(IBD)阶段\n3.宠物的便秘状况等。","usage_dosage":"犬猫每4kg体重1ml,混饲或直接饲喂。一天2次。用前请摇匀。(新老版本随机发货)","contraindication":"","adverse_reaction":"","attention":"","interaction":"","approval_no":"","storage_method":"应储存于干燥、通风、避光、清洁的环境,不得与有毒有害等污染物混贮","validity":"24个月","manufacturer":"江苏益品实业有限公司","status":1,"created_at":"2021-03-24 15:40:00","updated_at":"2024-06-01 18:21:02"}},"product_sku_info":{"id":792,"product_id":750,"title":"蓝特斯威常康 宠物添加剂预混合饲料 (SP-130) 60ml\/瓶","advword":null,"price":98,"market_price":120,"cost_price":0,"stock":219,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"60ml"}},"cover":null,"thumb":"","sale_count":217,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 17:15:03","updated_at":"2024-11-22 20:04:02"}}},"drug_data_bak":{"0":{"id":66045,"prescription_id":130297,"doctor_user_id":1249218,"product_id":822,"product_sku_id":864,"dose":0.5,"dose_unit":"ml","use_method":"口服","frequency":"每天3次","days":14,"number":1,"remark":"","created_at":"2022-12-03 11:44:23","updated_at":"2022-12-03 11:44:23","product_info":{"id":822,"hash_id":"QKNDzP4DKzpewlnv","class_ids":{"0":2},"category_ids":{"0":194},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":113,"sell_point":"博莱宠猫免疫因子口服液","title":"博莱宠猫免疫因子口服液 40ml\/瓶\/盒","recommend_reason":{"0":"用于猫瘟热、猫疱疹、猫杯状等病毒性感染的治疗","1":"用于避免注射免疫间隙带来的危险,提高猫的疫苗免疫效果","2":"提高猫机体免疫和抗应激能力,用于预防和治疗猫的免疫缺陷症"},"baike_guide_text":"","baike_article_hash_id":"","advword":"免疫因子,转移因子,猫瘟热,猫疱疹,猫杯状病毒,抗感染,免疫抑制","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"40ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/76b8b9d459253e1767a58cc27ad058d2.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":118,"max_price":118,"sale_count":103,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-21 17:49:15","updated_at":"2024-11-21 16:07:12","ins":{"id":113,"hash_id":"","class_ids":"[\u00222\u0022]","title":"","common_name":"猫免疫因子口服液","trade_name":"转移因子","en_name":"Feline Transfer Factor Oral Solution","brand_name":"博莱宠","is_prescription":0,"cover":"\/drug\/2020\/11\/9e4855c55a2c26d4fb2fcf8a11a8bea7.JPG","specification":"40ml\/瓶\/盒","reference_price":198,"component":"小分子活性多肽,氨基酸和多聚核苷酸。","indication":"本品为高效免疫增强剂,有提高猫的免疫力和抗感染的作用。\n1.用于猫瘟热病毒、猫疱疹病毒、猫杯状病毒等病毒性感染的治疗。\n2.疫苗接种时同时口服转移因子,能够起到免疫补位作用,有效避免免疫间隙带来的危险,提高猫的疫苗免疫效果。\n3.提高猫机体免疫和抗应激能力,用于预防和治疗猫的免疫缺陷症,因应激、药物、手术等原因造成的免疫抑制。","usage_dosage":"按0.4ml\/kg体重口服,每日1~2次,可直接口服,也可混合于饮水、食物中饲喂,连续使用1周以上。","contraindication":"对转移因子有过敏史的猫禁用。","adverse_reaction":"","attention":"","interaction":"","approval_no":"","storage_method":"阴凉干燥处保存,开启后2-8°冷藏保存。30日内用完。","validity":"2年","manufacturer":"北京和安恒盛生物科技有限公司","status":1,"created_at":"2020-11-23 16:15:51","updated_at":"2020-11-23 16:15:51"}},"product_sku_info":{"id":864,"product_id":822,"title":"博莱宠猫免疫因子口服液 40ml\/瓶\/盒","advword":null,"price":118,"market_price":160,"cost_price":0,"stock":975,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"40ml"}},"cover":null,"thumb":"","sale_count":105,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-21 17:49:15","updated_at":"2024-11-21 16:07:12"}},"1":{"id":66046,"prescription_id":130297,"doctor_user_id":1249218,"product_id":750,"product_sku_id":792,"dose":0.5,"dose_unit":"ml","use_method":"口服","frequency":"每天2次","days":14,"number":1,"remark":"","created_at":"2022-12-03 11:44:23","updated_at":"2022-12-03 11:44:23","product_info":{"id":750,"hash_id":"ay8LblpORVx9EdBq","class_ids":{"0":1,"1":2},"category_ids":{"35":194},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":183,"sell_point":"威常康宠物添加剂预混合饲料 (SP-130)","title":"蓝特斯威常康 宠物添加剂预混合饲料 (SP-130) 60ml\/瓶","recommend_reason":{"0":"宠物腹泻、呕吐、急慢性胃炎肠炎、胃肠道手术恢复阶段","1":"宠物胰腺分泌功能不全(EPI)、胰腺炎、结肠炎、炎症性肠道疾病(IBD)阶段","2":"宠物的便秘状况等"},"baike_guide_text":"","baike_article_hash_id":"","advword":"肠胃,菌群,消化,胰腺","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"60ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/01\/dd27793dd41de67c0aaf5a1e9cb9bf85.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":204,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 17:15:03","updated_at":"2024-11-20 13:34:38","ins":{"id":183,"hash_id":"","class_ids":"[1,2]","title":"宠物添加剂预混合饲料 (SP-100)","common_name":"宠物添加剂预混合饲料 (SP-100)","trade_name":"威常康","en_name":"Pet additive premixed feed(SP-100)","brand_name":"蓝特斯","is_prescription":0,"cover":"\/drug\/2021\/03\/64e01ac610e38021efc1c5ba8c91ab19.png","specification":"60ml\/瓶","reference_price":118,"component":"葡萄糖浆、纯净水、低聚果糖、维生素B1、维生素B2、维生素B6、维生素B12、维生素C、烟酰胺、叶酸、硫酸锌、硫酸亚铁、氯化钾、谷氨酰胺等","indication":"1.宠物腹泻、呕吐、急慢性胃炎肠炎、胃肠道手术恢复阶段\n2.宠物胰腺分泌功能不全(EPI)、胰腺炎、结肠炎、炎症性肠道疾病(IBD)阶段\n3.宠物的便秘状况等。","usage_dosage":"犬猫每4kg体重1ml,混饲或直接饲喂。一天2次。用前请摇匀。(新老版本随机发货)","contraindication":"","adverse_reaction":"","attention":"","interaction":"","approval_no":"","storage_method":"应储存于干燥、通风、避光、清洁的环境,不得与有毒有害等污染物混贮","validity":"24个月","manufacturer":"江苏益品实业有限公司","status":1,"created_at":"2021-03-24 15:40:00","updated_at":"2024-06-01 18:21:02"}},"product_sku_info":{"id":792,"product_id":750,"title":"蓝特斯威常康 宠物添加剂预混合饲料 (SP-130) 60ml\/瓶","advword":null,"price":98,"market_price":120,"cost_price":0,"stock":219,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"60ml"}},"cover":null,"thumb":"","sale_count":217,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 17:15:03","updated_at":"2024-11-22 20:04:02"}}}}}}
微信扫一扫
立即问宠医