咨询描述:你好,我的猫身上许多有小红点,医生说是皮下出血,然后查血常规血红蛋白50g,流口水,查猫瘟阴性
回复总结:猫咪身上有很多红点,并且血红蛋白比较低,这种情况不排除药物引起中毒反应。如果贫血严重需要输血治疗,另外需要注射止血药物,同时血涂片检查一下确定是否有免疫介导溶血贫血。目前可以继续输液治疗同时调整一下治疗方案,另外需要排查是否有猫的白血病和猫的艾滋病。如果猫咪有凝血问题,可以输血治疗同时注射止血药,另外如果有免疫介导溶血贫血,免疫介导血小板减少可以使用泼尼松龙。
问题大致一样,细节不同?
孙厚福
执业兽医师
由于您在提问里面没有描述您家宝贝的情况以及您的问题,您现在可以先详细的描述一下。包括但不限于1.给我讲一下宝贝的基础信息,像是品种、年龄、体重、是否绝育等2.宝贝现在都有哪些疾病症状?(若有视频可以上传来我看看)3.它这样子多久了?4.是否在线下动物医院就医过?(若有检查报告可以以照片形式传上来我看看)5.是否用过药?用药的详细情况都讲一下。
孙厚福
执业兽医师
您好,我已收到您的咨询,为了更好诊治,我需要近一步了解宝贝情况。
1.是否做过白血病和艾滋病检查?是否做过凝血检查?
2.如果贫血严重需要输血治疗
3.同时检查一下是否有血液寄生虫
4.目前用过哪些药物治疗过?
布偶猫,一岁五个月,4.6kg,已绝育,2023.1.8日眼皮耳朵出现红点,喵咪抓挠,我以为是猫藓,给它擦了酮康唑,带到线下宠物医院开给了酮康唑和克微爽还有一种口服药,没有药名,一次半颗,说是胃肠道反应重,观察饮食,吃了那种药以后开始流口水,我以为是药苦,给它继续往有猫癣的地方擦酮康唑和克微爽,可能舔到了,一直流口水,2023.1.10日赶快带去医院看,发现头颈四肢有散在的点状出血点,白细胞1血小板红细胞血红蛋白73低,昨天进行补液,今天查白细胞上来了,血红蛋白降低到50g,这样是出血是怎么回事呢?
孙厚福
执业兽医师
不排除药物引起中毒反应,如果贫血严重需要输血治疗,另外需要注射止血药物,同时血涂片检查一下确定是否有免疫介导溶血贫血。
目前可以继续输液治疗同时调整一下治疗方案,另外需要排查是否有猫的白血病和猫的艾滋病
药物中毒反应应该做点什么检查呢?白血病和艾滋病要抽血化验吗?
孙厚福
执业兽医师
药物中毒可以检查一下生化看一下,但是有的中毒只影响血液(只有血常规盒凝血有异常)
白血病和艾滋病需要血液检查可以做一下PCR检查
好的,药物中毒也是引起出血吗?发烧到40.5,不进食,一直流口水,这两天都在补蛋白,电解质,今天加了止血药
孙厚福
执业兽医师
药物中毒引起血液疾病(免疫介导)引起血小板低下,贫血,造血功能出问题了,如果确诊了需要增加泼尼松龙,可以输生命源或者输血更好一些,高热因为血小板低白细胞低原因,同时可以做一下猫瘟PCR检查
医生说凝血功能太差了,随便抽点血都会成片青紫,有什么办法能改善下凝血功能呢?
孙厚福
执业兽医师
可以输血治疗同时注射止血药,另外如果有免疫介导溶血贫血,免疫介导血小板减少可以使用泼尼松龙
我给它开个处方。处方里面的
1. p5每公斤体重1mg早晚各一次
2.胃溃宁每公斤体重50mg早晚各一次
3.甘血维早晚各2ml
4.甘乐维一天一粒保肝
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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