咨询描述:你好…我家泰迪7个月左右…前段时间感冒打了3天针地塞米松➕犬霸…3天后好多了…但是晚上被朋友喂了烤肉…烤虾…等骨头…当天晚上就吐了…第二天左眼球就不怎么挣的开…晚上又吐一次…隔天早上左眼球就变蓝了…在当地宠物医院看了…开了一只眼药水…打了三天针…感觉没什么效果…只是眼白血丝没那么严重了…但是打针这几天狗狗还是吐…要吃东西…请问一下怎么办
回复总结:狗狗呕吐眼睛睁不开,如果没有打过疫苗,很有可能是病毒感染。一般出现呼吸道症状,同时眼球又会变蓝的,要么就是犬瘟病毒感染,要么就是腺病毒感染,所以这两个病毒性疾病,建议排查一下。另外,如果狗狗是发出咔咔卡之后才呕吐的,那就说明他不是胃肠道的问题,是呼吸道的问题咳嗽,这种情况下只要治疗好他的呼吸的问题之后,不咳嗽了,自然就不会吐。
问题大致一样,细节不同?
郭秋萍
执业兽医师
根据您讲到的狗狗的情况,我初步判断有角膜水肿,不排除犬腺病毒感染,但仅仅根据目前信息,还不能做出进一步的判断。我还有几个问题需要向你核实一下:
1. 狗狗7个月,你自己养了有多久呀?它的疫苗都打完了吗?上一次体内外驱虫是什么时候?用的是什么驱虫药?之前有没有什么疾病史?
2. 上次生病主要有哪些临床症状?去医院做了哪些检查?可以把所有的化验报告发过来看一下吗?
3. 这一次乱喂东西之后,有没有拍片子看有没有骨头卡住或者胃肠道堵塞呀?
4.他每次呕吐之前有没有发出咔咔卡的声音?这一次做了哪些化验报告可以发过来看一下吗?
以上这些情况您仔细回忆后详细的描述给我,对我给宝贝目前情况做判断以及制定治疗方案有非常大的帮助,感谢您的配合。另外,把您家爱宠的信息补充完整,特别是『年龄、体重』,待会儿咱们沟通后如果涉及用药建议,方便为宝贝开具处方。
它才7个多月…8斤半…我养了3个多月…目前就只打了狂犬…最开始眼屎多…流鼻子…打喷嚏…所以打的地塞米松➕犬霸…打了3天好多了…结果第二3天晚上就被喂了烤肉虾骨头…当天晚上就吐了…第4天就左眼不怎么挣的开了…第5天凌晨就左眼球变蓝…到医院…医生没做检查直接开了三天打针药…和一瓶氯霉素滴眼液…今天针打完了…但是也没什么用处…只是左眼白血丝没那么严重了…他就叫我慢慢给它滴眼药水…这几天它还是吐…要吃东西…感觉它就有点气紧…咔咔咔的
郭秋萍
执业兽医师
那从你的描述来看,如果没有打过疫苗的话,很有可能是病毒感染。一般出现呼吸道症状,同时眼球又会变蓝的,要么就是犬瘟病毒感染,要么就是腺病毒感染,所以这两个病毒性疾病,你一定要给他排查一下。
另外,如果他是发出咔咔卡之后才呕吐的,那就说明他不是胃肠道的问题,是呼吸道的问题咳嗽,咳嗽太厉害了就会造成胃痉挛,胃痉挛之后,就会导致胃内容物的返流。
这种情况下只要治疗好他的呼吸的问题之后,不咳嗽了,自然就不会吐。
另外,你把他的眼睛局部放大照,按照我下面的图片格式,单独拍过来,我再看一下眼睛内部的细节。
为保护用户隐私不显示图片/视频
应该就是呼吸道感问题…看到它胃就是一直抽才吐的…那要怎么治疗呢?
为保护用户隐私不显示图片/视频
郭秋萍
执业兽医师
这整个角膜都水肿了,现在看不到眼球内部,需要做裂隙灯检查看眼球内部情况。
如果他真的是有传染病的话,你必须要给他注射血清,犬干扰素,抗生素进行治疗,而且如果是有犬瘟病毒感染,还需要注射犬瘟单抗治疗。
眼睛部位的话,可以给它滴
1,血清,一天12次,一次1滴,连用15天。
2,抗菌肽滴眼液,一天3次,一次1滴,连用15天。
3,4.5%的生理盐水滴眼液,一天3次,一次1滴,连用15天。
4,****眼膏,一天三次,一次1滴,连用15天。
每一种也要都需要间隔5分钟使用。咱们平台现在只有抗菌肽滴眼液,其他的眼药你都需要自己去药店,宠物医院或者是眼科门诊购买。
另外用药期间一定不能让他抓或者是挠眼睛,必要的时候可以给他佩戴伊丽莎白项圈。
我今天才给它打完所有针…明天再按照这个方子弄的话会不会有影响啊…
郭秋萍
执业兽医师
我给你开的低眼睛的处方,你是可以按照我的来的,然后注射的话你可以给医生建议。因为他毕竟没有做检查,你让他给你家狗做一个犬瘟病毒和腺病毒的检查。
你说的呼吸道问题…也可能是犬瘟病毒么?要不你在直接给我开一个它呼吸道引起抽搐吐的方子嘛
郭秋萍
执业兽医师
是的,犬瘟病毒和腺病毒都会造成呼吸道的症状。
对于病毒性疾病是需要注射治疗的,我们这里只能开口服药的处方,不能开注射药物的处方,注射的推荐药物,我在前面已经给你说了,比如说像血清,犬干扰素呀,抗生素呀,还有如果是犬瘟的话犬瘟单抗啊,这些都是必须要给他打的。
另外你可以配合口服赐能素增强他的抵抗力。
我问了血清不是眼药水对吧…能滴眼睛么? 而且没有45%生理盐水滴眼液…还是只要包含这个45%都行
郭秋萍
执业兽医师
血清需要自己去医院抽血制备,也可以直接用五联血清抗体,可以滴眼睛!
4.5%,不是45!这个必须去眼专科医院才买的到!你在外面都买不到的!
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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