咨询描述:医生您好,我家猫现在症状是:鼻子有鼻涕,黄色的,浓且很长一条,它会不停的打喷嚏。另外还会咳嗽,咳嗽的声音像是拉风箱一样,感觉有痰想吐的样子。之前我们家猫,有支原体,衣原体,还有疱疹和杯状。多灾多难的小猫,小时候买过来就有,一直在治疗,打针吃药雾化没停过。后来好了一些,只打喷嚏和倒吸。最近又严重了…开始咳嗽。麻烦问下医生,我们这种小猫现在的症状大概像是什么症状,该如何治疗以及后续保养,家里该常备什么药品以及家里如何消毒。谢谢医生。
患病时长:8个月
回复总结:猫咪流黄色浓鼻涕,可能是感冒,也可能是疱疹病毒感染。治疗重点主要是放在提高免疫力上,因为只要有足够的免疫力能够压制住这些在身体内的病原体,那么它复发的概率就会很低,因此对于日常保健我们还是需要使用乳铁蛋白或者猫氨酸进行辅助治疗。关于消毒,我建议家里准备一个紫外线灯,然后每周开一次在他的生活环境里,每次开三十分就够了。
问题大致一样,细节不同?
孙嘉辰
执业兽医师
您好,首先根据您的描述来看,猫咪之前是由于多种病原体混合感染形成的上呼吸道综合症,并且拖了比较长的时间,其中需要注意一点的就是对于患有过疱疹病毒感染的猫咪来说,这种病毒会终身携带,为什么呢?因为这种病毒会永久的寄生在猫的三叉神经里,只有在他免疫力正常的情况下,病毒才能被抑制住,当他受到一些应激反应或者不明原因的免疫力下降时,就有可能复发疱疹病毒感染。
那么除此之外,对于长期患有上呼吸道综合症的猫咪来说,有可能会造成一个继发性的疾病,就是慢性鼻炎或慢性支气管炎,那么这两个疾病的主要临床表现就是时不时的打喷嚏,流鼻涕,并且可能会出现咳嗽,有痰的症状,那么和所有慢性疾病都一样,慢性鼻炎和支气管炎,在临床上是很难康复的,我们在临床上所做的治疗大部分都是去治标,因为很难治本。所做的治疗的治疗目的其实就是控制症状,来达到,尽量不要让他出现疾病状态,提高生活质量的目的。
那么我回答一下您所提出的问题,目前我认为他有可能是疱疹病毒复发,至于有没有其他的病原体同时出现混合感染的情况,我们还有待于进一步检查验证,但是从经验上来判断,我认为大概率可能是有的。
对于后期我们的治疗重点主要是放在提高免疫力上,因为只要有足够的免疫力能够压制住这些在身体内的病原体,那么它复发的概率就会很低,因此对于日常保健我们还是需要使用乳铁蛋白或者猫氨酸进行辅助治疗。关于药物推荐,有一种是人药,这里我开不出来。需要您自己购买一下,泛昔洛韦,每日两次,每次一片,连续两周。其他兽药我可以给您开一下。
关于消毒,我建议家里准备一个紫外线灯,然后每周开一次在他的生活环境里,每次开三十分就够了。
好的,感谢医生,泛昔洛韦片,我这边能买到0.125g每片的,好像不同品牌克数不一样,请问下是这种剂量的,每次一片,每日两次是吧?另外想问下,这三种药能否同时吃,每种药之间是否需要有个等待时间。
另外还有个小问题,我家猫前阵子还得了肠炎,也是打针打了一段时间,昨天铲屎的时候看到他的便便有部分还是黑色,想问下肠炎是否还是没有恢复,图片比较恶心,不好意思。最后一个小问题是,以我们家小猫目前的情况看,是否可以再养一只小猫,我们有一只朋友的想要送过来,疫苗齐全的8个月的小猫。
为保护用户隐私不显示图片/视频
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
{"449934":{"id":449934,"case_id":50886,"user_id":1000287,"to_user_id":2237207,"type":3,"content":"您好,首先根据您的描述来看,猫咪之前是由于多种病原体混合感染形成的上呼吸道综合症,并且拖了比较长的时间,其中需要注意一点的就是对于患有过疱疹病毒感染的猫咪来说,这种病毒会终身携带,为什么呢?因为这种病毒会永久的寄生在猫的三叉神经里,只有在他免疫力正常的情况下,病毒才能被抑制住,当他受到一些应激反应或者不明原因的免疫力下降时,就有可能复发疱疹病毒感染。\n那么除此之外,对于长期患有上呼吸道综合症的猫咪来说,有可能会造成一个继发性的疾病,就是慢性鼻炎或慢性支气管炎,那么这两个疾病的主要临床表现就是时不时的打喷嚏,流鼻涕,并且可能会出现咳嗽,有痰的症状,那么和所有慢性疾病都一样,慢性鼻炎和支气管炎,在临床上是很难康复的,我们在临床上所做的治疗大部分都是去治标,因为很难治本。所做的治疗的治疗目的其实就是控制症状,来达到,尽量不要让他出现疾病状态,提高生活质量的目的。\n那么我回答一下您所提出的问题,目前我认为他有可能是疱疹病毒复发,至于有没有其他的病原体同时出现混合感染的情况,我们还有待于进一步检查验证,但是从经验上来判断,我认为大概率可能是有的。\n对于后期我们的治疗重点主要是放在提高免疫力上,因为只要有足够的免疫力能够压制住这些在身体内的病原体,那么它复发的概率就会很低,因此对于日常保健我们还是需要使用乳铁蛋白或者猫氨酸进行辅助治疗。关于药物推荐,有一种是人药,这里我开不出来。需要您自己购买一下,泛昔洛韦,每日两次,每次一片,连续两周。其他兽药我可以给您开一下。\n关于消毒,我建议家里准备一个紫外线灯,然后每周开一次在他的生活环境里,每次开三十分就够了。","media":{"images":{},"videos":{},"business_params":{"prescription_id":134110}},"is_doctor":1,"status":1,"created_at":"2023-01-17 12:24:27","show_rx":true,"rx_info":{"id":134110,"rx_no":2.0230117122425503e+24,"user_id":2237207,"doctor_user_id":1000287,"is_independent":0,"case_id":3005441,"pet_info":{"pet_id":354636,"pet_name":"美国短毛猫","pet_nickname":"墩墩","pet_gender":3,"pet_birth":"1-1","pet_weight":5,"pet_vaccination_status":1,"pet_in_insect_repellent_status":1,"pet_out_insect_repellent_status":1,"pet_age_format":"1岁1个月"},"diagnose":"上呼吸道综合征","signature":"","deadline":null,"status":1,"send_status":1,"use_status":1,"created_at":"2023-01-17 12:24:25","updated_at":"2023-01-17 15:10:38","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":73830,"prescription_id":134110,"doctor_user_id":1000287,"product_id":716,"product_sku_id":758,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":14,"number":1,"remark":"","created_at":"2023-01-17 12:24:25","updated_at":"2023-01-17 12:24:25","product_info":{"id":716,"hash_id":"O2PrEVxdDvx1e6Wk","class_ids":{"0":1,"1":2,"4":5},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":47,"sell_point":"咳喘宁 复方盐酸多西环素片50mg","title":"保灵咳喘宁(大)复方盐酸多西环素片 50mg×8片×3板\/盒","recommend_reason":{"0":"用于治疗犬猫由于细菌、支原体等感染引起的炎症","1":"用于辅助治疗钩端螺旋体、巴贝斯焦虫等病原引起的疾病","2":"用于治疗鹦鹉热衣原体引起的鹦鹉热病"},"baike_guide_text":"","baike_article_hash_id":"","advword":"细菌感染,支原体感染,传染性支气管炎","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"50mg盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/d518055c9ce51d408e8c8525fe4cdffc.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":158,"max_price":158,"sale_count":115,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 16:04:56","updated_at":"2025-06-23 16:47:19","ins":{"id":47,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"复方盐酸多西环素片","trade_name":"咳喘宁(大)","en_name":"Doxycycline Hyclate Tablets","brand_name":"保灵","is_prescription":1,"cover":"\/drug\/2020\/11\/51a35fa12af0c9c09360e95753289e48.JPG","specification":"50mg×8片×3板\/盒","reference_price":290,"component":"盐酸多西环素、鱼腥草提取物","indication":"1. 用于治疗犬猫由于细菌(败血液氏杆菌)感染、支原体等感染引起的呼则直炎症或者由真他疾病(犬瘟热、流感等)继发感染引起的传染性支气管炎。\n2. 用于辅助治疗钩端螺旋体、巴贝斯焦虫、伯氏疏螺旋体等病原引起的疾病。\n3. 用于治疗鹦鹉热衣原体引起的鹦鹉热病。","usage_dosage":"1. 犬窝咳及真他细菌感染引发的较为严重的呼吸道症状及喉气管炎等,每日2次,每次5mg\/kg,7-10天为一疗程。\n2. 支原体、衣原体感染,每日2次,每次5mg\/kg, 7-10 天为一疗程。\n3. 莱姆病、钩端螺旋体病、巴贝斯焦虫病等,每日2次,每次5mg\/kg ,连续2周为一个疗程。\n4. 治疗鹦鹉热衣原体引起的鸟类鹦鹉热病,按每升水溶解800mg多西环素(即50mg每片溶入约62.5ml水中)饮水给药。","contraindication":"有报道称体重小于15kg的犬禁用多西环素,妊娠动物禁用。但从多年临床验证来看,两个月龄以上的犬猫均可安全使用。","adverse_reaction":"1.常见不良反应主要是胃肠道刺激性反应,如恶心、呕吐、腹泻。\n2.可能出现食管炎和食道溃疡,与食物或大量水体服用以减少这种风险。\n3.尽管本品比其他四环素类的风险小,但在牙齿发育期间用药仍可能导致牙齿有污点。","attention":"","interaction":"","approval_no":"兽药字020161354","storage_method":"常温,避光,密封保存","validity":"3年","manufacturer":"天津市保灵动物保健品有限公司","status":1,"created_at":"2020-11-04 18:28:06","updated_at":"2020-11-04 18:28:06"}},"product_sku_info":{"id":758,"product_id":716,"title":"保灵咳喘宁(大)复方盐酸多西环素片 50mg×8片×3板\/盒","advword":null,"price":158,"market_price":290,"cost_price":63,"stock":12,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50mg盒装"}},"cover":null,"thumb":"","sale_count":124,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 16:04:56","updated_at":"2025-07-06 14:14:48"}},"1":{"id":73831,"prescription_id":134110,"doctor_user_id":1000287,"product_id":775,"product_sku_id":817,"dose":1,"dose_unit":"包","use_method":"口服","frequency":"每天1次","days":30,"number":3,"remark":"","created_at":"2023-01-17 12:24:25","updated_at":"2023-01-17 12:24:25","product_info":{"id":775,"hash_id":"0ojnXLxabLpe16GB","class_ids":{"0":1,"1":2},"category_ids":{"33":192},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":68,"sell_point":"免疫宝 乳铁蛋白粉10袋","title":"摩登狗免疫宝 乳铁蛋白粉5gx10袋\/盒","recommend_reason":{"0":"有效增强免疫系统抵抗力,消除应激症状","1":"改善过敏体质,促进肠道内有益菌的产生"},"baike_guide_text":"","baike_article_hash_id":"","advword":"应激,免疫,断奶,疾病,改善过敏","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"10袋盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/26b3d6322292c1b1e75839a53db7ec49.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":58,"max_price":58,"sale_count":36,"tags":"","sort":0,"status":0,"delete_status":0,"created_at":"2021-12-20 15:48:06","updated_at":"2023-03-17 14:08:28","ins":{"id":68,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"乳铁蛋白粉","trade_name":"免疫宝","en_name":"","brand_name":"摩登狗","is_prescription":0,"cover":"\/drug\/2020\/11\/a668ce8ffd78cc7c5ccc634c349e75ef.JPG","specification":"5gx10袋\/盒","reference_price":80,"component":"阿拉伯半乳糖、牛初乳、乳铁蛋白、葡萄糖、卵黄抗体、寡糖、多种维生素和矿物质。","indication":"1.有效增强免疫系统抵抗力,消除应激症状(疫苗注射,幼犬断奶,生活坏境改变,疾病期等)。\n2.改善过敏体质,能刺激机体免疫细胞产生,并能促进肠道内有益菌的产生。","usage_dosage":"每天服用1次,每次1袋,体重2kg以下每次服用半袋,体重10kg以上用量加倍或遵医嘱,宠物自行舔食或溶于40度以下水中饮用,也可拌入食物饲喂。","contraindication":"","adverse_reaction":"","attention":"","interaction":"","approval_no":"","storage_method":"密封,在凉暗干燥处保存。","validity":"2年","manufacturer":"摩登狗生物科技有限公司","status":1,"created_at":"2020-11-06 14:59:04","updated_at":"2020-11-06 14:59:04"}},"product_sku_info":{"id":817,"product_id":775,"title":"摩登狗免疫宝 乳铁蛋白粉5gx10袋\/盒","advword":null,"price":58,"market_price":80,"cost_price":25.5,"stock":0,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"10袋盒装"}},"cover":null,"thumb":"","sale_count":39,"status":0,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-20 15:48:06","updated_at":"2023-03-17 14:08:28"}}},"drug_data_bak":{"0":{"id":73830,"prescription_id":134110,"doctor_user_id":1000287,"product_id":716,"product_sku_id":758,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":14,"number":1,"remark":"","created_at":"2023-01-17 12:24:25","updated_at":"2023-01-17 12:24:25","product_info":{"id":716,"hash_id":"O2PrEVxdDvx1e6Wk","class_ids":{"0":1,"1":2,"4":5},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":47,"sell_point":"咳喘宁 复方盐酸多西环素片50mg","title":"保灵咳喘宁(大)复方盐酸多西环素片 50mg×8片×3板\/盒","recommend_reason":{"0":"用于治疗犬猫由于细菌、支原体等感染引起的炎症","1":"用于辅助治疗钩端螺旋体、巴贝斯焦虫等病原引起的疾病","2":"用于治疗鹦鹉热衣原体引起的鹦鹉热病"},"baike_guide_text":"","baike_article_hash_id":"","advword":"细菌感染,支原体感染,传染性支气管炎","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"50mg盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/d518055c9ce51d408e8c8525fe4cdffc.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":158,"max_price":158,"sale_count":115,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 16:04:56","updated_at":"2025-06-23 16:47:19","ins":{"id":47,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"复方盐酸多西环素片","trade_name":"咳喘宁(大)","en_name":"Doxycycline Hyclate Tablets","brand_name":"保灵","is_prescription":1,"cover":"\/drug\/2020\/11\/51a35fa12af0c9c09360e95753289e48.JPG","specification":"50mg×8片×3板\/盒","reference_price":290,"component":"盐酸多西环素、鱼腥草提取物","indication":"1. 用于治疗犬猫由于细菌(败血液氏杆菌)感染、支原体等感染引起的呼则直炎症或者由真他疾病(犬瘟热、流感等)继发感染引起的传染性支气管炎。\n2. 用于辅助治疗钩端螺旋体、巴贝斯焦虫、伯氏疏螺旋体等病原引起的疾病。\n3. 用于治疗鹦鹉热衣原体引起的鹦鹉热病。","usage_dosage":"1. 犬窝咳及真他细菌感染引发的较为严重的呼吸道症状及喉气管炎等,每日2次,每次5mg\/kg,7-10天为一疗程。\n2. 支原体、衣原体感染,每日2次,每次5mg\/kg, 7-10 天为一疗程。\n3. 莱姆病、钩端螺旋体病、巴贝斯焦虫病等,每日2次,每次5mg\/kg ,连续2周为一个疗程。\n4. 治疗鹦鹉热衣原体引起的鸟类鹦鹉热病,按每升水溶解800mg多西环素(即50mg每片溶入约62.5ml水中)饮水给药。","contraindication":"有报道称体重小于15kg的犬禁用多西环素,妊娠动物禁用。但从多年临床验证来看,两个月龄以上的犬猫均可安全使用。","adverse_reaction":"1.常见不良反应主要是胃肠道刺激性反应,如恶心、呕吐、腹泻。\n2.可能出现食管炎和食道溃疡,与食物或大量水体服用以减少这种风险。\n3.尽管本品比其他四环素类的风险小,但在牙齿发育期间用药仍可能导致牙齿有污点。","attention":"","interaction":"","approval_no":"兽药字020161354","storage_method":"常温,避光,密封保存","validity":"3年","manufacturer":"天津市保灵动物保健品有限公司","status":1,"created_at":"2020-11-04 18:28:06","updated_at":"2020-11-04 18:28:06"}},"product_sku_info":{"id":758,"product_id":716,"title":"保灵咳喘宁(大)复方盐酸多西环素片 50mg×8片×3板\/盒","advword":null,"price":158,"market_price":290,"cost_price":63,"stock":12,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50mg盒装"}},"cover":null,"thumb":"","sale_count":124,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 16:04:56","updated_at":"2025-07-06 14:14:48"}},"1":{"id":73831,"prescription_id":134110,"doctor_user_id":1000287,"product_id":775,"product_sku_id":817,"dose":1,"dose_unit":"包","use_method":"口服","frequency":"每天1次","days":30,"number":3,"remark":"","created_at":"2023-01-17 12:24:25","updated_at":"2023-01-17 12:24:25","product_info":{"id":775,"hash_id":"0ojnXLxabLpe16GB","class_ids":{"0":1,"1":2},"category_ids":{"33":192},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":68,"sell_point":"免疫宝 乳铁蛋白粉10袋","title":"摩登狗免疫宝 乳铁蛋白粉5gx10袋\/盒","recommend_reason":{"0":"有效增强免疫系统抵抗力,消除应激症状","1":"改善过敏体质,促进肠道内有益菌的产生"},"baike_guide_text":"","baike_article_hash_id":"","advword":"应激,免疫,断奶,疾病,改善过敏","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"10袋盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/26b3d6322292c1b1e75839a53db7ec49.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":58,"max_price":58,"sale_count":36,"tags":"","sort":0,"status":0,"delete_status":0,"created_at":"2021-12-20 15:48:06","updated_at":"2023-03-17 14:08:28","ins":{"id":68,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"乳铁蛋白粉","trade_name":"免疫宝","en_name":"","brand_name":"摩登狗","is_prescription":0,"cover":"\/drug\/2020\/11\/a668ce8ffd78cc7c5ccc634c349e75ef.JPG","specification":"5gx10袋\/盒","reference_price":80,"component":"阿拉伯半乳糖、牛初乳、乳铁蛋白、葡萄糖、卵黄抗体、寡糖、多种维生素和矿物质。","indication":"1.有效增强免疫系统抵抗力,消除应激症状(疫苗注射,幼犬断奶,生活坏境改变,疾病期等)。\n2.改善过敏体质,能刺激机体免疫细胞产生,并能促进肠道内有益菌的产生。","usage_dosage":"每天服用1次,每次1袋,体重2kg以下每次服用半袋,体重10kg以上用量加倍或遵医嘱,宠物自行舔食或溶于40度以下水中饮用,也可拌入食物饲喂。","contraindication":"","adverse_reaction":"","attention":"","interaction":"","approval_no":"","storage_method":"密封,在凉暗干燥处保存。","validity":"2年","manufacturer":"摩登狗生物科技有限公司","status":1,"created_at":"2020-11-06 14:59:04","updated_at":"2020-11-06 14:59:04"}},"product_sku_info":{"id":817,"product_id":775,"title":"摩登狗免疫宝 乳铁蛋白粉5gx10袋\/盒","advword":null,"price":58,"market_price":80,"cost_price":25.5,"stock":0,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"10袋盒装"}},"cover":null,"thumb":"","sale_count":39,"status":0,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-20 15:48:06","updated_at":"2023-03-17 14:08:28"}}}}}}
微信扫一扫
立即问宠医