咨询描述:医生,你好,麻烦帮忙看一下我猫咪的片子,它是什么地方有问题?生化是1月10号做的,片子是11号拍的,b超也做了。
症状描述:1.它没有做绝育手术,8号刚过发情期,发现她肚子有点鼓,一直到现在,她吃喝拉撒都正常,没有拉稀(昨天今天没有拉大便),体重没有变轻。2.没有交配没有怀孕,乳头会挤出一点点带血的水珠,没有舔奶现象。3.从半个月前,她呼吸有点重,看她的肚子,会抖得很厉害。一分钟呼吸50来次,我分不清腹式呼吸和胸腔呼吸,她呼吸的时候,腹部和手臂往下的位置会动。4.前几天她肚子鼓鼓的有点硬,今天开始变软,好像小了一些,但她走路的时候会看到有一点凸出来。相反的是,她肚子上边,应该是肺和胃的位置?现在是硬的,我拍上去的声音,是砰砰砰的。
回复总结:猫咪出现肚子硬、发抖的症状,猫咪很有可能有腹水的问题。如果猫咪的肺部有阴影,需要考虑是否有肺炎问题。猫咪肠道内大量气体,需要考虑是否有消化道梗阻问题。处理办法上,建议给予猫咪进行一下腹腔穿刺,判断是否有腹水问题。同时,给予猫咪进行冠状病毒pcr检查、血液常规以及saa检查、消化道造影检查。
问题大致一样,细节不同?
陈奕达
执业兽医师
根据您讲到的信息,我初步分析,1.猫咪很有可能有腹水的问题,超声结果如何?是否给予猫咪进行过腹腔穿刺。2.是否给猫咪进行了血液常规以及saa的检查?3.另外,猫咪的血液生化显示白球比在0.6,需要考虑是否有猫传腹的问题。4.猫咪从x光片来看,肺部有阴影,需要考虑是否有肺炎问题。5.猫咪肠道内大量气体,需要考虑是否有消化道梗阻问题。
6.综上所述个人认为,①建议给予猫咪进行一下腹腔穿刺,判断是否有腹水问题。②给予猫咪进行冠状病毒pcr检查。③,血液常规以及saa检查。④消化道造影检查。
我这里查不了pcr,她saa的值是5.56,血常规的单子不太清晰,麻烦帮看一下,能不能确定她有没有腹水。腹腔穿刺没做。
消化道梗阻严重吗?我可能得下周三才有时间带她去检查。有肺炎的话,需要怎么治,我那天去的医院,没和我提这个
为保护用户隐私不显示图片/视频
陈奕达
执业兽医师
您好,1.现在的化验结果,没有办法直接确诊判断猫咪是否有腹水。需要进行穿刺判断分析。2.消化道梗阻,属于严重疾病,可能需要考虑手术治疗。不过进一步确诊猫咪现在是否有消化道梗阻,需要进行消化道钡餐造影检查。3.不论是消化道梗阻,还是肺炎问题,都是需要输液打针,甚至手术治疗的,在家由于医疗条件有限,并且猫咪疾病不太简单的情况下,没有太好的方法给予治疗。
如果实在不方便就诊治疗,那么可以先给予猫咪口服一些宠物专用广谱消炎,以及促进消化,调理消化道菌群方面用药,试一试效果如何。
如果考虑在家保守治疗,您可以告诉我,然后这边可以帮您开具一套用药,并且帮您计算好用法用量,供您采纳参考一下。
腹水的问题,我再观察一段时间有影响吗?肺炎的话,猫咪的saa不是检查炎症的吗?她的结果5.5还是有炎症是吗?消化道的问题,请医生给我开点药吧
陈奕达
执业兽医师
您好,1.腹水问题可以观察,但是不建议。因为观察时间越久,如果真的有腹水问题,那么可能会耽误治疗。2.肺部问题,血液指标不一定会有升高,可能检查的时间短,炎症一般还没有出现大的波动反应。3.您好,根据宝贝的情况,我给宝贝开个处方。
处方里面的
1. ***,宠物专用广谱消炎,控制消化道炎症
2. ***益生菌,调整消化道菌群,促进消化。
(两个药物间隔1小时服用)
您可以根据需求自行选择购买。
我这里的医院技术已经不支持再做进一步的腹水检查了,腹腔穿刺和核酸检测,我还是抱有侥幸心态继续观察一下吧。我看网上说可以喂护肝片,需不需要先喂?
益生菌我家里还有,不是一个厂家的。速诺是针对消化道炎症的吗?那肺炎我给猫咪喂什么药?按照猫咪5公斤的体重计算,是一天喂两次,一次一粒吗?
陈奕达
执业兽医师
您好,可以考虑给予保护肝脏用药,但是建议结合实体医生的建议给予服用。
速诺属于广谱消炎用药。针对性用药,需要去实体医院,在医生监护下才能使用。
给您开具的速诺,是5公斤一片,一天两次口服即可。
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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