回复总结:猫咪猫瘟阳性但没有发病症状,对于这种情况来说,实际上已经可以做到确诊了,对于这种情况,建议是注射抗生素,然后给予一定的干扰素和猫瘟抑制蛋白,并且后续可以提前注射一些升白素。因为白细胞肯定后续会有所下降,所以应当提前进行注射,至于抗生素的话,一般头孢菌素类比较常用。
问题大致一样,细节不同?
徐灿
执业兽医师
你好家长,对于这种情况来说,我需要问一下,是用什么做的检测呢?是用的试纸还是用pcr测试?有没有做血常规?一般来说,pcr测试是准确的。
因为很多的猫咪在发生细小病毒初期的时候,并不会有明确的症状或者是数值的异常,所以一般都是以pcr为主,当然,有些时候需要综合多种数值来分析。
猫咪现在六个多月,前两天家里另一只成年猫急性猫瘟去世了,今天紧急带小猫做了核酸检查,FPV的ct值是31.81,阳性,同时冠状病毒也是阳性,现在状态正常,想问一下应该打什么药?我想提前买好去医院打
徐灿
执业兽医师
对于这种情况来说,实际上已经可以做到确诊了,对于这种情况,个人建议是注射抗生素,然后给予一定的干扰素和猫瘟抑制蛋白,并且后续可以提前注射一些升白素,因为白细胞肯定后续会有所下降,所以应当提前进行注射,至于抗生素的话,一般头孢菌素类比较常用。
今天血常规显示白细胞正常17.58,中性12.84,请问干扰素和抑制蛋白要一起打吗?还有一种药叫猫瘟单抗也需要一起打吗?我在网上看猫瘟单抗对潜伏期的病毒比较有效,是这样吗?另外,我家猫现在3公斤,需要准备多少剂量的药?
徐灿
执业兽医师
是这样的,猫瘟抑制蛋白和单抗,一般说的是一个,后续的话需要搭着干扰素,升白素一块用,因为相对来说,用到的药物还是比较多的,至于具体剂量的话,每个案例不太一样,不过你可以按照指导剂量使用。
好的,您这样解释我就明白了,感谢!另外还想问一下,潜伏期注射这些药会有可能加速发病吗?
徐灿
执业兽医师
实际上,并不会加快发病速度,相反,可以抑制它的扩展,因为病毒会不断的复制,对来说,咱们做的努力只是用于控制他的病情,不让他快速恶化,最终还是要靠他自己的抗体,然后去恢复,但是从感染到形成抗体,一般需要一周左右的时间,这段时间就是需要我们去拖。就是用各种药物去减少继发症,减少病毒复制。
好的,明白了,十分感谢!那这期间除了打针,还需要吃什么口服药吗?饮食方面需要注意什么?多吃肉可以吗?加一些乳铁蛋白有用吗?还需要别的营养剂补充吗?我知道还要注意保暖,还有其他能做的准备吗?
徐灿
执业兽医师
口服的药物一般来说没有特别需要的,至于乳铁蛋白之类的,可以用可以不用,并不是必须使用的药物,实际上,大部分都属于辅助。后续的话,重点是观察症状,后续随着时间的推移,可能就会出现呕吐,腹泻等症状。所以说要密切观察。
至于食物方面正常供应就行,适当的预备一些止吐的药物,还有就是最好把他们隔离开,如果有其他的猫咪的话,家里面需要把他们完全隔离,而且需要消毒。
其他猫也都阳性了,止吐药物我有备西咪替丁片,不知是否可以?另外想问,他们这次扛过去了,产生抗体之后还可以打疫苗吗?是不是终身携带病毒了?以后还会反复复发吗?怎么预防复发?
徐灿
执业兽医师
一般来说,西咪替丁是不行的,有一定的作用,但不是很强力,我帮你开了个常用的方案,一般来说,用的是马罗匹坦居多。
当感染之后那么短时间之内大概是半年到一年之内会有特别强的抗体,这个期间基本上不太会感染相同的病毒,但是会感染其他的病毒,至于疫苗的话,最少也得等疾病康复两个月以上的时候再去注射。并不太会复反,但是现在的问题是要控制住,防止变重,而且后续的话需要对家里面完全的消毒。
明白了,我要提前买这个止吐药吗?这个要可以保存多久?等发病再买是不是就来不及了?那是不是止泻药也需要备一点?您这里能开干扰素和抑制蛋白吗?我不确定网上买的药的真伪,我们做检查的医院说他们药不全
徐灿
执业兽医师
干扰素和抑制蛋白,这些都是生物制剂,而且是打针的平台上不允许出售,所以说这个得到其他的渠道去买,一般来说,你可以和宠物医院沟通一下,他们有进货渠道。
这个止痛的药物需要提前预备好,因为很多后续都会呕吐,这个是比较建议备着的,对于细小病毒来说,不要选择止泻,让他不断的拉,不断的腹泻,把肠道清空
原因就是后续会有肠道粘膜脱落和肠道腐烂,如果肠道里面内容物比较多的话,容易造成细菌性肠道问题,而且容易败血。
好的,明白了,消毒的我买了一桶次氯酸,也在这两天喷了所有可以喷到的地方,再用这个消毒液会不会产生什么有毒物质?我可以继续使用次氯酸消毒吗?
徐灿
执业兽医师
一般来说不是很建议用次氯酸,次氯酸容易产生氯气,也就是容易中毒,另外一个就是他对于病毒的杀灭作用不是特别强,常规的细菌之类的还是有效的,但是对于病毒的效果就比较弱。
对了,我家还有只猫,目前有杯状和鼻支,是不是应该先打针把猫瘟遏制住,还是说可以同时治疗,他现在在吃速诺和多西环素,这些药相互冲突吗?可以一起用吗?他目前已经好差不多了,偶尔有一两个喷嚏,鼻子上还有一点分泌物,今天检查还是炎症高
徐灿
执业兽医师
一般来说是没有冲突的,这种情况后续的话,可以配合着用,相对来说是没有问题,但是一般的优先治疗细小病毒,至于打喷嚏的事情,可以稍微往后靠一靠。
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
{"452462":{"id":452462,"case_id":51143,"user_id":1296147,"to_user_id":2250375,"type":3,"content":"一般来说,西咪替丁是不行的,有一定的作用,但不是很强力,我帮你开了个常用的方案,一般来说,用的是马罗匹坦居多。\n当感染之后那么短时间之内大概是半年到一年之内会有特别强的抗体,这个期间基本上不太会感染相同的病毒,但是会感染其他的病毒,至于疫苗的话,最少也得等疾病康复两个月以上的时候再去注射。并不太会复反,但是现在的问题是要控制住,防止变重,而且后续的话需要对家里面完全的消毒。","media":{"images":{},"videos":{},"business_params":{"prescription_id":135564}},"is_doctor":1,"status":1,"created_at":"2023-01-31 00:42:24","show_rx":true,"rx_info":{"id":135564,"rx_no":2.02301310042225e+24,"user_id":2250375,"doctor_user_id":1296147,"is_independent":0,"case_id":3018875,"pet_info":{"pet_id":0,"pet_name":"未知","pet_nickname":"猫","pet_gender":1,"pet_birth":"0-7","pet_weight":3,"pet_vaccination_status":0,"pet_in_insect_repellent_status":0,"pet_out_insect_repellent_status":0,"pet_age_format":"7个月"},"diagnose":"止吐 消毒","signature":"","deadline":null,"status":1,"send_status":1,"use_status":1,"created_at":"2023-01-31 00:42:22","updated_at":"2023-01-31 01:11:22","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":76954,"prescription_id":135564,"doctor_user_id":1296147,"product_id":794,"product_sku_id":836,"dose":2,"dose_unit":"mg","use_method":"口服","frequency":"每天1次","days":7,"number":1,"remark":"每公斤两毫克一天一次","created_at":"2023-01-31 00:42:22","updated_at":"2023-01-31 00:42:22","product_info":{"id":794,"hash_id":"ay8LblpOPV49EdBq","class_ids":{"0":1,"1":2},"category_ids":{"29":188},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":18,"sell_point":"赛瑞宁 枸橼酸马罗匹坦片16mg","title":"辉瑞赛瑞宁 枸橼酸马罗匹坦片 16mg×4片\/盒","recommend_reason":{"0":"预防化疗药物引起的呕吐","1":"治疗和预防除运动性呕吐以外的呕吐"},"baike_guide_text":"","baike_article_hash_id":"","advword":"呕吐,止吐","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"4片盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/be2dd9e4acac77d870258b0cfeafe3c5.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":168,"max_price":168,"sale_count":44,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 19:02:13","updated_at":"2024-03-26 09:12:33","ins":{"id":18,"hash_id":"","class_ids":"[\u00221\u0022]","title":"","common_name":"枸橼酸马罗匹坦片","trade_name":"赛瑞宁片","en_name":"Cerenia Maropitant","brand_name":"辉瑞","is_prescription":1,"cover":"\/drug\/2020\/10\/5ae2095030031dfc147b1aba304a73a8.JPG","specification":"16mg×4片\/盒","reference_price":210,"component":"枸橼酸马罗匹坦","indication":"1.预防化疗药物引起的呕吐。\n2.治疗和预防除运动性呕吐以外的呕吐。","usage_dosage":"1.用于8周龄及以上的犬。\n2.以马罗匹坦计。内服用药,2.0mg\/kg\/次\/日。最多连用5日。","contraindication":"1.马罗匹坦对钙和钾离子通道有亲和性,患有心脏疾病的犬镇用,且不能与钙离子拮抗剂合用。\n2.肝功能障碍的犬慎用。","adverse_reaction":"1.推荐剂量可引起嗜睡(8%)、多涎(5%)、食欲不振(2%),偶见如稀便、镇静或抑郁、肠胃胀气等情况。\n2.高剂量上述多种不良反应可同时发生,但程度均较轻,停药后不良反应的症状会逐渐消除。\n3.对小于11周龄的犬,可增加骨髓细胞减少症的发生。","attention":"1.仅在兽医指导下用药。\n2.严重呕吐可先使用马罗匹坦注射液一次或两次控制呕吐,症状减轻后使用马罗匹坦片。\n3.仅用于犬。\n4.不能将本品包在食物中给药,否则会延迟本品的溶解而影响药效。\n5.对处于发情期、妊娠或哺乳期的雌犬,以及胃肠道梗阻和中毒的犬,未进行靶动物安全性研究。\n6.可导致采食量和体重下降,应给予补液、补充营养等支持治疗。\n7.置于儿童不可触及处。\n8.个别人群接触药物后会引起皮肤局部过敏,长期或多次接触药物也可导致皮肤致敏,使用时做好防护,意外接触时可用肥皂水或清水清洗。","interaction":"马罗匹坦与血浆蛋白的结合率大于996,但未进行本品与其他高血浆蛋白结合率药物联合用药试验。应谨慎与其他高血浆蛋白结合率药物联合使用。临床上常用的高血浆蛋白结合率药物有非甾体类抗炎药、抗心律失常药、抗凝血药、抗惊厥药等。","approval_no":"(2016)外兽药证字21号","storage_method":"15-30°C保存。片剂打开铝箔包装的药片,在2天内使用完。","validity":"2年","manufacturer":"法瑞瓦公司法国生产厂( Areva Amboise)","status":1,"created_at":"2020-10-27 14:13:38","updated_at":"2020-10-27 14:36:06"}},"product_sku_info":{"id":836,"product_id":794,"title":"辉瑞赛瑞宁 枸橼酸马罗匹坦片 16mg×4片\/盒","advword":null,"price":168,"market_price":220,"cost_price":0,"stock":63,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"4片盒装"}},"cover":null,"thumb":"","sale_count":53,"status":1,"delete_status":0,"created_at":"2021-12-20 19:02:13","updated_at":"2024-04-16 14:00:03"}},"1":{"id":76955,"prescription_id":135564,"doctor_user_id":1296147,"product_id":694,"product_sku_id":737,"dose":1,"dose_unit":"ml","use_method":"外喷","frequency":"每天2次","days":14,"number":1,"remark":"按照指导计量使用","created_at":"2023-01-31 00:42:22","updated_at":"2023-01-31 00:42:22","product_info":{"id":694,"hash_id":"ay8LblpOOep9EdBq","class_ids":{"0":1,"1":2,"2":3},"category_ids":{"22":183},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":45,"sell_point":"奥福健 戊二醛消毒液","title":"远征奥福健 戊二醛消毒液 500ml\/桶","recommend_reason":{"0":"用于家庭、宠物医院等场所和设备器械的消毒","1":"用于疫病发生期间紧急消毒、清洁使用","2":"用于日常预防性环境、器械的消毒和淸洁"},"baike_guide_text":"","baike_article_hash_id":"","advword":"消毒,细小,冠状,猫瘟,猫传腹,真菌,细菌,猫癣,寄生虫,皮肤病,猫鼻支,跳蚤","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"500ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/71223916d84dffa42b5f8f6423c204cb.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":58,"max_price":58,"sale_count":38,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 14:09:36","updated_at":"2024-04-15 09:13:29","ins":{"id":45,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"戊二醛消毒液","trade_name":"奥福健","en_name":78,"brand_name":"远征","is_prescription":0,"cover":"\/drug\/2020\/11\/16ed6484177083097c1278ddca583b52.JPG","specification":"500ml\/桶","reference_price":78,"component":"戊二醛、癸甲溴铵、除臭剂、杜松木精油等。","indication":"用于家庭、宠物医院、美容院、犬场和猫舍等场所和设备器械的消毒。\n1.用于疫病发生期间紧急消毒、清洁使用。由病毒(犬瘟、细小病毒、犬冠状病毒、狂犬病、猫瘟、猫传染性腹膜炎猫鼻支和猫白血病等)、真菌、细菌、衣原体、支原体、芽孢和体内外寄生虫等引起的宠物各类疫病。\n2.用于日常预防性环境、器械的消毒和淸洁,建议定期进行消毒清洁工作。","usage_dosage":"按一定比例用水稀释。\n1.喷洒:疫病发生时环境消毒,1:500~1:1000 ;常规环境消毒,1:2000~1:4000 。\n2.浸泡:器械、设备等消毒,1:1500~1:3000。","contraindication":"","adverse_reaction":"","attention":"","interaction":"","approval_no":"兽药字030016245","storage_method":"密封,在凉暗干燥处保存。","validity":"2年","manufacturer":"河北远征药业有限公司","status":1,"created_at":"2020-11-03 18:52:21","updated_at":"2020-11-03 18:52:21"}},"product_sku_info":{"id":737,"product_id":694,"title":"远征奥福健 戊二醛消毒液 500ml\/桶","advword":null,"price":58,"market_price":78,"cost_price":0,"stock":60,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"500ml"}},"cover":null,"thumb":"","sale_count":40,"status":1,"delete_status":0,"created_at":"2021-12-16 14:09:36","updated_at":"2024-04-14 22:13:06"}}},"drug_data_bak":{"0":{"id":76954,"prescription_id":135564,"doctor_user_id":1296147,"product_id":794,"product_sku_id":836,"dose":2,"dose_unit":"mg","use_method":"口服","frequency":"每天1次","days":7,"number":1,"remark":"每公斤两毫克一天一次","created_at":"2023-01-31 00:42:22","updated_at":"2023-01-31 00:42:22","product_info":{"id":794,"hash_id":"ay8LblpOPV49EdBq","class_ids":{"0":1,"1":2},"category_ids":{"29":188},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":18,"sell_point":"赛瑞宁 枸橼酸马罗匹坦片16mg","title":"辉瑞赛瑞宁 枸橼酸马罗匹坦片 16mg×4片\/盒","recommend_reason":{"0":"预防化疗药物引起的呕吐","1":"治疗和预防除运动性呕吐以外的呕吐"},"baike_guide_text":"","baike_article_hash_id":"","advword":"呕吐,止吐","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"4片盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/be2dd9e4acac77d870258b0cfeafe3c5.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":168,"max_price":168,"sale_count":44,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 19:02:13","updated_at":"2024-03-26 09:12:33","ins":{"id":18,"hash_id":"","class_ids":"[\u00221\u0022]","title":"","common_name":"枸橼酸马罗匹坦片","trade_name":"赛瑞宁片","en_name":"Cerenia Maropitant","brand_name":"辉瑞","is_prescription":1,"cover":"\/drug\/2020\/10\/5ae2095030031dfc147b1aba304a73a8.JPG","specification":"16mg×4片\/盒","reference_price":210,"component":"枸橼酸马罗匹坦","indication":"1.预防化疗药物引起的呕吐。\n2.治疗和预防除运动性呕吐以外的呕吐。","usage_dosage":"1.用于8周龄及以上的犬。\n2.以马罗匹坦计。内服用药,2.0mg\/kg\/次\/日。最多连用5日。","contraindication":"1.马罗匹坦对钙和钾离子通道有亲和性,患有心脏疾病的犬镇用,且不能与钙离子拮抗剂合用。\n2.肝功能障碍的犬慎用。","adverse_reaction":"1.推荐剂量可引起嗜睡(8%)、多涎(5%)、食欲不振(2%),偶见如稀便、镇静或抑郁、肠胃胀气等情况。\n2.高剂量上述多种不良反应可同时发生,但程度均较轻,停药后不良反应的症状会逐渐消除。\n3.对小于11周龄的犬,可增加骨髓细胞减少症的发生。","attention":"1.仅在兽医指导下用药。\n2.严重呕吐可先使用马罗匹坦注射液一次或两次控制呕吐,症状减轻后使用马罗匹坦片。\n3.仅用于犬。\n4.不能将本品包在食物中给药,否则会延迟本品的溶解而影响药效。\n5.对处于发情期、妊娠或哺乳期的雌犬,以及胃肠道梗阻和中毒的犬,未进行靶动物安全性研究。\n6.可导致采食量和体重下降,应给予补液、补充营养等支持治疗。\n7.置于儿童不可触及处。\n8.个别人群接触药物后会引起皮肤局部过敏,长期或多次接触药物也可导致皮肤致敏,使用时做好防护,意外接触时可用肥皂水或清水清洗。","interaction":"马罗匹坦与血浆蛋白的结合率大于996,但未进行本品与其他高血浆蛋白结合率药物联合用药试验。应谨慎与其他高血浆蛋白结合率药物联合使用。临床上常用的高血浆蛋白结合率药物有非甾体类抗炎药、抗心律失常药、抗凝血药、抗惊厥药等。","approval_no":"(2016)外兽药证字21号","storage_method":"15-30°C保存。片剂打开铝箔包装的药片,在2天内使用完。","validity":"2年","manufacturer":"法瑞瓦公司法国生产厂( Areva Amboise)","status":1,"created_at":"2020-10-27 14:13:38","updated_at":"2020-10-27 14:36:06"}},"product_sku_info":{"id":836,"product_id":794,"title":"辉瑞赛瑞宁 枸橼酸马罗匹坦片 16mg×4片\/盒","advword":null,"price":168,"market_price":220,"cost_price":0,"stock":63,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"4片盒装"}},"cover":null,"thumb":"","sale_count":53,"status":1,"delete_status":0,"created_at":"2021-12-20 19:02:13","updated_at":"2024-04-16 14:00:03"}},"1":{"id":76955,"prescription_id":135564,"doctor_user_id":1296147,"product_id":694,"product_sku_id":737,"dose":1,"dose_unit":"ml","use_method":"外喷","frequency":"每天2次","days":14,"number":1,"remark":"按照指导计量使用","created_at":"2023-01-31 00:42:22","updated_at":"2023-01-31 00:42:22","product_info":{"id":694,"hash_id":"ay8LblpOOep9EdBq","class_ids":{"0":1,"1":2,"2":3},"category_ids":{"22":183},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":45,"sell_point":"奥福健 戊二醛消毒液","title":"远征奥福健 戊二醛消毒液 500ml\/桶","recommend_reason":{"0":"用于家庭、宠物医院等场所和设备器械的消毒","1":"用于疫病发生期间紧急消毒、清洁使用","2":"用于日常预防性环境、器械的消毒和淸洁"},"baike_guide_text":"","baike_article_hash_id":"","advword":"消毒,细小,冠状,猫瘟,猫传腹,真菌,细菌,猫癣,寄生虫,皮肤病,猫鼻支,跳蚤","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"500ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/71223916d84dffa42b5f8f6423c204cb.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":58,"max_price":58,"sale_count":38,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 14:09:36","updated_at":"2024-04-15 09:13:29","ins":{"id":45,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"戊二醛消毒液","trade_name":"奥福健","en_name":78,"brand_name":"远征","is_prescription":0,"cover":"\/drug\/2020\/11\/16ed6484177083097c1278ddca583b52.JPG","specification":"500ml\/桶","reference_price":78,"component":"戊二醛、癸甲溴铵、除臭剂、杜松木精油等。","indication":"用于家庭、宠物医院、美容院、犬场和猫舍等场所和设备器械的消毒。\n1.用于疫病发生期间紧急消毒、清洁使用。由病毒(犬瘟、细小病毒、犬冠状病毒、狂犬病、猫瘟、猫传染性腹膜炎猫鼻支和猫白血病等)、真菌、细菌、衣原体、支原体、芽孢和体内外寄生虫等引起的宠物各类疫病。\n2.用于日常预防性环境、器械的消毒和淸洁,建议定期进行消毒清洁工作。","usage_dosage":"按一定比例用水稀释。\n1.喷洒:疫病发生时环境消毒,1:500~1:1000 ;常规环境消毒,1:2000~1:4000 。\n2.浸泡:器械、设备等消毒,1:1500~1:3000。","contraindication":"","adverse_reaction":"","attention":"","interaction":"","approval_no":"兽药字030016245","storage_method":"密封,在凉暗干燥处保存。","validity":"2年","manufacturer":"河北远征药业有限公司","status":1,"created_at":"2020-11-03 18:52:21","updated_at":"2020-11-03 18:52:21"}},"product_sku_info":{"id":737,"product_id":694,"title":"远征奥福健 戊二醛消毒液 500ml\/桶","advword":null,"price":58,"market_price":78,"cost_price":0,"stock":60,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"500ml"}},"cover":null,"thumb":"","sale_count":40,"status":1,"delete_status":0,"created_at":"2021-12-16 14:09:36","updated_at":"2024-04-14 22:13:06"}}}}}}
去微信领券提问
实时接受医生通知