回复总结:针对狗狗被三四只流浪狗咬了的情况,一般来说,如果有伤口,肯定是需要清创的,然后需要缝合,并且需要长时间的注射,一些抗生素类的药物。另外这种情况,肯定是需要大面积的剃毛,然后做缝合,一般来说,就算是进了空气,也可以选择压迫缝合。当然,狗的牙齿非常的脏,后续可能需要先冲洗很长时间再进行缝合,而且抗生素等药物的使用时间也会拉长。
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,首先检查一下身体上有没有伤口?我需要首先了解一下它的损伤程度,另外就是到现在为止已经多长时间了?到现在为止,用过什么药物或者做过什么处置吗?
一般来说,如果有伤口的话,肯定是需要清创的,然后需要缝合,并且需要长时间的注射,一些抗生素类的药物,我需要了解更多情况,以便于后续的分析和判断。
送医院了,医生说可能会坏死,差一厘米就咬到气管了。我家是比熊,背上,腿上,屁股全被咬了,背上那个还进空气了,想问问你有没有什么建议,医生说有可能全身坏死
徐灿
执业兽医师
实际上,咬穿气管也没有问题,问题是有没有咬到气管两侧的血管?有没有喷血?有没有伤及到大血管和动脉?
另外就是这种情况,肯定是需要大面积的剃毛,然后做缝合,我需要先看一下他的实际情况,一般来说,就算是进了空气,也可以选择压迫缝合,当然,狗的牙齿非常的脏,后续的话可能需要先冲洗很长时间再进行缝合,而且抗生素等药物的使用时间也会拉长。
在手术中了,医生说创伤面积有点大,后续不好说。图片中的伤口是血管被咬到了
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
他的损伤不算大,没有伤到大血管,这种情况主要是后续做好冲洗缝合,然后进行压迫缝合,并且保证后续长时间使用抗生素,不要感染化脓即可,相对来说,损伤程度不是特别高。
医生说要进行多次手术。不是特别严重就好,真的舍不得他。
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
多次手术应该是没有问题的,主要是目前来说还没有伤到大血管,还是比较安全的,就算是气管完全被咬开,那么,只要进行缝合等操作,一般还是可以保住生命,主要害怕的就是咽喉等位置的动脉破裂。
这种手术难度大吗?因为我们是江苏无锡市宜兴市的,属于是县级市,医生的能力会不会达不到手术要求
徐灿
执业兽医师
手术难度不大,但是至于恢复成什么样子,这个不确定,一般来说就是仔细的清创冲洗。然后缝合损伤部位,做一些压迫缝合就行,因为这种情况,实际上都属于皮瓣手术,相对来说还是难度不高,主要是压迫缝合正常,对接正常即可。主要的难点还是在后续控制炎症和感染上,后续的话要长时间使用药物。
好的,那长期使用抗生素和药物对小狗的副作用大吗,对于护理措施有什么建议吗?有没有忌口和需要特别补充的营养成分,需要从哪些食物中摄取,保暖,环境之类的有什么建议吗,我还有这最后一次提问机会了,请多指导一下,谢谢,谢谢!
徐灿
执业兽医师
一般来说,常规的抗生素还是很安全的,相较于它的感染来说,它的副作用基本上可以忽略不计,实际上,食物之类的只要是正常的摄入就行,后续的话要每天检查2到3次体温,因为最开始的时候可能会因为感染的原因导致高热,超过41度以上可能需要退热的。再有就是适当的可以用一些糖皮质激素类药物。症状消失以后,或者是皮肤恢复以后,仍然需要再用药一段时间,防止复发,至于皮肤表面的话,也可以适当的喷一些喷剂,每天都应当按压皮肤缝合周遭看一下是否有蓄脓或积液。环境的话,一般只要保持安静即可。
徐灿
执业兽医师
我帮你开了一个常用的后续的维护性的药物方案,后续的话需要坚持用药,一个是外用喷剂,一个是口服抗生素,还有一个糖皮质激素,他们分别是防止表皮感染,防止细菌性感染,还有一个消除炎症的。
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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