猫坠楼股骨头脱出怎么办

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患宠信息:暹罗猫/弟弟/6个月

咨询描述:6-7个月左右的公猫,体重六斤左右。前天坠楼,目前主要是左腿这边有问题,宠物医院说是股骨头脱出,请问这种情况需要动手术吗?还是可以保守吃药治疗呢?

回复总结:猫坠楼股骨头脱出主要有保守治疗和手术治疗两种方法。如果情况不严重的话,就可以选择保守治疗,给猫咪口服止痛药和关节片,同时限制猫咪运动。但如果情况比较严重,或者保守治疗没有效果,那就需要安排手术切除股骨头。手术后一周也要限制猫咪运动,并进行按摩,防止肌肉萎缩。

问题大致一样,细节不同?

点击获取针对性解答

孙厚福

执业兽医师

您好,我已收到您的咨询,为了更好诊治,我需要近一步了解宝贝情况。 1.照片看股骨头发育不全,髋关节发育不良 2.正常需要安排手术切除股骨头 3.如果保守可以口服止痛药和关节药同时限制运动 4.之后肌肉可能会萎缩 除此之外,宝贝目前的症状来讲,您提供给我的信息有限,暂时我还无法给您一些保守的治疗建议,所以另外我需要和主人您再了解一些宝贝的情况。是否有其它异常行为或情况补充?希望主人您仔细提供给我。方便我更好的分析宝贝的病情,并给出更准确的诊断和保守的治疗建议。感谢您的配合。

他坠楼后一开始有点气胸,一天后又恢复了,也不喘。还有一点尿血,医生说是膀胱的黏膜还是什么有损伤(一开始坠楼拍片的时候它膀胱里尿挺多,拍的挺清楚,医生说没有破裂),这个有在用药了。腿的话目前是可以站起来,但左腿不太敢用力,站着的时候会抖,但整体精神状态比前天好多了,也能正常进食,这种不知道能否保守治疗?我看有的说可以用软骨素等药物帮助消炎之类的。它现在这个情况,如果不手术的话肌肉萎缩、骨头坏死之类的概率大吗?这几天已经花了快一万了,经济压力确实有点大,所以想看看保守治疗是否能行

孙厚福

执业兽医师

可以先保守看一下,如果疼痛之后再看一下是否需要安排手术治疗。可以口服关节片和止痛药 我给它开个处方。处方里面的 1. ***一天一粒 2.止痛药***每公斤体重1mg一天一次 您可以根据需求自行选择购买。

请问我家小猫这样是股骨头那里有一小节断了,还是单纯的脱位呀?

孙厚福

执业兽医师

片子看是骨折了,正常情况需要做一下侧位片子再评估一下

您看下它坠楼那天做的生化,那边医生说主要是AST高,这个影响大吗?可以通过吃药调节吗?或者其他那些数据,还有没有什么需要注意的?

为保护用户隐私不显示图片/视频

孙厚福

执业兽医师

1.AST升高提示肝损伤可以配合保肝口服药物 2.CK可能跟骨折有关系的 3.需要观察看看临床症状是否有加重

医生建议及处方根据当前病情给出,仅适用于本次问诊

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您好家长,您的问题我已经看到,我需要15分钟左右的时间进行分析,并编辑文字回复您的问题。 非常理解您焦急的心情。但是由于只能打字回复,回复可能会慢一些,请您见谅。如有疑问(或者有其它的有关疾病信息,以及您有什么样的要求)可以统一发过来,我会仔细阅读,然后一一回复,这样不会浪费您的问诊次数。 (您只有6次问诊机会,所以请勿回复此条消息,以免浪费您的追问机会)请您注意一下问诊规则,感谢您的配合,谢谢。

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如果猫咪股骨头已经完全断裂,处理办法上建议给猫咪进行股骨头切除手术。另外,不建议给猫咪做内固定,因为内固定难度太大,而且失败率很高,一旦失败需要进行二次手术。股骨头切除之后,会影响猫咪的跑、跳,猫咪行动没有之前灵活,但是不影响正常活动,只要猫咪恢复的好,出现后遗症问题概率很低,但如果出现后遗症问题,猫咪可能会出现坡脚、疼痛等。

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针对猫咪股骨头骨折的情况,最佳的处理方案是带猫咪去宠物医院进行股骨头切除手术,这样猫咪才能够逐渐恢复正常。另外,不建议给猫咪进行内固定,效果不好,可能会留下坡脚的后遗症问题。如果暂时不方便给猫咪进行手术,建议给猫咪口服抗炎止疼的药物以及广谱消炎药,同时配合营养关节骨骼的用药,来帮助猫咪。

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猫咪股骨头骨折主要有两种手术方案:一种方案就是股骨头切除,切除以后猫咪会形成一个假关节,跟正常走路没有任何区别,能完全恢复正常行走。另一种方案就是股骨头置换,但是价格会比较昂贵。如果不给猫咪手术,保守治疗只能给猫咪口服药物,但后续可能会出现瘸腿、残疾的情况。

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