咨询描述:猫咪最近几天呼吸很急促,周天中午开始到昨天中午不怎么吃东西,昨天下午带去医院检查,拍了dr片子心脏影像比较大,目前没有积水,fbnp试纸阳性,因为小地方本地和附近都没有心超,最近要去省会(单程3个多小时)才能做,猫咪有点应激暂时带不了去省会,这边医生也没有下准确结论只说先天复杂心脏病,目前因为这边医院里的匹莫本丹没了就也没开药,只给开了三颗保健类的,让回家吃了观察下,它现在呼吸频率基本在1s一次,食欲还是不怎么好只能哄着吃跟猫条的量,水也不爱喝,想问下医生目前要吃点什么药干预好
问题大致一样,细节不同?
曹元钊
执业兽医师
你好,我想跟您确定一下这个猫有没有张嘴喘息呼吸的时候胸部的起伏为主还是腹部的起伏为主?生化结果并没有太明显的异常,x光来说的话,如果那边认为心脏偏大的话,那么只能是先听信他们的,尤其是bnp还有升高。一般来说呢,在猫的心脏病上面,以心肌肥厚居多。如果条件不足,不能做心超,我能给你提供一点方案,试着自己买药对症治疗。可以吗。那您得确定一下猫的体重。
呼吸的视频发您了,平时不会张嘴小狗喘气,最近看到就是玩的时候跑多了会有喘,还有昨天去医院一开始吓到也在医院小狗喘了下,平时一直就胆子比较小有点声音就很惊的那种,现在3.5kg
为保护用户隐私不显示图片/视频
曹元钊
执业兽医师
从目前呼吸来看情况还好,还没有达到说那种特别严重的程度,这个猫发病之前吃的是成熟,有没有呕吐或者腹泻?有没有做一下别的检查,比如CBC saa?
喂的是罐头(德罐居多)猫粮(福摩猎鸟混喵梵思鱼)和主食冻干(每顿只喂一种),目前没有发现呕吐,便便一天一次也都是成型的,saa有的
为保护用户隐私不显示图片/视频
曹元钊
执业兽医师
目前方案如下,一种口服抗生素(**)加一种糖皮质激素(****),对抗可能存在的感染,以防万一。****一天两次每次1/4片,这个是用来减轻心上的后面的负荷。
还有****,按照低剂量吃一段时间。目前这个药在肥厚性心脏病的使用上存在争议,但是临床上来讲,很少见到这个药物所引发的不良后果。所以可以尝试
曹元钊
执业兽医师
还有一点,自己去买人的****6.25毫克一天两次。(医生本人和平台是不支持给宠物使用人用药的,由于您家宝贝的就医条件不足给出了此次用药建议,该用药的治疗效果及意外风险无法承担,还请您考虑后采纳。)
曹元钊
执业兽医师
建议您的方案针对大多数常见的肥厚性心脏病,或者说潜在的一些炎症都会有帮助。
好的,想请问下****和****是吃的周期按您开的时间就行还是要等后续看情况。还有这边医生说猫咪肚子里粑粑比较多,10号还因为便秘肚子大到以为腹水去医院,这个是不是也是因为心脏不好引起的,需不需要有什么干预,谢谢医生
还想请问下医生它食量变小这个有没有必要也干预下,我看hcm的猫食量都会变小,但是它小好多,以前一顿能吃50多g罐头,一天80多克猫粮的样子,现在一天只有以前一顿的量了,担心能量不够
曹元钊
执业兽医师
你好,我建议呢,先按照我的这个建议的用量来吃,然后呢吃满七天后复查,咱们根据情况再行调整一下,另外呢,7~14天之后生化一定要再做一个。
食物的量变小了,这个就是我建议的,这个泼尼松龙的针对性就是这个药物一定程度上可以鼓励食欲。
好的,谢谢医生,我按处方给它吃一段时间看看,非常感谢
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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19:30:26","updated_at":"2020-12-30 19:30:26"}},"product_sku_info":{"id":940,"product_id":899,"title":"梅利亚勃欣定匹莫苯丹咀嚼片 1.25mg×50片\/盒","advword":null,"price":248,"market_price":350,"cost_price":0,"stock":91,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"1.25mg盒装"}},"cover":null,"thumb":"","sale_count":9,"status":1,"delete_status":0,"created_at":"2022-01-12 14:20:29","updated_at":"2024-04-27 15:15:03"}}}}}}
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