咨询描述：猫头顶靠后的一块皮肤上面有一小个一小个类似血痂的东西，这块皮肤约小拇指指甲大小，摸上去比其他皮肤厚一点硬一点。还有一块白色的皮屑，我拨了一下带着一小撮毛掉了下来。是磕了一下的正常血痂还是什么皮肤病啊？
问题大致一样，细节不同？
闻晓敏
执业兽医师
家长您好，图片、信息已收到。
图片上病灶看起来可能是蚊虫叮咬导致的皮炎，或瘙痒猫咪抓挠破皮流血导致的结痂。
目前从图片上看不严重。需要个猫咪佩戴头套防止抓挠。最好把这里的病灶毛发剃了，每天生理盐水清洗，然后涂抹百灵金方抑菌膏，或可鲁凝胶。同时搭配驱虫药。咱们家猫咪上次驱虫是什么时候，使用的什么驱虫药？
啊上次已经两个多月了后来忘了……用的是大宠爱的外驱。所以是蚊虫导致的不是真菌性的吗？在后脑勺上它应该抓不到。
闻晓敏
执业兽医师
这个看起来不是真菌哦，我给他开个处方，处方里面主要是：
1，***，每天一次，每次病灶处涂抹均匀，连续一周。建议佩戴头套。
2，***一盒，每月一次体内外通驱。
您可以通过处方自主选择购买。
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
{"482217":{"id":482217,"case_id":54160,"user_id":2218472,"to_user_id":2098382,"type":3,"content":"这个看起来不是真菌哦，我给他开个处方，处方里面主要是：\n1，***，每天一次，每次病灶处涂抹均匀，连续一周。建议佩戴头套。\n2，***一盒，每月一次体内外通驱。\n您可以通过处方自主选择购买。","media":{"images":{},"videos":{},"business_params":{"prescription_id":142377}},"is_doctor":1,"status":1,"created_at":"2023-05-02 07:13:27","show_rx":true,"rx_info":{"id":142377,"rx_no":2.02305020712395e+24,"user_id":2098382,"doctor_user_id":2218472,"is_independent":0,"case_id":3078926,"pet_info":{"pet_id":319784,"pet_name":"中华田园猫","pet_nickname":"猪蹄儿","pet_gender":1,"pet_birth":"1-0","pet_weight":4,"pet_vaccination_status":1,"pet_in_insect_repellent_status":1,"pet_out_insect_repellent_status":1,"pet_age_format":"1岁"},"diagnose":"皮炎","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2023-05-02 07:12:39","updated_at":"2023-05-02 07:13:27","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":91749,"prescription_id":142377,"doctor_user_id":2218472,"product_id":812,"product_sku_id":854,"dose":1,"dose_unit":"豌豆粒","use_method":"涂抹","frequency":"每天1次","days":7,"number":1,"remark":"禁止舔舐","created_at":"2023-05-02 07:12:39","updated_at":"2023-05-02 07:12:39","product_info":{"id":812,"hash_id":"VjX39W4zDPxQ0bvZ","class_ids":{"0":1,"1":2},"category_ids":{"8":169},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":4,"sell_point":"百灵金方抑菌膏10g","title":"贝里奥百灵金方抑菌膏 10g\/瓶\/盒","recommend_reason":{"0":"用于手术、术后切口、咬伤、烫伤、交通伤等创面感染","1":"用于细菌、真菌引起的皮肤及粘膜感染","2":"用于子宫及产道、外生殖器及肛门腺的感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"皮肤病,脓皮症,细菌感染","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"10g"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/8fd35c62b90e9eb884e32c271cdcc0c1.jpeg","images":{"0":"https:\/\/cdn.moguvet.com\/shop\/2023\/06\/b4a90fdc25766615b045299982a0dbf6.jpg","1":"https:\/\/cdn.moguvet.com\/shop\/2023\/06\/cb0fcbe97a1a93d979f82fbf7e02ddd2.jpg"},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":88,"max_price":88,"sale_count":281,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-21 16:36:03","updated_at":"2024-11-10 18:08:41","ins":{"id":4,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"百灵金方抑菌膏","trade_name":"百灵金方膏","en_name":"","brand_name":"贝里奥","is_prescription":0,"cover":"\/drug\/2020\/10\/a76d880a7848393054bd1d4991a3b027.JPG","specification":"10g\/瓶","reference_price":130,"component":"麝香、珍珠、冰片、细胞集落因子等。","indication":"1.手术中、术后切口、咬伤、烫伤、交通伤等创面感染、已经产生耐药菌的创面治疗。\n2.细菌、真菌引起的皮肤及粘膜感染、已经形成溃烂、溃疡等皮下组织感染。\n3.子宫及产道感染。\n4.外生殖器及肛门腺的感染。","usage_dosage":"1.外用，将膏体涂于创面，用量视感染面积大小而取，每日更换一次。\n2.溃烂疮面有流脓、渗血、渗水情况的，配合百灵金方粉撒在疮面薄薄一层，疮面周围涂百灵金方软膏，纱布包扎即可。","contraindication":"","adverse_reaction":"","attention":"1.外用，严禁内服。\n2.内含麝香，孕畜慎用。","interaction":"","approval_no":"","storage_method":"密封，在凉暗干燥处保存。","validity":"2年","manufacturer":"河南威灵仙宠生物科技有限公司","status":1,"created_at":"2020-10-21 14:13:33","updated_at":"2020-10-29 16:06:30"}},"product_sku_info":{"id":854,"product_id":812,"title":"贝里奥百灵金方抑菌膏 10g\/瓶\/盒","advword":null,"price":88,"market_price":140,"cost_price":0,"stock":763,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"10g"}},"cover":null,"thumb":"","sale_count":290,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-21 16:36:03","updated_at":"2024-11-10 09:35:28"}},"1":{"id":91750,"prescription_id":142377,"doctor_user_id":2218472,"product_id":846,"product_sku_id":888,"dose":1,"dose_unit":"支","use_method":"滴皮肤","frequency":"每月1次","days":3,"number":1,"remark":"扒开毛发滴在脖子后面皮肤上，禁止抓挠舔舐","created_at":"2023-05-02 07:12:39","updated_at":"2023-05-02 07:12:39","product_info":{"id":846,"hash_id":"GVbA91xB38prWoaz","class_ids":{"1":2},"category_ids":{"17":178},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":14,"sell_point":"大宠爱 塞拉菌素溶液（猫咪驱虫药）","title":"辉瑞大宠爱 塞拉菌素溶液（猫）(0.75ml:45mg)×3支\/盒","recommend_reason":{"0":"用于治疗猫的蛔虫、钩虫、疥螨、蚤和虱的感染","1":"以及预防猫的心丝虫病。"},"baike_guide_text":"","baike_article_hash_id":"","advword":"体内外同驱,蠕形螨,大宠爱,蛔虫,耳螨,跳蚤,驱虫药","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"3支盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2022\/01\/aab818628f0a06bd4c94430ba9f54106.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":218,"max_price":218,"sale_count":11,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2022-01-10 10:51:42","updated_at":"2024-10-21 15:19:24","ins":{"id":14,"hash_id":"","class_ids":"{\u00221\u0022:\u00222\u0022}","title":"辉瑞大宠爱 塞拉菌素溶液（犬猫通用）45mg规格","common_name":"塞拉菌素溶液","trade_name":"大宠爱","en_name":"Selamectin Solution","brand_name":"辉瑞","is_prescription":0,"cover":"\/drug\/2020\/10\/93b54d15f7ad5a6ff32eae8f490f0807.jpg","specification":"(0.75ml:45mg)×3支\/盒","reference_price":312,"component":"赛拉菌素","indication":"1.用于治疗犬、猫的蛔虫、钩虫、疥螨、蚤和虱的感染；\n2.以及预防犬、猫心丝虫病。","usage_dosage":"1.以赛拉菌素计，外用，一次量每 1kg体重犬、猫 6mg，每月使用一次。\n2.用力向下按压管盖，刺透药管的密封处，移走管盖，给动物用药。\n3.将动物颈背后肩胛骨前部的毛发分开，暴露皮肤；使药管的尖端直接接触动物皮肤，挤压药管将整管药液挤到一处皮肤上，不需按摩用药部位。\n4.勿将药液用于破损皮肤。\n5.以本品计，适用于小于2.6-7.5kg的犬猫。\n6.可以用于怀孕，哺乳期的犬猫。","contraindication":"","adverse_reaction":"1.临床研究表明有不到 0.5%的猫在用药部位或周围出现一过性的炎性或非炎性的脱毛，这可能是由于动物自己梳理造成的。\n2.另外有些临床试验犬、猫表现出可能与治疗无关的呕吐、流涎或腹泻。","attention":"1.本品仅限用于宠物，适用于 6 周龄和 6 周龄以上的犬、猫。 \n2.为了获得最好的用药效果，请勿在宠物毛发尚湿的时候使用本品，但在用药 2 小时后给宠物洗澡不会降低本品的药效。\n3.本品易燃，要远离热源、火源。 \n4.禁止用于人，勿让儿童触及。 \n5.可能对皮肤和眼睛有刺激性，用后洗手。 \n6.皮肤接触到药物后应立即用肥皂和清水冲洗；如溅入眼内，用大量水冲洗；如不慎食入，应立即求助医生。","interaction":"","approval_no":"（2019）外兽药证字15号","storage_method":"避光，密封，在30°C以下保存","validity":"3年","manufacturer":"硕腾公司美国卡拉玛祖生产厂（Zoetis P&U, LLC, Kalamazoo, USA）","status":1,"created_at":"2020-10-26 17:55:10","updated_at":"2022-01-10 10:49:22"}},"product_sku_info":{"id":888,"product_id":846,"title":"辉瑞大宠爱 塞拉菌素溶液（猫）(0.75ml:45mg)×3支\/盒","advword":null,"price":218,"market_price":258,"cost_price":0,"stock":89,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"3支盒装"}},"cover":null,"thumb":"","sale_count":11,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2022-01-10 10:51:42","updated_at":"2024-10-21 14:09:07"}}},"drug_data_bak":{"0":{"id":91749,"prescription_id":142377,"doctor_user_id":2218472,"product_id":812,"product_sku_id":854,"dose":1,"dose_unit":"豌豆粒","use_method":"涂抹","frequency":"每天1次","days":7,"number":1,"remark":"禁止舔舐","created_at":"2023-05-02 07:12:39","updated_at":"2023-05-02 07:12:39","product_info":{"id":812,"hash_id":"VjX39W4zDPxQ0bvZ","class_ids":{"0":1,"1":2},"category_ids":{"8":169},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":4,"sell_point":"百灵金方抑菌膏10g","title":"贝里奥百灵金方抑菌膏 10g\/瓶\/盒","recommend_reason":{"0":"用于手术、术后切口、咬伤、烫伤、交通伤等创面感染","1":"用于细菌、真菌引起的皮肤及粘膜感染","2":"用于子宫及产道、外生殖器及肛门腺的感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"皮肤病,脓皮症,细菌感染","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"10g"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/8fd35c62b90e9eb884e32c271cdcc0c1.jpeg","images":{"0":"https:\/\/cdn.moguvet.com\/shop\/2023\/06\/b4a90fdc25766615b045299982a0dbf6.jpg","1":"https:\/\/cdn.moguvet.com\/shop\/2023\/06\/cb0fcbe97a1a93d979f82fbf7e02ddd2.jpg"},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":88,"max_price":88,"sale_count":281,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-21 16:36:03","updated_at":"2024-11-10 18:08:41","ins":{"id":4,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"百灵金方抑菌膏","trade_name":"百灵金方膏","en_name":"","brand_name":"贝里奥","is_prescription":0,"cover":"\/drug\/2020\/10\/a76d880a7848393054bd1d4991a3b027.JPG","specification":"10g\/瓶","reference_price":130,"component":"麝香、珍珠、冰片、细胞集落因子等。","indication":"1.手术中、术后切口、咬伤、烫伤、交通伤等创面感染、已经产生耐药菌的创面治疗。\n2.细菌、真菌引起的皮肤及粘膜感染、已经形成溃烂、溃疡等皮下组织感染。\n3.子宫及产道感染。\n4.外生殖器及肛门腺的感染。","usage_dosage":"1.外用，将膏体涂于创面，用量视感染面积大小而取，每日更换一次。\n2.溃烂疮面有流脓、渗血、渗水情况的，配合百灵金方粉撒在疮面薄薄一层，疮面周围涂百灵金方软膏，纱布包扎即可。","contraindication":"","adverse_reaction":"","attention":"1.外用，严禁内服。\n2.内含麝香，孕畜慎用。","interaction":"","approval_no":"","storage_method":"密封，在凉暗干燥处保存。","validity":"2年","manufacturer":"河南威灵仙宠生物科技有限公司","status":1,"created_at":"2020-10-21 14:13:33","updated_at":"2020-10-29 16:06:30"}},"product_sku_info":{"id":854,"product_id":812,"title":"贝里奥百灵金方抑菌膏 10g\/瓶\/盒","advword":null,"price":88,"market_price":140,"cost_price":0,"stock":763,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"10g"}},"cover":null,"thumb":"","sale_count":290,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-21 16:36:03","updated_at":"2024-11-10 09:35:28"}},"1":{"id":91750,"prescription_id":142377,"doctor_user_id":2218472,"product_id":846,"product_sku_id":888,"dose":1,"dose_unit":"支","use_method":"滴皮肤","frequency":"每月1次","days":3,"number":1,"remark":"扒开毛发滴在脖子后面皮肤上，禁止抓挠舔舐","created_at":"2023-05-02 07:12:39","updated_at":"2023-05-02 07:12:39","product_info":{"id":846,"hash_id":"GVbA91xB38prWoaz","class_ids":{"1":2},"category_ids":{"17":178},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":14,"sell_point":"大宠爱 塞拉菌素溶液（猫咪驱虫药）","title":"辉瑞大宠爱 塞拉菌素溶液（猫）(0.75ml:45mg)×3支\/盒","recommend_reason":{"0":"用于治疗猫的蛔虫、钩虫、疥螨、蚤和虱的感染","1":"以及预防猫的心丝虫病。"},"baike_guide_text":"","baike_article_hash_id":"","advword":"体内外同驱,蠕形螨,大宠爱,蛔虫,耳螨,跳蚤,驱虫药","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"3支盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2022\/01\/aab818628f0a06bd4c94430ba9f54106.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":218,"max_price":218,"sale_count":11,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2022-01-10 10:51:42","updated_at":"2024-10-21 15:19:24","ins":{"id":14,"hash_id":"","class_ids":"{\u00221\u0022:\u00222\u0022}","title":"辉瑞大宠爱 塞拉菌素溶液（犬猫通用）45mg规格","common_name":"塞拉菌素溶液","trade_name":"大宠爱","en_name":"Selamectin Solution","brand_name":"辉瑞","is_prescription":0,"cover":"\/drug\/2020\/10\/93b54d15f7ad5a6ff32eae8f490f0807.jpg","specification":"(0.75ml:45mg)×3支\/盒","reference_price":312,"component":"赛拉菌素","indication":"1.用于治疗犬、猫的蛔虫、钩虫、疥螨、蚤和虱的感染；\n2.以及预防犬、猫心丝虫病。","usage_dosage":"1.以赛拉菌素计，外用，一次量每 1kg体重犬、猫 6mg，每月使用一次。\n2.用力向下按压管盖，刺透药管的密封处，移走管盖，给动物用药。\n3.将动物颈背后肩胛骨前部的毛发分开，暴露皮肤；使药管的尖端直接接触动物皮肤，挤压药管将整管药液挤到一处皮肤上，不需按摩用药部位。\n4.勿将药液用于破损皮肤。\n5.以本品计，适用于小于2.6-7.5kg的犬猫。\n6.可以用于怀孕，哺乳期的犬猫。","contraindication":"","adverse_reaction":"1.临床研究表明有不到 0.5%的猫在用药部位或周围出现一过性的炎性或非炎性的脱毛，这可能是由于动物自己梳理造成的。\n2.另外有些临床试验犬、猫表现出可能与治疗无关的呕吐、流涎或腹泻。","attention":"1.本品仅限用于宠物，适用于 6 周龄和 6 周龄以上的犬、猫。 \n2.为了获得最好的用药效果，请勿在宠物毛发尚湿的时候使用本品，但在用药 2 小时后给宠物洗澡不会降低本品的药效。\n3.本品易燃，要远离热源、火源。 \n4.禁止用于人，勿让儿童触及。 \n5.可能对皮肤和眼睛有刺激性，用后洗手。 \n6.皮肤接触到药物后应立即用肥皂和清水冲洗；如溅入眼内，用大量水冲洗；如不慎食入，应立即求助医生。","interaction":"","approval_no":"（2019）外兽药证字15号","storage_method":"避光，密封，在30°C以下保存","validity":"3年","manufacturer":"硕腾公司美国卡拉玛祖生产厂（Zoetis P&U, LLC, Kalamazoo, USA）","status":1,"created_at":"2020-10-26 17:55:10","updated_at":"2022-01-10 10:49:22"}},"product_sku_info":{"id":888,"product_id":846,"title":"辉瑞大宠爱 塞拉菌素溶液（猫）(0.75ml:45mg)×3支\/盒","advword":null,"price":218,"market_price":258,"cost_price":0,"stock":89,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"3支盒装"}},"cover":null,"thumb":"","sale_count":11,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2022-01-10 10:51:42","updated_at":"2024-10-21 14:09:07"}}}}}}
微信扫一扫
立即问宠医
