咨询描述:比熊周二晚上被车撞了
现在盆骨骨折不知道该怎么办,它尾巴已经做手术截断了,骨盆小城市没有进一步方案,只能保守治疗,这两天宠物医院让我每天带它去输液,作用是消炎。
昨天开始小便排出来了,大便一直没有。食物正常。
医生给我说骨盆骨折很容易影响大小便,压迫到神经,它现在小便能排出来,大便不知道是因为被压迫了,还是太疼蹲不下去,又或者是它尾巴截断了,伤口离肛门很近,怕疼不敢上厕所。有没有什么办法能帮助它排便。
图片是做手术那天晚上我拍的,视频是宠物医院排的
问题大致一样,细节不同?
周亭宇
执业兽医师
您好家长,请问有没有正面的X光片照片?我需要一张正面的照片。
若您离开本诊室,稍后可以到官方微信号“蘑菇宠医”内找到问诊订单继续和我沟通。
完全正面的没有,它那天拍的时候还没有麻醉,太疼了,都不让动
周亭宇
执业兽医师
您好家长,从这张侧面的片子可以看到坐骨有明显骨折,由于不能确定盆骨其他地方有没有骨折,如果只有这一处,通过治疗是可以逐渐长骨痂恢复的,但是如果只有这一处骨折,一般是不会引起这么就不排便的,它长时间的不排便个人经验还是因为骨盆的粉碎性骨折,也就是说整个盆骨至少有三处骨折的地方,引起骨盆腔结构的畸形,压迫了大肠,排便不畅,引起了便秘的情况,这种状态下如果不手术,只能保守治疗的话,只能尝试给它止疼,消炎,尽量让患处消肿,然后尝试服用乳果糖进行润肠通便,每天两次,连续两天,如果还是排不出来,可以用开塞露去刺激看看。
宠物店给了喷手术后伤口处的药,针对疼痛或者骨折的没有,现在每天我得给它弄到店里输消炎水,每次抱它上车的时候他很抗拒,很抗拒。
我送它去输液麻烦无所谓,就是怕这样天天折腾会不会不利于它骨头的恢复。针对疼痛,是否需要吃药。针对输液,您觉得是否有必要继续,如果没有,是否需要吃其他的药物来消炎。
周亭宇
执业兽医师
输液主要是为了及时控制炎症,但是在狗狗食欲精神还比较正常的时候不建议长时间输液,最多输液五天就需要停,同时需要在家里给予口服止疼药的治疗,而且需要长期服用止疼药,长期这种路上的颠簸对于它的骨折也没有好处,如果不能手术,要么它输液这几天直接住院,要么少输两天,主要还是回家口服止疼药和消炎药。
周亭宇
执业兽医师
推荐用药如下:
辉瑞卡洛芬每天两次,每次三分之二片,连续半个月。
速力维每天一次,每次1.5片,连续一个月。
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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