咨询描述:公狗,6岁半
用药情况:见图片
症状描述:流鼻血,一天一到两次。呼吸不畅。吃东西很少,精神状态很差。
医院检查:鼻腔肿瘤,CT见图片。
诉求:如何治疗,可否手术,如无法手术需要用什么药,谢谢,希望可能尽量延长生命
问题大致一样,细节不同?
周亭宇
执业兽医师
您好家长,它的肿瘤个人经验可以确定为恶性,而且通过鼻腔肿瘤CT分期来看,它除了出现了鼻腔的大面积占位以外还出现了骨溶解的情况,能够手术治疗是最好的,但是它这种情况肿瘤风险会比较大,主要是肿瘤不好清除干净,切了以后很可能还会再长,可以尝试先保守治疗,需要用到化疗药物,目前真对这种类型的肿瘤常用的化疗药物一般就是长春新碱,另外就是配合抗菌消炎的治疗,鼻腔出血的情况一般还是肿瘤导致,肿瘤表面毛细血管破裂,或者鼻腔毛细血管破裂导致出血,保险起见还应该查一下凝血功能,如果凝血异常还需要进行促进凝血功能恢复的治疗。目前4期的鼻腔肿瘤,通过治疗存活期可能不会超过7个月,所以您需要做好心理准备。
1、这是不是发现晚了,如果发现早是不是可以手术治疗,并且可以治愈呢。
2、目前需要用什么药,辛苦您开点药。具体药名,以及用量,谢谢。很不舍得它离开
图片为一些检查,您参考一下
为保护用户隐私不显示图片/视频
1、喝水比较正常,但是很少吃东西了。
2、前两天呕吐过一次,这两天没有呕吐。
3、没有腹泻,大便正常,但是大便颜色发黑。
周亭宇
执业兽医师
首先这个血常规看,它是有比较严重的脱水的和贫血的,这可能和流鼻血有关系,如果现在还是在流,建议要打止血针,连续三天。另外就是补水,可以输液最好,因为它有严重的炎症,最好头四天可以直接通过输液来治疗,主要是补充体液,提供能量和营养,更重要的是通过输液进行抗菌消炎的治疗,先控制住炎症,四天后再做血常规,如果脱水,贫血和炎症情况有恢复,可以停止输液,改为回家口服抗生素治疗,针对肿瘤的药物推荐使用长春新碱,每周一次,连续6-8周,抗生素口服7天。这些药比较急,不建议网上购买,应该送医尽快介入治疗。
另外就是给它的补剂,补血,调整体质,这些我可以给它开一些,主要是调整身体的健康情况。推荐用药如下:
***每天一次,每次3袋,连续十天。
***每天一次,每次3片,连续十天。
***升血营养膏每天一次,每次6毫升,连续十天。
您说的这些药您都给我说下具体名字吧或者给我开药方,我看医院有没有或者网上,这边医院不行,我给您看的药还是我主动要求才给开的,如果当地医院行我也不会再网上找您了,去了两家医院都是说没有好的办法,让放弃,让安乐了,是不是绝症医院都不爱管啊,就算治的再好最后也是走。我知道它要走我留不住,但是我就是不想放弃。很感谢您不像他们一样,还能给我这么认真解答,努力治疗它。
您需要告诉我
1、止血针的名字,如果没有止血针可以吃止血药吗,止血药的名字;
2、补充体液和抗菌消炎的输液的话用什么药,具体液体名字,如果没条件输液可以吃药吗,吃什么药(因为狗狗没在我身边,跟家里老人在一起,跟我没在一个城市,老人带狗狗去医院输液不太方便,之前是我专门回去带狗狗去医院做的那些检查)
3、口服抗生素是什么药,叫什么名字,计量,或者您给开一下吧
4、长春新碱您给开一下吧,或者告诉我在哪里可以买到。
就是您说的这所有药不管是输液还是针还是吃的药您能开的都给开一下吧,不能开的您告诉我具体名字,一定是具体名字,我在网上买或者我去找宠物医院问,不然去医院他们又把我打发走了,我很信任您,感觉您很专业。说了这么多,给您添麻烦了,真的非常感谢🙏🙏🙏
它这个病传染吗,家里还有一只狗,会不会传染狗,会不会传染人,因为我刚才淘宝搜长春新碱出来的都是传染性肿瘤,不知道什么意思
周亭宇
执业兽医师
您好家长,止血药一般就是止血敏,一种注射针剂,医院都有。补充体液和抗菌消炎最好可以先输液进行,因为它炎症很严重,有明显脱水,口服或者打针治疗效果不太好,炎症应该尽快控制,只能进行输液,实在没办法吃药的话可以口服***,补液就每天多给它喝水。这个肿瘤一般情况不会传染,但是有一种恶性肿瘤TVT,这个是可能传染犬类的,所以这只狗狗用过的东西尽量不要给其他狗用,特别是摸了这只狗狗后一定要手部消毒以后再去摸其他狗狗,传染是接触性传染,不会通过空气***可以抑制蛋白质合成与功能的药物,是目前临床常用的一种癌症化疗药物,我们平台目前没有,或者可以用多柔比星,卡铂联合使用治疗。具体可以问问线下医院,这些化疗药物是处方药,网上一般都买不到的。
周亭宇
执业兽医师
您最好是能够联系一家大医院,问问能不能做它鼻腔的手术,通过鼻腔切开术来做这个肿瘤摘除手术,它的生存期相对会更长一点,但是一般也不会超过8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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