咨询描述:5.13日左右因为猫鼻支感染眼部,去了眼科医院检查,用了一个多月滴眼药水,上周恢复了,结果昨天发现眼睛又有一对肿了,请问需要继续滴眼药水吗,能否开个处方,谢谢医生。(图中猫咪为今日白天拍摄)
症状描述:因猫鼻支感染的复杂性结膜炎
患病时长:5.3肺炎去医院就诊,5.13眼睛感染,6.17左右恢复后停药。
医院检查:复杂性结膜炎,先挂水 后吃药,一个月吃了很多药了,医生不建议短期内再次服药。
用药情况:附图片
问题大致一样,细节不同?
郭秋萍
执业兽医师
根据您讲到的停停的情况,我初步判断可能有病毒性结膜炎,但仅仅根据目前信息,还不能做出进一步的判断。我还有几个问题需要向你核实一下:
1. 他上一次检查,可以把检查结果发过来看一下吗?因为我只看到你来检查项目,没有看到检查结果是什么样的?
2. 他目前除了眼睛红肿,有没有流鼻涕,打喷嚏等这样的呼吸道问题呢?然后最后两张照片是今天拍的吗?
3. 有没有给他做过呼吸五项的pcr 检查?
4. 从上次好转之后到现在复发,中间间隔了多长时间,你有停药多久?
以上这些情况您仔细回忆后详细的描述给我,对我给宝贝目前情况做判断以及制定治疗方案有非常大的帮助,感谢您的配合。另外,把您家爱宠的信息补充完整,特别是『年龄、体重』,待会儿咱们沟通后如果涉及用药建议,方便为宝贝开具处方。(若您需要离开本诊室,稍后可以到官方微信公众号“蘑菇宠医”内找到问诊订单继续和我沟通。)
1.上次检查的报告发给您看一下,请查收。另:最后一次检查是在5.28日,当时医生告知已经恢复的很好了,只需要再用眼药水巩固一周左右即可,所以28号检查当时我没有保存诊断记录,因为检查结果是健康的。
2.最后两张照片是今天才拍的,就是流鼻涕和打喷嚏,很偶尔会有一些些咳嗽的症状,关于咳嗽的的问题于5.25日左右跟医院沟通过,医生告知猫疱疹引起的问题确实比较难治疗,不建议短期内再次服药,如果会慢慢好转就不必担心。不过6月开始,停停的咳嗽症状确实是在逐渐减轻,截止到目前,一周可能也就轻咳2次左右。
3,。做过呼吸五项,5.13猫疱疹复发。(附图片),停停是有猫鼻支病史的。
4.上一次好转到复发间隔了半个月左右,停药大约20天左右,不会超过20天。之前吃的药 都含有激素成分,所以我现在不敢擅自盲目用药。
5.我家停停目前2.5岁,11斤左右。
为保护用户隐私不显示图片/视频
郭秋萍
执业兽医师
从你的描述来看,上次不是单纯结膜炎哟,是有角膜溃疡的,这一次,虽然主要症状是结膜炎,但是我还是建议做一下荧光素钠染色确诊一下是否有角膜溃疡。
因为是否有角膜溃疡,用药方案完全是不一样的。
另外,******一共喂了有多久呢?******一共喂了有多久?
***片开过2次,14天了,5.23和5.31各开过一次。***片也是2次,每一次都是56片。还有杂七杂八很多药,他现在跟一个药罐子一样,我很害怕他再吃药就会肝肾不好了。
我家还剩下0.25%******半瓶,***一瓶,***一瓶,还有一个是******,都是在保质期以内的,请问可以继续用吗,血清的话需要继续开吗
郭秋萍
执业兽医师
对于你家猫这种有疱疹病毒感染的,我们都推荐******连续吃28天,这个对他的肝肾是不会有问题的,另外,******最少要吃两到三个月,要不然确实是很容易复发。这个药物对肝肾也不会有什么副作用。
他如果是没有角膜溃疡的话,血清这些你说的这些药物,很多是不需要使用的,你只需要给他使用抗生素的滴眼液和抗病毒的滴眼液就可以了。
根据猫咪眼睛的情况,我给它开个处方。处方里面的
1. *********,一天三次,一次1滴,连用15天。
2. ******v一天5次,一次1滴,连用15天。
3.***,一天三次,一次1厘米,连用7天。
4,******,一天两次,一次30毫克,连用15天
您可以根据需求自行选择购买。
另外需要给他配戴伊丽莎白项圈,不让他抓,或者是挠眼睛。
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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