咨询描述:我的狗狗十岁了!五一节被咬伤后,反反复复发烧,也就医吃药、打针过,现在被咬耳朵的伤口已经愈合,但还是一到傍晚就反复发烧,打着针就好,只要一停针就又烧。
问题大致一样,细节不同?
孙厚福
执业兽医师
您好,我已收到您的咨询,为了更好诊治,我需要近一步了解宝贝情况。
1是否做过检查?血液指标是否正常?可以上传看一下
2.被流浪狗咬的?打过狂犬疫苗?破伤风打过?
3.用过哪些药物治疗过?
4.目前食欲怎么样?
5.发烧一直持续性?
除此之外,宝贝目前的症状来讲,您提供给我的信息有限,暂时我还无法给您一些保守的治疗建议,所以另外我需要和主人您再了解一些宝贝的情况。是否有其它异常行为或情况补充?希望主人您仔细提供给我。方便我更好的分析宝贝的病情,并给出更准确的诊断和保守的治疗建议。感谢您的配合。(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。)
做过血检,是五月份做的。用过****、**、**的针剂。但具体的病因一直没查出来,用药的时候情况好一点,一停药就反复。发烧的时候不吃东西,但大小便正常,烧退了又正常进食了。一开始发烧后还会引起行走困难,后期就是发烧不吃东西
为保护用户隐私不显示图片/视频
狗狗发烧后的行动困难是前后支都有,从六月中旬到七月份就反复发烧,有一次还吐,吐的是黄色液体和白色泡沫。被咬之前狗狗从未生过病。它咬伤的情况是:一只耳朵咬缺了一块,另一只耳朵撕裂,当时我不在,没有及时处理伤情,血流的比较多,第二天才去打的针。十几天后就开始病了,就是反复发烧引起不进食,行动困难
为保护用户隐私不显示图片/视频
孙厚福
执业兽医师
考虑血液病白血病可能性比较大,血常规看白细胞升高明显,可以再复查血常规和血涂片,正常血常规检查,骨髓穿刺,分子克隆或免疫分型综合诊断。临床大多数病例通过外周血液血涂片做出初步诊断,进一步需要骨髓穿刺和分子学方法进行确诊和分型。
如果确诊可以使用激素另外配合化疗药物,同时配合增加免疫力药物。
片子也拍了,说是髋关节有一点磨损,心脏有点肥大,其它就没什么了
孙厚福
执业兽医师
看血常规检查白细胞升高,同时反复发烧需要考虑血液,看看医院是否可以做骨髓穿刺,另外可以做一下细菌培养和药敏试验
那我再带它去做个血检。如果像您说的是白血病的话,救治的机率有多大?
孙厚福
执业兽医师
如果是白血病根据严重程度预后不一样有的通过治疗可以存活半年有的可以存活2-6年这个预后不太一样的,建议检查确诊后再用药治疗
孙医生谢谢您!那我还需带狗狗做些什么检查可以确诊呢?
孙厚福
执业兽医师
建议去大一点医院先做血常规和血涂片C反应蛋白和生化检查,如果白细胞还是非常高看一下是否可以做骨髓穿刺检查确诊一下,彩超片子都需要做一下全身体检看一下是否有肿瘤
孙医生您好!麻烦您看一下今天的检查结果
为保护用户隐私不显示图片/视频
孙厚福
执业兽医师
目前看白细胞、中性粒细胞比之前还是上升明显,目前考虑白细胞可能性很大的,建议近一步检查确诊一下
还有一项检查,麻烦您看一下!后面我应该怎么治疗
为保护用户隐私不显示图片/视频
孙厚福
执业兽医师
生化显示肾功能异常需要配合保肾药物,如果白血病治疗方案使用****口服与****口服,但是目前没有确诊的,同时配合****增加免疫力。
我给它开个处方。处方里面的1**每公斤体重1mg早晚各一次
2.****增加免疫力
您可以根据需求自行选择购买。
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
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