猫肚子上摸到多个硬块，都分布在乳头位置

{"496148":{"id":496148,"case_id":55662,"user_id":1972513,"to_user_id":2321792,"type":3,"content":"没关系，没关系，这种情况的话，如果说想先用药的话，最近比较忙，没办法带到医院，那就先口服****观察就可以，然后再配合点止疼的 \n如果说就医比较方便的话，可以带到医院给他做一个炎症的筛查，看看炎症高低","media":{"images":{},"videos":{},"business_params":{"prescription_id":150057}},"is_doctor":1,"status":1,"created_at":"2023-08-13 03:50:39","show_rx":true,"rx_info":{"id":150057,"rx_no":2.0230813034945502e+24,"user_id":2321792,"doctor_user_id":1972513,"is_independent":0,"case_id":3146239,"pet_info":{"pet_id":378033,"pet_name":"缅因猫","pet_nickname":"周五","pet_gender":2,"pet_birth":"1-0","pet_weight":5,"pet_vaccination_status":1,"pet_in_insect_repellent_status":0,"pet_out_insect_repellent_status":0,"pet_age_format":"1岁"},"diagnose":"疑似乳腺增生或者乳腺炎","signature":"","deadline":null,"status":1,"send_status":1,"use_status":1,"created_at":"2023-08-13 03:49:45","updated_at":"2023-08-13 03:52:06","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":108835,"prescription_id":150057,"doctor_user_id":1972513,"product_id":712,"product_sku_id":755,"dose":1.5,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":14,"number":1,"remark":"","created_at":"2023-08-13 03:49:45","updated_at":"2023-08-13 03:49:45","product_info":{"id":712,"hash_id":"VjX39W4z2B4Q0bvZ","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":3,"sell_point":"速诺（阿莫西林克拉维酸钾片）50mg","title":"辉瑞速诺（阿莫西林克拉维酸钾片） 50mg×10片\/板","recommend_reason":{"0":"适用于宠物由敏感细菌引起的皮肤及软组织感染、呼吸道感染","1":"治疗宠物革兰氏阴性和革兰氏阳性敏感细菌的感染","2":"用于肠炎及其他感染，如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"呼吸道感染,肠炎,腹泻,便血,真菌感染,猫癣,脓皮症","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"50mg规格1板"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/26f5438f35ed21efc2894dffea9f399f.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":48,"max_price":48,"sale_count":1718,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:50:13","updated_at":"2024-11-21 13:36:29","ins":{"id":3,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"阿莫西林克拉维酸钾片","trade_name":"速诺","en_name":"Synulox Palatable Tablets","brand_name":"辉瑞","is_prescription":1,"cover":"\/drug\/2020\/10\/46c3ccae52804b92b0e341800e809e95.JPG","specification":"50mg×10片×10板\/盒","reference_price":800,"component":"阿莫西林和克拉维酸钾","indication":"适用于犬猫由敏感细菌引起的各种感染，及治疗犬猫革兰氏阴性和革兰氏阳性敏感细菌的感染。\n1、如皮肤及软组织感染脓性皮炎、脓肿和肛腺炎、蜂窝组织炎、伤口感染、腹内脓毒症等。\n2、牙感染(牙龈炎)。\n3、尿道感染，如膀胱炎、尿道炎、肾盂肾炎、前列腺炎、盆腔炎、淋病奈瑟菌尿路感染及软性下疳等。\n4、呼吸道感染，如鼻窦炎、扁桃体炎、咽炎、急慢性支气管炎、慢性支气管炎急性发作、肺炎、肺脓肿和支气管合并感染。\n5、肠炎及其他感染，如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染等。","usage_dosage":"口服。每天吃2次，连用5-7天。每次用量如下：\n体重1-2kg，吃半粒； \n体重3-5kg，吃1粒； \n体重6-9kg，吃2粒；\n体重10-13kg，吃3粒;\n体重14-18kg，吃4粒；\n体重≥19kg，请购买同品250mg规格的产品。\n\n注：一些慢性感染(慢性皮炎、慢性膀胱炎和慢性呼吸道感染)的治疗可连用10-28天。","contraindication":"1. 仓鼠、豚鼠、沙鼠、灰鼠和家兔禁用。\n2. 其他草食动物慎用。\n3.对青霉素过敏者禁止接触本品。","adverse_reaction":"1.恶心、腹泻和皮肤丘疹是最常见的不良反应。\n2.本品为青霉素类药物，若出现过敏反应可使用肾上腺素治疗。","attention":"1.不要对病情严重的动物使用口服抗生素，因其胃肠道吸收可能不可靠，这些患病动物可能需要静脉注射剂。\n2.避免在对其他β-内酰胺类抗菌药(包含头孢菌素类)有过敏反应的动物使用。\n3.片剂由防潮箔包裹，给药前不要取出。\n4.对青霉素过敏者如果不慎接触，应该立刻去找医生救助。\n5.孕畜慎用。\n4.使用后请洗手。\n5.不要让小孩接触到此产品。","interaction":"1.避免同时使用抑菌性抗生素(如四环素、红霉素)。\n2.不要给鸟类同时使用别嘌呤醇、β-内酰胺和氨基糖苷类抗菌剂在体内有协同作用。\n3.本品和氨苄西林有完全交叉耐药性，与青霉素类和头孢菌素类有交叉耐药性。","approval_no":"（2018）外兽药证字10号","storage_method":"密封，在凉暗干燥处保存。","validity":"2年","manufacturer":"意大利豪普特制药厂(Haupt Pharma Latina S.R.L)","status":1,"created_at":"2020-10-21 13:48:10","updated_at":"2020-10-23 15:55:39"}},"product_sku_info":{"id":755,"product_id":712,"title":"辉瑞速诺（阿莫西林克拉维酸钾片） 50mg×10片\/板","advword":null,"price":48,"market_price":59,"cost_price":0,"stock":9249,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50mg规格1板"}},"cover":null,"thumb":"","sale_count":1808,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:50:13","updated_at":"2024-11-21 22:49:09"}}},"drug_data_bak":{"0":{"id":108835,"prescription_id":150057,"doctor_user_id":1972513,"product_id":712,"product_sku_id":755,"dose":1.5,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":14,"number":1,"remark":"","created_at":"2023-08-13 03:49:45","updated_at":"2023-08-13 03:49:45","product_info":{"id":712,"hash_id":"VjX39W4z2B4Q0bvZ","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":3,"sell_point":"速诺（阿莫西林克拉维酸钾片）50mg","title":"辉瑞速诺（阿莫西林克拉维酸钾片） 50mg×10片\/板","recommend_reason":{"0":"适用于宠物由敏感细菌引起的皮肤及软组织感染、呼吸道感染","1":"治疗宠物革兰氏阴性和革兰氏阳性敏感细菌的感染","2":"用于肠炎及其他感染，如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"呼吸道感染,肠炎,腹泻,便血,真菌感染,猫癣,脓皮症","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"50mg规格1板"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/26f5438f35ed21efc2894dffea9f399f.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":48,"max_price":48,"sale_count":1718,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:50:13","updated_at":"2024-11-21 13:36:29","ins":{"id":3,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"阿莫西林克拉维酸钾片","trade_name":"速诺","en_name":"Synulox Palatable Tablets","brand_name":"辉瑞","is_prescription":1,"cover":"\/drug\/2020\/10\/46c3ccae52804b92b0e341800e809e95.JPG","specification":"50mg×10片×10板\/盒","reference_price":800,"component":"阿莫西林和克拉维酸钾","indication":"适用于犬猫由敏感细菌引起的各种感染，及治疗犬猫革兰氏阴性和革兰氏阳性敏感细菌的感染。\n1、如皮肤及软组织感染脓性皮炎、脓肿和肛腺炎、蜂窝组织炎、伤口感染、腹内脓毒症等。\n2、牙感染(牙龈炎)。\n3、尿道感染，如膀胱炎、尿道炎、肾盂肾炎、前列腺炎、盆腔炎、淋病奈瑟菌尿路感染及软性下疳等。\n4、呼吸道感染，如鼻窦炎、扁桃体炎、咽炎、急慢性支气管炎、慢性支气管炎急性发作、肺炎、肺脓肿和支气管合并感染。\n5、肠炎及其他感染，如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染等。","usage_dosage":"口服。每天吃2次，连用5-7天。每次用量如下：\n体重1-2kg，吃半粒； \n体重3-5kg，吃1粒； \n体重6-9kg，吃2粒；\n体重10-13kg，吃3粒;\n体重14-18kg，吃4粒；\n体重≥19kg，请购买同品250mg规格的产品。\n\n注：一些慢性感染(慢性皮炎、慢性膀胱炎和慢性呼吸道感染)的治疗可连用10-28天。","contraindication":"1. 仓鼠、豚鼠、沙鼠、灰鼠和家兔禁用。\n2. 其他草食动物慎用。\n3.对青霉素过敏者禁止接触本品。","adverse_reaction":"1.恶心、腹泻和皮肤丘疹是最常见的不良反应。\n2.本品为青霉素类药物，若出现过敏反应可使用肾上腺素治疗。","attention":"1.不要对病情严重的动物使用口服抗生素，因其胃肠道吸收可能不可靠，这些患病动物可能需要静脉注射剂。\n2.避免在对其他β-内酰胺类抗菌药(包含头孢菌素类)有过敏反应的动物使用。\n3.片剂由防潮箔包裹，给药前不要取出。\n4.对青霉素过敏者如果不慎接触，应该立刻去找医生救助。\n5.孕畜慎用。\n4.使用后请洗手。\n5.不要让小孩接触到此产品。","interaction":"1.避免同时使用抑菌性抗生素(如四环素、红霉素)。\n2.不要给鸟类同时使用别嘌呤醇、β-内酰胺和氨基糖苷类抗菌剂在体内有协同作用。\n3.本品和氨苄西林有完全交叉耐药性，与青霉素类和头孢菌素类有交叉耐药性。","approval_no":"（2018）外兽药证字10号","storage_method":"密封，在凉暗干燥处保存。","validity":"2年","manufacturer":"意大利豪普特制药厂(Haupt Pharma Latina S.R.L)","status":1,"created_at":"2020-10-21 13:48:10","updated_at":"2020-10-23 15:55:39"}},"product_sku_info":{"id":755,"product_id":712,"title":"辉瑞速诺（阿莫西林克拉维酸钾片） 50mg×10片\/板","advword":null,"price":48,"market_price":59,"cost_price":0,"stock":9249,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50mg规格1板"}},"cover":null,"thumb":"","sale_count":1808,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:50:13","updated_at":"2024-11-21 22:49:09"}}}}},"496149":{"id":496149,"case_id":55662,"user_id":1972513,"to_user_id":2321792,"type":3,"content":"止疼药可以用这个****","media":{"images":{},"videos":{},"business_params":{"prescription_id":150058}},"is_doctor":1,"status":1,"created_at":"2023-08-13 03:51:38","show_rx":true,"rx_info":{"id":150058,"rx_no":2.0230813035128502e+24,"user_id":2321792,"doctor_user_id":1972513,"is_independent":0,"case_id":3146239,"pet_info":{"pet_id":378033,"pet_name":"缅因猫","pet_nickname":"周五","pet_gender":2,"pet_birth":"1-0","pet_weight":5,"pet_vaccination_status":1,"pet_in_insect_repellent_status":0,"pet_out_insect_repellent_status":0,"pet_age_format":"1岁"},"diagnose":"止疼","signature":"","deadline":null,"status":1,"send_status":1,"use_status":1,"created_at":"2023-08-13 03:51:28","updated_at":"2023-08-13 03:56:38","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":108836,"prescription_id":150058,"doctor_user_id":1972513,"product_id":765,"product_sku_id":807,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":14,"number":1,"remark":"","created_at":"2023-08-13 03:51:28","updated_at":"2023-08-13 03:51:28","product_info":{"id":765,"hash_id":"X3LOlVpl88pa20WY","class_ids":{"0":2},"category_ids":{"0":162},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":36,"sell_point":"欧乐宝 维他昔布咀嚼片（猫专用）8mg","title":"欧乐宝 维他昔布咀嚼片（猫专用）8mg\/片×14片\/盒","recommend_reason":{"0":"用于治疗猫手术期及临床手术等引起的炎症和疼痛"},"baike_guide_text":"","baike_article_hash_id":"","advword":"止痛,胰腺炎,尿道结石","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"8mg\/片×14片\/盒"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/10\/688dc6a9af720d112d253d12695fdf11.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":128,"max_price":128,"sale_count":66,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 14:36:54","updated_at":"2024-11-12 09:53:01","ins":{"id":36,"hash_id":"","class_ids":"[2]","title":"欧乐宝 维他昔布咀嚼片（猫专用）8mg\/片×14片\/盒","common_name":"维他昔布咀嚼片","trade_name":"欧乐宝","en_name":"Vitacoxib Chewable Tablets","brand_name":"欧乐宝","is_prescription":1,"cover":"\/drug\/2024\/10\/77212f52c61c212c639ee2d8fe798275.jpg","specification":"8mg\/片×14片\/盒","reference_price":205,"component":"维他昔布","indication":"用于治疗犬围手术期及临床手术等引起的炎症和疼痛。","usage_dosage":"以维他昔布计，内服。每1kg体重，猫1mg，每日一次。建议饲喂食物后给药，术前及术后可连续给药3日(详见说明书)。","contraindication":"1.对本品活性成分维他昔布有过敏史的动物禁用。\n2.本品对患有胃肠道出血、血液病或其它出血性疾病的猫禁用。","adverse_reaction":"按推荐的用法用量使用，尚未见不良反应。","attention":"1.如果患病猫之前对 NSAIDS不耐受，应在兽医的严格监测下使用本品。\n2.如果观察到下列症状应停止用药:反复腹泻、呕吐、粪便隐血、体重突然下降、厌食、嗜睡、肾或肝功能退化。\n3.繁殖、妊娠或泌乳雌猫，幼猫（例如1周龄以下或体重小于2公斤的猫）或疑似和确诊有肾、心脏或肝功能损害的犬，应在兽医的指导下使用。\n4.宠物主人应该警惕诸如厌食、精神萎靡、无力等症状和体征，而且当有上述任何症状或体征发生后，应该马上寻求兽医帮助。","interaction":"由于非甾体类抗炎药（ NSAIDS）具有潜在发生胃溃疡或穿孔的风险，因此在使用本品时应当避免使用其它抗炎类药物，如NSAIDs或皮质类固醇类药。","approval_no":"兽药字（2020）153717024","storage_method":"密封，在凉暗干燥处保存。","validity":"3年","manufacturer":"青岛欧博方医药科技有限公司","status":1,"created_at":"2020-10-30 15:51:39","updated_at":"2024-10-14 14:57:49"}},"product_sku_info":{"id":807,"product_id":765,"title":"欧乐宝 维他昔布咀嚼片（猫专用）8mg\/片×14片\/盒","advword":null,"price":128,"market_price":160,"cost_price":0,"stock":79,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"8mg\/片×14片\/盒"}},"cover":null,"thumb":"","sale_count":72,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-20 14:36:54","updated_at":"2024-11-11 20:34:03"}}},"drug_data_bak":{"0":{"id":108836,"prescription_id":150058,"doctor_user_id":1972513,"product_id":765,"product_sku_id":807,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":14,"number":1,"remark":"","created_at":"2023-08-13 03:51:28","updated_at":"2023-08-13 03:51:28","product_info":{"id":765,"hash_id":"X3LOlVpl88pa20WY","class_ids":{"0":2},"category_ids":{"0":162},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":36,"sell_point":"欧乐宝 维他昔布咀嚼片（猫专用）8mg","title":"欧乐宝 维他昔布咀嚼片（猫专用）8mg\/片×14片\/盒","recommend_reason":{"0":"用于治疗猫手术期及临床手术等引起的炎症和疼痛"},"baike_guide_text":"","baike_article_hash_id":"","advword":"止痛,胰腺炎,尿道结石","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"8mg\/片×14片\/盒"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/10\/688dc6a9af720d112d253d12695fdf11.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":128,"max_price":128,"sale_count":66,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 14:36:54","updated_at":"2024-11-12 09:53:01","ins":{"id":36,"hash_id":"","class_ids":"[2]","title":"欧乐宝 维他昔布咀嚼片（猫专用）8mg\/片×14片\/盒","common_name":"维他昔布咀嚼片","trade_name":"欧乐宝","en_name":"Vitacoxib Chewable Tablets","brand_name":"欧乐宝","is_prescription":1,"cover":"\/drug\/2024\/10\/77212f52c61c212c639ee2d8fe798275.jpg","specification":"8mg\/片×14片\/盒","reference_price":205,"component":"维他昔布","indication":"用于治疗犬围手术期及临床手术等引起的炎症和疼痛。","usage_dosage":"以维他昔布计，内服。每1kg体重，猫1mg，每日一次。建议饲喂食物后给药，术前及术后可连续给药3日(详见说明书)。","contraindication":"1.对本品活性成分维他昔布有过敏史的动物禁用。\n2.本品对患有胃肠道出血、血液病或其它出血性疾病的猫禁用。","adverse_reaction":"按推荐的用法用量使用，尚未见不良反应。","attention":"1.如果患病猫之前对 NSAIDS不耐受，应在兽医的严格监测下使用本品。\n2.如果观察到下列症状应停止用药:反复腹泻、呕吐、粪便隐血、体重突然下降、厌食、嗜睡、肾或肝功能退化。\n3.繁殖、妊娠或泌乳雌猫，幼猫（例如1周龄以下或体重小于2公斤的猫）或疑似和确诊有肾、心脏或肝功能损害的犬，应在兽医的指导下使用。\n4.宠物主人应该警惕诸如厌食、精神萎靡、无力等症状和体征，而且当有上述任何症状或体征发生后，应该马上寻求兽医帮助。","interaction":"由于非甾体类抗炎药（ NSAIDS）具有潜在发生胃溃疡或穿孔的风险，因此在使用本品时应当避免使用其它抗炎类药物，如NSAIDs或皮质类固醇类药。","approval_no":"兽药字（2020）153717024","storage_method":"密封，在凉暗干燥处保存。","validity":"3年","manufacturer":"青岛欧博方医药科技有限公司","status":1,"created_at":"2020-10-30 15:51:39","updated_at":"2024-10-14 14:57:49"}},"product_sku_info":{"id":807,"product_id":765,"title":"欧乐宝 维他昔布咀嚼片（猫专用）8mg\/片×14片\/盒","advword":null,"price":128,"market_price":160,"cost_price":0,"stock":79,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"8mg\/片×14片\/盒"}},"cover":null,"thumb":"","sale_count":72,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-20 14:36:54","updated_at":"2024-11-11 20:34:03"}}}}}}