徐灿
执业兽医师
你好家长,对于这种情况来说,能不能附带一段视频?我需要看一下它的基本情况,另外就是他的圆球有没有做过穿刺?有没有用过什么药物?或者做过什么检查?
我首先需要核实一下它的驱虫历史,他上一次做体内驱虫是什么时候?还有就是它的疫苗已经打全了吗?我需要知道这些基本信息,请详细补全并附带视频或照片。
我自己给他用注射器吸过一次,什么都没有,现在给他吃******
徐灿
执业兽医师
我需要问一下,能不能拍摄一段视频过来,有没有被马蜂或者蜜蜂蛰到的可能性?是突然出现的吗?还有就是他拉血非常厉害吗?状态如何?用完***之后有效果吗?因为只有文字描述,我确定不了程度,还有就是有无其他异常。上一次做体内驱虫是什么时候呢?
以前关在一间破烂的柴房里,下雨会被淋雨,狗笼里都是雨水,很多蚊虫,有一天突然发现他脚丫子烂了,给他吃了药,喷了消毒杀菌的现在脚丫子好了,又突然看见他眼睛肿了,就给他换了环境,过了两天发现他追吧比以前宽大了,吃饭吃不干净,还流口水,查了很多资料说是下颚线囊肿
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
对于这种情况来说,最好的办法就是优先做个炎症反应测试,里面如果没有液体,那么也要考虑一下颈部淋巴增生,小概率可能是肿瘤,但是结合年龄来看,这个概率不高,从这个视频上状态还可以,但是我需要问一下它的拉血是什么情况呢?上一次做体内驱虫是什么时候?排泄物有无腥臭?
拉血次数跟平时大便次数一样,每天一次,肠道应该没问题,应该是上消化道出血,大便腥臭味,就是因为他脚丫子得了皮肤病,就没让他出来,一直关在笼子里,我儿子把饭盆放笼子里有很多蚂蚁,我发现后就没放笼子里了,然后给它换了环境,上个月给它吃了驱虫药,
徐灿
执业兽医师
驱虫药是体外驱虫还是体内驱虫呢?还有没有大便带血的照片?这种带血持续多长时间了?确定没有吃进去杂物吗?还有就是他的疫苗定期的在注射吗?
对于这种情况,优先建议做血常规和saa测试,看一下炎症数值,还有淋巴细胞数值以及白细胞是否增高。后续的话,可以把化验的结果发给我,单纯的用阿莫西林效果不好,但是我需要确认一下他的淋巴细胞数值,从而确定是否有其他的问题。还有就是它的粪便带血是那种特殊的腥臭味吗?大便是水一样的吗?还是正常的?
舌头发白,没有正常时候那么红润了,犬瘟细小疫苗都是打过的,后悔把它关在废弃的烂屋子里,环境很恶劣,我是想给它买什么药吃会比较有效,手术不考虑了,实在是贵负担不起,现在没拉就没有照片,拉稀带血已经有4天了,现在走路偏偏倒倒的,给它东西他还会吃,就是吃的到处都是,也吃得慢,
徐灿
执业兽医师
综合来说,个人建议是先做个血常规,看一下白细胞数值和淋巴细胞数值,因为它拉稀带血可以通过血常规中白细胞数值优先初步排除是否为细小,因为他一岁多了,后续也未有疫苗加强。所以说细小病毒的可能性也存在,后续没问题的话,再考虑肠炎等,这种严重的程度一般都推荐打针。当然是排除细小之后再进行了。
所以说请保留好提问次数,等到明天的话,优先做血常规和炎症反应测试,后续的话,可以把化验的结果发给我,我看过以后再给出新的建议和治疗方案。因为目前来说,只是初步确认,我需要看一下数值确认程度。
体内外驱虫,没有去检查,我就是想你直接给个建议用什么药,其他的不想去做了,看他造化。稀的糊状,清洁时问道很腥臭,清理完水泥地上看得见血斑,药吃了阿莫西林,昨天和今天打了两针消炎药,还有***,追吧和面部没有前天那么肿大了,医生如果是细小病毒医好几率小,折腾不起了,我买了六个这样的狗了都养不活
徐灿
执业兽医师
首先就是它有很大的可能是细小,我也没有办法直接给你开用药方案,之前如果有类似的情况的话,那么更加重了细小病毒的考虑,个人建议是优先做个血常规,因为直接用药是很不负责的行为,我也没有办法,直接给你用药方案。
如果说他只是常规感染,可以使用激素和抗生素,那么,如果混合或者夹杂着细小病毒的并发,那么治疗方案是完全不一样的,所以说这个要确认之后才能治疗。
徐灿
执业兽医师
这种情况我是没有办法直接给你开药的,建议是先做个血常规和炎症反应测试,我看过结果之后会给出方案,因为他可能会夹杂着细小,另外就是可能还要涉及到糖皮质激素的使用,直接用药是不建议的,因为目前还无法完全确认原因。
您就按照细小病毒给开点药吧,面部肿胀难道是被蚂蚁咬了
徐灿
执业兽医师
我可以告诉你细小病毒的治疗方案,但是平台上没有这些注射类的药剂,一般来说,需要使用单抗,干扰素,抗生素(头孢菌素类的用的多),还需要使用一些葡萄糖和营养支持性的药物(复方氨基酸),还有就是止血药物,比如说酚磺乙胺。如果有血清的话,可以使用血清,一般是注射三天左右。在这期间需要断食,不能给他吃东西。
然后脖子的位置需要使用抗生素,上面已经提到有头孢菌素类药物的使用了,是可以使用的,但是糖皮质激素就不一定能用了,如果说它是细小的话,就不能用糖皮质激素。
因为我不确定它的原因,所以没有办法给出更详尽的用药方案,最好是先做测试,然后回头我进行更详细的方案的给出。
徐灿
执业兽医师
以前五个狗狗都是死于细小,那么就是说你所生活的环境之中就有细小病毒存在,所以说新来的狗狗就更容易感染,这也是为什么建议去测试的原因,因为细小病毒在环境之中存活的时间非常久,所以加上他的症状原因,才是建议你去做血常规等检查的原因。
并不是说我不愿意给你开出方案,是因为它有很大的可能性是细小,因为成年犬,它症状不明显,有的时候没有幼年犬那么厉害,但是它的历史和生活环境都指向了这个可能性是存在的,所以建议优先检查,他的脖子基本上可以排除蚂蚁的问题,主要考虑还是淋巴细胞的异常增生或炎症,但是脖子的问题远没有疑似可能存在细小的可能大。
谢谢了医生,感觉又养挂掉了,我家里还有个小的!吃了病狗的剩饭!怕是也要遭了
徐灿
执业兽医师
我个人建议是你先做个血常规确认一下,万一不是的话,那就皆大欢喜,后续治疗方案也就是两三百块钱,抽一个血,做个血常规,也就是100块钱左右,也不是特别多,咱们不能直接往最坏的方面想,或者是直接定性为最坏的方向。
个人还是比较建议你先做个测试,然后后续明天的话及时留言。当然,在没有确定之前,所有的狗狗要隔离开。
有没有细小测试那种一次性的东西,带出去检查很不方便,我离县医院有七十公里
徐灿
执业兽医师
那个就是试纸的检测,也有那个东西,但是有的时候准确率不太行,那你就得多买几个,一般也不贵,但是在没有完全确认原因之前,你的阿莫西林等抗生素类药物不要停,一定要持续性用药,然后平时可以尝试着给他喝些糖水,就是50%葡萄糖注射液。如果说他拉血拉的太厉害,你就不能给他吃东西了,而且如果说有腥臭,一种异常的腥臭,必须马上送医院,因为那种异常的腥臭是细小的典型症状。
徐灿
执业兽医师
那你直接去医院吧,正常的拉血是一种腥味的臭,更多倾向于血和粪便,但是细小病毒的那种臭是一种异常的恶臭,我们一般稍微有点经验的主治医师,闻到那个味道就基本能确定是否为细小。而且根据你的历史来看,他第四天了,正好是中期,也比较符合这个症状。
意思是细小在家里买药自己操作基本医不好了哦,您说的我非常赞同,以前的都是细小,只是几个月就死了,这个还养了一年多,以前的发作到死亡,好像都只有七天左右
徐灿
执业兽医师
是这样的,细小病毒属于病毒性疾病,一般就是七天之内,成年犬的抗病能力要比幼年犬高一点,你可以尝试一下,也有一些因为支持性治疗疗法得到痊愈的,支持性治疗疗法就是抗生素,葡萄糖,还有一些对症治疗药物,比如说止血的和营养支持药物,这是没有生物制剂的治疗办法,价格会比较低一些,看个人意愿了,有条件的话,最好是增加生物制剂的使用。
您太好了医生,无数次追加提问次数。去年没用完的单抗还能用吗
徐灿
执业兽医师
一般来说,没有过保质期的都可以,过了保质期,效果就不稳定了,后续的话,主要是输液补液,因为细小病毒肯定会有消耗和代谢,尤其是脱水和厉害,后续的话,除了单抗和干扰素,还需要增加抗生素,一般头孢菌素类的,可以和甲硝唑注射液合用,然后还要给它糖分,葡萄糖注射液再加高糖,这个按剂量用就行,然后就是可以用点复方氨基酸,也叫18aa,止血方面一般平常人能拿到的也就是酚磺乙胺了,还有维生素K3。一些营养性的药和辅助性的药我不确定你能不能拿到,另外就是后续可能会有肠道败血,然后你需要给他口服一些硫酸庆大霉素。用于预防后续败血症的发生。
徐灿
执业兽医师
没事的,后续具体用量的话,补液方面,按照公斤体重核算就行,尽量的增加生物制剂,生物制剂能有效的提高生存概率,但是如果资金有限的话,也要补输液,补液输液提供糖分和氨基酸,也就是基本治疗,输液也能有效提高生存率,也要口服抗生素,这么大的狗,基本上和一个正常的成人的输液量基本接近。后续有问题留言,保留提问次数。
昨晚拉出来的便便,今天拍的视频,追吧又肿了,
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
对于这种情况来说,实际上,如果说他状态还行,能吃进去东西,那么,建议持续性使用抗生素,也要考虑一下,可能是由于过敏等原因引起的嘴巴增生,最好是能做一个炎症反应测试和血常规的,他现在状态怎么样呢?因为如果靠历史推测的话,有的时候容易出偏差。
今天有没有给他口服抗生素?还有就是他有没有接触到其他的一些植物或者是其他的食物?
今天早上给他吃了阿莫西林,***在走亲戚还没回去看它呢,铁链比较长,也不知道它在草丛里有没有吃到其他什么东西
徐灿
执业兽医师
对于这种情况来说,我们可以做个尝试,你可以去买一点******,在购买一些*********给他吃两次,然后排除一下过敏或者是淋巴问题的可能性,然后抗生素的话,要持续用,最好是能做个血常规的和炎症反应测试,如果实在没办法,只能是靠一些简单的药物去逆向诊断排除,但是也应当尽快。
今早上给他吃了***,******,我今晚上回去就在药店买您说的这两种药,抗生素用完了,也要买点
徐灿
执业兽医师
可以做个尝试,******按照每公斤0.5毫克,*********,按照每公斤0.2毫克,然后一天吃两次,配合着都吃两顿,因为如果实在不好检查的话,只能用药物逆向诊断,你加一下客服微信,后续的话随时着观察,然后回访,这两天多盯一下狗狗的状态。方案只是成分建议,上面有计量次数备注。
mgcy003
医生,狗已经不怎么站的稳了,就算趴在地上它也要吃东西!也不呕吐,一天就拉一次,搞不懂哪里出了问题,不知道是哪里有炎症
徐灿
执业兽医师
站不住,实际上是一种虚弱的表现,但是目前真的没有办法直接确定原因,建议是先不要给他吃食物,最多给他喝点糖水,因为他之前确实拉血了,然后尽快的做血常规会比较稳妥。白天的时候,他有经历过什么吗?能不能拍段视频过来?
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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