猫猫胰腺炎怎么保守治疗

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患宠信息:布偶猫/弟弟/3岁7个月

咨询描述:胰腺炎

问题大致一样,细节不同?

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徐灿

执业兽医师

你好,家长,我需要问一下,是猫咪还是狗狗呢?能不能拍摄一段视频发过来看一下?我需要知道一下他的精神状态,现在有没有做过生化?有没有比较高的炎症?还有就是现在是否有明显的症状,是否有呕吐或者腹痛?是否有拉血的情况? 请补全一下基本信息,并且提交一下化验结果,因为我需要知道更多信息。

布偶猫、快4岁了 第一张是没有输液前的 第一组给他输了血第二组消炎 第三组6542 第四组**** 第五组**** 第六组能量第七组抗体 第八组消炎 小针打了一毫升激素(刺激疗法)复合b **** 晚上这个是****

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食欲不振、腹式呼吸

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徐灿

执业兽医师

我需要问一下,你确定是按照胰腺炎的方针去治疗的吗?因为从生化的结果上来看,不像是胰腺炎,还有没有炎症反应测试和胰腺炎的测试呢?为什么直接确认为胰腺炎呢? 对症治疗一般没有错,但是直接确认为胰腺炎和这个生化指标不太符合。能不能把前后经过说一下,我需要了解一下前后情况。

猫猫现在在宠物医院、医生和我说的是轻微胰腺炎、还有糖尿病、肝肾功能都有些受损、猫猫本来是去治疗皮肤病的、今天医生发信息和我说猫猫情况不好、我去医院他和我说猫猫这两天食欲不好以前能吃3碗猫粮这两天只吃一碗、今天早上他发现猫猫鼻头发白还有些脱水、我送猫猫去的时候它还是有肉今天看到它背上能摸到骨头、大腿上肉也少了很多、毛发都有些毛躁 第一张是上个月拍的、第二张是现在

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徐灿

执业兽医师

对于这种情况来说,首先就是他有没有做过炎症反应测试?还有就是用完上述那些药物之后,是有效果的吗?要优先排除一下感染的问题,因为血糖的改变,除了糖尿病之外,代谢问题也容易引起血糖波动。 血糖确实应该监测,但是个人建议优先排除是否有较强炎症,而且长时间的营养不良或惊吓抑郁等原因,也容易造成毛发枯竭,还有就是要核实还有就是要核实一下,最近一段时间他有没有在发情?一般的胰腺炎会导致淀粉酶升高,但是它的淀粉酶是正常的,还有就是像肌酸激酶的升高,惊吓等原因就会引起,他的目前的主要症状,实际上更倾向于肝脏和血糖的问题,但是不确定是否裹挟着炎症,目前来说,要确认一下是否有较强炎症问题。

它已经绝育了1年多了应该不会发情、也没有营养不良、它21号去住院治疗皮肤病、那时候毛发是好的

猫猫输完液鼻头已经粉回来了、9点半的时间体温只有36.4、打了两针小针10点半的时候36.9、他用的人用耳温器

徐灿

执业兽医师

我需要和你核实一下,也就是说,他一直在住院吗? 从化验结果的单子上来说,它不太像有胰腺炎,更像是有肝脏问题,他有皮肤病的话,皮肤的毛发脱落是正常的,再有就是长时间关押,会有抑郁,而且治疗的这个方案完全是倾向于胰腺炎的方针,所以这一点有点存在疑问。 所以总体这个治疗方案和所表达出来的症状有点对接不上。个人建议是后续增加炎症反应测试,如果说有炎症的话,那么后续就需要使用抗生素继续用药,而且它肝脏指标有异常,一些肝脏问题,或者是长时间营养摄入不良的就会肝脏指标异常或血糖异常,所以总体推荐的方案更倾向于治疗肝脏问题,并且缓解它的压力。

徐灿

执业兽医师

测量猫的体温需要插入肛门之中,人的那种电子的是测不出来的,它测出来的温度是不准确的,因为猫属于被毛动物,一般来说都是要插入肛门之中,最最起码也需要夹在腋下五分钟以上,而且如果真的36度左右,那么基本上属于严重失温,所以这个温度是存疑的。 所以总体是有一定疑问的,它的治疗方针和它的化验结果不太对接,能不能让我看一下猫咪现在的状态,拍一个视频过来。

对、它5月下旬有做过体检、当时各项指标都正常、它是8月21号住院到现在

徐灿

执业兽医师

那就是我对于他是胰腺炎的这个判断有一点疑问,因为从总体的化验结果和症状来说,不像。 第二点就是个人建议增加炎症反应测试,如果说有炎症就用抗生素,后续要增加护肝药物使用,但是从指标上来说,他又没有其他特别严重的问题。血糖的话,倒是可以后续监测一下,因为如果他没有发现任何症状,只是不愿意吃东西和掉毛,再加上他有皮肤病,长期住院,不愿意吃东西和掉毛抑郁,这些都有可能,总体来说,它更像是抑郁或者是肝脏的一些问题引起的状态下降,而并不是胰腺炎,对于现在的治疗方案,我不是特别能认同。

我让人去医院守着猫猫、刚刚猫猫很喘他们去喊医生、现在那个医生又和我说是肺炎、我现在该怎么办

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徐灿

执业兽医师

和他说一下,要一下X光片,因为他之前的治疗方针和生化的结果就很奇怪,和临床症状也不太符。 这样吧,把之前所有的推测和化验结果全部抛弃,重新从头开始判断,那么,没有任何症状,呼吸困难,有掉毛,有皮肤病住院,再加上状态不好,先看一下X光结果。放弃对于他是胰腺炎的推断,优先排除是否肺部感染,那么炎症是肯定存在的了,还有一点肝脏问题,考虑肝脏指标是由于营养供应问题引起的指标异常。 转换成普通话就是,我需要看X光片子,然后重新推断他是什么疾病。因为之前的描述和用药,只是基于之前,建议重新推论。

现在怎么办呀我真的快急死了、

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徐灿

执业兽医师

可以的,大概已经知道了,重新规划方案吧,之前的方案可以废弃了。 首先就是对于他肺部感染问题,还有心脏肥大,后续的话需要使用护心药物,还有就是他肺部感染后需要增加雾化治疗,这个是效果最快的,一般来说,建议使用抗生素,加上一些氨茶碱,还有就是氨溴索,抗生素一般建议泰乐菌素,****,林可霉素等。 然后增加一些护肝肝脏的药物持续性供应营养。记得增加护心的,他的心脏比例有问题,肌酸激酶也升高了,是由于肺部波及心脏引起的。如果你需要的话,我可以帮你开出部分用药,但是雾化这些用药都是注射剂,得到线下的医院去使用。总体来说,之前的方案要废弃。

您帮我开一下处方吧、他那里应该有药的、没有的我想办法去弄来、麻烦了

徐灿

执业兽医师

可以的,我帮你开了一些部分方案,抗生素的话,最好是注射加雾化,这一个在医院用就行,我帮你开的是护心,护肝,还有糖皮质激素,还有就是缓解他的心肺压力,后续你也可以购买后使用,因为他至少也得用药7到14天左右。 主要是因为肺部的位置原因,而且它症状比较厉害,后续记得雾化雾化,对于这种情况效果比较好。 你看一下这些是部分用药,当然也不是唯一方案。

这是现在他给猫猫打的针和现在的体温

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徐灿

执业兽医师

37.6还是有点低,可以和她说一下,现在如果可以的话,增加雾化,主要是以抗生素为主,醋酸泼尼松可以用,然后建议在雾化的里面增加一点肾上腺素,但是最开始的时候要少量,***和***直接加在雾化里面就可以。

徐灿

执业兽医师

对了,我另外需要和你嘱咐一下,我只能大概告诉你方案,但是你尽量不要和主治医师说太多,以避免一些后续可能存在的潜在问题。这个只能说到这。 然后大体的问题已经找到了,建议是先治疗心肺,增加雾化,然后做对症治疗,供应营养,雾化还是比较重要的,然后一定要有一定耐心治疗,时间肯定会特别长,估计得10到15天左右。

猫猫现在喘的很厉害、呼吸有些困难

徐灿

执业兽医师

如果说呼吸实在困难,那就需要吸氧,现在是晚上,所以说呼吸道系统疾病症状会加重,询问一下,有没有尼可刹米,如果有的话可以少量注射,要是实在实在没有,之前他所提出的方案中,缺少的一个是氨茶碱,是缓解呼吸和心肺压力的,要让他增加。

氨茶碱已经加了、现在准备吸氧

徐灿

执业兽医师

可以的,后续按部就班治疗吧,这个事情急不得,后续随时关注着,我实际上不是一直在线,后续如果你经常有事情询问我,最好加一个客服微信,遇到紧急情况,可以联系客服,让客服打电话给我,(mgcy003) 然后后续如果有复诊,我不在线,也可以先和客服沟通,然后我再上线就可以。

好的、谢谢医生、麻烦您了

徐灿

执业兽医师

感谢您对蘑菇宠医的信任,如果我的回答能够帮助到您,请您在咨询结束后留下5星评论。 后续宠物有其它问题,您可以到“蘑菇宠医”官方微信公众号找到我的医生继续向我提问。 谢谢您的支持和鼓励,祝您的爱宠早日康复!

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您好医生,在上周二也就是12号的那一天,我有在线上咨询过您关于我家猫咪胰腺炎的问题,不知道您这边能够看得到记录呢? 是这样的,猫咪从12号开始到15号一共打了4天的小针,中途没有再呕吐了,于是医院说不打针了,回家观察一下接下来几天猫咪是否会吐,现在已经停针第二天了。猫咪目前的状态是:食欲正常、不呕吐、从12号到今天凌晨终于排便了,但是便便有一半是干的,有一半是类似拉稀的不成型的、精神状态逐渐好转,不过白天会比晚上要差点、没有发现黄疸、从一开始也没发过烧。总体的情况是这样的。 猫咪现在仍然在用医院的护肝胆肾的、和提高免疫力护心的药、还有仍然在吃处方罐头。医院说在观察观察如果都不吐了要逐渐换回猫粮。 我想问问,关于排便呈拉稀状,需要干预吗? (对了,12号那一天也有做的fsaa,是正常的)。

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执业兽医师

猫咪慢性胰腺炎治疗

猫咪慢性胰腺炎的治疗方案通常分为以下几个方面:一、建议首先进行B超以及CT的影像学检查,确诊胰腺以及总胆管有无病变,是否需要手术治疗。二、慢性胰腺炎可能存在疼痛反应,建议使用止痛药物进行控制。三、建议进行胰腺组织活检,确诊病因后进行治疗。四、在胰腺组织活检后,使用抗生素药物,避免出现肠道内细菌继发感染。

孔祥冬

执业兽医师

猫胰腺炎治疗周期

猫咪胰腺炎治疗周期在7-10天左右。由于个体原因,会有所差异。猫咪胰腺炎会出现呕吐、食欲下降、精神下降,有的猫咪还会出现腹泻、轻度黄疸等症状。患胰腺炎的猫咪大部分是因为饮食过急、摄入了脂肪含量高的食物造成的。胰腺炎治疗需要进行输液治疗,并且康复期间需要饲喂低脂易消化粮食或罐头。

叶青

执业兽医师

猫咪胰腺炎确诊怎么治疗

第一、猫咪治疗胰腺炎需采取输液疗法,积极的液体疗法及支持性护理是治疗猫胰腺炎的基础。第二、没有呕吐及不厌食的猫可以少量饲喂低脂肪的食物,如果厌食应采取用鼻饲、食管造口及胃切口插管饲喂。第三、发生呕吐要使用抗呕吐药物治疗。第四、采用镇痛药。

张文玙

执业兽医师

猫咪胰腺炎的治疗方法

猫咪胰腺炎的治疗方法包括营养支持、消炎止疼、抑制分泌等。首先,营养支持是指每天给猫咪输营养液来维持猫咪的一天所需。其次,胰腺炎常伴有腹疼的症状,故止疼也是很需要的。此外,还需要抑制胰腺的分泌,通过插鼻饲管来给猫猫进食,防止出现脂肪肝。建议及时咨询宠物医生。

孙嘉辰

执业兽医师

猫咪急性胰腺炎的治疗

猫咪急性胰腺炎的治疗采用输液疗法。输液疗法可以增加药物的扩散速度和补充营养物质,防止猫猫脱水。猫咪急性胰腺炎主要是由于主人长期给猫咪喂食油脂含量较高的猫粮或者食物,或者是蛔虫等寄生虫堵塞胰腺导管导致。喂养猫咪时要注意营养均衡,定时做驱虫。

王倩

执业兽医师

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