徐灿
执业兽医师
你好家长,我需要问一下是什么猫咪呢?具体的年龄多大,能不能拍摄一段视频发过来看一下?上一次正常吃东西是在什么时候?检查一下有没有体温的降低?
来说食欲下降等原因都容易造成不排便,还有就是虚弱,有没有呕吐或者是体温升高等异常?
吃东西都挺能吃的,我不知道是什么品种,是在一个亲戚家逮来的这两天只给它吃了猫条,其他都没吃,前面是拉肚子呕吐,喂了一点****,昨天和今天就没啦便便了,昨天拉了一点,是褐色的
徐灿
执业兽医师
也就是说,没有打疫苗,对吗?能不能拍摄一段视频发过来看一下?检查一下猫咪的精神状态,是不是特别差?还有就是检查一下有没有体温的降低?看一下眼角有没有眼睑突出?
回顾一下它的排泄物里面有没有腥臭,我需要看一下他的视频,做个初步确认。
他就这样坐着,后腿无力,或者是在猫砂盆和其他地方趴着就不动了,一碰它就叫
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
我需要问一下后腿有没有肌肉萎缩?还有就是完全没有食欲,对吗?他有没有排便的动作呢?从视频上看,没有得到太多有效信息,但是要核实一下,昨天的粪便,是干的还是稀的?
徐灿
执业兽医师
能不能把他托起来呢?我需要看一下他的大腿上的肌肉,他的肚子是那种特别鼓鼓的吗?还有就是有没有别的症状?确定不发热,对吗?
也就是说这两天不怎么吃东西,所以给他吃了猫条,而没有猫粮这些正常的食物摄入对吗?
昨天的粪便是干的,呈褐色,很少只有一点,今天有排便的动作,就是排不出来,食欲很好,但是我不敢给它吃。后腿肌肉没有萎缩
徐灿
执业兽医师
如果是这种情况的话,尝试着用一下开塞露,看一下能否帮助他把粪便排出来,如果他有食欲,不呕吐,不发烧,但是排不出粪便的话,这种情况更接近于便秘,当然,只是初步判断,去买一个针管,然后买一瓶开塞露,给他稍微挤进去一点点,然后看一下是否有干硬的粪便排出。
它能吃,我不敢喂,不发热,肚子鼓鼓的
为保护用户隐私不显示图片/视频
开塞露我今天给它用了,排不出来,只是流了一些黄色的水出来
徐灿
执业兽医师
不对劲,他这个样子像传染性腹膜炎,明天马上去做生化,看一下白球比,它有明显的肌肉萎缩,这种情况很大的可能性是湿性的传染性腹膜炎,他这个肚子非常异常,肿的也不一样,他是因为后腿没有肌肉,所以才站不住,而且肚子里面应该全是水。
徐灿
执业兽医师
跟开塞露没有关系,担心的还是发生了,他这个是因为肌肉萎缩造成了无法站立,马上去做一个生化检查,或者是拍一张侧位的X光片,肚子里面应该全是水,和便秘没有关系,他肚子越来越大,这个事情是不是持续好几天了?
可是都没怎么喂水啊,我都不敢喂它吃东西,水也很少喂的,它小便能排出来,只是两天没排大便了
没有,就两天,前面是拉肚子,刚好了就这样了,这是它精神好的时候,您看看呢
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
是这样的,这个是腹腔积液,而且有肌肉萎缩,有明显的后腿的肌肉萎缩,就是说它的液体之中蛋白质的含量下降了,营养含量也下降了,然后就造成了腹水,不怎么吃东西,然后再加上营养下降,就会造成肌肉萎缩,要消耗肌肉,肌肉太少了,就会造成他走不了路。和喝水没有太大关系,明天看一下白球比,或者是看一下侧位X光片就知道了。
明天直接拍摄X光片,很典型了已经。他的肚子凸起,还有肌肉萎缩,还有肚子凸起的最高点的位置,都非常典型。
徐灿
执业兽医师
对这种情况,基本上直接用逆向诊断的方式都可以了,因为它非常非常典型,肚子还有肌肉的萎缩,非常明显。
肚子膨大,肚子两侧最高点上移,后腿肌肉萎缩,精神状态正常,食欲减少,有粪便干稀交替,基本上他所有的症状都符合。
徐灿
执业兽医师
他这种程度基本上都已经可以到直接用药的程度了,明天的话,直接拍一张侧位X光片,如果说有腹水,其实也不用拍,也能看出来,然后直接注射441等药物,按照传染性腹膜炎去治疗,就可以了,也可以直接注射441等药物,然后看一下肚子是否缩小,肚子缩小就能确诊。
徐灿
执业兽医师
这些药是你后续一定要用上的,但是平台上不允许出售441,也就是说,这些药物都需要使用,再加上441就是治疗方案了,441的话,你需要到其他途径去购买。如果你比较担心是否确认,你可以直接拍摄一张侧位的X光片,只要是肚子里面有水,就基本确诊了,当然,他现在这个状态也已经基本能确认是传染性腹膜炎。
至于用量的话,在最后的医嘱一栏,有备注。
好的医生,我明天带它去拍片,确诊的话我在购买药可以吗
徐灿
执业兽医师
可以的,没问题,然后后续你要注意,一定要最近给他多加一些营养,因为这个病本身就会影响代谢,会有肌肉萎缩,必须补充足够食物,一般来说,注射441之后,1到2天就会有一定食欲,但是他的治疗时间会特别长,而且要搭配着上述药物,上面的这些药物一般用1到2周左右就可以了,但是441必须注射55到70天左右。
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
{"509783":{"id":509783,"case_id":56882,"user_id":1296147,"to_user_id":2406975,"type":3,"content":"除441外其他用药","media":{"images":{},"videos":{},"business_params":{"prescription_id":152133}},"is_doctor":1,"status":1,"created_at":"2023-09-06 22:16:59","show_rx":true,"rx_info":{"id":152133,"rx_no":2.0230906221655502e+24,"user_id":2406975,"doctor_user_id":1296147,"is_independent":0,"case_id":3160973,"pet_info":{"pet_id":401187,"pet_name":"其它","pet_nickname":"咪咪","pet_gender":2,"pet_birth":"0-5","pet_weight":3,"pet_vaccination_status":0,"pet_in_insect_repellent_status":0,"pet_out_insect_repellent_status":1,"pet_age_format":"5个月"},"diagnose":"传腹","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2023-09-06 22:16:55","updated_at":"2023-09-06 22:16:59","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":113490,"prescription_id":152133,"doctor_user_id":1296147,"product_id":774,"product_sku_id":816,"dose":1,"dose_unit":"mg","use_method":"口服","frequency":"每天2次","days":14,"number":1,"remark":"每公斤一毫克一天2次","created_at":"2023-09-06 22:16:55","updated_at":"2023-09-06 22:16:55","product_info":{"id":774,"hash_id":"7GDJdPpkE6gWkR6K","class_ids":{"0":1,"1":2},"category_ids":{"0":173},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":63,"sell_point":"摩登狗泼尼松龙 P5 5mg","title":"摩登狗泼尼松龙 P5 5mg×100片\/瓶","recommend_reason":{"0":"用于犬猫消炎和抗过敏","1":"用于炎症、风湿病、关节炎、过敏性皮炎等炎症"},"baike_guide_text":"","baike_article_hash_id":"","advword":"炎症,风湿病,关节炎,过敏性皮炎,犬心丝虫性肺炎,犬窝咳,先天性食欲不振,淋巴浆细胞增多性肠炎,狄氏鼠药中毒,脑脊髓炎","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"100片盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/07\/21f23c6705d1e32cd9325344b3429055.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":148,"max_price":148,"sale_count":474,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 15:45:20","updated_at":"2024-11-22 14:25:20","ins":{"id":63,"hash_id":"","class_ids":"[1,2]","title":"摩登狗泼尼松龙 P5 100片\/瓶","common_name":"泼尼松龙 P5","trade_name":"P5","en_name":"Prednisolone for dog&cat","brand_name":"摩登狗","is_prescription":1,"cover":"\/drug\/2024\/07\/5433d10a8357e0b122a0954fe0825c65.jpg","specification":"5mg×100片\/瓶","reference_price":180,"component":"泼尼松龙","indication":"1.用于犬猫消炎和抗过敏。\n2.适用于炎症、风湿病、关节炎、过敏性皮炎、犬恶心丝虫性肺炎、犬窝咳、猫先天性食欲不振、淋巴浆细胞增多性肠炎、狄氏鼠药中毒、肉芽肿型脑膜脑脊髓炎。","usage_dosage":"1.常规每公斤体重0.5-2.5mg,或每10公斤体重1-2片。\n2.过敏性皮炎:0.5-1mg\/kg体重,每天2次,连用5-7天;然后按2mg\/kg体重,每隔一天的上午7-10点给药;之后每隔一周剂量减半,直至维持控制病情的最低剂量。\n3.心丝虫性肺炎:1mg\/kg体重,隔天用药一次,持续三个月。\n4.淋巴浆细胞增多性肠炎、狄氏鼠药中毒、肉芽肿型脑膜脑脊髓炎:1-2mg\/kg体重,每天1-2次,根据情况选择不同的治疗方案。","contraindication":"","adverse_reaction":"","attention":"(新老包装随机发货)","interaction":"","approval_no":"兽药字031801589","storage_method":"密封,在凉暗干燥处保存。","validity":"2年","manufacturer":"秦皇岛摩登狗生物科技有限公司","status":1,"created_at":"2020-11-05 19:14:53","updated_at":"2024-07-09 09:17:28"}},"product_sku_info":{"id":816,"product_id":774,"title":"摩登狗泼尼松龙 P5 5mg×100片\/瓶","advword":null,"price":148,"market_price":180,"cost_price":0,"stock":2,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"100片盒装"}},"cover":null,"thumb":"","sale_count":499,"status":1,"delete_status":0,"cloud_repo_id":1,"cloud_repo_goods_id":"yaopin110","sort":1,"created_at":"2021-12-20 15:45:20","updated_at":"2024-11-22 14:25:20"}},"1":{"id":113491,"prescription_id":152133,"doctor_user_id":1296147,"product_id":1112,"product_sku_id":1171,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":14,"number":1,"remark":"一天两次一次一片","created_at":"2023-09-06 22:16:55","updated_at":"2023-09-06 22:16:55","product_info":{"id":1112,"hash_id":"VjX39W4zL7xQ0bvZ","class_ids":{"0":1,"1":2},"category_ids":{"3":164},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":281,"sell_point":"瑞沃特保肝解毒片8片\/板×2板\/盒","title":"瑞沃特保肝解毒片8片\/板×2板\/盒","recommend_reason":{"0":""},"baike_guide_text":"","baike_article_hash_id":"","advword":"保肝,肝气郁结,肝炎,肝癌,肝脏损伤,脂肪肝,肝硬化,脂肪肝","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"8片\/板×2板\/盒"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2023\/08\/5b7e35576522abb7a067323a42579218.jpg","images":{"0":"https:\/\/cdn.moguvet.com\/shop\/2023\/08\/9533c62ede0d2d1023de02ff4fbe91bd.jpg","1":"https:\/\/cdn.moguvet.com\/shop\/2023\/08\/6f7c524a33bd899c86b1612346f5a529.jpg","2":"https:\/\/cdn.moguvet.com\/shop\/2023\/08\/d005ff0e97a342091778a2faf66a4886.jpg","3":"https:\/\/cdn.moguvet.com\/shop\/2023\/08\/d852353194abef9d79a86fa716d48643.jpg"},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":51,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2023-08-17 16:56:00","updated_at":"2024-11-11 15:17:15","ins":{"id":281,"hash_id":"9yVvZk4YRBg7nQeR","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"瑞沃特保肝解毒片8片\/板×2板\/盒","common_name":"保肝解毒片","trade_name":"保肝解毒片","en_name":"Entgiftungstabletten Fur Die Leber","brand_name":"瑞沃特","is_prescription":0,"cover":"\/drug\/2023\/08\/18a33c320c2c1295784eebdf7ba1a0c2.jpg","specification":"8片\/板×2板\/盒","reference_price":128,"component":"黄芪、丹参、茵陈、栀子、白术、获苓、当归、白芍、地黄、麦冬、五味子、甘草、水飞蓟素","indication":"保肝解毒,回复受损肝细胞功能;\n主治:\n中毒性肝脏损伤;\n慢性肝炎及肝硬化;\n脂肪肝;\n肝癌。","usage_dosage":"每3-5kg体重服用1粒,每日两次,10-15日一个疗程,直接饲喂或混于粮内饲喂。\n3-5kg犬猫,1粒\/次;\n6-10kg犬猫,2粒\/次;\n11-20kg犬猫,3粒\/次;\n20-40kg犬猫,8粒\/次。","contraindication":"","adverse_reaction":"","attention":"","interaction":"","approval_no":"兽药字(2013)270176113","storage_method":"遮光,密闭保存","validity":"3年","manufacturer":"西安乐道生物科技有限公司分装生产","status":1,"created_at":"2023-08-17 16:53:41","updated_at":"2023-08-17 16:53:41"}},"product_sku_info":{"id":1171,"product_id":1112,"title":"瑞沃特保肝解毒片8片\/板×2板\/盒","advword":null,"price":98,"market_price":128,"cost_price":0,"stock":47,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"8片\/板×2板\/盒"}},"cover":null,"thumb":"","sale_count":53,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2023-08-17 16:56:00","updated_at":"2024-11-11 12:22:53"}},"2":{"id":113492,"prescription_id":152133,"doctor_user_id":1296147,"product_id":709,"product_sku_id":752,"dose":25,"dose_unit":"mg","use_method":"口服","frequency":"每天2次","days":14,"number":1,"remark":"每公斤25毫克一天两次","created_at":"2023-09-06 22:16:55","updated_at":"2023-09-06 22:16:55","product_info":{"id":709,"hash_id":"lazo6rxWXWpOqD9E","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":5,"sell_point":"速诺(阿莫西林克拉维酸钾片)250mg","title":"辉瑞速诺(阿莫西林克拉维酸钾片)250mg×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":"250mg规格1板"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/0c5606ffe97cfdbe080e7c31980a047d.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":677,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:43:15","updated_at":"2024-11-24 10:15:11","ins":{"id":5,"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\/b4e16954b19120b0d777543dde23b1da.JPG","specification":"250mg×10片×10板\/盒","reference_price":2200,"component":"阿莫西林和克拉维酸钾","indication":"适用于犬由敏感细菌引起的各种感染,及治疗犬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9-12kg,吃0.5片;\n体重13-15kg,吃0.75片;\n体重16-22kg,吃1片;\n体重23-30kg,吃1.5片;\n体重31-40kg,吃2片;\n体重41kg及以上请购买同品500mg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11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":"2020-10-23 12:09:57","updated_at":"2020-10-23 16:00:00"}},"product_sku_info":{"id":752,"product_id":709,"title":"辉瑞速诺(阿莫西林克拉维酸钾片)250mg×10片\/板","advword":null,"price":98,"market_price":119,"cost_price":0,"stock":726,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"250mg规格1板"}},"cover":null,"thumb":"","sale_count":715,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:43:15","updated_at":"2024-11-25 19:05:02"}}},"drug_data_bak":{"0":{"id":113490,"prescription_id":152133,"doctor_user_id":1296147,"product_id":774,"product_sku_id":816,"dose":1,"dose_unit":"mg","use_method":"口服","frequency":"每天2次","days":14,"number":1,"remark":"每公斤一毫克一天2次","created_at":"2023-09-06 22:16:55","updated_at":"2023-09-06 22:16:55","product_info":{"id":774,"hash_id":"7GDJdPpkE6gWkR6K","class_ids":{"0":1,"1":2},"category_ids":{"0":173},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":63,"sell_point":"摩登狗泼尼松龙 P5 5mg","title":"摩登狗泼尼松龙 P5 5mg×100片\/瓶","recommend_reason":{"0":"用于犬猫消炎和抗过敏","1":"用于炎症、风湿病、关节炎、过敏性皮炎等炎症"},"baike_guide_text":"","baike_article_hash_id":"","advword":"炎症,风湿病,关节炎,过敏性皮炎,犬心丝虫性肺炎,犬窝咳,先天性食欲不振,淋巴浆细胞增多性肠炎,狄氏鼠药中毒,脑脊髓炎","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"100片盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/07\/21f23c6705d1e32cd9325344b3429055.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":148,"max_price":148,"sale_count":474,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 15:45:20","updated_at":"2024-11-22 14:25:20","ins":{"id":63,"hash_id":"","class_ids":"[1,2]","title":"摩登狗泼尼松龙 P5 100片\/瓶","common_name":"泼尼松龙 P5","trade_name":"P5","en_name":"Prednisolone for dog&cat","brand_name":"摩登狗","is_prescription":1,"cover":"\/drug\/2024\/07\/5433d10a8357e0b122a0954fe0825c65.jpg","specification":"5mg×100片\/瓶","reference_price":180,"component":"泼尼松龙","indication":"1.用于犬猫消炎和抗过敏。\n2.适用于炎症、风湿病、关节炎、过敏性皮炎、犬恶心丝虫性肺炎、犬窝咳、猫先天性食欲不振、淋巴浆细胞增多性肠炎、狄氏鼠药中毒、肉芽肿型脑膜脑脊髓炎。","usage_dosage":"1.常规每公斤体重0.5-2.5mg,或每10公斤体重1-2片。\n2.过敏性皮炎:0.5-1mg\/kg体重,每天2次,连用5-7天;然后按2mg\/kg体重,每隔一天的上午7-10点给药;之后每隔一周剂量减半,直至维持控制病情的最低剂量。\n3.心丝虫性肺炎:1mg\/kg体重,隔天用药一次,持续三个月。\n4.淋巴浆细胞增多性肠炎、狄氏鼠药中毒、肉芽肿型脑膜脑脊髓炎:1-2mg\/kg体重,每天1-2次,根据情况选择不同的治疗方案。","contraindication":"","adverse_reaction":"","attention":"(新老包装随机发货)","interaction":"","approval_no":"兽药字031801589","storage_method":"密封,在凉暗干燥处保存。","validity":"2年","manufacturer":"秦皇岛摩登狗生物科技有限公司","status":1,"created_at":"2020-11-05 19:14:53","updated_at":"2024-07-09 09:17:28"}},"product_sku_info":{"id":816,"product_id":774,"title":"摩登狗泼尼松龙 P5 5mg×100片\/瓶","advword":null,"price":148,"market_price":180,"cost_price":0,"stock":2,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"100片盒装"}},"cover":null,"thumb":"","sale_count":499,"status":1,"delete_status":0,"cloud_repo_id":1,"cloud_repo_goods_id":"yaopin110","sort":1,"created_at":"2021-12-20 15:45:20","updated_at":"2024-11-22 14:25:20"}},"1":{"id":113491,"prescription_id":152133,"doctor_user_id":1296147,"product_id":1112,"product_sku_id":1171,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":14,"number":1,"remark":"一天两次一次一片","created_at":"2023-09-06 22:16:55","updated_at":"2023-09-06 22:16:55","product_info":{"id":1112,"hash_id":"VjX39W4zL7xQ0bvZ","class_ids":{"0":1,"1":2},"category_ids":{"3":164},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":281,"sell_point":"瑞沃特保肝解毒片8片\/板×2板\/盒","title":"瑞沃特保肝解毒片8片\/板×2板\/盒","recommend_reason":{"0":""},"baike_guide_text":"","baike_article_hash_id":"","advword":"保肝,肝气郁结,肝炎,肝癌,肝脏损伤,脂肪肝,肝硬化,脂肪肝","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"8片\/板×2板\/盒"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2023\/08\/5b7e35576522abb7a067323a42579218.jpg","images":{"0":"https:\/\/cdn.moguvet.com\/shop\/2023\/08\/9533c62ede0d2d1023de02ff4fbe91bd.jpg","1":"https:\/\/cdn.moguvet.com\/shop\/2023\/08\/6f7c524a33bd899c86b1612346f5a529.jpg","2":"https:\/\/cdn.moguvet.com\/shop\/2023\/08\/d005ff0e97a342091778a2faf66a4886.jpg","3":"https:\/\/cdn.moguvet.com\/shop\/2023\/08\/d852353194abef9d79a86fa716d48643.jpg"},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":51,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2023-08-17 16:56:00","updated_at":"2024-11-11 15:17:15","ins":{"id":281,"hash_id":"9yVvZk4YRBg7nQeR","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"瑞沃特保肝解毒片8片\/板×2板\/盒","common_name":"保肝解毒片","trade_name":"保肝解毒片","en_name":"Entgiftungstabletten Fur Die Leber","brand_name":"瑞沃特","is_prescription":0,"cover":"\/drug\/2023\/08\/18a33c320c2c1295784eebdf7ba1a0c2.jpg","specification":"8片\/板×2板\/盒","reference_price":128,"component":"黄芪、丹参、茵陈、栀子、白术、获苓、当归、白芍、地黄、麦冬、五味子、甘草、水飞蓟素","indication":"保肝解毒,回复受损肝细胞功能;\n主治:\n中毒性肝脏损伤;\n慢性肝炎及肝硬化;\n脂肪肝;\n肝癌。","usage_dosage":"每3-5kg体重服用1粒,每日两次,10-15日一个疗程,直接饲喂或混于粮内饲喂。\n3-5kg犬猫,1粒\/次;\n6-10kg犬猫,2粒\/次;\n11-20kg犬猫,3粒\/次;\n20-40kg犬猫,8粒\/次。","contraindication":"","adverse_reaction":"","attention":"","interaction":"","approval_no":"兽药字(2013)270176113","storage_method":"遮光,密闭保存","validity":"3年","manufacturer":"西安乐道生物科技有限公司分装生产","status":1,"created_at":"2023-08-17 16:53:41","updated_at":"2023-08-17 16:53:41"}},"product_sku_info":{"id":1171,"product_id":1112,"title":"瑞沃特保肝解毒片8片\/板×2板\/盒","advword":null,"price":98,"market_price":128,"cost_price":0,"stock":47,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"8片\/板×2板\/盒"}},"cover":null,"thumb":"","sale_count":53,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2023-08-17 16:56:00","updated_at":"2024-11-11 12:22:53"}},"2":{"id":113492,"prescription_id":152133,"doctor_user_id":1296147,"product_id":709,"product_sku_id":752,"dose":25,"dose_unit":"mg","use_method":"口服","frequency":"每天2次","days":14,"number":1,"remark":"每公斤25毫克一天两次","created_at":"2023-09-06 22:16:55","updated_at":"2023-09-06 22:16:55","product_info":{"id":709,"hash_id":"lazo6rxWXWpOqD9E","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":5,"sell_point":"速诺(阿莫西林克拉维酸钾片)250mg","title":"辉瑞速诺(阿莫西林克拉维酸钾片)250mg×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":"250mg规格1板"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/0c5606ffe97cfdbe080e7c31980a047d.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":677,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:43:15","updated_at":"2024-11-24 10:15:11","ins":{"id":5,"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\/b4e16954b19120b0d777543dde23b1da.JPG","specification":"250mg×10片×10板\/盒","reference_price":2200,"component":"阿莫西林和克拉维酸钾","indication":"适用于犬由敏感细菌引起的各种感染,及治疗犬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9-12kg,吃0.5片;\n体重13-15kg,吃0.75片;\n体重16-22kg,吃1片;\n体重23-30kg,吃1.5片;\n体重31-40kg,吃2片;\n体重41kg及以上请购买同品500mg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11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":"2020-10-23 12:09:57","updated_at":"2020-10-23 16:00:00"}},"product_sku_info":{"id":752,"product_id":709,"title":"辉瑞速诺(阿莫西林克拉维酸钾片)250mg×10片\/板","advword":null,"price":98,"market_price":119,"cost_price":0,"stock":726,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"250mg规格1板"}},"cover":null,"thumb":"","sale_count":715,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:43:15","updated_at":"2024-11-25 19:05:02"}}}}}}
微信扫一扫
立即问宠医