咨询描述：狗狗小时候误食过消毒液，当时即使治疗了。两三年前狗狗就有呕吐的现象，我们一直就认为是消化不好，到这段时间，我发现她开始翘屁股，我认为她是腹痛了，去医院检查说是胰腺炎。
问题大致一样，细节不同？
王冲
执业兽医师
你好，从化验单中看，狗狗确定是胰腺炎，脂肪酶和淀粉酶都特别高，这是胰腺的指标，狗狗胰腺炎主要就是引起呕吐、拉稀、腹痛腹部紧张、弓背，精神食欲差，发病原因和吃的食物脂肪和淀粉含量过高有关，胰腺炎的治疗原则主要是止吐、止泻、止痛、生物酶抑制剂（比如****或者****、****，这是治疗胰腺炎的主要药物）、静脉补充营养、维持水和电解质平衡，治疗一般需要一周左右，这期间建议治疗5天左右再检查血常规和C反应蛋白来看需不需要停药。后期主要是低脂饮食（喂食低脂易消化处方粮）还有****调理胰腺，一定不能喂人吃的食物。
1.狗狗这个情况严重吗？能治愈吗？（她呕吐，腹痛，粑粑正常）
2.我们从不给她吃人吃的东西，零食也不怎么吃。我有给她吃软鳞片，维生素片，羊奶。每天吃狗粮和水煮鸡胸肉，这样的饮食有问题吗？
3.今天开始输液了，我看网上有些说需要禁食禁水配合输液吗？
4.您建议狗狗后期做绝育手术吗？
王冲
执业兽医师
你好，1.狗狗胰腺炎是比较严重的，可以治愈的，但是治疗过程中是有死亡率的。
2.狗狗的饮食还算是健康，狗狗吃的食物中脂肪和淀粉摄入量不高，但是还有两个原因，比如和炎症感染，肥胖也有关系，也都会引起胰腺炎。
3.治疗期间，前4-5天一般需要禁食禁水，等到狗狗没有呕吐了，有自主进食的欲望了再考虑少量喂狗粮和水。
4.狗狗不打算生育的前提下是建议绝育的，但是你家狗狗已经是老年犬了，如果不绝育有子宫蓄脓的风险，麻醉风险也是相对比较大的，做了绝育狗狗体型会发胖，这方面需要慎重考虑，老年犬做绝育必须要全面查体，指标都正常再手术
1.都在治疗了，会导致死亡吗？不太明白什么意思，我好担心，治疗期间什么会导致死亡呢？
2.狗狗才8斤，应该不是肥胖问题
3.狗狗她吐完，过几个小时，她自己会去吃，这能让她吃吗？
4.今下午输了第一次液，吃了什么胰腺的重要和益生菌，现在肚子有时会咕噜咕噜的，正常吗？但我能观察到她的腹还是在不舒服的
王冲
执业兽医师
1.胰腺炎是有死亡率的，导致死亡的原因可能是用药后无法改善症状，指标降不下来，症状越来越严重，如果状态越来越好，是能够治愈的。
2.排除肥胖，食物问题，狗狗呕吐次数多了也会引起胰腺炎，会造成感染。
3.狗狗有呕吐的情况就需要禁食禁水，如果吃了食物可能会引起呕吐频繁，等到没有呕吐了再喂。
4.治疗胰腺最重要的是静脉输专门的药物，比如****，皮下注射****，一定要注射止疼针和止吐针，减少腹部疼痛和呕吐，营养液也不能少，输液后口服药可以暂时不吃，等后期稳定了再使用口服药。肚子发出声音这很可能是肠胃蠕动的声音，也可能是肠胃消化不好。
1.这是啾啾治疗的药物，输液，每天两次。您看安排得合理吗？
2.狗狗在这两天治疗期间没有呕吐，请问治疗期间能正常吃东西吗？（水煮鸡胸肉、羊奶粉）
3.治疗结束之后，需要一直吃****来调节吗？****应该怎么吃呢？
为保护用户隐私不显示图片/视频
王冲
执业兽医师
药物是合理的，输液量是按照每公斤体重80ml的量，输液量一定要充足。
前四天左右，建议禁食禁水，如果四天后还是没有呕吐，并且是在有食欲的情况下可以喂饭，但是不能喂肉，只能喂低脂处方粮，这是针对胰腺炎专用粮，而且以后最好不吃肉，吃肉会引起挑食，对内脏负担也会加重。
治愈后，****补充剂建议连续吃半个月左右，调理胰腺。我和推荐一款****补充剂，效果比较好
王冲
执业兽医师
****，每天两次，早晚各一粒
低脂处方粮，每天早晚各一顿，其他食物不要喂
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
{"512796":{"id":512796,"case_id":57167,"user_id":1869081,"to_user_id":2410522,"type":3,"content":"****，每天两次，早晚各一粒\n低脂处方粮，每天早晚各一顿，其他食物不要喂","media":{"images":{},"videos":{},"business_params":{"prescription_id":152652}},"is_doctor":1,"status":1,"created_at":"2023-09-13 15:56:36","show_rx":true,"rx_info":{"id":152652,"rx_no":2.0230913155443503e+24,"user_id":2410522,"doctor_user_id":1869081,"is_independent":0,"case_id":3164125,"pet_info":{"pet_id":402452,"pet_name":"泰迪","pet_nickname":"啾啾","pet_gender":2,"pet_birth":"7-5","pet_weight":8,"pet_vaccination_status":1,"pet_in_insect_repellent_status":1,"pet_out_insect_repellent_status":1,"pet_age_format":"7岁5个月"},"diagnose":"胰腺炎","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2023-09-13 15:54:43","updated_at":"2023-09-13 15:56:36","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":114645,"prescription_id":152652,"doctor_user_id":1869081,"product_id":944,"product_sku_id":997,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":14,"number":1,"remark":"","created_at":"2023-09-13 15:54:43","updated_at":"2023-09-13 15:54:43","product_info":{"id":944,"hash_id":"V9we7N4JqwpPbGWA","class_ids":{"0":1,"1":2},"category_ids":{"28":187},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":233,"sell_point":"宠儿香胰宝SIDE 0.17g*100粒\/瓶","title":"宠儿香胰宝SIDE 0.17g*100粒\/瓶","recommend_reason":{"0":"独特添加胃蛋白酶；","1":"改善因胰腺外分泌不足引起的食欲不振，消化不良的宠物;","2":"帮助胰腺炎恢复期消化酶分泌不足的宠物;"},"baike_guide_text":"","baike_article_hash_id":"","advword":"胰腺炎,食欲不振,消化不良,呕吐,拉稀","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"0.17g*100粒\/瓶"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2022\/08\/178371dd981550db6ec3476b0ad8778f.png","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":298,"max_price":298,"sale_count":29,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2022-08-11 15:13:19","updated_at":"2024-10-22 08:55:27","ins":{"id":233,"hash_id":"Ldvaqr4ea846De9l","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"宠儿香胰宝SIDE 0.17g*100粒\/瓶","common_name":"宠物营养补充剂","trade_name":"胰宝SIDE","en_name":"STOMACH INTESTINE DELIVERY ENZYME","brand_name":"宠儿香","is_prescription":1,"cover":"\/drug\/2022\/07\/095b778081bc3ee01005766f8f5473cc.png","specification":"0.17g*100粒\/瓶","reference_price":468,"component":"糊精、胰蛋白酶、胃蛋白酶、脂肪酶、淀粉酶、硫酸锰、维生素B6","indication":"1.因患胰腺外分泌不足而引起的食欲不振，消化不良的宠物;\n2.处于胰腺炎恢复期消化酶分泌不足的宠物;\n3.消化酶缺乏的老年犬宠物。","usage_dosage":"用法：同食物一起吞食；\n用量：体重小于5kg，每餐1粒；体重5-15kg，每餐2粒；体重大于15kg，每餐3粒。","contraindication":"本产品不得饲喂反刍动物。","adverse_reaction":"","attention":"本产品不得饲喂反刍动物。","interaction":"","approval_no":"京饲预（2018）08101","storage_method":"阴凉、干燥处保存。","validity":"18个月","manufacturer":"北京百林康源生物技术有限责任公司","status":1,"created_at":"2022-07-20 18:26:08","updated_at":"2022-08-11 14:47:34"}},"product_sku_info":{"id":997,"product_id":944,"title":"宠儿香胰宝SIDE 0.17g*100粒\/瓶","advword":null,"price":298,"market_price":359,"cost_price":0,"stock":70,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"0.17g*100粒\/瓶"}},"cover":null,"thumb":"","sale_count":30,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2022-08-11 15:13:19","updated_at":"2024-10-21 18:41:02"}},"1":{"id":114646,"prescription_id":152652,"doctor_user_id":1869081,"product_id":681,"product_sku_id":725,"dose":40,"dose_unit":"g","use_method":"口服","frequency":"每天2次","days":30,"number":1,"remark":"","created_at":"2023-09-13 15:54:43","updated_at":"2023-09-13 15:54:43","product_info":{"id":681,"hash_id":"9yVvZk4Y1747nQeR","class_ids":{"0":1},"category_ids":{"0":161},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":135,"sell_point":"皇家成犬低脂易消化全价处方粮","title":"皇家成犬低脂易消化全价处方粮LF22","recommend_reason":{"0":"用于患有腹泻，急性和慢性胰腺炎问题的狗狗"},"baike_guide_text":"","baike_article_hash_id":"","advword":"腹泻,急性胰腺炎,慢性胰腺炎","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"1.5KG"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/95c992bcd7295843deab58e80ce0e5dd.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":178,"max_price":178,"sale_count":8,"tags":"","sort":0,"status":0,"delete_status":0,"created_at":"2021-12-15 18:37:53","updated_at":"2024-06-04 17:10:45","ins":{"id":135,"hash_id":"","class_ids":"[\u00221\u0022]","title":"成犬低脂易消化全价处方粮LF22","common_name":"犬低脂易消化全价处方粮","trade_name":"LF22","en_name":"CASTROINTESTINAL","brand_name":"皇家","is_prescription":0,"cover":"\/drug\/2020\/12\/2f443e62a0bab3104f541572636c122d.jpg","specification":"1.5kg\/袋","reference_price":188,"component":"大米、鸡肉粉、鸡肉骨粉、鸭肉粉、鸭肉骨粉、小麦、大麦、甜菜粕、狗粮口味增强剂、鸡油、牛油、啤酒酵母粉、矿物元素及其螯合物、维生素、鱼油、车前子、沸石粉、防腐剂（山梨酸钾）、果寡糖、DL-蛋氨酸、牛磺酸、BHA、天然叶黄素（源自万寿菊）、L-赖氨酸、酿酒酵母细胞壁","indication":"用于患有腹泻，急性和慢性胰腺炎问题的犬","usage_dosage":"饲喂持续时间应根据胃肠道症状的严重程度不同而变化。建议通过少食多餐的方法摄入每日推荐量，以优化消化功能。","contraindication":"","adverse_reaction":"","attention":"颗粒颜色的差异源于不同批次原料本身的颜色差异，产品颜色若有差异属于正常现象。敬请放心给您的宠物饲喂。","interaction":"","approval_no":"","storage_method":"置于阴凉干燥处保存","validity":"1.5年","manufacturer":"皇誉宠物食品（上海）有限公司","status":1,"created_at":"2020-12-28 16:35:40","updated_at":"2022-02-15 15:18:55"}},"product_sku_info":{"id":725,"product_id":681,"title":"皇家成犬低脂易消化全价处方粮LF22 1.5KG","advword":null,"price":178,"market_price":188,"cost_price":0,"stock":92,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"1.5KG"}},"cover":null,"thumb":"","sale_count":8,"status":0,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-15 18:37:53","updated_at":"2024-06-04 17:10:45"}}},"drug_data_bak":{"0":{"id":114645,"prescription_id":152652,"doctor_user_id":1869081,"product_id":944,"product_sku_id":997,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":14,"number":1,"remark":"","created_at":"2023-09-13 15:54:43","updated_at":"2023-09-13 15:54:43","product_info":{"id":944,"hash_id":"V9we7N4JqwpPbGWA","class_ids":{"0":1,"1":2},"category_ids":{"28":187},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":233,"sell_point":"宠儿香胰宝SIDE 0.17g*100粒\/瓶","title":"宠儿香胰宝SIDE 0.17g*100粒\/瓶","recommend_reason":{"0":"独特添加胃蛋白酶；","1":"改善因胰腺外分泌不足引起的食欲不振，消化不良的宠物;","2":"帮助胰腺炎恢复期消化酶分泌不足的宠物;"},"baike_guide_text":"","baike_article_hash_id":"","advword":"胰腺炎,食欲不振,消化不良,呕吐,拉稀","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"0.17g*100粒\/瓶"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2022\/08\/178371dd981550db6ec3476b0ad8778f.png","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":298,"max_price":298,"sale_count":29,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2022-08-11 15:13:19","updated_at":"2024-10-22 08:55:27","ins":{"id":233,"hash_id":"Ldvaqr4ea846De9l","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"宠儿香胰宝SIDE 0.17g*100粒\/瓶","common_name":"宠物营养补充剂","trade_name":"胰宝SIDE","en_name":"STOMACH INTESTINE DELIVERY ENZYME","brand_name":"宠儿香","is_prescription":1,"cover":"\/drug\/2022\/07\/095b778081bc3ee01005766f8f5473cc.png","specification":"0.17g*100粒\/瓶","reference_price":468,"component":"糊精、胰蛋白酶、胃蛋白酶、脂肪酶、淀粉酶、硫酸锰、维生素B6","indication":"1.因患胰腺外分泌不足而引起的食欲不振，消化不良的宠物;\n2.处于胰腺炎恢复期消化酶分泌不足的宠物;\n3.消化酶缺乏的老年犬宠物。","usage_dosage":"用法：同食物一起吞食；\n用量：体重小于5kg，每餐1粒；体重5-15kg，每餐2粒；体重大于15kg，每餐3粒。","contraindication":"本产品不得饲喂反刍动物。","adverse_reaction":"","attention":"本产品不得饲喂反刍动物。","interaction":"","approval_no":"京饲预（2018）08101","storage_method":"阴凉、干燥处保存。","validity":"18个月","manufacturer":"北京百林康源生物技术有限责任公司","status":1,"created_at":"2022-07-20 18:26:08","updated_at":"2022-08-11 14:47:34"}},"product_sku_info":{"id":997,"product_id":944,"title":"宠儿香胰宝SIDE 0.17g*100粒\/瓶","advword":null,"price":298,"market_price":359,"cost_price":0,"stock":70,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"0.17g*100粒\/瓶"}},"cover":null,"thumb":"","sale_count":30,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2022-08-11 15:13:19","updated_at":"2024-10-21 18:41:02"}},"1":{"id":114646,"prescription_id":152652,"doctor_user_id":1869081,"product_id":681,"product_sku_id":725,"dose":40,"dose_unit":"g","use_method":"口服","frequency":"每天2次","days":30,"number":1,"remark":"","created_at":"2023-09-13 15:54:43","updated_at":"2023-09-13 15:54:43","product_info":{"id":681,"hash_id":"9yVvZk4Y1747nQeR","class_ids":{"0":1},"category_ids":{"0":161},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":135,"sell_point":"皇家成犬低脂易消化全价处方粮","title":"皇家成犬低脂易消化全价处方粮LF22","recommend_reason":{"0":"用于患有腹泻，急性和慢性胰腺炎问题的狗狗"},"baike_guide_text":"","baike_article_hash_id":"","advword":"腹泻,急性胰腺炎,慢性胰腺炎","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"1.5KG"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/95c992bcd7295843deab58e80ce0e5dd.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":178,"max_price":178,"sale_count":8,"tags":"","sort":0,"status":0,"delete_status":0,"created_at":"2021-12-15 18:37:53","updated_at":"2024-06-04 17:10:45","ins":{"id":135,"hash_id":"","class_ids":"[\u00221\u0022]","title":"成犬低脂易消化全价处方粮LF22","common_name":"犬低脂易消化全价处方粮","trade_name":"LF22","en_name":"CASTROINTESTINAL","brand_name":"皇家","is_prescription":0,"cover":"\/drug\/2020\/12\/2f443e62a0bab3104f541572636c122d.jpg","specification":"1.5kg\/袋","reference_price":188,"component":"大米、鸡肉粉、鸡肉骨粉、鸭肉粉、鸭肉骨粉、小麦、大麦、甜菜粕、狗粮口味增强剂、鸡油、牛油、啤酒酵母粉、矿物元素及其螯合物、维生素、鱼油、车前子、沸石粉、防腐剂（山梨酸钾）、果寡糖、DL-蛋氨酸、牛磺酸、BHA、天然叶黄素（源自万寿菊）、L-赖氨酸、酿酒酵母细胞壁","indication":"用于患有腹泻，急性和慢性胰腺炎问题的犬","usage_dosage":"饲喂持续时间应根据胃肠道症状的严重程度不同而变化。建议通过少食多餐的方法摄入每日推荐量，以优化消化功能。","contraindication":"","adverse_reaction":"","attention":"颗粒颜色的差异源于不同批次原料本身的颜色差异，产品颜色若有差异属于正常现象。敬请放心给您的宠物饲喂。","interaction":"","approval_no":"","storage_method":"置于阴凉干燥处保存","validity":"1.5年","manufacturer":"皇誉宠物食品（上海）有限公司","status":1,"created_at":"2020-12-28 16:35:40","updated_at":"2022-02-15 15:18:55"}},"product_sku_info":{"id":725,"product_id":681,"title":"皇家成犬低脂易消化全价处方粮LF22 1.5KG","advword":null,"price":178,"market_price":188,"cost_price":0,"stock":92,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"1.5KG"}},"cover":null,"thumb":"","sale_count":8,"status":0,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-15 18:37:53","updated_at":"2024-06-04 17:10:45"}}}}}}
微信扫一扫
立即问宠医
