咨询描述:症状描述:家里隐翅虫很多,猫可能是打死了隐翅虫后感染了毒隐翅虫皮炎,下腹部第一日出现掉毛和红印,第二日在红印基础上出现黄色脓包,第三日脓包面积扩大,摸起来皮肤略微发硬,有腐肉味道,精神萎靡,第三日晚上用双氧水对创口消毒,因为猫挣扎剧烈没有捅破脓包导出脓液,但是脓液已变色为白色。随后喂食了********散片,剂量20mg/kg,外用碘伏和炉甘石洗剂涂抹后,覆盖纱布包扎。
随后每日更换碘伏纱布,抗生素吃了两次后停用了,今天是第五天,猫的精神已恢复正常,但是伤口因为伊丽莎白圈略小的原因,部分会被猫舔到(新的已经购买,两日后到货)
目前伤口情况如图,有透明渗液,有未愈合的较大裂口,脓包及周围皮肤摸起来硬硬的,请问后续如何治疗?
问题大致一样,细节不同?
对了于医生,猫的年龄是是五个月,出生日期那里写错了
于博
执业兽医师
根据您目前提供这些信息,我初步有个方向。为了进一步判断宝贝的情况我还有几个问题需要向你核实一下哈
1.它现在创口每天还用纱布包扎吗?能包住吗?
2.创口有多深?还是就表皮感染了下面不是是很深?
3.那个脓包从开始一直就没弄开吗?
我先跟您说一下目前它这个情况保守的方式,您看看能不能自己在家很好的操作,如果不行就带去医院清创一次。
1.头圈一定带好不要舔伤口
2.每天口服抗生素消炎抑制细菌
3.伤口先要用生理盐水润湿,然后把那个脓包的迦揭掉,我猜测下面应该是一块脓创。最好是用双氧水清理干净漏出新鲜出血创,当然要有人保定住,也可以永生理盐水加纱布慢慢蹭掉坏死化脓的组织。再用刀片把一圈的边缘刮出血,现在边缘创已经愈合所以不会再生长了,一定要刮出血每天都保持是新鲜创,从里面往外生长,创口一定不要结痂。然后每天用碘伏消毒清创,再用祛腐生肌药膏涂抹完全。正常是不包扎最好,但是部位特殊可以买个绝育服穿着。每天换药一次,时间应该慢点,估计要1个月,药也应该用的多点。
于博
执业兽医师
1.****一天两次 一次半片口服 抑制细菌感染
2.**** 一天一次涂抹患处(用之前清理干净清创口,药膏涂抹满创口
1.每天都包扎,但是不太能包的住,虽然剃毛了但是医用胶带还是黏的不紧,用纱布包扎猫会自己扯松开。
2.创口不仅表皮一层,感觉还挺深的,因为按压可以感觉到一层有点厚度的硬皮,图片上也能看到,单单裂口就不浅。
3.是的,因为是两个人在家,没法很好固定住猫,没弄破那个脓包,希望能自己吸收
因为是领养的田园猫,去医院的话大概整体花费需要多少钱?如果太贵了可能就要准备放弃了,毕竟自身的经济条件也不是很优渥。
如果在家自己治疗,能治好的概率的大吗?它现在的病情严重吗?
于博
执业兽医师
病情如果只是皮肤组织没有穿透肌肉进入腹腔应该没事的,去医院清理一下不麻醉不开药估计也就几百块钱吧,找小诊所就行不用大医院。那个脓疮表皮肯定硬的不用怕。自己肯定吸收不了的,自己在家敢弄可以治疗好就是花点时间和外用药
于博
执业兽医师
非常感谢您对蘑菇宠医的信任。如果我的回答能够帮到您,请您在咨询结束后留下5星评价,您的评价是我工作最大的支持,感谢。后续宠物有其他问题,您可以到“蘑菇宠医”官方微信公众号继续向我提问。
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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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":1707,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:50:13","updated_at":"2024-11-10 08:59:11","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 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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":9261,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50mg规格1板"}},"cover":null,"thumb":"","sale_count":1796,"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":"2024-11-10 06:56:58"}}}}}}
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