咨询描述:曹医生,我家小狗雪纳瑞今年4岁多点,体重15斤多点,尿血发现时也不清楚多长时间,4至5个月前看到是没事的,现在不知道什么时候开始尿血了,检查膀胱结石和隐睾一起在今年9月6日做了手术,但是术后这几天尿前面是没事,尿到最后有鲜红的血,前天晚上和今天晚上早上尿到最后都还有尿血,消炎点滴已挂4天了尿到最后还是有尿血,这是什么情况引起的,应该怎么治疗,谢谢。
问题大致一样,细节不同?
曹元钊
执业兽医师
你好,我想问一下狗狗目前精神状态食欲怎么样?他这个尿检是在手术以后做的对吗?还是说在手术之前做的。有没有最近一次的尿检,还有做完手术以后有没有再做一个超声或者x光评估一下还有没有结石?有没有做干净
这是术前,术后现在发你,精神现在挺好的,就是以前尿血精神也很好看不出来生病,医生B超天天在做,说没事,X光是还要拍片吗?要是没做干净怎么办,问这里医生说慢慢会好的,说它膀胱壁厚起来有炎症,曹医生这样说还要拍Ⅹ光片,这是大前天和昨天的化验单,帮我看下,谢谢
为保护用户隐私不显示图片/视频
曹元钊
执业兽医师
目前来看其实情况还好,昨天的血常规里面显示白细胞已经到了正常范围以内。继续对症治疗输液,然后呢同时拍个x光片,再做个尿检给我看一下。X光和尿检相对来说是比较重要的,如果超声确定里头没有石头,就靠x光再看一眼。
因为x光是照的整体的膀胱的情况,根据密度差来确定结石,而这个超声呢,它是三维结构转成二维,所以呢,它有的时候一个切面如果没看到就有可能会漏。
哦,曹医生要是x光拍还没干净怎么办?有什么好的办法吗?尿检是检的是那方面的化验,请指教。
曹元钊
执业兽医师
说实话 如果x光发现还有结石,那没办法,你不能现在就再次打开,就只能是长期扣除一段时间保护膀胱粘膜的药物,然后有一些化石也好看,能不能把结石弄出去。这个x光理论上应该是在做完手术以后拍
尿检的话就是指他做一个尿常规,然后同时做个镜检。这是您今天一开始发给我的化验 就是那个
哦,镜检是什么?这里医生开这个药,保护膀胱粘膜药是什么药
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曹元钊
执业兽医师
镜检呢,就是把尿液拿到以后呢,放到载玻片上,然后在显微镜下看,观察里面的细胞形态。
这个药是可以用的,保护膀胱粘膜的药呢,主要就是给一点这个。一天两次每次半片。先用半个月。
曹医生,去医院问了,当天开刀后马上拍了片没有结石,我看了片子下面还连着手术的管子等东西,没有结石,吃吃药挂点滴应该会慢慢会好吧。
曹元钊
执业兽医师
我就说呢,这种情况一定会拍片子的,没关系,这样的话慢慢输液治疗,咱们再观察两天。
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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