咨询描述:一岁公猫,未绝育,五月份曾患杯状病毒,已经治愈控制。疫苗齐全。
症状描述:眼睛睁不开,畏光,眼睑外翻,红血丝,褐色分泌物,最开始是左眼症状,双眼用药后都睁不开了,左眼更严重一些。
患病时长:症状持续五天,食欲未受影响。
医院检查:第一天到宠物医院查了血,无炎症。
用药情况:
第一天在医院给打了一针****,开了一瓶****滴眼液(猫鼻支康),使用两天无好转,使用时猫咪抗拒强烈。
第三天腹泻一次,喂了一些****,吃了一片****环素,之后未见腹泻。
第四天改用****滴眼液(人用),喂了一片****环素。
因始终未见好转,第五天停用所有药物(9月18号),今天有轻微呕吐一次。
其他时间都是用生理盐水清洗眼睛。
问题大致一样,细节不同?
王鑫
执业兽医师
根据你讲到的我初步怀疑是结膜炎导致的 然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:
1. 眼药水一天给它用几次 然后他自己会抓挠这个眼睛吗?
2. 有黄色的眼分泌物对吧 耳朵里面有没有很脏
3. 现在有没有打喷嚏流鼻涕情况
4. 他现在还有腹泻吗?食欲和精神状态怎么样 最近有没有更换饮食 吃完****环素有没有给它喂点清水呢
以上情况你回忆后详细的描述给我,感谢你的配合。
1. 眼药水一天用3次,他自己会抓挠眼睛,后来套了伊丽莎白圈,偶尔会挣脱出来躲起来挠眼睛。
2. 有浅黄色半透明的分泌物,更多的是褐色整颗分泌物,耳朵里面比平时分泌旺盛(见附图)
3. 没有打喷嚏流鼻涕
4. 目前没有腹泻了,食欲和平时一样,罐头吃得嘎嘎香,精神状态没有平时活泼,对玩具反应不大,可能是看不清楚玩具
5.最近没有更换饮食,吃完****环素有用针筒喂清水。
6.家里8岁原住民(已绝育美短弟弟)没有生病,需要把两只猫隔离开吗?
为保护用户隐私不显示图片/视频
王鑫
执业兽医师
非常感谢您的回复 他有抓挠眼睛所以项圈必须要带着 然后耳朵怀疑可能是有球菌或者马拉色菌导致的分泌物增多 需要给它用洗耳水配合耳药清理治疗 他这个结膜炎有可能是耳朵里面有分泌物瘙痒抓挠刮碰导致的 给它吃点口服抗生素例如****片 ****环素一般针对于呼吸道我们使用 他这个结膜炎建议用**** 配合硫酸****眼药水 建议两个小时用一次 如果没时间就一天用3到5次 他这个情况没有其他症状表现不需要隔离的 以上药物是耳朵用药
好的,谢谢王医生,****和****家里都有,之前杯状的时候它耳朵就有马拉色菌,它这种携带杯状的猫是不是长期要备着这些药啊?其他药是买了之后邮寄吗?邮寄几天能到?
王鑫
执业兽医师
您好,他这种之前得过杯状病毒的猫咪,药物的话建议您在家里备着点,然后一般都是提升它免疫力和抵抗力会减少他眼睛或者是打喷嚏流鼻涕的这种情况 您可以给他吃点****或者是****。 然后因为地区的不同,所以说没办法,给您一个准确的药物邮寄到达时间你也可以添加一下客服微信,然后咨询一下客服和具体地区什么时候能到。
好的,谢谢王医生。平时每天都会吃这个复合维生素片。目前这个鼻支康和****都不能用了是吗?
为保护用户隐私不显示图片/视频
王鑫
执业兽医师
这个维生素也有些帮助但是对于他现在这个情况建议用****或者**** 这两个眼药水都别给他使用了 用我看您推荐的药物和次数看看情况怎么样
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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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":730,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"250mg规格1板"}},"cover":null,"thumb":"","sale_count":711,"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":"2024-11-21 14:19:59"}}}}}}
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