咨询描述:捡来的流浪猫,2个月不到3个月大,检查出有猫冠状弱阳,家中还有原住民,比较担心后续传染问题。
问题大致一样,细节不同?
邓薄鸿
执业兽医师
你好,看到你描述的情况,就是正常冠状病毒的话可能20%到30的猫咪身体都有携带,但是他不表现出来任何症状。就是目前流浪猫的话有没有呕吐腹泻之类的问题呢,如果说没有这些症状那么你可能说就是也不需要治疗,可以给他使用一些提高免疫力的药物。家里有原住民的话比较担心,就是给他们隔离开,这个主要通过粪便传播,可以提高免疫力之后两周再复查看一下是否还是阳性
1.冠状转阴以后就没有问题了吗?目前很多资料说的是冠状会永久携带,如果这样的话是不是患有冠状的猫咪必须在单猫家庭独宠呢?
2.目前两只猫分开养,但是如果通过我会不会依然会携带病菌传染健康的猫呢?
3.携带冠状的猫咪多久之后可以打疫苗?
4.冠状是否可以根治?是否会反复发作?
邓薄鸿
执业兽医师
就是冠状病毒确实是终身携带,但是像我跟你说你20%到30猫咪他都可能会有携带的,而且成年猫咪的话就是哪怕感染最多也是出现一些腹泻之类的症状。正常主要是通过粪便进行传播,你给这个流浪猫清理完粪便之后可能说带一次性手套不直接接触,他们是不会通过你进行传染了。就是正常携带冠状病毒的猫半个月之内任何症状都没有的情况下就可以打疫苗。冠状病毒的话没有办法根治,因为他是终身携带,但是正常治疗好之后后期再复发的概率是很低的,不会说你理解的反复出现症状。
1.那正常治疗好的意思是?有什么数据或者理论支持吗?怎么样就可以说猫冠状治愈了??
2.有看资料说病毒会附着我的衣服上把病毒带回家传染健康的小猫,这种说法准确吗??
3.流浪猫现在嗓子是哑的叫声,但是精神状态不错,吃的好拉的也成型,那这种哑会是并发症的前兆吗?
邓薄鸿
执业兽医师
就是猫冠状症状主要就是呕吐拉稀,一般对症支持治疗,消炎,止泻,抗病毒看具体症状是否输液,5到7天,疾病症状完全消失就是代表治愈了。疾病症状消失就是代表的这次治愈了。病毒是透过粪便传播,你得接触到它的粪便之后才可能会通过你传染,没接触到粪便不会传染。哑跟并发症没关系,如果说没有咳嗽打喷嚏之类的症状,那么怀疑可能就是单纯的咽喉炎之类的
1.也就说是治愈指的是症状没有了,但是病毒依然是阳吗??还是说阳转阴?
2.目前我这种情况两只猫后期如果在一起,是不是健康的一定会被传染上猫冠状呢?
3.猫咪的咽喉炎应该怎么治疗呢?
邓薄鸿
执业兽医师
是的,治愈的话就是代表症状没有了,就是这个疾病已经过去了,猫咪哪怕身体有病毒但是不会表现出任何症状,这种可能有50%的概率他依旧还是阳性。这种情况健康的猫咪的话不是说一定会被传染,但是大概率可能会传染,但是猫咪可能哪怕传染他也不会出现任何症状。常规的咽喉炎的话就是口服消炎和清热解毒的药五到七天。根据宝贝的情况,我给它开个处方。处方里面的1.****,消炎,每天两次,每次半片。2.****,清热解毒,每天两次,每次2毫升。你可以根据需求自行选择购买
1.那目前这种情况是不是最好的是流浪猫痊愈同时转阴,这种和原住民一起就不会传染健康的猫咪了对吗???
2.如果痊愈但是依然阳其实两只就不是很建议在一起对吗?
邓薄鸿
执业兽医师
对,最好的话就是痊愈转阴之后再放在一起这个时候,他粪便里面没有病毒排毒了,也就不会感染。如果说痊愈之后依旧阳性,代表还在排毒还有病毒这个时候确实是不建议放在,因为放在一起的话他们使用同一个猫砂盆互相接触在一起的话就会进行传染。
1.根据您的经验,猫咪冠状转阴的可能有50%,但是会有猫是不是一辈子都无法转阴,这样我就无法让两只猫一起生活对吗??
2.再确认一下,假如猫咪幸运转阴了,那么以后就是转阴了,不会再是携带冠状的猫咪了吧??
邓薄鸿
执业兽医师
不存在无法转因的情况,只是说一周治疗好之后可能50%会持续阳性,但是这个基本都会在2到4周慢慢转阴。猫冠状病毒是终身携带,你是治疗好这次了,但是他身体里就是有这种病毒,后期可能说不一定再某一时间段自身免疫力下降可能又会出现再粪便排毒,但是这个时候猫咪可能也不一定会有症状,因为你不可能每一天都给猫咪检查一次,就是放松心态,不用特别纠结这个的。
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
{"521276":{"id":521276,"case_id":58013,"user_id":1401608,"to_user_id":2414312,"type":3,"content":"是的,治愈的话就是代表症状没有了,就是这个疾病已经过去了,猫咪哪怕身体有病毒但是不会表现出任何症状,这种可能有50%的概率他依旧还是阳性。这种情况健康的猫咪的话不是说一定会被传染,但是大概率可能会传染,但是猫咪可能哪怕传染他也不会出现任何症状。常规的咽喉炎的话就是口服消炎和清热解毒的药五到七天。根据宝贝的情况,我给它开个处方。处方里面的1.****,消炎,每天两次,每次半片。2.****,清热解毒,每天两次,每次2毫升。你可以根据需求自行选择购买","media":{"images":{},"videos":{},"business_params":{"prescription_id":153161}},"is_doctor":1,"status":1,"created_at":"2023-09-19 13:40:49","show_rx":true,"rx_info":{"id":153161,"rx_no":2.0230919134017503e+24,"user_id":2414312,"doctor_user_id":1401608,"is_independent":0,"case_id":3167461,"pet_info":{"pet_id":403724,"pet_name":"中国狸花猫","pet_nickname":"Hannah","pet_gender":2,"pet_birth":"0-2","pet_weight":2,"pet_vaccination_status":0,"pet_in_insect_repellent_status":0,"pet_out_insect_repellent_status":0,"pet_age_format":"2个月"},"diagnose":"拟咽喉炎","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2023-09-19 13:40:17","updated_at":"2023-09-19 13:40:49","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":115764,"prescription_id":153161,"doctor_user_id":1401608,"product_id":712,"product_sku_id":755,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2023-09-19 13:40:17","updated_at":"2023-09-19 13:40:17","product_info":{"id":712,"hash_id":"VjX39W4z2B4Q0bvZ","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":3,"sell_point":"速诺(阿莫西林克拉维酸钾片)50mg","title":"辉瑞速诺(阿莫西林克拉维酸钾片) 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":1339,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:50:13","updated_at":"2024-04-29 09:12:55","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 Tablets","brand_name":"辉瑞","is_prescription":1,"cover":"\/drug\/2020\/10\/46c3ccae52804b92b0e341800e809e95.JPG","specification":"50mg×10片×10板\/盒","reference_price":800,"component":"阿莫西林和克拉维酸钾","indication":"适用于犬猫由敏感细菌引起的各种感染,及治疗犬猫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1-2kg,吃半粒; \n体重3-5kg,吃1粒; \n体重6-9kg,吃2粒;\n体重10-13kg,吃3粒;\n体重14-18kg,吃4粒;\n体重≥19kg,请购买同品250mg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":9647,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50mg规格1板"}},"cover":null,"thumb":"","sale_count":1410,"status":1,"delete_status":0,"created_at":"2021-12-16 15:50:13","updated_at":"2024-04-28 21:08:44"}},"1":{"id":115765,"prescription_id":153161,"doctor_user_id":1401608,"product_id":800,"product_sku_id":842,"dose":2,"dose_unit":"ml","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2023-09-19 13:40:17","updated_at":"2023-09-19 13:40:17","product_info":{"id":800,"hash_id":"V9we7N4JlbxPbGWA","class_ids":{"0":1,"1":2},"category_ids":{"42":201},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":89,"sell_point":"果根素甘胆口服液 15ml","title":"爱迪森果根素甘胆口服液 15ml×2瓶\/盒","recommend_reason":{"0":"犬猫清热解毒、凉血宣肺、止咳平喘","1":"用于犬副流感、支气管炎以及犬、猫感冒等引起的上呼吸道感染","2":"用于抑制细菌性及病毒性呼吸道疾病"},"baike_guide_text":"","baike_article_hash_id":"","advword":"清热解毒,凉血宣肺,燥湿化痰,止咳平喘","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"2瓶装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/51bd4bb70af4bd1e4fc929b53aae8afa.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":38,"max_price":38,"sale_count":81,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-21 15:40:54","updated_at":"2024-04-27 16:34:54","ins":{"id":89,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"甘胆口服液","trade_name":"果根素","en_name":"Gan Dan oral liquid","brand_name":"爱迪森","is_prescription":0,"cover":"\/drug\/2020\/11\/095c722f39baff56f582f00141e275e4.JPG","specification":"15ml×2瓶\/盒","reference_price":45,"component":"甘草,板蓝根,人工牛黄,冰片,猪胆粉等","indication":"清热解毒,凉血宣肺,燥湿化痰,止咳平喘。\n1.主要用于犬副流感,犬传染性支气管炎以及犬、猫感冒等环境气候突变引起的上呼吸道感染,尤其对爆发性窝咳(传染性气管支气管炎)有良好的控制作用。\n2.对细菌性及病毒性呼吸道疾病有快速的抑制作用,有效缓解单发或群发的咳嗽,气喘,流鼻涕等呼吸道症状。","usage_dosage":"直接喂服或拌粮,犬猫每公斤体重1-1.5ml,一日2次,连用7天,或遵医嘱。","contraindication":"","adverse_reaction":"尚未见不良反应。","attention":"长久贮存有沉淀析出,摇匀后使用,不影响疗效。","interaction":"","approval_no":"兽药字010125217","storage_method":"常温,避光,密封保存。","validity":"2年","manufacturer":"爱迪森(北京)生物科技有限公司","status":1,"created_at":"2020-11-11 14:19:17","updated_at":"2020-11-11 14:19:17"}},"product_sku_info":{"id":842,"product_id":800,"title":"爱迪森果根素甘胆口服液 15ml×2瓶\/盒","advword":null,"price":38,"market_price":50,"cost_price":0,"stock":51,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"2瓶装"}},"cover":null,"thumb":"","sale_count":85,"status":1,"delete_status":0,"created_at":"2021-12-21 15:40:54","updated_at":"2024-04-27 16:21:52"}}},"drug_data_bak":{"0":{"id":115764,"prescription_id":153161,"doctor_user_id":1401608,"product_id":712,"product_sku_id":755,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2023-09-19 13:40:17","updated_at":"2023-09-19 13:40:17","product_info":{"id":712,"hash_id":"VjX39W4z2B4Q0bvZ","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":3,"sell_point":"速诺(阿莫西林克拉维酸钾片)50mg","title":"辉瑞速诺(阿莫西林克拉维酸钾片) 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":1339,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:50:13","updated_at":"2024-04-29 09:12:55","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 Tablets","brand_name":"辉瑞","is_prescription":1,"cover":"\/drug\/2020\/10\/46c3ccae52804b92b0e341800e809e95.JPG","specification":"50mg×10片×10板\/盒","reference_price":800,"component":"阿莫西林和克拉维酸钾","indication":"适用于犬猫由敏感细菌引起的各种感染,及治疗犬猫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1-2kg,吃半粒; \n体重3-5kg,吃1粒; \n体重6-9kg,吃2粒;\n体重10-13kg,吃3粒;\n体重14-18kg,吃4粒;\n体重≥19kg,请购买同品250mg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":9647,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50mg规格1板"}},"cover":null,"thumb":"","sale_count":1410,"status":1,"delete_status":0,"created_at":"2021-12-16 15:50:13","updated_at":"2024-04-28 21:08:44"}},"1":{"id":115765,"prescription_id":153161,"doctor_user_id":1401608,"product_id":800,"product_sku_id":842,"dose":2,"dose_unit":"ml","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2023-09-19 13:40:17","updated_at":"2023-09-19 13:40:17","product_info":{"id":800,"hash_id":"V9we7N4JlbxPbGWA","class_ids":{"0":1,"1":2},"category_ids":{"42":201},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":89,"sell_point":"果根素甘胆口服液 15ml","title":"爱迪森果根素甘胆口服液 15ml×2瓶\/盒","recommend_reason":{"0":"犬猫清热解毒、凉血宣肺、止咳平喘","1":"用于犬副流感、支气管炎以及犬、猫感冒等引起的上呼吸道感染","2":"用于抑制细菌性及病毒性呼吸道疾病"},"baike_guide_text":"","baike_article_hash_id":"","advword":"清热解毒,凉血宣肺,燥湿化痰,止咳平喘","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"2瓶装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/51bd4bb70af4bd1e4fc929b53aae8afa.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":38,"max_price":38,"sale_count":81,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-21 15:40:54","updated_at":"2024-04-27 16:34:54","ins":{"id":89,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"甘胆口服液","trade_name":"果根素","en_name":"Gan Dan oral liquid","brand_name":"爱迪森","is_prescription":0,"cover":"\/drug\/2020\/11\/095c722f39baff56f582f00141e275e4.JPG","specification":"15ml×2瓶\/盒","reference_price":45,"component":"甘草,板蓝根,人工牛黄,冰片,猪胆粉等","indication":"清热解毒,凉血宣肺,燥湿化痰,止咳平喘。\n1.主要用于犬副流感,犬传染性支气管炎以及犬、猫感冒等环境气候突变引起的上呼吸道感染,尤其对爆发性窝咳(传染性气管支气管炎)有良好的控制作用。\n2.对细菌性及病毒性呼吸道疾病有快速的抑制作用,有效缓解单发或群发的咳嗽,气喘,流鼻涕等呼吸道症状。","usage_dosage":"直接喂服或拌粮,犬猫每公斤体重1-1.5ml,一日2次,连用7天,或遵医嘱。","contraindication":"","adverse_reaction":"尚未见不良反应。","attention":"长久贮存有沉淀析出,摇匀后使用,不影响疗效。","interaction":"","approval_no":"兽药字010125217","storage_method":"常温,避光,密封保存。","validity":"2年","manufacturer":"爱迪森(北京)生物科技有限公司","status":1,"created_at":"2020-11-11 14:19:17","updated_at":"2020-11-11 14:19:17"}},"product_sku_info":{"id":842,"product_id":800,"title":"爱迪森果根素甘胆口服液 15ml×2瓶\/盒","advword":null,"price":38,"market_price":50,"cost_price":0,"stock":51,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"2瓶装"}},"cover":null,"thumb":"","sale_count":85,"status":1,"delete_status":0,"created_at":"2021-12-21 15:40:54","updated_at":"2024-04-27 16:21:52"}}}}}}
去微信领券提问
实时接受医生通知