小猫从楼上摔下来上颚裂开内脏损伤严重
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咨询描述:小猫从九楼太下来了 拍了片子 想让你帮忙看一下 说肾肝脏心肺损伤比较严重 眼睛有点不对焦 上颚裂开 不主动进食 吞咽比较困难
问题大致一样,细节不同?
于博
执业兽医师
您好,这边收到血检结果,但是没有收到片子照片。猫咪目前还能走路吗?排尿排便有吗?上颚裂大概多大伤口呢?
从生化看肝细胞漏出酶和肌酸激酶升高,红细胞压积偏低需要注意内出血。可以注射止血针。风险期一般48小时。可以超声初步看一下有没有腹腔积液。明天的话再次复查指标和片子还有超声。眼睛不对焦应该有伤到第三第四对脑神经了。
可以走路 四肢都没有问题 因为三天没吃东西了 今天一天没有排便排尿 上颚裂口医生看了一眼没拍照片 已经过去48小时了 小猫是24号下午五点半左右跳下去的 然后就被别人抱走了 我今天上午刚找回来 就带着来医院了 小猫咪眼睛不聚焦 说是压迫神经了
为保护用户隐私不显示图片/视频
于博
执业兽医师
看眼睛就应该是第三对脑神经动眼神经有问题了。最好要做个CT看一下。整体胃肠内积气,可以饲喂****排气。膀胱和肠道哪是有尿液和粪便的,正常是要排出的,如果说到目前还没有排尿排便应该神经麻痹了,需要人工辅助排尿排便以免毒素堆积。看片子里胸腔内还好。如果腭裂不大没有超过0.5公分可以不用手术,如果超过需要手术修复,目前需要人工饲喂不能不吃东西。如果状态稳定可以麻醉修复腭裂。如果状态不好先下鼻饲管人工饲喂。
如果有脑水肿需要输****降压
对医生也是这么说的 要尽量自己进食 强喂的话也能喂进去 所以暂时不会鼻饲 也过要手术吗 医生说不用 应该是影响不太大 问您的主要目的是 今天一天花费两千多 医生说前几天费用比较高大概800 甚至更多 最少要观察5-8天 下来最少小一万 因为能力实在有限 没有必要的话应该也不会坚持了 想请问一下 在医院呆个两天能不能配点药自己回家慢慢恢复 想要实质一点的答案 感觉小猫自己的求生欲和状态还挺好的 挺坚强的
于博
执业兽医师
那要是这样的话,最省钱的方式就是回家自己每天饲喂,保证饮食营养。然后口服抗生素抗炎药物。但是治愈率肯定没有医院高。您要可以接受我就给您开处方试试看。
也可以 我们想着留院最多观察个两三天 差不多稳定了 就自己接回来
于博
执业兽医师
好的,因为两三天后也不知道是个什么状态,其实您应该出院在家厚来问诊的。现在只能根据目前状态开药了。这两天需要给它饲喂****排气,然后要观察能不能自己排便排尿,如果不能自主排便那您在家就会很麻烦或者照顾不了要去医院处理了。稍后我给它开药物
明天我去了医院主要问些什么呢注意一些什么 除了自助进食排便排尿还有上颚长度 还要了解一些其他的吗
于博
执业兽医师
1.定时喂饭,保证每天营养饮食
2.**** 一天两次 一次一片 抑菌
3.**** 一天一次 一次半片 抑菌联合用药
4.****口服液 一天两次 一次2毫升 神经炎 补血 促进食欲
5.****口腔喷剂一天3次喷口腔消炎 消炎口腔
6.**** 一天一次 一次一粒 治疗肝病 去胆汁
于博
执业兽医师
其他没有什么了,主要是排尿排便看看能不能自己排出来。上颚如果腭裂严重超过0.5公分必须缝合。
后续回家治疗一周要回医院复查目前异常的指标情况,看有无好转就可以了
于博
执业兽医师
不客气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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