咨询描述:症状描述:中华田园猫,17岁,公猫未绝育,2.5kg。
多年不出门。没去过医院。
28日晚发现异常。
1.拒食严重5天。强喂罐头2天。
2.四肢无力加重,站不起来。
3.身体经常抽动。抽搐1次(9.30)。
4.舌下有2块脂肪状白点,有过口炎。
5.排便一次。排尿正常。
呼吸17,心跳144。
体温正常。
未见腹泻,呕吐,黄疸,尿闭。
爪子耳朵粉色。
全身可抚摸。
用药:
1.****1,****,益生菌,3天。
2.****喷雾,5天。
问题大致一样,细节不同?
曹元钊
执业兽医师
你好就这个猫的年龄来说,它现在的这种抽搐可能是脑部问题,也可能是肾脏或者亲戚其他器官异常,但是如果说不能够去医院输液,下鼻饲管并且检查的话,在家里面对症治疗是非常危险的,他的舌头下面的那一出问题,我觉得不至于影响到全身。
另外这个猫平常吃什么?发病之前吃的是什么?有没有可能会吃到一些乱七八糟的有没有吐腹泻?
没有呕吐没有腹泻。正常猫粮和主食罐,有一段时间不爱吃饭了。
日渐严重的就是浑身无力站不起来。
详细情况如下:
1.拒食严重。9.28至今,主动喝少量舒化奶或肉汤(每天约50ml)。10.3至今,每天分3次用注射器强喂50g猫罐头。
2.四肢无力加重。起初是后肢无力,10.3前肢也无力,勉强走几步需趴下休息。日渐加重,目前几乎无法站立,需抱着排尿。
3.身体经常抽动,隔几分钟抖一下,抖的主体有时是四肢有时是躯干。
4.曾抽搐一次(9月30日)。
5.舌下有2块脂肪状白点(见照片)。
6.嗜睡。喜钻被子,疑不喜光。侧躺。
7.便尿:9月29日排便一次,2条3cm软便,1滩硬币大小的稀便带粘液和血丝。此后未排便。排尿同往常,约半日2次,每次约10~20ml,颜色透明。目前无法自主起身排尿,已尿床2次(大量)。
28日之前:
1.长期食欲差,偏瘦,近期更明显。
2.猫猫在9.19至9.22曾独自在家,多处排大小便(同以往独自在家)。23日至27日正常喂食,食量少,有便。
3.口臭,龇牙。
呼吸17,心跳144。
体温疑似正常或偏低(大腿37.5℃)。
未见腹泻,呕吐,黄疸,尿闭。
爪子耳朵粉色。
全身可抚摸。
用药:
1.****1,****,一次1片,一天2次,10月2日至今,共3天。
2.益生菌(****),一天一袋,10月2日至今,共3天。
3.****喷雾,9月29日至今,共5天。
4.一粒****,1/4粒止痛药,9月29日。
5.一粒人工牛黄****(0.2g),9月28日。
4.喂过3天****,9月16日~9月19日。10.5开始喂1/8粒****克****。
目前浑身无力,站不起来很严重,比昨天更严重。
曹元钊
执业兽医师
你好,因为他的主要临床症状是不吃饭没力气,站不起来,并且可能有抽搐。加上他的这个年龄,那么脑部炎症肿瘤或者内脏器官的,比如肾脏的病变是很有可能的。
但是这个一定得去医院做生化,拍片子和超声
曹元钊
执业兽医师
如果不行 就光靠口服药 我可以提供一下别的方案 但是只能针对可能的炎症 效果不能保证的
他没出过门,反应特比巨大,应激可能要命。如果保守我还有什么办法吗。
他腿无力比较突然,前一天能跳沙发,第二天突然走不稳,后腿无力,三天后才前腿无力,现在浑身无力,不能自主翻身。
这三天已经强喂罐头,感觉精神似乎见好,但四肢无力状态日渐严重。
曹元钊
执业兽医师
你好,猫咪已经5天不吃饭了,这个时候已经不能说考虑去医院可能产生应激反应,它已经站不起来已经不会产生所谓应激反应了。
保守治疗可能会有所帮助,但是风险太高了可能会错过最后的治疗机会。所以我强烈建议去医院看一下,另外从他的症状来说优先出现,不能够站立跑跳,那么可能是神经压迫或者说是脊椎的问题,但是这种情况必须应尽快进行治疗,因为时间晚了根本恢复不了。
我们在小地方医疗资源有限。还想选择保守治疗,希望能给一些建议。
比如用什么药,如何护理,吃什么食物,还需要关注哪些症状。
一直以来他哪里都可以摸,没有疼痛表现。
曹元钊
执业兽医师
****一天一次 一次一片 口服七天
****龙 一天两次 一次半片 口服七天
在家一定要强行喂食 你可以去医院让医生下一个鼻饲管 然后在家里强行喂罐头 就这样才能有机会的
曹元钊
执业兽医师
在家里就是强行喂罐头 通过鼻饲管最好。再去买一点人的口服****,一袋兑上500毫升水,少量多次喝。
谢谢医生的药方。
照片这样的****可以吗。
视频这样,猫咪呼吸正常吗。
神经压迫或脊椎问题,去医院,医院会怎么治疗。需要哪些检查。会有什么危险吗。会需要手术吗。猫这个状态可以承受这些吗。很担心。
为保护用户隐私不显示图片/视频
曹元钊
执业兽医师
视频中猫咪的呼吸不算是非常经典的腹式呼吸,但是也有一点呼吸困难。
以这个猫的年龄来说,应该是不会轻易考虑手术的。所以医生多数情况下会考虑针灸理疗,同时输液。并且要综合考虑这个猫的心脏肾脏等方面问题,进行治疗。因为猫跟别的动物都不一样,猫是不能饿的,猫时间长不吃饭就很容易发生继发性的肝脏损伤。所以医生很可能会同时下鼻饲管进行强饲
如果这个猫去医院的话,我觉得它是可以撑得住化验的,接下来输液强刺这些对猫有益无害。
曹医生,我们听您的建议,去医院做了检查。化验单如图。
您看现在是怎样的情况,可以做哪些延缓病情吗。
如果回天乏力,我们怎么做才能让他更舒适愉快呢。喂食方面有建议吗。
哪些会加重他痛苦的事麻烦您提醒一下,我们也注意一下。
为保护用户隐私不显示图片/视频
曹元钊
执业兽医师
你好,结果目前来说不是很好。这个猫应该是有肾衰竭。血糖比较高,不排除同时有糖尿病。如果要想治疗的话,得考虑输液,然后两个留置针,一个留置针,里面少量的输一点****可以给一点点葡萄糖,另一个留置针里面输一点****,把钾离子降下去把血糖降下去,然后在这个基础之上给抗生素输一点,正常的液体三天到5天之后,再次做生化看一下肾功能不能恢复一些。
但是说实在的机会不大。
如果确实不想让猫咪更痛苦的话,其实现在您可以考虑就输上1~2天液。稳定一下,看看血糖怎么样。但是没有任何口服药可以帮助他了,现在他这种情况已经非常的危险了,放到人上面基本上就得换肾或者血透了。
曹元钊
执业兽医师
临床上我遇到这种情况。即使使用最好的治疗方案,也只能是尽力维持一段时间了,不敢说能够治好。 而且代价比较高
曹元钊
执业兽医师
不只是金钱,也有一些宠物,主人看着猫咪挣扎的这种情感上的痛苦,所以即使考虑安乐,我认为都是可以理解的。
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
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