博美12岁，屁股一直有血还有腥臭味

{"535452":{"id":535452,"case_id":59590,"user_id":1401608,"to_user_id":2417656,"type":3,"content":"有没有狗狗局部病变位置照片上有的话你可以上传一下，如果说确定是肛门周围的话，不是生殖器流血。你看一下是不是破溃的位置，一般肛门位置一直有血的话还有腥臭味主要考虑是不是肛门腺炎，如果说肛门腺炎的话，那么你是需要到医院给他肛门腺彻底挤压干净，进行冲洗之后的话考虑口服**消炎药局部的话，使用一段时间的**凝胶抗菌消炎的外用药物连续10到15天看会不会有所改善。根据宝贝的情况，我给它开个处方。处方里面的\n1.**，消炎，每天两次，每次半片。\n2.**凝胶，抗菌消炎，每天两次，局部使用。\n你可以根据需求自行选择购买\n因为现在主要需要确定他具体是什么位置流血，而且持续流血，你要是尿道位置持续流血的那么这个时候没有进行绝育，你要考虑是有子宫蓄脓，子宫蓄脓的话正常主要治疗方案就是考虑手术切除","media":{"images":{},"videos":{},"business_params":{"prescription_id":153660}},"is_doctor":1,"status":1,"created_at":"2023-09-25 11:55:19","show_rx":true,"rx_info":{"id":153660,"rx_no":2.0230925115408502e+24,"user_id":2417656,"doctor_user_id":1401608,"is_independent":0,"case_id":3170228,"pet_info":{"pet_id":0,"pet_name":"犬","pet_nickname":"狗狗","pet_gender":2,"pet_birth":"10-0","pet_weight":6,"pet_vaccination_status":0,"pet_in_insect_repellent_status":0,"pet_out_insect_repellent_status":0,"pet_age_format":"10岁"},"diagnose":"拟肛门腺问题","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2023-09-25 11:54:08","updated_at":"2023-09-25 11:55:19","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":116876,"prescription_id":153660,"doctor_user_id":1401608,"product_id":709,"product_sku_id":752,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":10,"number":1,"remark":"","created_at":"2023-09-25 11:54:08","updated_at":"2023-09-25 11:54:08","product_info":{"id":709,"hash_id":"lazo6rxWXWpOqD9E","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":5,"sell_point":"速诺（阿莫西林克拉维酸钾片）250mg","title":"辉瑞速诺（阿莫西林克拉维酸钾片）250mg×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":"250mg规格1板"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/0c5606ffe97cfdbe080e7c31980a047d.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":553,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:43:15","updated_at":"2024-05-11 14:29:11","ins":{"id":5,"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\/b4e16954b19120b0d777543dde23b1da.JPG","specification":"250mg×10片×10板\/盒","reference_price":2200,"component":"阿莫西林和克拉维酸钾","indication":"适用于犬由敏感细菌引起的各种感染，及治疗犬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9-12kg，吃0.5片；\n体重13-15kg，吃0.75片；\n体重16-22kg，吃1片；\n体重23-30kg，吃1.5片；\n体重31-40kg，吃2片；\n体重41kg及以上请购买同品500mg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":857,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"250mg规格1板"}},"cover":null,"thumb":"","sale_count":584,"status":1,"delete_status":0,"created_at":"2021-12-16 15:43:15","updated_at":"2024-05-11 13:29:32"}},"1":{"id":116877,"prescription_id":153660,"doctor_user_id":1401608,"product_id":789,"product_sku_id":831,"dose":1,"dose_unit":"mg","use_method":"涂抹","frequency":"每天2次","days":14,"number":1,"remark":"","created_at":"2023-09-25 11:54:08","updated_at":"2023-09-25 11:54:08","product_info":{"id":789,"hash_id":"L7kR354mQ24X8V1q","class_ids":{"0":1,"1":2},"category_ids":{"8":169},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":2,"sell_point":"复合溶菌酶抗菌消炎凝胶30g","title":"可鲁复合溶菌酶抗菌消炎凝胶 30g\/支\/盒","recommend_reason":{"0":"用于手术切口、骨折外固定支架伤口等皮肤创口","1":"用于阴囊炎、趾间炎等局部皮肤感染","2":"安放导尿管、鼻饲管时，润滑和抗感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"黑下巴,皮肤病,细菌感染,溢脂性皮炎,脓皮症","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"30g"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/2d5fb6f2345052da66c545c7f216a846.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":68,"max_price":68,"sale_count":241,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 18:09:35","updated_at":"2024-05-04 09:39:02","ins":{"id":2,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"复合溶菌酶抗菌凝胶","trade_name":"可鲁凝胶","en_name":"Compound Lysozgme Antibacterial Gel","brand_name":"可鲁","is_prescription":0,"cover":"\/drug\/2020\/10\/a1e373fd288413041f78ef44d47e2da6.JPG","specification":"30g\/支","reference_price":100,"component":"溶葡萄球菌酶、溶菌酶、醋酸氯己定、冰片、甘油等","indication":"1.皮肤创口护理:手术切口、食管插管切口、骨折外固定支架伤口等。\n2.局部皮肤感染:慢性溃疡、阴囊炎、趾间炎、毛囊炎、感染伤口等。\n3.安放导尿管、鼻饲管时,涂抹于导管上,起润滑和抗感染作用。","usage_dosage":"1.创面涂薄薄一层即可,数分钟形成白色保护膜。\n2.每日2-3次涂抹于患处,创面较大需要增加使用频率。\n3.配合可鲁复合溶葡萄球菌酶喷剂使用效果更好,可鲁喷剂喷洒于患处,作用1分钟或自然晾干,可鲁凝胶均匀涂抹于患处。","contraindication":"","adverse_reaction":"","attention":"1.凝胶涂抹后形成保护膜,保护患处,避免接触污染物。\n2.本品需作为原剂使用,切勿用水稀释过后使用。\n3.放置于宠物和儿童接触不到的地方。","interaction":"本品不能与双氧水、高锰酸钾、碘制剂等氧化性物质配伍或合用。","approval_no":"","storage_method":"置于阴凉干燥处保存","validity":"2年","manufacturer":"昆山博青生物科技有限公司","status":1,"created_at":"2020-10-21 13:42:55","updated_at":"2020-10-26 14:35:57"}},"product_sku_info":{"id":831,"product_id":789,"title":"可鲁复合溶菌酶抗菌消炎凝胶 30g\/支\/盒","advword":null,"price":68,"market_price":100,"cost_price":0,"stock":1140,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"30g"}},"cover":null,"thumb":"","sale_count":253,"status":1,"delete_status":0,"created_at":"2021-12-20 18:09:35","updated_at":"2024-05-12 20:12:30"}}},"drug_data_bak":{"0":{"id":116876,"prescription_id":153660,"doctor_user_id":1401608,"product_id":709,"product_sku_id":752,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":10,"number":1,"remark":"","created_at":"2023-09-25 11:54:08","updated_at":"2023-09-25 11:54:08","product_info":{"id":709,"hash_id":"lazo6rxWXWpOqD9E","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":5,"sell_point":"速诺（阿莫西林克拉维酸钾片）250mg","title":"辉瑞速诺（阿莫西林克拉维酸钾片）250mg×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":"250mg规格1板"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/0c5606ffe97cfdbe080e7c31980a047d.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":553,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:43:15","updated_at":"2024-05-11 14:29:11","ins":{"id":5,"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\/b4e16954b19120b0d777543dde23b1da.JPG","specification":"250mg×10片×10板\/盒","reference_price":2200,"component":"阿莫西林和克拉维酸钾","indication":"适用于犬由敏感细菌引起的各种感染，及治疗犬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9-12kg，吃0.5片；\n体重13-15kg，吃0.75片；\n体重16-22kg，吃1片；\n体重23-30kg，吃1.5片；\n体重31-40kg，吃2片；\n体重41kg及以上请购买同品500mg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":857,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"250mg规格1板"}},"cover":null,"thumb":"","sale_count":584,"status":1,"delete_status":0,"created_at":"2021-12-16 15:43:15","updated_at":"2024-05-11 13:29:32"}},"1":{"id":116877,"prescription_id":153660,"doctor_user_id":1401608,"product_id":789,"product_sku_id":831,"dose":1,"dose_unit":"mg","use_method":"涂抹","frequency":"每天2次","days":14,"number":1,"remark":"","created_at":"2023-09-25 11:54:08","updated_at":"2023-09-25 11:54:08","product_info":{"id":789,"hash_id":"L7kR354mQ24X8V1q","class_ids":{"0":1,"1":2},"category_ids":{"8":169},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":2,"sell_point":"复合溶菌酶抗菌消炎凝胶30g","title":"可鲁复合溶菌酶抗菌消炎凝胶 30g\/支\/盒","recommend_reason":{"0":"用于手术切口、骨折外固定支架伤口等皮肤创口","1":"用于阴囊炎、趾间炎等局部皮肤感染","2":"安放导尿管、鼻饲管时，润滑和抗感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"黑下巴,皮肤病,细菌感染,溢脂性皮炎,脓皮症","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"30g"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/2d5fb6f2345052da66c545c7f216a846.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":68,"max_price":68,"sale_count":241,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 18:09:35","updated_at":"2024-05-04 09:39:02","ins":{"id":2,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"复合溶菌酶抗菌凝胶","trade_name":"可鲁凝胶","en_name":"Compound Lysozgme Antibacterial Gel","brand_name":"可鲁","is_prescription":0,"cover":"\/drug\/2020\/10\/a1e373fd288413041f78ef44d47e2da6.JPG","specification":"30g\/支","reference_price":100,"component":"溶葡萄球菌酶、溶菌酶、醋酸氯己定、冰片、甘油等","indication":"1.皮肤创口护理:手术切口、食管插管切口、骨折外固定支架伤口等。\n2.局部皮肤感染:慢性溃疡、阴囊炎、趾间炎、毛囊炎、感染伤口等。\n3.安放导尿管、鼻饲管时,涂抹于导管上,起润滑和抗感染作用。","usage_dosage":"1.创面涂薄薄一层即可,数分钟形成白色保护膜。\n2.每日2-3次涂抹于患处,创面较大需要增加使用频率。\n3.配合可鲁复合溶葡萄球菌酶喷剂使用效果更好,可鲁喷剂喷洒于患处,作用1分钟或自然晾干,可鲁凝胶均匀涂抹于患处。","contraindication":"","adverse_reaction":"","attention":"1.凝胶涂抹后形成保护膜,保护患处,避免接触污染物。\n2.本品需作为原剂使用,切勿用水稀释过后使用。\n3.放置于宠物和儿童接触不到的地方。","interaction":"本品不能与双氧水、高锰酸钾、碘制剂等氧化性物质配伍或合用。","approval_no":"","storage_method":"置于阴凉干燥处保存","validity":"2年","manufacturer":"昆山博青生物科技有限公司","status":1,"created_at":"2020-10-21 13:42:55","updated_at":"2020-10-26 14:35:57"}},"product_sku_info":{"id":831,"product_id":789,"title":"可鲁复合溶菌酶抗菌消炎凝胶 30g\/支\/盒","advword":null,"price":68,"market_price":100,"cost_price":0,"stock":1140,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"30g"}},"cover":null,"thumb":"","sale_count":253,"status":1,"delete_status":0,"created_at":"2021-12-20 18:09:35","updated_at":"2024-05-12 20:12:30"}}}}}}