咨询描述:猫咪从10号从六楼摔下楼,今天才找回来去医院拍片发现粉碎性骨折,请求医生开处方给猫咪治疗以及告知注意事项。猫咪是5岁半银渐层,目前能吃能喝,就是右腿瘸了。
问题大致一样,细节不同?
王鑫
执业兽医师
根据你提供的片子 确实有骨折情况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. 您现在给它做外固定了吗?
2. 现在再给他用药了吗?
3. 他这个腿的皮肤有肿胀或者淤血吗?
以上情况你回忆后详细的描述给我,感谢你的配合。
1.没有 2.今天打了止血止痛的药,然后开了止血止痛的药 3.有肿胀和瘀血 4.想问问医生需要买绷带给他绑住吗?
王鑫
执业兽医师
您好,感谢您的回复,跟您说一下,如果按照最合理的一个治疗方案,肯定是需要做内固定手术来进行治疗的。像他这种情况做内固定,术后恢复肯定是会非常好的。如果要是实在做不了内固定的话,外固定他不一定能愈合上,而且可能会反复的感染。还有可能等到他好一点了,长骨痂了,会造成二次骨折的一个情况,所以说需要减少他的活动。然后需要给他做一下外固定的一个捆绑。因为这个捆绑是需要实际操作的,所以说口述的话跟您描述的不一定清楚,您最好是带他去医院看看医生能不能给他做一个外固定,如果不能给他做的话,您就自己在网上找一下视频学习一下,怎么给他做外固定,网上都会有视频的。然后配合抗生素止疼药,还有***液体钙来让它慢慢愈合期间笼养,别让它剧烈运动。
好的,就是首先做外固定,其次药物治疗是用止痛药和***和液体钙让他愈合,请问医生有推荐的具体药物名称或者牌子吗?以及想问问您如果二次感染猫咪会是什么样的表现和后果?能够用药物紧急治疗吗?
王鑫
执业兽医师
你好你需要跟我说一下他的体重是多少 然后我给您推荐一下处方到时候您看一下然后如果出现二次感染的话症状一般就是皮肤溃烂 当如果出现反复一直溃烂的话,那这种情况就是骨头,内部可能都已经出现感染发炎了,像这种情况就是特别严重的情况了。一般都需要截肢治疗 所以说尽可能的不让它出现感染,用药物控制住。
他8斤左右,麻烦您开药了。需不需要单独另外给他每天吃预防感染的药呢?是否是只要稍微长时间没愈合就会产生感染呢?
王鑫
执业兽医师
您好,您看一下这个处方,然后点开查看详情用法用量上面都会有标注。 吃抗生素就是预防感染的,就是我现在给您开的这个消炎药。骨头的愈合长骨痂都需要15~20天,而且没做内固定的话可能达到一个月左右,这个就需要到时候咱们去拍片给他看骨痂愈合的一个情况,当然时间越长的话,感染的概率也会越大。
好的真的很谢谢您,您好负责耐心,讲的也很全面了,我感觉找您看病非常放心非常值得,结束一定给您好评,如果有需要下次再来找您。
王鑫
执业兽医师
您太客气了 也感谢您对我的信任 如果后续有问题及时沟通咨询。希望我的建议对宠物有帮助,然后也感谢您对我的评价。 万分感谢
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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