狗出院后还是不吃不喝,经常打颤,像是发冷
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咨询描述:7岁母泰迪于15日前肠胃炎入院,入院时体温36度,低血糖,平时挑食严重,打了6天的吊瓶,出院后能自主进食,服用********钾和保肝药,于前天晚上吐出未消化完的狗粮后,不吃不喝,用针管打进去就吐,昨日服用****,********钾早晚各一,针管喂米粥,奶粉以不吐,今日去宠物医院做的血常规生化,胰腺检查,大夫说没有问题,但是狗还是不吃不喝,经常打颤,像是发冷
问题大致一样,细节不同?
曹元钊
执业兽医师
你好,这个化验结果是不太对的,尤其是它的钠离子的问题,它的钠和氯都非常的低,这个不对劲,麻烦您能不能再做一个血气验证一下,如果真的是这样的话,这个问题可能会比较隐蔽。
我们这边是小县城,没有这个检查,钠氯太低了,宠物医院的大夫就说要不就打生理盐水,补补,要不就回家口服***,从它入院到今天,生化血常规一共做了4次,因刚入院时低血糖,大夫就让喝的饮用水里加葡萄糖,打的吊瓶也是葡萄糖,后2次就偏低,大夫就说让喝***,喝***后症状有改善,精神多了,就从前天晚上吐完不吃不喝开始又没有精神,刚刚就是用针管把狗粮弄碎,混着***喂进去
曹元钊
执业兽医师
你好,请你把它之前的生化也发给我看一下,我觉得这个不太对劲,不像是单纯,用盐水就能补起来的。
第一张图是第3次的检查结果,第二张图是第一次的检查结果
为保护用户隐私不显示图片/视频
曹元钊
执业兽医师
您好,您每一次做的生化好像它的项目都不太一样,有两次里面有钠离子的,它的钠离子都是非常低,另外第1张图片里面肝功能有一点异常。
像目前这个情况,我建议你换一家医院,你现在要做的事情是这样的,第一呢,先跟医生联系一下,要去考虑检查一下acth 然后在这个化验之后马上使用一点*****这种治疗。同时输盐水
大夫,我找到一个地方可以做血气检查,我先给它去做一个血气检查
曹元钊
执业兽医师
可以的 如果钠离子 氯离子仍然低的话,要考虑acth测试的。但是这个化验一般需要几天时间才能出结果,所以采了血做了化验以后我们要先对症治疗。到时候把血气结果告诉我,我给你提供下一步方案。
我们小县城这边,我问了两个大夫,都不知道acth检查是什么,血气检测仪大夫说送回厂家维修了,现在这个情况怎么办
曹元钊
执业兽医师
acth测试,这是一项很特别的测试,它是检测肾上腺皮质机能减退的,一般来说医院不能做都是采集血液样本,送到第三方实验室。
这种情况的话,如果说医生连这种化验都不知道那水平确实我没法说什么。可是这个化验很重要,因为它是唯一能确诊疾病的,就是我怀疑的这种疾病的化验,但是一旦我用上药物,那么就不能再做这个化验了。就不能确诊了
那么这种情况下我提供个方案给你,但是他也就只是初步的一个治疗,因为他用的其中一种药物呢是炎盐皮质激素,那种药物有口服的,也有注射的,但是得让医生去给你进药。这个药物用的少,平台没有。
你先给这个狗输盐水,然后口服这两种药。
***一天一次,每次一片,口服7天。***龙,一天两次,每次半片,口服7天。
然后做不了化验的话就得去买一点盐皮质激素,但是说实话那个药很贵,不做确诊就用药,不太合适。
曹元钊
执业兽医师
你让那个医生去联系一下第三方实验室,比如说天津的北京的,或者这种大的实验室,专门做化验的实验室。
曹元钊
执业兽医师
所以尽可能是先把血采了,把这个化验先送到第三方实验室先去做了,然后再去对症治疗,因为你一旦用上药,这个化验可能就不准。
大夫,我这边小县城医疗技术是确实不行,我把药买了,先给它吃上,如果有改善,证明就是这个病,以后终身服药,如果治不好,我也已经尽力了没有办法了,药还没有到的情况下,我先去医院给它打上盐皮质激素,等到了药以后,就可以吃药不用打针了嘛?打针需要怎么打法,我家的小狗病十几天了,宠物医院只会让打针化验,钱不少花,病一点没治好,麻烦大夫给我一个不查血的办法
曹元钊
执业兽医师
不查血的话是这样的,你先吃上我说的这两种药,同时让医生去给你找口服的,或者注射用的盐皮质激素,我提供的是*****,最终下来这个狗有很大的可能要两种药都要用,就是盐皮质激素加*****。同时口服盐水 就是单纯盐水,不要用口服***。
我提供的*****加抗生素会对它现在的症状有所帮助。但是不能实质上解决问题。如果一时半会儿先找不到盐皮质激素,起码5天之内找不到眼皮质激素,那*****(***龙)的剂量要提高,甚至可以给到一天两次每次一片,然后之后慢慢减。7到10天之后你一定要复诊一下。
注射的盐皮质激素很难找,你可以试试找一找口服的。
曹元钊
执业兽医师
盐皮质激素注射的一般几个星期打一次,口服的要每天都吃。 如果真的是这个疾病,这个狗每天都要吃药,药不能停,因为这个病很可能就是他这两种激素缺少了你得补。
曹元钊
执业兽医师
盐皮质激素,如果医生连acth都不知道是怎么回事,医院估计肯定没这个药,但是你可以让他帮你找可以让他找药商,药商应该是有这个药的。
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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