咨询描述:基本信息:雌性土狗,1个月零11天,体重0.9kg
患病时长:细小,发病约第7天,治疗第六天
医院检查:
1.症状没有在输血后明显改善。
2.贫血的情况恢复不及预期,也就是还是存在血细胞持续丢失的情况
3.胃内积液严重,很有可能存在功能梗阻(胃肠道蠕动缓慢)或者机械梗阻(肠梗阻肠套叠)的问题
用药情况:一直住院用药,昨天晚上第一次输血,但效果不明显,同时有并发症。具体用药清单可见附件图片
问题大致一样,细节不同?
于博
执业兽医师
您好,目前狗狗还有呕吐吗?有没有食欲呢?精神状态较之前怎么样呢?
看指标,是有好转的迹象。白细胞和粒细胞已经开始升高了,细小病毒一般是白细胞降低。如果升高说明已经耐过 了细小病毒最危险的时期。红细胞总体也还是有回升的,虽然还是贫血状态。
蛋白流失严重,需要补充营养和***
于医生您好
1.目前强喂还是有呕吐的情况,还是没有食欲,昨日晚间输血以后,今天的精神状态反而变差
2.目前还有呼吸困难的表现,狗狗身体起伏很大
3.今天在医院已经加了***,目前的状况依然没有明显好转
4.想听听您的建议,包括用药和陪护等方面的,谢谢
为保护用户隐私不显示图片/视频
于博
执业兽医师
正常按照细小发病治疗,第6天应该不会再呕吐,而且应该稍微有食欲了。看红细胞压积暂时不需要再输血了。细小病毒如果超过一周治疗周期还存在呕吐,状态很差,需要考虑并发症:胰腺炎和肠套叠。您可以建议医生检测一下胰腺炎,触诊一下肠道和做钡餐造影看一下肠道是否套叠梗阻,再考虑后续治疗方案。血浆,蛋白要补充,不要脱水,液体量维持量就好,因为贫血不能补充太多,只要保持排尿正常就可以。
医生,刚刚喂了一点葡萄糖和流食,目前狗狗还是有点排斥吃东西,并且打喷嚏,请问可能是因为什么打喷嚏呢
于博
执业兽医师
可能是昼夜温差引起,或者鼻子被粉尘刺激喷嚏一下。后续要观察一下如果频繁打喷嚏或者流鼻涕就考虑感冒了
医生,今天换了一家医院,重新排片检查,图片是今天的输液药,目前狗狗体温较低36.4度,呼吸较轻,请问还有治愈的希望吗,另外现在在家里照顾,可以喂葡萄糖吗,是否需要兑生理盐水,比例是多少,另外喂流食狗狗不愿意吃是否需要强喂,谢谢医生
为保护用户隐私不显示图片/视频
于博
执业兽医师
体温太低了,要升温到38度以上,电热毯、热水袋都用上防止皮肤烫伤。
没有检测胰腺炎吗?还有肠套叠触诊了吗?可以钡餐造影检查。
糖盐水比例1:1饲喂,不吃需要人工强饲,可以口服****促进生血(稍后给您开个处方)。
左肺塌陷之前是不是一直身体左侧侧躺呢。时间长那一侧肺会塌下。需要右侧躺,经常翻动身体,如果呼吸困难可以进氧舱吸氧缓解。可以再尝试一周试试,如果没有变化就希望不大,而且要排除胰腺炎和肠套叠
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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