咨询描述:你好,医生,我们家13岁的狗,昨天晚上突然嗷嗷叫,瘸着走路,现在想可能是它自己上沙发跳下来摔坏了,今天去医院拍片说胯骨骨折,医院说手术成功率只有50%,说先保守治疗,就开了一些消炎药止疼药,我们这乌鲁木齐的宠物医院水平也没内地的好,请问医生有什么建议?
问题大致一样,细节不同?
魏新立
执业兽医师
狗狗的家长您好,宝贝右边髂骨髋臼窝位置有骨折的问题,保守治疗很难能这边腿部走路的,并且可能会影响到小虎宝贝排大便的问题,还是有必要做手术进行内固定,做骨折断端的复位,如果宝贝的状态还不错,满足手术麻醉的条件,我认为还是要考虑做手术的。
保守治疗,这边腿部慢慢就不会再使用,腿部的肌肉会萎缩,并且一直会有疼痛的症状,生活质量会有很大的影响的。
为保护用户隐私不显示图片/视频
医生好,刚才又去了另外一家医院,又拍了片子,说没发现皮肤挫伤,淤血,是陈旧性骨折,十年前的时候它出过车祸,腿被压过,没手术。刚才说不建议手术,没什么用,时间太久,肌肉都长成型了,建议保守治疗,一直吃消炎药止疼药。有几个问题 1 就一直吃消炎药止疼药吗,还需要吃什么药吗?2能每天运动吗?3就这样保守治疗,您有什么建议和看法吗?4 还需要吃钙或者别的吗?
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魏新立
执业兽医师
如果暂时不做手术,可以考虑给宝贝适当补充***,对髋关节的软骨修复会有很好的帮助的。
每天运动量不适应太长,减少运动量,但也要运动,保持一定的肌肉量。
如果不是最近引起的骨折,那应该不会引起排便困难的,应该就不会有太大的问题,钙制剂也没有必要过多的补充,但是***是有必要使用的,对骨关节有很好的帮助。
兽用消炎药止痛药就开了三天,还需要吃多久?能说一下药名,我去药店买吗? 是以前车祸撞的地方又裂了
魏新立
执业兽医师
镇痛药可以使用一周的时间,如果没有疼痛症状的话,就可以停掉的。我推荐给您,可以参考了解,您可以根据需求自主选择在平台或正规渠道购买即可。
这个地方能长好吗?还是就这样了,会影响右边的腿吗?能给他吃人的药吗
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魏新立
执业兽医师
我觉得不做手术能长愈合的可能性是比较低的,因为错开的距离太远了,两个断端慢慢的会形成骨痂。
腿部如果跛行严重,就不敢用肌肉发力,慢慢的肌肉会有萎缩的情况,多少肯定会影响到右边后肢体的活动性的。
目前我们在临床上还没有用过人用的药物,特别是抗炎镇痛药物,人的一般不建议用于动物的。
手术就是钢钉固定上吗?费用一般多少?这种手术成熟吗?
魏新立
执业兽医师
手术用骨板和螺钉进行内固定,目前这个手术治疗也是比较常见的病例,手术难度也不是很大的,费用当然可能会比四肢骨骨折会贵一些,需要4-5000左右的费用,当然,不同城市的消费水平不一样,价格也会有一定的区别的。
这个手术需要尽快做吗?如果过了一段时间,形成骨痂了会不会做不了了?它现在就是走路后面摇摇晃晃的,有时候腿就一下趴着,像我们家另外一个得了猫瘟的猫的后遗症一样。而且他出去的时候还居然想跑,是昨天晚上的止痛药没过去,还是怎么回事,居然感觉不疼。谢谢您了!
魏新立
执业兽医师
对的,如果做,就需要尽快的安排手术的,有骨痂再愈合的难度就会增加的。
应该就是用镇痛药的原因,所以疼痛的症状不会那么的明显的,不过不影响到走路也说明目前的症状并不是很严重的,但是我认为如果有条件的话,尽可能的还是把手术给安排了,这样能更快的完全恢复正常。
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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