猫咪三天前开始拉稀呕吐,不吃猫粮和罐头
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咨询描述:猫咪,雄性,1岁0月,英短蓝白。三天前开始拉稀呕吐,不吃猫粮和罐头,只有喂猫条的时候正常吃。连续三天只吃猫条,带到宠物医院检查,这是采血化验和超声片子结果。麻烦诊断判断一下,谢谢您!
问题大致一样,细节不同?
曹元钊
执业兽医师
你好,这个心脏超声没有报告是没有办法看的,请问有没有做生化和腹部的x光,因为这个x光拍的主要是胸部这个猫有没有喘息咳嗽,呼吸困难之类的临床症状?
猫咪养了多长时间?有没有打过疫苗?我其实更倾向于是胃肠道方面的问题。另外最近排尿情况怎么样?
猫咪养了一年,疫苗都按时打了的,也定时驱虫。排尿正常,喝水挺多的,猫1分钟呼吸四十多次。就身体拍了个片子,做了个心脏超声,暂时没有报告单。没有呼吸困难的症状,猫精神状态不太好。
为保护用户隐私不显示图片/视频
曹元钊
执业兽医师
你好,我觉得这个猫的x光显示出支气管应该是有一些渗出的。但是超声没有报告没法看,最简单的说,我甚至不知道它量出来的到底是多长?多厚?
侧位片肠道全部都聚集在一起。这个不太对劲,但是他最近有拉稀,那么它有腺性异物的可能性就不高,所以整体来说我会认为它有一个支气管炎,同时有一个严重的胃肠炎,没有生化和胰腺炎测试的话,其他不好分析。
医院说是肺水肿,然后心超说是肥厚性心肌病。宠物医院让住院,但是我们考虑害怕应激,就没选择住院。医生开了利尿的药,让多喝水排尿,看能不能消除肺水肿。
曹元钊
执业兽医师
如果如果要想诊断肺后性心肌病,最起码心室壁的厚度得超过0.6
但是我没有看到数据 我不敢说
我觉得猫咪有腹泻呕吐,不吃饭这个时候单单针对心脏然后给利尿剂,我觉得不是很建议,反正我不太建议这样做,我建议针对呕吐腹泻也得对症治疗一下。 本身这个猫就不吃饭,然后给利尿剂,水流的特别多,然后他还腹泻,这种情况下会出现脱水的。
我打电话问了一下刚才宠物医院的医生,他说心室的厚度还没发展到严重的程度。现在要把肺水肿消除掉?1、您有什么好的方法去除肺水肿吗?2、猫咪三天前呕吐腹泻,但是这几天几乎没怎么吃东西,就每天一两根猫条,所以肚子没东西,这两天没有腹泻呕吐现象。3、针对现在的情况,您有什么好的治疗建议吗?
曹元钊
执业兽医师
第一我建议会给一点抗炎的药物,第二我建议会给一些抗生素,第三呢,除了***就是除了利尿剂以外,我建议低剂量的输一些液
然后在这个基础之上强行喂食,一旦能恢复到正常食欲的50%,接下来就是回家口服药的事儿,前期一定要尽快纠正食欲。
雾化我觉得没必要。
抗炎和抗生素您能推荐一款药物吗?还有您说的回家口服药是哪一种?
曹元钊
执业兽医师
我建议的方案是这样的,配合这个***,用***,一天一次,每次半片口服,10天。
***龙一天两次,每次一片口服10天抗感染抗炎,并且用***龙来鼓励食欲,因为不能输液的情况下,他在用利尿剂务必要强行的加速的让他吃东西,然后使用****,一天两次,每次半片,口服14天保护胃黏膜。
谢谢您的方案。想咨询一下,您怎么判断他是肺部炎症?是通过片子还是化验指标,还是症状分析判断的?
曹元钊
执业兽医师
我是通过片子来进行诊断的。因为他们超声没有给报告,不能肯定是真正的肥厚性心肌病的话,我不太认为一种前期的心脏问题会导致肺部的液体量这么多,所以我会认为肺部炎症。
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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