咨询描述：【王冲医生接单】
过敏源结果刚刚出来，有一些成分不太懂是什么，但是家里确实有艾蒿成分的东西在，客厅有坐垫，热敷包里面也有
不知道是否跟这个有关系？
报告里面有没有香水成分？
问题大致一样，细节不同？
王冲
执业兽医师
你好，化验结果里会导致过敏比较严重的就是花生，牛奶，橙子，不过这些需要吃到之后才会出现过敏，如果没有吃一般不会引起过敏，其他弱阳性的过敏源一般接触不到，除了吃了会过敏的，常见的就是艾蒿，如果猫咪能够很容易的闻到这个味道，可能会引起过敏反应，比如咳嗽，猫咪的嗅觉很敏感，你可以把家里这些艾蒿有关的东西先不用，看看猫咪有没有改善，如果没有改善，可能就需要服用止咳药来治疗了。
报告里除了雏菊之外没有其他香水成分，家里的香水如果不含有雏菊味，可以排除香水刺激
医生，昨天下午过敏源出来就把家里的艾蒿坐垫收起来了，但是它在晚上22点左右又出现这种症状，这次是睡醒做起来成C型舔毛，舔着舔着就开始了；然后我就查看了10.11是先在爬架睡觉，然后醒了跳到门口等开门时，左右坐姿样子各舔毛1-2下开始用后爪给自己头部抓痒，抓完就出现了症状；（10.1和10.6是监控盲区没拍到，就不清楚它之前在做什么）会不会是它舔毛造成的？视频是昨晚
为保护用户隐私不显示图片/视频
王冲
执业兽医师
视频中这个是打喷嚏，之前发的视频是咳嗽，打喷嚏有可能是舔毛后刺激呼吸道出现的打喷嚏，这种舔毛后打喷嚏没办法避免，只能平时多给它梳毛
这个也是昨天的视频，这个是打喷嚏吗？？昨天这样之后，比较长时间才缓过来是正常的吗？
为保护用户隐私不显示图片/视频
王冲
执业兽医师
这个视频中不是打喷嚏，稍微有点咳，咳不出来，平时猫咪趴的这些垫子有没有用刺激性气味比较大的消毒液或者清洁剂清洗？这一方面需要注意一下。
没有的，使用的洗衣液也是温和不伤呼吸道的那种婴儿可用的，因为养猫后对其味类产品还是比较在意的，尽可能避免使用。昨天问了我们这边医院检查的医生，说今天给它打针是扩张还是舒缓气管的那种 我想要不要再给它拍个肺部看看？
王冲
执业兽医师
排除了其他的过敏源以后，猫咪还是会有咳嗽出现，打了扩张支气管的针后如果还是有这种症状，最好再拍个肺片看一下肺部支气管有没有炎症反应。如果猫咪咳嗽这个症状出现比较频繁的话，个人还是怀疑是呼吸道或者肺部有炎症感染，只是相对轻一点，拍片子拍正位侧位两张对比看一下
那我今天带它打针前先拍一下肺部的，因为我也是比较嘀咕肺这个点，如果说肺部有轻微炎症也会造成它这样咳嗽是吧？只不过验证不严重，所以saa没有炎症反应这样吗？这个是我整理的它发病的过程，您看看
为保护用户隐私不显示图片/视频
王冲
执业兽医师
根据你的描述，猫咪咳嗽最明显的一个点就是环境都差比较大，最好两次是舔毛出现的打喷嚏，前两个是环境温差冷热交替出现的咳嗽，这种情况最大的可能性就是肺部有炎症感染，可能比较轻一点，还是拍一下片子再确定一下
王冲
执业兽医师
从正位片子看，也就是第二张，肺纹理有点重，比之前的片子要重一点，有可能呼吸道有感染了，建议给猫咪口服**环素止咳，配合***甘口服液效果能好点。
肺部纹理的地方您可以圈出来吗？我们这边医生说肺没有问题呢 是相对于之前的片子肺部感染已经显现出来的意思吗？
王冲
执业兽医师
心脏两边黑色的位置是胸腔，正常胸腔是黑色的，你家猫咪这个有点雾状阴影，你对比一下第一次的片子，第一次胸腔阴影比今天要轻一点，建议喂药止咳，**环素吃了不会对猫咪造成影响
为保护用户隐私不显示图片/视频
就先吃**环素吗？5.7kg吃多少？目前看肺部问题不严重吧？
王冲
执业兽医师
需要**环素和***甘口服液两种配合服用，请点开查看详情看看用量和喂法，连用一周。
猫咪现在能吃能喝，还不严重，不过平时一定要注意环境温差不能一冷一热，这样会刺激呼吸道
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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