咨询描述:医院检查:医生您好猫13号摔了一下 就这样了 昨天做的血检验没什么事 今天拍片胸水 您看严重吗 需要怎么治疗 没有传腹 您给看看有没有膈疝 是不是不需要在做膈疝的检查 检查猫太遭罪了 不抽胸水治疗可以吗 抽太着罪了
问题大致一样,细节不同?
曹元钊
执业兽医师
你好,
这个猫肯定不是猫传腹这一点可以肯定的。
至于他是不是真正的胸水或者说有没有隔阂,因为您发给我的只有一张侧位x光片,而且非常模糊,所以我无法进行肯定,您能否再拍摄两张x光片,正位和侧位都要有,我再看一下,因为如果是格栅的话,就一定要尽快的进行手术了,如果是胸水就得抽胸水吸氧。这两个的治疗方法是完全不一样的。另外如果有条件做一个超声。
曹元钊
执业兽医师
从侧位的x光来说呢,肝脏比较小,看着好像没有破裂,但是呢,他的胸部感觉上又好像有一个器官似的,我不是很确定,我需要两张更多的x光,如果说不是隔疝的话说我恕我直言,一定要抽胸水的,不抽胸水这个病没法看的。
曹元钊
执业兽医师
因为最核心的问题是如果我们不抽这个胸水啊,前提是没有隔阂,如果不抽这个胸水的话,它就会呼吸不上来,呼吸不上来,这个猫特别受罪的。
曹元钊
执业兽医师
或者你也可以选择先试着抽一下胸水,出完了以后你再拍一张x光片就能看得比较清楚一些。抽胸水如果说里面有水的话是一定要进行的,这一点不可以选择的,非常的遗憾,这点绝对不能选择。
这里的医生 打针消炎 吸氧 利尿 9斤猫希望给个用药方案 在家怎么吸氧 先不抽水
曹元钊
执业兽医师
如果是这样的话,你自己要先备一个氧气瓶在家里面,然后呢,你弄一个密封性较好的箱子,你把氧气瓶插里头,让这个猫在里面待一段时间,你不能直接把氧气罩在这个猫的头面部,因为猫可能接受不了这种事情。
然后给这个猫口服这三种药 **一天两次,每次一片,口服七天,***龙一天两次,每次一片,口服7天,***一天两次,每次半片,口服7天。
曹元钊
执业兽医师
打针的话也是用这几个药。只不过**就变成0.1毫升每公斤一天一次。***也是打针,***龙也是打针。而且剂量是一样的
只能打肌肉针吧 点滴会让它水更多吧 这里的医生说 为什么加酒精制氧机
曹元钊
执业兽医师
点滴的话可能会让它水多,但是呢,因为同时用利尿剂,所以影响应该不大,只要注意速度就行
氧气的湿化剂里面我建议加酒精,因为可能如果他是肺水肿的话,可能会对他有所帮助。会促使肺部泡沫容易破裂进而有利于吸收
一天就吸氧多久 氧调到什么基数 这里医生说一天在它这里吸半个小时就行 太少了吧 他说吸多了 醉氧更不好 刚才在另一个医院医生说 回家要吸氧 我都不知道怎么办了
曹元钊
执业兽医师
是这样的,如果是在家里面那种环境下,你是没有高压氧舱的,那我建议时间要尽可能稍微长,你在里面时间最少也得待到6~8个小时。因为氧气是不可能达到说碎氧的那种程度的,最痒的那种程度只存在理论上,用高压氧舱或者说氧气直接吸到鼻腔里面,在家里面是不可能达到的,氧气浓度不会那么高的。
我用整理箱做的吸氧箱 氧浓度调到多少 这生病期间 除了猫粮 可以吃点鸡胸肉 还要吃什么营养的食物吗
为保护用户隐私不显示图片/视频
曹元钊
执业兽医师
这个氧浓度你就调到五六十就行,因为它这个箱子它不是那么完全封闭的。可以吃点鸡胸肉,吃一点猫粮以外呢,再加点罐头。
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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