咨询描述:时期1: 杯状病毒感染,食欲不振,精神差(约一个月)
刚刚买回来的猫因为打喷嚏流鼻涕没太在意,以为只是普通感冒,因此没有带她去医院检查,感冒两个星期后还没好,而且带有黄鼻涕和眼屎,于是带她去医院检查出来发烧的迹象,之后测出是杯状病毒感染。这段时间身体状况和精神越来越差,打了3天针状况没有好转,之后在医院输液,精神和食欲有好转。然而领回家后发现后腿无力,此时体重由1.4kg下降到1.1。
时期2: 后腿无力,大小便失禁
因为食欲恢复,在家观察两天后,再次送回宠物医院,拍x光和b超结果如图,现在每天看到猫咪十分心疼
症状描述:如上
患病时长:1.5个月
医院检查:如图
用药情况:如图,以及各种维生素补剂
问题大致一样,细节不同?
徐灿
执业兽医师
你好,家长,检测出杯状病毒阳性是这个月七号的事情,但是我需要问一下,后面的这个X光片是什么时候的?后面这个X光片腹部呈现出大面积的白色,有可能会有腹水,并且有粪便的干结,我需要问一下他有没有肌肉萎缩?
杯状病毒属于病毒性疾病,一般7到10天左右就可以康复了,所以能不能让我看一下猫咪现在的状态?还有就是你要检查一下,他现在是不是有肌肉萎缩的情况?尤其是后腿的肌肉,是不是有萎缩?我需要准确的知道一下,后面这两张X光片拍摄的时间。
1. x光片是23号的,就是昨天。目前状况是:便秘(拉的少,质地很硬,23号已经用***通了一次便),小便失禁(漏尿,随地小便,感觉是控制不住)。2.肌肉萎缩:我个人分辨不出什么是肌肉萎缩,但是她目前的状况是,后腿无力,爬不进去猫砂盆,走路摇晃,拖着后腿走。 后腿有知觉,可以动,但基本上没有力气。 3. 猫咪目前状况:走路只为吃喝拉撒,大部分时间卧着。可以看得出她皱着眉头。目前精神状态还不错,会主动吃粮。但喝水较少4.补充:她有吃猫砂的迹象,最近经常去吃猫砂
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
对于这种情况来说,我个人非常建议去做个炎症反应测试和生化,因为他腹部的X光结果非常的模糊,有可能有腹水,要考虑一下传染性腹膜炎,最好是能明天做个生化看一下白球比,还有看一下炎症,然后确认一下炎症是否是极高,而且白球比是否低于0.8。因为总体来说,他这个状态有点像湿性的传染性腹膜炎。
基本上能确定和之前的杯状病毒没关系,但是高度建议排除传染性腹膜炎的可能性,明天的话,最好是能把化验结果发回做复诊,因为像这种排便不畅,基本不吃东西,腹部X光看不到其他脏器,都提示可能有传染性腹膜炎。
你可以现在就摸一下,他的后腿是不是能直接摸到大腿骨?是不是摸到胸腔的时候,肋骨一根是一根的?
1. 了解,明天就带她去做检查。另外拿到结果后,大概什么时候发回给您。我是因为担心猫咪睡不着,您这么晚还没休息,明天大概可以在什么时候上班回复? 2. 可以直接摸到大腿骨,胸腔肋骨也摸得到,她现在非常瘦,脊椎都摸得十分清楚。
徐灿
执业兽医师
我是属于夜班,但是有紧急的情况也可以直接上线,明天的话,化验结果出来之后直接发回给我就可以,我上线之后,会直接进行回复,如果特别着急,也可以联系客服,微信是(*******),然后让客服打电话给我,一般下午两点之前肯定会回复。当然,特殊情况特殊对待,如果说明天他的炎症超过50,或者是白球比低于0.8,甚至低于0.6,那么基本上就能确诊了,或者是直接发回给我也可以。
医生您好,我查了一下传染性腹膜炎的症状,我可以基本上确定妹妹就是得了这个病,没有及时发现治疗。不浪费更多时间的前提下,假设已经确诊,接下来的治疗阶段该怎么做呢?
徐灿
执业兽医师
首先就是他只是症状上比较像,一般临床上有两个方案,一个是直接用药进行逆向诊断,另外一个就是先做检查,当然,保守起见可以先做检查,经济能力稍差一些,可以做个炎症反应测试,因为毕竟传染性腹膜炎属于病毒性疾病,他的炎症一定会特别高,稳妥一点,可以看一下白球比。
如果说确实确诊了,那么基本上都是需要使用***,再加上一些护肝的激素,还有一些抗生素一起用,出于某些原因,平台上不允许出售***,我只能帮你开出其余的药物,后续的话,你可以坚持用药,但是***的话,一般用药时间会很长,激素,抗生素之类的可以用10到15天左右,护肝药物可能需要用药15到20天,这个得看具体情况。
徐灿
执业兽医师
从化验结果上来看,不足以直接确定他就是传染性腹膜炎,虽然病毒性疾病会造成白细胞降低,但是综合考虑,个人建议是可以注射***逆向诊断,但是在这之前最好是能做一个细小测试,排除细小病毒的可能性,因为临床上最明显的能够造成白细胞降低的就是细小,再有就是后续抗生素和输液等都必须使用,他不吃不喝。建议增加支持性疗法,给予糖分和氨基酸等输液。
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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