咨询描述:医生你好,我家狗狗8岁,博美,体型有点胖,4月份开始有咳嗽,倒吸气的症状,当时做了心超和X光,过了半年,10月份复查了心超和x光,它的肺部和心脏有问题吗?最近是激动了会咳嗽,倒吸气没有频繁发生,前2张是4月的检查结果,后面的2张是才做的
问题大致一样,细节不同?
于博
执业兽医师
您好,拍子看心脏是增大的,扩张性心脏病。导致气管上抬引起咳喘情况。肺部还好,有几处高密度回声应该是气管壁钙化。
心脏问题怎么处理呢?肺部多久复查一次呢,肺部没有其他什么肿瘤之类严重的问题吧……
于博
执业兽医师
好的稍后给您开个针对心脏药物的处方。它目前只是在激动的时候咳喘是吗?平时稳定时或者早晚不会有咳喘吗?
目前看胸片没有见明显能见的肿瘤
就只有激动的时候像什么卡住的感觉,会咔咔呕吐一下,其他的时候都不会
就只有激动的时候像什么卡住的感觉,会咔咔呕吐一下,其他的时候都不会
于博
执业兽医师
1.*** 一天两次(12小时一次),一次半片
2.*** 一天一次 一次一粒
3.控制好体重,不要过于肥胖
4.平时减少生气、激动
5.不要剧烈运动、长时间走动。适当运动。
6.家中备吸氧机和****以免紧急情况。
7.少摄入高盐食物
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
{"564700":{"id":564700,"case_id":62746,"user_id":1734397,"to_user_id":2181573,"type":3,"content":"1.*** 一天两次(12小时一次),一次半片\n2.*** 一天一次 一次一粒\n3.控制好体重,不要过于肥胖\n4.平时减少生气、激动\n5.不要剧烈运动、长时间走动。适当运动。\n6.家中备吸氧机和****以免紧急情况。\n7.少摄入高盐食物","media":{"images":{},"videos":{},"business_params":{"prescription_id":156685}},"is_doctor":1,"status":1,"created_at":"2023-10-25 08:37:53","show_rx":true,"rx_info":{"id":156685,"rx_no":2.0231025083418502e+24,"user_id":2181573,"doctor_user_id":1734397,"is_independent":0,"case_id":3186180,"pet_info":{"pet_id":339871,"pet_name":"博美","pet_nickname":"可可","pet_gender":1,"pet_birth":"7-9","pet_weight":4,"pet_vaccination_status":1,"pet_in_insect_repellent_status":1,"pet_out_insect_repellent_status":1,"pet_age_format":"7岁9个月"},"diagnose":"扩张性心脏病","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2023-10-25 08:34:18","updated_at":"2023-10-25 08:37:53","deleted_at":null,"from_source":"online","template_id":264,"drug_data":{"0":{"id":123642,"prescription_id":156685,"doctor_user_id":1734397,"product_id":769,"product_sku_id":811,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":30,"number":1,"remark":"","created_at":"2023-10-25 08:34:18","updated_at":"2023-10-25 08:34:18","product_info":{"id":769,"hash_id":"z9y32wx7BVgROl16","class_ids":{"0":1},"category_ids":{"6":167},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":66,"sell_point":"优心乐 匹莫苯丹&辅酶Q10","title":"摩登狗优心乐 匹莫苯丹&辅酶Q10 2.5mgx12片\/盒","recommend_reason":{"0":"用于于房室瓣膜关闭不全或心肌肥大引起的充血性心力衰竭","1":"辅酶Q10能够提高免疫力、增强抗氧化","2":"增加心肌收缩力量,加大泵血量"},"baike_guide_text":"","baike_article_hash_id":"","advword":"心肌肥大,充血性心力衰竭,匹莫苯丹,辅酶Q10","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"12片盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/0c0230e5e7ac3a96be3b187df600381b.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":128,"max_price":128,"sale_count":32,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 15:02:07","updated_at":"2024-11-22 09:25:15","ins":{"id":66,"hash_id":"","class_ids":"[\u00221\u0022]","title":"","common_name":"匹莫苯丹&辅酶Q10","trade_name":"优心乐","en_name":"Heart Guarder","brand_name":"摩登狗","is_prescription":1,"cover":"\/drug\/2020\/11\/0472835820585cfa220aefda8bc16234.JPG","specification":"2.5mgx12片\/盒","reference_price":150,"component":"匹莫苯丹和辅酶Q10","indication":"主要治疗由于房室瓣膜关闭不全或心肌肥大引起的轻微、中度和严重的充血性心力衰竭。辅酶Q10能够提高免疫力、增强抗氧化。增加心肌收缩力量,加大泵血量。","usage_dosage":"0.25mg\/kg体重,口服,12小时一次。(每10公斤体重一片,一天2次)","contraindication":"","adverse_reaction":"","attention":"1. 本品只适用于治疗患有临床心力衰竭的犬,禁用于人。\n2. 避免让儿童接触本品。","interaction":"","approval_no":"","storage_method":"密封,在凉暗干燥处保存。","validity":"2年","manufacturer":"摩登狗生物科技有限公司","status":1,"created_at":"2020-11-06 14:37:23","updated_at":"2020-11-06 14:37:23"}},"product_sku_info":{"id":811,"product_id":769,"title":"摩登狗优心乐 匹莫苯丹&辅酶Q10 2.5mgx12片\/盒","advword":null,"price":128,"market_price":160,"cost_price":0,"stock":77,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"12片盒装"}},"cover":null,"thumb":"","sale_count":33,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-20 15:02:07","updated_at":"2024-11-22 04:03:41"}},"1":{"id":123643,"prescription_id":156685,"doctor_user_id":1734397,"product_id":760,"product_sku_id":802,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":30,"number":1,"remark":"","created_at":"2023-10-25 08:34:18","updated_at":"2023-10-25 08:34:18","product_info":{"id":760,"hash_id":"O2PrEVxd5vp1e6Wk","class_ids":{"0":1,"1":2},"category_ids":{"0":167},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":86,"sell_point":"欧欣乐宠物营养补充剂0.5g×30片\/盒","title":"欧欣乐宠物营养补充剂0.5g×30片\/盒","recommend_reason":{"0":"需要进行心脏功能维持的老年犬猫","1":"需要进行体重控制的肥胖犬猫","2":"患心功能不全或其他心血管疾病的犬猫"},"baike_guide_text":"","baike_article_hash_id":"","advword":"辅酶Q10,左旋肉碱,心血管,心力衰竭,血栓梗塞,心律失常,心肌缺血,老年犬猫,肥胖犬猫,心功能","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"30粒盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2023\/06\/31cdcf03aa20abb8a36908cf41aa4a20.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":158,"max_price":158,"sale_count":135,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 14:26:01","updated_at":"2024-11-23 10:01:19","ins":{"id":86,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"欧欣乐宠物营养补充剂0.5g×30片\/盒","common_name":"欧欣乐宠物营养补充剂0.5g×30片\/盒","trade_name":"欧欣乐","en_name":"Hearth nutyitional cheewable tablets with high palatability","brand_name":"欧博方","is_prescription":0,"cover":"\/drug\/2023\/06\/edbe046c34b2f68cf4e650a974721aa9.jpg","specification":"0.5g×30片\/盒","reference_price":188,"component":"乳糖、山楂、牛磺酸、L-肉碱酒石酸盐、dl-a-生育酚乙酸酯、壳寡糖、微晶纤维素、羟丙甲纤维素、PVPP、二氧化硅、硬脂酸镁","indication":"可预防和改善各种心血管问题,包括:心力衰竭,血栓梗塞,心律失常,心肌缺血等。\n1.需要进行心脏功能维持的老年犬猫;\n2.需要进行体重控制的肥胖犬猫;\n3.患心功能不全或其他心血管疾病的犬猫。","usage_dosage":"1.根据体重,10KG以下,1粒\/次,每日1次;10-30KG,1粒\/日,每日2次.;30kg以上,1粒\/日,每日3次.,症状严重的适当增加剂量;\n2.直接饲喂或拌在食物里均可。","contraindication":"","adverse_reaction":"","attention":"1.本品仅适用于犬猫。\n2.避免儿童和动物的主动接触。\n3.本品不得饲喂反刍动物","interaction":"","approval_no":"鲁饲预字(2020)02073","storage_method":"防潮、隔热,避免阳光直射,25°C以下保存。","validity":"2年","manufacturer":"青岛欧博方医药科技有限公司","status":1,"created_at":"2020-11-09 19:12:24","updated_at":"2023-06-21 15:49:44"}},"product_sku_info":{"id":802,"product_id":760,"title":"欧欣乐宠物营养补充剂0.5g×30片\/盒","advword":null,"price":158,"market_price":180,"cost_price":0,"stock":16,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"30粒盒装"}},"cover":null,"thumb":"","sale_count":136,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-20 14:26:01","updated_at":"2024-11-22 21:03:04"}}},"drug_data_bak":{"0":{"id":123642,"prescription_id":156685,"doctor_user_id":1734397,"product_id":769,"product_sku_id":811,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":30,"number":1,"remark":"","created_at":"2023-10-25 08:34:18","updated_at":"2023-10-25 08:34:18","product_info":{"id":769,"hash_id":"z9y32wx7BVgROl16","class_ids":{"0":1},"category_ids":{"6":167},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":66,"sell_point":"优心乐 匹莫苯丹&辅酶Q10","title":"摩登狗优心乐 匹莫苯丹&辅酶Q10 2.5mgx12片\/盒","recommend_reason":{"0":"用于于房室瓣膜关闭不全或心肌肥大引起的充血性心力衰竭","1":"辅酶Q10能够提高免疫力、增强抗氧化","2":"增加心肌收缩力量,加大泵血量"},"baike_guide_text":"","baike_article_hash_id":"","advword":"心肌肥大,充血性心力衰竭,匹莫苯丹,辅酶Q10","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"12片盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/0c0230e5e7ac3a96be3b187df600381b.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":128,"max_price":128,"sale_count":32,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 15:02:07","updated_at":"2024-11-22 09:25:15","ins":{"id":66,"hash_id":"","class_ids":"[\u00221\u0022]","title":"","common_name":"匹莫苯丹&辅酶Q10","trade_name":"优心乐","en_name":"Heart Guarder","brand_name":"摩登狗","is_prescription":1,"cover":"\/drug\/2020\/11\/0472835820585cfa220aefda8bc16234.JPG","specification":"2.5mgx12片\/盒","reference_price":150,"component":"匹莫苯丹和辅酶Q10","indication":"主要治疗由于房室瓣膜关闭不全或心肌肥大引起的轻微、中度和严重的充血性心力衰竭。辅酶Q10能够提高免疫力、增强抗氧化。增加心肌收缩力量,加大泵血量。","usage_dosage":"0.25mg\/kg体重,口服,12小时一次。(每10公斤体重一片,一天2次)","contraindication":"","adverse_reaction":"","attention":"1. 本品只适用于治疗患有临床心力衰竭的犬,禁用于人。\n2. 避免让儿童接触本品。","interaction":"","approval_no":"","storage_method":"密封,在凉暗干燥处保存。","validity":"2年","manufacturer":"摩登狗生物科技有限公司","status":1,"created_at":"2020-11-06 14:37:23","updated_at":"2020-11-06 14:37:23"}},"product_sku_info":{"id":811,"product_id":769,"title":"摩登狗优心乐 匹莫苯丹&辅酶Q10 2.5mgx12片\/盒","advword":null,"price":128,"market_price":160,"cost_price":0,"stock":77,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"12片盒装"}},"cover":null,"thumb":"","sale_count":33,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-20 15:02:07","updated_at":"2024-11-22 04:03:41"}},"1":{"id":123643,"prescription_id":156685,"doctor_user_id":1734397,"product_id":760,"product_sku_id":802,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":30,"number":1,"remark":"","created_at":"2023-10-25 08:34:18","updated_at":"2023-10-25 08:34:18","product_info":{"id":760,"hash_id":"O2PrEVxd5vp1e6Wk","class_ids":{"0":1,"1":2},"category_ids":{"0":167},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":86,"sell_point":"欧欣乐宠物营养补充剂0.5g×30片\/盒","title":"欧欣乐宠物营养补充剂0.5g×30片\/盒","recommend_reason":{"0":"需要进行心脏功能维持的老年犬猫","1":"需要进行体重控制的肥胖犬猫","2":"患心功能不全或其他心血管疾病的犬猫"},"baike_guide_text":"","baike_article_hash_id":"","advword":"辅酶Q10,左旋肉碱,心血管,心力衰竭,血栓梗塞,心律失常,心肌缺血,老年犬猫,肥胖犬猫,心功能","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"30粒盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2023\/06\/31cdcf03aa20abb8a36908cf41aa4a20.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":158,"max_price":158,"sale_count":135,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 14:26:01","updated_at":"2024-11-23 10:01:19","ins":{"id":86,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"欧欣乐宠物营养补充剂0.5g×30片\/盒","common_name":"欧欣乐宠物营养补充剂0.5g×30片\/盒","trade_name":"欧欣乐","en_name":"Hearth nutyitional cheewable tablets with high palatability","brand_name":"欧博方","is_prescription":0,"cover":"\/drug\/2023\/06\/edbe046c34b2f68cf4e650a974721aa9.jpg","specification":"0.5g×30片\/盒","reference_price":188,"component":"乳糖、山楂、牛磺酸、L-肉碱酒石酸盐、dl-a-生育酚乙酸酯、壳寡糖、微晶纤维素、羟丙甲纤维素、PVPP、二氧化硅、硬脂酸镁","indication":"可预防和改善各种心血管问题,包括:心力衰竭,血栓梗塞,心律失常,心肌缺血等。\n1.需要进行心脏功能维持的老年犬猫;\n2.需要进行体重控制的肥胖犬猫;\n3.患心功能不全或其他心血管疾病的犬猫。","usage_dosage":"1.根据体重,10KG以下,1粒\/次,每日1次;10-30KG,1粒\/日,每日2次.;30kg以上,1粒\/日,每日3次.,症状严重的适当增加剂量;\n2.直接饲喂或拌在食物里均可。","contraindication":"","adverse_reaction":"","attention":"1.本品仅适用于犬猫。\n2.避免儿童和动物的主动接触。\n3.本品不得饲喂反刍动物","interaction":"","approval_no":"鲁饲预字(2020)02073","storage_method":"防潮、隔热,避免阳光直射,25°C以下保存。","validity":"2年","manufacturer":"青岛欧博方医药科技有限公司","status":1,"created_at":"2020-11-09 19:12:24","updated_at":"2023-06-21 15:49:44"}},"product_sku_info":{"id":802,"product_id":760,"title":"欧欣乐宠物营养补充剂0.5g×30片\/盒","advword":null,"price":158,"market_price":180,"cost_price":0,"stock":16,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"30粒盒装"}},"cover":null,"thumb":"","sale_count":136,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-20 14:26:01","updated_at":"2024-11-22 21:03:04"}}}}}}
微信扫一扫
立即问宠医