咨询描述:您好,猫咪昨天开始咳嗽,每次咳嗽都是在睡觉的时候,持续一至两分钟 昨天下午5点三十开始到今早9点有5次。今天一直观察他的呼吸,发现腹部起伏较大,想请您帮忙看看是什么情况。
问题大致一样,细节不同?
这是另一个视频,猫咪比较害怕去医院 所以想在线上咨询下有没有到实在要去医院的地步
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徐灿
执业兽医师
你好,家长,实际上,咳嗽一般要考虑两方面的问题。一个是心脏,一个是肺部,他的呼吸确实是有一定的以腹部为主导,我需要问一下他呼吸的时候肺部有没有杂音?还有就是他之前有没有心脏方面的疾病?
这种情况最好的办法就是直接拍一张侧位的X光片,然后看一下心脏和肺部的情况,看一下是否有支气管感染,以及是否存在心脏肥大的问题。
徐灿
执业兽医师
这种情况我需要首先确认呼吸是否有杂音,另外就是他的食欲和精神状态是正常的吗?一般来说,如果呼吸有一定的杂音,那么主要考虑是以肺部为主导,另外就是他之前有没有心脏病的历史?到现在为止,用过什么药吗?
他吃饭玩耍等都正常,杂音目前我没听到,耳朵贴着他听听不到什么。不知是否要用听诊器才可以。现在还是联系去医院检查对吗?
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徐灿
执业兽医师
从状态上来说,还是比较不错的,有医疗条件的话,肯定是以检查为主,因为这样的话,相对来说更为稳妥,一般都是拍摄侧位胸片,看一下肺纹理,还有心脏大小,如果医疗条件稍差一些,或者猫咪比较恐惧,也可以选择药物逆向诊断。
到目前为止还没有用药,因为是昨天才出现这个情况的,他没有心脏病史。他这种呼吸方式是腹式呼吸吗?这种情况是尽快去医院比较好吗
徐灿
执业兽医师
是否直接去医院得看个人意愿,他这种情况也可以用一些药物,然后逆向诊断,当然,最稳妥的肯定是拍摄侧位胸片,你可以拍这个片子回来,然后我再进行复诊,一般的这种情况,大部分都是可以通过口服药物解决的。
徐灿
执业兽医师
可以的,没问题,你可以保留一次提问次数,然后后续拍摄一张侧位胸片,然后明天回来进行复诊,一般来说,如果心脏没有问题的话,可以通过抗生素口服得到治疗,我帮你开了个常规的治疗咳嗽的方案,后续的话,如果心脏没问题,你就可以使用该方案,当然也不是唯一方案。
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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