咨询描述：德文母，1岁半，已绝育。
8月2日玩耍时从0.5米高的窗台跳在地板上，后出现右前肢跛行。立即赶去医院拍片，没有进行治疗。（可见图片1、图片2）
9月11日，患处肿胀，跛行，重新拍了片子，口服5天**+***。（可见图3、图4）
9月23日，患处肿胀、跛行，去医院做了杯状等检查，显示有疱疹病毒，但无疱疹症状。怀疑是疱疹导致，所以进行一周疱疹治疗。（可见图片5、图片6）
10月2日，患处肿胀、跛行，换了医院拍x光，口服**治疗，三天一只，治疗一周。（可见图片7、图片8）
10月10日，患处肿胀、跛行，进行外固定包扎治疗。
10月18日，更换外固定，口服**环素7日。
10月26日，拆外固定，肿胀消退，依旧跛行，重新拍片子，验血查感染，显示骨头异常。（可见图片9、图片10、图片11、图片12）
问题大致一样，细节不同？
孙厚福
执业兽医师
您好，我已收到你的咨询，为了更好诊治，我需要近一步了解宝贝情况。
片子看考虑骨膜增生性多关节炎
1.目前是否做过药敏试验？是否做过CT检查？
2.血液检查有炎症建议使用消炎药，同时可以配合类固醇治疗
3.需要限制一下运动？同时可以配合激光治疗
4.是各外出过？是否做过体外驱虫？
除此之外，宝贝目前的症状来讲，希望主人你仔细提供给我。方便我更好的分析宝贝的病情，并给出更准确的诊断和保守的治疗建议。感谢你的配合。
1、没有做过药敏试验。没有CT检查。2、血液查出没有炎症。3、限制运动静养约1个半月，其中软包扎固定2周，没有改善，激光治疗是指什么样的治疗呀。3、做过内外驱，平时除看病不外出。
为保护用户隐私不显示图片/视频
孙厚福
执业兽医师
目前看片子考虑骨膜增生性多发关节炎不排除肿瘤可能性，可以使用类固醇***龙同时配合激光治疗看一下，目前还是需要继续限制运动。
为保护用户隐私不显示图片/视频
1、目前的医院似乎没有激光治疗的条件，需要转院。2、***龙治疗如果有效的话，是不是一周可以看出来。超过一周没有效果的话，是不是就考虑肿瘤可能性了呢？3、肿瘤是否只能骨穿刺取样送检，有没有别的诊断方法。4、确诊肿瘤后是否只能截肢？
孙厚福
执业兽医师
1.***龙正常口服10-14天会有效果的
2.如果口服***龙没有效果可能会考虑肿瘤，正常需要骨穿取病理确诊同时可以配合CT诊断
3.如果是肿瘤需要看一下肿瘤性质
家长你好，考虑宝贝的情况，我给宝贝开具了一个处方，你可以根据实际需求自行选择购买。
1***龙早晚各一粒
2.***早晚各半袋
你可以点击查看详情按钮，进入处方页面查看药物使用说明。
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
{"568048":{"id":568048,"case_id":63071,"user_id":1321141,"to_user_id":2432494,"type":3,"content":"1.***龙正常口服10-14天会有效果的\n2.如果口服***龙没有效果可能会考虑肿瘤，正常需要骨穿取病理确诊同时可以配合CT诊断\n3.如果是肿瘤需要看一下肿瘤性质\n家长你好，考虑宝贝的情况，我给宝贝开具了一个处方，你可以根据实际需求自行选择购买。\n1***龙早晚各一粒\n2.***早晚各半袋\n你可以点击查看详情按钮，进入处方页面查看药物使用说明。","media":{"images":{},"videos":{},"business_params":{"prescription_id":156853}},"is_doctor":1,"status":1,"created_at":"2023-10-26 15:07:55","show_rx":true,"rx_info":{"id":156853,"rx_no":2.0231026150715502e+24,"user_id":2432494,"doctor_user_id":1321141,"is_independent":0,"case_id":3186838,"pet_info":{"pet_id":410313,"pet_name":"德文卷毛猫","pet_nickname":"嘟嘟","pet_gender":4,"pet_birth":"1-8","pet_weight":3,"pet_vaccination_status":1,"pet_in_insect_repellent_status":1,"pet_out_insect_repellent_status":1,"pet_age_format":"1岁8个月"},"diagnose":"骨膜增生关节炎不排除肿瘤","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2023-10-26 15:07:15","updated_at":"2023-10-26 15:07:55","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":124028,"prescription_id":156853,"doctor_user_id":1321141,"product_id":774,"product_sku_id":816,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":14,"number":1,"remark":"","created_at":"2023-10-26 15:07:15","updated_at":"2023-10-26 15:07:15","product_info":{"id":774,"hash_id":"7GDJdPpkE6gWkR6K","class_ids":{"0":1,"1":2},"category_ids":{"0":173},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":63,"sell_point":"摩登狗泼尼松龙 P5 5mg","title":"摩登狗泼尼松龙 P5 5mg×100片\/瓶","recommend_reason":{"0":"用于犬猫消炎和抗过敏","1":"用于炎症、风湿病、关节炎、过敏性皮炎等炎症"},"baike_guide_text":"","baike_article_hash_id":"","advword":"炎症,风湿病,关节炎,过敏性皮炎,犬心丝虫性肺炎,犬窝咳,先天性食欲不振,淋巴浆细胞增多性肠炎,狄氏鼠药中毒,脑脊髓炎","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"100片盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/07\/21f23c6705d1e32cd9325344b3429055.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":148,"max_price":148,"sale_count":474,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 15:45:20","updated_at":"2024-11-22 14:25:20","ins":{"id":63,"hash_id":"","class_ids":"[1,2]","title":"摩登狗泼尼松龙 P5 100片\/瓶","common_name":"泼尼松龙 P5","trade_name":"P5","en_name":"Prednisolone for dog&cat","brand_name":"摩登狗","is_prescription":1,"cover":"\/drug\/2024\/07\/5433d10a8357e0b122a0954fe0825c65.jpg","specification":"5mg×100片\/瓶","reference_price":180,"component":"泼尼松龙","indication":"1.用于犬猫消炎和抗过敏。\n2.适用于炎症、风湿病、关节炎、过敏性皮炎、犬恶心丝虫性肺炎、犬窝咳、猫先天性食欲不振、淋巴浆细胞增多性肠炎、狄氏鼠药中毒、肉芽肿型脑膜脑脊髓炎。","usage_dosage":"1.常规每公斤体重0.5-2.5mg，或每10公斤体重1-2片。\n2.过敏性皮炎：0.5-1mg\/kg体重，每天2次，连用5-7天；然后按2mg\/kg体重，每隔一天的上午7-10点给药；之后每隔一周剂量减半，直至维持控制病情的最低剂量。\n3.心丝虫性肺炎：1mg\/kg体重，隔天用药一次，持续三个月。\n4.淋巴浆细胞增多性肠炎、狄氏鼠药中毒、肉芽肿型脑膜脑脊髓炎：1-2mg\/kg体重，每天1-2次，根据情况选择不同的治疗方案。","contraindication":"","adverse_reaction":"","attention":"（新老包装随机发货）","interaction":"","approval_no":"兽药字031801589","storage_method":"密封，在凉暗干燥处保存。","validity":"2年","manufacturer":"秦皇岛摩登狗生物科技有限公司","status":1,"created_at":"2020-11-05 19:14:53","updated_at":"2024-07-09 09:17:28"}},"product_sku_info":{"id":816,"product_id":774,"title":"摩登狗泼尼松龙 P5 5mg×100片\/瓶","advword":null,"price":148,"market_price":180,"cost_price":0,"stock":2,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"100片盒装"}},"cover":null,"thumb":"","sale_count":499,"status":1,"delete_status":0,"cloud_repo_id":1,"cloud_repo_goods_id":"yaopin110","sort":1,"created_at":"2021-12-20 15:45:20","updated_at":"2024-11-22 14:25:20"}},"1":{"id":124029,"prescription_id":156853,"doctor_user_id":1321141,"product_id":997,"product_sku_id":1052,"dose":0.5,"dose_unit":"袋","use_method":"口服","frequency":"每天2次","days":30,"number":1,"remark":"","created_at":"2023-10-26 15:07:15","updated_at":"2023-10-26 15:07:15","product_info":{"id":997,"hash_id":"lazo6rxWrGgOqD9E","class_ids":{"0":1,"1":2},"category_ids":{"40":211},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":256,"sell_point":"杜力德 宠物康健灵 30袋\/盒","title":"杜力德 宠物康健灵 30袋\/盒","recommend_reason":{"0":"可长期口服，促进机体细胞活性，帮助初生、老年、手术宠物维持身体机能平衡体弱多病的宠物易恢复，健康的宠物保健预防不易生病。","1":"活化BRM系统，提高抗病菌细胞活性，强化吞噬能力，对病毒性感染:形端、犬癌细小，有效应对呼吸道问题: 猫鼻支辅助改善端虫、真菌、细菌性皮肤问题降低复发率。","2":"1.天然萃取高纯度有效成分多糖，修正专业技术，对肿块结节增生等有一定抑制扩散和缓解恶化的帮助。2.降低化疗副作用，提高靶向效果，改善病患生活质量。3.黄金配方，添加特殊菌株，脱基因毒性抑制扩散效果加倍。","3":"各种手术术后抗感染和术后恢复"},"baike_guide_text":"","baike_article_hash_id":"","advword":"杜力德,宠物康健灵,抗肿瘤药物,搭配伴侣,疫苗伴侣,提高体质,病毒真菌感染,肿块结节增生","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"30袋\/盒"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2023\/02\/624ef50b73e1c1f9b28648724563f720.jpg","images":{},"attr_data":{},"content":"","supplier_id":0,"transport_id":1,"min_price":238,"max_price":238,"sale_count":65,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2023-02-03 14:26:26","updated_at":"2024-11-14 09:09:07","ins":{"id":256,"hash_id":"VjX39W4zZz4Q0bvZ","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"杜力德 宠物康健灵 30袋\/盒","common_name":"杜力德宠物康健灵","trade_name":"杜力德 宠物康健灵 30袋\/盒","en_name":"dulide","brand_name":"杜力德","is_prescription":0,"cover":"\/drug\/2023\/02\/1b0d89f0682672cc20520a1354039183.jpg","specification":"30袋\/盒","reference_price":300,"component":"麦芽糊精、脱盐乳清粉、果寡糖、B-葡聚糖、植物乳杆菌、副干酪乳杆菌","indication":"提高体质，病毒真菌感染，肿块结节增生，疫苗伴侣，术后恢复，搭配伴侣","usage_dosage":"常规用量(每天一次)治疗期间加倍或遵医嘱\n1公斤以下 小于1\/4包\n1-3公斤 1\/4包\n3-6公斤 1\/2包\n6-10公斤 1包\n10公斤 每10公斤*1包","contraindication":"","adverse_reaction":"","attention":"","interaction":"","approval_no":"","storage_method":"干燥、通风、无鼠害、无污染、阴凉的室内","validity":"24个月","manufacturer":"","status":1,"created_at":"2023-02-03 14:15:32","updated_at":"2023-02-03 14:15:32"}},"product_sku_info":{"id":1052,"product_id":997,"title":"杜力德 宠物康健灵 30袋\/盒","advword":null,"price":238,"market_price":285,"cost_price":0,"stock":972,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"30袋\/盒"}},"cover":null,"thumb":"","sale_count":65,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2023-02-03 14:26:26","updated_at":"2024-11-13 19:37:54"}}},"drug_data_bak":{"0":{"id":124028,"prescription_id":156853,"doctor_user_id":1321141,"product_id":774,"product_sku_id":816,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":14,"number":1,"remark":"","created_at":"2023-10-26 15:07:15","updated_at":"2023-10-26 15:07:15","product_info":{"id":774,"hash_id":"7GDJdPpkE6gWkR6K","class_ids":{"0":1,"1":2},"category_ids":{"0":173},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":63,"sell_point":"摩登狗泼尼松龙 P5 5mg","title":"摩登狗泼尼松龙 P5 5mg×100片\/瓶","recommend_reason":{"0":"用于犬猫消炎和抗过敏","1":"用于炎症、风湿病、关节炎、过敏性皮炎等炎症"},"baike_guide_text":"","baike_article_hash_id":"","advword":"炎症,风湿病,关节炎,过敏性皮炎,犬心丝虫性肺炎,犬窝咳,先天性食欲不振,淋巴浆细胞增多性肠炎,狄氏鼠药中毒,脑脊髓炎","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"100片盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/07\/21f23c6705d1e32cd9325344b3429055.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":148,"max_price":148,"sale_count":474,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 15:45:20","updated_at":"2024-11-22 14:25:20","ins":{"id":63,"hash_id":"","class_ids":"[1,2]","title":"摩登狗泼尼松龙 P5 100片\/瓶","common_name":"泼尼松龙 P5","trade_name":"P5","en_name":"Prednisolone for dog&cat","brand_name":"摩登狗","is_prescription":1,"cover":"\/drug\/2024\/07\/5433d10a8357e0b122a0954fe0825c65.jpg","specification":"5mg×100片\/瓶","reference_price":180,"component":"泼尼松龙","indication":"1.用于犬猫消炎和抗过敏。\n2.适用于炎症、风湿病、关节炎、过敏性皮炎、犬恶心丝虫性肺炎、犬窝咳、猫先天性食欲不振、淋巴浆细胞增多性肠炎、狄氏鼠药中毒、肉芽肿型脑膜脑脊髓炎。","usage_dosage":"1.常规每公斤体重0.5-2.5mg，或每10公斤体重1-2片。\n2.过敏性皮炎：0.5-1mg\/kg体重，每天2次，连用5-7天；然后按2mg\/kg体重，每隔一天的上午7-10点给药；之后每隔一周剂量减半，直至维持控制病情的最低剂量。\n3.心丝虫性肺炎：1mg\/kg体重，隔天用药一次，持续三个月。\n4.淋巴浆细胞增多性肠炎、狄氏鼠药中毒、肉芽肿型脑膜脑脊髓炎：1-2mg\/kg体重，每天1-2次，根据情况选择不同的治疗方案。","contraindication":"","adverse_reaction":"","attention":"（新老包装随机发货）","interaction":"","approval_no":"兽药字031801589","storage_method":"密封，在凉暗干燥处保存。","validity":"2年","manufacturer":"秦皇岛摩登狗生物科技有限公司","status":1,"created_at":"2020-11-05 19:14:53","updated_at":"2024-07-09 09:17:28"}},"product_sku_info":{"id":816,"product_id":774,"title":"摩登狗泼尼松龙 P5 5mg×100片\/瓶","advword":null,"price":148,"market_price":180,"cost_price":0,"stock":2,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"100片盒装"}},"cover":null,"thumb":"","sale_count":499,"status":1,"delete_status":0,"cloud_repo_id":1,"cloud_repo_goods_id":"yaopin110","sort":1,"created_at":"2021-12-20 15:45:20","updated_at":"2024-11-22 14:25:20"}},"1":{"id":124029,"prescription_id":156853,"doctor_user_id":1321141,"product_id":997,"product_sku_id":1052,"dose":0.5,"dose_unit":"袋","use_method":"口服","frequency":"每天2次","days":30,"number":1,"remark":"","created_at":"2023-10-26 15:07:15","updated_at":"2023-10-26 15:07:15","product_info":{"id":997,"hash_id":"lazo6rxWrGgOqD9E","class_ids":{"0":1,"1":2},"category_ids":{"40":211},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":256,"sell_point":"杜力德 宠物康健灵 30袋\/盒","title":"杜力德 宠物康健灵 30袋\/盒","recommend_reason":{"0":"可长期口服，促进机体细胞活性，帮助初生、老年、手术宠物维持身体机能平衡体弱多病的宠物易恢复，健康的宠物保健预防不易生病。","1":"活化BRM系统，提高抗病菌细胞活性，强化吞噬能力，对病毒性感染:形端、犬癌细小，有效应对呼吸道问题: 猫鼻支辅助改善端虫、真菌、细菌性皮肤问题降低复发率。","2":"1.天然萃取高纯度有效成分多糖，修正专业技术，对肿块结节增生等有一定抑制扩散和缓解恶化的帮助。2.降低化疗副作用，提高靶向效果，改善病患生活质量。3.黄金配方，添加特殊菌株，脱基因毒性抑制扩散效果加倍。","3":"各种手术术后抗感染和术后恢复"},"baike_guide_text":"","baike_article_hash_id":"","advword":"杜力德,宠物康健灵,抗肿瘤药物,搭配伴侣,疫苗伴侣,提高体质,病毒真菌感染,肿块结节增生","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"30袋\/盒"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2023\/02\/624ef50b73e1c1f9b28648724563f720.jpg","images":{},"attr_data":{},"content":"","supplier_id":0,"transport_id":1,"min_price":238,"max_price":238,"sale_count":65,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2023-02-03 14:26:26","updated_at":"2024-11-14 09:09:07","ins":{"id":256,"hash_id":"VjX39W4zZz4Q0bvZ","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"杜力德 宠物康健灵 30袋\/盒","common_name":"杜力德宠物康健灵","trade_name":"杜力德 宠物康健灵 30袋\/盒","en_name":"dulide","brand_name":"杜力德","is_prescription":0,"cover":"\/drug\/2023\/02\/1b0d89f0682672cc20520a1354039183.jpg","specification":"30袋\/盒","reference_price":300,"component":"麦芽糊精、脱盐乳清粉、果寡糖、B-葡聚糖、植物乳杆菌、副干酪乳杆菌","indication":"提高体质，病毒真菌感染，肿块结节增生，疫苗伴侣，术后恢复，搭配伴侣","usage_dosage":"常规用量(每天一次)治疗期间加倍或遵医嘱\n1公斤以下 小于1\/4包\n1-3公斤 1\/4包\n3-6公斤 1\/2包\n6-10公斤 1包\n10公斤 每10公斤*1包","contraindication":"","adverse_reaction":"","attention":"","interaction":"","approval_no":"","storage_method":"干燥、通风、无鼠害、无污染、阴凉的室内","validity":"24个月","manufacturer":"","status":1,"created_at":"2023-02-03 14:15:32","updated_at":"2023-02-03 14:15:32"}},"product_sku_info":{"id":1052,"product_id":997,"title":"杜力德 宠物康健灵 30袋\/盒","advword":null,"price":238,"market_price":285,"cost_price":0,"stock":972,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"30袋\/盒"}},"cover":null,"thumb":"","sale_count":65,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2023-02-03 14:26:26","updated_at":"2024-11-13 19:37:54"}}}}}}
微信扫一扫
立即问宠医
