猫咪一边的胸口位置有类似水肿的症状

{"570167":{"id":570167,"case_id":63345,"user_id":1321141,"to_user_id":2438925,"type":3,"content":"如果做不了检查先口服利尿药配合养护心脏药物***\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利尿药早晚各一次，每公斤体重2mg\n2.***一天一次\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":157163}},"is_doctor":1,"status":1,"created_at":"2023-10-29 14:43:22","show_rx":true,"rx_info":{"id":157163,"rx_no":2.0231029144238502e+24,"user_id":2438925,"doctor_user_id":1321141,"is_independent":0,"case_id":3188088,"pet_info":{"pet_id":412986,"pet_name":"其它","pet_nickname":"喵咪","pet_gender":1,"pet_birth":"0-9","pet_weight":4,"pet_vaccination_status":0,"pet_in_insect_repellent_status":0,"pet_out_insect_repellent_status":0,"pet_age_format":"9个月"},"diagnose":"呼吸困难","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2023-10-29 14:42:38","updated_at":"2023-10-29 14:43:22","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":124747,"prescription_id":157163,"doctor_user_id":1321141,"product_id":720,"product_sku_id":762,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":10,"number":1,"remark":"","created_at":"2023-10-29 14:42:38","updated_at":"2023-10-29 14:42:38","product_info":{"id":720,"hash_id":"R0LPkmpM33g3bVXD","class_ids":{"0":1,"1":2},"category_ids":{"27":186},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":193,"sell_point":"维艾宁呋塞米片","title":"汉维宠仕维艾宁呋塞米片20mg×8片×5板\/盒","recommend_reason":{"0":"治疗心力衰竭，非心源性水肿、急性肾衰和高血压等","1":"心力衰竭治疗不推荐单独长期应用利尿剂，联合匹莫苯丹等临床反应更好"},"baike_guide_text":"","baike_article_hash_id":"","advword":"利尿","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"20mg盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2022\/11\/507bbb75537f6cdec5d5649cc1ded5ee.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":148,"max_price":148,"sale_count":76,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 14:46:46","updated_at":"2024-11-18 14:56:55","ins":{"id":193,"hash_id":"650KvV4Qn0gWXBEd","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"汉维宠仕维艾宁呋塞米片","common_name":"维艾宁","trade_name":"呋塞米片","en_name":"Furosemide Tablets","brand_name":"汉维宠仕","is_prescription":1,"cover":"\/drug\/2021\/12\/a393976e258b3a2e0a37d7af8e9e820b.jpeg","specification":"20mg×7片×5板\/盒","reference_price":350,"component":"呋塞米","indication":"利尿药。治疗心力衰竭(急性和慢性)，非心源性水肿、高钙尿性肾病、急性肾衰竭、高钾血症和高血压。心力衰竭治疗中不推荐单独长期应用利尿剂，因为联合治疗患病动物(例如ACE抑制剂、匹莫苯丹)可得到较好的临床反应。","usage_dosage":"以呋塞米计。内服：犬、猫2.5-5mg\/kg\/次。或遵医嘱。","contraindication":"1.脱水和无尿禁用。\n2.禁用于脱水或高尿酸血症的鸟类。\n3.对于电解质严重损耗、肝衰竭和糖尿病的动物应谨慎使用。","adverse_reaction":"容易发生低血钾症、低氯血症、低钙血症、低镁血症和低钠血症、脱水、多尿\/多饮和肾前性氮血症。严重肺部疾病、低输出量性心力衰竭、肥厚型心肌病、心包或心肌异常、心脏压塞和严重高血压的动物可出现心输出量显著降低。其他不良反应包括耳毒性(尤其在猫)、胃肠道紊乱、白细胞减少症、贫血、虚弱和坐立不安。","attention":"","interaction":"氨基糖苷类药物相关的肾毒性\/耳毒性在同时使用呋塞米时可加强。呋塞米可介导低钾血症,因此增加了地高辛毒性的风险。如果呋塞米和乙酰唑胺、皮质类固醇、噻嗪类药物以及茶碱同时给药可增加低钾血症的风险。因为阿司匹林和呋塞米竞争肾脏的排泄位点，所以二者同时使用会降低排泄,可能需要减少剂量。呋塞米可抑制筒箭毒碱的肌肉松弛效果，但可增强琥珀胆碱的作用。","approval_no":"兽药字（2016）090241179","storage_method":"遮光，密封，在干燥处保存。","validity":"2年","manufacturer":"上海汉维生物医药有限公司","status":1,"created_at":"2021-12-22 18:16:29","updated_at":"2021-12-22 18:16:29"}},"product_sku_info":{"id":762,"product_id":720,"title":"汉维宠仕维艾宁呋塞米片20mg×8片×5板\/盒","advword":null,"price":148,"market_price":198,"cost_price":0,"stock":53,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"20mg盒装"}},"cover":null,"thumb":"","sale_count":80,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 14:46:46","updated_at":"2024-11-18 14:53:40"}},"1":{"id":124748,"prescription_id":157163,"doctor_user_id":1321141,"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":"2023-10-29 14:42:38","updated_at":"2023-10-29 14:42:38","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":134,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 14:26:01","updated_at":"2024-10-27 11:39:35","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":124747,"prescription_id":157163,"doctor_user_id":1321141,"product_id":720,"product_sku_id":762,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":10,"number":1,"remark":"","created_at":"2023-10-29 14:42:38","updated_at":"2023-10-29 14:42:38","product_info":{"id":720,"hash_id":"R0LPkmpM33g3bVXD","class_ids":{"0":1,"1":2},"category_ids":{"27":186},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":193,"sell_point":"维艾宁呋塞米片","title":"汉维宠仕维艾宁呋塞米片20mg×8片×5板\/盒","recommend_reason":{"0":"治疗心力衰竭，非心源性水肿、急性肾衰和高血压等","1":"心力衰竭治疗不推荐单独长期应用利尿剂，联合匹莫苯丹等临床反应更好"},"baike_guide_text":"","baike_article_hash_id":"","advword":"利尿","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"20mg盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2022\/11\/507bbb75537f6cdec5d5649cc1ded5ee.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":148,"max_price":148,"sale_count":76,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 14:46:46","updated_at":"2024-11-18 14:56:55","ins":{"id":193,"hash_id":"650KvV4Qn0gWXBEd","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"汉维宠仕维艾宁呋塞米片","common_name":"维艾宁","trade_name":"呋塞米片","en_name":"Furosemide Tablets","brand_name":"汉维宠仕","is_prescription":1,"cover":"\/drug\/2021\/12\/a393976e258b3a2e0a37d7af8e9e820b.jpeg","specification":"20mg×7片×5板\/盒","reference_price":350,"component":"呋塞米","indication":"利尿药。治疗心力衰竭(急性和慢性)，非心源性水肿、高钙尿性肾病、急性肾衰竭、高钾血症和高血压。心力衰竭治疗中不推荐单独长期应用利尿剂，因为联合治疗患病动物(例如ACE抑制剂、匹莫苯丹)可得到较好的临床反应。","usage_dosage":"以呋塞米计。内服：犬、猫2.5-5mg\/kg\/次。或遵医嘱。","contraindication":"1.脱水和无尿禁用。\n2.禁用于脱水或高尿酸血症的鸟类。\n3.对于电解质严重损耗、肝衰竭和糖尿病的动物应谨慎使用。","adverse_reaction":"容易发生低血钾症、低氯血症、低钙血症、低镁血症和低钠血症、脱水、多尿\/多饮和肾前性氮血症。严重肺部疾病、低输出量性心力衰竭、肥厚型心肌病、心包或心肌异常、心脏压塞和严重高血压的动物可出现心输出量显著降低。其他不良反应包括耳毒性(尤其在猫)、胃肠道紊乱、白细胞减少症、贫血、虚弱和坐立不安。","attention":"","interaction":"氨基糖苷类药物相关的肾毒性\/耳毒性在同时使用呋塞米时可加强。呋塞米可介导低钾血症,因此增加了地高辛毒性的风险。如果呋塞米和乙酰唑胺、皮质类固醇、噻嗪类药物以及茶碱同时给药可增加低钾血症的风险。因为阿司匹林和呋塞米竞争肾脏的排泄位点，所以二者同时使用会降低排泄,可能需要减少剂量。呋塞米可抑制筒箭毒碱的肌肉松弛效果，但可增强琥珀胆碱的作用。","approval_no":"兽药字（2016）090241179","storage_method":"遮光，密封，在干燥处保存。","validity":"2年","manufacturer":"上海汉维生物医药有限公司","status":1,"created_at":"2021-12-22 18:16:29","updated_at":"2021-12-22 18:16:29"}},"product_sku_info":{"id":762,"product_id":720,"title":"汉维宠仕维艾宁呋塞米片20mg×8片×5板\/盒","advword":null,"price":148,"market_price":198,"cost_price":0,"stock":53,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"20mg盒装"}},"cover":null,"thumb":"","sale_count":80,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 14:46:46","updated_at":"2024-11-18 14:53:40"}},"1":{"id":124748,"prescription_id":157163,"doctor_user_id":1321141,"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":"2023-10-29 14:42:38","updated_at":"2023-10-29 14:42:38","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":134,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 14:26:01","updated_at":"2024-10-27 11:39:35","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"}}}}}}