咨询描述:猫咪15号转院到上级医院,医生重新对她做了诊断,脂肪肝。针对性治疗以后,肝脏回声有好转,肝水肿从边缘吨圆到现在能看出肝尖形态。26号之前精神状态明显好转,医生打算停药,准备营养支持,27号突然呕吐,流口水,查血氨500。各类显示如下图。27到28号灌肠3次,增加***,28号复查血氨将至100.今天查有尿糖情况。15号开始鼻饲,到27号均喂食120mL罐罐。28号开始减少至70左右。今天医生增加控血糖口服药。
咨询问题:高血糖,高血氨在脂肪肝鼻饲前期喂养高蛋白饮食情况下,肝代谢功能异常导致的。血糖两个周持续在20以上是否可以考虑用***
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。
1.血氨太高容易引起肝性脑病需要排除是否肝门脉系统分流(PSS)
2.血糖20以上可以用***降低血糖
3.需要做一下血气检查可能存在离子紊乱
4.目前治疗方案是什么?
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。
有种药叫*******,临床上针对脂肪肝用药非常有效,这种药猫能不能用。有篇文章有个对照组的数据表明,治疗效果与****差不多
孙厚福
执业兽医师
1.这个药物在猫上面没有用过
2.可以继续调整治疗方案口服其他保肝药物看看指标是否可以下降
3.同时吃肝脏处方罐头
4.另外看看是否有其他问题排除pss和干性传腹
b超一直在做,这边的医生排除干性传腹诊断。这种情况****能不能用,肝脏处方罐头已经减量了,现在只喂60mL左右,猫的体重一直没增加。28号晚上,29号白天,31号早上猫主动喝水。
孙厚福
执业兽医师
推荐👇两个药物看一下
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****片早晚各一粒
2.***早晚各一粒
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
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