咨询描述:于大夫好,我家流浪猫收养三年了,年龄大概7、8岁,去年得过杯状病毒口炎,最近不爱吃饭,体重下降,吐过几次,有口水,以为是口炎犯了,喂了口炎药,时好时坏的,上周六医院检查,肌酐、尿素氮都高,淀粉酶也高,后做了胰腺化验,排除,白细胞也高,贫血,输了三天液,有的指标降了下来,肌酐和尿素氮都没降,医生说在家保守治疗,我现在喂***、***,还有中药治肾衰的,**维、VB这些,我想问您,吃这些可以吗,消炎药**用吃吗?还有一种肾衰的药**用加上吗,效果会更好吗?谢谢
问题大致一样,细节不同?
于博
执业兽医师
好的,目前猫咪精神状态喝食欲怎么样呢?
有多饮多尿的情况吗?还有呕吐吗?
看检查的指标是在持续升高的。不适合出院。30号指标比28号指标豆是升高、而且贫血加重,血磷升高。属于慢性肾衰了。
肾衰听和渗透应该是同一个作用的选择一个就可以
精神一般吧,食欲下降,以前喂的都怎么吃了,猫条这些还愿意吃。吃很少,没有多尿,喝水还行吧,出院后这两天都没吐,医院的意思大概是输液见效不大,比较严重了,回家保守治疗吧。我看那个***的**还挺贵的,我也没有什么治疗经验,以为效果会更好一些。
于博
执业兽医师
如果是治疗的角度。指标没有下降或者维持恒定。是不适合出院的。需要爱继续输液加口服药物。目前有贫血目前红细胞压积需要每周打三次***维持,使压积升到35以上。
如果治疗一周还是不下降而且持续上升,那就只能考虑透析才有可能存活。但是死亡率很高,少数能存活有效果
于博
执业兽医师
1.** 一天两次 一次一勺
2.*** 一天两次 一次一毫升
如果您考虑渗透费用就用这个代替一下
于博
执业兽医师
消炎药也要继续用的,白细胞还是持续升高的。
输液效果比口服药号。建议还是继续输液治疗。如果再治疗5-7天,指标还是控制不住或者没有一点好转。那也没有太好办法了。经济允许的情况下只能试试透析了。
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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