猫咪白细胞没有升高是否可以排除胰腺炎
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咨询描述:如果猫咪化验单上白细胞没有偏高,是否意味着可以排除胰腺炎?
问题大致一样,细节不同?
于博
执业兽医师
好的,这个不可以排除的,白细胞印象因素很多,比急性炎症,但是白细胞还没有反应过来,会处于正常值或者偏低值。需要查SAA和特异性脂肪酶。
这是我家猫咪22号时候测的化验单,这个化验单可以判断出她当时有没有胰腺炎吗?
为保护用户隐私不显示图片/视频
这是否意味着她当时可能腹泻过?她的情况是这样:她是流浪猫,15号自己跑了出去(外面环境她很熟悉),16号晚上六点被寻回。回来后明显比以前嗜睡,但醒着时候还比较精神。17—19号精神不振,20号相对好。22号我带她化验。期间,她应该食用了少量猫粮,没有或者只有特别小的大便(不排除是以前漏铲的),有结团猫砂。没有发现过呕吐。
有没有可能她当时腹泻过,我没发现?
于博
执业兽医师
只能 说腹泻或者呕吐,喝水少会引起脱水情况。
目前是什么情况呢?是恢复正常了吗?还是严重再治疗中呢?
她在24号住院,护士针管强制喂食,27号重新查了,确诊三体炎。28号上鼻饲,正式治疗三体炎。29号出现呕吐,精神就不好了。呕吐原因是护士走过来打扫笼子。30号护士打扫笼子时候,她又呕吐,并停止呼吸。后来又被抢救了过来。她这样情况是病情,还是她不适合鼻饲?医生说鼻饲位置没问题。
为保护用户隐私不显示图片/视频
于博
执业兽医师
这个检查指标是胰腺炎阳性,肝炎。如果有腹泻就是三体炎了。
鼻饲管不会引起呼吸停止的,而且如果插错位置,只要饲喂就会引起咳喘了。
应该是比较紧张引起的呕吐和窒息。可以使用些情绪舒缓的产品缓解一下。住院房间关灯,保持安静,打扫卫生轻柔就好
她一直不排便。可能吃得不够。这也是我无法理解的。22号我哄她吃了几口罐头,23号强行喂过。这些量可能太少了。但是24—27号是护士针管喂的,28,29,30是鼻饲,为什么不排便?
于博
执业兽医师
好的,正常如果饲喂量足够,是会有少量粪便形
鼻饲管是流食所以尿液应该是增加。
食物倒粪便形成再排出体外需要有几天的过程。可以拍个片子或者让医生触诊一下腹部看看有没有粪便就可以了
她是从上鼻饲后精神不好的。所以她呼吸停止是大概率因为紧张,并不是病情吗?我觉得从指标看,她只超标一点点。是不是并不是特别严重?
于博
执业兽医师
正常鼻饲管比人工强饲应激刺激小很多。不会因为鼻气管而异常的,可以拍片子看一下鼻饲管位置。呼吸停止意识紧张,二是心脏疾病,不会因为鼻饲管,三体炎这些引起呼吸停止的。
三体炎对于猫咪来说只要发生就是很严重的问题。如果是指标很高,那是更加严重,比如全身已经黄疸了,死亡率也就更高了。看它胆红素。ALP还都在正常范围,说明功能还没有损伤,处于发炎阶段。
于博
执业兽医师
*** 一天一次 一次一片 饭前一小时,饭后4小时空腹饲喂 治疗肝病药物
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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