狗狗发烧诊断为腹膜炎怎么回事

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患宠信息:博美/弟弟/12岁

咨询描述:13岁公博美,发烧40度以上,最高40.7度。大小便正常、饮食较弱,老家宠物医院拍摄胸片见附件。诊断为腹膜炎,骨刺,前列腺炎,但其中骨刺、前列腺不是导致腹膜炎原因。昨晚退烧后,今天又开始了,请问从片子里看,是什么症状引发的高烧不退?

问题大致一样,细节不同?

点击获取针对性解答

曹元钊

执业兽医师

你好,从视频来看,这个狗狗有明显的颤抖。另外对外界呼唤,或者说看不出来对外界有明显反应可能有昏迷。 但是x光看不出发烧的原因 只能看出来 心脏可能偏大,别的什么都没有。请问有没有做别的化验?有没有用详细的药物?这种情况是光考x光片是绝对不够的,需要做超声血常规,生化等等。 另外也得详细的提供一下狗狗的病史。

曹元钊

执业兽医师

这个片子对这个狗一点意义都没有,我想问一下他有什么样的症状,呕吐腹泻 喷嚏,流鼻涕,咳嗽饮食之类的,平常吃什么食物发病之前吃的是什么?触摸腹部有没有疼痛敏感?

1.狗狗之前没有其他的病史,慢性病史,脏器除心脏有说过偏大外没有什么特异。2.前天开始呕吐1-2次,拉肚子,2次,而后去医院当作普通拉肚子治理,当晚开始自觉发烧,无食欲,能自主喝水,昨天晚上去医院做完检查。报告见附件、用药见附件。下午退烧。今日凌晨抱起他是感觉很烫,复去医院,吊针。目前还在发烧,没有呕吐,拉肚子,未进食,无食欲,能自主喝水,能自主行走。3.医院未说明是什么原因导致,看报告只说炎症。x光能见背部有骨刺,前列腺肿大。4.想知道下结合这些信息,是什么原因引起的?饮食之前也很正常,无特异。生活也无特异。

为保护用户隐私不显示图片/视频

曹元钊

执业兽医师

你好,医生的化验结果集中在血检上面,从血检上来看,肝脏肾脏没有什么问题,也不太可能是胰腺炎,x光片没有明显的异物,确实是有炎症感染,而且很可能是细菌。 这些化验结果不能提示它的炎症来自于哪但是可以做排除法,把这肝脏肾脏都做了排除以后。有可能的就是胆囊炎或者是胆道的梗阻,或者是胃肠炎。 如果不方便做B超来去进行下一步的诊断的话。因为之前用药都是用三种抗生素对抗感染 用了一点止疼退烧药。 如果不见好转,也不方便做超声的话,我建议一个其他的方案可以作为对症治疗,但是我需要知道狗狗的体重。 主要是针对胆囊和胃肠道的炎症

体重是7.1公斤

用药的医生说是腹膜炎,有没有可能是我翻拍的片子不清晰,看不出来?如果是腹膜炎的话,这个治疗方案是合理的吗?

曹元钊

执业兽医师

处方如下 ***龙 一天两次 一次一片 口服七天 之后剂量减半(一天两次 一次半片 )口服七天 ** 一天一次 一次15mg 口服十天 *** 一天两次 一次350mg 口服七天

曹元钊

执业兽医师

加上这个保肝的药物,一天两次每次一粒儿刺破了跟一些少量食物混合 一起喂

曹元钊

执业兽医师

我觉得这个比现在的方案可能会更好一些

曹元钊

执业兽医师

腹膜炎不是靠这个看的,腹膜炎是靠超声下,然后整体内脏器官以及系膜脂肪大面积的回声增强同时可能有腹水,这样才能够去确定,如果是腹膜炎的话,它这个方案也过于保守了。

这个方子是胆囊炎和胃肠炎都能吃的吗。

曹元钊

执业兽医师

腹膜炎从来没有靠x光片进行确诊,除非是有腹水,然后出现了所有腹腔结构细节丢失一片白色,那也能说是腹膜炎。 这个方子胆囊炎,胃肠炎都能用。

医生,我们也做了B超,我可能没说清,他是说结合B超和片子都能看出有一点。所以如果是腹膜炎那应该如何治疗不会太保守呢?

曹元钊

执业兽医师

如果是腹膜炎的话 就用我建议的这个方案。不过您可以改成打针或者输液的方式

谢谢医生赠送的次数,是指您上面发的针对肠胃的吗?改成打针或者输液,这个怎么和对方医生沟通呢,谢谢🙏

曹元钊

执业兽医师

是的 就是这个意思。 这个就没办法了,我作为线上的医生是不可以去指导线下医生的,因为我要是去指导了就很不好,只能说您去问问医生后续想怎么办,因为还是没有好转

医生建议及处方根据当前病情给出,仅适用于本次问诊

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赵医生,我家小狗10月15号因为吐了未消化的食物去医院,做了抽血检查和b超,显示腹膜炎+轻度肝损伤,疑似被尖锐的骨头划伤,输液治疗5天后病情好转出院回家吃药,10月30号复查,炎症没消完,回家继续吃药,出院后这段时间内胃口特别好,起初我以为是肚子不疼了所以能吃,后面越来越不对就去医院查了甲状腺,我特意去两家医院做b超都没有发现肿瘤和囊肿,显示的甲状腺肿大,血液TT4 总甲状腺素高到107,除了特别能吃,没有其他甲亢的症状,体重没轻反而重了,医生让口服****10毫克的每一次每次1/4,吃了一周复查降到快正常,然后就停药5天去复查,指标升了一点,回家继续吃药3天再次复查,结果升到70+这到底是什么情况啊?因为我这里医疗设备有限,只能查简单的,游离T4 T3那些查不了,莫名其妙的就甲亢了,腹膜炎之前我家狗吃饭都很正常,甚至还有点挑食,不过现在1岁9个月,就1岁整的时候发过一次情,正常来说应该发情第二次了,可它还一点征兆都没有

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赵一强

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主人您好,您的问题我已经看到。 宝贝的B超报告单传上来,我看一下。 按照您上传的13号的化验单,宝贝现在还表现炎症,白细胞和中性粒细胞同比上升,宝贝的C反应蛋白这两个指标来说,提示宝贝的炎症还没有完全降下去。如果考虑宝贝是因为腹膜炎导致的,这个指标上升。可以继续用药,消炎治疗即可。 宝贝,目前都在接受哪些治疗?您可以详细的和我说一下。你也可以把宝贝的处方单传上来,我给您看一下。 对于接近十岁的泰迪来说,这个年龄的狗狗,比较容易出现一些老年的内科病,所以主人您后续还需要多观察。

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您好,医生,泰迪狗狗,男,今年13岁,一个月前诊断为胸椎融合(没有要X光片,在医院),疼痛起来,前爪无力,走路不稳,且头部不能抬起,目前疼起来服用止疼药,能够缓解一天左右,出现跑跳后还会继续疼痛,想咨询您除了手术怎样治疗效果好些,这种病怕寒冷吗?

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