狗狗肾结石手术伤口轻微水肿是什么原因
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咨询描述:狗狗肾结石手术,左侧肾萎缩,右侧肾结石堵塞输尿管和肾盂扩张,已完成膀胱结石手术和肾结石手术,输尿管碎石手术,手术第四天只喝水不吃东西,手术伤口有轻微渗出和水肿,背部有两处皮肤溃烂,请问下是因为用药不当还是术后感染所致?如何用药?
患病时长:从发现结石到手术一个月
医院检查:图片
用药情况:图片
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.照片看考虑皮肤感染可能性比较大
2.需要配合外用杀菌喷剂同时配合消炎药膏
3.需要佩戴伊丽莎白圈
4.同时之后可能需要把坏死组织清理掉
5.目前排尿怎么样?是否复查肾功能?
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。
前天血检肌酐降到200多,这边医生给我开了***和****膏给狗狗涂上了,目前狗狗排尿正常,喝水量略少,每天输液60ml,不吃东西,不拉便便,今天下午又吐了黄水,现在开了护胃的药水输液
孙厚福
执业兽医师
1.皮肤感染看起来比较严重,需要早晚外用生理盐水和双氧水清洗干净,变黑皮可能都会坏死的
2.因为感染会引起并发症所以最好注射消炎吊瓶,如果严重感染可能会引起败血症
3.可以用好一点药膏,建议外用杀菌喷剂同时配合***
下午吐的黄水,我在医院陪护拍的它得排尿量,中午会报楼下再排尿一次
为保护用户隐私不显示图片/视频
它现在的情况能做第二次手术吗?皮肤黑色部分已经坏死流脓,肾功能需要再次做检查吗?还是可以根据排尿量判断?
孙厚福
执业兽医师
1.需要看看用了胃肠药物是否好转如果不好转需要检查一下血液看看是否炎症比较高
2.需要把黑色部分慢慢清理掉,局部麻醉看看是否能清理
4.建议定期复查肾功能和尿液检查
请问下您这边有没有其他狗狗遇到这种情况的?怎么应对?治愈的几率大嘛?
孙厚福
执业兽医师
1.之前有接到转诊病例,恢复周期会很长
2.目前建议输液治疗可以帮助更好消炎,同时可以配合药物看看是否好转
3.如果不好转调整治疗方案,同时配合肾脏药物调理肾功能
还是以恢复肾功能为主,然后调理皮肤问题,后续对狗狗会产生什么影响?有没有后遗症?对药物会不会有其他反应?
孙厚福
执业兽医师
1.还是主要恢复肾功能但是皮肤坏死需要同时治疗,可以让医生用一点好的药物
2.之后恢复好了吃药控制就可以
3.肾结石容易复发之后需要吃处方粮调理一下
4.药物尽量选择副作用小一点药物
这边医生给我发了之前的检测报告,对于消炎药您看使用哪种更适合它?我已经花了很多钱在它身上,想竭力救它,但是快顶不住了
为保护用户隐私不显示图片/视频
孙厚福
执业兽医师
1.可以早晚注射**,同时外用药膏
2.另外可以配合调理肾脏药物
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**凝胶早晚各一次
2.**一天三次
3.外用喷剂一天三次
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。
******可以目前可以吃对吗?目前看它肾功能恢复的还是可以的,吃了也会有缓解或者护肾作用对吗?如果肾功能已恢复,也可以吃?
孙厚福
执业兽医师
**目前可以配合口服更好帮助降指标,如果肾脏恢复好了可以一天一次调理一下肾功能
好的,谢谢医生我现在和这边沟通一下吃药问题,明天再做个血检,辛苦您
孙厚福
执业兽医师
记得好评支持一下,不呕吐时候才可以吃口服药物,目前可以吃肾脏处方罐头
感谢您对蘑菇宠医的信任,如果我的回答能够帮助到你,请你在咨询结束后留下5星评论。
后续宠物有其它问题,你可以到“蘑菇宠医”官方微信公众号找到我的医生继续向我提问。
谢谢你的支持和鼓励,祝你的爱宠早日康复!
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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