咨询描述:症状描述:确诊黄疸➕贫血
患病时长:确诊4天
图一消费单为用药注射情况,昨天开始每天额外加5ml的生命元
图二,三分别为昨天血常规和今天血常规数据
图四为第一次生化
想了解目前的治疗情况,已经治疗四天,
B超也做了,说是没有发现什么问题,想知道后续是继续这样治疗还是说可以过两天带回家吃药治疗?费用目前一天昂贵,承受不起
猫咪4岁,6斤绝育公猫
问题大致一样,细节不同?
于博
执业兽医师
好的,目前猫咪有呕吐吗?有吃东西吗?
血常规看有好转的迹象。猫咪应该是肝脂肪沉积症。是个长期的治疗过程,一般病程在1-2个月之间。前1-2周是住院调理各项指标,之后回家自己每天人工强饲饲喂食物,生血保肝
没有呕吐,东西也有在吃,之前吃的不多,但是一天比一天吃的会多一点。精神状态今天比昨天也要好很多,今天再查b超说有点点腹水,但是不多,抽不出。医生说看看它能否自己消化掉。所以想了解一下如果周二在医院治疗完可否带回家吃药治疗,怎么治疗,他如今情况怎么样?刚刚问诊一个医生说的吓人,所以也很担心。图一,二为昨天刚做的第二次生化检查,图三为其他医生的推测
为保护用户隐私不显示图片/视频
于博
执业兽医师
这指标比之前的有好转的,只要不呕吐,吃东西,每天保证营养饮食,口服保肝药物,生血药物。慢慢指标就降到正常了。如果没有呕吐,自己可以操作饲喂食物可以回家治疗。目前排尿量怎么样,会很黄麻,尿量大吗?
目前猫咪在住院,所以排尿量不太清楚,中等吧,由于那个猫砂是有颜色的,所以看不太清楚,但是是有点黄的,目前这几天治疗它耳朵尖的黄疸是有退下去的,我之前是觉得应该可以带回家了,但是由于刚这位医生说的,我有些害怕是其他病症,所以想再问问,这个指标如果再打两天针,可以带回家吗,费用一天小一千,实在承担不起了,另外如果带回家吃药可以吃哪些药呢?黄疸和补血的药
于博
执业兽医师
好的,在医院治疗肯定是要比接回家护理好很多。主要是白天全天有人员去定时照顾。但是结合每个人自身精力和经济情况不同,就选择不同的治疗方式,尽力而为就好。可以带回家治疗的。稍后给您开个处方
按照目前这个情况可以带它回家吗?它的情况应该没有像之前那位说的那样差吧
于博
执业兽医师
1.*** 一天一次 一次一粒
2.瑞奥特****片 一天两次 一次一粒
3.**维 一天两次一次一毫升
4.一定保证每天营养需要饲喂饲喂
5.每周复查一次血常规和生化
于博
执业兽医师
指标有好转,临床也有改善。就说明是往好转的方向发展的,只要是要有精力时间去照顾猫咪,饮食一定要保证每天够量。
我之前开了一个***********片,这个和开的药物有重合吗?因为这药是吃15天的,另外***消炎不需要再额外开消炎药了吧?那我接它出院还需要做生化和血常规吗?还是说等下周末再一起做呢?
于博
执业兽医师
您那个药物应该和***是同样的作用,吃一种就可以,搭配***一起,补血**就可以。可以口服**和***消炎,看血常规没有炎症,您可以测个SAA看有没有炎症。下周复查就可以
不好意思,我有点糊涂了,我应该买上面的药,还是下面的药,还是一起买呢?如果一起买的话,我记得好像有测过SAA,没问题,没问题就不用买下面的药,有问题就一起买是吧?
于博
执业兽医师
对的,理解的没问题,如果有炎症就都需要使用,如果saa液正常就只需要上面的就可以。如果SAA没有测过明天可以测一下
好的,十分感谢您,那么我***就可以不用买了。谢谢您,祝您身体健康,好运常在~
于博
执业兽医师
不客气,祝猫咪早日康复非常感谢您对蘑菇宠医的信任。如果我的回答能够帮到您,请您在咨询结束后留下5星评价,您的评价是我工作最大的支持,感谢。后续宠物有其他问题,您可以到“蘑菇宠医”官方微信公众号继续向我提问。
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
{"580925":{"id":580925,"case_id":64448,"user_id":1734397,"to_user_id":2446219,"type":3,"content":"1.** 一天两次 一次一片\n2.*** 一天一次 一次半片","media":{"images":{},"videos":{},"business_params":{"prescription_id":158699}},"is_doctor":1,"status":1,"created_at":"2023-11-12 23:58:35","show_rx":true,"rx_info":{"id":158699,"rx_no":2.02311122358005e+24,"user_id":2446219,"doctor_user_id":1734397,"is_independent":0,"case_id":3194529,"pet_info":{"pet_id":416095,"pet_name":"美国短毛猫","pet_nickname":"白龙","pet_gender":3,"pet_birth":"4-6","pet_weight":3,"pet_vaccination_status":0,"pet_in_insect_repellent_status":0,"pet_out_insect_repellent_status":0,"pet_age_format":"4岁6个月"},"diagnose":"肝病","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2023-11-12 23:58:00","updated_at":"2023-11-12 23:58:35","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":128239,"prescription_id":158699,"doctor_user_id":1734397,"product_id":712,"product_sku_id":755,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2023-11-12 23:58:00","updated_at":"2023-11-12 23:58:00","product_info":{"id":712,"hash_id":"VjX39W4z2B4Q0bvZ","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":3,"sell_point":"速诺(阿莫西林克拉维酸钾片)50mg","title":"辉瑞速诺(阿莫西林克拉维酸钾片) 50mg×10片\/板","recommend_reason":{"0":"适用于宠物由敏感细菌引起的皮肤及软组织感染、呼吸道感染","1":"治疗宠物革兰氏阴性和革兰氏阳性敏感细菌的感染","2":"用于肠炎及其他感染,如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"呼吸道感染,肠炎,腹泻,便血,真菌感染,猫癣,脓皮症","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"50mg规格1板"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/26f5438f35ed21efc2894dffea9f399f.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":48,"max_price":48,"sale_count":1726,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:50:13","updated_at":"2024-11-24 15:58:02","ins":{"id":3,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"阿莫西林克拉维酸钾片","trade_name":"速诺","en_name":"Synulox Palatable Tablets","brand_name":"辉瑞","is_prescription":1,"cover":"\/drug\/2020\/10\/46c3ccae52804b92b0e341800e809e95.JPG","specification":"50mg×10片×10板\/盒","reference_price":800,"component":"阿莫西林和克拉维酸钾","indication":"适用于犬猫由敏感细菌引起的各种感染,及治疗犬猫革兰氏阴性和革兰氏阳性敏感细菌的感染。\n1、如皮肤及软组织感染脓性皮炎、脓肿和肛腺炎、蜂窝组织炎、伤口感染、腹内脓毒症等。\n2、牙感染(牙龈炎)。\n3、尿道感染,如膀胱炎、尿道炎、肾盂肾炎、前列腺炎、盆腔炎、淋病奈瑟菌尿路感染及软性下疳等。\n4、呼吸道感染,如鼻窦炎、扁桃体炎、咽炎、急慢性支气管炎、慢性支气管炎急性发作、肺炎、肺脓肿和支气管合并感染。\n5、肠炎及其他感染,如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染等。","usage_dosage":"口服。每天吃2次,连用5-7天。每次用量如下:\n体重1-2kg,吃半粒; \n体重3-5kg,吃1粒; \n体重6-9kg,吃2粒;\n体重10-13kg,吃3粒;\n体重14-18kg,吃4粒;\n体重≥19kg,请购买同品250mg规格的产品。\n\n注:一些慢性感染(慢性皮炎、慢性膀胱炎和慢性呼吸道感染)的治疗可连用10-28天。","contraindication":"1. 仓鼠、豚鼠、沙鼠、灰鼠和家兔禁用。\n2. 其他草食动物慎用。\n3.对青霉素过敏者禁止接触本品。","adverse_reaction":"1.恶心、腹泻和皮肤丘疹是最常见的不良反应。\n2.本品为青霉素类药物,若出现过敏反应可使用肾上腺素治疗。","attention":"1.不要对病情严重的动物使用口服抗生素,因其胃肠道吸收可能不可靠,这些患病动物可能需要静脉注射剂。\n2.避免在对其他β-内酰胺类抗菌药(包含头孢菌素类)有过敏反应的动物使用。\n3.片剂由防潮箔包裹,给药前不要取出。\n4.对青霉素过敏者如果不慎接触,应该立刻去找医生救助。\n5.孕畜慎用。\n4.使用后请洗手。\n5.不要让小孩接触到此产品。","interaction":"1.避免同时使用抑菌性抗生素(如四环素、红霉素)。\n2.不要给鸟类同时使用别嘌呤醇、β-内酰胺和氨基糖苷类抗菌剂在体内有协同作用。\n3.本品和氨苄西林有完全交叉耐药性,与青霉素类和头孢菌素类有交叉耐药性。","approval_no":"(2018)外兽药证字10号","storage_method":"密封,在凉暗干燥处保存。","validity":"2年","manufacturer":"意大利豪普特制药厂(Haupt Pharma Latina S.R.L)","status":1,"created_at":"2020-10-21 13:48:10","updated_at":"2020-10-23 15:55:39"}},"product_sku_info":{"id":755,"product_id":712,"title":"辉瑞速诺(阿莫西林克拉维酸钾片) 50mg×10片\/板","advword":null,"price":48,"market_price":59,"cost_price":0,"stock":9240,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50mg规格1板"}},"cover":null,"thumb":"","sale_count":1817,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:50:13","updated_at":"2024-11-24 11:58:14"}},"1":{"id":128240,"prescription_id":158699,"doctor_user_id":1734397,"product_id":697,"product_sku_id":740,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":7,"number":1,"remark":"","created_at":"2023-11-12 23:58:00","updated_at":"2023-11-12 23:58:00","product_info":{"id":697,"hash_id":"lazo6rxWNPgOqD9E","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":37,"sell_point":"抒畅 甲硝唑片","title":"远征抒畅 甲硝唑片 200mg×8片×1板","recommend_reason":{"0":"用于治疗或预防厌氧菌引起的系统或局部感染","1":"用于原虫的预防和治疗","2":"用于牙龈炎、牙周炎、冠周炎和口腔厌氧菌引起的感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"细菌感染,呼吸道,结肠炎,破伤风,阿米巴原虫,滴虫,贾第鞭毛虫,牙龈炎,牙周炎,冠周炎,口腔感染","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"1板8片装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/91917ed5391a3b151178e99e1c2638c5.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":138,"max_price":138,"sale_count":92,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 14:18:02","updated_at":"2024-11-20 09:26:55","ins":{"id":37,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"甲硝唑片","trade_name":"抒畅","en_name":"","brand_name":"远征","is_prescription":1,"cover":"\/drug\/2020\/10\/7df536b5114540d98bb1095d241f0a83.JPG","specification":"200mg×8片×10板\/盒","reference_price":1600,"component":"甲硝唑、增效成分、风味剂等。","indication":"1.主要用于治疗或预防厌氧菌引起的系统或局部感染,如腹腔消化道、生殖系统、下呼吸道、皮肤及软组织、骨和关节等部位的厌氧菌感染,对败血症、心内膜炎、脑膜感染以及使用抗生素引起的结肠炎也有效,治疗破伤风时常与破伤风毒素(TAT)联用。\n2.抗原虫:用于阿米巴原虫病、滴虫性阴道炎、蓝氏贾第鞭毛虫等腔道中的毛滴虫和鞭毛虫感染的预防和治疗。\n3.用于牙龈炎、牙周炎、冠周炎和口腔厌氧菌引起的感染。","usage_dosage":"口服。犬、猫25~50mg\/kg(即4~8kg\/片),或遵医嘱。","contraindication":"","adverse_reaction":"","attention":"","interaction":"","approval_no":"兽药字(2015)030461094","storage_method":"置于阴凉干燥处保存。","validity":"2年","manufacturer":"河北远征药业有限公司","status":1,"created_at":"2020-10-30 17:06:12","updated_at":"2020-10-30 17:06:12"}},"product_sku_info":{"id":740,"product_id":697,"title":"远征抒畅 甲硝唑片 200mg×8片×1板","advword":null,"price":138,"market_price":168,"cost_price":0,"stock":57,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"1板8片装"}},"cover":null,"thumb":"","sale_count":102,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 14:18:02","updated_at":"2024-11-20 09:20:30"}}},"drug_data_bak":{"0":{"id":128239,"prescription_id":158699,"doctor_user_id":1734397,"product_id":712,"product_sku_id":755,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2023-11-12 23:58:00","updated_at":"2023-11-12 23:58:00","product_info":{"id":712,"hash_id":"VjX39W4z2B4Q0bvZ","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":3,"sell_point":"速诺(阿莫西林克拉维酸钾片)50mg","title":"辉瑞速诺(阿莫西林克拉维酸钾片) 50mg×10片\/板","recommend_reason":{"0":"适用于宠物由敏感细菌引起的皮肤及软组织感染、呼吸道感染","1":"治疗宠物革兰氏阴性和革兰氏阳性敏感细菌的感染","2":"用于肠炎及其他感染,如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"呼吸道感染,肠炎,腹泻,便血,真菌感染,猫癣,脓皮症","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"50mg规格1板"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/26f5438f35ed21efc2894dffea9f399f.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":48,"max_price":48,"sale_count":1726,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:50:13","updated_at":"2024-11-24 15:58:02","ins":{"id":3,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"阿莫西林克拉维酸钾片","trade_name":"速诺","en_name":"Synulox Palatable Tablets","brand_name":"辉瑞","is_prescription":1,"cover":"\/drug\/2020\/10\/46c3ccae52804b92b0e341800e809e95.JPG","specification":"50mg×10片×10板\/盒","reference_price":800,"component":"阿莫西林和克拉维酸钾","indication":"适用于犬猫由敏感细菌引起的各种感染,及治疗犬猫革兰氏阴性和革兰氏阳性敏感细菌的感染。\n1、如皮肤及软组织感染脓性皮炎、脓肿和肛腺炎、蜂窝组织炎、伤口感染、腹内脓毒症等。\n2、牙感染(牙龈炎)。\n3、尿道感染,如膀胱炎、尿道炎、肾盂肾炎、前列腺炎、盆腔炎、淋病奈瑟菌尿路感染及软性下疳等。\n4、呼吸道感染,如鼻窦炎、扁桃体炎、咽炎、急慢性支气管炎、慢性支气管炎急性发作、肺炎、肺脓肿和支气管合并感染。\n5、肠炎及其他感染,如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染等。","usage_dosage":"口服。每天吃2次,连用5-7天。每次用量如下:\n体重1-2kg,吃半粒; \n体重3-5kg,吃1粒; \n体重6-9kg,吃2粒;\n体重10-13kg,吃3粒;\n体重14-18kg,吃4粒;\n体重≥19kg,请购买同品250mg规格的产品。\n\n注:一些慢性感染(慢性皮炎、慢性膀胱炎和慢性呼吸道感染)的治疗可连用10-28天。","contraindication":"1. 仓鼠、豚鼠、沙鼠、灰鼠和家兔禁用。\n2. 其他草食动物慎用。\n3.对青霉素过敏者禁止接触本品。","adverse_reaction":"1.恶心、腹泻和皮肤丘疹是最常见的不良反应。\n2.本品为青霉素类药物,若出现过敏反应可使用肾上腺素治疗。","attention":"1.不要对病情严重的动物使用口服抗生素,因其胃肠道吸收可能不可靠,这些患病动物可能需要静脉注射剂。\n2.避免在对其他β-内酰胺类抗菌药(包含头孢菌素类)有过敏反应的动物使用。\n3.片剂由防潮箔包裹,给药前不要取出。\n4.对青霉素过敏者如果不慎接触,应该立刻去找医生救助。\n5.孕畜慎用。\n4.使用后请洗手。\n5.不要让小孩接触到此产品。","interaction":"1.避免同时使用抑菌性抗生素(如四环素、红霉素)。\n2.不要给鸟类同时使用别嘌呤醇、β-内酰胺和氨基糖苷类抗菌剂在体内有协同作用。\n3.本品和氨苄西林有完全交叉耐药性,与青霉素类和头孢菌素类有交叉耐药性。","approval_no":"(2018)外兽药证字10号","storage_method":"密封,在凉暗干燥处保存。","validity":"2年","manufacturer":"意大利豪普特制药厂(Haupt Pharma Latina S.R.L)","status":1,"created_at":"2020-10-21 13:48:10","updated_at":"2020-10-23 15:55:39"}},"product_sku_info":{"id":755,"product_id":712,"title":"辉瑞速诺(阿莫西林克拉维酸钾片) 50mg×10片\/板","advword":null,"price":48,"market_price":59,"cost_price":0,"stock":9240,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50mg规格1板"}},"cover":null,"thumb":"","sale_count":1817,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:50:13","updated_at":"2024-11-24 11:58:14"}},"1":{"id":128240,"prescription_id":158699,"doctor_user_id":1734397,"product_id":697,"product_sku_id":740,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":7,"number":1,"remark":"","created_at":"2023-11-12 23:58:00","updated_at":"2023-11-12 23:58:00","product_info":{"id":697,"hash_id":"lazo6rxWNPgOqD9E","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":37,"sell_point":"抒畅 甲硝唑片","title":"远征抒畅 甲硝唑片 200mg×8片×1板","recommend_reason":{"0":"用于治疗或预防厌氧菌引起的系统或局部感染","1":"用于原虫的预防和治疗","2":"用于牙龈炎、牙周炎、冠周炎和口腔厌氧菌引起的感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"细菌感染,呼吸道,结肠炎,破伤风,阿米巴原虫,滴虫,贾第鞭毛虫,牙龈炎,牙周炎,冠周炎,口腔感染","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"1板8片装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/91917ed5391a3b151178e99e1c2638c5.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":138,"max_price":138,"sale_count":92,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 14:18:02","updated_at":"2024-11-20 09:26:55","ins":{"id":37,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"甲硝唑片","trade_name":"抒畅","en_name":"","brand_name":"远征","is_prescription":1,"cover":"\/drug\/2020\/10\/7df536b5114540d98bb1095d241f0a83.JPG","specification":"200mg×8片×10板\/盒","reference_price":1600,"component":"甲硝唑、增效成分、风味剂等。","indication":"1.主要用于治疗或预防厌氧菌引起的系统或局部感染,如腹腔消化道、生殖系统、下呼吸道、皮肤及软组织、骨和关节等部位的厌氧菌感染,对败血症、心内膜炎、脑膜感染以及使用抗生素引起的结肠炎也有效,治疗破伤风时常与破伤风毒素(TAT)联用。\n2.抗原虫:用于阿米巴原虫病、滴虫性阴道炎、蓝氏贾第鞭毛虫等腔道中的毛滴虫和鞭毛虫感染的预防和治疗。\n3.用于牙龈炎、牙周炎、冠周炎和口腔厌氧菌引起的感染。","usage_dosage":"口服。犬、猫25~50mg\/kg(即4~8kg\/片),或遵医嘱。","contraindication":"","adverse_reaction":"","attention":"","interaction":"","approval_no":"兽药字(2015)030461094","storage_method":"置于阴凉干燥处保存。","validity":"2年","manufacturer":"河北远征药业有限公司","status":1,"created_at":"2020-10-30 17:06:12","updated_at":"2020-10-30 17:06:12"}},"product_sku_info":{"id":740,"product_id":697,"title":"远征抒畅 甲硝唑片 200mg×8片×1板","advword":null,"price":138,"market_price":168,"cost_price":0,"stock":57,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"1板8片装"}},"cover":null,"thumb":"","sale_count":102,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 14:18:02","updated_at":"2024-11-20 09:20:30"}}}}}}
微信扫一扫
立即问宠医