狗狗做了手术后腹部又出现肿块怎么回事
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咨询描述:王大夫你好,10月23日就狗狗术后情况请教过你,(狗狗9月25日做了乳腺肿瘤手术和绝育手术后,腹部又出现肿块)吃了****和***,个人觉得不见好转,狗狗的情况发几张照片给你,请王大夫看看,怎么治疗比较好。谢谢!
问题大致一样,细节不同?
王鑫
执业兽医师
您好 您把照片给我发一下 我看一下 然后实在变大吗?还是游离的硬疙瘩吗?
1.照片时间依次为术后第一天 ,2. 术后第20天 ,3. 术后一个月 ,4. 术后40天。
为保护用户隐私不显示图片/视频
王鑫
执业兽医师
你好,感谢你的回复,然后他现在揉捏还是硬的结块儿对吗 要是这种情况下的话,建议您把它下面这些乳腺全都切掉了。因为像他这种情况吃药控制不住的话,那最后一步都是需要手术切除的进行治疗。也不用担心他麻醉,因为上次麻醉距离现在已经间隔时间比较长了,所以说再次麻醉也不用担心,但是需要做好术前的检查,这个也是特别主要的,毕竟年龄也比较大了。
王大夫根据你的经验,你怀疑肿块是恶性的吗?第四张照片红框内的皮肤好像有个小口总是湿的,此处皮肤红、硬,狗狗不愿意我碰,似乎是不是疼?狗狗常舔,这是什么情况?是手术部位感染还是其它什么情况?应该怎么处理?
王鑫
执业兽医师
你好 这个良性恶性需要切除做病历切片判断 但是根据经验来说很少有转移的 一般都是良性的 普遍是在乳腺长 不会在别的地方出现 但是良性也需要切除 因为他可能会越来越大反复破溃的 那个红的部位怀疑是炎性增生导致的 不能让他舔 要不然会越来越大 需要给它带好项圈吃点口服抗生素配合外用药治疗
王大夫我很担忧给狗狗再次手术,原因就是狗狗刚做的手术,手术后一个月内就长了这么大的肿块,如果二次手术依然是这种情况怎么办?狗狗太受罪了,况且我咨询了狗狗的手术大夫,他说是不是恶性的?长得这么快,要是恶性的就没招了。让我还是给狗狗吃****和***。皮肤破溃处用碘伏擦擦。所以我怎么敢让狗狗二次手术,实在没有把握。王大夫如果不做二次手术,狗狗情况会怎么发展?我应该怎么处理?
王鑫
执业兽医师
你好,如果再次手术的话,就给他全部乳腺切除,他肯定不会有复发的一个情况了,就把长肿瘤这一侧的全部乳腺都切除,另一侧可以不用管。 正常来说是可以的。因为毕竟已经间隔一个月了,只要做好输血检查是没什么问题的,如果要是不想做手术的话,那就是给他用这两个药,就像我前面跟你说的,那个抗肿瘤的药物需要长期给他吃,只要是不变大还可以接受,如果要是越来越大的话,最后一步还是手术再进行治疗。
现在是这里狗狗的手术大夫没把握,我不敢做,等等再说吧,先保守治疗维持着。具体怎么处理请教一下王大夫,皮肤破溃处怎么处理?用什么药?****狗狗吃多少剂量合适?狗狗体重18公斤,***吃多少?还有一个照片你给看狗狗手术后上腹部中间起了一排小疙瘩是什么原因,(狗狗腋下也有一个疙瘩,手术时一并切除了),谢谢!
王鑫
执业兽医师
您好,您看一下我下面给您推荐的处方,点击查看详情,就有用法用量的介绍了。然后皮肤破溃也是用三种药物,有一个是外用药。然后那些小疙瘩有可能是他舔的造成的,细菌性的感染增生也有可能是皮脂腺囊肿,如果他要是舔的话,一定要给他带好项圈,要不然越来越严重的。
王大夫:****和***已在京东网上买了,只买第3种药就行了,消炎药可以吃多长时间?谢谢王大夫!
为保护用户隐私不显示图片/视频
王鑫
执业兽医师
你好,消炎药的话可以连续使用7~10天。 然后这个期间一定要戴好项圈。就用这三个药物就可以了。
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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