咨询描述:一月前感冒咳嗽打喷嚏,就医称没问题,再观察,后单侧鼻孔流鼻血,同侧眼睛持续有分泌物有泪痕,服用一段时间宠物消炎药,20天内单侧鼻孔每天持续有少量鼻血流出,后打喷嚏太用力,导致单侧鼻孔大量出血,无法止血,立即送医,打了止血针后止住,验血无问题,生化无问题,拍片也没看出问题,服用一星期抗炎类*****,多尿多饮,期间鼻血不流了,但天眼睛分泌物依然有,后继续就医,医生称检查都没问题,再观察,停药后4天单侧鼻孔重新开始流鼻血,量不多,但仍然有
问题大致一样,细节不同?
于博
执业兽医师
好的,根据您的描述,一般单侧鼻腔有分泌物或者出血,需要进行CT检查一下,看是否有鼻腔异物,肿瘤,寄生虫这些情况。眼睛分泌物应该是鼻泪管堵塞影响的。所以建议您去检查一下。如果是单纯鼻腔发炎这些治疗后应该是治愈的
就在刚刚,它另一侧鼻孔也有一点出血,血液检查生化检查无问题是否能排除肿瘤及寄生虫,ct指的是核磁共振吗?之前医生说需要拍这个,目前它另一侧鼻孔也有血是病情加重了吗
于博
执业兽医师
如果是鼻腔内异物,肿瘤前期,寄生虫,这些血液检查指标不会有明显异常。生化主要看肝肾功能,血常规看有没有贫血,炎症。
CT和核磁是两种检查项目。核磁比CT更好,但是做CT就可以了。如果明显异常拍X光也可以看出来的。
另一侧有出血两种情况,一个是病情加重,一个是频繁打喷嚏影响的粘膜出血
拍过ct,您看下是否有问题
为保护用户隐私不显示图片/视频
于博
执业兽医师
好的,黄色圈是正常的鼻腔内呈黑色暗区,红色的是患部鼻腔,里面看都是液体或者软组织。
这是X光,不是CT。如果有鼻腔镜也可以直接做鼻腔镜检查或者CT
为保护用户隐私不显示图片/视频
患部鼻腔有液体或软组织是有病变吗还是炎症?能看出来具体什么病症吗?吃什么药比较有效呢,现在就是吃***消炎药,但是鼻子出血无改善,狗狗经常会打喷嚏,吸鼻子,患部一侧鼻孔不出气的,堵塞住了
于博
执业兽医师
是的,片子看已经满了,但是片子没有办法看出来,所以需要进一步检查CT。
您需要先去检查,如果是肿瘤或者异物需要手术才能治疗的。
目前恶意先用眼药水滴鼻子缓解,药水中可以加入肾上腺素使用有止血效果
于博
执业兽医师
**滴眼液加1毫升肾上腺素 每天滴鼻腔3-4次,每孔2两滴
抗生素***继续口服
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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