咨询描述:曹航医生接单
曹医生,您好,我昨天来咨询过,今天我同事把狗带到我们医院拍了片,显示肺部没感染,但是身上有多处化脓,尤其是腹部以下,被水扎了,是因为我同事每次在它排完便后用湿巾给它清洁没擦导致的,耳朵也化脓了,应该是同事在网上买的清理耳朵的清洁液给它掏耳朵从而引发的感染,具体什么名字她自己也不清楚,在网上买的兽用的地米针,**针给它肌注了1ml,喘气缓解了不少,本来想给它输液针头都插不进,所以给它打的针,我们那儿的护士说,如果今晚它熬去了,明天就继续去打,本来都以为它打了针抗不过去,结果它抗过去了,喂它火腿肠,它只有睡着吃,没吃多少,可能跟它耳部化脓引发疼痛导致不进食,现在还不能站立,要扶着它,请您给我们推荐一下,它耳部的脓液怎么处理,能用滴耳剂吗,用那种,我们今天用棉签蘸着碘伏给它清理了一小会,它要反抗还呻吟,应该很痛
问题大致一样,细节不同?
陈奕达
执业兽医师
你好,感谢您的信任,谢谢。狗狗现在的情况,如果耳道发炎严重,并且有很多分泌物,那么是可以使用专用洗耳液进行耳道清理的,不过动作要轻柔。
稍后可以给您推荐一款专用洗耳液,猫咪以前是否有什么用药过敏史?
不知道,前几天喂了人吃的****颗粒,但没发现过敏,**,***之类的针剂没用过,就服过犬用**环素,注射犬用的过**霉素
陈奕达
执业兽医师
好的,宝贝家长,这边根据宝贝的情况,我给宝贝开个处方。供你采纳一下,以备不时之需。
药物具体用法用量已经帮你计算妥当,可以点击查看详情按钮,进入处方页面查看。
处方里面的
1. **,宠物专用广谱消毒杀菌洗耳液。
(1.使用前摇匀。旋转白色的滴嘴使其打开,把足够量的**滴进耳道内,轻轻按摩耳朵几分钟以利渗透,让犬猫自己甩掉耳朵内多余的**,可以用蘸取**的棉球清洗耳朵外面的部分。
2.耳道疾病期间,每天使用2次,直至症状消失。
3.清理耳道之后,就可以使用一些广谱消炎杀菌的耳道用药了,例如***)
2.***,宠物专用广谱消炎杀菌耳道药膏。
可以根据需求自行选择购买。
治疗阶段,会出现瘙痒,结痂等症状,需要控制宝贝不能抓挠刮蹭患处。同时需要注意结痂及时清理,避免结痂影响外用药效果。佩戴伊丽莎白圈。
你推荐的那两样药都有抗菌的功效吗,还有它现在不能站立,太虚弱了,但是总不能让它整天躺着吧,怕长**,该怎么护理
陈奕达
执业兽医师
你好,1.液体是主要广谱消毒杀菌。药膏主要是消炎杀菌的效果,如果耳道问题严重,建议两者配合使用,效果最佳。
2.可以让狗狗躺在柔软的棉垫上,然后人为每小时翻身一次。
3.然后可以尝试人为扶着狗狗,让狗狗四肢着地,适当用力,慢慢的进行锻炼。
好吧,但是我不知道它耳部鼓膜有没有损伤啊,不是说明书上说鼓膜损伤不能用吗
它腹部以下被水扎化脓的地方破损了,我们可以用***软膏给它涂抹吗,防感染,这个拍下后几天能到,发顺丰吗
陈奕达
执业兽医师
你好,是的,如果有耳膜问题,那么就不是简单耳道发炎了,上述用药也是不适合使用的。这种程度的问题,可能需要考虑手术治疗。因为保守治疗效果很差。
可以考虑进行耳道内窥镜检查,判断鼓膜是否有破裂问题。
***软膏不太建议使用,因为如果出现过敏9都会,那会更加麻烦。
可以尝试使用上述处方内的***,这个药物是耳道皮肤通用,可以使用在皮肤问题上。
药物快递事宜,可以添加客服微信*******咨询一下,尽快给您安排。
最后一个问题做个内窥镜检查一般多少钱啊,目前暂时没得问题,尽快发货便是,如果不适合可以退吗
陈奕达
执业兽医师
你好,耳道内窥镜费用不高,一般200-500左右。如果需要镇静,费用就比较高。
药物退换货,以及快递事宜,这个需要跟客服沟通一下下。
陈奕达
执业兽医师
非常感谢你对蘑菇宠医的信任,如果对我的解答满意,请帮我点亮五星哦!祝爱宠早日康复!
后续宝贝有其它问题,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,有问题随时联系。
希望我的建议可以帮到宝贝,如果爱宠平时有什么养护小问题也可以通过蘑菇宠医小程序搜索了解哦~“
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
{"591876":{"id":591876,"case_id":65725,"user_id":1249218,"to_user_id":2449780,"type":3,"content":"好的,宝贝家长,这边根据宝贝的情况,我给宝贝开个处方。供你采纳一下,以备不时之需。\n\n药物具体用法用量已经帮你计算妥当,可以点击查看详情按钮,进入处方页面查看。\n\n处方里面的\n1. **,宠物专用广谱消毒杀菌洗耳液。\n(1.使用前摇匀。旋转白色的滴嘴使其打开,把足够量的**滴进耳道内,轻轻按摩耳朵几分钟以利渗透,让犬猫自己甩掉耳朵内多余的**,可以用蘸取**的棉球清洗耳朵外面的部分。\n2.耳道疾病期间,每天使用2次,直至症状消失。\n3.清理耳道之后,就可以使用一些广谱消炎杀菌的耳道用药了,例如***)\n\n2.***,宠物专用广谱消炎杀菌耳道药膏。\n\n可以根据需求自行选择购买。\n\n治疗阶段,会出现瘙痒,结痂等症状,需要控制宝贝不能抓挠刮蹭患处。同时需要注意结痂及时清理,避免结痂影响外用药效果。佩戴伊丽莎白圈。","media":{"images":{},"videos":{},"business_params":{"prescription_id":159663}},"is_doctor":1,"status":1,"created_at":"2023-11-23 18:42:15","show_rx":true,"rx_info":{"id":159663,"rx_no":2.0231123183939503e+24,"user_id":2449780,"doctor_user_id":1249218,"is_independent":0,"case_id":3197663,"pet_info":{"pet_id":419014,"pet_name":"比熊","pet_nickname":"布丁","pet_gender":1,"pet_birth":"0-3","pet_weight":2,"pet_vaccination_status":0,"pet_in_insect_repellent_status":1,"pet_out_insect_repellent_status":0,"pet_age_format":"3个月"},"diagnose":"拟耳道异常问题","signature":"\/signature\/2021\/12\/c9bc3ee36e7e61a8a6b1d241ce0cd612.png","deadline":null,"status":1,"send_status":1,"use_status":1,"created_at":"2023-11-23 18:39:39","updated_at":"2023-11-23 19:01:34","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":130391,"prescription_id":159663,"doctor_user_id":1249218,"product_id":740,"product_sku_id":782,"dose":1,"dose_unit":"ml","use_method":"滴耳道","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2023-11-23 18:41:46","updated_at":"2023-11-23 18:41:46","product_info":{"id":740,"hash_id":"YW7Jkz4R3vglE6M1","class_ids":{"0":1,"1":2,"2":3},"category_ids":{"19":180},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":83,"sell_point":"耳漂 多库酯钠及水杨酸洗耳液","title":"维克耳漂 多库酯钠及水杨酸洗耳液 60ml\/瓶\/盒","recommend_reason":{"0":"抗菌消炎,可彻底溶解耳垢、清洁耳道","1":"减低耳疥虫侵袭及耳道感染","2":"对中耳炎、外耳炎、耳疮有很好的辅助治疗作用"},"baike_guide_text":"","baike_article_hash_id":"","advword":"中耳炎,外耳炎,耳疮,干爽耳道,耳疥虫","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"60ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/70a71f09c5be5dd4b537b1366b12732c.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":79,"max_price":79,"sale_count":85,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 16:46:50","updated_at":"2024-11-22 09:13:39","ins":{"id":83,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"多库酯钠及水杨酸洗耳液","trade_name":"耳漂","en_name":"Epiotic","brand_name":"维克","is_prescription":0,"cover":"\/drug\/2020\/11\/90083777f092a2a445872e039427dfb7.jpg","specification":"60ml\/瓶\/盒","reference_price":89,"component":"多库酯钠、水杨酸、PCMX(EDTA缓冲液)、维克专利单糖抗附着成分。","indication":"1.抗菌消炎,可彻底溶解耳垢、清洁耳道,同时产生消毒除臭之功效。\n2.可减低耳疥虫侵袭及耳道感染。\n3.对中耳炎、外耳炎、耳疮有很好的辅助治疗作用。\n4.能有效的溶解耳道内的分泌物及清除耳垢。\n5.有收敛、除臭、消毒及干爽耳道的功能,有助于耳上皮组织更生。","usage_dosage":"1.使用前摇匀。旋转白色的滴嘴使其打开,把足够量的耳漂滴进耳道内,轻轻按摩耳朵几分钟以利渗透,让犬猫自己甩掉耳朵内多余的耳漂,可以用蘸取耳漂的棉球清洗耳朵外面的部分。\n2.耳道疾病期间,每天使用2-3次,直至症状消失。\n3.正常情况下,每周清洗耳朵1-2次。\n4.在用其他药物治疗外耳炎之前,也可以进行耳道清洗。","contraindication":"","adverse_reaction":"","attention":"1.仅供动物局部使用。\n2.建议不要用棉棒探入耳道擦拭。\n3.勿在鼓膜破裂时使用。","interaction":"","approval_no":"","storage_method":"温室保存。每次使用后,请旋紧瓶盖","validity":"2年","manufacturer":"法国维克有限公司(Virbac)","status":1,"created_at":"2020-11-09 18:01:29","updated_at":"2020-11-09 18:01:29"}},"product_sku_info":{"id":782,"product_id":740,"title":"维克耳漂 多库酯钠及水杨酸洗耳液 60ml\/瓶\/盒","advword":null,"price":79,"market_price":108,"cost_price":0,"stock":56,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"60ml"}},"cover":null,"thumb":"","sale_count":89,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 16:46:50","updated_at":"2024-11-21 19:02:43"}},"1":{"id":130392,"prescription_id":159663,"doctor_user_id":1249218,"product_id":719,"product_sku_id":761,"dose":0.3,"dose_unit":"ml","use_method":"涂抹耳道","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2023-11-23 18:41:46","updated_at":"2023-11-23 18:41:46","product_info":{"id":719,"hash_id":"02EmLAg020po1NwW","class_ids":{"0":1,"1":2},"category_ids":{"0":180},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":81,"sell_point":"耳肤灵 复方制霉菌素软膏","title":"威隆耳肤灵 复方制霉菌素软膏 10g\/支\/盒","recommend_reason":{"0":"用于宠物耳螨,细菌性耳炎,真菌耳炎,耳痒,流脓","1":"用于宠物日常护理,除臭去垢,消肿止痒等"},"baike_guide_text":"","baike_article_hash_id":"","advword":"耳螨,细菌性耳炎,真菌耳炎,耳痒,流脓,中耳炎","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"10g"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/0f029a6a91f74b81ebbb12202f072aac.png","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":139,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 14:41:10","updated_at":"2024-11-22 09:13:39","ins":{"id":81,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"复方制霉菌素软膏","trade_name":"耳肤灵","en_name":"Compound Nystatin Ointment","brand_name":"威隆","is_prescription":0,"cover":"\/drug\/2020\/11\/4a3baa3a0e8f0d632c635b1dd6f13ff8.png","specification":"10g\/支\/盒","reference_price":130,"component":"硫酸新霉素,制霉菌素,氯菊酯曲安奈德","indication":"1.用于宠物耳螨,细菌性耳炎,真菌耳炎,耳痒,流脓。\n2.也可用于宠物日常护理,除臭去垢,消肿止痒等。","usage_dosage":"1.外用药每日一次,直至康复。耳螨疗程一般3到4周。如患中耳炎,需搭配抗生素治疗,连续用药两周。\n2.首先应清洁耳朵外部,再取适量豌豆粒大小的药量,挤入耳道内。\n3.轻轻按摩耳朵根部10秒,让液体均匀覆盖在耳道黏膜上。","contraindication":"","adverse_reaction":"","attention":"1.用药前检查耳朵鼓膜完整性,不要让药膏污染被毛,特别是要防止猫舔。\n2.本品仅动物使用。\n3.放置到儿童不能拿到的位置。","interaction":"","approval_no":"(2016)外兽药证字39号","storage_method":"密封保存。","validity":"3年","manufacturer":"法国威隆制药股份有限公司Vetoquinol S.A.","status":1,"created_at":"2020-11-09 16:40:33","updated_at":"2020-11-09 16:40:33"}},"product_sku_info":{"id":761,"product_id":719,"title":"威隆耳肤灵 复方制霉菌素软膏 10g\/支\/盒","advword":null,"price":98,"market_price":120,"cost_price":0,"stock":25,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"10g"}},"cover":null,"thumb":"","sale_count":151,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 14:41:10","updated_at":"2024-11-21 19:02:43"}}},"drug_data_bak":{"0":{"id":130391,"prescription_id":159663,"doctor_user_id":1249218,"product_id":740,"product_sku_id":782,"dose":1,"dose_unit":"ml","use_method":"滴耳道","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2023-11-23 18:41:46","updated_at":"2023-11-23 18:41:46","product_info":{"id":740,"hash_id":"YW7Jkz4R3vglE6M1","class_ids":{"0":1,"1":2,"2":3},"category_ids":{"19":180},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":83,"sell_point":"耳漂 多库酯钠及水杨酸洗耳液","title":"维克耳漂 多库酯钠及水杨酸洗耳液 60ml\/瓶\/盒","recommend_reason":{"0":"抗菌消炎,可彻底溶解耳垢、清洁耳道","1":"减低耳疥虫侵袭及耳道感染","2":"对中耳炎、外耳炎、耳疮有很好的辅助治疗作用"},"baike_guide_text":"","baike_article_hash_id":"","advword":"中耳炎,外耳炎,耳疮,干爽耳道,耳疥虫","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"60ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/70a71f09c5be5dd4b537b1366b12732c.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":79,"max_price":79,"sale_count":85,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 16:46:50","updated_at":"2024-11-22 09:13:39","ins":{"id":83,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"多库酯钠及水杨酸洗耳液","trade_name":"耳漂","en_name":"Epiotic","brand_name":"维克","is_prescription":0,"cover":"\/drug\/2020\/11\/90083777f092a2a445872e039427dfb7.jpg","specification":"60ml\/瓶\/盒","reference_price":89,"component":"多库酯钠、水杨酸、PCMX(EDTA缓冲液)、维克专利单糖抗附着成分。","indication":"1.抗菌消炎,可彻底溶解耳垢、清洁耳道,同时产生消毒除臭之功效。\n2.可减低耳疥虫侵袭及耳道感染。\n3.对中耳炎、外耳炎、耳疮有很好的辅助治疗作用。\n4.能有效的溶解耳道内的分泌物及清除耳垢。\n5.有收敛、除臭、消毒及干爽耳道的功能,有助于耳上皮组织更生。","usage_dosage":"1.使用前摇匀。旋转白色的滴嘴使其打开,把足够量的耳漂滴进耳道内,轻轻按摩耳朵几分钟以利渗透,让犬猫自己甩掉耳朵内多余的耳漂,可以用蘸取耳漂的棉球清洗耳朵外面的部分。\n2.耳道疾病期间,每天使用2-3次,直至症状消失。\n3.正常情况下,每周清洗耳朵1-2次。\n4.在用其他药物治疗外耳炎之前,也可以进行耳道清洗。","contraindication":"","adverse_reaction":"","attention":"1.仅供动物局部使用。\n2.建议不要用棉棒探入耳道擦拭。\n3.勿在鼓膜破裂时使用。","interaction":"","approval_no":"","storage_method":"温室保存。每次使用后,请旋紧瓶盖","validity":"2年","manufacturer":"法国维克有限公司(Virbac)","status":1,"created_at":"2020-11-09 18:01:29","updated_at":"2020-11-09 18:01:29"}},"product_sku_info":{"id":782,"product_id":740,"title":"维克耳漂 多库酯钠及水杨酸洗耳液 60ml\/瓶\/盒","advword":null,"price":79,"market_price":108,"cost_price":0,"stock":56,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"60ml"}},"cover":null,"thumb":"","sale_count":89,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 16:46:50","updated_at":"2024-11-21 19:02:43"}},"1":{"id":130392,"prescription_id":159663,"doctor_user_id":1249218,"product_id":719,"product_sku_id":761,"dose":0.3,"dose_unit":"ml","use_method":"涂抹耳道","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2023-11-23 18:41:46","updated_at":"2023-11-23 18:41:46","product_info":{"id":719,"hash_id":"02EmLAg020po1NwW","class_ids":{"0":1,"1":2},"category_ids":{"0":180},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":81,"sell_point":"耳肤灵 复方制霉菌素软膏","title":"威隆耳肤灵 复方制霉菌素软膏 10g\/支\/盒","recommend_reason":{"0":"用于宠物耳螨,细菌性耳炎,真菌耳炎,耳痒,流脓","1":"用于宠物日常护理,除臭去垢,消肿止痒等"},"baike_guide_text":"","baike_article_hash_id":"","advword":"耳螨,细菌性耳炎,真菌耳炎,耳痒,流脓,中耳炎","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"10g"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/0f029a6a91f74b81ebbb12202f072aac.png","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":139,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 14:41:10","updated_at":"2024-11-22 09:13:39","ins":{"id":81,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"复方制霉菌素软膏","trade_name":"耳肤灵","en_name":"Compound Nystatin Ointment","brand_name":"威隆","is_prescription":0,"cover":"\/drug\/2020\/11\/4a3baa3a0e8f0d632c635b1dd6f13ff8.png","specification":"10g\/支\/盒","reference_price":130,"component":"硫酸新霉素,制霉菌素,氯菊酯曲安奈德","indication":"1.用于宠物耳螨,细菌性耳炎,真菌耳炎,耳痒,流脓。\n2.也可用于宠物日常护理,除臭去垢,消肿止痒等。","usage_dosage":"1.外用药每日一次,直至康复。耳螨疗程一般3到4周。如患中耳炎,需搭配抗生素治疗,连续用药两周。\n2.首先应清洁耳朵外部,再取适量豌豆粒大小的药量,挤入耳道内。\n3.轻轻按摩耳朵根部10秒,让液体均匀覆盖在耳道黏膜上。","contraindication":"","adverse_reaction":"","attention":"1.用药前检查耳朵鼓膜完整性,不要让药膏污染被毛,特别是要防止猫舔。\n2.本品仅动物使用。\n3.放置到儿童不能拿到的位置。","interaction":"","approval_no":"(2016)外兽药证字39号","storage_method":"密封保存。","validity":"3年","manufacturer":"法国威隆制药股份有限公司Vetoquinol S.A.","status":1,"created_at":"2020-11-09 16:40:33","updated_at":"2020-11-09 16:40:33"}},"product_sku_info":{"id":761,"product_id":719,"title":"威隆耳肤灵 复方制霉菌素软膏 10g\/支\/盒","advword":null,"price":98,"market_price":120,"cost_price":0,"stock":25,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"10g"}},"cover":null,"thumb":"","sale_count":151,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 14:41:10","updated_at":"2024-11-21 19:02:43"}}}}}}
微信扫一扫
立即问宠医