猫猫体温35度鼻子干耳朵里有点黄是什么病
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咨询描述:猫猫,到底是什么病,三天不吃饭,鼻子干,没精神,会喝点水,耳朵里有点黄?发热35.4
问题大致一样,细节不同?
徐灿
执业兽医师
你好,家长,首先,35.4度不是发烧,猫的正常体温一般是38到39度五,从描述上来看,很难直接确定是什么疾病,但是刚才我看了一下化验结果,他的白球比是0.56,虽然代表心脏的数值有一定问题,但是更大的问题在于肝脏上,综合考虑有可能是传染性腹膜炎,但是我确定不了,我需要看一下猫咪的视频或者是状态。
徐灿
执业兽医师
能不能让我看一下视频?还有就是到现在为止做了什么治疗呢?精神沉郁的描述过于简单,很难确定他是什么情况,所以我需要先看视频,并且了解更多情况,但是从化验结果上来说,要考虑传染性腹膜炎。
徐灿
执业兽医师
能不能让我看一下他的照片?这种情况要检查一下,看一下他是不是有肌肉萎缩?或者是肚子是不是越来越大了?他的白球比有异常,0.56高度怀疑传染性腹膜炎,肝脏损伤应该不是主要原因。
没有精神,肚肚不大,耳朵有点黄,鼻子干,吃不下东西,但是会喝点水
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
明天去拍一张侧位X光片吧,应该就是传染性腹膜炎,他的后腿肌肉萎缩,后腿已经塌陷了,而且两侧肚子鼓起来了,他的腹腔里面应该全是水。把它按照这个姿势抱起来,就是竖着托起来,我需要看一下他肚子的形状。
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
确实是没有特别明显的鼓起来,但是他的白球比不正常,你摸一下他的后腿,是不是没什么肉了?还有就是你摸一下他的肋骨,是不是非常明显就能摸到了?因为传染性腹膜炎,除了湿性的,还有干性的。
传染性腹膜炎就会造成肝脏损伤,还有黄疸问题,还有就是食欲下降等等,比较典型的症状就是肌肉萎缩。
徐灿
执业兽医师
这种情况不用看毛,从视频上来看,不是特别典型,摸一下他的大腿上的肉,还有身体上的肩胛骨,肋骨,是不是特别明显,肌肉是不是有点萎缩?
徐灿
执业兽医师
这种情况实际上基本上就能确定是传染性腹膜炎,因为传染性腹膜炎属于代谢性疾病,后续肯定会有肝脏损伤,但是和中毒是没有关系的,传染性腹膜炎属于冠状病毒引起的问题。
这种情况如果医疗条件水平高,直接做一个传染性腹膜炎测试即可,如果说医疗水平没那么好,那么可以选用***逆向诊断,并且搭配抗生素等药物方案,如果你需要的话,我也可以帮你开一个方案建议。
一般来说,正确的使用***等药物的话,3到5天左右就可以恢复正常的食欲和状态,但是用药时间可能会比较长。
徐灿
执业兽医师
因为某些原因,***平台上不允许出售,这个你得到其他途径去购买,然后要搭配一些抗生素,激素还有护肝药物,因为毕竟有肝脏损伤,后续的话正常用药之后,如果短时间就可以恢复,那么就能够确定是传染性腹膜炎,后续需要多用一段时间的药物,大概可能需要注射40-50天。但是这些口服的药物一般吃两周左右就差不多了。
徐灿
执业兽医师
首先就是35度四的体温肯定不准确,如果35度四的话,基本上大概率就濒死了,一般来说,需要把水银体温计,插入肛门之中测量体温。
其次就是***,必须有,必须注射,然后搭配其他三个药物就可以,一般正常用药3到5天就可以恢复状态,但是用药时间较长。
徐灿
执业兽医师
我所指的三种药,就是我帮你开的方案,***因为批号的原因,平台上没有,这个你得到其他途径去购买。
徐灿
执业兽医师
后续用完药物之后,如果有所恢复或者状态,可以很快的好转,那么就可以基本确定为传染性腹膜炎,如果效果稳定,记得回来做复诊。
徐灿
执业兽医师
一般来说是一天一次,具体的量的话得看体重,体重越大注射的越多,还得看药物浓度,不过一般按照常规剂量注射就可以。后续如果不清楚计量,可以回来进行询问。
徐灿
执业兽医师
得看白球比何时恢复,但是在上面有介绍,详细阅读上面回复,一般来说得40到50天,但是这个不是固定的,得看具体情况。
徐灿
执业兽医师
这个确定不了,因为他的肚子不是很大,不能直观的确认,一般来说,需要拍摄一张侧位X光片才能知道,肚子里面有水的,就是湿性的,没什么水分的,就是干性的。
对不起,打扰了,猫咪,3公斤,他的药物是按公斤算的叠加,还是按mg算呢
徐灿
执业兽医师
公斤毫克叠加算,我给你举个例子,比如说****克维拉酸钾,每公斤25毫克,一天口服两次,那么,对于三公斤重的他来说,每次服用75毫克,一天吃两次。
同样的,比如说***,20%浓度,每公斤注射0.4毫升,那他一次需要注射1.2毫升。
当她的体重发生变化,那么,用药剂量也要随之变化。
也就是说,单位公斤用药量不变,但是总用药量会随着体重的变化而变化。
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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