徐灿
执业兽医师
你好,家长,对于这种情况来说,能不能拍摄一段猫咪的视频发过来看一下?首先我需要问一下,有没有发热呢?这么大的小猫,一般主要考虑的就是肠炎,寄生虫,冠状或者是细小,但是目前来说,所知道的信息太少了。
我需要知道更多情况,另外就是需要先看一下他的视频。
徐灿
执业兽医师
我需要问一下,他是自己家猫生的吗?能不能抱起来?我需要看一下它的状态,另外就是有没有发热呢?有没有别的异常?它是对食物完全失去兴趣了吗?
能不能让我看一下他正脸的视频?我需要通过视频来初步分析一下他的精神状态。
是自己家猫生的,没有发热,就是不吃东西,只吃了一点猫条,吃完没多久就吐了
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
发现它的后腿肌肉量有点问题,但是肚子很大,我需要问一下你,他这两天是不是采食量降低了?检查一下他的肚子是不是圆鼓鼓的?能不能把它拎起来?以这个姿势给我看一下。
我需要确认一下,因为发现他的腿和肚子有问题。呕吐和趴着,这些都不是原因只是症状,我需要看一下他的视频。
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
一定要核实一下采食量和食欲,因为发现他的腿肌肉萎缩,结合它是趴着的,呕吐不是典型症状,但是考虑他可能有传染性腹膜炎,一定要拍摄上面的那个姿势一样的照片,或者是视频,一定要核实。
这几天是吃饭很少,肚子也不是特别圆鼓鼓的,之前这一窝有一只小猫也是这样不吃不喝没精神,然后医生说是肠炎,挂了三天水就开始吃东西了,后面又不吃了,再后来就没了。最近医生让我给这只小猫喂剩下的药试试看,有***和消炎药
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
他的后腿肌肉萎缩量很高,明天的话,直接拍摄一张侧位X光片,他的肚子里应该全是水,因为后腿的肌肉萎缩,并且肚子里全是水,所以他行动困难,所以才会长时间趴着。
这种情况一定要去拍一张X光片儿,不会很贵,一般100到150,但是结合它的历史和症状来说,他有可能有腹水,也就是传腹。
因为传染性腹膜炎,他这个年龄就要开始患病了,因为视频第19秒的时候,翻身之前,就能看出他的后腿,基本没肌肉。
徐灿
执业兽医师
如果你经济条件允许的话,可以直接做生化,看白球比,如果说想初步筛查,你可以做一个X光片,拍一张侧位X光片就行,因为高度考虑,他肚子里应该全是水。
然后明天上午,你可以把化验结果发回给我,然后做复诊。
为保护用户隐私不显示图片/视频
它没有行动困难啊,我每天走到哪它跟到哪,有时候还跑两步呢,只是以前更活泼,最近一周开始食欲下降,到现在已经不吃了。一直趴着应该就是精神不好,但是行动没有困难
徐灿
执业兽医师
你可以去查一下湿性传染性腹膜炎的症状,你就可以大概的了解了,他的这个症状完全符合,就是他的精神状态良好,但是慢慢的会变瘦,肌肉会萎缩,肚子会变大,他并不是直接就呈现出完全无法移动,但是移动的次数会越来越少。他是没有困难,但是它的移动会越来越难,因为腿上没有肉了,肚子越来越大,越来越重,实际上,只要拍一张X光片就能大体知道了。
徐灿
执业兽医师
拍完之后,你可以把X光片发回,如果经济能力允许,你可以做生化,然后看一下白球比,目前,结合临床症状和经验来看,它是湿性的传染性腹膜炎的概率很高。
我帮你增加了几次询问次数,后续保留好,方便复诊。
医生,我还是问一下哈,这个是我上一只猫的生化检查报告,那只小猫和现在这只稀有色的情况是一模一样的,但是医生只说那只小猫是肠炎,没有说是湿性传染性腹膜炎。
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
看来我是对的,就是传染性腹膜炎,之前的那个白球比是0.8,没有什么太大问题,但是这个是0.6,而且最重要的是肚子里面全是水。
后续的话,注射***吧,并且搭配其他三类药物,因为平台的关系,***没有批号,所以不允许出售,后续的话,需要到其他途径去获取。
至于其他的三种药物,护肝的抗生素,还有激素,我已经帮你开出来了,后续的话,坚持用药就行。大概需要用两周,但是***必须被使用。
已经确诊了,***我买好了,另外医院在给他打消炎针和止吐针
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
实际上看到肚子里面的水就能够确诊了,这种情况后续还要加一些激素,还有护肝的药,方案在之前有开出,后续的话,坚持用药就行,止吐的倒不一定要用,因为呕吐不是根本原因。
后续记得避免惊吓,然后一周之后回来做复诊。
徐灿
执业兽医师
没事的,不用谢,后续的话,坚持治疗就行,然后记得加一些护肝药,方案的话,在上面之前都帮你开好了,这种小猫比较害怕,感染上新的病毒,所以最好是每天在家服药,然后学一下注射,每天在家自己打***会好一些。
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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