咨询描述:猫咪从前年开始就咳嗽 进医院两次 第一次医生怀疑肺炎住院打针吃了药 还做了肺部灌洗查是否有问题 但还是咳嗽 第二次医生怀疑是过敏 开了药 原先是咳嗽 现在开了化痰的药感觉是里面喉咙有东西的咳嗽,呼吸会张嘴
患病时长:20年冬天开始的
用药情况:除了医院开的药 后面一直用那个气雾剂但没有效果
最后面两张是今年八月份拍的片 去年12月份和一月份都有拍片 但没有积液
问题大致一样,细节不同?
陈奕达
执业兽医师
你好,感谢信任,谢谢。根据描述,
1.猫咪的肺部在x光片来看,是有问题增粗的,属于小叶性肺炎问题。
2.猫咪现在咳嗽症状能达到什么频率?生活环境温度能达到多少度?
3.最后一次检查,是什么时候?
4.咳嗽是前面到现在位置,一直持续性的,还是间断性发病的?
每天很频繁 5-10次,目前天气冷在16度到21度之间,在今年八月份最后一次检查,一直有咳嗽
为保护用户隐私不显示图片/视频
陈奕达
执业兽医师
好的,感谢回复,谢谢。根据现有信息。
1.猫咪生活环境温度偏低,会有着凉的问题。而呼吸道疾病问题,对温度很敏感,所以着凉,是治疗疾病最大阻碍。
2.如果8月是最后一次检查,那么对于现在来讲,时间太久了,建议近期内,再复查一次血液以及肺部的x光片,进一步对猫咪的情况做出了解。
3.猫咪现在的情况,属于慢性肺炎问题。
4.如果暂时不方便就诊检查治疗,可以尝试一下我的方案,在家先给宝贝吃一些宠物专用广谱消炎,呼吸道感染,清热解毒,止咳平喘,的口服药来进行治疗,观察5-7天的时间。如果有效果,可以持续用药2-3周左右,直到疾病康复为止即可。
期间,可以再配合雾化治疗。
稍后会根据猫咪症状开具一套用药,供你采纳参考一下。
猫咪以前是否有什么用药过敏史?
今年一月份 去年12月份 和今年八月都有拍片 医生说拍x光近期没有改变的 八月份拍的和之前一模一样 他现在咳嗽就是带着感觉有痰 但不流鼻涕 非常偶尔打喷嚏 之前医生开了化痰药后咳嗽就感觉带痰 以前是纯咳嗽
陈奕达
执业兽医师
你好,猫咪处于发病状态下,出现咳嗽,卡痰,呼吸急促属于正常现象,这些是属于猫咪两个发作的症状之一。
猫咪现在的情况,定期复查,还是很有必要的,能够更加精准把握疾病程度。
以前的化验,间隔时间比较久,对现在的疾病程度分析,没有什么太大的实质性意义。
陈奕达
执业兽医师
你好,综合现在所有信息,我个人认为是肺炎,并且有肺部纤维化的程度。
这种疾病程度,能够治愈的概率在50-60%左右。
陈奕达
执业兽医师
你好,疾病的治疗,并不是用药就肯定会好或者有效果的。毕竟猫咪的问题,是有治愈率以及治疗失败率的。
如果想达到最大化治疗效果,可以尝试进行抗生素敏感试验,已经肺部影像,血液常规的复查检查,来进行后续的治疗方案制定。
或者也可以暂时先尝试一下我的方案,来帮助猫咪,观察效果如何。
陈奕达
执业兽医师
你好,这边根据现有信息以及宝贝的症状,开具一套用药,供你采纳参考,以备不时之需,然后如果你有什么疑问,可以继续提问,我会一一为您解答。
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.****,宠物专用广谱消炎,控制呼吸道炎症感染问题。
2. ***,宠物专用呼吸道清热解毒,止咳平喘口服液。还可以起到缓解流鼻涕,打喷嚏症状。(用药前后一小时,禁食禁水,效果更佳)。
3. ***,宠物专用呼吸道抗生素,能够起到缓解呼吸道感染咳喘症状的效果。
可以根据需求自行选择购买。
宝贝最近一段时间,需要注意不能着凉。因为着凉,是治疗呼吸道感染的最大阻碍。
雾化治疗方案,15-20毫升生理盐水,加1毫升**米松,2毫升**霉素,2毫升**霉素。中等雾量,每次5分钟左右,一天2-3次。(以上药物宠物专用)
陈奕达
执业兽医师
非常感谢对蘑菇宠医的信任,祝爱宠早日康复!然后可以关注我,或者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。
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
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