咨询描述:小猫跟老人玩的时候不小心摔倒地上,上医院检查说是骨折要做手术,问一下这种情况必须要手术吗,能否进行保守治疗
三岁大的公橘
问题大致一样,细节不同?
徐灿
执业兽医师
你好,家长,从照片上来看,应该是盆腔断了,但是实际上这种情况是否要做手术,得看两个事情,首先就是他的排尿是否受损,再有一个就是看一下它后肢是否失去知觉。这一点是非常重要的。
用手去掐一下他的后脚趾,看一下有没有回缩?有没有同感?一般来说,只要神经正常,那么,能够站立,也是可以选择保守处置的,但是要使用相应药物。
1.可以进行排尿,2后肢有反应,但是需要比较用力捏才有反应,3,小猫可以短暂站立和移动,但是非常吃力,并且站一小会儿就会倒下,后半身一直处于侧躺状态
徐灿
执业兽医师
如果是这种情况的话就行,首先就是他现在肯定站不住,站立的话,肯定会有痛感,这种情况首先是需要使用镇痛的药物,再有就是可以使用中药制剂进行用药配合。
他现在的这些表现,可以明显的确认它的后肢神经是正常的,这种情况可以静养,因为断裂的位置不太会发生偏移,这一点和腿骨还有臂骨这些位置不一样,所以说后续慢慢可以愈合,只不过需要使用相应药物。如果你需要用药的话,我可以帮你给出方案。当然要做手术的话也可以,这个看个人意愿。
请问大夫如果用药的话能恢复到什么程度呢,大概需要养多长时间,如果手术治疗大概会比用药强多少
徐灿
执业兽医师
首先就是如果正常来说,正常的保守治疗大概率也可以恢复到正常的程度,只不过可能需要休养2到3个月才能完全恢复,时间会拖的比较长,但是正常行走的话,可能一个月到一个半月左右吧。
我刚才复盘了一下这个位置,手术的风险主要是麻醉,创伤也会比较高,因为做这个手术的时候,需要切开皮肤,并且撕开肌肉,然后打钢板,对于骨头的破坏可能会更高一点,结合后续的破坏,还有恢复程度来说,个人比较倾向于保守处置。
所以说这个位置不是必须手术的一个位置,因为这个位置位移的很低,后续过一段时间基本上都可以恢复,不是那种有位移性的折断性骨折位置。
非常感谢大夫的建议!那保守治疗的话需要用到哪些药物呢,麻烦大夫出个方案吧
徐灿
执业兽医师
那我就帮你开一个常规方案,相较于手术来说,成本会比较低,因为这个位置,它的移动性不高,他不太会出现那种长错位的情况,再结合上,如果手术的话,不管是对于肌肉撕裂的破坏,还有麻醉风险以及骨头的破坏程度来说。保守处置都是非常合适的。
我已经帮你开了个方案,后续的话,坚持用药,然后记得***康用药时间尽量别超过一周,抗生素主要是为了应对后续可能存在的继发性感染,中药制剂帮你开了两盒,多吃一段时间。这个基本没什么副作用。
对了,还有一件事情,他现在移动困难,后续的话,因为无法移动,再加上疼痛原因,可能会有不排便的情况,或者是大便干结,回头你到其他途径去买点 ***,按照每公斤0.5毫升,一天喝两次,用于处置大便干结或者不排便的情况。
然后15到20天左右可以回来复诊,看一下它的后续恢复情况。
徐灿
执业兽医师
没事的,不用谢,后续的话正常用药就行,估计抗生素和止疼的得吃一两个星期,然后中药的话多吃一段时间,这个长时间使用,一般没什么事,大概可能需要用药一个月左右。
正常的,按照上面的方案,用药15天左右就可以恢复一定的行动能力。然后***的话,你去药店啥的问问。
感谢您对蘑菇宠医的信任,如果我的回答能够帮助到您,请您在咨询结束后留下5星评论。
后续宠物有其它问题,您可以到“蘑菇宠医”官方微信公众号找到我的医生继续向我提问。
谢谢您的支持和鼓励,祝您的爱宠早日康复!
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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