徐灿
执业兽医师
你好，家长，实际上，有着比较高的炎症，再有就是白球比是0.65，要考虑一下传染性腹膜炎的，能不能让我看一下现在猫咪的状态？还有就是到现在为止已经用药了吗？
他的问题主要是在高炎症，还有肝脏损伤上，再有就是白球比低，所以说比较符合传染性腹膜炎的一个特征。
在治疗了，我把治疗一天后今天最新的查血结果发给您看看，视频我也发给您帮我看看。
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
先按照传染性腹膜炎治疗，他的鼻子的颜色不对劲，有点明黄色，检查一下耳朵内侧是不是也是明黄色的？这是一种黄疸的迹象，询问一下，注射***了吗？
已经注射了***，另外还有干扰素等用药，还有就是干细胞移植，这个视频是刚才最新的视频
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徐灿
执业兽医师
干扰素的话，可以不用，因为这种情况用干扰素没有太大的用处，除了促肝细胞再生素，建议是增加一些护肝的药物，然后就是持续性供应食物，最开始的时候可能会推注，就是视频里这个样子。总体来说，处置的倒是挺得当的。
昨天也抽了腹水，今天最新检查报告我也发给您看看，医生说还有猫瘟
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徐灿
执业兽医师
首先就是需要和你说一下，这种情况不能够抽腹水，如果抽腹水的话，会造成蛋白流失，有可能会直接抽死。
再有就是从目前的化验结果来说，总体没有找到，能够确认是细小病毒的证据。因为没有典型症状，而且白细胞处于上升的情况。
徐灿
执业兽医师
目前来说，它是传染性腹膜炎，这个问题应该是能确定的，但是我不能确定它有猫瘟，因为我没有发现明显的能够证明猫瘟的结果和症状，所以我个人对他是有细小并发的这个事存疑。
我也感到疑惑，因为暂时没有任何的猫瘟症状，没有呕吐拉血便，但是这边医生跟我说猫瘟也是中晚期了，所以我拿到结果就来跟您咨询一下。目前来看猫传腹还能有治愈的几率吗？昨天之前是完全不吃不喝也不拉大便，但是治疗一天后今天精神状况和食欲恢复了很多，是只需要持续打***28天是吗？
徐灿
执业兽医师
我个人建议是先按照传染性腹膜炎的方案去治疗，他不太像细小病毒，不管是症状还是结果都不像。
建议是先注射30到40天左右的***，然后护肝药物继续用，主要就是这两种药物，其他的也就是增加一些抗生素和激素，重点是要看白球比何时恢复正常。
这边医生跟我说是猫瘟中晚期➕猫传腹中晚期，治愈率很低，让我做三次干细胞移植治愈率会翻倍，我就是感觉被坑了，因为我看它白细胞没有太低，也算是在正常值边缘，有没有可能是猫瘟潜伏期呢？还有就是猫传腹主要是看检查单上的什么指标啊？
徐灿
执业兽医师
首先就是潜伏的话，一般不太需要用治疗，他现在主要的问题还是肝脏损伤和白球比低，以及黄疸，因为发现他的鼻头的颜色不正常，这是推断他为传染性腹膜炎的主要依据。
后续的话，只要是保证食欲，正常的注射***，使用护肝药物一般都能恢复，你确定是干细胞移植吗？他这种情况，只要是能够吃进去东西，一般不太需要。而且总体来说，我没有发现他有细小病毒的倾向，这个是我个人认为的，因为没有确诊的依据。
医生说是干细胞移植，我也不太懂，还有就是猫传腹和猫瘟一般是看哪几个指标啊？我不太懂所以也看不懂检查单上的指标升降。图片里就是医生所说的干细胞移植，麻烦徐医生帮我看看。
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医生说是干细胞移植，我也不太懂，还有就是猫传腹和猫瘟一般是看哪几个指标啊？我不太懂所以也看不懂检查单上的指标升降。图片里就是医生所说的干细胞移植，麻烦徐医生帮我看看。
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徐灿
执业兽医师
在上面有提到了，传染性腹膜炎主要看肝脏数值，炎症数值，白球比。但是这个还得结合临床经验和症状，所以说不是说单纯看数值就能知道的。还得结合前后历史临床表现。
然后细小病毒一般会伴随着白细胞降低，但是他的白细胞都是正常的，没有下降趋势，这个不符合细小的特征。
虽然高炎症也会造成白细胞提高，但是仅限于前中期，他已经好几天了，所以如果他真的是细小的话，应该是白细胞很低，但是他的数值是正常的，这本身就不太正常。
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那有没有可能猫瘟只是 初期，还要等几天症状才能逐渐体现出来呢？还有就是猫传腹一般来说需要住院治疗多久才能接回家呢？医生建议我住院一周再自己接回家打***。打***期间又会不会病情恶化呢？
徐灿
执业兽医师
首先就是与他的症状不符，如果说他后续感染了猫瘟，那你要考虑一下，可能有院内感染，就是在医院里面感染的，因为他之前没有任何的证据可以证明他有猫瘟，再有就是时间上对不上。
一般的正常吃东西了，就可以回家了，后续的话，重点是使用护肝药物和***，一般只要正常用药，不太会造成突然加重，但是记得不能再抽腹水了，否则的话，可能会暴毙。
看来我是真被坑了，那以它目前进食量每次3毫升左右，但是只有小便，没有大便，也不喝水，这种情况能够接出院吗？
徐灿
执业兽医师
暂时不建议离开医院，一般建议是等到他状态稳定了，然后再离开医院，或者是你能够给它进行喂食，这种情况一般护肝药物，抗生素，激素和***都是要使用的。
我帮你开了除***以外的其他药物的方案，出院之后记得再服药，1到2周左右。护肝药物需要吃一个月左右。然后***因为批号的问题，平台上没有，到其他途径获取就行。然后记得每次注射前称量体重核算计量再注射。
好的，感谢徐医生，我稍晚一点看看猫咪情况再下单买药可以吗？后续有问题我还会继续跟您咨询，非常感谢徐医生的详细解答，感激不尽！
徐灿
执业兽医师
那个都无所谓的，后续的话，保留好客服的微信，有新的问题的话，及时留言，遇到紧急情况可以联系客服，让客服打电话给我。
现在的重点是让他吃东西，然后护肝，并且使用***，就他的情况来说，一般3到5天左右基本能恢复到正常状态，但是只是表面正常。3到5天左右，他的食欲应该能逐步恢复。
为保护用户隐私不显示图片/视频
好的好的，感谢徐医生，我马上加一下微信，后续有问题继续跟您咨询请教。
徐灿
执业兽医师
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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