咨询描述:医生你好 我家猫腿被夹断了 前腿两只 有一只断完全了 骨头留在外面可以吗 还有一只没断完全 现在每天流血 我想问问该怎么处理
问题大致一样,细节不同?
曹航
执业兽医师
您好, 根据您描述的问题,我还需要知道以下几点 麻烦您整合在一句话里发给我 对于疾病的诊断可能会有更好的帮助,辛苦你啦
1.麻烦发一下照片
2.有没有拍片子?
没拍片子 没带它去医院 现在有一条腿已经是露出骨头的状态,我想问一下,以后这只腿的骨头露在外面也没问题吗?还有一只他的腿没断,但是现在伤口处流血,我想问一下该怎么处理呢
为保护用户隐私不显示图片/视频
曹航
执业兽医师
1.露骨头这条腿肯定是不行的,需要把这些骨头露出来,这部分都结掉,然后用肉给他包住 做一个缝合
2.然后没完全断的这条腿,它往外流血,这个不排除是有感染了,这个就得根据片子情况决定是否需要截肢还是做固定
3.现在这种情况自己在家肯定是处置不了的,需要带到医院,最起码把这个露骨头的这个部分都解掉,要不然的话很容易就顺着骨髓就把里面都感染了
曹航
执业兽医师
这个冬天的话还好一些,但是如果说这个一直在外面露着的话,到夏天的话细菌比较多,而且有苍蝇之类的就很容易感染了 骨头在外面露着肯定是不好的
曹航
执业兽医师
他这个骨头的话,和他皮肤里面的肉还是有连接的 这个骨头里面是有血液循环的,所以说一般是不会坏死的 这种的话相当于是骨髓腔里面还有血运的,所以说基本不会坏死,但是这个肉的话还一般不会慢慢的往这个骨头上面爬行,所以说这种情况最好就是截掉
我没有能力给它承担截肢的费用了 我想问一下我自己给它消炎什么的 没有好的可能了吗
曹航
执业兽医师
你如果说接受不了这个手术的费用,那就不能考虑手术了,只能就是考虑保守的吃消炎药,然后配合一些去腐生肌的外涂的膏剂,看看能不能好转了。这个就只能是治一步看一步,看之后怎么样
先用这个膏剂一天三次涂抹看看之后嗯这个位置怎么变化吧,再有就是消炎药也要给他口服,按照说明按照体重
曹航
执业兽医师
我给你说的这个肯定是最理想的方案了,但是还要根据主人来决定,主人如果说接受不了这个方案或者是费用上的考虑,那只能就是先保守了,保守的话先涂药观察看了之后。还有就是口服消炎药看了之后能否有好转吗?也只能是这样,也有30%~40%恢复的希望
曹航
执业兽医师
🌹🌹非常感谢您对蘑菇宠医的信任,希望我的建议可以帮到您,如果爱宠平时有什么养护问题也可以通过☛蘑菇宠医☚小程序搜索了解
愿你和你的家人身体健康,爱宠健康快乐成长,辛苦您点一个5星好评,感谢您宝贵的评价和支持❤️
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
{"606898":{"id":606898,"case_id":67270,"user_id":1972513,"to_user_id":2462651,"type":3,"content":"你如果说接受不了这个手术的费用,那就不能考虑手术了,只能就是考虑保守的吃消炎药,然后配合一些去腐生肌的外涂的膏剂,看看能不能好转了。这个就只能是治一步看一步,看之后怎么样\n先用这个膏剂一天三次涂抹看看之后嗯这个位置怎么变化吧,再有就是消炎药也要给他口服,按照说明按照体重","media":{"images":{},"videos":{},"business_params":{"prescription_id":162233}},"is_doctor":1,"status":1,"created_at":"2023-12-23 20:50:05","show_rx":true,"rx_info":{"id":162233,"rx_no":2.0231223204922502e+24,"user_id":2462651,"doctor_user_id":1972513,"is_independent":0,"case_id":3208445,"pet_info":{"pet_id":424818,"pet_name":"其它","pet_nickname":"酸奶","pet_gender":2,"pet_birth":"1-6","pet_weight":2,"pet_vaccination_status":0,"pet_in_insect_repellent_status":0,"pet_out_insect_repellent_status":1,"pet_age_format":"1岁6个月"},"diagnose":"外伤骨头裸露","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2023-12-23 20:49:22","updated_at":"2023-12-23 20:50:05","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":135999,"prescription_id":162233,"doctor_user_id":1972513,"product_id":812,"product_sku_id":854,"dose":1,"dose_unit":"mg","use_method":"涂抹","frequency":"每天3次","days":30,"number":1,"remark":"","created_at":"2023-12-23 20:50:00","updated_at":"2023-12-23 20:50:00","product_info":{"id":812,"hash_id":"VjX39W4zDPxQ0bvZ","class_ids":{"0":1,"1":2},"category_ids":{"8":169},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":4,"sell_point":"百灵金方抑菌膏10g","title":"贝里奥百灵金方抑菌膏 10g\/瓶\/盒","recommend_reason":{"0":"用于手术、术后切口、咬伤、烫伤、交通伤等创面感染","1":"用于细菌、真菌引起的皮肤及粘膜感染","2":"用于子宫及产道、外生殖器及肛门腺的感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"皮肤病,脓皮症,细菌感染","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"10g"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/8fd35c62b90e9eb884e32c271cdcc0c1.jpeg","images":{"0":"https:\/\/cdn.moguvet.com\/shop\/2023\/06\/b4a90fdc25766615b045299982a0dbf6.jpg","1":"https:\/\/cdn.moguvet.com\/shop\/2023\/06\/cb0fcbe97a1a93d979f82fbf7e02ddd2.jpg"},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":88,"max_price":88,"sale_count":281,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-21 16:36:03","updated_at":"2024-11-10 18:08:41","ins":{"id":4,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"百灵金方抑菌膏","trade_name":"百灵金方膏","en_name":"","brand_name":"贝里奥","is_prescription":0,"cover":"\/drug\/2020\/10\/a76d880a7848393054bd1d4991a3b027.JPG","specification":"10g\/瓶","reference_price":130,"component":"麝香、珍珠、冰片、细胞集落因子等。","indication":"1.手术中、术后切口、咬伤、烫伤、交通伤等创面感染、已经产生耐药菌的创面治疗。\n2.细菌、真菌引起的皮肤及粘膜感染、已经形成溃烂、溃疡等皮下组织感染。\n3.子宫及产道感染。\n4.外生殖器及肛门腺的感染。","usage_dosage":"1.外用,将膏体涂于创面,用量视感染面积大小而取,每日更换一次。\n2.溃烂疮面有流脓、渗血、渗水情况的,配合百灵金方粉撒在疮面薄薄一层,疮面周围涂百灵金方软膏,纱布包扎即可。","contraindication":"","adverse_reaction":"","attention":"1.外用,严禁内服。\n2.内含麝香,孕畜慎用。","interaction":"","approval_no":"","storage_method":"密封,在凉暗干燥处保存。","validity":"2年","manufacturer":"河南威灵仙宠生物科技有限公司","status":1,"created_at":"2020-10-21 14:13:33","updated_at":"2020-10-29 16:06:30"}},"product_sku_info":{"id":854,"product_id":812,"title":"贝里奥百灵金方抑菌膏 10g\/瓶\/盒","advword":null,"price":88,"market_price":140,"cost_price":0,"stock":763,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"10g"}},"cover":null,"thumb":"","sale_count":290,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-21 16:36:03","updated_at":"2024-11-10 09:35:28"}},"1":{"id":136000,"prescription_id":162233,"doctor_user_id":1972513,"product_id":712,"product_sku_id":755,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":14,"number":2,"remark":"","created_at":"2023-12-23 20:50:00","updated_at":"2023-12-23 20:50:00","product_info":{"id":712,"hash_id":"VjX39W4z2B4Q0bvZ","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":3,"sell_point":"速诺(阿莫西林克拉维酸钾片)50mg","title":"辉瑞速诺(阿莫西林克拉维酸钾片) 50mg×10片\/板","recommend_reason":{"0":"适用于宠物由敏感细菌引起的皮肤及软组织感染、呼吸道感染","1":"治疗宠物革兰氏阴性和革兰氏阳性敏感细菌的感染","2":"用于肠炎及其他感染,如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"呼吸道感染,肠炎,腹泻,便血,真菌感染,猫癣,脓皮症","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"50mg规格1板"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/26f5438f35ed21efc2894dffea9f399f.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":48,"max_price":48,"sale_count":1718,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:50:13","updated_at":"2024-11-21 13:36:29","ins":{"id":3,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"阿莫西林克拉维酸钾片","trade_name":"速诺","en_name":"Synulox Palatable Tablets","brand_name":"辉瑞","is_prescription":1,"cover":"\/drug\/2020\/10\/46c3ccae52804b92b0e341800e809e95.JPG","specification":"50mg×10片×10板\/盒","reference_price":800,"component":"阿莫西林和克拉维酸钾","indication":"适用于犬猫由敏感细菌引起的各种感染,及治疗犬猫革兰氏阴性和革兰氏阳性敏感细菌的感染。\n1、如皮肤及软组织感染脓性皮炎、脓肿和肛腺炎、蜂窝组织炎、伤口感染、腹内脓毒症等。\n2、牙感染(牙龈炎)。\n3、尿道感染,如膀胱炎、尿道炎、肾盂肾炎、前列腺炎、盆腔炎、淋病奈瑟菌尿路感染及软性下疳等。\n4、呼吸道感染,如鼻窦炎、扁桃体炎、咽炎、急慢性支气管炎、慢性支气管炎急性发作、肺炎、肺脓肿和支气管合并感染。\n5、肠炎及其他感染,如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染等。","usage_dosage":"口服。每天吃2次,连用5-7天。每次用量如下:\n体重1-2kg,吃半粒; \n体重3-5kg,吃1粒; \n体重6-9kg,吃2粒;\n体重10-13kg,吃3粒;\n体重14-18kg,吃4粒;\n体重≥19kg,请购买同品250mg规格的产品。\n\n注:一些慢性感染(慢性皮炎、慢性膀胱炎和慢性呼吸道感染)的治疗可连用10-28天。","contraindication":"1. 仓鼠、豚鼠、沙鼠、灰鼠和家兔禁用。\n2. 其他草食动物慎用。\n3.对青霉素过敏者禁止接触本品。","adverse_reaction":"1.恶心、腹泻和皮肤丘疹是最常见的不良反应。\n2.本品为青霉素类药物,若出现过敏反应可使用肾上腺素治疗。","attention":"1.不要对病情严重的动物使用口服抗生素,因其胃肠道吸收可能不可靠,这些患病动物可能需要静脉注射剂。\n2.避免在对其他β-内酰胺类抗菌药(包含头孢菌素类)有过敏反应的动物使用。\n3.片剂由防潮箔包裹,给药前不要取出。\n4.对青霉素过敏者如果不慎接触,应该立刻去找医生救助。\n5.孕畜慎用。\n4.使用后请洗手。\n5.不要让小孩接触到此产品。","interaction":"1.避免同时使用抑菌性抗生素(如四环素、红霉素)。\n2.不要给鸟类同时使用别嘌呤醇、β-内酰胺和氨基糖苷类抗菌剂在体内有协同作用。\n3.本品和氨苄西林有完全交叉耐药性,与青霉素类和头孢菌素类有交叉耐药性。","approval_no":"(2018)外兽药证字10号","storage_method":"密封,在凉暗干燥处保存。","validity":"2年","manufacturer":"意大利豪普特制药厂(Haupt Pharma Latina S.R.L)","status":1,"created_at":"2020-10-21 13:48:10","updated_at":"2020-10-23 15:55:39"}},"product_sku_info":{"id":755,"product_id":712,"title":"辉瑞速诺(阿莫西林克拉维酸钾片) 50mg×10片\/板","advword":null,"price":48,"market_price":59,"cost_price":0,"stock":9249,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50mg规格1板"}},"cover":null,"thumb":"","sale_count":1808,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:50:13","updated_at":"2024-11-21 22:49:09"}}},"drug_data_bak":{"0":{"id":135999,"prescription_id":162233,"doctor_user_id":1972513,"product_id":812,"product_sku_id":854,"dose":1,"dose_unit":"mg","use_method":"涂抹","frequency":"每天3次","days":30,"number":1,"remark":"","created_at":"2023-12-23 20:50:00","updated_at":"2023-12-23 20:50:00","product_info":{"id":812,"hash_id":"VjX39W4zDPxQ0bvZ","class_ids":{"0":1,"1":2},"category_ids":{"8":169},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":4,"sell_point":"百灵金方抑菌膏10g","title":"贝里奥百灵金方抑菌膏 10g\/瓶\/盒","recommend_reason":{"0":"用于手术、术后切口、咬伤、烫伤、交通伤等创面感染","1":"用于细菌、真菌引起的皮肤及粘膜感染","2":"用于子宫及产道、外生殖器及肛门腺的感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"皮肤病,脓皮症,细菌感染","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"10g"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/8fd35c62b90e9eb884e32c271cdcc0c1.jpeg","images":{"0":"https:\/\/cdn.moguvet.com\/shop\/2023\/06\/b4a90fdc25766615b045299982a0dbf6.jpg","1":"https:\/\/cdn.moguvet.com\/shop\/2023\/06\/cb0fcbe97a1a93d979f82fbf7e02ddd2.jpg"},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":88,"max_price":88,"sale_count":281,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-21 16:36:03","updated_at":"2024-11-10 18:08:41","ins":{"id":4,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"百灵金方抑菌膏","trade_name":"百灵金方膏","en_name":"","brand_name":"贝里奥","is_prescription":0,"cover":"\/drug\/2020\/10\/a76d880a7848393054bd1d4991a3b027.JPG","specification":"10g\/瓶","reference_price":130,"component":"麝香、珍珠、冰片、细胞集落因子等。","indication":"1.手术中、术后切口、咬伤、烫伤、交通伤等创面感染、已经产生耐药菌的创面治疗。\n2.细菌、真菌引起的皮肤及粘膜感染、已经形成溃烂、溃疡等皮下组织感染。\n3.子宫及产道感染。\n4.外生殖器及肛门腺的感染。","usage_dosage":"1.外用,将膏体涂于创面,用量视感染面积大小而取,每日更换一次。\n2.溃烂疮面有流脓、渗血、渗水情况的,配合百灵金方粉撒在疮面薄薄一层,疮面周围涂百灵金方软膏,纱布包扎即可。","contraindication":"","adverse_reaction":"","attention":"1.外用,严禁内服。\n2.内含麝香,孕畜慎用。","interaction":"","approval_no":"","storage_method":"密封,在凉暗干燥处保存。","validity":"2年","manufacturer":"河南威灵仙宠生物科技有限公司","status":1,"created_at":"2020-10-21 14:13:33","updated_at":"2020-10-29 16:06:30"}},"product_sku_info":{"id":854,"product_id":812,"title":"贝里奥百灵金方抑菌膏 10g\/瓶\/盒","advword":null,"price":88,"market_price":140,"cost_price":0,"stock":763,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"10g"}},"cover":null,"thumb":"","sale_count":290,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-21 16:36:03","updated_at":"2024-11-10 09:35:28"}},"1":{"id":136000,"prescription_id":162233,"doctor_user_id":1972513,"product_id":712,"product_sku_id":755,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":14,"number":2,"remark":"","created_at":"2023-12-23 20:50:00","updated_at":"2023-12-23 20:50:00","product_info":{"id":712,"hash_id":"VjX39W4z2B4Q0bvZ","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":3,"sell_point":"速诺(阿莫西林克拉维酸钾片)50mg","title":"辉瑞速诺(阿莫西林克拉维酸钾片) 50mg×10片\/板","recommend_reason":{"0":"适用于宠物由敏感细菌引起的皮肤及软组织感染、呼吸道感染","1":"治疗宠物革兰氏阴性和革兰氏阳性敏感细菌的感染","2":"用于肠炎及其他感染,如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"呼吸道感染,肠炎,腹泻,便血,真菌感染,猫癣,脓皮症","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"50mg规格1板"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/26f5438f35ed21efc2894dffea9f399f.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":48,"max_price":48,"sale_count":1718,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:50:13","updated_at":"2024-11-21 13:36:29","ins":{"id":3,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"阿莫西林克拉维酸钾片","trade_name":"速诺","en_name":"Synulox Palatable Tablets","brand_name":"辉瑞","is_prescription":1,"cover":"\/drug\/2020\/10\/46c3ccae52804b92b0e341800e809e95.JPG","specification":"50mg×10片×10板\/盒","reference_price":800,"component":"阿莫西林和克拉维酸钾","indication":"适用于犬猫由敏感细菌引起的各种感染,及治疗犬猫革兰氏阴性和革兰氏阳性敏感细菌的感染。\n1、如皮肤及软组织感染脓性皮炎、脓肿和肛腺炎、蜂窝组织炎、伤口感染、腹内脓毒症等。\n2、牙感染(牙龈炎)。\n3、尿道感染,如膀胱炎、尿道炎、肾盂肾炎、前列腺炎、盆腔炎、淋病奈瑟菌尿路感染及软性下疳等。\n4、呼吸道感染,如鼻窦炎、扁桃体炎、咽炎、急慢性支气管炎、慢性支气管炎急性发作、肺炎、肺脓肿和支气管合并感染。\n5、肠炎及其他感染,如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染等。","usage_dosage":"口服。每天吃2次,连用5-7天。每次用量如下:\n体重1-2kg,吃半粒; \n体重3-5kg,吃1粒; \n体重6-9kg,吃2粒;\n体重10-13kg,吃3粒;\n体重14-18kg,吃4粒;\n体重≥19kg,请购买同品250mg规格的产品。\n\n注:一些慢性感染(慢性皮炎、慢性膀胱炎和慢性呼吸道感染)的治疗可连用10-28天。","contraindication":"1. 仓鼠、豚鼠、沙鼠、灰鼠和家兔禁用。\n2. 其他草食动物慎用。\n3.对青霉素过敏者禁止接触本品。","adverse_reaction":"1.恶心、腹泻和皮肤丘疹是最常见的不良反应。\n2.本品为青霉素类药物,若出现过敏反应可使用肾上腺素治疗。","attention":"1.不要对病情严重的动物使用口服抗生素,因其胃肠道吸收可能不可靠,这些患病动物可能需要静脉注射剂。\n2.避免在对其他β-内酰胺类抗菌药(包含头孢菌素类)有过敏反应的动物使用。\n3.片剂由防潮箔包裹,给药前不要取出。\n4.对青霉素过敏者如果不慎接触,应该立刻去找医生救助。\n5.孕畜慎用。\n4.使用后请洗手。\n5.不要让小孩接触到此产品。","interaction":"1.避免同时使用抑菌性抗生素(如四环素、红霉素)。\n2.不要给鸟类同时使用别嘌呤醇、β-内酰胺和氨基糖苷类抗菌剂在体内有协同作用。\n3.本品和氨苄西林有完全交叉耐药性,与青霉素类和头孢菌素类有交叉耐药性。","approval_no":"(2018)外兽药证字10号","storage_method":"密封,在凉暗干燥处保存。","validity":"2年","manufacturer":"意大利豪普特制药厂(Haupt Pharma Latina S.R.L)","status":1,"created_at":"2020-10-21 13:48:10","updated_at":"2020-10-23 15:55:39"}},"product_sku_info":{"id":755,"product_id":712,"title":"辉瑞速诺(阿莫西林克拉维酸钾片) 50mg×10片\/板","advword":null,"price":48,"market_price":59,"cost_price":0,"stock":9249,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50mg规格1板"}},"cover":null,"thumb":"","sale_count":1808,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:50:13","updated_at":"2024-11-21 22:49:09"}}}}}}
微信扫一扫
立即问宠医