猫咪从五楼摔下走路瘸了怎么治疗

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患宠信息:布偶猫/弟弟/2岁7个月

咨询描述:症状描述:昨日从五楼摔下,昨晚找到去医院拍了片。打了止疼消炎的药。目前精神状态良好,吃了两根猫条,上厕所猫尿也正常,就是走路瘸了。我想问下,像片子里这样怎么治疗比较好?做手术的方案是什么?价格大概多少?可以不做手术治疗吗?

问题大致一样,细节不同?

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王鑫

执业兽医师

根据你讲到的情况他这个腿有两处问题 一个是股骨头脱位 另外就是股骨骨折 为了进一步判断宝贝的情况我还有几个问题需要向你核实一下: 1. 他现在有没有走路视频给我发一下 2. 腿部皮肤有没有淤青淤血表现 外伤有没有 3. 给它使用药物了吗? 以上情况你回忆后详细的描述给我,感谢你的配合。

1.这是它走路的视频,躺着时候的照片。还能自己跳下床,上床。 2.因为毛太厚了,看不清有没淤青。它右腿外侧毛打开看了,肉都是正常颜色。外伤没有看到。 3.还没有用药,昨晚就拍片,打了三针,消炎和止痛的。其它的治疗措施都还没做。

为保护用户隐私不显示图片/视频

王鑫

执业兽医师

你好 感谢你的回复 他这个情况需要手术治疗的 没有其他方案因为他这个比较严重的 手术方案需要把断的骨头对合用骨坂固定 然后静养 别让他大范围活动 还有就是需要把脱位的股骨头切除或者血髋关节置换 这两个方案 术前需要想给他吃点消炎止疼药 配合*** 最好给它放在笼子里面养 防止它造成2次骨折情况

王鑫

执业兽医师

还有手术费用我们医院大概在6000元左右 但是因为全国没有统一定价所以可以多咨询几家当地医院对比价格 这样可以对比一下 他这个不做手术不行的 不做手术骨头不可能对合还有可能造成骨溶解或者是二次骨折情况 而且时间长了 皮肤可能会出现破溃感染 如果出现骨感染那就是全身性问题了 危险性也比较高

1.断骨的地方用骨板固定就可以了吗?这个地方不需要做手术就能恢复是吗?2.你说的两个方案,优缺点分别是什么?价格大概在多少?

王鑫

执业兽医师

1需要用骨坂配合克氏针来进行固定 不做手术恢复不了的 骨折和髋关节都需要手术 2. 股骨头切除和置换区别就是优点切除费用低 恢复时间会长一些 缺点就是形成假关节以后可能造成组织黏连 但是几率也不是特别高 其次置换就是费用比较高 不会影响骨关节情况也不会造成组织黏连 这个方案目前缺点没有什么表现 但是做手术的时候需要做好矫正 要不然角度不对还是有可能脱出 。骨折和股骨头切除加一起费用大概在6000元左右 如果要是置换需要9000元左右 这是我们医院价格 可以问问当地医院对比一下价格

医生,我还想问下,就是它的股骨头可以不切除,直接复位吗?看着感觉就只是错位,类似脱臼的样子,直接摆正不行吗?

王鑫

执业兽医师

你好 他这个给它复位还是有可能出来的 而且在皮肤外面很难进行复位的 如果复位需要给它也是露出骨头复位 但是如果还是出来那还是需要手术这样就有点得不偿失 所以直接切除或者置换这样能更好的避免再次脱位 也少让猫咪受罪

意思就是如果要复位的话,髋关节那个位置也需要开刀才能复位吗?如果复位了,后续再度脱臼的可能性有多高?我最希望的是能复位,你觉得选择这个治疗方案可行吗?

王鑫

执业兽医师

你好 不建议给它复位 就算是复位也需要开刀复位 或者只能是做骨折手术麻醉的时候试试看看能不能复位但是根据经验来讲复位不过去 还是需要开刀复位 至于复发情况确实临床没这样操作过所以脱出概率没办法计算但是这种情况大概率还会脱离出来

谢谢医生,这么晚了还在回复我信息,辛苦了。我还是决定带它去做手术。那么猫咪手术后要买什么药或者营养品吗?我怕在宠物医院买的贵,想自己买,您可以给些建议吗?

王鑫

执业兽医师

客气啦 手术以后,这个就需要给他静养,然后需要术后住院5~7天。这个时间让医院的医生进行护理,然后用药,7天以后可以给他吃点口服的抗生素,然后配合止疼药和液体钙还有***来给它增强关节和骨头的营养。你看一下我下面给你推荐的抗生素止疼药和***,然后液体钙的话您需要自己购买,可以用mag的液体钙 止疼药和抗生素一般就是用5~7天,***和液体钙需要连续使用一个月到两个月左右,具体看它恢复程度。

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