咨询描述：13岁田园犬母狗未绝育，近半个月发现肚子较大，31日抽过一次腹水，精神状态较好，能吃能喝能走动，抽血及b超检查结果如下，想关于是否手术切除肿瘤请教下专业人士建议
问题大致一样，细节不同？
孙嘉辰
执业兽医师
您好，首先从超声结果上来看，狗狗现在确实存在腹部长肿瘤的情况，而且除此之外子宫也出现了病变，这也是目前最主要的两个问题，那接下来我分开说一下。
先说第一个问题就是肿瘤问题，从超声上面看到的肿瘤大小还算可以，但是产生的病症效果却不少，就比如说像他现在产生了腹水，这个腹水有两个可能性，一个可能性是肝损伤形成的腹水。另一个可能性就是肿瘤形成的副肿瘤综合征，造成的腹水。那不管是哪一个原因形成的腹水，现在如果不去解决产生腹水的根源问题。也就是肿瘤和病变肝脏的问题，那这个腹水就会一直产生。
那么关于这个问题的解决，要么就做手术，把病变的部位切掉，无论是病变的肝脏还是出现病变的肿瘤，只要有病变就切，后期腹水的问题应该就可以得到比较好的控制，当然这个是在肿瘤没有扩散，没有转移的情况下。要么就是不管了，如果出现的腹水影响正常生命活动，那就去医院抽一次腹水。就这么拖着，直到他因为病情或者自然原因死亡的那一天。
那么关于子宫积液的问题，同样他这个积液放置不管，有可能会自己康复，也有可能康复不了，或者可以给他选择吃点药，看看能不能帮助把积液排出去。但是最保险的措施肯定不是这种消极的治疗，一定是把子宫卵巢切除了以后，没有这个器官了，这个器官就不会进病变了，因为关于这个子宫的问题，他将来有可能会发展成子宫蓄脓，如果发展成子宫蓄脓还要治疗的话，那只有一种办法就是手术治疗。
所以对于现在这个情况，接下来的选择有两个分支，一个分支就是不要积极的治疗，出了什么症状就治疗症状就行了。比如说像就等着抽腹水。腹水不多就不用抽，吃点药，能维持多久就维持多久。另一个分支就是，尝试做手术，如果手术治好了将来的好处就是他的生活质量会高一点。然后不用说手术肯定是有风险的，现在属于中等风险，所以如果能接受风险就做，接受不了风险就别做了。
如果原则保守治疗的话，请医生推荐几个药品，可以有效治疗/缓解小狗目前的症状
孙嘉辰
执业兽医师
您好，保守治疗只能做到缓解，或者尽量拖延病情，别让它那么快变严重，有效治疗肯定是做不到。
今早带小狗去医院抽了500ml腹水，今晚又涨起来了，请问：1.这样腹水多的情况可以做手术么？2.不做手术的话，目前腹水比较多怎么解决比较好？只能靠抽出去么？3.如果一直是这种情况，小狗的大概还能活多久？
孙嘉辰
执业兽医师
1，我们就是为了从源头上解决腹水这个问题才会选择想要做手术，所以说不管腹水多少，如果想要从根源解决问题的话，那就去做手术。
2，是的，如果不做手术的话就靠抽出去。
3，能活多久也不确定，但是应该也不是最近就会死，因为根据您的描述来看，毕竟他其他状态还行，如果都不吃不喝了，估计也就几天吧。
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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