徐灿
执业兽医师
你好，家长，我已经看到了化验结果，确实是这样的， 我需要问一下，有没有排除腺病毒和犬瘟热呢？对于他的肺部问题，一般建议是雾化，雾化对于这种情况来说，效果是最好的，而且需要口服药物，使用一些抗生素和镇咳药物。
我需要知道一下更多的信息，尤其是要知道一下，现在的用药治疗和狗狗视频。
他有两次疫苗，最后一针没打，狂犬也打了，现在做的检查显示可以确定是肺炎，没有别的病，现在的用药情况应该是。 ****** 一支
** 一支
*** 1.2ml
狗狗会死掉吗
徐灿
执业兽医师
我还需要看一下狗狗的视频，确认一下状态，但是你现在所用的这个方案确实不太理想，还应该增加一点抗生素的注射，但是除了注射之外，最重要的实际上是雾化，后续的话，我会给你一个雾化的方案，然后我需要先看一下狗狗的状态和视频。他现在还能够正常的吃东西吗？
说可能是遗传，吃喝正常，但比平时要少一点点，这个视频是他住院前的视频，今天晚上住的院
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
可以的，我看到了，状态上没什么问题，这种情况后续的话可以稍微更改一下方案。
首先你需要去买一个雾化机，淘宝上有，你到时候买一个，他这种情况，用药时间会很长，因为肺部感染而且有白肺，所以估计得用要10到14天。然后我把现有方案修改了，增加了镇咳药物，还有就是激素缓解症状，以及促进呼吸的。
雾化药液就变得简单了，你可以用一些**菌素类的药液进行雾化，或者是****进行雾化，就是让抗生素类的药物更容易吸入到呼吸道，从声音来听的话是轻咳，没有听到锣音。
然后提到的激素的使用，你可以每天给他雾化两次，激素使用一个是口服，一个是增加到雾化药液里面，雾化药液里面比较建议增加**米松，然后如果说具体剂量的话，你不知道，我也可以和你说。
一般来说，正常用药的话是不会死亡的，积极治疗是没有问题的，然后帮你开的是所有的药。
至于说雾化的药液，你到其他途径去购买就行，比如说淘宝之类的，因为平台上不允许出售这种注射药液，而且一天两次雾化，一定要进行，雾化对于他这种情况的恢复非常重要。
他在视频里咳的算轻的时候了，严重的时候会咳着咳着就会有“咔”的声音，他现在在医院，我有几个问题想向您了解一下。 1就是我可以买了让医院的人给他做雾化吗？还是等他回来的时候我们自己给他做？2是您说的这些药大部分医院会不会有呢？或者我们买了让他住院的地方去喂他 还是等他回了家我们自己喂3是他这个病是很严重的程度吗 能完全治愈吗 4就是麻烦您和我说一下具体的剂量
徐灿
执业兽医师
首先就是狗狗不回家的吗？雾化的话，最好是家里面做，因为药物的配比非常简单，关键问题是雾化需要时间，而且做雾化的时候，狗狗不一定配合，有可能需要主人把着或者抱着。所以一般还是比较推荐在家里面做的，而且没什么技术性的难度。
我帮你开的药物都是口服的药物，是后续所有的药物，就是能够吃到康复，基本上剂量方面是足够的，然后你也可以买回去自己给他用，后面有标注计量，如果不是特别明确的话，我可以再告知。
他的疾病算是比较严重的了，但是是可以完全治疗的，只不过治疗时间长，而且短暂的几个月内可能会有一定后遗症。
具体剂量的话可以告知，但是我不确定你买的是什么药，常用的能用来做雾化的药物，比如说**菌素类的，或者是****，****，林肯霉素，这些都是可行的，得看一下具体规格和剂量，回头买回来之后，你可以和我说一下，然后我再告诉你具体加多少。因为短时间之内肯定是无法治愈，他得用药好久，而且一天两次，最好是在家里面做雾化。然后至于激素的话，你可以使用**米松，或者是直接使用上面的药物方案，就不用在雾化里面加激素了。然后如果有罗音的话，要考虑有痰液，再加其他的药物，这个得看实际情况。
是的他不回家，现在住在医院治疗，大概是七天，医院的医生说是有痰，给他打了化痰的药，我到后面怎么联系您呢？那我是买了让医院的人用您这个方案去治还是等海盗回来了之后我们自己用药做后续的康复呢？
徐灿
执业兽医师
我需要和你说一下，如果它有痰的话，现在你跟我说的这个方案里面没有化痰的药，一般来说，它要有痰的话，给他用一点*****，效果会比较好，也是一天两次。如果有*****注射液就更好了，直接加在雾化药液里面。
实际上，他的情况不算特别厉害，正常的，你也可以把他接回去，然后每天给他雾化，因为医院的话可能不太好控制狗狗，雾化的效果可能比较差，再有就是长时间住院，对于狗狗的心情也有影响。所以说你后续可以按照我帮你开的方案去用药，然后重点实际上在雾化上。后续我也可以教你配置雾化药液，然后*****注射液一般也能买到，买不到的话就买*****药片。
后续有问题随时留言就行，不过我是夜班，一般晚上在线，白天的话，间接回复，超过问诊时间可以回来复诊。
徐灿
执业兽医师
另外补充一下，七天基本上很难完全恢复，这种程度的肺部感染至少也得治疗两周左右，至于说存在后遗症的时间，这个可能会更长，因为肺部特殊，单纯的打针效果本身就极差，雾化的话，效果会好很多，因为可以直接让药液吸入肺部，通过黏膜吸收，直接到达肺部患病位置。
好的，主要是怕在家自己照顾不好他，因为尝试过给他喂药，他不吃给吐出来了，所以才决定给他送到医院去，方便治疗
徐灿
执业兽医师
实际上也比较好喂，可能是方式方法的问题，牧羊犬的嘴比较长，所以说你需要把药物塞入咽喉，然后再让他把药物吃进去，如果单纯的放在舌头上，它可能会吐出来，回头如果你实在不是特别会喂药，你可以去买个喂药器。
相对来说，只要正常治疗的话就可以，没有什么特别大的难度，然后有问题或者不明确的和我说一下就行。
重点是及时买个雾化机，然后回头你可以每天给他做雾化，因为一天两次，还需要狗狗配合，这个得看一下狗狗是否老实，不太老实的话，就可能得主人把着或者抱着。所以一般来说，接回家里面治疗比较稳妥一些，因为他并不是那种需要吸氧的那种，所以住院不是必须的。
好的 谢谢您 您看这样的雾化器可以吗？选哪个合适呢？还有一个问题就是，医生说他现在不适合输液，会引起肺部水肿的一个问题，重点就是使用雾化治疗对吧 后遗症大概是什么症状呢？然后就是用您的方案他肯定会好的更快更有效率对吧
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
一般常规的雾化机都能用，这种商品性的，我没有研究，但是大部分都能用，雾化机的话，就是方便把药液雾化成微粒，这样的话更容易吸，而且雾化的话不用担心肺水肿问题，输液的话，确实有可能会造成肺水肿，但是雾化药业本身也不会有特别多，基本上这么大的狗狗也就是十几毫升的量，所以说非常适合他现在有的情况。
他现在的重点就是，雾化治疗，然后更改一下现有方案，因为你最开始跟我说的那个方案并不理想。然后我已经帮你改的相对比较完善了，比较适合他现在的情况。
然后如果有痰，你后续需要找一些***，一般是叫*****，最好是注射液，后续方便加在雾化药液里面。
然后抗生素的话，你去找一点**霉素，或者是****，或者是****，或者是**菌素类的都行，四选一。激素的话，我帮你开了，主要是消除肺部炎症，减少症状，所以雾化的里面可以不加。
至于你所说的后遗症，一般是指肺部可能后续存在纤维化，或者是支气管增粗的情况，表现的症状一般是迎风，咳嗽或者剧烈运动后咳嗽。
好的 谢谢 然后您开的药，我们每天按照剂量该有的那几种药一起去喂对吧，
徐灿
执业兽医师
对，是这样的，这几种药物没有配伍禁忌，可以正常的用，但是需要和你说一下，我帮你开的方案里面没有化痰的，平台上也没有*****，这个你得到其他的途径去购买，然后你看一下方案，如果哪一个用量不明确的话，我再和你说一下。
中间有间隔时间吗？需要买的药物就是雾化药物**菌素、*****或者溴索注射液就行哈，您开的方子有激索的话就可以不买了也不用加在雾化里了，然后**菌素可以和*****一起做雾化吗？
徐灿
执业兽医师
首先就是上面的药物是没有配伍禁忌的，可以一块吃，但是最好是饭后给他吃，因为**环素对他的胃部有刺激，有些时候空腹吃容易呕吐，这个我要提前说一下 ，还有就是麻***汤是苦的，这个也要注意。所以说吃完药物之后会吐是正常的。
然后回头需要买一点盐水，就是***注射液，用于稀释药液，**菌素类药物不好买的话就买其他的三种之一就可以，其他我说的三种药物都是直接就是注射液，就是液体，但是如果你买**菌素类药物的话，它是西林瓶装的粉末，你后续需要稀释它。所以说如果你选择了**菌素类药物，你记得买***注射液，或者是纯净水，就是喝的那种。
然后*****和**菌素类药物是可以加一起的，这个没有问题。
那我就直接买其他三种其一就行对吧 这三种都是液体的比较好弄一些，盐水是和其他药一起放在雾化器里面吗？还是说做完雾化让他喝盐水
徐灿
执业兽医师
你买其他三种药物也行，都是抗生素，倒是没有什么太大问题，盐水的作用就是把盐水放入雾化机之中，起到稀释药液的作用，因为你真正用的时候可能只会抽取药液中的两三毫升，这两三毫升连雾化机加药位置的那个底都填不平，所以说加入这个盐水是为了稀释药液，然后让它徐徐吸入的。而不是说让他去喝这个盐水，喝这个盐水是没什么意义的。
好的，明白了，谢谢您，如果后续我还有什么不懂的再咨询您
徐灿
执业兽医师
可以的，没问题，后续的话保留好询问次数，该回复不必回复，有问题随时留言。
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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