咨询描述:狗狗两个月了之前一直吃狗粮正常,打了***两针。在四天前喂了一个硬硬的鸡肉干吃了之后立马干呕,吐出了白色泡沫状粘液。当天不吃不喝,没有精神眼睛半睁半开,不断干呕。后送去宠物医生打了抗冠状的药和抗支原体感染的药,并住院到今晚,回来了仍一直干呕并咳嗽。请问医生怎么治疗,主人看着狗狗干呕好心疼
问题大致一样,细节不同?
徐灿
执业兽医师
你好家长,我需要问一下他现在还能够吃东西吗?能不能把之前的化验结果发给我看一下?还有就是他有没有呼吸的杂音?另外就是有没有拍摄过侧位胸片?
我需要了解更多的信息,因为我需要判定它的发病原因,还有就是他有没有做过血常规等检查呢?
它现在能够吃东西,没有呼吸的杂音就是干呕后有点轻微的咳嗽喘息没有拍摄过侧位胸片。也还没有做过血常规的检查是否需要补做呢
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
CPv是狗的细小,我需要问一下医生有没有和你说是细小病毒?这种情况一定要尽快去做个血常规,因为cpv代表的是狗的细小病毒,那个试纸上是浅浅的两条杠,也就是说,现在只是按照冠状病毒的方案去用药了吗?
是的,检测医生是说一条杠的是细小,两条杠的是冠状。目前是按照冠状的用药,然后还打了一针支原体的。
徐灿
执业兽医师
我个人建议是做两个测试,因为他的状态并不理想,建议先做一个血常规,看一下白细胞数值,看一下白细胞数值是否比较低,另外就是建议拍摄一张侧位胸片,要考虑他可能有肺部感染,因为他咳的很厉害,而且一直在呕。一定要优先排除细小可能。因为试纸只是作为参考,还要有血常规等检查结果。
徐灿
执业兽医师
是这样的,因为有些时候细小和冠状是并发的,而且试纸的准确率不是特别高,有些时候,一些潜伏的或者是弱阳性的检查不出来,为了保险起见,最好是先测试一下,细小加冠状的话一样是以细小的方案为主,因为细小和冠状的治疗有叠加部分。但是如果真的是细小加冠状,那么治愈率是很低的,所以要优先看一下血常规结果,看一下白细胞是否降低。
再有就是他总咳嗽,要看一下他的肺部情况,如果说肺部感染严重,可能后续要雾化。
呜呜呜,细小的话要怎么治疗呢,不担心费用。怎么治疗痊愈率最高呢
徐灿
执业兽医师
对于这种情况来说,我个人建议先不要去考虑这些,建议先优先做一个血常规的测试,还有就是侧位胸片的拍摄,先看一下具体情况,等到确认完之后再进行治疗。
因为目前来说只是猜测需要进行确认之后才能给出用药方案。
这是它今天早上拉的粑粑
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徐灿
执业兽医师
应该是没有细小病毒的,但是我需要问一下,能不能给我看一下更为清晰的X光片?因为这个X光片清晰度太低了,完全看不清楚,所以我不太清楚肺部的情况。
抱歉医生,医院只给我发了这两张
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
这个清晰度太低了,但是可以发现它的一部分的肺部还是密度增加了,所以说后续的话,还是建议增加雾化治疗,然后目前考虑并不是细小,还算是一个好消息,当然,你也可以选择自行在家里面进行雾化,使用雾化药液。
徐灿
执业兽医师
首先就是人用的雾化器是可以给狗狗用的,人用的药物药理学上来说是可以用的,但是法律上不允许,所以最好是使用动物或者宠物用的,现在售卖药品的途径倒是挺多的,只不过后续比例之类的一定要控制好。
如果你不知道比例的话,你可以先去买**霉素,**米松,还有就是***注射液。然后后续复诊我会告诉你配比。你买回来之后,我再逐一告知你怎么配也可以。
好的,太感谢医生了。狗狗呃差不多半个小时干呕一次,雾化治疗的话大概多久能好呢?
医生您好,狗狗不是细小的话,狗狗的饮食有什么注意的吗。再次感谢医生为我家狗狗诊断,这下我安心多了
徐灿
执业兽医师
首先就是他这个情况,可能需雾化得一周多,因为肺部感染或者肺部有问题,那么,治疗时间都会比较长,这个是无法避免的。
食物方面正常摄入就行,然后尽量的少量多次,然后多观察一下后续的情况,然后我需要知道一下,现在它所进行的治疗就是今天都对它进行什么药物使用了呢?
医生,狗狗出现症状前四天是在住院医院是打了治疗冠状的针每天一针。前天晚上接回来了,昨天一天是给狗狗喂了香菇多糖粉和整肠宝
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
如果是这种情况的话,实际上最重要的抗生素没有用,它这种情况得用抗生素口服。我帮你开了个常规方案,后续的话,你可以参考使用,然后多观察一下后续情况,还有一个减少咳嗽的。
徐灿
执业兽医师
没事的,不用谢,后续的话,记得口服上面的药物,然后就是你去淘宝上买一个雾化机,然后还有就是上面的药物,你也记得买,然后买注射液,回头回来复诊,我教你配比药物。
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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