咨询描述:家里鼠长了一个大肿块,硬的,有小鸡蛋大,在后腿跟背部那里。有破皮一块儿用碘伏消毒后涂抹***软膏已掉痂,另一块破皮也在缩小。不知道是啥东西啊
问题大致一样,细节不同?
徐灿
执业兽医师
你好家长,对于这种情况来说,能不能拍摄几张照片发过来看一下?我需要看一下实际的情况,另外就是他的具体年龄多大了?能不能补全一下基本信息?我需要知道更多的情况,尤其是最近一段时间,有没有食欲的降低?有没有什么别的不同或异常的。
正常进食,喝水都正常,活动量较平常偏少了
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
我需要问一下,平时的话抓挠的厉害吗?或者说他有没有蹭的行为?因为增生的确实是比较大的,而且还有结痂,不过这些结痂更像是损伤之后形成的,检查一下这些肿胀的地方,是在皮肤之内,还是说有延伸至肌肉层的迹象?
徐灿
执业兽医师
如果说有抓蹭的话,那么要考虑一下,可能是真菌的问题,但是我得多角度看一下它的增生厚度,因为单纯的一张照片,对于厚度和形态的判断不是特别准,所以我需要多角度的看照片,或者是看一下视频。
肿块很规则的圆厚度大概切开的半个鸡蛋那么厚鸡蛋
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,这个非常的清晰,基本上能确定和真菌没关系了,太大了,结合年龄来看,高度考虑应该是一个肿瘤,个人建议是拍摄一张X光片,看一下具体程度。因为他的状态并不理想,高度考虑是肿瘤的因素,造成了这么大的肿胀。然后目前建议先给他使用一些抗生素,进行消炎处置,防止溃烂感染,但是一定要尽快的拍摄片子。不过肿胀的太厉害了,后续不一定能够手术。
保守治疗我需要给它些什么药呢?因为毕竟已经2岁多了,那么小也不考虑手术了
徐灿
执业兽医师
这种情况保守治疗的话,不一定会有好的效果,一般来说就是用一些中药制剂,还有就是抗生素进行口服,然后看一下是否会有所恢复,我帮你开了个方案,你可以参考使用,但是有个体差异不确定是否会有效。因为他这么大的肿胀,估计已经很长时间了,而且肿瘤的可能性比较大,所以说不一定会恢复。
另外就是临床上很少会有专门给小宠的药物,所以都是使用的替代性药品。
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
{"617957":{"id":617957,"case_id":68341,"user_id":1296147,"to_user_id":2478453,"type":3,"content":"这种情况保守治疗的话,不一定会有好的效果,一般来说就是用一些中药制剂,还有就是抗生素进行口服,然后看一下是否会有所恢复,我帮你开了个方案,你可以参考使用,但是有个体差异不确定是否会有效。因为他这么大的肿胀,估计已经很长时间了,而且肿瘤的可能性比较大,所以说不一定会恢复。\n另外就是临床上很少会有专门给小宠的药物,所以都是使用的替代性药品。","media":{"images":{},"videos":{},"business_params":{"prescription_id":164984}},"is_doctor":1,"status":1,"created_at":"2024-01-21 23:22:46","show_rx":true,"rx_info":{"id":164984,"rx_no":2.0240121232230502e+24,"user_id":2478453,"doctor_user_id":1296147,"is_independent":0,"case_id":3222561,"pet_info":{"pet_id":0,"pet_name":"未知","pet_nickname":"小宠","pet_gender":1,"pet_birth":"2-0","pet_weight":0.15,"pet_vaccination_status":0,"pet_in_insect_repellent_status":0,"pet_out_insect_repellent_status":0,"pet_age_format":"2岁"},"diagnose":"疑似肿瘤","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2024-01-21 23:22:30","updated_at":"2024-01-21 23:22:46","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":142013,"prescription_id":164984,"doctor_user_id":1296147,"product_id":882,"product_sku_id":923,"dose":25,"dose_unit":"mg","use_method":"口服","frequency":"每天2次","days":14,"number":1,"remark":"每公斤25毫克一天两次","created_at":"2024-01-21 23:22:30","updated_at":"2024-01-21 23:22:30","product_info":{"id":882,"hash_id":"bEoKq1xnArgMNkRy","class_ids":{"0":1,"1":2,"2":3,"4":5},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":52,"sell_point":"保灵保思诺恩诺沙星片 25mg","title":"保灵保思诺恩诺沙星片 25mg×8片×2板\/盒","recommend_reason":{"0":"是犬猫细菌性前列腺炎的首选抗生素","1":"用于治疗犬、猫敏感菌感染","2":"用于小型哺乳动物的皮肤和内脏感染、宠物鸟的疾病"},"baike_guide_text":"","baike_article_hash_id":"","advword":"脓皮症,细菌感染,敏感菌感染,内脏感染","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"25mg×8片×2板\/盒"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/01\/2bc0c07b9088d6842acf8a58cf6a3641.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":68,"max_price":68,"sale_count":62,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2022-01-11 17:17:07","updated_at":"2024-02-20 11:19:45","ins":{"id":52,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"恩诺沙星片","trade_name":"恩诺沙星","en_name":"Enrofloxacin Tablets","brand_name":"保灵","is_prescription":1,"cover":"\/drug\/2020\/11\/ba16a6bd067e311e6833ad589761e606.PNG","specification":"25mg×8片×2板\/盒","reference_price":100,"component":"恩诺沙星","indication":"1.恩诺沙星在巨噬细胞和中性粒细细胞中的药物浓度是血浆中的4-10倍,因此在感染的组织中药物浓度高于健康组织,对外伤和脓皮病有特效。另外恩诺沙星也是细菌性前列腺炎的首选抗生素。\n2.用于治疗犬、猫敏感菌感染。\n3.常用于小型哺乳动物的皮肤和内脏感染。\n4.用于治疗宠物鸟的疾病可将恩诺沙星添加在饮水中,按0.3-0.5mg\/kg的浓度,可以避免肌肉注射引起的局部刺激。","usage_dosage":"口服恩诺沙星5mg\/kg,每日1次或分剂量每日2次,连续用药至少2-3天,直至临床症状消失,最长用药期30天。","contraindication":"","adverse_reaction":"","attention":"1.对中枢系统有潜在的兴奋作用,诱导癫痫发作,患癫痫的犬慎用。\n2.有严重肝肾损伤的动物应调整给药剂量,避免药物蓄积。\n3.本品不适用于8周龄前的猫,12个月内的小型犬和18个月内的大型大。\n4.对猫的剂量应≤5mg\/kg\/d给药,以减少视网膜变性的风险(未批准猫的肠外给药)。","interaction":"","approval_no":"兽药字020162929","storage_method":"常温,避光,密封保存","validity":"3年","manufacturer":"天津市保灵动物保健品有限公司","status":1,"created_at":"2020-11-05 15:11:30","updated_at":"2020-11-05 15:11:30"}},"product_sku_info":{"id":923,"product_id":882,"title":"保灵保思诺恩诺沙星片 25mg×8片×2板\/盒","advword":null,"price":68,"market_price":108,"cost_price":0,"stock":0,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"25mg×8片×2板\/盒"}},"cover":null,"thumb":"","sale_count":64,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2022-01-11 17:17:07","updated_at":"2024-02-20 11:19:45"}},"1":{"id":142014,"prescription_id":164984,"doctor_user_id":1296147,"product_id":1105,"product_sku_id":1164,"dose":2,"dose_unit":"g","use_method":"口服","frequency":"每天2次","days":14,"number":1,"remark":"每公斤体重服用两克,一天两次","created_at":"2024-01-21 23:22:30","updated_at":"2024-01-21 23:22:30","product_info":{"id":1105,"hash_id":"650KvV4QqJ4WXBEd","class_ids":{"0":1,"1":2},"category_ids":{"45":202},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":277,"sell_point":"贝里奥益宠堂托消化留丹 宠物营养补充剂 0.4g×12粒\/板×5板\/盒","title":"贝里奥益宠堂托消化留丹 宠物营养补充剂 0.4g×12粒\/板×5板\/盒","recommend_reason":{"0":""},"baike_guide_text":"","baike_article_hash_id":"","advword":"肿瘤,淋巴肿大,化瘤,癌肿平","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"0.4g×12粒\/板×5板\/盒"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2023\/10\/c490c2cb48edbb5c78b05c157688291a.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":128,"max_price":128,"sale_count":99,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2023-08-17 10:42:38","updated_at":"2024-11-16 16:08:38","ins":{"id":277,"hash_id":"Ldvaqr4ey846De9l","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"贝里奥益宠堂托消化留丹 宠物营养补充剂 0.4g×12粒\/板×5板\/盒","common_name":"益宠堂托消化留丹","trade_name":"贝里奥益宠堂托消化留丹 宠物营养补充剂 0.4g×12粒\/板×5板\/盒","en_name":"……","brand_name":"贝里奥","is_prescription":0,"cover":"\/drug\/2023\/10\/a0c0d86f9dfc118b6ab0f1852c080e68.jpg","specification":"0.4g×12粒\/板×5板\/盒","reference_price":180,"component":"蒲公英、野菊花、姜黄、泽兰、茯苓、泽泻、薏米、人参、黄芪、当归、枸杞、甘草、糊精。","indication":"犬猫肿瘤、猫口炎等的综合调理及降低肿瘤化疗副作用,提升化疗效果,延长宠物寿命等。","usage_dosage":"犬猫,直接饲喂或混入食物中,特殊情况下请在\n宠物医师指导下使用。\n<2.5kg:0.5粒\/次,每日2次\n2.5~5kg:1粒\/次,每日2次\n5~10kg:2粒\/次,每日2次\n10~15kg:3粒\/次,每日2次\n15~20kg:4粒\/次,每日2次\n>20kg:5粒\/次,每日2次","contraindication":"","adverse_reaction":"","attention":"1、禁止饲喂反刍动物;\n2、妊娠期慎用。","interaction":"","approval_no":"豫饲预(2021)11465","storage_method":"本品应储存于干燥、清洁、通风处","validity":"24个月","manufacturer":"河南贝里奥生物科技有限公司","status":1,"created_at":"2023-08-17 10:36:52","updated_at":"2024-04-07 14:21:14"}},"product_sku_info":{"id":1164,"product_id":1105,"title":"贝里奥益宠堂托消化留丹 宠物营养补充剂 0.4g×12粒\/板×5板\/盒","advword":null,"price":128,"market_price":180,"cost_price":0,"stock":0,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"0.4g×12粒\/板×5板\/盒"}},"cover":null,"thumb":"","sale_count":100,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2023-08-17 10:42:38","updated_at":"2024-11-16 13:55:32"}}},"drug_data_bak":{"0":{"id":142013,"prescription_id":164984,"doctor_user_id":1296147,"product_id":882,"product_sku_id":923,"dose":25,"dose_unit":"mg","use_method":"口服","frequency":"每天2次","days":14,"number":1,"remark":"每公斤25毫克一天两次","created_at":"2024-01-21 23:22:30","updated_at":"2024-01-21 23:22:30","product_info":{"id":882,"hash_id":"bEoKq1xnArgMNkRy","class_ids":{"0":1,"1":2,"2":3,"4":5},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":52,"sell_point":"保灵保思诺恩诺沙星片 25mg","title":"保灵保思诺恩诺沙星片 25mg×8片×2板\/盒","recommend_reason":{"0":"是犬猫细菌性前列腺炎的首选抗生素","1":"用于治疗犬、猫敏感菌感染","2":"用于小型哺乳动物的皮肤和内脏感染、宠物鸟的疾病"},"baike_guide_text":"","baike_article_hash_id":"","advword":"脓皮症,细菌感染,敏感菌感染,内脏感染","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"25mg×8片×2板\/盒"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/01\/2bc0c07b9088d6842acf8a58cf6a3641.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":68,"max_price":68,"sale_count":62,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2022-01-11 17:17:07","updated_at":"2024-02-20 11:19:45","ins":{"id":52,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"恩诺沙星片","trade_name":"恩诺沙星","en_name":"Enrofloxacin Tablets","brand_name":"保灵","is_prescription":1,"cover":"\/drug\/2020\/11\/ba16a6bd067e311e6833ad589761e606.PNG","specification":"25mg×8片×2板\/盒","reference_price":100,"component":"恩诺沙星","indication":"1.恩诺沙星在巨噬细胞和中性粒细细胞中的药物浓度是血浆中的4-10倍,因此在感染的组织中药物浓度高于健康组织,对外伤和脓皮病有特效。另外恩诺沙星也是细菌性前列腺炎的首选抗生素。\n2.用于治疗犬、猫敏感菌感染。\n3.常用于小型哺乳动物的皮肤和内脏感染。\n4.用于治疗宠物鸟的疾病可将恩诺沙星添加在饮水中,按0.3-0.5mg\/kg的浓度,可以避免肌肉注射引起的局部刺激。","usage_dosage":"口服恩诺沙星5mg\/kg,每日1次或分剂量每日2次,连续用药至少2-3天,直至临床症状消失,最长用药期30天。","contraindication":"","adverse_reaction":"","attention":"1.对中枢系统有潜在的兴奋作用,诱导癫痫发作,患癫痫的犬慎用。\n2.有严重肝肾损伤的动物应调整给药剂量,避免药物蓄积。\n3.本品不适用于8周龄前的猫,12个月内的小型犬和18个月内的大型大。\n4.对猫的剂量应≤5mg\/kg\/d给药,以减少视网膜变性的风险(未批准猫的肠外给药)。","interaction":"","approval_no":"兽药字020162929","storage_method":"常温,避光,密封保存","validity":"3年","manufacturer":"天津市保灵动物保健品有限公司","status":1,"created_at":"2020-11-05 15:11:30","updated_at":"2020-11-05 15:11:30"}},"product_sku_info":{"id":923,"product_id":882,"title":"保灵保思诺恩诺沙星片 25mg×8片×2板\/盒","advword":null,"price":68,"market_price":108,"cost_price":0,"stock":0,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"25mg×8片×2板\/盒"}},"cover":null,"thumb":"","sale_count":64,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2022-01-11 17:17:07","updated_at":"2024-02-20 11:19:45"}},"1":{"id":142014,"prescription_id":164984,"doctor_user_id":1296147,"product_id":1105,"product_sku_id":1164,"dose":2,"dose_unit":"g","use_method":"口服","frequency":"每天2次","days":14,"number":1,"remark":"每公斤体重服用两克,一天两次","created_at":"2024-01-21 23:22:30","updated_at":"2024-01-21 23:22:30","product_info":{"id":1105,"hash_id":"650KvV4QqJ4WXBEd","class_ids":{"0":1,"1":2},"category_ids":{"45":202},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":277,"sell_point":"贝里奥益宠堂托消化留丹 宠物营养补充剂 0.4g×12粒\/板×5板\/盒","title":"贝里奥益宠堂托消化留丹 宠物营养补充剂 0.4g×12粒\/板×5板\/盒","recommend_reason":{"0":""},"baike_guide_text":"","baike_article_hash_id":"","advword":"肿瘤,淋巴肿大,化瘤,癌肿平","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"0.4g×12粒\/板×5板\/盒"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2023\/10\/c490c2cb48edbb5c78b05c157688291a.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":128,"max_price":128,"sale_count":99,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2023-08-17 10:42:38","updated_at":"2024-11-16 16:08:38","ins":{"id":277,"hash_id":"Ldvaqr4ey846De9l","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"贝里奥益宠堂托消化留丹 宠物营养补充剂 0.4g×12粒\/板×5板\/盒","common_name":"益宠堂托消化留丹","trade_name":"贝里奥益宠堂托消化留丹 宠物营养补充剂 0.4g×12粒\/板×5板\/盒","en_name":"……","brand_name":"贝里奥","is_prescription":0,"cover":"\/drug\/2023\/10\/a0c0d86f9dfc118b6ab0f1852c080e68.jpg","specification":"0.4g×12粒\/板×5板\/盒","reference_price":180,"component":"蒲公英、野菊花、姜黄、泽兰、茯苓、泽泻、薏米、人参、黄芪、当归、枸杞、甘草、糊精。","indication":"犬猫肿瘤、猫口炎等的综合调理及降低肿瘤化疗副作用,提升化疗效果,延长宠物寿命等。","usage_dosage":"犬猫,直接饲喂或混入食物中,特殊情况下请在\n宠物医师指导下使用。\n<2.5kg:0.5粒\/次,每日2次\n2.5~5kg:1粒\/次,每日2次\n5~10kg:2粒\/次,每日2次\n10~15kg:3粒\/次,每日2次\n15~20kg:4粒\/次,每日2次\n>20kg:5粒\/次,每日2次","contraindication":"","adverse_reaction":"","attention":"1、禁止饲喂反刍动物;\n2、妊娠期慎用。","interaction":"","approval_no":"豫饲预(2021)11465","storage_method":"本品应储存于干燥、清洁、通风处","validity":"24个月","manufacturer":"河南贝里奥生物科技有限公司","status":1,"created_at":"2023-08-17 10:36:52","updated_at":"2024-04-07 14:21:14"}},"product_sku_info":{"id":1164,"product_id":1105,"title":"贝里奥益宠堂托消化留丹 宠物营养补充剂 0.4g×12粒\/板×5板\/盒","advword":null,"price":128,"market_price":180,"cost_price":0,"stock":0,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"0.4g×12粒\/板×5板\/盒"}},"cover":null,"thumb":"","sale_count":100,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2023-08-17 10:42:38","updated_at":"2024-11-16 13:55:32"}}}}}}
微信扫一扫
立即问宠医