咨询描述:孙医生您好,
四或五个月小猫
1.10日小猫吐三次,拉两次
1.11日吐两次,就诊,白细胞正常,pcr确诊猫瘟,打针,精神不好,排便泥浆色稀便。
1.12日早饭两勺罐头,医院打针,下午睡觉,晚饭猫粮,后一直慢慢玩
1.13早饭泡软猫粮,医院打针,没有便
1.14早饭正常,医院打针,中午没吃,晚饭正常,从中午一直睡到晚上九点,几粒大便干燥
1.15早饭正常,医院打针,中午蛋黄,比昨天多几粒大便。
1.16 日 晚上医院血常规正常,但 SAA115, 小猫精神挺好, 打了消炎针和抗干扰素。
1.17日, 医院打消炎针和抗干扰素 小猫吃饭正常,没大便, 精神不错,但如果逗猫棒快速动有时能跟上有时跟不上。 体重2.15kg( 得病前2.25左右)
1.18日, 今天打了消炎针。小猫精神不错,比正常要弱一点, 体重增加, 饮食排便正常。
问题: 1,医院由正常的血常规和PCR确诊为猫瘟, 有别的疾病的可能吗?
2, 1.16日按照猫瘟正常治疗流程打针5天, SAA115正常吗? 我担心小猫是不是有别的疾病没有检查到。 有传腹的可能吗?
3, 从第六天到第八天都打消炎针了,明天还需要打吗? 猫咪对于验血很抗拒,担心应激。
问题大致一样,细节不同?
孙厚福
执业兽医师
您好,我已收到你的咨询,为了更好诊治,我需要近一步了解宝贝情况。
1.白细胞正常,猫瘟pcr阳性可能是猫瘟携带,猫瘟不是主要原因
2.SAA升高明显提示病毒感染,建议做一下生化看一下白球比
3.另外可以彩超检查看一下淋巴结和肾脏
4.目前不需要用消炎针的
除此之外,宝贝目前的症状来讲,希望主人你仔细提供给我。方便我更好的分析宝贝的病情,并给出更准确的诊断和保守的治疗建议。感谢你的配合。
目前小猫没什么特别的症状,饮食正常,大便有点干燥,精神头比正常稍差体现在抓猫抓棒的时候有时候跟不上。体重也增加了,如果不是SAA那么高,我以为猫都好了。 现在就纠结在SAA上,但感觉宠物医院病毒很多,不倾向于去医院。
孙厚福
执业兽医师
如果都正常我建议先在家观察看看,口服****口服液和****,之后有反复或者发烧去医院再做一下检查,如果没有暂时可以观察看看。
1,****口服液和****网上购吗?有推荐品牌吗?2,您刚才说的彩超淋巴结和肾脏是针对SAA吗?3,SAA115对于猫瘟治疗后期水平正常吗
孙厚福
执业兽医师
我开一个处方你参考看看,彩超检查淋巴结和肾脏是排除是否有干性传腹,saa升高明显提示有病毒感染,冠状病毒和猫瘟都是病毒感染,可能是携带所以相对比较高
孙厚福
执业兽医师
宝贝家长你好,考虑宝贝的情况,我给宝贝开具了一个处方,你可以根据实际需求自行选择购买。
1****一天一次
2.****口服液早晚各一次
你可以点击查看详情按钮,进入处方页面查看药物使用说明。
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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