咨询描述:萨摩耶 十个月不到 前阵子被车碾了尾巴 做了断尾手术 医生说给吃消炎药就吃人用**** 吃了有一个礼拜 剂量是两粒共500mg在这一个礼拜狗狗大便就是稀的 偶尔会有水状 老是会因为下半个身子疼的叫 后来我给了益生菌吃了两天 不见好转 昨天咨询了主刀医生 医生说断消炎药(****) 并先禁食一天看看第二天情况 直到现在 狗狗也会疼的叫唤 20号发生的车祸 21号晚动的手术 在术前狗狗一切大小便正常 无痛的表现
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,我需要问一下,抗生素一直在用吗?剂量是没什么问题,但是我需要问一下,确定当时只是撵到了尾巴吗?有没有伤到腰椎?还有没有之前的片子?有没有内出血?并且这个是平时刚刚拍的吗?
抗生素是在术后一直在使用 昨天28号断了一天 内出血这些都不知道 当时手术也没拍片子 就是看到尾巴受伤做了断尾手术 这个视频是刚刚拍摄的 狗狗走路行动一切都正常 也会吃饭喝水
徐灿
执业兽医师
对于这种情况来说,实际上有两方面考虑,最好是能让我看一下之前的X光片,因为手术断尾之后,感染了,有可能会造成腹泻,以及后续症状,还有就是有可能有内出血,因为可能看到的明显的损伤就是尾巴,但是其他地方也可能有软组织损伤,但是一般只要正常吃,问题就不会特别大。
手术的时候没有看拍任何x光片 带去医院尾巴滴血就立马做了断尾手术 里面血管破了 如果尾巴术后感染了 会下半身子疼吗 他吃喝正常 饮食是米饭拌狗粮 光狗粮他不吃 术前术后都是这么饮食的 然后这是手术后断尾照片以及刚刚溜他上厕所的照片 今天的便便和之前不一样 之前都是黄橙色 然后不成型 伴着带点稀的液体流下来 今天我给他断消炎药和禁食 只吃了益生菌 拉出来的是暗色的
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
情况的话,后续肯定是不能断抗生素的,因为时间太短,而且口服抗生素也不会产生刺激,***类的,也就是****,对于肠胃的影响并不大,主要考虑还是之前没有做进一步检查,除了尾巴之外,应该是有腰椎或者盆腔的内伤,这个是最大的可能性,所以说后续建议是适当的,可以用一些中药制剂用于修复和预防,然后抗生素继续用。
那个主刀医生和我说可能肠胃有点问题 如果有内伤 也是会拉稀的是吧 他只是拉稀 吃喝正常且不呕吐 医生我也想问 断尾手术后就是时间到现在为止 他不会跑 只能走 和断尾术有关系还是说这个和内伤有关系 还有就是如果我在家 他这么疼痛 我该怎么办 还是说只能送往医院就医
徐灿
执业兽医师
对于这种情况来说,我个人更倾向于应该是有内部损伤,因为很简单的道理,狗狗的尾巴不可能拖在地上,因为尾巴要比腿短,那么,为什么只是尾巴受伤了?除非狗狗侧躺着,然后让车撵过去了,或者是狗狗被撞了,撞到了腰侧或者屁股上,然后尾巴被卷进了轮子底下,相较而言,后者临床上见得多。
所以说高度考虑现在的腹泻,是由于内伤,而且他现在不太能奔跑,如果只是伤到了尾巴,就算是没有尾巴,那么,它的行走奔跑也应该没有太大问题,毕竟尾巴上的肌肉和腿和腰没有关系,都是独立的。
所以说个人建议是抗生素继续用,然后适当的用一点中药制剂预防一下盆腔和腰椎的损伤,然后用点益生菌,持续性用药就行。
这个药能治疗好还是说能怎么样 他现在主要就是疼的叫 哦对了 医生 我说的****的剂量是一次500mg 一天会吃两次 不是一天500mg
徐灿
执业兽医师
我知道的,****每公斤是25毫克,他18公斤,所以一次吃500毫克没有问题。然后一天是两次。
这个药物是用于镇痛和消炎的,属于中药制剂,主要是维护性的,并没有直接开止疼的药物,因为目前状态是正常的,主要是看一下后续能否逐渐恢复,用于散瘀止痛。
好的 谢谢医生指导 那我还有必要带他去医院拍片子进一步检查 然后再确诊并对症下药嘛 还是说就吃这个药就好了
徐灿
执业兽医师
帮你开的药物是用于撞击后损伤用的,或者是骨裂,如果条件允许,你可以拍摄X光片,然后做炎症反应测试,也叫c反,然后回头可以把化验结果发给我,如果说不太想让他过多移动,或者说,受到更多刺激,因为他现在也吃也喝,只是考虑到有内部损伤,你也可以直接用上面的药物去口服,然后搭配上抗生素,一般也能恢复,因为他的状态是正常的。
医生 您好 今天我给狗狗揉肚子的时候发现腿上有个包 这个是什么
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
不能完全确定,但是我需要问一下,是关节的位置吗?还是说其他的?是在腹股沟吗?应该是一个外部损伤,但是还得看一下具体位置,只有这一个照片,确定不了。
没事了医生 我刚刚带狗狗去拍了片 和您说的没错 是骨头受到了撞击伤 医生说那个地方没法手术还 如果保守治疗 我该怎么给他用药呢 是你开的那个可以治好吗
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
他的骨盆碎了,而且非常厉害,对于这种情况来说,有手术和服药两个方案,手术的话,预算大概可能需要1.5到1.8左右,如果保守治疗的话,得改方案,不过后续的话,恢复的时间会很长很长。而且用药量比较大,我帮你开了保守治疗方案,如果你需要的话,你可以后续按照新的方案给他用,然后两周之后回来复诊。看一下是否完全恢复。他这种情况必须用止疼的。
徐灿
执业兽医师
没事的,不用谢,所以说你是想选择保守处置,还是选择手术呢?保守处置的话,可能需要1到2个月才能恢复,他的股骨头等位置都没有问题,但是就是盆腔碎了,还属于可接受范围,如果你想保守用药,可以按照上面的方案,上面的方案是两个星期的,然后记得回来复诊。
徐灿
执业兽医师
后续如果有什么其他问题的话,及时告诉我就行,或者是直接再问我,然后这两天先别让他过度运动,他肯定会很疼,所以说止疼药物之类的要安排上,还有抗生素,这样的话,才能让他后续有食欲。
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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11:09:52"}},"product_sku_info":{"id":958,"product_id":917,"title":"汉维宠仕美昔美洛昔康内服混悬液(犬用)32ml:48mg\/瓶","advword":null,"price":398,"market_price":500,"cost_price":0,"stock":98,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"32ml装"}},"cover":null,"thumb":"","sale_count":2,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2022-02-12 17:50:34","updated_at":"2023-12-05 12:41:06"}}}}}}
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