咨询描述:狗狗今天被车撞了,卷进车底,叫了一阵,然后后脚有破皮出血,下体有擦伤,无其他明显外伤,我怕有其他内伤,不知道怎么办,不吃东西也不喝水,一直趴着睡觉
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,有没有体温降低?有没有什么别的不同或者异常的?一般来说,如果体温降低了,或者说状态急剧下滑,那么就必须考虑有内出血,到现在为止,没用过任何药物吗?是不是也没有做过任何检查?
体温暂时正常,没有用过药物,因为在农村,没有宠物医院,买的药不敢给狗狗吃,就是不吃东西也不喝水,我碰到它耳朵背后的时候它很哼哼,请问怎么判断有没有内伤或者内出血,有的话在医疗条件不好的情况下怎么医治呢
徐灿
执业兽医师
一般来说,首先要检查一下他的体温,尤其是两腿之间和肢体末端,如果说比较凉的话,或者说低于平时,那么就考虑有内出血。
他这种情况最好是能让我看一下视频,这种情况最好是能做个生化,并且输液,因为根据你的描述来看,应该是有较大损伤的,而且后续的话必须使用抗生素,防止继发性感染,
而且屁股红肿,还有很大的腥臭味,请问这个样子是怎么回事,应该怎么办呢
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
对于这种情况来说,先不要给它过多的移动,尽快的给它进行保温处置,保证他的体温,如果家里面有抗生素的话,可以先给他口服一些。
后续的重点,实际上就是做X光片,看一下骨骼,并且看一下生化的数值,看一下有无实质性脏器损伤。因为目前来说,我无法评估它的损伤程度,没有任何测试结果和视频。就无法直接确认。
好的医生,我会做好保温工作,因为我们的县城也没有专门的宠物医院,在山区里也很不方便出去,就是上面那个狗狗的肛门红肿是怎么回事呢,应该如何消肿呢还有就是因为我家狗狗食欲本来就不是很好,现在这样更不吃东西,该怎么办啊,给它准备什么食物好啊
徐灿
执业兽医师
这种肛门的红肿,更多考虑的是,脏器受到挤压,然后压迫出来的,这种情况后续的话肯定是需要使用抗生素,一般来说,**菌素类的或者是***类的都行。
他这种情况高度考虑脏器受损,实际上,食物方面可能都吃不了,因为根据描述来看,状态很差,后续可能只能是输液。
有什么办法或者可以通过什么症状来判断脏器受损和受损情况吗,如果真有出现了脏器受损应该怎么治疗呢,可以通过药物吗?我家狗狗被撞了之后就走回家了,然后后脚一跛一跛的,我看过之后像图片这样,这个伤口应该注意些什么呢医生
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
一般来说,脏器受损,那么可能会有尿血,体温降低,身体腹部压痛,呼吸困难,食欲下降等等情况,但是最重要的检查就是X光片,这种情况后续的话,最好是能做测试,如果说做不了测试的话,也需要口服药物,他现在的问题是有可能有脏器损伤,单纯的外观检查是确定不了。所以说目前能做的选项并不多,主要还是受制于医疗条件。身体的这些外伤,实际上不是很重要,更主要的是,担心实质性脏器损伤。
医生可以建议一些脏器受损后需要服用的备用药物吗? 我们这里的经济太差,很多医疗条件都不足,今天下午四点左右被撞的,我家大人不是很管,我也只能干着急不知道怎么办。 我还是很担心它的食欲,医生可以给建议一些可以准备的食物,我想给它准备好在它旁边
徐灿
执业兽医师
这种情况实际上受制于家里的条件,还有就是家里的意愿,如果实在不行的话,就给他买一点****口服,按照每公斤25毫克,一天两次,或者是给他吃点**菌素类的抗生素,预防感染。他后续可能会有脏器损伤,可以使用一些护肝药,因为太偏远的话,无法输液,无法做X光等检查,也确实没有太好办法。
谢谢医生!我现在能做的就是给它买****,抗生素,护肝药,但是它不吃食物就吃药物会不会对肠胃造成伤害啊,可以喂葡萄糖吗?还有就是可能药物我也只能从网上买,那明天我需要做些什么吗?我真的不知道该怎么办了
徐灿
执业兽医师
现在实际上已经可以忽略药物对于肠胃的刺激了,现在主要考虑的是控制症状和防止感染,我帮你开了后续的方案,你可以坚持用药,但是仅限于轻中度的脏器损伤,因为我没有看过他的生化结果,不确定它的骨头有没有断,所以也只是尝试着治疗做对症处置。
然后你可以给他喝一点50%的葡萄糖注射液,一般的医院或者小诊所都有,用于补充体力。
好的谢谢医生谢谢您!可不可以再麻烦您给看一下狗狗的眼睛,我在网上查,有网友说狗狗被撞可能瞳孔会被打散
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
你说的应该是瞳孔放大,如果说瞳孔放大的话,一般就濒临死亡了,这种情况你可以用手电筒去照射,然后看一下他的眼球是否有回缩,如果有回缩的话,一般问题不大。
能传上来照片,那就多传一些过来,我需要看看,然后做个评估,最好是有视频。现在是晚上,所以说瞳孔是放大的,是正常的,因为没有强光。但是只要是手电筒照射,它能够有瞳缩就可以。
好的医生,刚才是狗狗醒了我就去给它拍照了,现在它又睡下了,我明天会观察它的眼睛的。就是我用听到它吞咽口水的声音是为什么呀,给它水它也不喝, 明天如果有需要我会再联系您的医生,谢谢医生
徐灿
执业兽医师
没事的,不用谢,保留好提问次数,用药的话,上面已经帮你开好了,三种药物,抗生素,护肝的,还有就是帮助骨骼损伤修复的,后续你应该都用得上。
然后就是有问题的话再告诉我就行,因为我是夜班医生,所以白天的话可能会回复的有延迟。
医生您好!狗狗的肚子叫得很响,像拉肚子的叫,很大声,怎么办狗狗这是怎么了医生
徐灿
执业兽医师
很大声?是里面发出咕噜噜咕噜噜的声音吗?如果是这种情况的话,有可能是长鸣音,能不能拍个视频过来?我需要看一下实际的声音和状态。
一般来说,受到损伤之后,会有菌群问题,或者是肠道酵气。我得了解一下实际情况,然后才能初步确认。
好的,医生您看这是怎么了
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
有叭叭的响声,但是我不确定声音来源,不过能非常明显的听到,狗狗在哀嚎,所以高度考虑可能确实骨折了,主要还是受制于医疗条件,没有办法做X光。也没有办法做生化,
不是的,狗狗的嘴巴没有叫,是肚子,就是17秒26秒处的那个叫声都是狗狗的肚子叫,就是咕噜咕噜的,有点像人拉肚子的时候肚子的叫声
徐灿
执业兽医师
是的,我听到了,刚才我重新听了一下,确实有声音,这个就是肠鸣音,就是肠道里面有气体,然后气体会窜,然后肠道又是可以移动,所以就会有声音。
但是实际上更重要的是它在哀嚎,他的状态实际上说不上好,你要做好一定心理准备
医生我可以做些什么吗我真的我不想我家狗狗死,会不会是它还是受凉了
徐灿
执业兽医师
不太可能,他的状态真的不算很好,因为时间也比较久了,晚上的时候又是最虚弱的时候,而且没有用药,后续还会有感染,以及脏器破损骨折的可能性。实际上,现在只能是给他进行保温,然后尝试着最好是能有更高一级的医院进行检查。
医生,如果明天早上我家狗狗还能保持现在的状态,它活下去的几率有多大,
徐灿
执业兽医师
不确定,因为我真的不确定,我不确定他的实质性脏器是否受损,因为这个得看一下是否有内出血,还得看一下后续是否有系统的治疗,目前来说,他只是表现出状态极差,可能有骨折的情况,但是具体损伤到什么程度,一般都得通过血常规和B超X光等进行确认,看症状是没有办法完全确认的。
医生,我明天带它去县里的医院,但是我只会骑车,有什么需要注意的你可以和我说一说吗,您可以再可以3个提问机会吗,到时候遇到什么问题我怕我不知道该怎么办
徐灿
执业兽医师
可以的,没问题,但是我是夜班的医生,白天的时候,我有可能在休息,到时候你可以给我留言。
我就大概和你说一下,就是明天去的时候要保存好他的体温,可以放在箱子里面,然后用毛毯覆盖,然后最好先做一个X光,看一下是否有骨折,再有就是,得做一个B超,看一下它的腹腔之内是否有出血。然后后续的话听一下胸腔的声音,做个听诊,看一下是否有杂音,这个是免费的。然后后续就是给他注射抗生素,止血药物,然后后续的一些其他的药物在上面已经帮你开出来了,你去一趟不方便,如果后续得回来,那就找医生,多买点抗生素回来,然后先给他注射着,止血药物也可以再买一两针,这是最基础的处置了。然后也可以给他扎一个直流针,然后带一两个吊瓶式输液,回来对它进行输液,一般也可以对它进行补液,实际上,重点还是受到了医疗条件的限制,如果你无法外出,那么像是后续的葡萄糖注射,还有滞留针,输液壶这些东西你这次去要带回来。
医生您好!我已经送狗狗去医院了,医生说除了肝有点肿,可能小出血,没有其他内伤了,狗狗的脖子的骨头会轻微疼痛,再加上原来就有的尿道感染,没有其他问题了,已经开药打针了。昨天晚上实在是谢谢医生了
徐灿
执业兽医师
没事的,不用谢,那后续的话就给他吃一些抗生素,然后用一点护肝的药物就行,后续的话,主要是看一下他的恢复情况,以及是否会有后续的感染,然后多多观察,估计得用药7到10天
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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