咨询描述：12/31号骨折 1/1号外固定 1/20又拍了个片子 1/27因为皮肤磨损趾间炎所以拆了外固定，回来以后让涂碘伏和药膏。
但是拆了固定以后的第一个晚上，小狗都一直在抽搐颤抖，晚上尤其严重，坐不下来也睡不了一直发抖。
于是第二天去配了***止痛药，结果还是一样的抽搐发抖。
食欲还行，喂一点火腿肠和水果愿意吃，但是两天都没有大小便。
想请问这个发抖会是什么原因造成的呢？小狗给它涂药膏，一碰就痛的非常非常抗拒，很担心是不是骨头长的有问题？会不会又骨折或者错位的骨头影响到了？是因为痛的太严重所以止痛药不起效了还是因为别的什么原因发抖？
问题大致一样，细节不同？
于博
执业兽医师
好的，狗狗发抖是全身发抖还是就患肢发抖呢？
患肢可以着地走路吗？
看着是后肢掌骨指骨骨折了一根，应该还好。不固定也可以慢慢养好。
1、昨天是整个下半身发抖比较厉害，从而引发上肢有时也抖，像震颤，一下一下的。今天吃了一粒止痛药，有的时候可能不太抖，但睡一下下就又开始单腿、双腿都发抖，可能看它的姿势或者触碰情况调整。2、之前外固定的时候已经可以落地慢走了，不能快或者跑。拆除以后可以稍微落地，但不知道有没有用力，拆除以后基本都没挪动过，偶尔脚提起来窜到桌椅下面。3、应该最开始是掌骨断了三根，20天以后复查发现最外面那根错位没接上，所以我很担心那一根没接上会不会有很大的影响
于博
执业兽医师
好的，指骨不要紧的，等骨头骨痂愈合后不影响走路，只是最外面那个指头可能有点歪斜，但没有明显异常，这也是外固定的一个小弊端。
发抖如果没有惨叫那种应该不会特别疼痛，能吃喝也没有很痛，考虑是因为心理阴影，害怕自己会痛发抖
于博
执业兽医师
目前就是每天口服促进骨骼生长药物，补钙，消炎止痛，限制运动静养就可以
好的谢谢医生，那它最近因为外固定包扎导致趾间炎，所以要涂碘伏涂药膏，但是它现在给我们的感觉是掌面一碰就抗拒痛的不行，惨叫弹开的那种，哪怕是涂没有刺激性的药膏也非常非常痛和抗拒，这个情况的话，我现在已经上了两次药，一直带着头套不出门沾水，可以暂时不上药吗，有可能可以就先上两次药不碰水慢慢恢复吗，因为它实在害怕挣扎的不行，很怕硬来的话二次弄伤骨头
于博
执业兽医师
好的，您最好每天涂药防止进一步感染。
可以一个人保定住它身体，另一个人抓住患肢上部分、另一个手给它涂药膏就可以。不会引起二次骨折的，只是轻轻涂抹表皮。
它的骨头恢复要2-3个月时间不会这么快恢复加上心理害怕所以会不敢着地慢慢就好了，限制运动静养就好
于博
执业兽医师
1.续斤*** 一天两次 一次两片
2.液体钙 一天两次 一次3毫升
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
{"627795":{"id":627795,"case_id":69380,"user_id":1734397,"to_user_id":2482807,"type":3,"content":"1.续斤*** 一天两次 一次两片\n2.液体钙 一天两次 一次3毫升","media":{"images":{},"videos":{},"business_params":{"prescription_id":165691}},"is_doctor":1,"status":1,"created_at":"2024-01-28 22:50:54","show_rx":true,"rx_info":{"id":165691,"rx_no":2.02401282249165e+24,"user_id":2482807,"doctor_user_id":1734397,"is_independent":0,"case_id":3226380,"pet_info":{"pet_id":432304,"pet_name":"串串狗","pet_nickname":"多多","pet_gender":1,"pet_birth":"4-9","pet_weight":8,"pet_vaccination_status":0,"pet_in_insect_repellent_status":0,"pet_out_insect_repellent_status":0,"pet_age_format":"4岁9个月"},"diagnose":"掌骨骨折","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2024-01-28 22:49:16","updated_at":"2024-01-28 22:50:54","deleted_at":null,"from_source":"online","template_id":264,"drug_data":{"0":{"id":143525,"prescription_id":165691,"doctor_user_id":1734397,"product_id":805,"product_sku_id":847,"dose":2,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":30,"number":1,"remark":"","created_at":"2024-01-28 22:49:16","updated_at":"2024-01-28 22:49:16","product_info":{"id":805,"hash_id":"650KvV4QAb4WXBEd","class_ids":{"0":1,"1":2},"category_ids":{"37":196},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":70,"sell_point":"益宠堂续筋益骨丹宠物营养补充剂","title":"贝里奥益宠堂续筋益骨丹 宠物营养补充剂 0.4g×12粒\/板×5板\/盒","recommend_reason":{"0":"犬猫骨折、骨裂、⻣刺、颈腰椎病、筋骨拉伤、骨折","1":"术后疼痛管理及骨骼及牙⻮发育异常、骨质疏松，易骨折等的综合调理。"},"baike_guide_text":"","baike_article_hash_id":"","advword":"骨折,骨裂,筋骨康复,新骨生成,跛行,四肢雍痪,骨科术后的疼痛管理","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\/08\/a6ff6548e53aa1656c169596daf1affb.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":128,"max_price":128,"sale_count":16,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-21 16:19:51","updated_at":"2024-04-21 22:48:02","ins":{"id":70,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"贝里奥益宠堂续筋益骨丹 宠物营养补充剂 0.4g×12粒\/板×5板\/盒","common_name":"宠物营养补充剂","trade_name":"益宠堂续筋益骨丹","en_name":"CHONGWUYING YANGBUCHONGJI","brand_name":"贝里奥","is_prescription":0,"cover":"\/drug\/2023\/08\/0c1d986a7415eef3b2f195e2e5aed22e.jpg","specification":"0.4g×12粒\/板×5板\/盒","reference_price":180,"component":"骨碎补、补骨脂、续断、熟地、狗脊、当归、红花、土鳖虫、制首乌、桂枝、怀牛膝、赤芍等","indication":"1、犬猫骨折、骨裂、⻣刺、颈腰椎病、筋骨拉伤、骨折\n2、术后疼痛管理及骨骼及牙⻮发育异常、骨质疏松，易骨折等的综合调理。","usage_dosage":"直接饲喂或混入食物中，特殊情况下请在宠物医师指导下使用。每日两次\n犬猫体重<2.5kg，每次0.5粒；\n犬猫体重2.5-5kg，每次1粒；\n犬猫体重5-10kg，每次2粒；\n犬猫体重10-15kg，每次3粒；\n犬猫体重15-20kg，每次4粒；\n犬猫体重>20kg，每次5粒。","contraindication":"妊娠期动物慎用。\n禁止饲喂反刍动物。","adverse_reaction":"暂未见不良反应。","attention":"","interaction":"","approval_no":"豫饲预（2021）11465","storage_method":"本品应储存于干燥、清洁、通风处。","validity":"2年","manufacturer":"河南贝里奥生物科技有限公司","status":1,"created_at":"2020-11-06 15:46:51","updated_at":"2023-10-05 12:27:13"}},"product_sku_info":{"id":847,"product_id":805,"title":"贝里奥益宠堂续筋益骨丹 宠物营养补充剂 0.4g×12粒\/板×5板\/盒","advword":null,"price":128,"market_price":160,"cost_price":0,"stock":82,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"0.4g×12粒\/板×5板\/盒"}},"cover":null,"thumb":"","sale_count":18,"status":1,"delete_status":0,"created_at":"2021-12-21 16:19:51","updated_at":"2024-04-21 15:25:02"}},"1":{"id":143526,"prescription_id":165691,"doctor_user_id":1734397,"product_id":695,"product_sku_id":738,"dose":3,"dose_unit":"ml","use_method":"口服","frequency":"每天2次","days":30,"number":1,"remark":"","created_at":"2024-01-28 22:49:16","updated_at":"2024-01-28 22:49:16","product_info":{"id":695,"hash_id":"3a0E6QpjyDx2b9Rk","class_ids":{"0":1,"1":2,"2":3},"category_ids":{"37":196},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":42,"sell_point":"速补钙 葡萄糖酸钙溶液","title":"远征速补钙 葡萄糖酸钙溶液 100ml\/瓶","recommend_reason":{"0":"妊娠、哺乳期的钙质补充","1":"促进幼龄宠物骨骼正常生长发育","2":"预防老龄宠物骨质疏松、骨折、抽筋、腰椎疼痛"},"baike_guide_text":"","baike_article_hash_id":"","advword":"补钙,瘫痪,骨骼发育,产后恢复,软骨病,关节肿大,关节炎,老龄,抽筋,骨折","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"100ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/9c0f43f5816956a3a8386100738c32d7.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":68,"max_price":68,"sale_count":111,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 14:12:45","updated_at":"2024-04-17 09:24:19","ins":{"id":42,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"葡萄糖酸钙溶液","trade_name":"速补钙","en_name":"","brand_name":"远征","is_prescription":0,"cover":"\/drug\/2020\/11\/6cf691cdd43a5e931293c533f9a057bd.JPG","specification":"100ml\/瓶","reference_price":108,"component":"钙、铁、锌和多种维生素。","indication":"1.妊娠、哺乳期的钙质补充，治疗和预防产后瘫痪、胎儿骨骼育不良，促进病后、产后恢复。\n2.促进幼龄宠物骨骼正常生长发育，强健骨骼和牙齿，治疗和预防软骨病、关节肿大、关节变形，钙源缺乏引起的关节炎。\n3.预防老龄宠物骨质疏松、骨折、抽筋、腰椎疼痛和行动困难。","usage_dosage":"1.犬、猫口服药。\n2.体重5kg以下2~3mL\/次；体重5~10kg每次3~5mL；体重10kg以上5~10mL\/次。每日1~2次。\n3.可按压压泵(1mL\/次)直接口服或滴入饮水、日粮中自由采食。\n4.预防量减半，重症病例可酌情加量或遵医嘱。","contraindication":"","adverse_reaction":"","attention":"注意保持瓶口和压泵清洁，切勿对瓶口直接使用。","interaction":"","approval_no":"兽药字03006212","storage_method":"常温避光保存，开瓶后应冷藏保存(2~8℃C)。","validity":"2年","manufacturer":"河北远征药业有限公司","status":1,"created_at":"2020-11-03 17:54:30","updated_at":"2020-11-03 17:54:30"}},"product_sku_info":{"id":738,"product_id":695,"title":"远征速补钙 葡萄糖酸钙溶液 100ml\/瓶","advword":null,"price":68,"market_price":89,"cost_price":0,"stock":174,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"100ml"}},"cover":null,"thumb":"","sale_count":113,"status":1,"delete_status":0,"created_at":"2021-12-16 14:12:45","updated_at":"2024-04-17 09:10:07"}}},"drug_data_bak":{"0":{"id":143525,"prescription_id":165691,"doctor_user_id":1734397,"product_id":805,"product_sku_id":847,"dose":2,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":30,"number":1,"remark":"","created_at":"2024-01-28 22:49:16","updated_at":"2024-01-28 22:49:16","product_info":{"id":805,"hash_id":"650KvV4QAb4WXBEd","class_ids":{"0":1,"1":2},"category_ids":{"37":196},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":70,"sell_point":"益宠堂续筋益骨丹宠物营养补充剂","title":"贝里奥益宠堂续筋益骨丹 宠物营养补充剂 0.4g×12粒\/板×5板\/盒","recommend_reason":{"0":"犬猫骨折、骨裂、⻣刺、颈腰椎病、筋骨拉伤、骨折","1":"术后疼痛管理及骨骼及牙⻮发育异常、骨质疏松，易骨折等的综合调理。"},"baike_guide_text":"","baike_article_hash_id":"","advword":"骨折,骨裂,筋骨康复,新骨生成,跛行,四肢雍痪,骨科术后的疼痛管理","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\/08\/a6ff6548e53aa1656c169596daf1affb.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":128,"max_price":128,"sale_count":16,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-21 16:19:51","updated_at":"2024-04-21 22:48:02","ins":{"id":70,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"贝里奥益宠堂续筋益骨丹 宠物营养补充剂 0.4g×12粒\/板×5板\/盒","common_name":"宠物营养补充剂","trade_name":"益宠堂续筋益骨丹","en_name":"CHONGWUYING YANGBUCHONGJI","brand_name":"贝里奥","is_prescription":0,"cover":"\/drug\/2023\/08\/0c1d986a7415eef3b2f195e2e5aed22e.jpg","specification":"0.4g×12粒\/板×5板\/盒","reference_price":180,"component":"骨碎补、补骨脂、续断、熟地、狗脊、当归、红花、土鳖虫、制首乌、桂枝、怀牛膝、赤芍等","indication":"1、犬猫骨折、骨裂、⻣刺、颈腰椎病、筋骨拉伤、骨折\n2、术后疼痛管理及骨骼及牙⻮发育异常、骨质疏松，易骨折等的综合调理。","usage_dosage":"直接饲喂或混入食物中，特殊情况下请在宠物医师指导下使用。每日两次\n犬猫体重<2.5kg，每次0.5粒；\n犬猫体重2.5-5kg，每次1粒；\n犬猫体重5-10kg，每次2粒；\n犬猫体重10-15kg，每次3粒；\n犬猫体重15-20kg，每次4粒；\n犬猫体重>20kg，每次5粒。","contraindication":"妊娠期动物慎用。\n禁止饲喂反刍动物。","adverse_reaction":"暂未见不良反应。","attention":"","interaction":"","approval_no":"豫饲预（2021）11465","storage_method":"本品应储存于干燥、清洁、通风处。","validity":"2年","manufacturer":"河南贝里奥生物科技有限公司","status":1,"created_at":"2020-11-06 15:46:51","updated_at":"2023-10-05 12:27:13"}},"product_sku_info":{"id":847,"product_id":805,"title":"贝里奥益宠堂续筋益骨丹 宠物营养补充剂 0.4g×12粒\/板×5板\/盒","advword":null,"price":128,"market_price":160,"cost_price":0,"stock":82,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"0.4g×12粒\/板×5板\/盒"}},"cover":null,"thumb":"","sale_count":18,"status":1,"delete_status":0,"created_at":"2021-12-21 16:19:51","updated_at":"2024-04-21 15:25:02"}},"1":{"id":143526,"prescription_id":165691,"doctor_user_id":1734397,"product_id":695,"product_sku_id":738,"dose":3,"dose_unit":"ml","use_method":"口服","frequency":"每天2次","days":30,"number":1,"remark":"","created_at":"2024-01-28 22:49:16","updated_at":"2024-01-28 22:49:16","product_info":{"id":695,"hash_id":"3a0E6QpjyDx2b9Rk","class_ids":{"0":1,"1":2,"2":3},"category_ids":{"37":196},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":42,"sell_point":"速补钙 葡萄糖酸钙溶液","title":"远征速补钙 葡萄糖酸钙溶液 100ml\/瓶","recommend_reason":{"0":"妊娠、哺乳期的钙质补充","1":"促进幼龄宠物骨骼正常生长发育","2":"预防老龄宠物骨质疏松、骨折、抽筋、腰椎疼痛"},"baike_guide_text":"","baike_article_hash_id":"","advword":"补钙,瘫痪,骨骼发育,产后恢复,软骨病,关节肿大,关节炎,老龄,抽筋,骨折","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"100ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/9c0f43f5816956a3a8386100738c32d7.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":68,"max_price":68,"sale_count":111,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 14:12:45","updated_at":"2024-04-17 09:24:19","ins":{"id":42,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"葡萄糖酸钙溶液","trade_name":"速补钙","en_name":"","brand_name":"远征","is_prescription":0,"cover":"\/drug\/2020\/11\/6cf691cdd43a5e931293c533f9a057bd.JPG","specification":"100ml\/瓶","reference_price":108,"component":"钙、铁、锌和多种维生素。","indication":"1.妊娠、哺乳期的钙质补充，治疗和预防产后瘫痪、胎儿骨骼育不良，促进病后、产后恢复。\n2.促进幼龄宠物骨骼正常生长发育，强健骨骼和牙齿，治疗和预防软骨病、关节肿大、关节变形，钙源缺乏引起的关节炎。\n3.预防老龄宠物骨质疏松、骨折、抽筋、腰椎疼痛和行动困难。","usage_dosage":"1.犬、猫口服药。\n2.体重5kg以下2~3mL\/次；体重5~10kg每次3~5mL；体重10kg以上5~10mL\/次。每日1~2次。\n3.可按压压泵(1mL\/次)直接口服或滴入饮水、日粮中自由采食。\n4.预防量减半，重症病例可酌情加量或遵医嘱。","contraindication":"","adverse_reaction":"","attention":"注意保持瓶口和压泵清洁，切勿对瓶口直接使用。","interaction":"","approval_no":"兽药字03006212","storage_method":"常温避光保存，开瓶后应冷藏保存(2~8℃C)。","validity":"2年","manufacturer":"河北远征药业有限公司","status":1,"created_at":"2020-11-03 17:54:30","updated_at":"2020-11-03 17:54:30"}},"product_sku_info":{"id":738,"product_id":695,"title":"远征速补钙 葡萄糖酸钙溶液 100ml\/瓶","advword":null,"price":68,"market_price":89,"cost_price":0,"stock":174,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"100ml"}},"cover":null,"thumb":"","sale_count":113,"status":1,"delete_status":0,"created_at":"2021-12-16 14:12:45","updated_at":"2024-04-17 09:10:07"}}}}}}
去微信领券提问
实时接受医生通知
