咨询描述:猫咪前一天被人拿弹弓或者石头砸到左后腿了,现在大腿关节处肿大,左后腿不能着地,触摸关节猫咪疼,时不时会突然惨叫,会不会是应激了,左后腿没有明显外伤,皮肤颜色无明显变化
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,能不能让我看一下他的视频?这种情况实际上不能完全排除骨折的可能,有没有使用抗生素呢?到现在为止也没有拍摄X光片吗?
我需要看一下实际的情况,以便于后续的分析和判断。
徐灿
执业兽医师
请详细的阅读一下上一个回复,然后告知一下更多情况,尤其是要看一下视频,还有就是要了解一下用药情况,目前来说,所知的信息太少,我需要知道更多情况。
昨天下午我出门拜年,一个没看住跑出门了,找了很久今天晚上八点半突然回家,然后发现腿不对,准备明天带他去医院
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
它这个姿势有很大的可能性是断了,因为角度弯曲改变太厉害了,这种情况先不要对它进行过度的处置,减少移动,尽量不要触碰,家里面有没有抗生素呢?如果有抗生素的话,可以给他先吃一些。
然后明天的话,优先做X光片,尤其是要看一下它的股骨和盆腔,以及股骨头是否有改变。
它一会就突然爬起来大叫是什么回事呢,边爬边叫,看得我心疼
徐灿
执业兽医师
一般来说,主要考虑的是疼痛原因,因为如果骨骼折断的话,那么痛感是很高的,目前来说,高度考虑他的股骨可能折断了,而且他的盆腔也有可能会受损,目前没有太好的办法,只能是减少移动,使用一些抗生素口服,然后预防继发性感染。
那好吧,家里没有特别准备抗生素,可以推荐一下吗,太心疼了,它能吃止痛药吗
徐灿
执业兽医师
止疼药物的话,一般就是***康,后续的话肯定会用到,然后就是抗生素,一般比较推荐***类的,帮你开了个方案,你可以参考使用,当然也不是唯一方案,抗生素的话,像是****或者**菌素类的药物都行。
它之前眼睛发炎给它买了消炎药,已经给它吃了 ,谢谢医生,现在它只要不动左腿就没啥事
徐灿
执业兽医师
是这样的,这种情况就是不要给他移动,然后看一下后续的发展,然后等到明天的话,记得拍摄X光片发过来,然后后续我会进行复诊,保留好提问次数,该回复不必回复。
是这样的,我父母让我先观察它一天,再去医院,但是它现在受伤的腿能动了,早上能稍微动一点,现在能伸懒腰了,但是还是疼,它还有心情舔毛,看起来变形得不是那么明显了
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,就得看个人意愿了,最好是能尽快的做X光,如果说家里面不是很愿意的话,那也没有太好的办法。不过个人建议是后续的这些药物之类的,还是需要用,因为X光是很重要的,建议是尽快拍摄。
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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16:00:00"}},"product_sku_info":{"id":752,"product_id":709,"title":"辉瑞速诺(阿莫西林克拉维酸钾片)250mg×10片\/板","advword":null,"price":98,"market_price":119,"cost_price":0,"stock":726,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"250mg规格1板"}},"cover":null,"thumb":"","sale_count":715,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:43:15","updated_at":"2024-11-25 19:05:02"}},"1":{"id":147539,"prescription_id":167613,"doctor_user_id":1296147,"product_id":915,"product_sku_id":956,"dose":0.1,"dose_unit":"ml","use_method":"口服","frequency":"每天1次","days":7,"number":1,"remark":"每公斤0.1毫升","created_at":"2024-02-12 23:29:43","updated_at":"2024-02-12 23:29:43","product_info":{"id":915,"hash_id":"0JmBZRxqwA4nYK6j","class_ids":{"1":2},"category_ids":{"1":162},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":219,"sell_point":"美昔美洛昔康内服混悬液(猫用)","title":"汉维宠仕美昔美洛昔康内服混悬液(猫用)0.05%规格 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09:25:04","ins":{"id":219,"hash_id":"02EmLAg06bpo1NwW","class_ids":"{\u00221\u0022:\u00222\u0022}","title":"美昔美洛昔康内服混悬液(猫用)0.05%","common_name":"美洛昔康内服混悬液","trade_name":"美昔","en_name":"Melocam","brand_name":"汉维宠仕","is_prescription":1,"cover":"\/drug\/2022\/02\/c42ab9a5885916b2c5703617f659dfa2.JPG","specification":"10ml\/瓶","reference_price":250,"component":"美洛昔康","indication":"用于猫术前、术后止痛","usage_dosage":"以本品计,内服:用前充分摇匀,每1KG体重,猫首次剂量0.2ml,维持剂量0.1ml,一日1次,连用3~4日,因存在个体差异,请遵医嘱。","contraindication":"1.不用于妊娠期、泌乳期或不足6周龄的猫;\n2.禁用于对本品过敏的猫;\n3.存在肾毒性的潜在,请慎用于脱水、血容量减少或低血压的动物;\n4.禁用于胃肠道溃疡或出血,肝脏、心脏或肾脏功能受损及出血异常的猫;\n5.禁与糖皮质、其他非类固醇类药或抗凝血剂合用;","adverse_reaction":"","attention":"对NSAIDs过敏的人应避免接触本品。远离儿童。","interaction":"","approval_no":"兽药字090412968","storage_method":"遮光,密封保存。","validity":"48个月","manufacturer":"上海汉维生物医药科技有限公司","status":1,"created_at":"2022-02-12 16:38:51","updated_at":"2022-02-12 16:38:51"}},"product_sku_info":{"id":956,"product_id":915,"title":"汉维宠仕美昔美洛昔康内服混悬液(猫用)0.05%规格 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