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X光片?我需要看一下实际的情况,了解一下基本信息,还有状态。
我需要问一下,已经过去多长时间了呢?有没有内出血呢?还是说只有腿部受损?现在的状态,我需要看一下,还有就是到现在为止用过什么药或者做过什么处置吗?
由于是学生,目前没办法带猫咪手术治疗,想问下如果不治疗只是观察修养的话,结果会如何
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,后续估计是瘸腿,不过我需要问一下他有没有内出血?能不能让我看一下他的视频状态?他现在还能吃东西吗?对于外界的反射如何?是如何造成这个损伤的?因为非常明显,股骨远心端全断了。
因为是捡来的猫咪,具体怎么伤的多久之前受伤都不是很清楚,但目前精神较好吃饭没有问题也很活泼,就是走路一瘸一拐,内出血之类的不是很清楚
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
状态还是可以的,短时间之内应该不会暴毙,但是后续的话肯定是要使用一些抗生素预防感染,一般来说,要是正常养的话,可以正常的生存,但是不做手术的话,时间太长了,这条腿肯定就是瘸腿的状态,因为后续如果一直无法用力,就会肌肉萎缩,直到这条腿肌肉衰退。
我想问下这个相关治疗费用大概要多少,如果没办法手术我目前应该怎么照料他
徐灿
执业兽医师
手术的话,大概得前后3000-5000左右,难度不是特别高,或者是选择钢针穿刺,然后多点固定的外部手术方式,也是可以的,这样的话,手术费用会少一些,但是后续照顾起来比较麻烦,
如果没有办法手术的话,就得看一下它的状态,以及是否发热,以及是否能够吃东西,如果说有发热或者感染,那么就要给予一定量的抗生素,还有止疼药物。
徐灿
执业兽医师
我帮你开了个方案,你可以参考使用,但是止疼药物的使用时间不能太长,所以最好后续是以中药制剂,还有抗生素的使用为主。
对于这种情况来说,实际上,如果猫咪的状态稳定,你可以问一下当地的医院,看一下能否钢针穿刺,然后加外固定的方式,这样的话,费用可能小很多,这么做的目的,实际上,还有一方面是因为,我发现他的生长板没有闭合,所以说他的年龄很小,外固定加钢针,能在一定程度上,减少后续骨骼生长和钢板的影响。
我想问一下这个手术什么时候做比较合适,他现在比较小,而且目前经济上面不太允许,最晚可以等多久
徐灿
执业兽医师
一般来说,最好是受伤之后的15天之内,因为如果拖的太久的,慢慢的损伤的地方就会形成骨痂。到时候就算是做手术了,那么也很难愈合,当然,我这个指的是钢针加外固定,如果选择钢板的话,那么到时候就得重新把骨骼切下去一块,然后重新对接在一起。
钢针加外固定的话就可以稍微等一会是吗,大概可以等多久呢
徐灿
执业兽医师
我不是这个意思,钢针加外固定,意思就是说,直接用钢针穿透他的骨骼,然后再把这些钢针,在体外进行对接,这样的话也可以固定住,也是一个固定和手术的方式,主要是这样做,对于他的骨骼影响小,损伤小,而且可以让他后续正常的生长,因为他的年龄小,后续还是要长个子的。
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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