咨询描述:医生您好,还是上次9岁的比熊。带着去检查了一下,子宫部分没有蓄脓的情况,但是胃肠部分好像有空气,还请您看看片子具体是什么问题
问题大致一样,细节不同?
吴瑞珽
执业兽医师
好的,您的描述我已经看到了。如果是目前这种情况那还算是比较好的,就和我后面和您说的一样,如果拍片子,做检查,他并没有明显的子宫蓄脓。,很有可能只是胃肠道的反应。而且从片子上看,胃肠道内有大量的积气,明显的气液不均衡。这种情况。可以给他先在医院对症的输几天液。这几天就先给他不给吃,不给喝了。让外肠道得到充分的休息和排空。去胃肠道消炎,修复胃肠道粘膜,改善胃肠道内环境。然后通过输液来调节它的电解质紊乱。调整过来后,给他少量多次的喂吃的就可以。
本地宠物医院怀疑有器官破裂,要开腹探查,但考虑狗狗年龄比较大了可能不太适合,您看有开腹的必要吗?如果输液的话需要怎么和医院那边说呢?
吴瑞珽
执业兽医师
这么大的年龄再给他开腹只是做一个探查。我感觉已经没有必要了。因为手术风险很高。如果他不能确定可以到其他医院做腹部的B超检查。来确定具体情况。
吴瑞珽
执业兽医师
可以和医生说先对症的消一消炎。修复胃肠道粘膜,改善胃肠道内环境。补充一下能量,调节一下电解质紊乱。
在那个医院做了彩超的,医生说没办法确定具体的位置,您看还需要换一家医院再试试吗?如果真的存在破裂的话只输液可以吗?
吴瑞珽
执业兽医师
如果他不能确定,最好是再换一家。但是我感觉实质性脏器破裂的可能性不大。如果是实质性脏器破裂不会拖这么长时间,因为这种情况都是极危重症不会拖这么长时间,症状不明显。
医生我们商量了一下,最近可能没太多时间每天带小狗去输液,您看不输液只吃药可以吗?有药物推荐吗?
吴瑞珽
执业兽医师
这种情况最好还是给他输液治疗一下。实在不行的话再给他用药。我先给您推送过去,您这边自己斟酌一下。
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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