猫咪咳嗽,打喷嚏,鼻子出现黄色分泌物
814次阅读
咨询描述:缅因公猫,13个月,5kg
症状描述:从23年9月开始出现呼吸道问题,症状包括咳嗽,打喷嚏,鼻子出现黄色分泌物
用药情况:10月开始抗生素治疗,以**环素为主,每次治疗21天,治疗两次均为停药后症状反复
最近一次治疗为24年1月开始,**环素每日50mg目前连续吃了5周,4天前做了绝育手术,目前仍然有呼吸音,偶尔打喷嚏
医院检查:在23年10月 12月 2月做过三次血常规 saa 生化检查,做过核酸检测一次,药敏试验一次,具体见附件
问题大致一样,细节不同?
曹元钊
执业兽医师
你好请问这个猫有没有做过ct或者x光?之前有没有做过生化检查和血常规,之前的血常规和生化检查的结果能不能发过来?目前精神食欲怎么样?
有没有做过超声,因为它的生化显示白球比低,所以要看一下。
曹元钊
执业兽医师
我尤其需要之前的生化。因为我需要确定一下白球比这个是由于它慢性炎症导致的,还是说还有别的问题。
Ct是12月12日拍的,还有去年10月和12月的血常规和生化
目前食欲很正常,精神也不错,很愿意玩,大小便最近也都正常,今早刚检查过
为保护用户隐私不显示图片/视频
曹元钊
执业兽医师
如果是这样的话,我们暂时不考虑猫传染性腹膜炎这种问题,因为它的症状也不像,我建议你换一下药物,试着对症治疗一下。
因为他这个是一个慢性炎症,治疗时间可能会非常的长。如果不能考虑长时间做一段时间的雾化输液等治疗的话,确定猫咪体重,我提供个对症治疗的方案给你作为参考。
猫咪体重4.9kg,体型偏瘦,雾化家里有设备条件,雾化箱和雾化机,注射目前没有条件
目前我们已经进行了5周的**环素治疗,之前也断断续续用药,长期的抗生素治疗是不是有副作用,我们需要做什么来降低副作用呢?
另外猫咪刚做完绝育5天,治疗方面是不是有些额外需要留意的呢?
曹元钊
执业兽医师
如果是这样,先不着急雾化。
我建一个新的方案给你***,一天一次,每次半片口服28天
***龙一天两次,每次一片,口服14天,一天两次,每次半片,再口服14天,然后一天一次,每次半片,再口服14天,然后停药。 但是第1个14天之后你要复诊一下,要看一下他的情况,同时最好也做一个血检,包括血常规和生化。
另外保肝药一天一次,每次一片,口服一个月,这个防止过长时间的药物的副作用。
刚刚做完绝育这个时候其实还好,没有特别的注意,只要说保证伤口不沾水,带上脖圈,别让他舔剩下的就不用做什么额外的事情了。
这个猫现在近期的化验结果是22号的那个时候他的血常规的白细胞白球比都不是很好,所以我建议换药。
好的谢谢大夫,另外我有一个疑问,去年10月到今年2月,我们明明一直在治疗,可是猫的各种指标仍然在恶化,您觉得可能是什么原因导致的呢?
曹元钊
执业兽医师
我认为还是药物使用不太够。这个猫实际上他慢性炎症没有得到彻底控制,而且它可能有两个不同系统的问题,一个是表现出来的呼吸系统,另外一个还有内脏器官,比如说他可能有一个免疫机能亢进的问题。
我现在仍然不太敢肯定,但是他整体精神状态良好,所以还有机会通过这样的方式来进行治疗。
我们去年10月和12月末有两次搬家,之前的房子采光比较差,冬天转凉之后室内温度也比较低,您觉得这些可能是原因吗?
我目前的主要担心也是这轮**环素如果停药,猫症状的反弹问题,当下猫呼吸道状况还算稳定,只是炎症指标还比较明显
如果按照您的方案用药,需不需要在当下这轮用药结束后给猫预留一段缓冲观察期呢?
曹元钊
执业兽医师
这些确实是可能的诱发原因,如果是按我的方案用药的话,我个人觉得你可以缓冲一下,但是因为22号的时候,他的化验指标仍然比较厉害,如果有条件你不行,你再做一个血常规,哪怕不想做生化,你再做一个血常规,你看一下白细胞,如果白细胞恢复正常,你可以缓一下,如果白细胞没有下降,那你就直接换
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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