猫咪口臭，牙龈一直有些红肿出血怎么回事

{"653007":{"id":653007,"case_id":71960,"user_id":2218472,"to_user_id":2505790,"type":3,"content":"舌头有没有类似于口腔溃疡那样的病灶，有就算异常，没有就是正常。\n如果是常规的牙龈炎可以先用处方里的药，如果有病毒感染，就还需要使用其他药物搭配治疗","media":{"images":{},"videos":{},"business_params":{"prescription_id":169217}},"is_doctor":1,"status":1,"created_at":"2024-02-24 01:48:15","show_rx":true,"rx_info":{"id":169217,"rx_no":2.02402240147405e+24,"user_id":2505790,"doctor_user_id":2218472,"is_independent":0,"case_id":3246181,"pet_info":{"pet_id":441191,"pet_name":"中国狸花猫","pet_nickname":"十七","pet_gender":1,"pet_birth":"0-8","pet_weight":4,"pet_vaccination_status":1,"pet_in_insect_repellent_status":1,"pet_out_insect_repellent_status":1,"pet_age_format":"8个月"},"diagnose":"拟牙龈炎","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2024-02-24 01:47:40","updated_at":"2024-02-24 01:48:15","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":150964,"prescription_id":169217,"doctor_user_id":2218472,"product_id":712,"product_sku_id":755,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":10,"number":2,"remark":"","created_at":"2024-02-24 01:47:40","updated_at":"2024-02-24 01:47:40","product_info":{"id":712,"hash_id":"VjX39W4z2B4Q0bvZ","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":3,"sell_point":"速诺（阿莫西林克拉维酸钾片）50mg","title":"辉瑞速诺（阿莫西林克拉维酸钾片） 50mg×10片\/板","recommend_reason":{"0":"适用于宠物由敏感细菌引起的皮肤及软组织感染、呼吸道感染","1":"治疗宠物革兰氏阴性和革兰氏阳性敏感细菌的感染","2":"用于肠炎及其他感染，如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"呼吸道感染,肠炎,腹泻,便血,真菌感染,猫癣,脓皮症","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"50mg规格1板"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/26f5438f35ed21efc2894dffea9f399f.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":48,"max_price":48,"sale_count":1375,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:50:13","updated_at":"2024-05-14 13:39:57","ins":{"id":3,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"阿莫西林克拉维酸钾片","trade_name":"速诺","en_name":"Synulox Palatable Tablets","brand_name":"辉瑞","is_prescription":1,"cover":"\/drug\/2020\/10\/46c3ccae52804b92b0e341800e809e95.JPG","specification":"50mg×10片×10板\/盒","reference_price":800,"component":"阿莫西林和克拉维酸钾","indication":"适用于犬猫由敏感细菌引起的各种感染，及治疗犬猫革兰氏阴性和革兰氏阳性敏感细菌的感染。\n1、如皮肤及软组织感染脓性皮炎、脓肿和肛腺炎、蜂窝组织炎、伤口感染、腹内脓毒症等。\n2、牙感染(牙龈炎)。\n3、尿道感染，如膀胱炎、尿道炎、肾盂肾炎、前列腺炎、盆腔炎、淋病奈瑟菌尿路感染及软性下疳等。\n4、呼吸道感染，如鼻窦炎、扁桃体炎、咽炎、急慢性支气管炎、慢性支气管炎急性发作、肺炎、肺脓肿和支气管合并感染。\n5、肠炎及其他感染，如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染等。","usage_dosage":"口服。每天吃2次，连用5-7天。每次用量如下：\n体重1-2kg，吃半粒； \n体重3-5kg，吃1粒； \n体重6-9kg，吃2粒；\n体重10-13kg，吃3粒;\n体重14-18kg，吃4粒；\n体重≥19kg，请购买同品250mg规格的产品。\n\n注：一些慢性感染(慢性皮炎、慢性膀胱炎和慢性呼吸道感染)的治疗可连用10-28天。","contraindication":"1. 仓鼠、豚鼠、沙鼠、灰鼠和家兔禁用。\n2. 其他草食动物慎用。\n3.对青霉素过敏者禁止接触本品。","adverse_reaction":"1.恶心、腹泻和皮肤丘疹是最常见的不良反应。\n2.本品为青霉素类药物，若出现过敏反应可使用肾上腺素治疗。","attention":"1.不要对病情严重的动物使用口服抗生素，因其胃肠道吸收可能不可靠，这些患病动物可能需要静脉注射剂。\n2.避免在对其他β-内酰胺类抗菌药(包含头孢菌素类)有过敏反应的动物使用。\n3.片剂由防潮箔包裹，给药前不要取出。\n4.对青霉素过敏者如果不慎接触，应该立刻去找医生救助。\n5.孕畜慎用。\n4.使用后请洗手。\n5.不要让小孩接触到此产品。","interaction":"1.避免同时使用抑菌性抗生素(如四环素、红霉素)。\n2.不要给鸟类同时使用别嘌呤醇、β-内酰胺和氨基糖苷类抗菌剂在体内有协同作用。\n3.本品和氨苄西林有完全交叉耐药性，与青霉素类和头孢菌素类有交叉耐药性。","approval_no":"（2018）外兽药证字10号","storage_method":"密封，在凉暗干燥处保存。","validity":"2年","manufacturer":"意大利豪普特制药厂(Haupt Pharma Latina S.R.L)","status":1,"created_at":"2020-10-21 13:48:10","updated_at":"2020-10-23 15:55:39"}},"product_sku_info":{"id":755,"product_id":712,"title":"辉瑞速诺（阿莫西林克拉维酸钾片） 50mg×10片\/板","advword":null,"price":48,"market_price":59,"cost_price":0,"stock":9609,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50mg规格1板"}},"cover":null,"thumb":"","sale_count":1448,"status":1,"delete_status":0,"created_at":"2021-12-16 15:50:13","updated_at":"2024-05-14 19:54:52"}},"1":{"id":150965,"prescription_id":169217,"doctor_user_id":2218472,"product_id":788,"product_sku_id":830,"dose":3,"dose_unit":"喷","use_method":"喷口腔","frequency":"每天2次","days":14,"number":1,"remark":"","created_at":"2024-02-24 01:47:40","updated_at":"2024-02-24 01:47:40","product_info":{"id":788,"hash_id":"V9we7N4JoygPbGWA","class_ids":{"1":2},"category_ids":{"21":182},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":9,"sell_point":"复合溶菌酶口腔抗菌喷剂（猫）30ml","title":"可鲁复合溶菌酶口腔抗菌喷剂（猫）30ml\/瓶\/盒","recommend_reason":{"0":"用于口腔和口腔黏膜等部位的抗菌清洁,有效","1":"保护口腔和口腔黏膜健康"},"baike_guide_text":"","baike_article_hash_id":"","advword":"口腔,口腔溃疡,口腔炎症,口腔黏膜","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"30ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2023\/03\/c58d3e2eb8756cba812da0cc7b9c799e.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":49,"max_price":49,"sale_count":77,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 18:06:49","updated_at":"2024-05-14 09:17:52","ins":{"id":9,"hash_id":"","class_ids":"[\u00222\u0022]","title":"","common_name":"复合溶菌酶口腔抗菌喷剂（猫）","trade_name":"猫口喷","en_name":"Kalo Oral Spray","brand_name":"可鲁","is_prescription":0,"cover":"\/drug\/2020\/10\/93f787cfcf08d6350f1878010ba220e1.png","specification":"30ml\/瓶\/盒","reference_price":85,"component":"溶菌酶 （6900μg\/ml±1380μg\/ml），醋酸氯已定(0.04%±0.004%)，溶葡萄球菌酶","indication":"1.适用于口腔和口腔黏膜等部位的抗菌清洁,有效。\n2.保护口腔和口腔黏膜健康。","usage_dosage":"首次使用先按压喷头几次，释放空气，直接喷于口腔、咽部等，每次2-3喷。","contraindication":"","adverse_reaction":"","attention":"1.本品勿与碘制剂、双氧水、重金属离子、含氯消毒剂等合用。\n2.在使用本口腔喷剂时,动作应轻柔。\n3.放置于宠物和儿童接触不到的地方。","interaction":"","approval_no":"","storage_method":"密封，在凉暗干燥处保存。","validity":"2年","manufacturer":"昆山博青生物科技有限公司","status":1,"created_at":"2020-10-26 16:05:57","updated_at":"2020-10-26 16:26:25"}},"product_sku_info":{"id":830,"product_id":788,"title":"可鲁复合溶菌酶口腔抗菌喷剂（猫）30ml\/瓶\/盒","advword":null,"price":49,"market_price":80,"cost_price":0,"stock":76,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"30ml"}},"cover":null,"thumb":"","sale_count":81,"status":1,"delete_status":0,"created_at":"2021-12-20 18:06:49","updated_at":"2024-05-14 09:16:28"}}},"drug_data_bak":{"0":{"id":150964,"prescription_id":169217,"doctor_user_id":2218472,"product_id":712,"product_sku_id":755,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":10,"number":2,"remark":"","created_at":"2024-02-24 01:47:40","updated_at":"2024-02-24 01:47:40","product_info":{"id":712,"hash_id":"VjX39W4z2B4Q0bvZ","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":3,"sell_point":"速诺（阿莫西林克拉维酸钾片）50mg","title":"辉瑞速诺（阿莫西林克拉维酸钾片） 50mg×10片\/板","recommend_reason":{"0":"适用于宠物由敏感细菌引起的皮肤及软组织感染、呼吸道感染","1":"治疗宠物革兰氏阴性和革兰氏阳性敏感细菌的感染","2":"用于肠炎及其他感染，如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"呼吸道感染,肠炎,腹泻,便血,真菌感染,猫癣,脓皮症","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"50mg规格1板"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/26f5438f35ed21efc2894dffea9f399f.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":48,"max_price":48,"sale_count":1375,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:50:13","updated_at":"2024-05-14 13:39:57","ins":{"id":3,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"阿莫西林克拉维酸钾片","trade_name":"速诺","en_name":"Synulox Palatable Tablets","brand_name":"辉瑞","is_prescription":1,"cover":"\/drug\/2020\/10\/46c3ccae52804b92b0e341800e809e95.JPG","specification":"50mg×10片×10板\/盒","reference_price":800,"component":"阿莫西林和克拉维酸钾","indication":"适用于犬猫由敏感细菌引起的各种感染，及治疗犬猫革兰氏阴性和革兰氏阳性敏感细菌的感染。\n1、如皮肤及软组织感染脓性皮炎、脓肿和肛腺炎、蜂窝组织炎、伤口感染、腹内脓毒症等。\n2、牙感染(牙龈炎)。\n3、尿道感染，如膀胱炎、尿道炎、肾盂肾炎、前列腺炎、盆腔炎、淋病奈瑟菌尿路感染及软性下疳等。\n4、呼吸道感染，如鼻窦炎、扁桃体炎、咽炎、急慢性支气管炎、慢性支气管炎急性发作、肺炎、肺脓肿和支气管合并感染。\n5、肠炎及其他感染，如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染等。","usage_dosage":"口服。每天吃2次，连用5-7天。每次用量如下：\n体重1-2kg，吃半粒； \n体重3-5kg，吃1粒； \n体重6-9kg，吃2粒；\n体重10-13kg，吃3粒;\n体重14-18kg，吃4粒；\n体重≥19kg，请购买同品250mg规格的产品。\n\n注：一些慢性感染(慢性皮炎、慢性膀胱炎和慢性呼吸道感染)的治疗可连用10-28天。","contraindication":"1. 仓鼠、豚鼠、沙鼠、灰鼠和家兔禁用。\n2. 其他草食动物慎用。\n3.对青霉素过敏者禁止接触本品。","adverse_reaction":"1.恶心、腹泻和皮肤丘疹是最常见的不良反应。\n2.本品为青霉素类药物，若出现过敏反应可使用肾上腺素治疗。","attention":"1.不要对病情严重的动物使用口服抗生素，因其胃肠道吸收可能不可靠，这些患病动物可能需要静脉注射剂。\n2.避免在对其他β-内酰胺类抗菌药(包含头孢菌素类)有过敏反应的动物使用。\n3.片剂由防潮箔包裹，给药前不要取出。\n4.对青霉素过敏者如果不慎接触，应该立刻去找医生救助。\n5.孕畜慎用。\n4.使用后请洗手。\n5.不要让小孩接触到此产品。","interaction":"1.避免同时使用抑菌性抗生素(如四环素、红霉素)。\n2.不要给鸟类同时使用别嘌呤醇、β-内酰胺和氨基糖苷类抗菌剂在体内有协同作用。\n3.本品和氨苄西林有完全交叉耐药性，与青霉素类和头孢菌素类有交叉耐药性。","approval_no":"（2018）外兽药证字10号","storage_method":"密封，在凉暗干燥处保存。","validity":"2年","manufacturer":"意大利豪普特制药厂(Haupt Pharma Latina S.R.L)","status":1,"created_at":"2020-10-21 13:48:10","updated_at":"2020-10-23 15:55:39"}},"product_sku_info":{"id":755,"product_id":712,"title":"辉瑞速诺（阿莫西林克拉维酸钾片） 50mg×10片\/板","advword":null,"price":48,"market_price":59,"cost_price":0,"stock":9609,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50mg规格1板"}},"cover":null,"thumb":"","sale_count":1448,"status":1,"delete_status":0,"created_at":"2021-12-16 15:50:13","updated_at":"2024-05-14 19:54:52"}},"1":{"id":150965,"prescription_id":169217,"doctor_user_id":2218472,"product_id":788,"product_sku_id":830,"dose":3,"dose_unit":"喷","use_method":"喷口腔","frequency":"每天2次","days":14,"number":1,"remark":"","created_at":"2024-02-24 01:47:40","updated_at":"2024-02-24 01:47:40","product_info":{"id":788,"hash_id":"V9we7N4JoygPbGWA","class_ids":{"1":2},"category_ids":{"21":182},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":9,"sell_point":"复合溶菌酶口腔抗菌喷剂（猫）30ml","title":"可鲁复合溶菌酶口腔抗菌喷剂（猫）30ml\/瓶\/盒","recommend_reason":{"0":"用于口腔和口腔黏膜等部位的抗菌清洁,有效","1":"保护口腔和口腔黏膜健康"},"baike_guide_text":"","baike_article_hash_id":"","advword":"口腔,口腔溃疡,口腔炎症,口腔黏膜","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"30ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2023\/03\/c58d3e2eb8756cba812da0cc7b9c799e.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":49,"max_price":49,"sale_count":77,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 18:06:49","updated_at":"2024-05-14 09:17:52","ins":{"id":9,"hash_id":"","class_ids":"[\u00222\u0022]","title":"","common_name":"复合溶菌酶口腔抗菌喷剂（猫）","trade_name":"猫口喷","en_name":"Kalo Oral Spray","brand_name":"可鲁","is_prescription":0,"cover":"\/drug\/2020\/10\/93f787cfcf08d6350f1878010ba220e1.png","specification":"30ml\/瓶\/盒","reference_price":85,"component":"溶菌酶 （6900μg\/ml±1380μg\/ml），醋酸氯已定(0.04%±0.004%)，溶葡萄球菌酶","indication":"1.适用于口腔和口腔黏膜等部位的抗菌清洁,有效。\n2.保护口腔和口腔黏膜健康。","usage_dosage":"首次使用先按压喷头几次，释放空气，直接喷于口腔、咽部等，每次2-3喷。","contraindication":"","adverse_reaction":"","attention":"1.本品勿与碘制剂、双氧水、重金属离子、含氯消毒剂等合用。\n2.在使用本口腔喷剂时,动作应轻柔。\n3.放置于宠物和儿童接触不到的地方。","interaction":"","approval_no":"","storage_method":"密封，在凉暗干燥处保存。","validity":"2年","manufacturer":"昆山博青生物科技有限公司","status":1,"created_at":"2020-10-26 16:05:57","updated_at":"2020-10-26 16:26:25"}},"product_sku_info":{"id":830,"product_id":788,"title":"可鲁复合溶菌酶口腔抗菌喷剂（猫）30ml\/瓶\/盒","advword":null,"price":49,"market_price":80,"cost_price":0,"stock":76,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"30ml"}},"cover":null,"thumb":"","sale_count":81,"status":1,"delete_status":0,"created_at":"2021-12-20 18:06:49","updated_at":"2024-05-14 09:16:28"}}}}}}