吴瑞珽
执业兽医师
您好,感谢您使用蘑菇宠医,问诊前建议可以把您家爱宠的信息(具体年龄,性别,是否绝育,体重)补充完
整以便我能更加了解您的爱宠情况,然后尽可能详细的描述下您家爱宠近期的异常,主要从精神是否良好,食欲是
否正常,大小便是否正常,近期出现哪些异常,发生的时间及持续的时间,如有线下诊疗过的最好可以上传检查报
告和治疗方案,无检查的可以上传视频或爱宠患病部位的照片。感谢您的配合,填写后我需要 15 分钟到 20 分钟时间分析症状或检查结果,请您耐心等待我的回复,谢谢。另外,把您家爱宠的『年龄、体重』提供一下,待会儿咱们沟通后如果涉及用药建议,方便为宝贝开具处方
猫咪猫咪昨天起坐的检查是肺部积水,然后肠道有气儿,所以回来猫咪现在到现在也没有吃东西也没有喝水,然后他还要记忆不治疗,因为费用太贵了,所以我们就回来了,但现在猫咪的状况是一直在喘,一直在喘精神头也不够,但是也从昨天到现在昨天早上开始到现在一滴水也没喝也没吃饭,但是状态还可以也没有说趴着起不来那种呢他也是爆出来晒太阳,在那做得也可以,我想问一下像这种情况的下这种猫的话能不能有治疗的药药物能更好的治疗一下,有没有可能能治好
吴瑞珽
执业兽医师
如果说猫咪已经出现开始喘的症状,说明就比较严重了,而且已经很长时间没有好好吃东西。也不好好喝水,那这种情况下会很快出现低血糖,电解质紊乱,脱水等症状。在这种情况下,如果说不进行系统性的治疗,只是单纯的吃药。可能治疗效果并不好。而且猫咪已经出现喘的症状,可能还会出现呼吸性的碱中毒。这种情况下必须要让他一直去吸氧气。
是因为昨天在医院的时候那个大夫有说,他现在做的是肺部积水拍的片子,然后那个他说意思,他现在也没法下药,只能是在进一步治疗检查,就是把毛放着的住院,然后现在给猫做血常规做肝胆肾再拍片子所有的还有心脏所有的检查都出来,以后然后才能下药再给治,然后就是费用太高了他说要是大概这五六天的话直接来的话差不多要五六千完了,不一定能治好就是花五六千的话也治不了治不了完全治愈那种的,也就是维持着看到什么程度,他也不敢保证,所以完我们做天就回来了,觉得费用太高了就没在那治,然后我就要求他给我简单治的话,他也没敢用药,他就给打了一个消炎针打了一个利尿的打了一个那个就是绑的那个排气的,就可能是那个哮喘喘的那个药就是打了这这三个小小针打完以后回来猫回来,晚上是排便排那个排尿了,尿了两次,然后再就没起来就一直我给他放在箱子里面趴着,然后经常起来的时候我给他拿出来晒太阳,看他现在精神头还算有还会舔毛舔爪,然后就是不吃东西
吴瑞珽
执业兽医师
目前其实线下医生的做法是没有错的。因为去给他用药的话,必须要知道详细的生化结果以及各种化验指标。但是目前并没有做任何化验,所以乱用药的话后期可能会出现纠纷。而且目前猫咪的状态并不是太好,其实这种的话我们可以找个价格稍微低一点的医院。最好还是把这些化验都给他做一下。不然的话如果真的是实质性脏器有问题,比如肝脏,肾脏,心脏有问题。即便是目前这样用药意义也不是太大。确诊之后才能详细的用药。
我知道,可是他有说呀,说就这些检查做完了,以后才能用药,然后显示住院就是每天吸氧的意思,但是他有说这些就是是治的话也不治不好,就是就是维持的,而且也是现实质看的边治边看情况,我问他像这样话,这样钱的话五六千的话没能不能治好,他告诉我治不好只是看他的状况,看他恢复到什么样就是这么样的执法没有其他的,我想的是就现在这个状态的话,这样的猫都已经做出来那个肺部积水了,能不能先给他做肺部的积水就是消炎呢,还是给他那个积液积水给他往下剪一剪,就是用这方面的药先治吧,因为昨天打了点药,今天看了猫好像是强点了,都身体也热了,因为昨天晚上回来的时候猫的身体是低的,就是温度是低的差不多35度几就是特别低,然后现在他猫的温度身体是温度是正常的,他也没有发烧所以我在想我想保守治疗的话怎么治法有没有可以用药了,就是先把它肺部那个消炎炎症先给他消掉,然后那个看看状态什么样,我们再进一步再做检查再治疗那儿了,我想问一下有没有这样情况就是保守一点治疗
吴瑞珽
执业兽医师
如果说保守一点的话,只能是先对症的给予一些上呼吸道的消炎药。其他的药物因为没有化验结果也不敢确定。因为这种情况确实是要给他吸氧。可以给他自己买个制氧机或者是买氧气枕头给他持续吸氧就可以。如果需要药物,我这边再给你推送。
就是我说的这种保守治疗的话先给他消炎,先给他呼吸道消炎和痱子那个肺积水加的帮她呼吸那个消炎一些,然后再加上那个呼吸道费劲的话帮她帮她那个就是帮助他呼吸道能快点呼吸正常量的,是不是也可以先这样的治疗吧,那如果要是可以的话,你帮我发一下那个是有链接吗?还是有什么样的地方可以买那个就是吸氧的东西,你发给我看一下吧。
您是能开那个就是光是吸氧的吗?还有药物吗?还有口服的药那样的就是能治疗的那种药物能开吗?就是专门给那个猫那个就是肺积水,这样的就是消炎的这种的,然后嗯对那个喘他不是呼吸道有问题吗?呼吸道有炎症呼吸道的那个药物治疗这种的有吗那这有吗?然后是怎么发货呀?是怎么弄啊我也现在不清楚,你能不能详细跟我说一下,如果我给你发完了以后你那边是有药完了是要我上指定的医药点是取呢,还是说上次谁打呢?还是上那个哪个医院?是怎么样的跟我说
吴瑞珽
执业兽医师
我这边的话可以先给你推送一些呼吸道的消炎药。和保护心脏的一些药物。至于吸氧的这个可以给他用制氧机。制氧机可以去你们就近的医疗器械店购买。一般就有卖。我这边的话会给你推荐药物。但是前提是你要把你家猫咪的具体情况填写清楚,体重。然后申请处方,我这边就可以给你把药推送过去。具体怎么用用多少我都会在里面详细说明。如果药物效果可以,你后期可以再回平台找我。如果用药三到五天效果不好。这种情况必须要做完检查。再给他对症用药。
猫咪现在是八斤重,然后灰色的蓝猫灰色的那个蓝猫今年是10岁,今年是10岁现在的症状就是呼吸道就是在喘气一直在喘,昨晚昨天晚这样昨天晚上10:00左右去医院做的检查做了一个肺部CT发现肺部里面积水很大,然后肠道里面有气,昨天有吸了一遍痒打了一个打了一个那个消炎针打了一个利尿针打了一个帮助呼吸的针就是打了三个肌肉针,然后回家以后感觉状态有一点好转,然后排了两遍又排了两遍尿昨天晚上今天早上刚刚中午的时候自己去排了一个便,然后现在感觉趴在那儿晒太阳,还一直在呼噜呼噜在喘
吴瑞珽
执业兽医师
好的,您的描述我已经看到了,根据目前的情况,我也指南的先对症的给你。推荐一些药物。如果用药两到三天没有明显的改善,需要你抓紧时间带到医院做详细的检查。和更详细的治疗。
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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