咨询描述:猫咪信息: 2岁母猫,疫苗齐全,已绝育
症状描述:3月6日开始频繁呕吐,吐出粉水后送去医院,做了血常规、生化、SAA、x光片,最后怀疑是肠胃炎。3月6日﹣3月9日肌肉注射止吐消炎针,回家恢复正常了。3月10日又开始呕吐食欲不振,送去医院肌肉注射后不吐了。昨天强制喂食,今早又吐了一次黄水,拉了一半软便一半正常大便。上午下午精神状态都很好,但是一喂食半小时后就吐,吐完精神又好了。请问这种情况是给她点时间休息还是再带去医院呢?
医院检查:血常规、生化、SAA、x光
问题大致一样,细节不同?
孙嘉辰
执业兽医师
您好,先回答一下您的问题,我认为应该先在家里休息,如果休息之后还没有好转,建议最好能够转院。
我来说一下我这样建议的理由,因为从您提供的检查结果来看,血常规存在着淋巴细胞降低,中性粒细胞上升的情况,这种选项我们在临床上叫做应激项,提示猫可能出现了应激反应。其次就是从片子上来看,猫的体态出现了屈驱的表现,一点也不舒展,如果在没有外力的自然状态下,这种体态代表猫出现了应激反应,但是对于拍片子这种情况,是是有专门的摆位标准的,这两张片子甚至没有做到正位,侧位两个角度进行拍摄,并且人工辅助摆位做的也非常差,所以看上去非常的业余。最后一点就是当前猫出现了脱水的情况,但是我看给出的治疗并没有进行输液。
那么,现在建议在家先观察的理由是,这家医院可能已经给猫造成了非常大的应激和心理创伤,而应激有可能导致猫体内的去甲肾上腺素这一类的儿茶酚胺异常分泌,也有可能引起交感神经受到过度刺激,从而加重呕吐的症状。
其次就是根据您的描述来看他现在出现的呕吐,并不是那种连续性的呕吐,而是间隔很多个小时,或者喂食物之后才出现呕吐,所以这种情况可以考虑进行口服药物止吐,当然注射止吐也不是不行,但是注射要去医院。
所以综上所述,我个人建议现在可以先在家里考虑,在进行喂食这一类可能造成刺激的行为之前,先使用口服止吐药物控制住呕吐,以及保护胃肠粘膜的药物,防止肠胃进一步出现溃疡。然后再喂食。同时建议增进饮水,如果不愿意主动喝的话,可以考虑吃一些食粮,比如说像罐头。我个人认为这是比较符合当前情况的治疗方向。
关于所需要用到的药物,我写在下面的处方里。
谢谢医生!猫咪这几天正常排尿,就是不吃东西。前天在家也尝试过喂口服药,但是猫咪表现得极其激动,我们就不敢喂了。今天精神很好,但是还是不吃东西,请问这种情况是先让她在家休养还是转院治疗呢?
孙嘉辰
执业兽医师
如果猫超过四天没有吃东西,对于肝脏就会造成非常严重的损伤,所以如果发生这种事情,建议抓紧时间去医院安装一个鼻饲管之后,通过人工鼻饲的方式,来获取能量。什么时候拆除鼻饲管?当他能够恢复自主进食的时候才能拆除。如果要安装的话肯定去医院才能安装了。
还有一个问题我需要提前说一下,就是我建议给他测一下sdma和upc这两个指标,排查一下早期肾功能不全的情况,因为他当前的这个呕吐,属于肠性呕吐,不独属于胃性呕吐,肠性呕吐常见于梗阻,或者刺激到掌管呕吐行为的中枢神经,而对于一只猫来说,早期肾功能不全就有可能会引起这种情况。
医生,猫猫在一小时和半小时前主动吃了两次猫粮,但是刚刚又吐了一次,这种情况算有好转吗🥹
为保护用户隐私不显示图片/视频
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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18:15:50","product_info":{"id":728,"hash_id":"VNA3DJxL32gMGaOw","class_ids":{"0":1,"1":2},"category_ids":{"30":189},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":23,"sell_point":"胃溃宁(大)硫糖铝片0.5g","title":"保灵胃溃宁(大)硫糖铝片 0.5g×8片×3板\/盒","recommend_reason":{"0":"用于急慢性胃肠炎、吞食异物等因素引起的犬猫消化道溃疡"},"baike_guide_text":"","baike_article_hash_id":"","advword":"慢性胃炎,肠炎","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"0.5g盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/ab50ae2f2fe7a4a83bb36bcedea26a83.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":293,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 15:32:23","updated_at":"2024-11-20 13:34:38","ins":{"id":23,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"硫糖铝片","trade_name":"胃溃宁(大)","en_name":"Sucralfate 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