狗狗脾上有肿瘤肾也有点不好,建议做手术吗
868次阅读
咨询描述:金毛脾上有肿瘤,贫血输过一次血,肾也有点不好,建议做手术吗
问题大致一样,细节不同?
孙厚福
执业兽医师
由于你在提问里面没有描述你家宝贝的情况以及你的问题,你现在可以先详细的描述一下。包括但不限于
1.给我讲一下宝贝的基础信息等
2.宝贝现在都有哪些疾病症状?(若有视频可以上传来我看看)
3.它这样子多久了?
4.是否在线下动物医院就医过?(若有检查报告可以以照片形式传上来我看看)
5.是否用过药?用药的详细情况都讲一下。
15年夏天公金毛,今年年初发现尿血,后来没精神头,去医院检查是贫血,找了个狗给输血700左右,输完血情况有好转,但是近几天又发现精神头不好,没力气,去医院做彩超发现脾脏有肿瘤,不知道良性恶性,肝有两个小结节,肾脏指标不太好。现在不知道做不做手术切除脾脏
做了穿刺,抽出来的都是血,肿瘤里的血红蛋白细胞比血管里的含量还高。 麻烦快点回复谢谢
孙厚福
执业兽医师
您好,我已收到你的咨询,为了更好诊治,我需要近一步了解宝贝情况。
1.如果脾脏肿瘤有破裂推荐手术治疗,切除脾脏之后做一下病理切片
2如果恶性之后看看是否可以化疗治疗
3.之前可以配合治疗肾脏药物和保肝药物调理一下
现在它这种情况推荐做手术吗?他的肾有问题,还贫血,他已经输过一次血了,
孙厚福
执业兽医师
是否可以手术需要外科医生再评估一下,如果还是贫血建议先输血再手术、目前可能有肿瘤破裂情况还是比较紧急情况,肾衰不严重不太影响手术,贫血严重需要再输血再安排手术的
孙厚福
执业兽医师
你把化验单和病例发给再看一下,另外狗狗目前状态视频可以发过来看一下,我再帮你看一下
孙厚福
执业兽医师
中量腹水考虑肿瘤破裂可能性比较大,推荐还是手术治疗,可以再让医生评估一下,不然会持续贫血,反复输血液不一定能恢复,肿瘤需要病理才能确诊良性恶性,恶性预后不好。
它现在主要的病就是贫血,贫血就是因为这个肿瘤,不做的话慢慢的贫血,休克也就没了。做的话它肾也有问题,有可能做完手术导致一些其他的并发症。那都是不一定的,也有可能做完也活不了多久,大夫说其实不太建议做了,说本身就能活十多年,但是要是想试试的话也可以做。 这是我们这的大夫说的
孙厚福
执业兽医师
我的建议也是这样,看主人你自己大概率恶性的,如果手术顺利可能会存活一段时间但是时间也不会的很长,如果不手术可能会短时间久走了,这个需要看看你自己选择,医生也没有办法给你很好选择。
它有的时候尿的就是像尿血似的,现在几乎就是不咋动了,走几步就趴着
孙厚福
执业兽医师
贫血和疼痛原因导致的,目前还是腹痛明显同时贫血导致无力,另外可能会导致溶血
孙厚福
执业兽医师
正常手术输完血后安排手术,大部分可以下台,之后是否会出现其他并发症不一定,如果积极一点就是安排手术、如果担心风险那只能保守等待着
孙厚福
执业兽医师
保守口服消炎药**配合补血药物**维,如果疼痛配合止痛药。可以给康复处方罐头
孙厚福
执业兽医师
宝贝家长你好,考虑宝贝的情况,我给宝贝开具了一个处方,你可以根据实际需求自行选择购买。
1**维早晚各10ml
2.**早晚各2片
你可以点击查看详情按钮,进入处方页面查看药物使用说明。
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
{"660549":{"id":660549,"case_id":72745,"user_id":1321141,"to_user_id":2513457,"type":3,"content":"宝贝家长你好,考虑宝贝的情况,我给宝贝开具了一个处方,你可以根据实际需求自行选择购买。\n1**维早晚各10ml\n2.**早晚各2片\n你可以点击查看详情按钮,进入处方页面查看药物使用说明。","media":{"images":{},"videos":{},"business_params":{"prescription_id":170502}},"is_doctor":1,"status":1,"created_at":"2024-03-06 21:19:36","show_rx":true,"rx_info":{"id":170502,"rx_no":2.02403062118325e+24,"user_id":2513457,"doctor_user_id":1321141,"is_independent":0,"case_id":3253141,"pet_info":{"pet_id":444145,"pet_name":"金毛","pet_nickname":"雪橇","pet_gender":1,"pet_birth":"9-0","pet_weight":40,"pet_vaccination_status":0,"pet_in_insect_repellent_status":0,"pet_out_insect_repellent_status":0,"pet_age_format":"9岁"},"diagnose":"脾脏肿瘤,贫血","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2024-03-06 21:18:32","updated_at":"2024-03-06 21:19:36","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":153703,"prescription_id":170502,"doctor_user_id":1321141,"product_id":755,"product_sku_id":797,"dose":5,"dose_unit":"ml","use_method":"口服","frequency":"每天2次","days":14,"number":1,"remark":"","created_at":"2024-03-06 21:18:32","updated_at":"2024-03-06 21:18:32","product_info":{"id":755,"hash_id":"kAW7LMp6maxBVDnv","class_ids":{"0":1,"1":2},"category_ids":{"35":194},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":31,"sell_point":"甘血维 宠物添加剂预混合饲料(LD-100)","title":"蓝特斯甘血维 宠物添加剂预混合饲料(LD-100)150ml\/瓶\/盒","recommend_reason":{"0":"宠物因血液寄生虫,溶血性疾病,中毒,肿瘤癌症等引起的贫血期","1":"宠物因药物和化学物质导致的肝脏受损期、急慢性肝病及恢复期","2":"宠物因手术或外伤等引起的失血过多的调养恢复期"},"baike_guide_text":"","baike_article_hash_id":"","advword":"肝脏问题,贫血,血液寄生虫","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"150ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/ab2461bf783c7b316537b0b50b5fd70d.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":138,"max_price":138,"sale_count":32,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 17:51:31","updated_at":"2024-10-14 17:44:51","ins":{"id":31,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"宠物添加剂预混合饲料(LD-100)","trade_name":"甘血维(LD-100)","en_name":"","brand_name":"蓝特斯","is_prescription":0,"cover":"\/drug\/2020\/10\/1392569a217021c2221165eb0784b114.JPG","specification":"60ml\/瓶\/盒","reference_price":118,"component":"维生素C、硫酸亚铁、硫酸锌、维生素B、叶酸、烟酰胺、泛酸钙、赖氨酸、蛋氨酸等。","indication":"1.宠物因血液寄生虫,溶血性疾病,中毒,肿瘤癌症等。\n2.多种原因引起的贫血期。\n3.宠物因药物和化学物质导致的肝脏受损期。\n4.宠物因手术或外伤等引起的失血过多的调养恢复期。\n5.宠物急慢性肝病及恢复期。\n6.宠物肿瘤化疗,治疗期。","usage_dosage":"犬猫每4kg体重1ml,混饲或直接饲喂,一天2次。用前请摇匀。","contraindication":"","adverse_reaction":"","attention":"","interaction":"","approval_no":"苏饲预字(2018)768335","storage_method":"密封,在凉暗干燥处保存。","validity":"2年","manufacturer":"江苏益品实业有限公司","status":1,"created_at":"2020-10-29 17:52:50","updated_at":"2020-10-29 17:52:50"}},"product_sku_info":{"id":797,"product_id":755,"title":"蓝特斯甘血维 宠物添加剂预混合饲料(LD-100)150ml\/瓶\/盒","advword":null,"price":138,"market_price":190,"cost_price":0,"stock":65,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"150ml"}},"cover":null,"thumb":"","sale_count":35,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 17:51:31","updated_at":"2024-10-14 17:39:32"}},"1":{"id":153704,"prescription_id":170502,"doctor_user_id":1321141,"product_id":708,"product_sku_id":751,"dose":2,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":14,"number":1,"remark":"","created_at":"2024-03-06 21:18:32","updated_at":"2024-03-06 21:18:32","product_info":{"id":708,"hash_id":"ekz3bB4v2X4dKJMv","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":5,"sell_point":"速诺(阿莫西林克拉维酸钾片)250mg","title":"辉瑞速诺(阿莫西林克拉维酸钾片)250mg×10片×3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":"250mg规格3板装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/0c5606ffe97cfdbe080e7c31980a047d.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":288,"max_price":288,"sale_count":55,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:42:12","updated_at":"2024-11-18 09:09:54","ins":{"id":5,"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\/b4e16954b19120b0d777543dde23b1da.JPG","specification":"250mg×10片×10板\/盒","reference_price":2200,"component":"阿莫西林和克拉维酸钾","indication":"适用于犬由敏感细菌引起的各种感染,及治疗犬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9-12kg,吃0.5片;\n体重13-15kg,吃0.75片;\n体重16-22kg,吃1片;\n体重23-30kg,吃1.5片;\n体重31-40kg,吃2片;\n体重41kg及以上请购买同品500mg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11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":"2020-10-23 12:09:57","updated_at":"2020-10-23 16:00:00"}},"product_sku_info":{"id":751,"product_id":708,"title":"辉瑞速诺(阿莫西林克拉维酸钾片)250mg×10片×3板","advword":null,"price":288,"market_price":349,"cost_price":0,"stock":9984,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"250mg规格3板装"}},"cover":null,"thumb":"","sale_count":59,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:42:12","updated_at":"2024-11-17 16:15:09"}}},"drug_data_bak":{"0":{"id":153703,"prescription_id":170502,"doctor_user_id":1321141,"product_id":755,"product_sku_id":797,"dose":5,"dose_unit":"ml","use_method":"口服","frequency":"每天2次","days":14,"number":1,"remark":"","created_at":"2024-03-06 21:18:32","updated_at":"2024-03-06 21:18:32","product_info":{"id":755,"hash_id":"kAW7LMp6maxBVDnv","class_ids":{"0":1,"1":2},"category_ids":{"35":194},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":31,"sell_point":"甘血维 宠物添加剂预混合饲料(LD-100)","title":"蓝特斯甘血维 宠物添加剂预混合饲料(LD-100)150ml\/瓶\/盒","recommend_reason":{"0":"宠物因血液寄生虫,溶血性疾病,中毒,肿瘤癌症等引起的贫血期","1":"宠物因药物和化学物质导致的肝脏受损期、急慢性肝病及恢复期","2":"宠物因手术或外伤等引起的失血过多的调养恢复期"},"baike_guide_text":"","baike_article_hash_id":"","advword":"肝脏问题,贫血,血液寄生虫","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"150ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/ab2461bf783c7b316537b0b50b5fd70d.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":138,"max_price":138,"sale_count":32,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 17:51:31","updated_at":"2024-10-14 17:44:51","ins":{"id":31,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"宠物添加剂预混合饲料(LD-100)","trade_name":"甘血维(LD-100)","en_name":"","brand_name":"蓝特斯","is_prescription":0,"cover":"\/drug\/2020\/10\/1392569a217021c2221165eb0784b114.JPG","specification":"60ml\/瓶\/盒","reference_price":118,"component":"维生素C、硫酸亚铁、硫酸锌、维生素B、叶酸、烟酰胺、泛酸钙、赖氨酸、蛋氨酸等。","indication":"1.宠物因血液寄生虫,溶血性疾病,中毒,肿瘤癌症等。\n2.多种原因引起的贫血期。\n3.宠物因药物和化学物质导致的肝脏受损期。\n4.宠物因手术或外伤等引起的失血过多的调养恢复期。\n5.宠物急慢性肝病及恢复期。\n6.宠物肿瘤化疗,治疗期。","usage_dosage":"犬猫每4kg体重1ml,混饲或直接饲喂,一天2次。用前请摇匀。","contraindication":"","adverse_reaction":"","attention":"","interaction":"","approval_no":"苏饲预字(2018)768335","storage_method":"密封,在凉暗干燥处保存。","validity":"2年","manufacturer":"江苏益品实业有限公司","status":1,"created_at":"2020-10-29 17:52:50","updated_at":"2020-10-29 17:52:50"}},"product_sku_info":{"id":797,"product_id":755,"title":"蓝特斯甘血维 宠物添加剂预混合饲料(LD-100)150ml\/瓶\/盒","advword":null,"price":138,"market_price":190,"cost_price":0,"stock":65,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"150ml"}},"cover":null,"thumb":"","sale_count":35,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 17:51:31","updated_at":"2024-10-14 17:39:32"}},"1":{"id":153704,"prescription_id":170502,"doctor_user_id":1321141,"product_id":708,"product_sku_id":751,"dose":2,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":14,"number":1,"remark":"","created_at":"2024-03-06 21:18:32","updated_at":"2024-03-06 21:18:32","product_info":{"id":708,"hash_id":"ekz3bB4v2X4dKJMv","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":5,"sell_point":"速诺(阿莫西林克拉维酸钾片)250mg","title":"辉瑞速诺(阿莫西林克拉维酸钾片)250mg×10片×3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":"250mg规格3板装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/0c5606ffe97cfdbe080e7c31980a047d.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":288,"max_price":288,"sale_count":55,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:42:12","updated_at":"2024-11-18 09:09:54","ins":{"id":5,"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\/b4e16954b19120b0d777543dde23b1da.JPG","specification":"250mg×10片×10板\/盒","reference_price":2200,"component":"阿莫西林和克拉维酸钾","indication":"适用于犬由敏感细菌引起的各种感染,及治疗犬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9-12kg,吃0.5片;\n体重13-15kg,吃0.75片;\n体重16-22kg,吃1片;\n体重23-30kg,吃1.5片;\n体重31-40kg,吃2片;\n体重41kg及以上请购买同品500mg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11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":"2020-10-23 12:09:57","updated_at":"2020-10-23 16:00:00"}},"product_sku_info":{"id":751,"product_id":708,"title":"辉瑞速诺(阿莫西林克拉维酸钾片)250mg×10片×3板","advword":null,"price":288,"market_price":349,"cost_price":0,"stock":9984,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"250mg规格3板装"}},"cover":null,"thumb":"","sale_count":59,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:42:12","updated_at":"2024-11-17 16:15:09"}}}}}}
微信扫一扫
立即问宠医