狗狗被车撞到了后腿骨折需要固定或手术吗
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咨询描述:你好,今天小狗被车撞到了后腿,去医院拍片是骨折了,做手术的话费用大概要5000左右太贵了就暂时没有做,医生说不建议做外固定,6个月20斤的小柯基,给我们开了点止疼药和骨素药,说自愈也有很大可能,请帮忙看看这种需要去做外固定或者手术吗
问题大致一样,细节不同?
王鑫
执业兽医师
根据你讲到的情况和片子当中看到的是有可能自己愈合的,但是它一般都是不完全对合,而且还容易造成二次骨折的一个情况,所以说根据他这种情况,临床上还是建议给他做内固定手术来进行治疗 为了进一步判断宝贝的情况我还有几个问题需要向你核实一下:
1. 他现在这个腿的皮肤有没有出现淤血的情况?
2. 现在腿部还敢落地吗?
3. 他平时走楼梯或者是有大范围的活动吗?
4. 现在食欲和精神状态怎么样?
以上情况你回忆后详细的描述给我,感谢你的配合。
1.暂时未发现淤青的情况 2.现在不能落地,落地它就会疼的叫 3.平时不走楼梯,但是喜欢动,现在暂时关在笼子里了4.食欲和精神还很好,现在还一直想到处走
王鑫
执业兽医师
你好感谢你的回复像他这种情况我还是建议给他做一下内固定手术,用骨板和克氏针来给他进行治疗,这样的话愈合周期一般在一个月左右。如果要是做不了手术的话,那后腿也没有必要去给他做外固定,因为这个部位做外固定也没有什么太大的帮助。就让他在笼子里面静养,千万别让他大范围活动,然后走楼梯给他吃口服的抗生素,配合止疼药,还有就是液体钙和营养关节的药物也就是***。 这几个药物来给它进行治疗,然后帮手治疗30天左右啊,去给他到医院拍片儿复查一下,看看有没有骨痂的形成,如果长骨痂了,那愈合的概率是特别高了,但是需要完全长好,大概两个月左右。然后你家里的这两个药物你给我发一下,我看一下,看一下用不用给你再加一些药物。
开的是***和***;另外咨询下这种内固定手术费用大概是多少,拍片的医院说要5000左右,另一个医院说3000左右,如果不做手术的话,它自愈的概率大吗
王鑫
执业兽医师
你好,内固定手术的话还是需要多咨询几家当地的宠物医院对比一下价格,因为全国没有统一的定价。我们医院这个手术费用大概在4000~4500元左右。然后像这种骨折之类的问题,我只能跟您说它是可以愈合的,但是为什么不建议让他自己愈合,就是因为狗狗后期如果没有疼痛了或者是活动比较自如了,他就开始会大跑大跳,会造成二次骨折的情况 如果要是做上手术以后有固定的,他一般就不会再出现二次骨折了。然后你家里这两个药可以给他使用的,再给他配合口服的抗生素和液体钙就可以了。你看一下我下面给你推荐的处方,点击查看详情,就有用法用量的介绍。所以说如果不做手术的话就想静养让它愈合,那就需要给它放在笼子里面养,然后别让它大范围的跑跳运动和走楼梯。
好的,谢谢您;现在我想的就是暂时把它关在笼子里先观察情况,如果情况一直没有好转的话还是带它去做手术,如果后续再做手术的话会因为时间久影响治疗情况么
王鑫
执业兽医师
你好,你可以先观察15~20天左右然后去医院给他复查一次光片拍片看一下愈合情况,如果要是没有生长的话,建议你还是给他手术吧,做内固定治疗,这个是不耽误什么的,如果要是再长时间,那可能会造成骨感染或者是骨溶解的情况,这种情况再做手术就不是那么太好了。
好的,谢谢您,我还有最后一个问题,如果半个月后去拍片了发现骨头有生长愈合的情况,后续是不是还是要让它少动,大概多久才能让它自由活动
王鑫
执业兽医师
你好,如果拍片他已经长骨痂了,那就是很大可能能自己愈合了,这个情况就一定别让他大范围的活动一定要静养,防止二次骨折的出现,然后液体钙和营养关节的药物还是需要接着给他吃,如果需要完全长好完全能活动的话,大概需要两个月左右。
王鑫
执业兽医师
客气了,后续有什么问题及时沟通咨询。非常感谢你对蘑菇宠医的信任。如果我的回答能够帮助到你,请你在咨询结束后留下 5 星评价,你的评价是我工作最大的支持,感谢。 后续宠物有其它问题,你可以到“蘑菇宠医”官方微信公众号继续向我提问。
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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