咨询描述:我的小猫(母)于2.20做绝育手术,并从手术当天开始佩戴伊丽莎白圈两周,两周后取下,一直都没有什么问题,直到4天前(上周四)我发现了绝育伤口左侧有一个硬块,周五的时候发现硬块有一点发紫,周六白天我上了一点双氧水和碘酒,当天晚上伤口开始流脓,然后情况越来越糟糕,那个硬块开始超级红肿,伤口开始流脓
患病时长:2.20母猫做的绝育手术,3.14号发现手术伤处有硬块
用药情况:涂了双氧水和碘酒
小母猫现在6个月大,体重3.3kg
问题大致一样,细节不同?
邓薄鸿
执业兽医师
你好,看到你描述的情况和上传的照片了,正常这种猫咪伤口一般确实是10天可以恢复拆线,你像这种都已经将近20多天情况,您现在这个状态还是考虑伤口内部可能是不是缝合线排异呀或者感染导致,家里目前除了双氧水和碘酒的话还有没有其他药物呢,这几天猫咪自己有没有舔舐。
有的,就是上周三发现她开始比较频繁频繁舔,周四就摸到了硬块,这个缝线听说是不用拆可吸收的,我也觉得20多天没有问题,突然现在有问题,是不是有存在绝育没有绝干净的可能性?我除了双氧水和碘酒,没有其他的药物了,这种情况我还需要怎么做呢? 昨天开始吃**。
邓薄鸿
执业兽医师
是的,就是这种可吸收线是不用拆,但是有的因为体质原因是会出现排异反应的,因为这个在体内可能需要2个月才能够慢慢吸收。这个跟绝育没有切干净基本没关系的,因为绝育做的是腹腔内部的,你这个明显是皮肤和皮下。这个状态**考虑继续使用了,佩戴伊丽莎白圈避免舔舐,去购买**金方膏吧,局部涂抹抗菌消炎促进愈合,表面分泌物每次用药之前使用生理盐水冲洗干净。根据宝贝的情况,我给它开个处方。处方里面的1.**金方膏,抗菌消炎促进伤**合,每天两次,局部涂抹。你可以根据需求自行选择购买
所以这个伤口看起来是皮肤的感染,不是内部的感染是吗?猜测可能是吸收的时候的排异?这个可能性是比较大吗?我还需要给她继续每天涂碘酒双氧水清创是吧?我觉得她的食欲是好是坏,昨天一点东西都没有吃,今天还吃了一点
邓薄鸿
执业兽医师
不是的,因为你描述的这个是怀疑皮肤下面就是那层脂肪位置和皮肤,不是肚子里面和肌肉层。现在怀疑是这种线体排异导致,能吃能喝还好,完全不吃的话就是需要到医院了,这个状态不要使用碘酒和双氧水了刺激性比较大,就是生理盐水冲洗加上涂抹药物,**需要继续使用
这样啊,照片上那个红肿的硬块,我觉得那里的皮肤已经破烂了,昨晚真的流了好多脓,可以用纱布包扎吗?我看她有的时候蹲在地上,肚子也会贴着地面,到处爬来爬去的,伤口没有在一个很干净的环境
邓薄鸿
执业兽医师
如果说持续流出来分泌物,那么除了佩戴伊丽莎白圈的情况下,可以考虑使用纱布覆盖避免环境中再次感染加重,
医生你好,我今天重新冲洗了伤口,感觉不熟皮肤表层原因,那个红肿破了,里面出现一个大洞,我现在非常担心,请问这种是术后感染吗?这应该不是皮肤表层的问题吧
为保护用户隐私不显示图片/视频
邓薄鸿
执业兽医师
他们手术的话皮肤表面一层,皮下还有一层脂肪,脂肪下面才是他的肌肉层,只有肌肉层漏了之后肚子里面器官才会露出来,你这一层他看着就是皮肤和肌肉层之间的这种脂肪,你像如果说感染的情况下,你手术完事之后应该不超过一周,他就会出现感染的问题了,你现在这个我还是考虑这种可能说排异之类缝合缝线刺激导致,你这种如果实在不放心的话就是带到医院,让医生给你彻底清洁处理一下
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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