咨询描述:您好,母猫绝育后第二天,发现腹部有大面积淤血,但是观察她精神状态,喝水吃饭,还有排便都没有什么异常。请问这个是怎么回事?严重吗?要怎么才能变好呢?谢谢
问题大致一样,细节不同?
王鑫
执业兽医师
根据你讲到的这个情况怀疑可能是有舔到或者是皮肤做完手术都会有淤血的,这种表现属于正常的 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. 确定他有没有舔到这个部位呢?
2. 然后有没有什么东西摩擦这个部位?
3. 有没有粘液一样的分泌物。
4. 有没有给他涂抹外用药?
以上情况你回忆后详细的描述给我,感谢你的配合。
1,手术结束二天一直穿着手术服,但今天他自己把衣服和纱布蹬掉了,所以应该有舔伤口。
2,可能会有纱布和衣服摩擦。
3,今天看见伤口还算比较干燥。
4,发现衣服和纱布掉了之后就给他擦了碘伏。手术之前做了血常规和生化,一切都正常。我问了手术的医生,说是可能是凝血问题,另外还说那个淤血严重的地方,皮肤有可能会烂掉。您觉得可能吗?
王鑫
执业兽医师
你好,感谢你的回复 如果要是纱布都已经掉出来了,然后还有可能舔到,所以说这个跟凝血问题关系不大 然后这个部位的皮肤确实是可能会出现破溃的。也就是细菌感染,所以说从现在开始,你需要给他带好项圈,千万不能让他舔,然后需要吃口服的抗生素配合碘伏来给他这个部位大范围的涂抹,一天一次就行,来给他进行消肿治疗。然后每天更换纱布的范围也需要变大一些,把皮肤出现问题的地方都给他用纱布垫一下,然后手术衣不需要摘掉的。
那这样大概多久能好?这写淤血就是因为舔伤口造成的吗?有没有可能腹部里面出血呀?纱布要一直给他包裹着吗?
王鑫
执业兽医师
你好,淤血部位一般3~5天他就会下去了。你好浴血部位出现大概率是因为舔或者是手术衣勒的比较紧,造成的概率比较高。腹腔里出血是不会的,腹腔里出血皮肤是不会出现淤血情况的,一般都是腹部增大。是的,每天纱布需要给他做一下敷料,然后避免再让他舔到。纱布一天更换一次就行。
王医生,你好。昨天咨询的母猫绝育后皮下淤血的事情,说是有可能会出现皮肤溃烂,那我怎么防止这种溃烂出现呢?
王鑫
执业兽医师
你好,防止它出现溃烂,就是需要给他吃口服抗生素项圈,一定要带好项圈 不要再让它继续舔,然后给他大范围的给她涂抹碘伏,来给他进行消除。这样就可以防止它出现破溃了。
先拿需要吃止血的药吗?还有猫咪适用的抗生素有哪些呀?如果出现溃烂的话,要怎么办呢?
王鑫
执业兽医师
你好,不需要给他吃止血药的。他这个是皮下淤血 没必要给他用止血药。然后抗生素你看一下我下面给你推荐的处方,点击查看详情就有用法,用的介绍,如果破溃了也是需要给他用以上这些药物也是我说的这个方法,但是破溃面需要用生理盐水和纱布给它冲洗,然后再涂抹药物,然后药物的话不能用碘伏了,需要给他用化腐生肌的外用药。同时始终来进行治疗。
王鑫
执业兽医师
你好,你看一下下面这两个药物,一个是喷剂,一个是药膏,然后他们两个是需要混合着使用的,如果真出现破溃的情况,就是先用皮肤喷雾,20分钟以后再给他涂抹药膏。包括细菌性的皮肤病或者是外伤,这些都可以给他使用,包括他现在的刀口,也是可以用这两个药物的,但是淤血那个部位是不建议使用的,因为没有破溃面。
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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