猫咪呕吐和尿血怎么办

{"846426":{"id":846426,"case_id":91672,"user_id":1401608,"to_user_id":2653263,"type":3,"content":"你好，看到你描述的情况，就是如果说像你描述的症状的话，就是你说之前猫咪有结石的问题，那像现在这种会有复发的可能的。还有这种猫粮的话，如果说普通的**猫粮是没有用的，必须是专门的**泌尿道处方粮才可以，因为有结石的话是会有可能尿血的问题。其次的话就是呕吐和尿血同时出现，还得考虑会不会说饮食方面刺激，可能说有个溶血的问题或者说说肾衰可能会导致尿血呕吐的。这种呕吐现在暂时无法确定具体什么原因导致的。常见可能说胃肠炎，其他的一般可能说异物，肾衰，特发性的胰腺胆囊方面问题都会有可能。你像目前这个状态如果说想确定的情况一般就是需要到采血看一下炎症，生化检查评估一下肝肾脏器功能，再拍个片子，正好看一下腹腔还有膀胱情况。你如果说要是暂时观察的话泌尿道的药物需要持续使用。****消炎的，止吐的话就再配合****了。至少用药之后控制六到八个小时没有呕吐了，再考虑少量多次喂食，这样观察看用药两到三天会不会有效果呢。根据宝贝的情况，我给它开个处方。处方里面的1.****，止吐针对胃肠炎，每天三次，每次四分之一。你可以根据需求自行选择购买","media":{"images":{},"videos":{},"business_params":{"prescription_id":196438}},"is_doctor":1,"status":1,"created_at":"2024-12-19 15:56:47","show_rx":true,"rx_info":{"id":196438,"rx_no":2.0241219155506502e+24,"user_id":2653263,"doctor_user_id":1401608,"is_independent":0,"case_id":3414309,"pet_info":{"pet_id":482941,"pet_name":"曼基康猫","pet_nickname":"妞妞","pet_gender":4,"pet_birth":"2-8","pet_weight":3,"pet_vaccination_status":0,"pet_in_insect_repellent_status":0,"pet_out_insect_repellent_status":0,"pet_age_format":"2岁8个月"},"diagnose":"病因待查","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2024-12-19 15:55:06","updated_at":"2024-12-19 15:56:47","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":210754,"prescription_id":196438,"doctor_user_id":1401608,"product_id":1138,"product_sku_id":1197,"dose":0.25,"dose_unit":"片","use_method":"口服","frequency":"每天3次","days":7,"number":1,"remark":"","created_at":"2024-12-19 15:55:06","updated_at":"2024-12-19 15:55:06","product_info":{"id":1138,"hash_id":"bEoKq1xnRaxMNkRy","class_ids":{"0":1,"1":2,"2":3,"5":6},"category_ids":{"30":189},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":25,"sell_point":"米丁宁 西咪替丁片 0.1g","title":"保灵米丁宁 西咪替丁片 0.1g×32片\/拆零","recommend_reason":{"0":"用于治疗和预防胃、十二指肠溃疡及反流性食管炎","1":"用于化学刺激引起的糜烂性胃炎、应激性溃疡和上消化道出血","2":"降低IBD引起的肠道溃疡,有效防止IBD引起的肠道缩短。"},"baike_guide_text":"","baike_article_hash_id":"","advword":"慢性胃炎,溃疡,便血","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"0.1g×32片\/拆零"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/01\/f16a8ae34e3870e56b0d54252f62ee1a.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":78,"max_price":78,"sale_count":149,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2024-01-17 15:50:32","updated_at":"2025-07-12 10:01:31","ins":{"id":25,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022,\u00223\u0022,\u00226\u0022]","title":"","common_name":"西咪替丁片","trade_name":"西替康","en_name":"Cimetidine Tablets","brand_name":"保灵","is_prescription":1,"cover":"\/drug\/2020\/10\/b7a07a9ce5a0dd3d0787924c3a5744d6.PNG","specification":"0.1g×24片\/盒","reference_price":110,"component":"西咪替丁","indication":"1.用于治疗和预防胃、十二指肠溃疡及反流性食管炎。\n2.用于化学刺激引起的糜烂性胃炎。\n3.应激性溃疡和上消化道出血。\n4.降低IBD引起的肠道溃疡,有效防止IBD引起的肠道缩短。","usage_dosage":"内服：6~10kg的犬猫使用1\/2片，体重10~20kg的犬使用1片，一日3次。连用28日。","contraindication":"对该药过敏者禁用。","adverse_reaction":"1.可能引起性犬的乳房暂时性轻微肿胀或雄性犬乳房发育症。\n2.雄犬可能出现前列腺减重,该现象可逆并对生殖功能无影响。","attention":"1.本品仅用于对症治疗,建议出现持续性呕吐症状的犬猫在治疗前进行适当的检查以诊断病因。\n2.对于肾功能不全的犬,需适当调整给药剂量。\n3.本品未进行妊娠期和乳期靶动物的相关研究，应在执业兽医指导下进行妊娠期和哺乳期用药。\n4.本品可能与β受体拮抗剂、钙通道拮抗剂、苯二氮卓类、巴比妥类、苯妥英、茶碱、氨茶碱、华法林和利多卡因等药物产生临床相互作用，当含并用药时，应减低这些药物的使用剂量。\n5.本品可能引起胃酸升高导致药物吸收降低，需要借助酸性介质促进吸收。与氢氧化铝或氢氧化镁、甲氧氯普胺、地高辛和酮康唑的用药间隔至少为2小时。\n6.本品开封后.剩余药片应放在泡罩包装中避光保存。\n7.置儿至无法触及处。","interaction":"1.本品若与氢氧化铝、氧化镁等抗酸剂合用时,本品的吸收可能减少,故一般不提倡同用。\n2.本品与硝西泮(硝基安定)、地西泮(安定)、茶碱、普蔡洛尔(心得安)、苯妥英钠、阿司匹林等同用时。均可使这些药物的血药浓度升高,作用增强,出现不良反应,甚至是毒性反应,故本品不宜与这些药物共同使用。\n3.本品与氨基糖苷类抗生素如庆大霉素等同用时可能导致呼吸抑制或呼吸停止。","approval_no":"兽药字020167014","storage_method":"密封保存。","validity":"2年","manufacturer":"天津市保灵动物保健品有限公司","status":1,"created_at":"2020-10-27 17:58:14","updated_at":"2020-10-27 18:18:40"}},"product_sku_info":{"id":1197,"product_id":1138,"title":"保灵米丁宁 西咪替丁片 0.1g×32片\/拆零","advword":null,"price":78,"market_price":108,"cost_price":37.75,"stock":838,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"0.1g×32片\/拆零"}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/01\/4a970be94fb113f1c8dd0f985ecd3dae.jpg","thumb":"","sale_count":162,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2024-01-17 15:50:32","updated_at":"2025-07-12 05:20:50"}}},"drug_data_bak":{"0":{"id":210754,"prescription_id":196438,"doctor_user_id":1401608,"product_id":1138,"product_sku_id":1197,"dose":0.25,"dose_unit":"片","use_method":"口服","frequency":"每天3次","days":7,"number":1,"remark":"","created_at":"2024-12-19 15:55:06","updated_at":"2024-12-19 15:55:06","product_info":{"id":1138,"hash_id":"bEoKq1xnRaxMNkRy","class_ids":{"0":1,"1":2,"2":3,"5":6},"category_ids":{"30":189},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":25,"sell_point":"米丁宁 西咪替丁片 0.1g","title":"保灵米丁宁 西咪替丁片 0.1g×32片\/拆零","recommend_reason":{"0":"用于治疗和预防胃、十二指肠溃疡及反流性食管炎","1":"用于化学刺激引起的糜烂性胃炎、应激性溃疡和上消化道出血","2":"降低IBD引起的肠道溃疡,有效防止IBD引起的肠道缩短。"},"baike_guide_text":"","baike_article_hash_id":"","advword":"慢性胃炎,溃疡,便血","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"0.1g×32片\/拆零"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/01\/f16a8ae34e3870e56b0d54252f62ee1a.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":78,"max_price":78,"sale_count":149,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2024-01-17 15:50:32","updated_at":"2025-07-12 10:01:31","ins":{"id":25,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022,\u00223\u0022,\u00226\u0022]","title":"","common_name":"西咪替丁片","trade_name":"西替康","en_name":"Cimetidine Tablets","brand_name":"保灵","is_prescription":1,"cover":"\/drug\/2020\/10\/b7a07a9ce5a0dd3d0787924c3a5744d6.PNG","specification":"0.1g×24片\/盒","reference_price":110,"component":"西咪替丁","indication":"1.用于治疗和预防胃、十二指肠溃疡及反流性食管炎。\n2.用于化学刺激引起的糜烂性胃炎。\n3.应激性溃疡和上消化道出血。\n4.降低IBD引起的肠道溃疡,有效防止IBD引起的肠道缩短。","usage_dosage":"内服：6~10kg的犬猫使用1\/2片，体重10~20kg的犬使用1片，一日3次。连用28日。","contraindication":"对该药过敏者禁用。","adverse_reaction":"1.可能引起性犬的乳房暂时性轻微肿胀或雄性犬乳房发育症。\n2.雄犬可能出现前列腺减重,该现象可逆并对生殖功能无影响。","attention":"1.本品仅用于对症治疗,建议出现持续性呕吐症状的犬猫在治疗前进行适当的检查以诊断病因。\n2.对于肾功能不全的犬,需适当调整给药剂量。\n3.本品未进行妊娠期和乳期靶动物的相关研究，应在执业兽医指导下进行妊娠期和哺乳期用药。\n4.本品可能与β受体拮抗剂、钙通道拮抗剂、苯二氮卓类、巴比妥类、苯妥英、茶碱、氨茶碱、华法林和利多卡因等药物产生临床相互作用，当含并用药时，应减低这些药物的使用剂量。\n5.本品可能引起胃酸升高导致药物吸收降低，需要借助酸性介质促进吸收。与氢氧化铝或氢氧化镁、甲氧氯普胺、地高辛和酮康唑的用药间隔至少为2小时。\n6.本品开封后.剩余药片应放在泡罩包装中避光保存。\n7.置儿至无法触及处。","interaction":"1.本品若与氢氧化铝、氧化镁等抗酸剂合用时,本品的吸收可能减少,故一般不提倡同用。\n2.本品与硝西泮(硝基安定)、地西泮(安定)、茶碱、普蔡洛尔(心得安)、苯妥英钠、阿司匹林等同用时。均可使这些药物的血药浓度升高,作用增强,出现不良反应,甚至是毒性反应,故本品不宜与这些药物共同使用。\n3.本品与氨基糖苷类抗生素如庆大霉素等同用时可能导致呼吸抑制或呼吸停止。","approval_no":"兽药字020167014","storage_method":"密封保存。","validity":"2年","manufacturer":"天津市保灵动物保健品有限公司","status":1,"created_at":"2020-10-27 17:58:14","updated_at":"2020-10-27 18:18:40"}},"product_sku_info":{"id":1197,"product_id":1138,"title":"保灵米丁宁 西咪替丁片 0.1g×32片\/拆零","advword":null,"price":78,"market_price":108,"cost_price":37.75,"stock":838,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"0.1g×32片\/拆零"}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/01\/4a970be94fb113f1c8dd0f985ecd3dae.jpg","thumb":"","sale_count":162,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2024-01-17 15:50:32","updated_at":"2025-07-12 05:20:50"}}}}}}