8岁狗狗肺炎一直咳嗽怎么处理
患宠信息：拉布拉多/弟弟/7岁5个月
咨询描述：拉布拉多8岁公狗未绝育，14日因肝炎就诊，采取保肝消炎等方式治疗，之后症状趋于平稳，22日结束治疗。24日早上开始出现咳嗽症状，在家的时候咳嗽的厉害，但是在外面遛它的时候一声不咳嗽，吃了两天的***之后感觉症状没有减轻，29日带他去医院检查，拍了侧、爬、仰三张片子以及生化和血常规还有c反，听诊肺部干啰音，测温39.7度。大夫打了一针预热针后，给予输液以及雾化治疗，知道输头孢，不知道雾化药方。请您帮我看一下他是什么问题，为什么在家里会咳嗽的厉害，在外面就不咳嗽，如果是您会采用什么方式治疗或者辅助治疗呢
问题大致一样，细节不同？
陈奕达 执业兽医师 您好，好的您的信任，谢谢。根据您描述的信息以及提供症状来看， 1.狗狗现在是有呼吸道感染问题，引发的咳嗽等症状。 2.然后从x光片来看，狗狗有肺部异常问题，图片上我标记的位置。（肺炎问题）。 3.炎症指标也很高。 4.从治疗的角度来讲，需要治疗原则就是止咳，广谱消炎，抗炎，配合雾化治疗。 5.另外，建议给予狗狗检查一下心脏，是否也有问题。因为x光片上看，心脏轮廓有一些偏大。
心脏大夫倒是没说有什么问题，给您附一个在外面遛它的视频，他一声不咳嗽。那就是目前的治疗方案还是比较对症处理的。我想顺便让您帮我看一下粽子最近两次的生化指标，帮我分析下他是否患有胰腺炎，8月21日 8月29日前后 ，整体肝炎症状是否趋于平稳，结束治疗后应该在家如何调整，或者有何用药建议
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陈奕达 执业兽医师 您好，肝脏问题如果平稳，在家可以口服一些保护肝脏用药即可。 在家咳嗽，外面不咳嗽，这个跟注意力转移有关系。外边注意力被其它东西转移，咳嗽的频率会下降甚至不咳嗽。 生化指标来看，淀粉酶升高，确实需要考虑胰腺炎问题，但是确诊胰腺炎，还需要化验狗狗脂肪酶是否有升高。
陈奕达 执业兽医师 然后这边根据狗狗肝脏的情况，我给宝贝开个保护肝脏用药处方。供您采纳参考，以备您不时之需。 处方里面的 1.***，宠物专用补充肝脏营养，保护肝脏用药。 您可以根据需求自行选择购买。
第一次带狗去检查做生化的时候（14日）大夫给粽子做了胰腺炎的化验，结果如下，当时胰腺正常，所以会不会肝脏还有炎症导致amy异常呢，而且看这个21和29日的结果，amy趋势是越来越高，这个会有哪些潜在的风险，如何对症治疗呢
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陈奕达 执业兽医师 您好，有可能是肝脏影响的淀粉酶升高，但是胰腺问题，还是需要定期复查一下，避免发病我们不知道的情况。 淀粉酶问题主要就是胰腺炎。 可以尝试先控制饮食，减少肉食量，然后以清淡食物为主。 同时补充胰酶补充剂，减轻胰腺负担，进行观察。 然后根据狗狗现在胰腺情况，我给宝贝开个处方。供您采纳参考，以备您不时之需。 处方里面的 1. ******，胰酶补充剂，减轻胰腺负担。 您可以根据需求自行选择购买。
粽子血常规的话是不是有点贫血症状，怎么样改善他的贫血症状呢，给他狗粮里添加一些补铁补血口服液（人用保健品）可以吗？还是说给他一些鸡肝鸭肝这类的食物呢？可是这样的话，会不会和您刚才的清淡饮食冲突，两者之间如何取舍
陈奕达 执业兽医师 您好，是有一定贫血问题，可以考虑给予口服一些补血口服液，同时还有一定保护肝脏功能。食补意义不大。 ***，补血口服液，补充造血原材料，能够起到补血保肝效果。
非常感谢您，我想问一下您依靠现在的各种诊断和生化指标来看他的病情严重吗？还有就是如果他在家里发热的话，我们要怎么处置呢？需要准备什么药物吗？
陈奕达 执业兽医师 您好，我认为狗狗病情还是比较严重的。不过狗狗的临床症状并不是很严重，所以综合来讲，狗狗的问题暂时不用过度紧张，稳步发展即可。 在家可以进行物理降温，使用冷敷的方法。如果还是控制不住体温，那就需要就诊，注射退烧针了。
陈奕达 执业兽医师 非常感谢您对蘑菇宠医的信任，如果您对我的解答满意，请您给我点亮五星哦！祝您的爱宠早日康复！ 后续宝贝有其它问题，您可以到“蘑菇宠医”官方微信公众号找到我的医生继续向我提问，有问题随时联系。 希望我的建议可以帮到您，如果爱宠平时有什么养护小问题也可以通过蘑菇宠医小程序搜索了解哦~“
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我想再问你最后一个问题，向宠物生病发烧的话，有没有人的退热药可以替代吃呢，你能给我个推荐吗？因为我记得非甾体药物宠物是不能吃的，对***也吃不了。
陈奕达 执业兽医师 您好，没有人用退烧药物替代，可以考虑物理降温。如果物理降温之后还是反复发烧，那么需要考虑去附近宠物医院打退烧针。
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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