急性胰臟炎黃疸指數高,開刀的必要性? - 貓
By Hardy
at 2017-09-25T15:13
at 2017-09-25T15:13
Table of Contents
家中11歲多的貓咪上週五(9/22)突然開始不吃不喝,帶去醫院檢查後診斷為胰臟炎需住院
當天的抽血數值如下:
bun 3.4
cre 2.1
肝指數 355
黃疸 2.2
白血球 20400
血糖318
離子部分
na 138
K. 3.2
Cl 120
持續給予點滴輸液和foy、善得錠、止吐藥和補充離子後,昨天(9/24)的數值如下:
bun 19 (正常20-30)
cre 1.65 (正常0.8-1.9)
肝指數 182(正常10-41)
黃疸 7.0 (正常0.1-0.2)
血糖 248 (正常80-150)
離子部分
Na 145 (正常147-156)
K. 3.3(正常4.0-4.5)
Cl 127 (正常120-142)
今天(9/25)的抽血數值更漂亮一點,醫生建議剖腹進行內臟清洗,把持續破壞內臟組織的胰臟消化酵素洗掉,至於居高不下的黃疸指數則需等待埋食道胃管進行灌食後才會慢慢降低
但考量到他年事已大,且內科療法有看到成效,是否要進行風險高的手術也讓我難以決定,因為快要臨盆,實在很想讓他跟寶寶見面,不希望他這樣就離開,但也不想要進行太多醫療而讓他痛苦,不知道版上是否有同樣經驗的貓奴能提供經驗分享,感激不盡
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