最後更新：2026年10月1日
眶下腫脹多因上頜牙齒根尖感染引起,尤其上頜第四前臼齒和第一臼齒。膿液沿組織間隙蔓延至眼下方,可能誤診為眼眶疾病,需牙科X光確診並治療牙齒病灶。
Feline tooth resorption (TR, formerly FORLs) affects up to 60% of adult cats and is the most common reason for feline tooth extraction. Type 1 lesions (inflammatory) require extraction; Type 2 lesions (replacement resorption) may be managed with crown amputation. Dental radiographs are essential for classification.
Periodontal disease affects over 80% of dogs by age 3 and is the most common clinical condition. Small and toy breeds are disproportionately affected. Full-mouth dental radiographs under general anesthesia are required for accurate assessment and treatment planning.
這頁有幾個欄位是同系統共用的模板，還沒針對本疾病單獨改寫過。請以臨床判斷為準，記得對照下方文獻。
口樂凝膠&噴劑。Dental care (Oral antiseptic)
甲硝唑。Antibacterial / Antiprotozoal (Nitroimidazole)
建議：依臨床狀況調整
| 藥物 | 劑量 | 頻率 | 優先級 |
|---|---|---|---|
| Chlorhexidine 氯己定。Antibacterial | 犬 10-20 mg/kg q12h PO；貓 10-15 mg/kg q12h PO | Q12H | 首選 |
| Oral Care Gel & Spray 口樂凝膠&噴劑。Dental care (Oral antiseptic) | 犬 1-5 mg/kg q12-24h PO；貓 1-3 mg/kg q12-24h PO | Q12-24H | 首選 |
| Metronidazole 甲硝唑。Antibacterial / Antiprotozoal (Nitroimidazole) | 犬 10-15 mg/kg q12h PO；貓 10-25 mg/kg q12-24h PO | Q12H | 首選 |
監測頻率：術後 24h
可在常規門診處理，重點在長期管理與飼主衛教 (manageable in routine visits, focus on long-term management and owner education)
治療牙齒病灶後預後優良,腫脹和瘻管通常7-14天內消退。若僅引流膿瘍而不處理牙齒,會反覆復發。早期診斷和治療可防止併發症如骨髓炎。
眶下腫脹(牙源性) 診斷流程
詳細問診包括發病經過、用藥史、飲食與環境
CBC、生化全套、尿液分析
來源：自動產生