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Yuan Qing
Pulmonology
About me
Yuan Qing, male, associate chief physician, associate professor, medical doctor, Young Member of the Anti-Infection Branch of Beijing Pharmacological Society.
1996.7-2001.7 Shanxi Medical University, Bachelor of Clinical Medicine.
2001.7-2004.7 Master's degree student in the Department of Infectious Diseases, Beijing Friendship Hospital, affiliated to Capital Medical University.
2004.7-2009.7 Resident physician in the Department of Critical Care Medicine, Beijing Friendship Hospital, affiliated to Capital Medical University.
2006.7-2009.7 Doctoral student in the field of infectious diseases and critical care medicine at Capital Medical University.
2009.7-2014.3 Beijing Century Hospital, Department of Respiratory Medicine.
2014.4-present Beijing Century Hospital, Cadre Medical Department.
He has received further training in respiratory critical care at China-Japan Friendship Hospital. Engaged in clinical, teaching, and research work on respiratory infectious diseases, respiratory critical conditions, respiratory endoscopy, Chronic Obstructive Pulmonary Disease (COPD), and asthma. Proficient in respiratory medicine, particularly in theoretical knowledge, new developments, new technologies, and clinical diagnosis and treatment in the mentioned areas. Principal investigator of 1 bureau-level research project and 3 internal projects at the hospital. Co-author of 2 specialized books, with over 20 research papers published at home and abroad, including 5 papers indexed by SCI.
Proficient in diseases
Respiratory system infections, asthma, respiratory failure, various difficult-to-treat diseases, and the diagnosis of thoracic imaging particularly in benign and malignant tumors!
Voices
Pneumothorax clinical manifestations
Pneumothorax is primarily caused by various factors, both internal and external to the lungs, leading to a significant accumulation of gas within the chest cavity. Patients exhibit symptoms such as chest tightness, breathlessness, including coughing, chest pain, and other related symptoms, which are collectively referred to as pneumothorax. Patients with pneumothorax can be classified into mild and severe types. Generally, after the onset of pneumothorax, patients who only experience symptoms like panting, chest tightness, chest pain, or coughing, but maintain stable blood pressure and heart rate, are considered to have a mild condition. However, if in addition to these respiratory symptoms, the patient clearly exhibits a drop in blood pressure, a decrease in oxygen saturation, or a reduction in heart rate, these conditions are considered severe and require urgent treatment.
What should I do if I have a cold, headache, and vomiting?
After catching a cold, various respiratory symptoms can occur, such as nasal congestion, runny nose, cough, sore throat, etc. However, there is also a category of patients who, particularly after a viral cold, may exhibit symptoms such as headache, nausea, vomiting, and even abdominal pain and diarrhea. These patients are referred to as having a "gastrointestinal cold." Like the common cold, a gastrointestinal cold is also caused by respiratory virus infections. Therefore, there are no special medications required for treatment; general over-the-counter cold medicines are sufficient. If there is severe vomiting, some antiemetic medication may be used, and drinking some cola boiled with ginger can also be very effective in treating the headaches and vomiting.
What foods to eat for the flu
Influenza, also known as the flu, is primarily caused by the invasion of the respiratory tract by the influenza virus, resulting in symptoms such as cough, sore throat, and fever. In traditional Chinese medicine, influenza is categorized as wind-heat lung heat disease or phlegm-heat obstructing the lungs syndrome. It is generally recommended that patients with the flu should consume light, heat-clearing, fire-reducing, and anti-inflammatory foods. It is best to avoid overly oily, salty, or sweet foods. Additionally, consuming foods primarily made from ingredients like dandelion, Andrographis paniculata, and wild chrysanthemum can clear heat, detoxify, reduce inflammation, and have antibacterial effects, providing some supportive benefits for flu treatment.
Which is more serious, pulmonary nodules or thyroid nodules?
It is impossible to compare the severity between thyroid nodules and lung nodules. Firstly, thyroid nodules and lung nodules occur in different organs. Lung nodules are mostly caused by inhalation of dust, pollutants, or smoke. Thyroid nodules, on the other hand, often result from genetic factors, or issues with the patient’s own constitution leading to the formation of these nodules. Most lung nodules can be classified as benign or malignant through diagnostic tests, whereas it is often difficult to assess the nature of thyroid nodules with standard tests. Additional auxiliary examinations, such as PET-CT or SPECT, and biopsy pathology are needed to determine the nature of thyroid nodules. Therefore, the approaches to observing and handling these two types of nodules are entirely different, and they cannot be compared.
Key points in the treatment of bronchial asthma
Bronchial asthma, commonly referred to as asthma, is a chronic inflammatory disease of the airways involving various granulocytes and cell mediators. This airway inflammation can cause heightened airway reactivity, with patients experiencing episodic wheezing, shortness of breath, chest tightness, and coughing. Symptoms can usually be relieved with or without medication. The key points in the treatment of bronchial asthma include avoiding allergens and ensuring that patients breathe fresh, clean air. Additionally, long-term inhalation of asthma control medications and drugs to reduce airway inflammation is necessary. With these measures, bronchial asthma can be well managed.
Can a secondary recurrence of pulmonary embolism be treated?
Pulmonary embolism, even if it recurs for the second time, is treatable, but the approach should differ from the first recurrence. It's vital to determine the cause of the pulmonary embolism, although many patients with this condition do not have an identifiable cause. For such patients, long-term oral anticoagulants might be recommended. With long-term use of oral anticoagulants, the likelihood of thrombosis, especially in the venous system, significantly reduces. This means that the chance of recurrence in patients also decreases considerably. However, if the cause can be identified, it is better to address and eliminate it. For instance, if the cause is long-term use of oral contraceptives or the presence of varicose veins, these primary or secondary factors should be resolved. The treatment should not just focus on anticoagulation or thrombolytic therapy, as there could still be a possibility of a future pulmonary embolism recurrence.
The difference between pulmonary embolism and pulmonary congestion
Pulmonary embolism and pulmonary congestion are two completely different diseases. Pulmonary embolism is mainly caused by the thrombosis of the venous vessels entering the pulmonary artery, thereby causing restricted blood flow in the pulmonary artery and leading to pulmonary embolism. Pulmonary congestion is often due to left heart failure, where the blood flow in the lungs cannot return to the left heart, causing the blood to be retained and congested in the lungs, forming this disease. However, they do have some similarities, such as presenting symptoms of difficulty breathing, shortness of breath, low blood pressure, shock, etc. But through diagnosis and additional examinations, these two diseases can be clearly differentiated. Therefore, careful differentiation is required in clinical practice because the treatments for the two diseases are completely different. If misdiagnosed, the treatment could be incorrect, leading to serious consequences from mistreatment.
Is bronchial asthma airflow limitation reversible?
The airflow limitation in bronchial asthma is completely reversible, which is related to the pathophysiological mechanisms involved in the occurrence of bronchial asthma. Bronchial asthma is a chronic airway inflammation involving multiple inflammatory cells. When this airway inflammation occurs, there can be edema of the airway mucosa as well as spasm and contraction of the smooth muscles outside the bronchi. However, this inflammation and smooth muscle spasm are reversible through medication or spontaneous improvement. Thus, many patients with mild asthma can achieve symptom relief without medication. In the case of some severe patients, even though the airflow is restricted, it can be reversed with the use of medications, and generally, the recovery is very quick.
Can acute pulmonary embolism be cured by anticoagulation?
Anticoagulation has a partial curative effect on acute pulmonary embolism. Based on the area of the embolism and the patient's vital signs, it is classified into mild, moderate, and severe pulmonary embolism. If it is a mild to moderate pulmonary embolism, anticoagulation can completely cure it, because anticoagulation can help the body's fibrinolytic system remove the blood clots that have already formed, and it can also prevent new clots from forming. However, in cases of severe pulmonary embolism, especially when the patient presents unstable vital signs and is in life-threatening condition, it is not advisable to rely solely on anticoagulant therapy. This is because the effect of anticoagulant treatment is relatively slow, and it requires a certain amount of time for the body's immune and fibrinolytic systems to clear the embolism. Therefore, at such times, thrombolytic treatment is recommended. Of course, this requires an experienced physician to assess the patient's vital signs and overall condition.
Does cold medicine treat rhinitis?
Colds are mainly caused by the infection of our upper respiratory tract by various pathogens, including viruses, bacteria, mycoplasma, etc. Rhinitis is usually related to infections, and a cold can trigger rhinitis. However, other factors, such as allergies or temperature changes, can also produce symptoms similar to a cold. Therefore, cold medicines often contain medications for treating rhinitis, so some patients experiencing rhinitis may find cold medicines to be effective. However, besides containing rhinitis medications, cold medicines also include fever reducers and vasoconstrictive cough suppressants. Thus, to treat rhinitis, it is still better to use proper rhinitis medications instead of substituting them with cold medicines. (Please use medication under the guidance of a doctor to avoid self-medication.)