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Xia Bao Jun
Pulmonology
About me
Xia Baojun, Deputy Chief Physician of the Respiratory Department, graduated from Wannan Medical College in 2000. He studied for one year at the Respiratory Department of Renji Hospital, affiliated with Shanghai Jiao Tong University School of Medicine, in 2009, and has published multiple medical papers concurrently.
Proficient in diseases
Specializes in the diagnosis and treatment of common and difficult respiratory diseases such as chronic obstructive pulmonary disease, bronchial asthma, bronchiectasis, various pneumonias, pulmonary embolism, respiratory failure, etc. Proficient in chest tube drainage, invasive and non-invasive ventilators, pulmonary function testing, respiratory sleep testing, specific immunotherapy, personalized treatment of lung cancer, intracavitary chemotherapy and molecular targeted therapy, bronchoscopy examination and treatment techniques.
Voices
How is pneumothorax treated?
The treatment of pneumothorax aims to promote the reexpansion of the affected lung and reduce recurrence, while considering the possibility of eliminating the cause of the disease. Treatment measures include non-surgical and surgical treatments. Non-surgical measures include observation, thoracic puncture for air evacuation, closed thoracic drainage, and pleural fixation. Surgical treatments include thoracoscopic surgery and open chest surgery. Choices should be made based on the type and frequency of occurrence of the pneumothorax, the degree of compression, the state of the condition, and the presence of complications, etc. Most patients can be cured through non-surgical treatment, while only a minority, approximately 10%-20% of patients, require surgical treatment.
Can asthma be cured?
Patients with bronchial asthma, if treated properly, can be cured. Although the pathogenesis of bronchial asthma is not very clear at present, it is currently believed that bronchial asthma is a chronic inflammatory disease of the airways involving multiple cells. This chronic inflammation leads to increased airway reactivity, manifesting as reversible airflow limitation. It is different from chronic bronchitis, which involves irreversible airflow limitation. Therefore, through proper treatment, the condition can be improved, controlled, and cured. Patients should regularly and properly use their medications, including inhaled corticosteroids such as budesonide, taken twice daily. It should be used for more than three months before any reduction in dosage can be considered. The medication can be stopped only if no asthma occurs for a year.
Pneumothorax tracheal shift to which side?
When a patient suffers a pneumothorax, the trachea is displaced to the opposite side, and the heart is also shifted to the opposite side. In cases of left-sided pneumothorax, the heart's dullness boundary and the upper boundary of the liver during right-sided pneumothorax are both undetectable. There can be manifestations of subcutaneous emphysema in the neck, chest, and even the head and abdomen. The patient may exhibit diminished respiratory movements and a significant reduction or absence of breath sounds. When a small amount of air accumulates in the pleural cavity, weakened breath sounds on the affected side may be the only suspicious sign.
Pneumothorax is caused by what?
Pneumothorax is caused by the entry of air into the pleural cavity, leading to a series of changes. Pneumothorax can be divided into spontaneous and traumatic pneumothorax. Spontaneous pneumothorax occurs without trauma or other causes, while traumatic pneumothorax is caused by direct or indirect trauma to the pleura. Spontaneous pneumothorax can be further categorized into primary and secondary pneumothorax. Patients with primary spontaneous pneumothorax do not have underlying lung disease, whereas secondary pneumothorax is a complication of lung disease, commonly seen in chronic obstructive pulmonary disease. Traumatic pneumothorax includes iatrogenic pneumothorax, which occurs during diagnostic and therapeutic procedures.
Consequences of worsening bronchial asthma
The consequences of exacerbated bronchial asthma can cause the patient to feel short of breath even at rest, exhibit orthopnea, and be able to speak only in single words or syllables. The patient may experience anxiety or irritability, sometimes accompanied by profuse sweating, and an increased respiratory rate which, if severe, can exceed 30 breaths per minute. There may also be activity of the respiratory muscles and signs of tracheal tugging, an increased heart rate exceeding 100 beats per minute, which in severe cases can surpass 120 beats. Additionally, there is a decrease in blood oxygen saturation, which can drop below 60%.