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Li Fang Xiao
Internal Medicine
About me
Graduated with a combined bachelor's and master's degree from Shanxi Medical University, currently working in the Nephrology and Rheumatology Department at Kaifeng Central Hospital. Diligent, attentive, and responsible in work.
Proficient in diseases
Nephrotic syndrome, renal failure, urinary tract infection, acute and chronic glomerulonephritis.
Voices
Can respiratory failure be cured?
Whether respiratory failure can be cured depends on the causes of the respiratory failure and the severity of the condition. Respiratory failure can potentially be cured. For example, acute left heart failure can lead to pulmonary congestion and subsequent respiratory failure. This condition primarily manifests as a decrease in oxygen tension, and by conducting a blood gas analysis, if the oxygen tension is found to be less than 60 mmHg, it can be diagnosed as respiratory failure. However, with symptomatic treatments such as vasodilation and diuretics, once the left heart failure is alleviated, the respiratory failure will also improve. On the other hand, for diseases intrinsic to the lungs, such as chronic obstructive pulmonary disease or severe pulmonary infections, these chronic conditions cannot be completely cured. The symptoms of respiratory failure can only be managed with medication or ventilators.
Is high creatinine uremia?
High creatinine levels do not necessarily indicate uremia, but during uremia, creatinine levels will certainly increase. Clinically, we consider creatinine levels above 707 as uremia. Once uremia is diagnosed, treatment mainly involves renal replacement therapy or transplantation. Renal replacement therapy mainly includes hemodialysis and peritoneal dialysis, each with its own advantages and disadvantages, and the choice should be based on the patient's individual condition. Renal transplantation is currently the best treatment option, which can be done through relatives or donations. After a kidney transplant, one can live and work like a normal person, but long-term oral immunosuppressive medication is required.
How to get a flu vaccine?
Influenza vaccines are mainly produced to prevent epidemic influenza and are currently available in three main types: Type A, B, and C. The target population for influenza vaccine administration primarily includes the elderly, preschool children, and patients with chronic underlying diseases, who are more suitable for vaccination. For children under three years old, the influenza vaccine should be administered twice, as it is administered via muscle injection and cannot be used intravenously. For this age group, the two doses should be spaced at least four weeks apart. For children over three years old and adults, an annual vaccination is sufficient. The optimal time for influenza vaccination is usually in September and October, as influenza tends to outbreak in winter and spring, so vaccinating during these months can greatly prevent influenza.
Is respiratory failure serious?
Respiratory failure is a relatively severe disease, with the most common causes being chronic obstructive pulmonary disease (COPD) or heart failure, which are frequently seen in clinical settings. Respiratory failure can be definitively diagnosed by performing blood gas analysis. Clinically, patients will exhibit symptoms of breathing difficulty, such as orthopnea or wheezing. In blood gas analysis, oxygen saturation is often below 90%, and the partial pressure of oxygen is less than 60 mmHg. These indicators can diagnose respiratory failure. Although respiratory failure is a serious condition, it can be recoverable through active symptomatic treatment, identifying the underlying cause, and eliminating aggravating factors.
What is the blood pressure in a hypertensive crisis?
Hypertensive crisis is a relatively urgent medical condition in clinical settings. Its diagnostic criterion is a diastolic pressure greater than 130 mmHg. Naturally, the higher the blood pressure, the greater the threat. A hypertensive crisis can lead to many clinical symptoms, such as acute left heart failure, dizziness, headache, cerebral hemorrhage, and acute renal failure. The most common causes of hypertensive crisis are primary or secondary hypertension, which, under certain specific circumstances, lead to uncontrollably high blood pressure and related clinical symptoms. The focus of treatment is on controlling the blood pressure and choosing different treatment plans for complications. For instance, in the case of heart failure, vasodilators and diuretics may be used for symptomatic treatment.
Influenza vaccination time
Influenza vaccines are primarily used to prevent epidemic influenza. Currently, there are three types of influenza vaccines in our country: Type A, Type B, and Type C. The best time to vaccinate for influenza is in September and October, because epidemic influenza often outbreaks in winter and spring. Therefore, getting vaccinated during these months can greatly prevent the transmission of epidemic influenza. The main groups recommended for influenza vaccination include preschool children and the elderly or frail, such as those with chronic diseases. Those with chronic conditions are at high risk of exacerbating their diseases after contracting epidemic influenza. These groups are particularly suitable for influenza vaccination. During the influenza vaccination period and before getting vaccinated, it is important to ensure that one is not having a cold, including symptoms like fever, to proceed with the vaccination.
Can respiratory failure be cured?
Respiratory failure can potentially be cured, and the key lies in identifying the cause of the respiratory failure. For instance, acute inflammatory infections, such as severe pneumonia and other infectious diseases, can lead to dysfunction in lung ventilation and gas exchange, manifesting as respiratory failure. With the aggressive use of antibiotics and anti-infection drugs, once the infection is controlled, respiratory failure can also be corrected accordingly. Furthermore, if it is a complication of other diseases, such as acute left heart failure, respiratory failure can also occur. This type of respiratory failure will quickly improve once heart function is corrected. However, in the case of chronic diseases such as chronic obstructive pulmonary disease, bronchiectasis, asthma, and other causes, respiratory failure can only be managed with medication to alleviate symptoms, and it cannot be completely cured.
Is respiratory failure uncomfortable?
Respiratory failure is quite uncomfortable, and clinically, the symptoms feel severe, and the patient's own state is also very affected. Respiratory failure is mainly caused by a decrease in oxygen partial pressure, during which time the patient may experience wheezing, chest tightness, and even a feeling of being near death. There are many causes of respiratory failure, with severe infections being common, such as severe pneumonia or sepsis. A systemic inflammatory response can lead to respiratory failure. Another situation is when heart failure occurs, which can also accompany pulmonary congestion, causing pulmonary ventilation dysfunction that can also lead to respiratory failure. The treatment of respiratory failure focuses on removing the causative factors and selectively choosing different treatment plans, which can start with oxygen therapy or the use of a ventilator in severe cases to correct hypoxemia and sustain life.
What vegetables are good for patients with tuberculosis?
Tuberculosis is a relatively common disease in clinical practice, and currently, there are many tuberculosis patients in our country. Clinically, it mainly manifests as low-grade fever in the afternoon, as well as coughing up phlegm, blood in the phlegm, and other related issues. It can be definitively diagnosed through tests such as the PPD test and chest CT scans. For tuberculosis patients, dietary adjustments are also necessary. For example, in terms of vegetables, they can eat potatoes, celery, cabbage, tomatoes, cucumbers, eggplants, etc. The main food should consist of rice and noodles. In terms of protein, it is advisable to eat more meat, eggs, and milk to supplement nutrition. It is important to maintain a light diet and avoid spicy and irritating foods.
What should I do about a respiratory infection?
Respiratory infections are the most common type of infection encountered in both clinical and daily life, primarily divided into upper and lower respiratory tract infections. An upper respiratory tract infection, commonly referred to as a cold, is mainly characterized by nasal congestion, runny nose, and sore throat, and is mostly caused by viral infections. In the early stages, antiviral medication can be taken, and by checking a complete blood count, one can preliminarily determine whether the infection is viral or bacterial, deciding whether antibiotics are needed for treatment. Lower respiratory tract infections, on the other hand, are often caused by conditions such as pneumonia or bronchitis, which are mostly bacterial infections requiring targeted antibiotic treatment. For patients who are physically weaker, immunocompromised, or elderly and frail, there may also be a possibility of fungal co-infection, necessitating the use of antifungal medications for treatment.