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Wang Chun Mei
Pulmonology
About me
Associate Chief Physician, graduated from Qingdao Medical University, has studied at Peking University First Hospital. Engaged in the diagnosis and treatment of various severe and common diseases in respiratory medicine for a long time, especially proficient in the treatment of severe pneumonia, asthma, respiratory failure, pulmonary embolism, and the use of ventilators, pulmonary function testing, and bronchoscopy. Has rich clinical experience. Has received two municipal scientific and technological progress awards, authored three books, and published over 20 papers.
Proficient in diseases
Severe pneumonia, asthma, respiratory failure, pulmonary embolism, as well as the use of ventilators, lung function tests, bronchoscopy examinations, etc.
Voices
Are pneumoconiosis nodules benign?
Pneumoconiosis is a very common occupational lung disease in clinical settings, often caused by exposure to diffuse dust in the air over a prolonged period. Typically, pneumoconiosis nodules are considered benign lesions. Patients often may not exhibit obvious clinical symptoms in the early stages, but as time progresses, they may gradually develop clinical symptoms such as difficulty breathing, coughing, expectoration, and dyspnea. Overall, once pneumoconiosis occurs clinically, it is difficult to control with medication. Although pneumoconiosis patients cannot be cured and the nodules formed are not lung cancer, it is important to recognize that pneumoconiosis nodules are generally benign.
Is it normal to occasionally feel chest tightness with pleuritis?
Patients with pleurisy occasionally experience chest tightness, which is a very common clinical symptom. It is important to clarify that in clinical cases, pleurisy is mostly due to infection of the pleural cavity by Mycobacterium tuberculosis, causing clinical symptoms such as fever, chest tightness, shortness of breath, cough, and chest pain. Therefore, during an acute episode of pleurisy, some patients may have a severe pleural infection, and possibly a large amount of pleural effusion, which inevitably leads to symptoms like shortness of breath and chest tightness. For patients with pleurisy, if it is tuberculous, it is crucial to provide anti-tuberculosis medication as early as possible for symptomatic treatment. A lengthy course of treatment is usually required to effectively control the discomfort caused by pleurisy.
Is acute upper respiratory infection a cold?
Acute upper respiratory infection, commonly referred to as the common cold, manifests suddenly in patients with symptoms including fever, nasal congestion, runny nose, sneezing, sore throat, and coughing. Some patients may also experience varying degrees of headache and dizziness. Generally, most cases of acute upper respiratory infections are caused by the entry of viruses into the respiratory tract, leading to these clinical symptoms. Therefore, in cases of urgent incidents where patients suddenly exhibit these clinical symptoms, it is crucial to promptly coordinate relevant examinations to determine the type of bacterial infection, followed by detailed symptomatic treatment. Typically, this approach can effectively control the symptoms caused by acute upper respiratory infections.
Can acute upper respiratory infections heal on their own?
Acute upper respiratory infections can be self-limiting in clinical settings. It is important to know that upper respiratory infections, mostly caused by viruses, account for about 70% to over 90% of cases. When an upper respiratory tract infection caused by a virus occurs, it is a self-limiting illness. Thus, when acute upper respiratory infections present symptoms such as nasal congestion, runny nose, sneezing, and even coughing or sore throat. If the infection is caused by a virus, the patient can be completely cured. However, it is also important to drink plenty of water during this period and eat foods high in vitamins and proteins to boost the body's immune system. Patients should also be advised to avoid cold and cooling foods, as acute upper respiratory infections can generally heal on their own.
Does acute upper respiratory infection require infusion?
Whether or not to use infusion therapy for acute upper respiratory infections mainly depends on the specific conditions of each patient with the infection. Generally, acute upper respiratory infections can usually be controlled within about a week with timely and effective treatment. However, a small number of patients may have persistent high fever or more severe clinical symptoms. In cases where oral medications are not effective, it is appropriate to use infusion therapy for symptomatic treatment. It is important to understand that the type of pathogens causing acute upper respiratory infections differs from patient to patient, as does each individual's immune function. Therefore, the clinical symptoms caused can also vary significantly. For cases of severe acute upper respiratory infections, or those with complications, it is sometimes necessary to use infusion therapy for treatment, as it can be more effective.
Does pleurisy cause chest pain?
Pleurisy can cause anterior chest pain. It is a very common clinical disease, mostly caused by bacterial invasion of the pleura resulting in inflammatory lesions, with Mycobacterium tuberculosis being the most common pathogen. Due to inflammatory exudation, some patients may also experience varying degrees of pleural effusion. The clinical symptoms presented by patients mainly include fever, cough, shortness of breath, chest tightness, and chest pain. In severe cases, different levels of breathing difficulties and other clinical symptoms may occur. Therefore, it is very common for patients with pleurisy to experience anterior chest pain.
How many times a year is pneumoconiosis re-examined?
Pneumoconiosis is an occupational disease that tends to affect individuals who have been exposed to dust over a long period of time in a harsh environment. Clinically, pneumoconiosis is a chronic occupational disease for which there are generally no specific effective treatments. In managing pneumoconiosis, the medications used typically aim to slow the progression of the disease and alleviate the existing clinical symptoms of discomfort in patients. For cases where the symptoms are relatively mild, it is usually recommended that an annual review suffices. However, for more severe cases, and where the patient may also experience significant clinical discomfort during this period, it is generally recommended to consider increasing the frequency of check-ups to 2 or 3 additional times. Therefore, the specific number of annual follow-ups for pneumoconiosis should be determined based on the individual condition of the patient, rather than having a fixed rule that stipulates only one or two examinations per year for everyone.
Is there a lot of phlegm in pulmonary embolism?
Pulmonary embolism is a relatively common acute disease in clinical practice. It usually occurs when blood clots from the veins in the legs or pelvis detach, travel through the bloodstream to the pulmonary arteries, and cause an embolism. The onset of this disease is often very sudden. Due to different triggers, the clinical symptoms vary. Typical symptoms of pulmonary embolism include difficulty breathing, chest pain, coughing up blood, and coughing. Coughs are often dry, and patients may also have a small amount of white sputum. Some patients might even experience wheezing and other clinical symptoms. Therefore, the occurrence of excessive sputum is rare in patients with pulmonary embolism.
How is allergic cough caused without allergens?
Allergic cough is a very common type of non-infectious cough, triggered by many factors. Generally, some patients may experience this cough due to exposure to certain harmful gases or irritants, while others might react to pollen, dust mites, or animal dander. Additionally, a portion of patients could be affected by the inhalation of cold air or due to genetic factors. Since it is an allergic cough, there must be triggering factors causing it. Therefore, for allergic cough, it is essential to eliminate the allergens and appropriately administer anti-allergy medications for symptomatic treatment.
Pneumoconiosis is divided into three types.
Pneumoconiosis is very common in clinical practice and is caused by patients working in harsh environments for long periods, such as inhaling dust or free silica, which can cause occupational pneumoconiosis of varying degrees. Clinically, pneumoconiosis is categorized based on the type of inhaled material into silicosis, coal workers' pneumoconiosis, and coal silicosis. Clinically, once a patient is diagnosed, it is imperative to remove them from the environment immediately, followed by medicinal treatment. It is also crucial for patients to understand that once infected with this occupational disease, it cannot be cured by medication. Treatment can only alleviate symptoms and improve some of the clinical discomforts.