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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
How to treat and care for pneumoconiosis
Pneumoconiosis is a very common occupational disease in clinical practice, often caused by long-term exposure to harmful dust in the environment. When patients experience severe clinical symptoms, it is important to first recognize these symptoms of pneumoconiosis, as they indicate a serious condition. Patients may suffer from clinical symptoms such as coughing, expectoration, shortness of breath, chest tightness, chest pain, and difficulty breathing. There are no specific drugs for the pure treatment of pneumoconiosis; treatment is only aimed at alleviating discomfort based on the clinical symptoms, using appropriate medications or oxygen therapy. Patients with pneumoconiosis should take special care, including avoiding smoking and alcohol. Depending on their physical condition and weather changes, they should appropriately adjust their clothing to avoid exposure to cold air. Patients can also choose suitable physical activities daily according to their conditions; regular exercise can have a good therapeutic effect over time.
Why does acute upper respiratory infection cause recurrent fever?
Acute upper respiratory infections are very common in clinical practice, and most patients develop acute inflammatory lesions due to a viral entry into the respiratory tract. A small number of patients may also have combined bacterial or pathogenic microbial infections, leading to symptoms such as nasal congestion, runny nose, and recurrent fever of varying degrees. In the early stages of acute upper respiratory infections, if medications are not timely and symptomatically administered, and especially if patients have low immune function and do not receive timely medication management, some patients may repeatedly experience fever. The fever is typically high, commonly seen in infants and young children. Therefore, for such patients, it is crucial to provide symptomatic medication promptly and effectively, which usually can effectively control the symptoms of recurrent fever.
What should I do if I have pulmonary embolism and asthma?
Pulmonary embolism is a very common type of disease clinically, and its triggering factors are numerous and complex. For such patients, the main triggering factors are usually the detachment of thrombi from the pelvic deep veins and the lower limb deep veins, leading to pulmonary artery embolism. Therefore, the clinical symptoms that appear in these patients are mainly difficulty breathing, chest tightness, chest pain, and some patients may experience coughing, coughing up blood, shortness of breath, and even wheezing. Thus, for such patients, it is first necessary to clarify the cause of the disease, and then provide the patient with oxygen, thrombolysis, anticoagulation, and other symptomatic treatments. Usually, after effective symptomatic treatment, when the embolism location is effectively controlled, the symptoms of wheezing and air blockage that the patient experiences will also be significantly improved.
Is a shadow on the lung definitely tuberculosis?
Shadows in the lungs are primarily revealed through imaging studies, a characteristic feature found in radiology. Clinically, lung shadows can be caused by tuberculosis, various lung tumors, or inflammatory lesions, which are also detected via imaging studies. Hence, the causes of lung shadows are numerous and complex in clinical settings. Discovering a shadow on the lungs through X-ray does not necessarily indicate tuberculosis. A definitive diagnosis should be based on a detailed patient history, other relevant clinical manifestations, and additional diagnostic tests. While tuberculosis might be a likely cause of lung shadows, it is not the cause in every case.
Can pleurisy cause hemoptysis?
Pleurisy, this disease in clinical practice, does not cause symptomatic hemoptysis on its own. This is because pleurisy is mainly due to bacterial invasion into the pleural cavity causing inflammatory lesions. The pleural cavity is a sealed space, which, when inflamed, often causes symptoms such as fever, cough, chest tightness, shortness of breath, and breathing difficulties when there is a significant accumulation of fluid in the chest cavity. Generally, it does not cause hemoptysis. There is only one possibility, for example, intense irritative coughing in patients with pleurisy may rupture the capillaries in the bronchial walls. In this case, patients might experience varying degrees of coughing with blood, but this is not a direct clinical symptom caused by pleurisy itself.
Is it normal to occasionally have chest pain with pleurisy?
Pleurisy is a very common type of disease, with many triggering factors. Most cases of pleurisy are caused by infection of the pleural cavity by Mycobacterium tuberculosis, leading to inflammatory lesions. Once pleurisy is diagnosed, patients should promptly receive anti-tuberculosis medication for effective treatment. It is commonly known that if pleurisy is not controlled promptly and effectively, it may lead to worsening symptoms such as cough, fever, shortness of breath, chest tightness, and chest pain, so these clinical symptoms are also very common in patients with pleurisy. Therefore, it is very common for patients with pleurisy to experience chest pain. Even after complete recovery from pleurisy, there may be varying degrees of chest pain, which is considered normal. This is because pleurisy in the acute phase may involve different degrees of adhesions, hence chest pain may occur later on as well.
What is the cause of hemoptysis in pleurisy?
Pleurisy is generally more commonly seen in young adults and children clinically, and is most commonly caused by an infection of the pleura by Mycobacterium tuberculosis. Usually, patients with this type of pleurisy do not experience symptoms of coughing up blood. The typical symptoms caused by pleurisy primarily include chest pain, coughing, chest tightness, shortness of breath, and in severe cases with a lot of pleural effusion, it can cause the patient to experience breathing difficulties and sometimes chills. Therefore, the clinical symptoms presented by different patients can vary. When a patient with pleurisy has a severe cough, it can lead to the rupture of the capillaries in the bronchial walls, which can cause the patient to have varying degrees of blood in the sputum, or even coughing up blood.
Is pleurisy serious in young people?
Pleurisy, when it occurs in young people, is also relatively common in clinical settings. It is primarily caused by an invasion of the pleura by Mycobacterium tuberculosis, resulting in an inflammatory lesion. The symptoms manifested by these patients mainly include coughing, shortness of breath, chest tightness, chest pain, and in severe cases, respiratory difficulties. Tuberculous pleurisy is mostly seen in adolescents and children. If young people are diagnosed with pleurisy and receive timely and accurate diagnosis, along with systematic and effective treatment with anti-tuberculosis drugs, their condition can generally be effectively controlled. However, it is important to note that although young people have better resistance, they must strictly adhere to the treatment duration for anti-tuberculosis medication, which usually spans six to nine months to completely cure pleurisy.
Can you eat mangoes with an acute upper respiratory tract infection?
Patients with acute upper respiratory infections display various clinical symptoms due to differences in the immune function of their bodies. If some patients with upper respiratory infections show only symptoms such as nasal congestion, runny nose, and sneezing, without fever or cough, they can eat mangoes. Mangoes are highly nutritious and can enhance the immune system and also have anti-cancer properties because they contain a high amount of Vitamin C, often more than other fruits, especially when fresh. Eating mangoes can strengthen the immune system, aiding in the recovery from symptoms of upper respiratory infections. However, it is generally not recommended to eat mangoes when acute upper respiratory infections involve fever and cough, as mangoes are tropical fruits and might exacerbate coughing symptoms in some patients.
Can acute upper respiratory tract bacterial infections heal by themselves?
Acute upper respiratory infections are very common in clinical practice, mostly because viruses invade the body causing symptoms such as nasal congestion, runny nose, and sneezing. Only a small number of patients might have bacterial infections on top of the viral infection, or are suffering from an upper respiratory infection caused by a specific bacterium. Clinically, some of these patients can recover on their own, as the severity of respiratory infections varies and some patients have strong immune systems. Therefore, by exercising appropriately in their daily lives, drinking plenty of warm water, and consuming foods high in vitamins and proteins, a small number of these patients with mild conditions can heal on their own.