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153
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
Can the same medicine be taken for a cold from heat and a cold from cold?
The common cold is a very common upper respiratory tract infection. From the perspective of traditional Chinese medicine, patients are usually classified into hot-type colds and cold-type colds. Hot-type colds generally occur in the summer, while cold-type colds are more often caused by accidentally catching cold in the winter. For such patients, Western medicine may not show a clear distinction in symptoms and tends to be somewhat generic in medication use. However, in traditional Chinese medicine, distinguishing between cold and hot colds is very important in the treatment of upper respiratory tract infections. Therefore, when choosing medication treatment, Western drugs often do not differentiate much between hot and cold colds, while Chinese medicine treatments for colds vary significantly. For example, the most common cold treatment, Chai Hu formula, is divided into Chai Hu formula and proper Chai Hu formula. The Chai Hu formula is used for treating hot-type colds, while the proper Chai Hu formula is used for some cold-type colds. Thus, in clinical practice, some medications can treat both hot and cold colds, but some cannot.
Does common cold cause dry cough?
In clinical practice, ailments like the common cold, also known as upper respiratory infections, generally occur in patients due to reduced immune function, exposure to cold, or contraction of wind-cold, causing various symptoms such as nasal congestion, runny nose, sneezing, fever, dry and itchy throat, coughing, and pain. Therefore, as with the previous infection, most clinical cases are caused by viral infections. So, when patients suffer from upper respiratory infections, they often experience varying degrees of dry cough, which is very common. Typically, identifying the specific infecting pathogen causing the common cold and providing symptomatic treatment can lead to a full recovery within about a week. For severe dry cough symptoms, appropriate cough suppressant medications can be used for symptomatic treatment.
How to treat a cold with nasal congestion and dry cough?
The common cold is a very common inflammatory condition clinically, generally caused by viral infections, hence, the treatment for such patients usually needs to focus on antiviral medications. Most viral colds cause varying degrees of nasal congestion, runny nose, sneezing, and even dry cough and itchy throat among other clinical symptoms. For such patients, treatment begins by identifying the specific pathogens causing the cold. If it is a virus, timely administration of heat-clearing and detoxifying medications is necessary, along with the appropriate use of traditional Chinese medicine to alleviate symptoms like nasal congestion and runny nose. For symptoms such as nasal congestion and dry cough, appropriate use of cough suppressant medications or nebulized inhalation may be chosen to provide symptomatic relief, with treatment effects generally being ideal around three days.
Why can't patients with pulmonary embolism get out of bed?
Pulmonary embolism is a relatively common clinical disease, with many and complex inducing factors. The most common cause of pulmonary embolism in patients is due primarily to thrombi dislodging from the veins of the lower limbs or the pelvic deep veins, traveling through the bloodstream to the pulmonary arteries, thus causing the disease. Therefore, bed rest is essential during the acute phase of pulmonary embolism. The purpose of bed rest is to prevent further embolisms, to avoid the dislodging of pelvic or lower limb deep vein thrombi, which could lead to the formation of new thrombi. Therefore, for patients with pulmonary embolism, it is crucial to provide timely treatments such as thrombolysis to control the clinical symptoms caused by the pulmonary embolism effectively.
How to treat pleurisy without effusion?
Pleurisy is a very common type of inflammatory response of the pleura caused by pathogenic factors in clinical practice. In clinical settings, some patients may develop pleural effusion, while others may not. Therefore, the treatment for pleurisy without pleural effusion mainly involves symptomatic management with anti-tuberculosis drugs. Typically, the treatment with anti-tuberculosis drugs should follow a regimen that is early, combined, adequate, regular, and complete. For the treatment of such pleurisy patients, it is known that most cases are caused by infection with Mycobacterium tuberculosis. Therefore, when treating such patients, it is crucial to strictly follow the treatment regimen of anti-tuberculosis medications to effectively control the uncomfortable symptoms caused by pleurisy.
What to do if an acute upper respiratory infection causes a headache?
Acute upper respiratory infection, commonly known as a cold, is usually just the common cold. Patients typically display various degrees of fever, along with nasal congestion, runny nose, sneezing, sore throat, and coughing as clinical symptoms. Therefore, when a patient has an upper respiratory infection and exhibits fever, they may experience varying levels of headache, dizziness, and general weakness. In such cases, upper respiratory infections are generally caused by viruses. Thus, it is necessary to administer antiviral and detoxifying medications, and if the patient has a high fever, antipyretics should be used. Once the body temperature returns to normal, it usually stabilizes quickly, and the headache caused by the upper respiratory infection will naturally subside. (Please take medication under the guidance of a physician.)
Can people with pneumoconiosis drink beer?
It is not recommended to drink. The incidence of pneumoconiosis among patients in clinical settings is increasingly high, often due to long-term exposure to dust, which leads to this occupational disease. Due to various inducing factors caused by pneumoconiosis, the consequences for patients generally tend to worsen gradually. Commonly, these patients experience varying degrees of cough, expectoration, shortness of breath, and even severe respiratory difficulties in later stages. Patients with pneumoconiosis are strongly advised to refrain from smoking and drinking alcohol in their daily lives, including beer, which is also not recommended as it belongs to the category of spicy and irritating substances. Drinking beer may exacerbate some of the symptoms of pneumoconiosis to varying degrees.
Can acute upper respiratory infections heal on their own?
Acute upper respiratory tract infection is clinically localized above the nasal cavity and pharynx. Symptoms typically seen in such patients include nasal congestion, runny nose, sneezing, itchy throat, and coughing. The onset is usually sudden, and some patients may experience sore throats, while others may have an itchy throat. In most cases, these infections are viral. For such patients, the course of the disease is about one week and is usually self-limiting. For elderly individuals or infants and young children, who are generally more frail, it is advisable to prescribe appropriate medications for symptomatic treatment when they contract an acute upper respiratory tract infection, to prevent the aggravation of symptoms and further discomfort.
Is pneumoconiosis prone to tuberculosis?
Pneumoconiosis patients and tuberculosis patients have significant differences. In clinical practice, a large portion of pneumoconiosis cases are due to prolonged exposure to harmful dust in the environment. For pneumoconiosis patients, who usually have poor immune function, if Mycobacterium tuberculosis is present in the external air, it can be transmitted through respiratory droplets and cause tuberculosis. However, in clinical practice, it is advised that pneumoconiosis patients wear masks when going out as much as possible to reduce the occurrence of infectious diseases. Additionally, for pneumoconiosis patients, it is generally recommended to keep warm, exercise appropriately to boost the immune system, which can also significantly reduce the risk of developing infectious pulmonary diseases.
Will pneumoconiosis tuberculosis be contagious?
Pneumoconiosis is a very common type of occupational disease clinically, often caused by long-term inhalation of large amounts of dust in the environment, leading to a chronic lung disease. When pneumoconiosis progresses to a certain extent, it inevitably leads to fibrotic changes in the lungs. At this stage, the disease can potentially cause pulmonary tuberculosis. Therefore, in clinical practice, the diagnosis of tuberculosis is often made by finding Mycobacterium tuberculosis in the sputum, as well as through chest CT or X-ray examinations for a clear diagnosis. Generally, pneumoconiosis tuberculosis is contagious if Mycobacterium tuberculosis can be found in the sputum. If the bacterium is not found in the sputum of pneumoconiosis tuberculosis patients, it is not contagious. Therefore, whether pneumoconiosis tuberculosis is contagious or not can only be determined based on some of the patient's test results.