Fulminant hepatic failure in a case of autoimmune hepatitis in hepatitis C during peg-interferon-alpha 2b plus ribavirin treatment

A 27-year-old Caucasian female with hepatitis C virus (HCV) infection treated with interferon (IFN) who developed severe autoimmune hepatitis (AIH) is described. The infecting viral strain was of genotype Ib and the pre-treatment HCV viral load was at a high level. The patient was treated with pegylated IFN-alpha 2b and ribavirin,and her HCV-RNA became negative at wk 12,but after that she developed fulminant hepatic failure. The patient recovered after steroid pulse therapy consisting of methylprednisolone 1000 mg/d for three days which was administered twice. A needle liver biopsy revealed the typical pathological findings of AIH.

Research progress of new conservative treatment for female stress urinary incontinence

The new conservative treatment methods of female stress urinary incontinence mainly include laser therapy, magnetic stimulation therapy and stem cell therapy. Laser therapy and magnetic stimulation therapy can improve the urodynamic parameters, clinical symptoms, quality of life and sexual life of female stress urinary incontinence patients, with higher compliance and less side effects. Stem cell therapy can improve histological changes, urodynamic parameters of stress urinary incontinence rats, and clinical symptoms and quality of life of patients with stress urinary incontinence, but it has not been widely used in clinical practice, and the successful experience is mainly accumulated in the animal experiment stage. In order to make it easier for medical workers to understand and promote these three new conservative treatment methods, this article reviews the treatment principles and treatment effects of these new conservative treatment methods.

冲和治疗训练性胃肠神经官能症的临床观察

[目的]通过临床观察冲和疗法治疗训练性胃肠神经官能症的疗效,探讨其治疗脏器功能性疾病的有效性和安全性。[方法]对160例胃肠神经官能症患者随机分为冲和治疗组和药物对照组,治疗组80例,采用循经冲和、穴位拔罐、药物温灸的方法;对照组80例,给予口服吗丁啉、舒肝健胃丸或香砂养胃丸、阿普唑伦。临床痊愈后随访观察1年,比较两组的临床疗效和复发率。[结果](1)冲和治疗组显效率和总有效率达 62．50％和91．25％,高于药物对照组,但经统计学处理无显著差异(P>0．05);(2)对照组有效病例随机观察 1年内的复发率34．33％明显高于治疗组12．33％(P<0．01)。[结论]冲和治疗胃肠神经官能症疗效确切,对脏器功能性疾病是一种有效、安全的新方法。