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单选题 患者女性,20岁。诊断为特发性血小板减少性紫癜,贫血貌,双下肢皮肤、粘膜瘀斑增多,肝、脾未触及。血红蛋白105g/L,血小板20×10^9/L,骨髓象示巨幼细胞正常。该患者的治疗方法首选

A、 脾切除
B、 输注血小板
C、 应用糖皮质激素
D、 应用免疫抑制剂
E、 骨髓移植

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