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当前学科：骨髓增生性疾病及其实验诊断
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某患者，女，52岁，脾肿大，体检时外周血出现幼稚粒细胞和幼稚红细胞，并多见泪滴样红细胞，白细胞23×10
9
/L，血小板计数370×10
9
/L，首先考虑以下哪种疾病（）
A . 慢性粒细胞性白血病
B . 原发性骨髓纤维化
C . 原发性血小板增多症
D . 溶血性贫血
E . 类白血病反应
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