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【单选题】
患者,女,28岁。月经量多3年,皮肤紫癜1,体检双下肢可见点片状瘀斑,胸骨无压痛,肝、脾、淋巴结不大。血象:血红蛋白100g/L,白细胞6.6×10 9 //L,血小板26×10 9 /L。骨髓象:有核细胞增生活跃,粒、红两系比例及分布正常,巨核细胞126个/视野,其中颗粒型0.85,裸核0.15,无产板型巨核细胞。该病例激素加为60mg/d,1个月以后出现多饮、多尿症状,查空腹血糖14.5mmol/L,复查血小板25×10 9 /L,下一步治疗应为()。
A.
继续加大激素用量
B.
维持原激素用量,加用胰岛素
C.
换用细胞毒类免疫抑制剂
D.
停用激素,做脾切除手术
E.
长期大剂量应用人体丙种球蛋白
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