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【单选题】
女性，18岁，诊断为特发性血小板减少性紫癜，贫血貌，牙龈出血，双下肢紫癜，月经多，肝脾肋下未触及，血红蛋白100g／L，白细胞10×10 9 ／L，血小板20×10 9 ／L，骨髓象提示巨核细胞增多特发性血小板减少性紫癜诊断要点不包括（）A.
紫癜
B.
血小板生存时间缩短
C.
脾明显肿大
D.
骨髓巨核细胞增多
E.
血小板计数减少
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