患者，女，30岁。头晕乏力、发热伴皮肤瘀点半月。查体示:贫血貌，胸骨压痛，肝肋下1cm，脾肋下5cm。血常规示:Hb70g/L，WBC20×109/L，PLT20×109/L。该患者最可能的诊断是

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