女性，42岁。发热寒战，轻度黄疸，脾肋下 4cm, HGB 68g/L, PLT 62 X 103/L，网织 红细胞10%，血清铁蛋白50ug/L,肝功正 常，Ham试验阴性,Coombs试验阳性。诊 断应考虑

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