题目内容

6个月患儿,发热,咳喘2天住院,半日来喘憋加重,食欲尚好,未吐泻。查体:体温38℃,烦躁,口鼻周发青,鼻翼扇动,三凹征(),呼吸80次/分,呼气相延长,双肺闻喘鸣音,少量细湿啰音。血常规:白细胞4.6×109/L,N 44%;胸片:双肺纹理重,伴少量小点片影及肺气肿。
诊断最可能的是

A. 腺病毒肺炎
B. 呼吸道合胞病毒肺炎
C. 支气管哮喘
D. 哮喘性支气管炎
E. 金黄色葡萄球菌肺炎

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