4个月男孩，咳嗽2天，喘憋加重1天，病后低热，精神、食欲尚可。査体：体温37.80C，呼吸60次/分，心率150次/分，两肺满布哮鸣音，两背下部可听到细湿啰音，肝肋下3.5cm。该患儿最可能的诊断是

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