9个月婴儿，低热、咳喘1天，吃奶时呛咳，哭闹时口周轻度发绀。査体：体温380C,精神及面色尚可，呼吸50次/分，节律规整，呼气延长，两肺闻及多量哮鸣音，心率160次/分，心音有力，肝肋下2.5cm。最可能的诊断是

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