5岁男孩，患肾病综合征，长期忌盐。6天来有低热、咳嗽，面部及下肢水肿，在外用呋塞米3支。査体：血压70/40mmHg,精神不振，嗜睡，面部、眼睑及双足背轻度水肿，咽部充血，双肺呼吸音粗，心音有力。最可能的诊断是

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