3天大足月新生儿，母孕期有发热病史，现 .不吃、不哭闹、体温不升，全身可见大理石样花纹，双肺闻及中细湿啰音，心音低钝， 肝肋下3cm，外周血白细胞9X109/L，杆 状核细胞/中性粒细胞数(I/T)为25%，血 压40/20mmHg。诊断应考虑为

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