患儿,1岁，发热、咳嗽4天，气促、发绀1天， 精神弱。躯体见充血性粟粒状丘疹，右肺叩 诊池音，右下肺呼吸音低，右上肺闻细湿啰 音，气管向左移位，白细胞28.0X109/L，中性粒细胞88%。诊断最可能是

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