患儿男，7岁，严重创伤后出现发热、黄疽、 明显呼吸困难、少尿、全身多处皮肤瘀斑、瘀点 及出血点，血压53/38mmHg，血清胆红素 112umol/L，尿素氮35mmol/L。此患儿最可能的临床诊断是

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