患儿男，8岁，因严重车祸伤入院2天。査体:体温38.70C，四肢凉，脉搏细速，全身多处皮肤黏膜瘀斑瘀点，血红蛋白尿，血压60/35mmHg,査血小板40x109/L,纤维蛋白原1.2g/L,肝功能正常。该患儿最可能的诊断是

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