患儿，女,4岁3个月。发热、腹痛3天，体温最高39.1，今晨起血压降至75/50mmHg,呼吸浅快，心音低钝，嗜睡，面色苍白，皮肤干燥，尿少P干，四肢厥冷，唇舌干绛，苔少而干，脉细数。血常规:WBC27.22X109/L,NE%74.3%;超敏CRP160.3mg/L。该患儿的诊断是

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