入院查体:肛温35.9℃,呼吸75次/分,心率182次/分,

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问题: 入院查体:肛温35.9℃,呼吸75次/分,心率182次/分,面色发绀,呻吟,口吐泡沫,前囟张力不高,心音低钝,双肺未闻及湿罗音,肝肋下5cm,四肢冷有花纹,肌张力低下,原始反射未引出。考虑合并

A: 肺炎

B:呼吸衰竭

C:心力衰竭

D:颅内感染

E:肝脏脓肿