4．本案例最可能的诊断是什么？诊断的依据是什么？（20 分）
["(1)\u6839\u636e\u6848\u4f8b\u63cf\u8ff0\u53ef\u77e5\u672c\u6848\u4f8b\u6700\u53ef\u80fd\u7684\u8bca\u65ad\u662f\u7126\u8651\u6027\u795e\u7ecf\u75c7\u3002\n(2)\u8bca\u65ad\u7684\u4f9d\u636e\u5982\u4e0b\uff1a\n\u2460\u6839\u636e\u5fc3\u7406\u6b63\u5e38\u4e0e\u5f02\u5e38\u7684\u4e09\u4e2a\u539f\u5219\uff0c \u6392\u9664\u7cbe\u795e\u75c5\u7684\u8bca\u65ad\u3002 \u6c42\u52a9\u8005\u5bf9\u81ea\u5df1\u7684\u5fc3\u7406\u95ee\u9898\u6709\u81ea\u77e5\u529b\uff0c\u81ea\u5df1\u4e5f\u8ba4\u4e3a\u6709\u5fc3\u7406\u95ee\u9898\u800c\u4e3b\u52a8\u524d\u6765\u5c31\u8bca\uff0c \u6709\u4e3b\u52a8\u6c42\u533b\u7684\u884c\u4e3a\u3002 \u6c42\u52a9\u8005\u7684\u77e5\u60c5\u610f\u662f\u7edf\u4e00\u3001 \u4e00\u81f4\u7684\uff0c\u65e0\u903b\u8f91\u601d\u7ef4\u7684\u6df7\u4e71\uff0c\u65e0\u611f\u77e5\u89c9\u5f02\u5e38\uff0c\u65e0\u5e7b\u89c9\u3001\u5984\u60f3\u7b49\u7cbe\u795e\u75c5\u7684\u75c7\u72b6\u3002\u4ece\u5c0f\u6027\u683c\u8f83\u7a33\u5b9a\uff0c\u5e76\u6ca1\u6709\u5f02\u5e38\u7684\u53d8\u5316\uff0c\u56e0\u6b64\u53ef\u6392\u9664\u91cd\u6027\u7cbe\u795e\u75c5\u3002\n\u2461\u7531\u4e8e\u5176\u521d\u59cb\u53cd\u5e94\u5f3a\u70c8\uff0c\u6301\u7eed\u65f6\u95f4\u534a\u5e74\uff0c\u5185\u5bb9\u5145\u5206\u6cdb\u5316\uff0c\u5fc3\u7406\u75db\u82e6\u65e0\u6cd5\u81ea\u884c\u6446\u8131\uff0c\u65e0\u6cd5\u6b63\u5e38\u5b66\u4e60\uff0c\u5df2\u4e25\u91cd\u5730\u5f71\u54cd\u4e86\u793e\u4f1a\u529f\u80fd\uff0c\u6839\u636e\u8bb8\u53c8\u65b0\u6559\u6388\u7684\u795e\u7ecf\u75c7\u8bc4\u5206\u6807\u51c6\uff0c\u8be5\u6c42\u52a9\u8005\u5f97\u5206\u4e3a7 \u5206\uff0c\u53ef\u4ee5\u8bca\u65ad\u4e3a\u795e\u7ecf\u75c7\u3002\n\u2461\u7126\u8651\u75c7\u662f \u201c\u4ee5\u5e7f\u6cdb\u6027\u7126\u8651\u6216\u53d1\u4f5c\u6027\u6050\u6016\u72b6\u6001\u4e3a\u4e3b\u8981\u4e34\u5e8a\u7684\u795e\u7ecf\u75c7\u201d\uff0c\u662f\u4e00\u79cd\u5185\u5fc3\u7d27\u5f20\u4e0d\u5b89\uff0c\u9884\u611f\u5230\u4f3c\u4e4e\u5c06\u8981\u53d1\u751f\u4e0d\u5229\u60c5\u51b5\u800c\u96be\u4e8e\u5e94\u4ed8\u7684\u4e0d\u6109\u5feb\u60c5\u7eea\uff0c\u5e38\u4f34\u6709\u5934\u6655\u3001\u80f8\u95f7\u3001 \u5fc3\u60b8\u3001 \u547c\u5438\u56f0\u96be\u3001\u51fa\u6c57\u548c\u8fd0\u52a8\u6027\u4e0d\u5b89\u7b49\u3002\u6839\u636e\u6848\u4f8b\u63cf\u8ff0\u53ef\u77e5\u8be5\u6c42\u52a9\u8005\u8868\u73b0\u51fa\u7126\u8651\u75c7\u72b6\uff0c\u56e0\u6b64\u53ef\u4ee5\u8bca\u65ad\u4e3a\u7126\u8651\u6027\u795e\u7ecf\u75c7\u3002"]