患儿,男,11个月,以肺炎,先心:室缺”收入院,住院号913201。既往易感冒。系第2胎,足月顺产,孕三个月时其母因头痛自服“头痛散”(含西米替丁、扑热息痛等),否认毒物接触史。父母非近亲婚配,否认有传染病或遗传病家族史。查体:发育营养差,头颅无畸形,前囱1.5cm,鼻梁低平,鼻孔稍上翘,口唇发绀。心前区隆起,心尖部触及收缩期震颤,叩诊心浊音界向左扩大,胸骨左缘 Child, male, 11 months, with pneumonia, heart: room missing “income hospital, hospital number 913201. Past second cold, Department of full-term pregnancy, three months pregnant when the mother because of headache” Headache scattered "(including cimetidine, paracetamol, etc.), denied the history of exposure to poisons.Parents non-relatives of marriage, denied having a family history of infectious diseases or genetic disease. Physical examination: poor developmental nutrition, head deformity, Nasal low flat, slightly upturned nose, lips cyanosis.Pre-cardiac area uplift, apical touch systolic tremor percussion diastolic heart to the left to expand the left sternal border