男孩，5岁。因生长和智力发育落后就诊。查体：身材矮小，头围小，眼距宽，鼻梁低，外耳小，通贯手，心脏听诊有杂音。为明确诊断最合适的检査是

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SQL Error: select id,body,options from ***_enewstiku where sourceid='28774' and id < 2346075 and id<>'2346075' order by id desc limit 5 SQL Error: select id,body,options from ***_enewstiku where sourceid='28774' and id > 2346075 and id<>'2346075' order by id asc limit 5