患儿女，2岁。出生后即发现面、唇、甲床发 组，哭闹时加重。查体：心前区闻及3级收缩 期杂音，P2减弱，合并杵状指。首先考虑的诊断是

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SQL Error: select id,body,options from ***_enewstiku where sourceid='32578' and id < 2589852 and id<>'2589852' order by id desc limit 5 SQL Error: select id,body,options from ***_enewstiku where sourceid='32578' and id > 2589852 and id<>'2589852' order by id asc limit 5