我接诊过一个刚出生10天的新生儿,孩子出生时是顺产,体重有3.5千克,生长发育得都不错。可从第二天开始,孩子就口周发紫,但家长并没有当回事,直到孩子出现阵发性青紫、气促、吸奶中断,家长才想起到医院就诊。另一次,一位家长抱着刚出生几天的孩子来就诊。当问清病史后,我发现孩子口周发绀,胸骨左缘3～4肋间可闻及全收缩期杂音。我考虑是先天性 I have had a newborn infants born 10 days after my admissions. The child was born at birth with a birth weight of 3.5 kg and good growth. From the next day onwards, the child blurs in the mouth, but the parents did not take seriously, until the child appears paroxysmal bruising, shortness of breath, sucking milk interrupted, parents just think of the hospital. On the other hand, a parent came to see a child who was born a few days earlier. When asked about the history, I found the child’s mouth cyanosis, sternal left border 3 to 4 intercostal stenosis can be heard and murmur. I consider congenital