患儿,女,第一胎第一产,孕龄40周,1989年4月1日自然分娩,羊水Ⅲ度污染,1分钟Apgar评分8分,脐带28cm,胎盘正常,出生体重2300g,身长42.7cm。查体:体温,36℃,呼吸48次/分,心率120次/分。精神反应尚可,眼距较宽,鼻梁扁平,高弓腭,左耳低位,后发际低,颈短,颈蹼,盾状胸,乳间距较宽,手指扁平。心肺(-),外生殖器女性,大小阴唇发育良好。生后吮奶、大小便均正常。家族史:父 Children, women, the first birth of the first birth, gestational age 40 weeks, April 1, 1989 natural childbirth, amniotic fluid Ⅲ degree pollution, 1 minute Apgar score 8, umbilical cord 28cm, normal placenta, birth weight 2300g, length 42.7 cm. Physical examination: body temperature, 36 ℃, breathing 48 beats / min, heart rate 120 beats / min. Mental reaction is acceptable, wider eyes, flat nose, high bow palate, left ear low, low after the hair, neck short, webbed, shield chest, breast spacing wider, fingers flat. Cardiopulmonary (-), genitalia women, the size of the labia is well developed. After sucking milk, urine are normal. Family history: father