What to do if the ductus arteriosus of the newborn is not closed

Treatments for patent ductus arteriosus in newborns include drug intervention, surgical closure, and regular monitoring, which may be related to premature birth, genetic factors, or maternal infection during pregnancy. Drugs such as indomethacin or ibuprofen can promote ductus closure, and surgical methods include ductus ligation or minimally invasive closure. Regular monitoring of heart function helps to assess the progression of the disease.

1. Drug intervention is a common method for treating patent ductus arteriosus in newborns. Indomethacin and ibuprofen are two common nonsteroidal anti-inflammatory drugs that promote ductal closure by inhibiting prostaglandin synthesis. The drugs are usually used early after birth and have significant effects, but they must be used under the guidance of a doctor to avoid side effects such as renal damage or gastrointestinal bleeding.

2. Surgical closure is suitable for children who are ineffective with drug treatment or whose condition is serious. Catheter ligation is a traditional surgical method that directly ligates the unclosed duct through open chest surgery. Minimally invasive closure is to insert the occluder through the catheter, which has less trauma and faster recovery, and is suitable for some children. The choice of surgery should be determined based on the specific situation of the child and the doctor's advice.

3. Regular monitoring is an important part of managing patent ductus arteriosus in newborns. Through examinations such as echocardiography, doctors can evaluate ductal closure, cardiac function, and hemodynamic changes. The monitoring frequency is adjusted according to the severity of the disease. Early detection of abnormalities helps to adjust the treatment plan in time and avoid complications such as heart failure or pulmonary hypertension.

The treatment of patent ductus arteriosus in newborns requires a combination of medication, surgery and monitoring. Early intervention and regular follow-up are the key to ensuring the health of the child. Parents should actively cooperate with doctors in treatment, pay attention to changes in symptoms of the child, and seek medical treatment in a timely manner to reduce the risk of long-term complications and promote the normal growth and development of the child.