What are the preventive measures for patent ductus arteriosus?

What are the preventive measures for patent ductus arteriosus? We all know that congenital diseases are now very harmful to children's health and even endanger their lives. Patent ductus arteriosus is one of them. Therefore, it is necessary to prevent the disease. Let's take a look at the preventive measures for patent ductus arteriosus.

1. Prognosis and prevention

The long-term effect of ductus arteriosus closure depends on the surgical method of the ductus arteriosus and the level of the surgeon's skills, and should generally be within 1%. Simple ductus ligation or clamping may lead to ductal recanalization after surgery, and its recanalization rate is generally above 1%. The recanalization rate after padded ligation is lower than the former two. The long-term effect of ductus arteriosus closure depends on whether there is secondary pulmonary vascular lesions before surgery and their degree. Patients who undergo surgery before pulmonary vascular lesions occur can fully recover and live as long as normal people; patients with severe and irreversible pulmonary vascular lesions will still have high pulmonary vascular resistance and heavy right heart load after surgery, and the effect is poor.

1. Preoperative preparation

Continuous oxygen inhalation through mask and hood, control of heart failure, application of antibiotics, nebulized sputum suction, nutritional support, ventilator assistance, etc.

2. Other matters needing attention

(1) When performing radical surgery, the child must not have any medical diseases such as tracheitis and pneumonia. Therefore, parents should pay special attention to babies with patent ductus arteriosus. The most important thing is to seize the opportunity and strive to carry out radical treatment as scheduled.

(2) Pay attention to correcting the child's incorrect posture. The patent ductus arteriosus surgery uses a left posterior external incision, which is longer and located on the left side of the back. Therefore, the child dares not move his left arm after the surgery, fearing pain. He likes to walk sideways, with his left shoulder low and his right shoulder high. Parents should encourage the child to move his left arm more and keep a correct posture when walking.

2. Nursing

The surgical mortality rate caused by massive bleeding during ductus arteriosus closure depends on the texture of the ductus wall, the surgical method used to close the ductus, and the level of the surgeon's skills, and should generally be less than 1%. Simple ductus ligation or clamping may lead to ductal recanalization after surgery, and the recanalization rate is generally above 1%. The recanalization rate after padded ligation is lower than the former two. The long-term effect of ductus arteriosus closure depends on whether there are secondary pulmonary vascular lesions before surgery and their degree. Patients who undergo surgery before pulmonary vascular lesions occur can fully recover and live as long as normal people; patients with severe and irreversible pulmonary vascular lesions will still have high pulmonary vascular resistance and heavy right heart load after surgery, and the effect is poor.