What medicine should I take for patent ductus arteriosus?

What medicine should be taken for patent ductus arteriosus? As modern life becomes more and more tense and the environment becomes more and more harsh, the incidence of patent ductus arteriosus is getting higher and higher. Patent ductus arteriosus is one of the common types of congenital heart disease in children, which seriously affects people's daily life. Therefore, knowing the cause of this disease is particularly important for treatment. What medicine should be taken for patent ductus arteriosus?

Treatment

1. Drug treatment

The main role of drug therapy is to prevent and treat infective endocarditis, respiratory tract infection and heart failure. For premature infants with patent ductus arteriosus, some drugs (such as indomethacin, aspirin, etc.) can be used to inhibit the synthesis of prostaglandins, shrinking or closing the ductus.

2. Interventional treatment

Interventional therapy is a minimally invasive surgery, the most common of which is patent ductus arteriosus closure. It is currently the most common method for treating patent ductus arteriosus and is suitable for all types of patients with patent ductus arteriosus. The method is roughly to use a special wire to clamp a "special patch" into the heart, reach the patent ductus arteriosus, and use the patch to close the unclosed area. This method has the advantages of small surgical trauma, high safety, simple operation, few complications, and short hospitalization time.

3. Surgical treatment

Surgical ligation and cutting and suturing. The ideal age is 4-15 years old. If the disease progresses rapidly or there are repeated respiratory tract infections, heart failure, uncontrolled infective endocarditis, congestive heart failure that is ineffective with medical treatment, and symptomatic patent ductus arteriosus, the diagnosis is clear and contraindications are excluded. In principle, emergency surgical treatment should be performed as soon as possible.

The surgical mortality rate caused by massive bleeding during ductus arteriosus closure varies depending on the quality of the ductus wall, the surgical method used to close the ductus, and the level of surgeon skills, and should generally be less than 1%. Simple ductus ligation or clamping may result in ductus recanalization after surgery, and the recanalization rate is generally above 1%. The recanalization rate after padded ligation is lower than the former two.