What are the good ways to treat patent ductus arteriosus? What are the causes of patent ductus arteriosus?

What are some good ways to treat patent ductus arteriosus? Many children are diagnosed with patent ductus arteriosus at birth, which worries all new parents. This disease is a congenital heart disease. Once it occurs, it will cause serious harm to the child, so it must be treated in time. So, what are some good ways to treat patent ductus arteriosus?

(1) The surgical effect is good. Once the diagnosis is confirmed, surgical treatment is required, and the surgical mortality rate is less than 1%.

Those who have not undergone surgery may have concomitant infective endocarditis. The age for elective surgery is 1 to 6 years old. After surgery, the continuous murmur of most children disappears immediately, and the cardiac shadow shrinks significantly 3 to 6 months after surgery and gradually returns to normal. Recanalization after catheter ligation rarely occurs, but if it does occur, another surgery is required to cut and suture.

(ii) In recent years, there have been reports of interventional methods being used to block catheters both at home and abroad.

Method: First, insert the steel wire from the arterial end, pass through the arterial catheter, and then pull it out from the venous end to form a circular path in the body. Then, push the prepared plastic plug through the circular path to the arterial catheter to form a blockage. It is not easy to succeed in preschool children because of their thin blood vessels.

(III) Patent ductus arteriosus of premature infants can usually close naturally after birth when they reach mature age, so no treatment is required for those asymptomatic. If there are symptoms, treatment with prostaglandin synthetase inhibitor indomethacin can be tried, 0.2 MG/KG each time, orally, by enema or intravenous injection. If ineffective, it can be repeated 1 to 2 times every 8 hours, with a total amount not exceeding 0.6 MG/KG. It is contraindicated in patients with poor renal function, serum creatinine 132.6UMOL/L (1.5 MG/DL), or urea nitrogen 7.1MMOL/L (20 MG/DL), bleeding tendency, platelet count 50×109/L, or suspected necrotizing enterocolitis.

Patients who are not responsive to indomethacin or have contraindications should be given surgical treatment in a timely manner.

Children are the hope of every family. I think the biggest wish of every parent is that their children can grow up healthy and happy. If a child suffers from patent ductus arteriosus, it is the misfortune of the whole family. Parents can only give their children timely treatment. If the conditions are appropriate, surgical treatment can be selected, and the effect is very good.