The principles of treatment for patent ductus arteriosus in neonates include

The treatment principles for patent ductus arteriosus in newborns include close monitoring, drug therapy, and surgical treatment. The specific method is determined according to the severity of the disease and the condition of the child. The goal of treatment is to promote closure of the ductus, avoid complications, and ensure the healthy growth of the child.

1. Close monitoring

For mild cases of patent ductus arteriosus, your doctor may recommend regular monitoring to see if the ductus closes naturally. Monitoring may include echocardiograms, electrocardiograms, and the baby's growth and development. If the ductus does not close within a few months of birth or if symptoms develop, further intervention may be needed.

2. Drug treatment

Drug treatment is a commonly used non-invasive method suitable for premature infants or infants with mild symptoms. Commonly used drugs include:

Indomethacin: Promotes ductal contraction and closure by inhibiting prostaglandin synthesis.

Ibuprofen: Its mechanism of action is similar to that of indomethacin, but it has relatively few side effects.

Acetaminophen: An alternative medication in some cases, but it is less effective.

Drug treatment usually starts within a few days after the birth of the newborn and must be carried out under the guidance of a doctor, with close observation of drug reactions and side effects.

3. Surgical treatment

For children who are not responsive to drug treatment or whose condition is severe, surgery is a necessary option. Common surgical methods include:

Transcatheter occlusion: The occluder is inserted into the catheter through a minimally invasive method to block blood flow and promote closure. This method is less invasive and has a quick recovery.

Thoracotomy: Suitable for children with larger ducts or complex anatomical structures, the ducts can be directly ligated or cut off.

Thoracoscopic surgery: A type of minimally invasive surgery with less trauma and faster recovery after surgery.

The surgery needs to be selected according to the specific situation of the child, and the heart function and recovery need to be closely monitored after the operation.

The treatment of patent ductus arteriosus in newborns requires a personalized plan based on the severity of the disease and the child's condition. Mild cases can be solved through monitoring and drug treatment, while severe cases require timely surgical intervention. Regardless of the method used, parents should actively cooperate to ensure that the child receives timely and effective treatment, avoid complications, and promote healthy growth.