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早产儿动脉导管未闭:发病机制与临床管理的新见解

Patent ductus arteriosus in the preterm infant: new insights into pathogenesis and clinical management.

作者信息

Antonucci Roberto, Bassareo Pierpaolo, Zaffanello Marco, Pusceddu Michele, Fanos Vassilios

机构信息

Division of Neonatology and Pediatrics, Nostra Signora di Bonaria Hospital, San Gavino Monreale, Italy.

出版信息

J Matern Fetal Neonatal Med. 2010 Oct;23 Suppl 3:34-7. doi: 10.3109/14767058.2010.509920.

DOI:10.3109/14767058.2010.509920
PMID:20836735
Abstract

Postnatal closure of the ductus arteriosus is crucial in the circulatory adaptation of the newborn to extrauterine life. In recent years, many studies have been performed to improve our understanding of both the physiology of the ductus arteriosus in the fetus and newborn, and the mechanisms underlying persistent ductal patency in the preterm infant. The pharmacological treatment of patent ductus arteriosus (PDA) remains a controversial issue. This article reviews the recent literature on the pathogenesis and clinical management of PDA in the preterm infant.

摘要

出生后动脉导管的关闭对于新生儿循环系统适应宫外生活至关重要。近年来,已经开展了许多研究,以增进我们对胎儿和新生儿动脉导管生理学以及早产儿动脉导管持续开放潜在机制的理解。动脉导管未闭(PDA)的药物治疗仍然是一个有争议的问题。本文综述了有关早产儿PDA发病机制和临床管理的最新文献。

相似文献

1
Patent ductus arteriosus in the preterm infant: new insights into pathogenesis and clinical management.早产儿动脉导管未闭:发病机制与临床管理的新见解
J Matern Fetal Neonatal Med. 2010 Oct;23 Suppl 3:34-7. doi: 10.3109/14767058.2010.509920.
2
Patent ductus arteriosus in the preterm infant.早产儿动脉导管未闭
Neonatal Netw. 1996 Mar;15(2):19-26.
3
Patent ductus arteriosus: to treat or not to treat?动脉导管未闭:治疗还是不治疗?
Arch Dis Child Fetal Neonatal Ed. 2012 Mar;97(2):F80-2. doi: 10.1136/archdischild-2011-300381. Epub 2011 Dec 15.
4
Learning to live with patency of the ductus arteriosus in preterm infants.学习如何让早产儿的动脉导管保持开放。
J Perinatol. 2011 Apr;31 Suppl 1:S42-8. doi: 10.1038/jp.2010.175.
5
Patent ductus arteriosus of the preterm infant.早产儿动脉导管未闭。
Pediatrics. 2010 May;125(5):1020-30. doi: 10.1542/peds.2009-3506. Epub 2010 Apr 26.
6
Failure of ductus arteriosus closure is associated with increased mortality in preterm infants.动脉导管未闭与早产儿死亡率增加有关。
Pediatrics. 2009 Jan;123(1):e138-44. doi: 10.1542/peds.2008-2418.
7
Patent ductus arteriosus in the preterm infant: to treat or not to treat?早产儿动脉导管未闭:治疗还是不治疗?
J Perinatol. 2010 Oct;30 Suppl:S31-7. doi: 10.1038/jp.2010.97.
8
The effect of ductal diameter on surgical and medical closure of patent ductus arteriosus in preterm neonates.导管直径对早产儿动脉导管未闭手术及药物闭合的影响。
J Thorac Cardiovasc Surg. 2008 Jul;136(1):240; author reply 240. doi: 10.1016/j.jtcvs.2008.02.022.
9
Management of patent ductus arteriosus in preterm infants: clinical judgment might be a fair option.早产儿动脉导管未闭的管理:临床判断可能是一个合理的选择。
J Matern Fetal Neonatal Med. 2013 Dec;26(18):1850-4. doi: 10.3109/14767058.2013.801956. Epub 2013 Jun 10.
10
The effect of ductal diameter on surgical and medical closure of patent ductus arteriosus in preterm neonates: size matters.导管直径对早产儿动脉导管未闭手术及药物闭合的影响:尺寸很重要。
J Thorac Cardiovasc Surg. 2008 Jan;135(1):78-82. doi: 10.1016/j.jtcvs.2007.07.027.

引用本文的文献

1
Development of a Diagnostic Clinical Score for Hemodynamically Significant Patent Ductus Arteriosus.用于诊断血流动力学显著的动脉导管未闭的临床评分系统的开发。
Front Pediatr. 2017 Dec 22;5:280. doi: 10.3389/fped.2017.00280. eCollection 2017.
2
Paracetamol in Patent Ductus Arteriosus Treatment: Efficacious and Safe?对乙酰氨基酚用于动脉导管未闭治疗:有效且安全吗?
Biomed Res Int. 2017;2017:1438038. doi: 10.1155/2017/1438038. Epub 2017 Jul 30.
3
Medical closure of patent ductus arteriosus does not reduce mortality and development of bronchopulmonary dysplasia in preterm infants.
医学上对早产儿动脉导管未闭进行封堵并不能降低其死亡率和支气管肺发育不良的发生率。
J Res Med Sci. 2014 Nov;19(11):1074-9.
4
The timing of surgical ligation for patent ductus arteriosus is associated with neonatal morbidity in extremely preterm infants born at 23-25 weeks of gestation.对于妊娠23 - 25周出生的极早产儿,动脉导管未闭手术结扎的时机与新生儿发病率相关。
J Korean Med Sci. 2014 Apr;29(4):581-6. doi: 10.3346/jkms.2014.29.4.581. Epub 2014 Apr 1.
5
Should we definitively abandon prophylaxis for patent ductus arteriosus in preterm new-borns?我们是否应该明确放弃早产儿动脉导管未闭的预防性治疗?
Clinics (Sao Paulo). 2011;66(12):2141-9. doi: 10.1590/s1807-59322011001200022.