Garcia Alejandro V, Lukish Jeffrey
Department of Surgery, Division of Pediatric Surgery, Johns Hopkins University, 1800 Orleans Street, Bloomberg Building Suite 7310, Baltimore, MD 21287, USA.
Department of Surgery, Division of Pediatric Surgery, Johns Hopkins University, 1800 Orleans Street, Bloomberg Building Suite 7310, Baltimore, MD 21287, USA.
Clin Perinatol. 2017 Dec;44(4):763-771. doi: 10.1016/j.clp.2017.08.010. Epub 2017 Sep 20.
A patent ductus arteriosus is a common condition, particularly in premature infants. Many spontaneously resolve but those that lead to clinical instability require closure. Conservative measures can be highly successful in selected groups. Surgical repair is effective and both open and minimally invasive approaches can be used. The minimally invasive approach may result in less long-term morbidity from a thoracotomy and may prove advantageous for these fragile infants, including less pain, shorter time on the ventilator, and shorter hospital stays.
动脉导管未闭是一种常见病症,尤其是在早产儿中。许多病例可自行缓解,但那些导致临床不稳定的病例则需要进行闭合处理。保守措施在特定群体中可能非常成功。手术修复是有效的,可采用开放手术和微创手术两种方法。微创手术可能会减少开胸手术带来的长期发病率,对于这些脆弱的婴儿可能具有优势,包括疼痛减轻、呼吸机使用时间缩短和住院时间缩短。