动脉导管未闭的管理--从证据到实践。

IF 2.9 3区医学 Q1 PEDIATRICS

Seminars in Fetal & Neonatal Medicine Pub Date : 2024-12-01 Epub Date: 2024-11-12 DOI:10.1016/j.siny.2024.101565

Samir Gupta, Steven M Donn

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引用次数: 0

摘要

在过去的 50 年中，动脉导管未闭（PDA）一直是全世界争论的热点话题，人们一直在寻找最佳的治疗方法，并对是否治疗 PDA 持不确定态度。随着床旁超声心动图的普及以及越来越多的新生儿科医生掌握了这一技能，一方面，人们对 PDA 在过渡循环期间的生理机能有了更好的了解，管理也更加客观，但另一方面，临床医生对其对健康的益处并不确定。最近利用床旁超声心动图指导早期选择性治疗的试验所提供的证据，即使不能解答如何处理 PDA 的问题，也应有助于消除一些迷思。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Management of patent ductus arteriosus - Evidence to practice.

Over the past last 50 years, patent ductus arteriosus (PDA) continues to be the leading hot topic debated worldwide in search of best treatment approach and the uncertainty around whether to treat or not treat a PDA. With the availability of bedside echocardiography and the increasing number of neonatologists acquiring this skill, on one hand there is better understanding of PDA physiology during transitional circulation and objectivity in management, but on the other hand clinicians are uncertain about benefits in health outcomes. Evidence from recent trials utilizing early selective treatment guided by bedside echocardiography should help in dispelling some myths if not providing the answer about how to manage the PDA.

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来源期刊

Seminars in Fetal & Neonatal Medicine 医学-小儿科

CiteScore

6.40

自引率

3.30%

发文量

审稿时长

6-12 weeks

期刊介绍： Seminars in Fetal & Neonatal Medicine (formerly Seminars in Neonatology) is a bi-monthly journal which publishes topic-based issues, including current ''Hot Topics'' on the latest advances in fetal and neonatal medicine. The Journal is of interest to obstetricians and maternal-fetal medicine specialists. The Journal commissions review-based content covering current clinical opinion on the care and treatment of the pregnant patient and the neonate and draws on the necessary specialist knowledge, including that of the pediatric pulmonologist, the pediatric infectious disease specialist, the surgeon, as well as the general pediatrician and obstetrician. Each topic-based issue is edited by an authority in their field and contains 8-10 articles. Seminars in Fetal & Neonatal Medicine provides: • Coverage of major developments in neonatal care; • Value to practising neonatologists, consultant and trainee pediatricians, obstetricians, midwives and fetal medicine specialists wishing to extend their knowledge in this field; • Up-to-date information in an attractive and relevant format.