Confusion and rethinking in management of arterial ductus arteriosus in preterm infants

doi:10.3877/cma.j.issn.1673-5250.2024.06.001

Patent ductus arteriosus（PDA）is a common complication in premature infants.The questions of whether to close it，when to close it，and how to close it have been the focal point of debate in the field of neonatology.Based on the monograph "Confusion andThinking in the Management of Patent Ductus Arteriosus in Preterm Infants"written in 2016，the authors intend to give an overview of the classification of PDA in premature infants and the overall trend of PDA management strategies in premature infants，the main current treatment methods for PDA in premature infants，and the indications for active clinical measures to close hemodynamically significant PDA （Hs-PDA）.Combined with the current research progress at home and abroad，the author further discusses the confusion in the management of PDA in premature infants after rethinking，aiming to be helpful for the clinical practice of PDA in premature infants.

Key words: Ductus arteriosus，patent, Hemodynamically significant patent ductus arteriosus, Practice management，medical, Intervention studies, Thinking, Bronchopulmonary dysplasia, Conservative treatment, Infant，newborn

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