中国实用儿科杂志2026，Vol.41Issue(8)：631-636,6.DOI:10.19538/j.ek2026080603
基于美国儿科学会早产儿动脉导管未闭管理策略对中国临床实践的思考
Reflections on clinical practice in China based on the American Academy of Pediatrics strategy for the management of patent ductus arteriosus in preterm infants
摘要
Abstract
Patent ductus arteriosus(PDA)is one of the most common congenital cardiovascular structural abnormalities in preterm infants,and its incidence is significantly negatively correlated with gestational age.Despite the continuous updates of evidence and international guidelines in recent years,there are still differences in PDA assessment criteria,hemodynamic assessment capabilities,selection of treatment timing,and implementation pathways of expectant management among different regions and different levels of hospitals in China.In May 2025,the American Academy of Pediatrics(AAP)released"Patent Ductus Arteriosus in Preterm Infants:A Clinical Report from the American Academy of Pediatrics for Pediatricians."Based on existing research evidence and professional knowledge,this report puts forward clear recommendations for the evaluation and management process of patent ductus arteriosus in preterm infants.This article discusses and supplements this report from the perspective of clinical practice in China,aiming to provide more operational clinical guidance for neonatologists in China.关键词
动脉导管未闭/早产儿/管理策略/临床实践Key words
patent ductus arteriosus/preterm infant/management strategies/clinical practice分类
医药卫生引用本文复制引用
悦光,郑明升,史源..基于美国儿科学会早产儿动脉导管未闭管理策略对中国临床实践的思考[J].中国实用儿科杂志,2026,41(8):631-636,6.基金项目
国家重点研发计划(2022YFC2704802) （2022YFC2704802）
重庆医科大学附属儿童医院登峰项目(CHCMU-2024-XKDF-1002) （CHCMU-2024-XKDF-1002）
