Patent ductus arteriosus
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Premature newborns with gestational aged 1.4; or flow reversal in the descending aorta; or ductus arteriosus diameter >= 1.5 mm); clinical manifestations: (1) Systolic or continuous murmur heard at the left sternal border; (2) Increased precordial pulsation; (3) Corrigans pulse or widened pulse pressure (> 25 mmHg); (4) Heart rate > 160/min at rest; (5) Increased need for respiratory support; 4. If premature newborns are one of multiple births, select one who meet the inclusion criteria; 5. Legal guardians agree to participate and voluntarily sign the informed consent form.
Exclusion criteria
Exclusion criteria: 1. Have a history of allergy to the active substance or any excipients of this product; 2. Life-threatening infections, such as sepsis, septic shock; 3. Grade III and above intracranial hemorrhage or advanced intracranial hemorrhage, active gastrointestinal bleeding; 4. Thrombocytopenia (= 1.8 mg/dL, ALT and AST greater than 2 times the normal value), including severe hyperbilirubinemia requiring exchange transfusion,oliguria or anuria (urine volume < 0.6 mL/kg/hr); 7. Ductus arteriosus dependent systemic/pulmonary circulation congenital heart disease; 8. Ongoing treatment of persistent pulmonary hypertension; 9. Known or suspected necrotizing enterocolitis; 10. Major congenital malformations and/or chromosomal abnormalities; 11. NSAIDs are used prenatally in pregnant women within 72 hours prior to delivery; 12. Premature infants have used NSAIDs or glucocorticoids after birth; 13. Expected survival of preterm infants < 48 hours in the opinion of the investigator; 14. Premature newborns are one of multiple births, and other sibling has been enrolled; 15. Other situations not suitable for participation in the investigator's opinion
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Closure rate of ductus arteriosus in all neonates;Proportion of neonates receiving the second course of treatment;Proportion of neonates requiring surgery or other treatment; | — |
Countries
China
Contacts
West China Second Hospital, Sichuan University