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�룞留κ�� 媛쒖〈利� (Patent Ductus Arteriosus ; PDA )
1)�젙�쓽
�깭�븘湲곗쓽 �룓�룞留κ낵 ����룞留� �궗�씠�쓽 �뿰(�룞留κ��)�씠 吏��냽�릺�뼱, 醫뚯슦痢〓줈�닠�씠 �삁�꽦�릺�뒗 寃�.
2)蹂묓깭�깮由�
- �깭�븘湲� �룞�븞, ���遺�遺꾩쓽 �슦�떖�떎 �삁�븸��� �룞留κ���뿉 �쓽�빐 湲곕뒫遺��쟾�씤 �룓瑜� 吏��굹吏� �븡怨� 痢↔컙�뿉 �쓽�빐 吏곸젒 �룓�룞留μ쑝濡쒕���꽣 ����룞留μ쑝濡� �닚�솚�븳�떎.
-異쒖깮 �썑, �샇�씉�쓽 �떆�옉怨� �븿猿� �룞留κ����� �븘�슂媛� �뾾�떎. �씠寃껋�� 異쒖깮 �썑 �닔�떆媛� �븞�뿉 湲곕뒫�쟻�쑝濡� �떕����졇�빞 �븯怨�, 異쒖깮 �썑 �닔二� �븞�뿉 �빐遺��븰�쟻�쑝濡� �떕����빞 �븳�떎.
- �룞留κ�� 踰쎌쓽 �뿰議곗쭅��� 異쒖깮 24�떆媛� �븞�뿉 �닔異뺥븳�떎.
- 異쒖깮 �썑 �닔二� �븞�뿉 �눜�뻾�꽦 蹂��솕媛� �씪�뼱�굹 �꽟�쑀�꽦 寃고빀議곗쭅�쑝濡� �맂�떎.
-�룞留κ���씠 媛쒖〈�긽�깭濡� �궓�븘�엳�뒗 寃쎌슦, �넂��� �븬�젰�쓣 媛�吏� 泥댁닚�솚�씠 �궛�솕�삁�븸(����룞留�0�씠 �룞留κ�� 媛쒖〈�쓣 �넻�빐 �궙��� �븬�젰�쓽 �룓�닚�솚(�룓�룞留�)�쑝濡� �쓲瑜몃떎.
-留먯큹 議곗쭅�뿉 �삁�븸�슂援щ웾�씠 遺��쓳�븯湲� �쐞�븯�뿬 �떖諛붿텧�웾�씠 利앷���븳�떎. 媛�利앸맂 �삁�븸�웾��� �룓�뿉 紐⑥뿬 寃곌뎅 醫뚯떖�옣�뿉 �쐞移섑븳�떎. (�씠蹂��솚�맂 �닚�솚�쓽 �쁺�뼢�쑝濡� 醫뚯떖諛⑹쓽 遺��떞利앷��, �룓�삁愿� �슱�삁�쓽 利앷��瑜� �굹����궃�떎.)
3)�엫�긽利앹긽
-利앹긽�씠 �뾾�쓣 �닔�룄 �엳�쑝硫� �슱�삁�꽦 �떖遺��쟾�쓣 蹂댁씪 �닔 �엳�떎.-
-湲곌퀎�냼由� 媛숈�� �듅吏뺤쟻�씤 �옟�쓬�씠 醫뚯슦怨⑥뿰 以묐�� �샊��� �긽遺��뿉�꽌 媛��옣 �옒 �뱾由곕떎. 留μ븬�씠 �꼻�뼱�졇 �엳�떎. �떖�옣鍮꾨��, �쎇�뒗 �벏�븳 留λ컯, 鍮덈㎘
4)移섎즺�쟻 愿�由�
�뾾�궡怨쇱쟻 移섎즺
indomethacin (prostaglandin �뼲�젣�젣 ) : 誘몄닕�븘 �룞留κ��媛쒖〈 �룓�뇙�뿉 �꽦怨듭쟻�씠�떎.
�쇅怨쇱쟻 寃곗넀 (�쁺�븘 珥덇린�뿉 �떎�떆 �븷 �닔 �엳�떎. �꽑�깮�쟻�쑝濡� 1~2�꽭 �븯湲곕룄 �븳�떎.
-媛쒖〈�븯�뒗 �삁愿��쓽 �쇅怨쇱쟻 遺꾪븷�씠�굹 寃곗같, �깉濡쒖슫 諛⑸쾿(VATS)�쑝濡� , 醫뚯륫�쓨遺��뿉 3媛쒖쓽 �옉��� �닔�닠遺��쐞瑜� �넻�빐 �룞留κ���쓣 寃곗같�븯�뒗 諛⑸쾿�씠 �궗�슜�맂�떎.
(�룓�뇙�꽦 �떖�옣�닔�닠濡� �씠猷⑥뼱吏�怨� ���(�깮�왂)
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1. KA Hallidie-smith. Prostagrandin E1 in suspected ducts dependent cardiac malformation. Archives of Disease in Childhood. 1984;59:1020-6
2. Aortic coarctation. In AR Castaneda, RA Jonas, JE Mayer, FL Hanley. Cardiac surgery of the neonate and infant. 1st ed. W.B. Sounders Company. 1994:333-52.
3. DA Schwengel, DG Nichols, DE Cameron. Coarctation of the aorta and interrupted aortic arch. In DG Nichols, DE Cameron, WJ Greeley, DG Lappe, RM Ungerleider, RG Wetzel. Critical heart disease in infants and children. 1st ed. Mosby, 1995:669-92
4. AP Rocchini. Coarctation of the aorta and interrupted aortic arch. In JH Moller, JE Hoffman. Pediatric cardiovascular medicine. 1st ed. Churchill and Livingstone 2000:567-93
5. CL Backer, C Mavroudies. Coarctation of the aorta. In C Mavroudies, CL Backer. Pediatric cardiac surgery. 3rd ed. Mosby. 251-72
6. RH Beekman �뀬. Coarctation of the aorta. In HD Allen, HP Gutgesell, EB Crark DJ Driscoll. Moss and Adams Heart disease in Infants, children, and adolescents including the fetus and young adult. 6th ed. Lippincott Williams & Wilkins. 2000:988-1010
7. J Brierley, N. Redington. Aortic coarctation and interrupted aortic arch. In RH Anderson, EJ Backer, FJ Macartney, ML Ringby, EA Shinebourne, M Tynan. Pediatric cardiology. 2nd ed. Churchill Livingstone. 2002:1523-57
8. MD Freed, MA Heymann, AB Lewis, SL Roehl, RC Kensey. Prostageandin E1 in infants with ducts arteriosus-dependent congenital heart disease. Circulation. 1981; 64:899-905
9. Interrupted aortic arch. In AR Castaneda, RA Jonas, JE Mayer, FL Hanley. Cardiac surgery of the neonate and infant. 1st ed. W.B. Sounders Company. 1994:353-62
10. RA Jonas. Interrupted aortic arch. In C Mavroudies, CL Backer. Pediatric cardiac surgery. 3rd ed. Mosby. 273-81
11. SC Nicolson, JM Steven, DR Jobes. Hypoplastc left heart syndrome. In DG Nichols, DE Cameron, WJ Greeley, DG Lappe, RM Ungerleider, RG Wetzel. Critical heart disease in infants and children. 1st ed. Mosby, 1995:853-83
12. RM Freedom, MD Black, LN Benson. Hypoplastc left heart syndrome. In HD Allen, HP Gutgesell, EB Crark DJ Driscoll. Moss and Adams Heart disease in Infants, children, and adolescents including the fetus and young adult. 6th ed. Lippincott Williams & Wilkins. 2000:1011-26
13. Hypoplastc left heart syndrome. In AR Castaneda, RA Jonas, JE Mayer, FL Hanley. Cardiac surgery of the neonate and infant. 1st ed. W.B. Sounders Company. 1994:363-84
14. RG Ohye, RS Mosca, EL Bove, CL Backer, C Mavroudis. Hypoplastc left heart syndrome. In C Mavroudies, CL Backer. Pediatric cardiac surgery. 3rd ed. Mosby. 251-72
15. A Rosenthal. Hypoplastc left heart syndrome. In JH Moller, JE Hoffman. Pediatric cardiovascular medicine. 1st ed. Churchill and Livingstone 2000:594-605
16. RD Dhillon, AN Redington. Hypoplastc left heart syndrome. In RH Anderson, EJ Backer, FJ Macartney, ML Ringby, EA Shinebourne, M Tynan. Pediatric cardiology. 2nd ed. Churchill Livingstone. 2002:1523-57
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