1Department
of Medicine, Hangzhou Zeo-Innov Life Technology CO., LTD., Hangzhou,
Zhejiang 310023,China
2Center
for Drug Safety Evaluation and Research of Zhejiang University,
College of Pharmaceutical Sciences, Zhejiang University, Hangzhou,
Zhejiang 310018,China;
3Clinical
pharmacy research center, The First Affiliated Hospital Zhejiang
University School of Medicine, Hangzhou, Zhejiang 310006, China;
4RD Department, Hangzhou DAC Biotechnology CO., LTD.
Hangzhou, Zhejiang 310027, China
*Corresponding author:Zhixiang Guo: 285609188@qq.com;
Xiaochun Yang: yangxiaochun@zju.edu.cn
Abstract
Uncontrolled
hemorrhage remains the leading cause of trauma-related death. The QuikClot is
the most popular hemostatic device; however, it also shows severe security
hidden dangers. This study aimed to evaluate the efficacy and safety of the
self-developed Zeolite Dressing in a rabbit model of hemorrhagic groin injury. A
complex hemorrhagic groin injury model was prepared in the right femoral artery
of 96 rabbits by lacerating at a half depth and a subsequent 30-second
spontaneous hemorrhage, and security was evaluated at the appointed time (1 and
3 weeks after operation). Experimental rabbits were randomly divided into four
groups (12 males and 12 females in each group), including sham-operated control
group without vascular injury (Con), standard gauze dressing (SD) group,
QuikClot (QC) group and Zeolite Dressing (ZD) group. Vascular suture operation
and postoperative debridement were thoroughly performed after hemostasis. The
results showed that bleeding times of QC and ZD groups were significantly
shorter than that of SD group (p<0.001), and there was non-significant
difference between QC and ZD groups. Similarly, total blood loss was
significantly reduced after the intervention of QC or ZD compared with SD group
(p<0.001). No obvious toxic reaction was recorded 3 weeks after the
treatment in both ZD and QC groups. A high wound temperature (maximum
temperature was 96.6±27.9°C) and the “cooked meat like” pathological changes in
the skin and muscle were only found in QC group. In conclusion, Zeolite Dressing
exhibited a commensurate power to stop bleeding with higher safety compared with
QuikClot, indicating that it is a practicable alternative for treating severe
hemorrhage.
To Cite This Article:
Qu Y, Lu J, Shentu J, Yang
X, Guo Z, 2023.
Protective effect of locally prepared hemostatic
dressing on hemorrhagic groin injury: Commensurate power to stop bleeding but
greater security. Pak Vet J, 43(3): 567-572. http://dx.doi.org/10.29261/pakvetj/2023.056