Prothrombin complex concentrate carrying anionic lipid-coated microbubbles enhanced therapeutic ultrasound in hemostatic treatment for renal trauma in rabbits models
10.13929/j.1003-3289.201606076
- VernacularTitle:携带凝血酶原复合物的阴离子脂膜微泡造影剂联合超声治疗对兔肾创伤性出血模型的止血效果
- Author:
Wei QIAO
;
Li YANG
;
Shengli QIAN
;
Yan LI
;
Jun ZHANG
;
Muxiu ZHOU
;
Zheng LIU
- Keywords:
Ultrasonic therapy;
Contrast media;
Renal trauma;
Hemostasis
- From:
Chinese Journal of Medical Imaging Technology
2017;33(4):494-498
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the hemostatic effects of prothrombin complex concentrate carrying anionic lipid coated microbubbles (PCCMB) enhanced therapeutic ultrasound for renal trauma in rabbits models.Methods Twenty-four healthy New Zealand rabbits were randomly divided into three groups (each n=8),including simple therapeutic ultrasound group (US group),simple PCCMB injection group (SHAM group) and PCCMB injection combined with therapeutic ultrasound group (PCCMB+US group).Visual bleeding score and 10-min bleeding volume were evaluated for hemostatic efficacy.CEUS was used to assess the kidney perfusion in SHAM and PCCMB+US groups before therapeutic ultrasound,immediately and 60 min after therapeutic ultrasound.And CEUS was performed on US group 60 min after therapeutic ultrasound.The acoustic peak intensity (PI) of kidney in rabbit was measured.Results The treatment was successfully completed in all the experimental rabbits.The bleeding scores and the 10-min hemorrhagic volumes decreased significantly in PCCMB+US group compared with the other two groups (both P<0.05).After therapeutic ultrasound,visual bleeding score of PCCMB+US group was respectively lower than that of US group and SHAM group (both P< 0.05).In PCCMB+ US group,PI obtained immediately and 60 min after therapeutic ultrasound were higher than that obtained before therapeutic ultrasound (both P<0.05).There was no significant difference of PI before and after therapeutic ultrasound in US and SHAM groups (all P>0.05).Conclusion PCCMB enhanced therapeutic ultrasound provides an effective way for renal trauma in rabbits.