Högman C F
Department of Clinical Immunology and Transfusion Medicine, University Hospital, Uppsala, Sweden.
Vox Sang. 1999;76(2):67-77. doi: 10.1159/000031023.
Blood transfusion in a modern sense means the transfusion of red cells, when necessary supplemented by other components. The demand for plasma and plasma fractions and for platelets for therapeutic use has had an influence on the technique for preparing red cells. Automated devices have made it possible to perform collection as well as separation under more standardized conditions. Improved techniques for storage of red cells have prolonged the shelf life somewhat but most of the available methods disregard the rapid loss of 2,3-diphosphoglycerate and the accompanying increase in oxygen affinity. Methods are available which reduce the number of contaminating leukocytes to low levels, but information is still incomplete as to the degree of depletion actually needed.
现代意义上的输血是指输注红细胞,必要时补充其他成分。对血浆、血浆成分以及治疗用血小板的需求影响了红细胞的制备技术。自动化设备使在更标准化的条件下进行采集和分离成为可能。改进的红细胞储存技术在一定程度上延长了保存期限,但大多数现有方法忽略了2,3-二磷酸甘油酸的快速流失以及随之而来的氧亲和力增加。有方法可将污染白细胞的数量降低到低水平,但关于实际所需的去除程度的信息仍然不完整。