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[犬血小板浓缩物储存后的变化。I. 体外功能中的血小板计数]

[Changes in platelet concentrates from dogs due to storage. I. Platelet count in in vitro function].

作者信息

Klein A, Adamik A, Mischke R

机构信息

Klinik für kleine Haustiere, Tierärztlichen Hochschule Hannover.

出版信息

Berl Munch Tierarztl Wochenschr. 1999 Jun-Jul;112(6-7):243-53.

Abstract

The possibility of storage of canine platelet concentrates (PC) was investigated using PC from dogs which were obtained with an automatic cell separator in C4-cell separation sets with low gasdiffusionable Polyvinylchlorid (PVC) storage containers or in C4L-sets developed for storage with high gasdiffusionable Polyolefin (PO) containers, respectively. The storage was carried out for a period of 10 days under permanent agitation at 22 degrees C (C4/22 degrees C, n = 10; C4L/22 degrees C, n = 11) or at 4 degrees C (C4L/4 degrees C, n = 6), respectively. Measurements were done directly after production of the PC, after 6 hours and then daily during the 10-day storage period. In the first part of this paper the results of platelet count (determined automatically with a blood cell differentiation automat and visually), the number of platelet aggregates, the mean platelet volume (MPV) as well as the platelet function with regard to the platelet aggregation induced by collagen or ADP and the resonance-thrombogram (RTG) are presented. The platelet count, measured automatically as well as visually, remained preponderantly constant over the complete storage time in all storage conditions. Dependent on the storage conditions--especially under storage at 22 degrees C--an increase of the number of platelet aggregates and a decrease of MPV was determined. In addition, the loss of platelet function measured by aggregation induced by collagen as well as by ADP showed a significant dependency of storage conditions. The stored platelets lost their ability to aggregate under C4/22 degrees C-conditions after a storage period of 2 days, under C4L/22 degrees C-conditions after 4 days and under C4L/4 degrees C-conditions not before 8 days of storage. Previous resuspending of platelets in fresh plasma delayed the loss of platelet function. Because the loss of platelet function described in the RTG became significant at nearly the same point in time, a storage of canine PC under corresponding conditions can be recommended for upto 2 days (C4/22 degrees C), for 4 days (C4L/22 degrees C) or 8-10 days (C4L/4 degrees C), respectively.

摘要

利用分别采用低气体扩散性聚氯乙烯(PVC)储存容器的C4细胞分离套装或为使用高气体扩散性聚烯烃(PO)容器储存而研发的C4L套装中的自动细胞分离器从犬类获取的血小板浓缩物(PC),对犬类PC的储存可能性进行了研究。储存分别在22℃持续搅拌条件下进行10天(C4/22℃,n = 10;C4L/22℃,n = 11)或在4℃(C4L/4℃,n = 6)。在PC制备后、6小时后以及随后10天储存期内每天进行测量。在本文的第一部分,呈现了血小板计数(通过血细胞分化自动分析仪自动测定以及目视测定)、血小板聚集体数量、平均血小板体积(MPV)以及关于胶原蛋白或ADP诱导的血小板聚集和共振血栓图(RTG)的血小板功能的结果。在所有储存条件下,自动测量以及目视测量的血小板计数在整个储存期内大多保持恒定。取决于储存条件——尤其是在22℃储存时——血小板聚集体数量增加且MPV降低。此外,通过胶原蛋白以及ADP诱导的聚集测量的血小板功能丧失显示出对储存条件的显著依赖性。储存的血小板在C4/22℃条件下储存2天后、在C4L/22℃条件下储存4天后以及在C4L/4℃条件下储存8天之前均丧失聚集能力。先前将血小板重新悬浮于新鲜血浆中可延迟血小板功能丧失。由于RTG中描述的血小板功能丧失在几乎相同时间点变得显著,因此建议在相应条件下将犬类PC分别储存最多2天(C4/22℃)、4天(C4L/22℃)或8 - 10天(C4L/4℃)。

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