Moog R
Institute for Transfusion Medicine, University Clinic Essen, Essen, Germany.
J Clin Apher. 2002;17(4):199-203. doi: 10.1002/jca.10040.
White blood cell (WBC)-reduced single donor platelet concentrates (SDPs) can be collected by most cell separators. WBC reduction can be achieved directly during plateletpheresis or by filtration. Continuous filtration with low filtration rates provides SDPs of good purity. To compensate the platelet (PLT) loss due to filtration, the PLT yield in the unfiltered primary product should be optimal. Fifty donors underwent plateletpheresis with the MCS+ blood cell separator (Haemonetics) with the new Fuji surge technique and continuous WBC filtration. Twelve SDPs were analysed for PLT yield, red blood cells (RBC), WBC, and pH after collection (Day 0) and at the end of storage (Day 5). Thereafter, further 38 SDPs were measured for PLT and WBC content in routine production at Day 0. PLT were determined electronically, RBC and WBC were counted manually (Neubauer and Nageotte chamber, respectively). For pH measurement, a pH-meter was used. Mean blood volume processed was 2621 +/- 112 ml in a donation time of 76 +/- 10 min. An average PLT yield of 3.45 +/- 0.88 x 10(11) was collected in a product volume of 325 +/- 77 ml. The collection efficiency was 60.0 +/- 5.5%. WBC contamination of all units tested was 0.046 +/- 0.059 x 10(6) and the RBC content of the SDPs analysed at Day 0 was 0.014 +/- 0.003 x 10(9). The pH was well maintained over the storage period of 5 days. The data indicate that Fuji surge technique and continuous in-line leukocyte filtration allow for the collection of SDPs with high platelet yield and low leukocyte contamination, meeting the Council of Europe quality standards.
大多数血细胞分离机都可以采集白细胞(WBC)减少的单采血小板浓缩物(SDP)。白细胞减少可在血小板单采过程中直接实现,也可通过过滤实现。采用低过滤速率的连续过滤可提供纯度良好的SDP。为补偿过滤导致的血小板(PLT)损失,未过滤的初级产品中的血小板产量应达到最佳。50名供体使用配备新型富士浪涌技术和连续白细胞过滤功能的MCS+血细胞分离机(Haemonetics公司)进行了血小板单采。采集后第0天和储存期结束时第5天,对12份SDP进行了血小板产量、红细胞(RBC)、白细胞和pH值分析。此后,在第0天的常规生产中,又对另外38份SDP进行了血小板和白细胞含量测定。血小板通过电子方式测定,红细胞和白细胞分别通过手工计数(分别使用Neubauer计数板和Nageotte计数板)。pH值测量使用pH计。平均处理血量为2621±112 ml,献血时间为76±10分钟。在325±77 ml的产品体积中,平均采集到的血小板产量为3.45±0.88×10¹¹。采集效率为60.0±5.5%。所有检测单位的白细胞污染为0.046±0.059×10⁶,第0天分析的SDP中的红细胞含量为0.014±0.003×10⁹。在5天的储存期内,pH值保持良好。数据表明,富士浪涌技术和连续在线白细胞过滤能够采集到血小板产量高、白细胞污染低的SDP,符合欧洲委员会的质量标准。