Aulmann M, Ullrich R, Iber B, Neppert J
DRK-Blutspendezentrale Mannheim, BRD.
Beitr Infusionsther. 1992;30:122-6.
PRP methods for production of WBC-poor red blood cell (RBCC) and platelet concentrates (PC) are investigated using top-and-bottom bags and Optipress separators. A standard centrifugation method (profile A) and 2 methods (profiles B and C) for a computer run centrifugation using 21 (profile B) or 19 (profile C) varying time segments and g numbers. An MS-DOS-compatible personal computer runs a Cryofuge 6000. 500 ml fresh whole blood are collected in triple and/or quadruple top-and-bottom blood bags. Samples of 163 blood donors, 163 RBCCs and 161 PCs are analyzed by a Coulter Counter T 540. Blood smears of 5 RBCCs made by profile B are evaluated. Mean WBC contamination of RBCCs produced by profiles A, B and C is found to be lower than 5 x 10(8)/RBCC. None of the 5 blood smears can be counted out completely. The full number of 100 WBCs is not detected. All WBCs found are polymorphous nuclear cells. Mononuclear cells (MNC) are not evident. PCs produced by profile B contain a mean platelet yield of (76.4 +/- 21.2) x 10(9)/PC and a WBC contamination of (1.2 +/- 0.7) x 10(7)/PC. The PCs of profile B differ significantly (p < 0.001) from those of profile A and profile C. The results show a high quality of RBCC and PC produced by PRP methods using top-and-bottom blood bags and Optipress separators. Employing a computer run centrifuge, PC and RBCC contain a similar WBC contamination compared with concentrates produced by buffy coat methods.(ABSTRACT TRUNCATED AT 250 WORDS)
采用顶底袋和Optipress分离器研究了制备少白细胞红细胞(RBCC)和血小板浓缩物(PC)的富血小板血浆(PRP)方法。一种标准离心方法(方案A)以及两种计算机控制离心方法(方案B和C),方案B使用21个、方案C使用19个不同的时间段和离心力数值。一台与MS-DOS兼容的个人计算机运行一台Cryofuge 6000离心机。在三联和/或四联顶底血袋中采集500毫升新鲜全血。用库尔特计数器T 540对163名献血者的样本、163份RBCC和161份PC进行分析。对方案B制备的5份RBCC血涂片进行评估。发现方案A、B和C制备的RBCC的平均白细胞污染低于5×10⁸/RBCC。5份血涂片中没有一份能完全计数。未检测到100个白细胞的完整数量。发现的所有白细胞均为多形核细胞。单核细胞(MNC)不明显。方案B制备的PC的平均血小板产量为(76.4±21.2)×10⁹/PC,白细胞污染为(1.2±0.7)×10⁷/PC。方案B的PC与方案A和方案C的PC有显著差异(p<0.001)。结果表明,使用顶底血袋和Optipress分离器的PRP方法制备的RBCC和PC质量很高。与采用白膜层法制备的浓缩物相比,使用计算机控制离心机时,PC和RBCC的白细胞污染相似。(摘要截短于250字)