Dietrich K, Dietrich G, Kretschmer V, Eckle R, Heins M
Klinikum Marburg, Abteilung Transfusionsmedizin und Gerinnungsphysiologie, BRD.
Beitr Infusionsther. 1992;30:162-5.
Buffy coat-free red cell concentrates in SAG-M (RCC) were produced by BAT system (leukocyte content 132 x 10(6)/RCC). They were stored for 4 weeks and filtered by Erypur Optima (E), Sepacell R 500 B (S) und PALL RC 50 TM (P). Leukocyte depletion was very effective (E: 0.56 x 10(6)/RCC; S: 0.36 x 10(6)/RCC; P: 0.55 x 10(6)/RCC) but hemolysis was remarkable (E: 301 +/- 195; S: 127 +/- 123; P: 368 +/- 256 mg/RCC). Therefore preparation of two RCC per filter was only acceptable with S. In S and P loss of red cells was tolerable (E: 90.5; S. 41.8; P: 38.2). In contrast, E should be rinsed with sodium chloride at the end of the preparation. In E and S filtration times were short without additional pressure (E: 6.6 min; S: 4.7 min; P: 20.3 min). We conclude from our results that the use of buffy coat-free red cell concentrates in additive solution considerably reduces the problems of filtration, e.g. storage interval, leukocyte reduction, hemolysis, filtration flow. Despite this, bedside filtration is not recommended because quality assurance is necessary.
采用BAT系统制备了SAG-M(红细胞悬液)中无白细胞层的红细胞浓缩液(RCC)(白细胞含量为132×10⁶/RCC)。将其储存4周后,用Erypur Optima(E)、Sepacell R 500 B(S)和PALL RC 50 TM(P)进行过滤。白细胞去除效果非常显著(E:0.56×10⁶/RCC;S:0.36×10⁶/RCC;P:0.55×10⁶/RCC),但溶血现象明显(E:301±195;S:127±123;P:368±256mg/RCC)。因此,每个过滤器制备两份RCC仅在使用S时可接受。在S和P中,红细胞损失是可耐受的(E:90.5;S:41.8;P:38.2)。相比之下,在制备结束时E应用氯化钠冲洗。在E和S中,无需额外加压过滤时间较短(E:6.6分钟;S:4.7分钟;P:20.3分钟)。我们从结果中得出结论,在添加剂溶液中使用无白细胞层的红细胞浓缩液可显著减少过滤问题,如储存间隔、白细胞去除、溶血、过滤流量等。尽管如此,不建议进行床边过滤,因为质量保证是必要的。