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在具有较高透氧性的聚烯烃容器中血小板储存期的延长改善。

Improved extension of platelet storage in a polyolefin container with higher oxygen permeability.

作者信息

Yuasa Takeshi, Ohto Hitoshi, Yasunaga Reiko, Kai Takanori, Shirahama Noriaki, Ogata Takashi

机构信息

Division of Blood Transfusion and Transplantation Immunology, Fukushima Medical University School of Medicine, Fukushima, Japan.

出版信息

Br J Haematol. 2004 Jul;126(1):153-9. doi: 10.1111/j.1365-2141.2004.04994.x.

Abstract

This study evaluated a newly developed polyolefin bag, which has a 50%/m(2) higher oxygen permeability to extend the shelf-life of platelets. Single-donor aphaeresis platelets were pooled, separated equally into two bags, PO-80 (0.8 l capacity) and KBP-PO (1 l capacity) for control, and stored in plasma for up to 7 d. Platelet biochemical and functional parameters were monitored in bags containing high (4.2 x 10(11)/250 ml/bag, n = 9) and low (2.0 x 10(11)/200 ml/bag, n = 3) concentrations of platelets over the storage period. After 7 d of storage, the PO-80 bags containing high concentrations of platelets had a better pH (mean pH 6.74) than those stored in KBP-PO (pH 6.32, P < 0.01); none of the nine PO-80 bags with a high platelet concentration had a pH below 6.2, compared with four of nine controls (P < 0.05). Similarly, lactate values were 20.19 mmol/l and 28.09 mmol/l respectively (P < 0.05). Aerobic metabolism was maintained better with greater O(2) consumption and less lactate generation in high-platelet concentration PO-80 bags than in the control bags. A significant difference was also found in pH, pCO(2) and lactate levels between the two bags containing low concentrations of platelets during the 7-d period. The in vitro characteristics of platelets declined less over 7 d when stored in a higher oxygen permeable container than in a marketed bag.

摘要

本研究评估了一种新开发的聚烯烃袋,其氧气透过率高50%/m²,用于延长血小板的保质期。将单采血小板汇集后,平均分成两袋,分别为PO - 80(容量0.8升)和KBP - PO(容量1升)作为对照,置于血浆中储存长达7天。在储存期间,对含有高浓度(4.2×10¹¹/250 ml/袋,n = 9)和低浓度(2.0×10¹¹/200 ml/袋,n = 3)血小板的袋子中的血小板生化和功能参数进行监测。储存7天后,含有高浓度血小板的PO - 80袋的pH值(平均pH 6.74)优于储存在KBP - PO袋中的血小板(pH 6.32,P < 0.01);9个高血小板浓度的PO - 80袋中无一袋的pH值低于6.2,而9个对照袋中有4个(P < 0.05)。同样,乳酸值分别为20.19 mmol/l和28.09 mmol/l(P < 0.05)。与对照袋相比,高血小板浓度的PO - 80袋中通过更多的氧气消耗和更少的乳酸生成更好地维持了有氧代谢。在7天期间,含有低浓度血小板的两袋之间在pH、pCO₂和乳酸水平上也发现了显著差异。当储存在氧气透过率更高的容器中时,血小板的体外特性在7天内下降程度小于市售袋。

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