Kretschmer V, Biermann E, Loh H
Abteilung für Transfusionsmedizin und Gerinnungsphysiologie, Universitätsklinikum Marburg, FRG.
Beitr Infusionsther. 1990;26:65-70.
By the preparation of platelet concentrates (PC) from buffy coat (BC), the blood component separation may be improved considerably. One can use new bag systems with bottom and top drainage (BAT) which allow partial automation of the separation procedure. Thus, it is possible to produce very pure red cell concentrates (RCC) and FFP, as well as BC, by one separation step under well standardized conditions. Several preparative factors influence the quality of the PCs, especially the storage of the whole blood and the BC. Optimal yields (0.72-0.78 x 10(11) platelets), separation efficiency (67.7-70.8%) and lowest cell contamination (leukocytes 0.1-0.2 x 10(8), red cells 0.2-0.3 x 10(8) per concentrate) were obtained with whole blood stored for 1 h and BC for 2-4 h before resuspension by 30 min face-over-face-rotation. In respect to the release of leukocyte proteases during the storage, the BC should not rest for more than 2-3 h before separation of the platelets in order to prevent potentially functional impairment of the platelets by leukocyte proteases.
通过从 Buffy 层(BC)制备血小板浓缩物(PC),血液成分分离可得到显著改善。可以使用具有底部和顶部引流功能的新型袋式系统(BAT),这能使分离过程部分自动化。因此,在标准化条件下通过一步分离就有可能生产出非常纯净的红细胞浓缩物(RCC)、新鲜冰冻血浆(FFP)以及 Buffy 层(BC)。有几个制备因素会影响血小板浓缩物的质量,尤其是全血和 Buffy 层(BC)的储存。将全血储存 1 小时,Buffy 层(BC)在通过 30 分钟面对面旋转重悬前储存 2 - 4 小时,可获得最佳产量(0.72 - 0.78×10¹¹个血小板)、分离效率(67.7 - 70.8%)以及最低的细胞污染(每个浓缩物中白细胞 0.1 - 0.2×10⁸个,红细胞 0.2 - 0.3×10⁸个)。就储存期间白细胞蛋白酶的释放而言,在分离血小板之前,Buffy 层(BC)静置不应超过 2 - 3 小时,以防止白细胞蛋白酶对血小板潜在的功能损害。