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[两种白细胞去除在线滤器对全血过滤效率的影响]

[The effect of two leukocyte depletion in-line filters on the efficiency of whole blood filtration].

作者信息

Xie Rufeng, Li Yun, Huang Yuwen, Mo Qing, Dai Yongchao, Tang Weilong

机构信息

Shanghai Blood Center, Shanghai 200051, China.

出版信息

Sheng Wu Yi Xue Gong Cheng Xue Za Zhi. 2007 Aug;24(4):817-9.

Abstract

The aim of this study was to observe the difference in respect to the leukocyte reduction efficiency and quality of fresh-frozen plasma (FFP) from filtered whole blood between two types of in-line filters wherein only filter materials were surface modified by the two methods respectively. Whole blood was kept in refrigerator and filtered within 6 h of collection at ambient temperature. Samples were taken pre- and post filtration for analysis of WBC numbers, coagulation factors and complement activation (n = 8 for each type of filter). All filtered units contained < 2. 5 x 10(6) residual leucocytes. RBCs recovery was over 93%. No significant difference between group A and B was seen. But group B appeared to take longer time for filtration than did group A (9'29" vs. 8'01"). Neither group A nor group B showed statistically significant losses of total protein, album, IgG, IgM, fibrin, factors VIII, IX, vWF and C3 (P > 0.05). Factor V, XI and AT-III decreased significantly in two group filters. Group B showed more significant losses of IgA content and factor V activity than did group A, which appeared to be related to the difference in surface character between group A and group B filters. These two types of filters could remove leukocytes effectively, and no significant changes were observed in the quality of FFP from the filtered whole blood. It is presumed that the filter material with better bio-compatibility will give a high recovery of plasma protein and coagulation factors after filtration.

摘要

本研究的目的是观察两种在线过滤器在白细胞去除效率以及过滤全血所得新鲜冰冻血浆(FFP)质量方面的差异,这两种过滤器仅滤材分别采用两种方法进行了表面改性。全血保存在冰箱中,并在采集后6小时内于室温下进行过滤。在过滤前后取样,分析白细胞数量、凝血因子和补体激活情况(每种过滤器n = 8)。所有过滤后的单位残留白细胞均<2.5×10⁶。红细胞回收率超过93%。A组和B组之间未见显著差异。但B组过滤所需时间似乎比A组长(9分29秒对8分01秒)。A组和B组的总蛋白、白蛋白、IgG、IgM、纤维蛋白、因子VIII、IX、vWF和C3均未显示出统计学上的显著损失(P>0.05)。两组过滤器中的因子V、XI和抗凝血酶III均显著下降。B组的IgA含量和因子V活性损失比A组更显著,这似乎与A组和B组过滤器表面特性的差异有关。这两种过滤器均可有效去除白细胞,过滤全血所得FFP的质量未观察到显著变化。据推测,生物相容性更好的滤材在过滤后血浆蛋白和凝血因子的回收率更高。

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