Brune T, Hannemann-Pohl K, Nißle K, Ecker N, Garritsen H
University Children's Hospital, Gerhart-Hauptmann- Strasse 35, 39108 Magdeburg, Germany.
Adv Hematol. 2009;2009:175234. doi: 10.1155/2009/175234. Epub 2010 Feb 4.
Background. We developed a completely closed system based on gravity separation without centrifugation steps for separation of whole blood. With this new system we compared quality and stability of the processed blood components (PRC and plasma) with respect to classical preparation. Furthermore the cost-effectiveness of this hollow fibre system was evaluated. Study Design and Methods. Whole blood collections of 15 regular blood donors were used for component preparation using the U shaped hollow fibre filter device. Results were compared to 15 whole blood preparations using centrifugation. The following parameters were evaluated: total hemoglobin, leukocyte counts, the serum concentration of total protein, lactate dehydrogenase (LDH) and potassium. Furthermore ATIII, vWF and F VIII were analyzed at different timepoints. Results. packed red cells: the data directly after separation and after 42 days of storage are in line with the guidelines of the council of Europe. Plasma. all plasma quality data are in line with the guidelines of the council of Europe for quality assurance of plasma, except for a low protein amount (factor 0.75). Conclusion. Separation of whole blood on a clinical scale in this new closed system is feasible, however the plasma protein content must be optimized.
背景。我们开发了一种完全封闭的系统,该系统基于重力分离,无需离心步骤即可分离全血。使用这个新系统,我们将处理后的血液成分(红细胞悬液和血浆)的质量和稳定性与传统制备方法进行了比较。此外,还评估了这种中空纤维系统的成本效益。研究设计和方法。使用U形中空纤维过滤装置,对15名常规献血者的全血采集样本进行成分制备。将结果与15份采用离心法制备的全血样本进行比较。评估了以下参数:总血红蛋白、白细胞计数、血清总蛋白浓度、乳酸脱氢酶(LDH)和钾。此外,在不同时间点对抗凝血酶III(ATIII)、血管性血友病因子(vWF)和凝血因子VIII(F VIII)进行了分析。结果。红细胞悬液:分离后及储存42天后的数据符合欧洲委员会的指导方针。血浆。除蛋白含量较低(系数为0.75)外,所有血浆质量数据均符合欧洲委员会关于血浆质量保证的指导方针。结论。在这个新的封闭系统中进行临床规模的全血分离是可行的,然而血浆蛋白含量必须优化。