Gupta Ashish, Chandra Tulika, Kumar Ashutosh
Department of Transfusion Medicine and Blood Bank, Chhatrapati Shahuji Maharaj Medical University, Lucknow, Uttar Pradesh, India.
Asian J Transfus Sci. 2011 Jan;5(1):11-4. doi: 10.4103/0973-6247.75969.
Platelets are routinely isolated from whole blood and stored in plasma for 5 days. The present study was done to assess the in vitro function of random donor platelets stored for 7 days in composol platelet additive solution at 22°C.
The study sample included 30 blood donors of both sex in State Blood Bank, CSM Medical University, Lucknow. Random donor platelets were prepared by platelet rich plasma method. Whole blood (350 ml) was collected in anticoagulant Citrate Phosphate Dextrose Adenine triple blood bags. Random donor platelets were stored for 7 days at 22°C in platelet incubators and agitators, with and without additive solution.
Platelet swirling was present in all the units at 22°C on day 7, with no evidence of bacterial contamination. Comparison of the mean values of platelet count, platelet factor 3, lactate dehydrogenase, pH, glucose and platelet aggregation showed no significant difference in additive solution, whereas platelet factor 3, glucose and platelet aggregation showed significant difference (P < 0.001) on day 7 without additive solution at 22°C.
Our study infers that platelet viability and aggregation were best maintained within normal levels on day 7of storage in platelet additive solution at 22°C. Thus, we may conclude that in vitro storage of random donor platelets with an extended shelf life of 7 days using platelet additive solution may be advocated to improve the inventory of platelets.
血小板通常从全血中分离出来,并在血浆中储存5天。本研究旨在评估在22°C下于复方血小板添加剂溶液中储存7天的随机供体血小板的体外功能。
研究样本包括勒克瑙CSM医学院国家血库的30名男女献血者。采用富血小板血浆法制备随机供体血小板。将350毫升全血收集到含抗凝剂枸橼酸盐-磷酸盐-葡萄糖-腺嘌呤的三联血袋中。随机供体血小板在22°C的血小板培养箱和搅拌器中储存7天,分别添加和不添加添加剂溶液。
在第7天,所有单位的血小板均有漩涡现象,且无细菌污染迹象。血小板计数、血小板因子3、乳酸脱氢酶、pH值、葡萄糖和血小板聚集的平均值比较显示,添加剂溶液组无显著差异,而在22°C不添加添加剂溶液的情况下,第7天血小板因子3、葡萄糖和血小板聚集有显著差异(P<0.001)。
我们的研究推断,在22°C下于血小板添加剂溶液中储存7天时,血小板活力和聚集性最佳地维持在正常水平。因此,我们可以得出结论,使用血小板添加剂溶液体外储存随机供体血小板,延长保质期至7天,可能有助于改善血小板库存。