Mädler J
Bezirksblutspendezentrale Zwickau.
Z Gesamte Inn Med. 1990 Jul 15;45(14):406-10.
Concentrates of erythrocytes without buffy coat, re-suspended in a newly developed electrolyte-containing re-suspension solution (SAG-S) poor in saccharose (30 mmol/l) are in vitro compared with commercial CDS-AG RCC. In the equivalence of biochemical parameters complex-haematological indicators show a significantly improved maintenance of the cell integrity in the new preparation of blood constituents up to a storage time of 35 days. By means of an in-vitro-technique we calculated for these SAG-S-erythrocytes a post-transfusional survival rate of 74%. In contrast to this the in-vivo survival rate for 20-day-old CDS-AG-cells was only 65% In the practically equivalent content of erythrocytes the preparations differ as to their purity. The saccharose concentration of 200 mmol/l presented in the CDS-AG medium has, as it is made evident, a stabilizing effect on the leukocytes, i.e. it is retarding the time-dependent WBC-destruction. The results of the clinical test step III confirm a good tolerability of the SAG-S RCC. By lacking possibilities of the comparison of equivalent (produced under the same preparation and storage conditions) concentrates of erythrocytes the higher transfusion efficiency of the SAG-S concentrates of erythrocytes to be expected could not be verified.
将不含白细胞层的红细胞浓缩物重悬于新开发的含电解质的蔗糖含量低(30 mmol/l)的重悬溶液(SAG-S)中,并在体外与市售的CDS-AG红细胞悬液进行比较。在生化参数等效的情况下,复杂血液学指标显示,在长达35天的储存时间内,新制备的血液成分中细胞完整性的维持情况有显著改善。通过体外技术,我们计算出这些SAG-S红细胞的输血后存活率为74%。相比之下,20日龄的CDS-AG细胞的体内存活率仅为65%。在红细胞实际含量相当的情况下,这些制剂在纯度方面存在差异。CDS-AG培养基中200 mmol/l的蔗糖浓度显然对白细胞有稳定作用,即它延缓了白细胞随时间的破坏。临床试验第三步的结果证实了SAG-S红细胞悬液具有良好的耐受性。由于缺乏对等效(在相同制备和储存条件下生产)红细胞浓缩物进行比较的可能性,预期的SAG-S红细胞浓缩物更高的输血效率无法得到验证。