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血小板浓缩物中的非侵入性 pH 监测。

Noninvasive pH Monitoring in Platelet Concentrates.

机构信息

DRK-Blutspendedienst NSTOB, Institut Bremen-Oldenburg, Oldenburg, Springe, Germany.

出版信息

Transfus Med Hemother. 2013 Apr;40(2):88-92. doi: 10.1159/000350220. Epub 2013 Mar 14.

Abstract

BACKGROUND

New technology introduces the option to measure pH in platelet concentrates noninvasively. Findings that in one out of 25 apheresis concentrates the pH decreased significantly during storage motivated us to evaluate apheresis concentrates from 307 platelet donors.

METHODS

Small (15 ml) BSCI storage containers for noninvasive pH measurement were used in parallel with Fenwal PL2400 bags for storage of 5 days. Noninvasive pH measurement was compared to pH determination in samples from the storage container. Decrease of pH during storage was calculated as ΔpH d2-d5.

RESULTS

The coefficient of correlation for noninvasive pH measurement (n = 256) versus standard methods was R(2) = 0.964 (pH electrode) or 0.952 (ABL 510). pH values in BSCI bags were slightly lower than in Fenwal PL2400 containers. Concentrates collected from 8 of the 307 donors showed a significant drop in pH. Repeated collection did not confirm these findings with a single exception.

CONCLUSION

Noninvasive pH measurement demonstrates a high reproducibility. Our study could not confirm the frequency of 1 out of 25 plateletpheresis donors with concentrates developing a significant drop in pH during storage. This may be due to a substantially lower platelet concentration in our preparations.

摘要

背景

新技术引入了非侵入性测量血小板浓缩物 pH 值的选项。有研究发现,在 25 份单采浓缩物中,有 1 份在储存过程中 pH 值显著下降,这促使我们对 307 位血小板供体的单采浓缩物进行评估。

方法

使用小型(15 毫升)BSCI 储存容器进行非侵入性 pH 值测量,同时使用 Fenwal PL2400 袋储存 5 天。非侵入性 pH 值测量与储存容器中样本的 pH 值测定进行比较。计算储存过程中 pH 值的下降量,即ΔpH d2-d5。

结果

非侵入性 pH 值测量(n = 256)与标准方法的相关系数为 R² = 0.964(pH 电极)或 0.952(ABL 510)。BSCI 袋中的 pH 值略低于 Fenwal PL2400 容器中的 pH 值。在 307 位供体中的 8 位供体采集的浓缩物中,pH 值明显下降。重复采集除了一个例外,并没有证实这些发现。

结论

非侵入性 pH 值测量具有很高的重现性。我们的研究无法证实每 25 份血小板单采浓缩物中就有 1 份在储存过程中 pH 值显著下降的频率。这可能是由于我们的制剂中血小板浓度显著降低所致。

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