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对在4℃或室温下保存过夜的全血的血液成分质量进行的比较研究。

A comparison study of the blood component quality of whole blood held overnight at 4°c or room temperature.

作者信息

Wang Shichun, Wang Tiantian, Fan Yahan, Huang Shan, Yi Zhongmei, Li Ruiqing, Zhao Shuming

机构信息

Department of Blood Transfusion, Southwest Hospital, The Third Military Medical University, No. 30 Street Gaotanyan, Chongqing 400038, China.

出版信息

J Blood Transfus. 2013;2013:523539. doi: 10.1155/2013/523539. Epub 2013 Sep 5.

Abstract

Background. The use of plasma frozen within 24 hrs is likely to increase. Whole blood (WB) and buffy coats (BCs) can be held for a few hrs or overnight before processing. Methods. Twenty-four bags of WB for plasma and 12 bags for platelet (PLT) concentrates were collected. The fresh frozen plasma (FFP) was prepared within 6 hrs. I-FP24 and II-FP24 samples were prepared either from leukodepleted WB that was held overnight or from WB that was held overnight before leukodepletion. The PLT concentrates (PCs) were prepared from BCs within 6 hrs (PC1) and within 18 to 24 hrs (PC2). The typical coagulation factors and some biochemical parameters were determined. Results. Compared to the FFP samples, the levels of FVII and FVIII in the I-FP24 and II-FP24 samples decreased significantly. The pH, Na(+), LDH, and FHb levels differed significantly between II-FP24 and FFP. Compared to PC1, PC2 exhibited lower pH, pO2, and Na(+) levels, a higher PLT count, and increased pCO2, K(+), Lac, and CD62P expression levels. Conclusion. FP24 is best prepared from WB that was stored overnight at 4°C and then leukodepleted and separated within 24 hrs. PCs are best produced from BCs derived from WB that was held overnight at room temperature.

摘要

背景。24小时内冷冻的血浆使用量可能会增加。全血(WB)和 Buffy 层(BCs)在处理前可保存数小时或过夜。方法。收集了24袋用于制备血浆的WB和12袋用于制备血小板(PLT)浓缩物的WB。在6小时内制备新鲜冷冻血浆(FFP)。I-FP24和II-FP24样本要么由过夜保存的白细胞去除WB制备,要么由白细胞去除前过夜保存的WB制备。血小板浓缩物(PCs)在6小时内(PC1)和18至24小时内(PC2)由BCs制备。测定了典型的凝血因子和一些生化参数。结果。与FFP样本相比,I-FP24和II-FP24样本中FVII和FVIII水平显著降低。II-FP24和FFP之间的pH、Na(+)、LDH和FHb水平存在显著差异。与PC1相比,PC2的pH、pO2和Na(+)水平较低,血小板计数较高,pCO2、K(+)、Lac和CD62P表达水平升高。结论。FP24最好由在4°C下过夜保存、然后在24小时内进行白细胞去除和分离的WB制备。PCs最好由在室温下过夜保存的WB衍生的BCs制备。

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