Spada Eva, Proverbio Daniela, Baggiani Luciana, Bagnagatti De Giorgi Giada, Ferro Elisabetta, Perego Roberto
Department of Health, Animal Science and Food Safety (VESPA), Unit of Veterinary Transfusion Medicine (REV), University of Milan, Milan, Italy.
J Feline Med Surg. 2017 Apr;19(4):375-381. doi: 10.1177/1098612X16628919. Epub 2016 Jul 9.
Objectives The quality of whole blood (WB) units is influenced by many factors, starting with selection of donors and the method of blood collection. The aim of this study was to investigate the changes that occur in haematological and selected biochemical parameters in blood transferred from a feline blood donor to feline WB unit. Methods Data from 27 feline blood donations were used in this study. Cats were anaesthetised with a combination of tiletamine and zolazepam. Blood (10 ml/kg body weight to a maximum of 60 ml/cat) was collected in citrate-phosphate-dextrose-adenine (CPDA) anticoagulant. Lactated Ringer's solution (10 ml/kg) was administered intravenously starting halfway through the donation. Haematological and selected biochemical parameters (complete blood count, free haemoglobin, % haemolysis, glucose, sodium, potassium, pH) were measured in the blood donor before donation and in the corresponding donated WB unit soon after collection. Results Significant decreases occurred between blood donor and WB unit in red blood cells (mean difference -1.06 × 10/l; P <0.0001), haemoglobin (mean difference -1.6 g/dl; P <0.0001), haematocrit (mean difference -4.6%; P <0.0001), red cell distribution width (mean difference -0.9%; P = 0.0003), white blood cells (mean difference -2.17 × 10/l; P <0.0001), pH (mean difference -0.5; P <0.0001) and potassium (mean difference -1.4 mmol/l; P <0.0001). Significant increases occurred between blood donor and WB unit in platelets (mean difference +87.00 ×10/l; P = 0.0039), glucose (mean difference +25.42 mmol/l; P <0.0001) and sodium (mean difference +20 mmol/l; P <0.0001). Conclusions and relevance When using a blood collection protocol with intravenous fluid administration midway through the donation and a CPDA:blood ratio of 1:7, there were significant changes in both the haematological and biochemical characteristics between the blood donors and WB units. The majority of these changes may be the result of the anticoagulants used for storage. Understanding these changes may assist selection of blood donors and help prediction of the characteristics of the donated WB unit.
目的 全血(WB)单位的质量受多种因素影响,从献血者的选择和采血方法开始。本研究的目的是调查从猫科动物献血者采集的血液转移至猫科动物WB单位后,血液学和选定生化参数发生的变化。方法 本研究使用了27例猫科动物献血的数据。猫用替来他明和唑拉西泮联合麻醉。在柠檬酸盐 - 磷酸盐 - 葡萄糖 - 腺嘌呤(CPDA)抗凝剂中采集血液(10 ml/kg体重,最大60 ml/猫)。献血过程过半时开始静脉注射乳酸林格氏液(10 ml/kg)。在献血前对献血者的血液以及采集后不久对应的所献WB单位进行血液学和选定生化参数(全血细胞计数、游离血红蛋白、溶血百分比、葡萄糖、钠、钾、pH)的测量。结果 献血者与WB单位之间红细胞(平均差异 -1.06×10⁶/l;P <0.0001)、血红蛋白(平均差异 -1.6 g/dl;P <0.0001)、血细胞比容(平均差异 -4.6%;P <0.0001)、红细胞分布宽度(平均差异 -0.9%;P = 0.0003)、白细胞(平均差异 -2.17×10⁹/l;P <0.0001)以及pH(平均差异 -0.5;P <0.0001)和钾(平均差异 -1.4 mmol/l;P <0.0001)均出现显著下降。献血者与WB单位之间血小板(平均差异 +87.00×10⁹/l;P = 0.0039)、葡萄糖(平均差异 +25.42 mmol/l;P <0.0001)和钠(平均差异 +20 mmol/l;P <0.0001)出现显著升高。结论及相关性 当采用在献血过程中静脉输注液体且CPDA与血液比例为1:7的采血方案时献血者血液与WB单位之间的血液学和生化特征均出现显著变化。这些变化中的大多数可能是由于储存所用抗凝剂导致的。了解这些变化可能有助于献血者的选择并有助于预测所献WB单位的特征。