Opoku-Okrah Clement, Acquah Benjamin Kojo Safo, Dogbe Elliot Eli
Department of Medical Laboratory Technology, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Transfusion Medicine Unit, Komfo Anokye Teaching Hospital, Kumasi, Ghana.
Pan Afr Med J. 2015 Mar 12;20:236. doi: 10.11604/pamj.2015.20.236.5851. eCollection 2015.
Potassium is the principal intracellular cation with sodium being the principal extracellular cation. Maintenance of the distribution of potassium and sodium between the intracellular and the extracellular compartments relies on several homeostatic mechanisms. This study analysed the effect of blood storage on the concentrations of potassium and sodium in stored blood and also determine any variations that may exist in their concentrations. 50 mls of blood was sampled each from 28 units of evenly mixed donated blood in citrate phosphate dextrose adenine (CPDA-1) bags immediately after donation into satellite bag and stored at 4oC. Potassium and sodium concentration determinations were done on each of the 28 samples on day 0 (before blood was initially stored in the fridge), day 5, day 10, day 15 and day 20 of storage using the Roche 9180 ISE Electrolyte Analyser (Hoffmann-La Roche Ltd, Switzerland). data analysis showed significant changes in the potassium and sodium concentrations with a continuous rise in potassium and a continuous fall in sodium. A daily change of 0.59 mmol/l and 0.50 mmol/l was observed in the potassium and sodium concentrations respectively. We showed steady but increased daily concentrations of potassium and decrease concentrations of sodium in blood stored over time at 4oC.
钾是主要的细胞内阳离子,而钠是主要的细胞外阳离子。细胞内和细胞外间隙之间钾和钠分布的维持依赖于多种稳态机制。本研究分析了血液储存对储存血液中钾和钠浓度的影响,并确定其浓度可能存在的任何变化。在捐献后立即从28袋均匀混合的枸橼酸盐磷酸盐葡萄糖腺嘌呤(CPDA-1)袋中的献血中各采集50毫升血液至卫星袋中,并在4℃下储存。使用罗氏9180离子选择性电极电解质分析仪(瑞士霍夫曼-罗氏有限公司)在储存的第0天(血液最初储存在冰箱之前)、第5天、第10天、第15天和第20天对28个样本中的每一个进行钾和钠浓度测定。数据分析显示钾和钠浓度有显著变化,钾持续升高,钠持续下降。钾和钠浓度每天分别变化0.59毫摩尔/升和0.50毫摩尔/升。我们发现,在4℃下储存的血液中,钾的浓度每天稳定但升高,钠的浓度降低。