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在 90% PAS-5/10% 血浆中,分离采集设备和容器对血小板储存性能的影响。

Influence of apheresis collection device and container on the storage properties of platelets in 90% PAS-5/10% plasma.

机构信息

Transfusion Innovation Department, American Red Cross Holland Laboratory, Rockville, MD, United States of America.

出版信息

Blood Transfus. 2019 May;17(3):210-216. doi: 10.2450/2018.0136-18. Epub 2018 Sep 5.

Abstract

BACKGROUND

The storage properties of apheresis platelets suspended in the experimental additive solution PAS-5 and 10% plasma may be affected by the collection instrument or storage container.

METHODS AND EXPERIMENTAL DESIGN

The same consenting 12 donors provided A or T platelets with concurrent plasma on four occasions in 100% plasma. Following collection and resting, the platelets were centrifuged, and plasma was expressed and resuspended in PAS-5 to yield units with 10% plasma. Platelets were either maintained in the original storage container or transferred to another of the manufacturer's storage containers. On days 1, 5 and 7, units were assayed for an array of in vitro tests.

RESULTS

Average unit volume, yield and percent plasma was 291±11 mL, 3.7±0.4×10, and 10.3±0.7%, respectively, and were comparable between collections with either of the apheresis instruments and stored with either of the manufacturer's containers. Day 1 platelet activation (CD62P+) was 40±22% and was similar in either of the collection instruments or containers. Except for pH (days 1, 5), CO (days 1, 5, 7), and extent of shape change (day 5), every other in vitro parameter was similar between apheresis platforms or the manufacturer's container. pH values of all units on all days of storage were ≥6.8, except one unit that was collected on T and stored in an A container, which had pH values of 6.8 and 5.7 on days 5 and 7, respectively.

DISCUSSION

Storage of platelets suspended in PAS-5 with 10% plasma is feasible in the original manufacturer's container for seven days. Based on CO levels, T containers have greater gas exchange than A containers.

摘要

背景

悬浮在实验添加剂溶液 PAS-5 和 10%血浆中的单采血小板的储存性能可能会受到采集仪器或储存容器的影响。

方法和实验设计

同一位 12 位供者在 4 次 100%血浆中同时提供 A 或 T 血小板和相应的血浆。采集和休息后,将血小板离心,血浆挤出并悬浮在 PAS-5 中,使单位血浆浓度为 10%。血小板可保留在原始储存容器中或转移至制造商的另一个储存容器中。在第 1、5 和 7 天,对单位进行了一系列体外测试。

结果

平均单位体积、产量和血浆百分比分别为 291±11 mL、3.7±0.4×10 和 10.3±0.7%,在使用两种单采仪器采集并使用制造商的两种容器储存时,这些值均具有可比性。第 1 天血小板活化(CD62P+)为 40±22%,在两种采集仪器或容器中均相似。除 pH(第 1、5 天)、CO(第 1、5、7 天)和形态改变程度(第 5 天)外,其他体外参数在单采平台或制造商容器之间均相似。所有储存日的所有单位的 pH 值均≥6.8,除一个单位在 T 采集日并在 A 容器中储存外,该单位在第 5 和 7 天的 pH 值分别为 6.8 和 5.7。

讨论

在原始制造商的容器中,悬浮在 PAS-5 中的血小板在 10%血浆中可储存 7 天。基于 CO 水平,T 容器比 A 容器具有更大的气体交换能力。

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