Zhu Liguo, Sun Liping, Fan Fengyan, Zhang Dongqing, Li Changqing, Wang Deqing
1 Department of Blood Transfusion, Chinese PLA General Hospital, Beijing, China.
2 Institute of Blood Transfusion, Chinese Academy of Medical Sciences and Peking Union Medical College, Chengdu, China.
J Int Med Res. 2019 Jun;47(6):2637-2646. doi: 10.1177/0300060518798999. Epub 2018 Oct 8.
This study aimed to determine the precision dose of Chinese universal pooled plasma (CUPP) developed by our laboratory, and the stability of plasma proteins and factors.
A total of 100 single fresh-frozen plasma (FFP) units were selected to test plasma proteins, including total protein, albumin, fibrinogen, factor V, factor VIII, antithrombin-III, and protein C. Different pooling protocols with 20, 40, 60, 80, and 100 units were used to optimize the number of pooled units. The pooled plasma was then used to further evaluate the optimal storage conditions and duration at 22°C, 4°C, and -20°C.
There were considerable differences in plasma protein levels among single units of FFP. After different pooling protocols, the mean value of plasma proteins did not significantly change. However, with a larger number of pooled samples, plasma proteins were more stable with a smaller standard deviation. Acceptable storage for CUPP was achieved with storage for 1 day at 22°C, 4 days at 4°C, and 3 months at -20°C.
A uniform level of plasma proteins and factors in CUPP appears to support establishment of a precise dose of plasma.
本研究旨在确定本实验室研制的中国通用混合血浆(CUPP)的精确剂量,以及血浆蛋白和凝血因子的稳定性。
共选取100个单份新鲜冰冻血浆(FFP)单位来检测血浆蛋白,包括总蛋白、白蛋白、纤维蛋白原、凝血因子V、凝血因子VIII、抗凝血酶III和蛋白C。采用20、40、60、80和100个单位的不同混合方案来优化混合单位数量。然后用混合血浆进一步评估在22℃、4℃和-20℃下的最佳储存条件和持续时间。
单份FFP单位之间的血浆蛋白水平存在显著差异。采用不同的混合方案后,血浆蛋白的平均值没有显著变化。然而,混合样本数量越多,血浆蛋白越稳定,标准差越小。CUPP在22℃储存1天、4℃储存4天、-20℃储存3个月可实现可接受的储存效果。
CUPP中血浆蛋白和凝血因子的均匀水平似乎有助于确定精确的血浆剂量。