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白细胞滤除对犬全血贮存单位中 N-甲基组氨酸浓度的影响。

Effects of leukoreduction on N-methylhistamine concentration in stored units of canine whole blood.

机构信息

From the Atlantic Veterinary Internal Medicine and Oncology Hospital, Towson, MD 21286.

Gastrointestinal Laboratory, Department of Small Animal Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Texas A&M University, College Station, TX 77843.

出版信息

Am J Vet Res. 2021 Nov;82(11):890-896. doi: 10.2460/ajvr.82.11.890.

Abstract

OBJECTIVE

To determine the effects of leukoreduction on N-methylhistamine (NMH; a stable histamine metabolite) concentration in units of canine whole blood during storage and incubation at room temperature (approx 22 °C) to simulate temperature conditions during transfusion.

ANIMALS

8 healthy adult Walker Hounds.

PROCEDURES

A standard unit of blood (450 mL) was obtained from each dog twice, with at least 28 days between donations. Blood units collected from 4 dogs during the first donation underwent leukoreduction, whereas the blood units collected from the other 4 dogs did not undergo leukoreduction, prior to storage at 4 °C. The alternate treatment was applied to blood units collected during the second donation. A sample from each unit was obtained for determination of plasma NMH concentration the day of donation (before and after leukoreduction when applicable) and before and after incubation at room temperature for 5 hours on days 14 and 28 of storage.

RESULTS

Units that underwent leukoreduction had substantially lower leukocyte and platelet counts than nonleukoreduced units. Plasma NMH concentration increased immediately after leukoreduction but did not change significantly during the subsequent 28 days of storage, nor did it differ between units that did and did not undergo leukoreduction.

CONCLUSIONS AND CLINICAL RELEVANCE

Leukoreduction and simulated transfusion temperature did not affect the histamine load in units of canine whole blood during the first 28 days of storage. Further research is necessary to determine whether histamine contributes to the development and severity of blood transfusion reactions in dogs.

摘要

目的

确定在室温(约 22°C)下储存和孵育时,白细胞减少对犬全血单位中 N-甲基组氨酸(NMH;一种稳定的组氨酸代谢物)浓度的影响,以模拟输血过程中的温度条件。

动物

8 只健康成年沃克猎犬。

程序

每只狗两次获得一个标准的血单位(450 mL),两次采血之间至少间隔 28 天。在第一次采血期间,从 4 只狗收集的血液单位进行了白细胞减少处理,而从另外 4 只狗收集的血液单位则没有进行白细胞减少处理,然后在 4°C 下储存。在第二次采血期间,应用了交替处理。在采血当天(适用时在白细胞减少处理前后)以及在储存的第 14 天和第 28 天室温孵育 5 小时前后,从每个单位中抽取一个样本,用于测定血浆 NMH 浓度。

结果

进行白细胞减少处理的单位的白细胞和血小板计数明显低于未进行白细胞减少处理的单位。白细胞减少处理后,血浆 NMH 浓度立即升高,但在随后的 28 天储存期间没有显著变化,也没有在进行和未进行白细胞减少处理的单位之间出现差异。

结论和临床相关性

白细胞减少处理和模拟输血温度在犬全血单位储存的前 28 天内没有影响组胺负荷。需要进一步研究以确定组胺是否会导致犬输血反应的发展和严重程度。

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