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血小板添加剂溶液与血浆中储存的单采血小板的质量和疗效比较

Comparison of Quality and Efficacy of Apheresis Platelets Stored in Platelet Additive Solution Vis a Vis Plasma.

作者信息

Basu Debapriya, Basu Sabita, Radhakrishnan Vivek S, Bhattacharya Sanjay, Chakraborty Subhosmito, Sinha Subir, Chandy Mammen

机构信息

Department of Transfusion Medicine, Tata Medical Center, 14 Middle Arterial Road (EW), Rajarhat, New Town, Kolkata, 700160 India.

Department of Clinical Haematology, Tata Medical Center, 14 Middle Arterial Road (EW), Rajarhat, New Town, Kolkata, 700160 India.

出版信息

Indian J Hematol Blood Transfus. 2021 Oct;37(4):648-657. doi: 10.1007/s12288-021-01408-x. Epub 2021 Mar 12.

Abstract

PAS, by replacing part of the plasma in the platelet storage bag, reduces post transfusion allergic reactions and DHTR in the recipient. In this study we compared quality and efficacy of PAS and usual plasma stored platelets. Platelet concentration, content, MPV, pH, swirling, LDH and glucose concentration were tested in SDPs after preparation and on the day of transfusion; and compared between control (plasma-stored SDP) and study (PAS-stored SDP) groups. CCI was compared between the two groups. Transfusion reactions were also noted. In both groups quality parameters were similar except glucose [significantly decreased ( < 0.001) in plasma] and LDH [increased significantly (: -0.005) in PAS]. CCI was similar in both groups. Transfusion reaction rate were 0.012% and 0.049% in both groups respectively. Quality and post-transfusion efficacy in both groups were similar. PAS stored platelets may be transfused in multi-transfused patients with allergic manifestations and in minor ABO incompatible transfusions.

摘要

通过替换血小板储存袋中的部分血浆,血浆置换(PAS)可减少受血者的输血后过敏反应和迟发性溶血反应(DHTR)。在本研究中,我们比较了血浆置换储存血小板(PAS)和常规血浆储存血小板的质量和疗效。制备后及输血当天对单采血小板(SDPs)的血小板浓度、含量、平均血小板体积(MPV)、pH值、漩涡现象、乳酸脱氢酶(LDH)和葡萄糖浓度进行检测,并在对照组(血浆储存的SDP)和研究组(PAS储存的SDP)之间进行比较。比较两组的校正计数增量(CCI)。同时记录输血反应。除葡萄糖(血浆中显著降低(<0.001))和LDH(PAS中显著升高(:-0.005))外,两组的质量参数相似。两组的CCI相似。两组的输血反应率分别为0.012%和0.049%。两组的质量和输血后疗效相似。PAS储存的血小板可用于有过敏表现的多次输血患者以及轻微ABO血型不相容输血。

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PAS or plasma for storage of platelets? A concise review.用于储存血小板的 PAS 还是血浆?简要综述。
Transfus Med. 2016 Oct;26(5):339-342. doi: 10.1111/tme.12325. Epub 2016 Jun 7.
10
Transfusion reactions: prevention, diagnosis, and treatment.输血反应:预防、诊断和治疗。
Lancet. 2016 Dec 3;388(10061):2825-2836. doi: 10.1016/S0140-6736(15)01313-6. Epub 2016 Apr 12.

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