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储存血小板浓缩物的输血前非侵入性质量评估

Pre-transfusion non-invasive quality assessment of stored platelet concentrates.

作者信息

Bellhouse E L, Inskip M J, Davis J G, Entwistle C C

机构信息

Department of Engineering Science, University of Oxford.

出版信息

Br J Haematol. 1987 Aug;66(4):503-8. doi: 10.1111/j.1365-2141.1987.tb01335.x.

Abstract

The Platelet Monitor System has been designed to assess routinely prepared platelet concentrates (P.C.) during storage. The system is based upon observations of changes in light transmission induced by platelets in intact packs. It is practical, provides constant gentle agitation for P.C., and non-invasively give continuous semi-quantitative evidence of the probable numbers of discoid platelets within each pack. The information yielded correlates both with established in vitro parameters of platelet behaviour, and with in vivo survival of platelets in normal healthy volunteers. The device safely provides the Blood Banker with the means to achieve on-going assessment of methods and improvements--or failings--in P.C. production. To the clinician it offers information throughout and even beyond present arbitrary storage limits, about which P.C. are likely to be of least or greatest value to a thrombocytopenic patient.

摘要

血小板监测系统旨在对储存期间常规制备的血小板浓缩液(P.C.)进行评估。该系统基于对完整包装中血小板引起的光透射变化的观察。它很实用,能为血小板浓缩液提供持续温和搅拌,并且能以非侵入性方式持续提供半定量证据,表明每个包装中盘状血小板的可能数量。所产生的信息既与既定的血小板行为体外参数相关,也与正常健康志愿者体内血小板的存活率相关。该设备为血库工作人员提供了一种安全手段,用以持续评估血小板浓缩液生产方法的改进情况或不足之处。对于临床医生而言,它能在当前任意储存期限内乃至超出该期限,提供有关哪些血小板浓缩液对血小板减少症患者可能价值最小或最大的信息。

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