Aisner J, Schiffer C A, Wolff J H, Wiernik P H
Transfusion. 1976 Sep-Oct;16(5):437-45. doi: 10.1046/j.1537-2995.1976.16577039299.x.
The Model 30 Blood Processor is a safe and simple means of harvesting blood cell components. Presently cell collection depends on a visual assessment by the operator of the indistinct boundaries of cell fractions. To determine when each cell component could best be harvested, serial samples were taken from the output port at fixed intervals anf the results of counts and differentials were graphed and tabulated. Studies in normal donors were done using acid-citrate-dextrose (ACD), 2 per cent sodium citrate in 6 per cent hydroxyethyl starch (HES), or heparin as anticoagulants. There was considerable overlap between the latter part of the platelet band, the leukocyte band and the rising hematocrit with all three anticoagulants. Normally functional lymphocytes could be harvested efficiently (approximately 80%) using ACD or heparin. Platelets could be harvested from ACD very efficiently (approximately 90%). Granulocytes could not be harvested from ACD (less than 10%) since they were dispersed in the red blood cell (RBC) layer. Using HES, granulocytes could be harvested efficiently (approximately 70%) by extending collection into the RBC layer. Based on these data, a standard technique for cell collection has been devised. The flow rate is slowed to 20 ml/min and collection is carried 30 ml (90 seconds at a rate of 20 ml/min) for platelets. The RBC loss is approximately 6 to 8 and 2 to 3 ml/pass respectively. These studies indicate that the Model 30 is a highly efficient apparatus for blood cell separation, but the volume of blood processed is limited by the intermittent blood flow.
30型血液处理仪是一种安全、简便的采集血细胞成分的方法。目前,细胞采集依赖于操作人员对细胞组分模糊边界的视觉评估。为了确定何时能最佳采集每种细胞成分,在固定间隔从输出端口采集系列样本,并将计数和分类结果绘制成图表并列表。使用酸性枸橼酸盐葡萄糖(ACD)、6%羟乙基淀粉(HES)中2%的柠檬酸钠或肝素作为抗凝剂,对正常献血者进行了研究。使用这三种抗凝剂时,血小板带的后半部分、白细胞带和上升的血细胞比容之间有相当大的重叠。使用ACD或肝素可高效采集正常功能的淋巴细胞(约80%)。使用ACD可非常高效地采集血小板(约90%)。由于粒细胞分散在红细胞(RBC)层中,无法从ACD中采集到粒细胞(少于10%)。使用HES时,通过将采集延伸至RBC层可高效采集粒细胞(约70%)。基于这些数据,设计了一种细胞采集的标准技术。将流速减慢至20 ml/min,采集30 ml用于血小板采集(以20 ml/min的速度采集90秒)。每次采集的红细胞损失分别约为6至8 ml和2至3 ml。这些研究表明,30型仪器是一种高效的血细胞分离设备,但处理的血液量受到间歇性血流的限制。