Preussner S, Frick G, Konrad H
Folia Haematol Int Mag Klin Morphol Blutforsch. 1977;104(3):406-19.
In the present investigations the storage effect the AcD-AG stabilizer on thrombocytes is examined. The thrombocytokinetic parameters of 9 fresh blood concentrates and 15 concentrates of AcD-AG plasma containing platelets were determined. Storage time amounted to three days. The results show that storage with AcD-AG is only possible to a limited degree. On an average the survival time of the platelets was reduced to 2.7 +/- 1.1 days compared with 9.0 +/- 1.0 days of fresh blood concentrates. The recovery of the stored platelets amounted to 25.3 +/- 16.1%, that of the fresh blood concentrates to 63.3 +/- 23.6%. The spleen-heart quotients and those of the liver-heart or the surplus impulses over the spleen and liver respectively indicate that there is a predominant destruction in the spleen for those thrombocytes stored for three days. The liver is scarcely involved in this sequestration process. With 36.1% platelet yield was very low in concentrates gained from AcD-AG plasma containing platelets and having been stored for 3 days. In cases of emergency a clinical application of concentrates prepared in this way should not be given up. If being used, the greater requirement has to be taken into account. If the substitution therapy is continued, however, fresh blood concentrates have to be used as soon as possible.
在本研究中,检测了AcD - AG稳定剂对血小板的储存效果。测定了9份新鲜血液浓缩物和15份含血小板的AcD - AG血浆浓缩物的血小板动力学参数。储存时间为三天。结果表明,使用AcD - AG储存只能在有限程度上实现。平均而言,血小板的存活时间降至2.7±1.1天,而新鲜血液浓缩物的存活时间为9.0±1.0天。储存血小板的回收率为25.3±16.1%,新鲜血液浓缩物的回收率为63.3±23.6%。脾 - 心商数以及肝 - 心商数或分别来自脾脏和肝脏的多余脉冲表明,对于储存三天的血小板,脾脏存在主要的破坏作用。肝脏几乎不参与这种隔离过程。含血小板的AcD - AG血浆储存3天所得浓缩物的血小板回收率仅为36.1%,非常低。在紧急情况下,不应放弃以这种方式制备的浓缩物的临床应用。如果使用,必须考虑更大的需求量。然而,如果继续进行替代治疗,必须尽快使用新鲜血液浓缩物。