Boomgaard M N, Gouwerok C W, Palfenier C H, Pankalla-Blandeau I E, Veldman H A, de Korte D, Loos J A
Central Laboratory of The Netherlands Red Cross Blood Transfusion Service, Amsterdam.
Vox Sang. 1995;68(2):82-9. doi: 10.1111/j.1423-0410.1995.tb02558.x.
Pooled platelet concentrates (PC) prepared by the platelet-rich plasma (PRP) method were filtered with three different filters and stored for 8 days at room temperature. The effect of filtration on leukocyte contamination, platelet concentration, and the in vitro function, morphology, metabolism and activation of platelets were studied. Eight pools of 20 PRP-PC were used, each pool was split into 4 equal volumes; 3 were filtered over a PL50HF, a PL-10A and a Bio P10 filter, the 4 served as a control. After filtration, leukocyte counts exceeded 3 x 10(5) in none of the pooled PC. Platelet loss induced by filtration was about 17%. During storage, no differences in pH, PCO2, and lactate and glucose concentration were found between the filtered and the unfiltered units, nor were any differences observed between filtered and unfiltered pooled PC in aggregation upon stimulation with collagen and/or ADP, adhesion capacity to collagen in flowing blood, nucleotide content of the platelets and nucleobase concentration in the plasma, expression of activation-dependent antigens, or platelet morphology as observed by light microscopy and by the swirling effect. Selective removal of beta-thromboglobulin (22%) by the PL50HF filter was observed. Pooled PC prepared by the PRP-method can be filtered and stored for 8 days without detrimental effect on platelet function, metabolism or activation.
采用富血小板血浆(PRP)法制备的混合血小板浓缩液(PC),用三种不同的滤器进行过滤,并在室温下储存8天。研究了过滤对白细胞污染、血小板浓度以及血小板的体外功能、形态、代谢和活化的影响。使用了8组由20份PRP-PC组成的混合样本,每组样本均分成4等份;其中3份分别通过PL50HF、PL-10A和Bio P10滤器进行过滤,第4份作为对照。过滤后,所有混合PC中的白细胞计数均未超过3×10⁵。过滤导致的血小板损失约为17%。在储存期间,过滤组和未过滤组在pH值、PCO₂、乳酸和葡萄糖浓度方面均未发现差异,在用胶原蛋白和/或ADP刺激后的聚集情况、在流动血液中对胶原蛋白的黏附能力、血小板的核苷酸含量和血浆中的核碱基浓度、活化依赖性抗原的表达,以及通过光学显微镜观察到的血小板形态和漩涡效应方面,过滤组和未过滤组的混合PC之间也未观察到任何差异。观察到PL50HF滤器可选择性去除β-血小板球蛋白(22%)。采用PRP法制备的混合PC可以进行过滤并储存8天,而不会对血小板功能、代谢或活化产生不利影响。