Dzieciatkowska A, Fuksiewicz M, Lachert E, Ziemba-Zółtowska B, Letowska M
Zakładu Transfuzjologii i Organizacji Słuzby Krwi, Instytutu Hematologii i Transfuzjologii w Warszawie.
Acta Haematol Pol. 1995;26(3):285-9.
Platelet concentrates (PCs) obtained using old generation of cell separators contain high number of leukocytes. White cell (WBC) contamination and platelet (Plts) number in PCs obtained from separator II-nd generation CS-3000 and separators III-rd generations CS-3000 plus and Cobe-Spectra have been determined. PCs from new separators contain the same Plts number as PCs from CS-3000. The average leukocyte count in PCs obtained from CS-3000 was 171.26 x 10(6), whereas WBC number in PCs from CS-3000 plus and Cobe-Spectra were 2.87 and 2.54 x 10(6) respectively. In about 85% of PCs obtained from III-rd generation cell separators the leukocyte count did not exceed 5 x 10(6). This count is considered sufficient to prevent alloimmunization of HLA antigens. The determination of WBC count in every PCs allows to select PCs with fewer than 5 x 10(6) leukocytes and to transfuse them without the necessity of using expensive filters for leukocyte removing.
使用旧一代细胞分离器获得的血小板浓缩物(PCs)含有大量白细胞。已测定了从第二代CS - 3000细胞分离器以及第三代CS - 3000 plus和Cobe - Spectra细胞分离器获得的PCs中的白细胞(WBC)污染情况和血小板(Plts)数量。新型分离器获得的PCs中的血小板数量与CS - 3000获得的PCs相同。从CS - 3000获得的PCs中的白细胞平均计数为171.26×10⁶,而从CS - 3000 plus和Cobe - Spectra获得的PCs中的白细胞数量分别为2.87×10⁶和2.54×10⁶。从第三代细胞分离器获得的PCs中,约85%的白细胞计数不超过5×10⁶。该计数被认为足以防止HLA抗原的同种免疫。对每个PCs进行白细胞计数测定,能够挑选出白细胞少于5×10⁶的PCs,从而无需使用昂贵的白细胞去除过滤器进行输血。