Riggert J, Simson G, Dittmann J, Wieding J U, Köhler M
Abteilung für Transfusionsmedizin, Universitätsklinik Göttingen, Deutschland.
Beitr Infusionsther Transfusionsmed. 1994;32:1-5.
Prophylaxis of infection and alloimmunisation is the main reason for leucocyte depletion by filtration of blood components. The question is whether all red cell concentrates (RCC) should be filtered and whether plasma has to be filtered, too. For leucocyte-poor units whole blood was filtered before preparation using the 'top and bottom' system. These units of buffy-coat-poor RCC and plasma were compared with components filtered after preparation. Non-filtered RCCs and plasmas served as a control. By prefiltration of whole blood and filtration of components we obtained RCCs and plasmas with less than 1 x 10(5) leucocytes in every unit. In conclusion, leucocyte filtration before preparation seems to be an easy and cost-effective method in order to get two filtered components (RCC and plasma) with one filter.
预防感染和同种免疫是通过过滤血液成分去除白细胞的主要原因。问题在于是否所有的红细胞浓缩液(RCC)都应进行过滤,以及血浆是否也必须过滤。对于白细胞含量低的单位,使用“顶部和底部”系统在制备前对全血进行过滤。将这些贫白细胞层的RCC单位和血浆与制备后过滤的成分进行比较。未过滤的RCC和血浆作为对照。通过对全血进行预过滤和对成分进行过滤,我们得到了每单位白细胞少于1×10⁵的RCC和血浆。总之,制备前的白细胞过滤似乎是一种简便且经济有效的方法,以便用一个过滤器获得两种过滤成分(RCC和血浆)。