保存前白细胞滤除对红细胞悬液质量和保存的影响
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The effect of leukocyte-depleted before blood preservation on blood quality and RBC preservation
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    摘要:

    目的:研究保存前白细胞滤除对于红细胞悬液质量的影响。方法:用一次性使用去白细胞采血袋(规格200ml)采集健康无偿献血者全血30袋,采集后6小时内进行白细胞滤除,通过离心将全血制备为去白细胞红细胞悬液4℃保存。收集过滤前后全血血样,分别检测过滤前后红细胞计数(RBC),白细胞计数(WBC),游离血红蛋白(FHb),乳酸脱氢酶(LDH),K+,及全血容积变化;计算红细胞回收率和白细胞去除率。取10袋在4℃保存35天后,检测FHb,LDH及K+,并与相同环境保存35天后的未去白红细胞悬液进行比较。结果:在保存前进行去白细胞滤除的红细胞悬液其白细胞残留量为(0.72±0.46)×106个/U,白细胞去除率为(97.59±1.47)%,红细胞回收率(87.74±2.42)%。过滤前后全血的血样FHb指标统计学差异无显著性(P>0.05),滤后LDH明显低于滤前(P<0.01),滤后K+ 则高于滤前(P<0.01)。保存35天后,去白红细胞悬液K+与未去白组统计学差异无显著性(P>0.05),去白组FHb 略高于未去白组(P<0.05),去白组LDH明显低于未去白组(P<0.01)。结论:保存前白细胞滤除过程可能会对红细胞造成轻微损伤。但是,保存前白细胞滤除更有利于红细胞悬液的保存和输注安全,更适合临床尤其是白血病患者使用。

    Abstract:

    Objective: Study the effect of leukocyte-depleted before blood preservation on blood quality. Methods: Collected whole blood 30 bags from healthy donors by using single-used leukocyte-depleted blood taking bags (size 200ml), depleted leukocytes in 6 hours, and centrifuged to remove plasma , prepared the whole blood into RBC suspension. Then preserved in 4℃. Collected blood samples from the whole blood which before and after leukocyte-depleted, detected the counting of RBC and WBC, free hemoglobin(FHb),lactate dehydrogenase(LDH), K+ and the volume; calculated erythrocyte recovery and leukocyte removal efficiency. Preserved 10 bags in 4℃ for 35 days, then calculated FHb, LDH and K+, and compared with RBC suspension which had not depleted leukocyte and had preserved 35 days in same conditions. Results: Erythrocyte recovery=(87.74±2.42)%, Eeukocyte removal efficiency= (97.59±1.47)%. There was no significant different of FHb between before and after leukocyte-depleted (P>0.05). After leukocyte-depleted LDH has significantly decreased (P<0.01), but K+ has significantly increased (P<0.01). After 35 days’ preserved, There was no significant different of K+ between leukocyte-depleted RBC and RBC suspension. FHb of leukocyte-depleted RBC were slightly higher than control cohorts (P<0.05), and LDH were significantly lower than control cohorts (P<0.01). Conclusion: Maybe process of leukocyte-depleted before blood preservation shall slightly scathes the RBC. But it is beneficial to RBC preservation and transfusion safety, and more suitable for clinical use especially patient who suffer from leukemia.

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陈鑫. 保存前白细胞滤除对红细胞悬液质量和保存的影响[J]. 科学技术与工程, 2010, (8): .
chenxin. The effect of leukocyte-depleted before blood preservation on blood quality and RBC preservation[J]. Science Technology and Engineering,2010,(8).

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历史
  • 收稿日期:2009-12-14
  • 最后修改日期:2009-12-14
  • 录用日期:2009-12-18
  • 在线发布日期: 2010-03-19
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