دورية أكاديمية

Evaluation of the advantages of platelet concentrates stored at 4°C versus 22°C.

التفاصيل البيبلوغرافية
العنوان: Evaluation of the advantages of platelet concentrates stored at 4°C versus 22°C.
المؤلفون: Yang, Jiangcun, Yin, Wen, Zhang, Yali, Sun, Yang, Ma, Ting, Gu, Shunli, Gao, Ying, Zhang, Xiaole, Yuan, Jun, Wang, Wenhua
المصدر: Transfusion; Mar2018, Vol. 58 Issue 3, p736-747, 12p, 1 Color Photograph, 1 Black and White Photograph, 2 Charts, 4 Graphs
مصطلحات موضوعية: BLOOD platelets, BACTERIAL contamination, LACTATE dehydrogenase, BLOOD transfusion, CELL morphology, HEMORRHAGE, BLOOD collection, BLOOD gases analysis, BLOOD platelet activation, BLOOD platelet aggregation, HEMOSTASIS, LACTIC acid, TEMPERATURE, PLATELET-rich plasma, PREVENTION
مستخلص: Background: Platelet (PLT) storage at cold temperatures (4°C) can reduce bacterial contamination and lower the risk of transfusion-related complications. We compared the effects of 22 and 4°C storage conditions for PLTs to further explore the efficiency of hemostasis in acute bleeding and extended PLT shelf life.Study Design and Methods: Manually prepared PLTs (PLT concentrates in plasma, not PLT additive solution) were stored at 4 and 22°C. The PLT counts, scanning electronic microscope observations, blood gas indices, biochemical indices, PLT aggregative function, and surface CD62P expression were monitored and compared between the groups.Results: There was no obvious change in PLT counts between Day 21 at 4°C and Day 5 at 22°C. PLTs stored at 4°C for 10 to 14 days were dramatically activated, had rough surfaces, and showed a significant degree of long pseudopodia formation. The pH of the PLTs on Day 5 was lower at 22°C than at 4°C, while the lactate dehydrogenase and lactic acid levels in the former group were significantly higher (p < 0.005). The maximum aggregation rates induced by collagen and arachidonic acid in the PLTs stored at 4°C for 5 days remained higher than 80%, while the rates induced by four inducers in the PLTs stored at 22°C were less than 5%. PLTs stored at 4°C for 10 to 14 days showed higher surface expression of PAC-1 and CD62P.Conclusion: PLT counts, cellular morphologies, PLT membranes, cytoplasmic structures, aggregation rates, and hemostatic PLT function stored at 4°C for 10 to 14 days were better than those stored at 22°C for 5 days. [ABSTRACT FROM AUTHOR]
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قاعدة البيانات: Complementary Index
الوصف
تدمد:00411132
DOI:10.1111/trf.14462