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冰冻血小板在血小板减少性疾病的临床应用价值

Clinical efficacy and safety of cryopreserved platelets
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摘要 目的探讨冰冻血小板在血小板减少性疾病中应用的有效性与安全性。方法 随机选择159例血小板减少症患者,57例患者给予冰冻血小板输注,102例患者给予新鲜血小板输注,输注前及输注后18-24 h分别测定血小板计数,比较血小板回收率及临床出血症状改善情况。结果 冰冻血小板止血有效率达89%,与新鲜血小板相近,但输注后24 h血小板的回收率与新鲜血小板相比有差异。结论 冰冻血小板有一定的止血效果,可用于急诊血小板输注,但不宜作常规使用。 Objective To estimate the efficacy and safety of cryopreserved platelets in treating thrombocytopenic disases. Methods 159 patients were randomly transfused cryopreserved platelets (n = 57) and fresh platelets (n = 120). The platelet count was made before and 18 - 24h after transfusion. The platelet recollection rates and the adverse reactions were noted. Results The hemostatic effectiveness of cryopreserved platelets was 89% , being close to that of fresh platelets (91%) ,but the recollection rate of them was lower than that of fresh - platelets 24h after transfusion (23% vs 37% , P < 0.05). Conclusion The cryopreserved platelets have a hemostatic function,and can be used in emergencies when platelet transfusion is urgently needed.
出处 《徐州医学院学报》 CAS 2004年第6期539-540,共2页 Acta Academiae Medicinae Xuzhou
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参考文献3

  • 1Pedrazzoli P,Noris P,Perotti C,et al. Transfusion of platelet concentrates cryopreserved with Thrombosol plus low-dose dimethylsulphoxide in patients with severe thrombocytopenia:a pilot study[J].Br J Haematol,2000,108(3):653-659.
  • 2Barnard MR,MacGregor H,Ragno G, et al. Fresh,liquid-preserved,and cryopreserved platelets:adhesive surface receptors and membrane procoagulant activity[J].Transfusion,1999,39(8):880-888.
  • 3Arnaud F. Frozen/Thawed platelets:importance of osmotic tolerance and platelet subpopulations[J]. Cryobiology,1999,38(3):192-199.

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