摘要
目的探讨MCS型血细胞分离机采集血小板冲红的原因。方法选取15例机采血小板发生冲红现象的献血者,将其作为观察组,选取20例同期于我站献血未冲红的献血者作为对照组,对比两组患者的血细胞计数,包括RBC、Hb、Hct、MCV、MCH及MCHC等,并分析导致冲红现象出现的原因。结果经检测发现观察组的各项血细胞计数检测指标均明显低于对照组,组间比较差异有统计学意义(P<0.05);经统计发现引发冲红的原因:献血者血细胞计数MCV、MCH及MCHC低于正常人11例,献血者精神紧张2例,以及脂肪血2例。结论冲红现象的出现会影响血小板质量,耽误患者的抢救,引起冲红现象的原因较多,因此筛选合格的机采血小板捐献者,要从血源、体检、化验及采集等各个环节层层把关,缓解降低冲红的发生机率,提高血小板质量,保证输血安全。
Objective To study the reasons of red blood cell spillover in thrombocytapheresis by MCS＋type blood cell separator. Methods 15 blood donors with red blood cell spillover were selected as the observation group,while 20 blood donors without red blood cell spillover were selected as the control group in synchronization of our blood center.To analyze the reasons of red blood cell spillover and to compare the blood cell count of RBC,Hb,Hct,MCV,MCH and MCHC and etc between the two groups. Results It was found by detection that,the various blood cell counts were lower in observation group than which in control group,the differences was statically significant（P〈0.05）.It was found by statistics the reasons of red blood cell spillover were that,the various blood cell counts of MCV,MCH and MCHC were lower in 11 blood donors than normal persons,there were 2 cases in psychentonia and 2 cases in fat blood. Conclusion The red blood cell spillover which caused by much reasons could influence the platelet quality and delay the rescue of patients.To select the qualified blood donors through the plasma-derived,the physical examination,the chemical examination and the acquisition in each link,to remissive and reduce the incidence,to improve the platelet quality,in order to guarantee the transfusion safety.
出处
《中国医药科学》
2015年第2期208-210,共3页
China Medicine And Pharmacy
基金
广东省河源市社会发展科技计划项目(2013-069)
关键词
MCS型血细胞分离机
机采血小板
冲红原因
MCS＋type blood cell separator
Improve the platelet quality
Reasons of red blood cell spillover
