centrifugation

离心法
  • 文章类型: Journal Article
    低成本,开发了基于重组酶聚合酶扩增(RPA)的手持式离心微流控系统,用于多路视觉检测。开发了具有四个反应单元的简洁离心微流控芯片,以并行进行多路RPA扩增。此外,开发了一种尺寸明显缩小且具有成本效益的手持配套设备,结合加热,光学,旋转,和传感模块,进行多路扩增和视觉检测。一次性样品加载后,将计量样品等量分配到四个单独的反应器中,并进行高速离心。等温扩增采用非接触加热。芯片顶部的微型直流电动机用于驱动反应器内的钢珠进行主动混合。另一个小型直流电机,这是通过基于磁传感的精心锁定策略控制的,采用离心和定位。视觉荧光检测从不同方面进行了优化,包括材料,表面属性,激发光,和光学滤波器。具有基于荧光强度的视觉检测,检测结果可以通过眼睛或智能手机直接观察。作为概念的证明,手持设备可以检测到多个目标,例如,与基于试管的RPA相比,非洲猪瘟病毒(ASFV)的不同基因具有75个拷贝/测试的可比LOD(检测限)。
    A low-cost, handheld centrifugal microfluidic system for multiplexed visual detection based on recombinase polymerase amplification (RPA) was developed. A concise centrifugal microfluidic chip featuring four reaction units was developed to run multiplexed RPA amplification in parallel. Additionally, a significantly shrunk-size and cost-effective handheld companion device was developed, incorporating heating, optical, rotation, and sensing modules, to perform multiplexed amplification and visual detection. After one-time sample loading, the metered sample was equally distributed into four separate reactors with high-speed centrifugation. Non-contact heating was adopted for isothermal amplification. A tiny DC motor on top of the chip was used to drive steel beads inside reactors for active mixing. Another small DC motor, which was controlled by an elaborate locking strategy based on magnetic sensing, was adopted for centrifugation and positioning. Visual fluorescence detection was optimized from different sides, including material, surface properties, excitation light, and optical filters. With fluorescence intensity-based visual detection, the detection results could be directly observed through the eyes or with a smartphone. As a proof of concept, the handheld device could detect multiple targets, e.g., different genes of African swine fever virus (ASFV) with the comparable LOD (limit of detection) of 75 copies/test compared to the tube-based RPA.
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  • 文章类型: Journal Article
    细胞外囊泡(EV)曾经被认为是处理细胞废物的一种手段。然而,最近的发现已经确定了它们在相邻细胞和远处细胞之间的细胞间通讯中的关键作用。现在已经确定几乎所有细胞类型都可以产生电动汽车,在运输蜂窝货物中起着至关重要的作用。电动汽车的功能角色,以及它们对各种疾病的(病理)生理学的影响,仍在探索中。在过去的十年里,EV在病理生理学中的作用鉴定,药理学,和诊断已经获得了巨大的兴趣,尽管电动汽车分离和表征的通用方法的发展一直是限制因素。另一个挑战是确保各种尺寸类别的电动汽车,它们被认为是通过独立的细胞机制产生的,它们的货物和生理目的往往不同,可以分离和孤立地研究。该方案提供了用于从条件细胞培养基中分离和表征EV样品的有效且可获得的方法。差速离心和使用商业EV沉淀试剂盒的组合允许快速分离按尺寸分离的EV的高纯度样品。然后使用基于微流体电阻脉冲传感(MRPS)的方法来量化颗粒,以及评估EV样本的大小分布。因此,该方案提供了一种可重复的方法来从几乎任何培养的细胞中分离和表征各种大小的EV.
    Extracellular vesicles (EVs) were once believed to serve as a means of disposing of cellular waste. However, recent discoveries have identified their crucial roles in intercellular communication between neighboring and distant cells. Almost all cell types have now been identified to produce EVs, which play a vital role in transporting cellular cargo. The functional roles of EVs, along with their implications in (patho)physiology of various diseases, are still being explored. In the last decade, the identification of EV roles in pathophysiology, pharmacology, and diagnostics has gained significant interest, albeit the development of universal methods for the isolation and characterization of EVs has been the limiting factor. A further challenge is ensuring that EVs of various size categories, which are thought to be produced via independent cellular mechanisms and often differ in their cargo and physiological purpose, can be separated and studied in isolation.This protocol provides an efficient and accessible method for isolating and characterizing EV samples from conditioned cell culture media. The combination of differential centrifugation and the use of a commercial EV-precipitation kit allows for the rapid isolation of a highly pure sample of EVs separated by size. A microfluidic resistive pulse sensing (MRPS)-based method is then used to quantify the particles, as well as to assess the size distribution of the EV sample. As a result, this protocol provides a reproducible means to isolate and characterize EVs of a variety of sizes from nearly any cultured cells.
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  • 文章类型: Journal Article
    红色微藻Galdieriasulrararia已成为大规模种植和生产高价值化合物的有前途的生物技术平台,如蓝色色素藻蓝蛋白。然而,大量的淡水和大量的营养供应挑战了藻类种植的环境和经济可持续性。此外,Galdieriasulruraria的极端性需要在酸性培养基中培养,直接导致强酸性废水,这反过来通常超过了工业废水排放的法律限制。这项研究旨在解决这些挑战,通过研究种植水回用作为减少Galdieriasulruraria管理影响的策略。结果表明,25%的水回用可能很容易实施,并显示在中试规模是有效的,在重复使用的水中连续三个培养周期后,微藻的生长(生物量生产率〜0.21gL-1d-1)或藻蓝蛋白的积累(〜10.8%w/w)没有显着变化。此外,水回用百分比为71%和98%的单个栽培周期,通过膜过滤和离心实现,分别,也是成功的(生物量生产率~0.24gL-1d-1)。这些发现鼓励微藻行业实施淡水再利用,并支持进一步的研究,重点是连续耦合种植和收获,真实规模的配置。离心和膜过滤需要用于水回用和生物质浓度的基本不同的特定电能消耗:在实际应用中,前一种技术将大致从1到10kWhm-3,而后者预计将落在0.1-100kWhm-3的充足范围内,这在很大程度上取决于系统大小。出于这个原因,应根据具体情况选择最合适的分离列车,考虑到当时的流速和分离过程所针对的目标生物量浓度因子。
    The red microalga Galdieria sulphuraria has emerged as a promising biotechnological platform for large-scale cultivation and production of high-value compounds, such as the blue pigment phycocyanin. However, a large amount of freshwater and a substantial supply of nutrients challenge both the environmental and the economic sustainability of algal cultivation. Additionally, the extremophilic nature of Galdieria sulphuraria requires cultivation in an acidic culture medium that directly leads to strongly acidic wastewater, which in turn generally exceeds legal limits for industrial wastewater discharge. This research aims to address these challenges, by investigating cultivation water reuse as a strategy to reduce the impacts of Galdieria sulphuraria management. The results indicated that a 25 % water reuse may be easily implemented and showed to be effective at the pilot scale, providing no significant changes in microalgae growth (biomass productivity ~0.21 g L-1 d-1) or in phycocyanin accumulation (~ 10.8 % w/w) after three consecutive cultivation cycles in reused water. Moreover, a single cultivation cycle with water reuse percentages of 71 and 98 %, achieved with membrane filtration and with centrifugation, respectively, was also successful (biomass productivity ~0.24 g L-1 d-1). These findings encourage freshwater reuse implementations in the microalgae sector and support further investigations focusing on coupling cultivation and harvesting in continuous, real-scale configurations. Centrifugation and membrane filtration required substantially different specific electrical energy consumption for water reuse and biomass concentration: in real applications, the former technique would roughly span from 1 to 10 kWh m-3 while the latter is expected to fall within the ample range 0.1-100 kWh m-3, strongly dependent on system size. For this reason, the most suitable separation train should be chosen on a case-by-case basis, considering the prevailing flow rate and the target biomass concentration factor targeted by the separation process.
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  • 文章类型: Journal Article
    高级PRF(A-PRF)是一种血小板浓缩物,显示出更高浓度的生长因子,与白细胞-PRF相比,纤维蛋白凝块的细胞数量增加和结构松散。与患者相关的PRF大小的高度变异性,报告了血液学特征和离心方案.这项研究的目的是评估A-PRF+在现场生产的可行性和血液学参数之间的相关性,马A-PRF+的宏观和微观特征。用不含抗凝剂的玻璃管收获20匹标准马(3-7年)的样品,预先在37°C下加热在现场用固定角度离心机和卧式离心机以1300rpm的速度离心血液样品8分钟,温度为15-17℃。测量凝块并将其置于WoundBox®上持续2分钟的压缩。测量膜并固定在10%福尔马林中用于组织学检查。性别和离心机之间的凝块和膜表面没有差异。血液学参数与凝块和膜大小没有显着相关性。从两种离心方案获得的膜显示出松散的纤维蛋白结构,并且细胞均匀地分布在整个凝块中。加温管能有效地从所有样品中获得A-PRF+凝块,无论环境温度如何。需要进一步的研究来评估其他血液分子对A-PRF结构和大小的影响。
    The advanced-PRF+ (A-PRF+) is a platelet concentrate, showing a higher concentration of growth factors, an increased number of cells and looser structure of the fibrin clot than leukocyte-PRF. A high variability in the size of PRF associated with patients, haematological features and centrifugation protocols was reported. The aims of this study were to evaluate the feasibility of A-PRF+ production in the field and the correlation between haematological parameters, macroscopic and microscopic features in equine A-PRF+. Samples from twenty Standardbred horses (3-7 years) were harvested with glass tubes without anticoagulants, previously heated at 37 °C. Blood samples were centrifugated at 1300 rpm for 8 min with a fixed-angle centrifuge and a horizontal centrifuge in the field, at a temperature of 15-17 °C. Clots were measured and placed on the Wound Box® for a 2-min compression. Membranes were measured and fixed in 10% formalin for histological examination. Clot and membrane surface did not differ between sex and centrifuge. Haematological parameters did not show a significant correlation to clot and membrane size. Membranes obtained from both centrifugation protocols showed a loose fibrin structure and cells evenly distributed throughout the clot. Tubes\' warming was effective to obtain A-PRF+ clots from all samples, regardless the environmental temperature. Further studies are needed to evaluate the influence of other blood molecules on the A-PRF+ structure and size.
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  • 文章类型: Journal Article
    这项研究的目的是比较包覆的铁核纳米颗粒和单层离心从活马精子中分离死亡的功效。我们的假设是纳米粒子会与死精子结合,并允许使用磁铁与活精子分离,导致精子种群的总运动和渐进运动比例很高。治疗组1是未处理的对照。治疗组2(纳米颗粒,NP)利用与纳米颗粒一起孵育的精子,然后施加磁铁以去除粘附在涂覆的纳米颗粒上的死精子。治疗组3(单层离心,SLC)在EquiPure™上方分层精子,然后离心。随后评估精液样本的精子运动参数,质膜完整性,顶体状态,和形态学。SLC技术产生比NP分离技术(59±12.2%)或未处理的对照(47.3±5.1%)更高(p<0.05)的渐进运动性(76±9.2%)。然而,NP技术(526.2±96.6×106)中回收的精子总数(p<0.05)高于SLC程序(211.7±70×106),与SLC技术(157.8±43.6×106)相比,使用NP技术回收的逐渐活动精子总数(317.6±109×106)更高。活着的百分比,SLC的顶体完整精子回收率高于NP。总之,SLC技术产生了更高的精子活力百分比,完整的质膜,和顶体完整性,但产生的精子总量低于纳米颗粒分离技术。
    The goal of this study was to compare the efficacy of coated iron-core nanoparticles and single-layer centrifugation for separation of dead from live stallion spermatozoa. Our hypothesis was that nanoparticles would bind to dead sperm and allow for separation from live sperm using a magnet, resulting in a population of spermatozoa with a high percentage of total and progressive motility. Treatment Group 1 was an untreated control. Treatment Group 2 (nanoparticles, NP) utilized sperm incubated with nanoparticles followed by application of a magnet to remove dead sperm adhered to the coated nanoparticles. Treatment Group 3 (single-layer centrifugation, SLC) layered sperm above EquiPure™ followed by centrifugation. Semen samples were subsequently evaluated for sperm motility parameters, plasma membrane integrity, acrosome status, and morphology. The SLC technique yielded higher (p < 0.05) progressive motility (76 ± 9.2%) than the NP separation technique (59 ± 12.2%) or the untreated control (47.3 ± 5.1%). However, the total number of sperm recovered was higher (p < 0.05) in the NP technique (526.2 ± 96.6 × 106) than the SLC procedure (211.7 ± 70 × 106), yielding a higher total number of progressively motile sperm (317.6 ± 109 × 106) recovered using the NP technique than the SLC technique (157.8 ± 43.6 × 106). The percentage of live, acrosome intact sperm recovered was higher for SLC than NP. In summary, the SLC technique yielded a higher percentage of sperm motility, intact plasma membranes, and acrosome integrity, but yielded lower total sperm than with the nanoparticle separation technique.
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  • 文章类型: Journal Article
    呼吸衰竭,高白细胞急性髓系白血病患者的颅内出血和感染比非高白细胞白血病患者更常见。与非单采治疗相比,单采治疗后白细胞明显下降,感染率下降。然而,高白细胞白血病患者的白细胞去除治疗时间很长,而对细胞的伤害更大。在这项研究中,对高白细胞急性髓系白血病患者进行了回顾性分析,体外模拟了用单采机离心正常细胞和患者细胞的过程。选取健康体检者5例,高白细胞急性髓系白血病患者11例,提取他们的血液样本,并以不同的速度或持续时间进行体外离心,观察健康人和患者外周血细胞数量和形态的变化,从而探索白细胞分离过程中的最佳离心参数。采用最佳离心参数获得的细胞冷冻保存,两组小鼠(每组10只)建立白血病动物模型。通过研究,发现当离心速度低于6000rpm时,健康人和高白细胞白血病患者对血细胞的损害不明显。当离心速度超过6000转/分钟时,血小板会严重受损。在最佳离心参数下获得的细胞可以成功冷冻保存并用于建立白血病动物模型。本研究对提高白细胞分离术的效率和减少其副作用具有重要意义。并有助于改善白细胞减少的治疗。
    Respiratory failure, intracranial hemorrhage and infection were more common in hyperleukocytic acute myeloid leukemia patients than in non-hyperleukocytic leukemia patients. Compared with non-apheresis treatment, the white blood cells decreased significantly and the infection rate decreased after apheresis treatment. However, the treatment time of leukapheresis in patients with hyperleukocytic leukemia is very long, while it is more damaging to cells. In this study, which conducted a retrospective analysis on patients with hyperleukocytic acute myeloid leukemia, the process of centrifugation of normal cells and patients\' cells by apheresis machine was simulated in vitro. Through selecting 5 healthy persons and 11 patients with hyperleukocytic acute myeloid leukemia, extracting their blood samples and performing in vitro centrifugation at different speeds or duration, we observed the changes of the numbers and morphology of peripheral blood cells in healthy people and patients, so as to explore the optimal centrifugation parameters during leukapheresis. The cells obtained by the optimal centrifugation parameters were cryopreserved and two groups of mice (10 mice in each group) were used to establish leukemia animal models. Through the research, it is found that when the centrifugal speed is below 6000 rpm, the damage to blood cells in healthy people and in patients with hyperleukocytic leukemia is not obvious. When the centrifugal speed is above 6000 rpm, the platelets will be damaged significantly. The cells obtained under the optimal centrifugation parameters can be successfully cryopreserved and used to establish leukemia animal models. This study is of great significance for improving the efficiency and reducing the side effects of leukapheresis, and is helpful to improve the treatment of white blood cells reduction.
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  • 文章类型: Journal Article
    植物是一种新开发的真核表达系统,正在探索生产治疗性蛋白质。从植物中纯化重组蛋白是生产过程中最关键的步骤之一。通常,从总可溶性蛋白(TSP)中纯化蛋白质,以及混杂的细胞内蛋白质和细胞色素的存在对随后的蛋白质纯化步骤提出了挑战。此外,大多数治疗性蛋白质如抗原和抗体被分泌以获得适当的糖基化,和不完全修饰的蛋白质的存在导致不一致的抗原或抗体结构。这项工作介绍了一种更有效的方法,可以从植物质外空间获得高纯度的重组蛋白。重组绿色荧光蛋白(GFP)经过工程改造,被分泌到本氏烟草的质外体中,然后使用浸润离心法提取。然后通过镍亲和层析纯化来自提取的质外体的GFP-His。与传统的TSP方法相比,从质外体纯化产生高度纯化的重组蛋白。这代表了工厂生产系统的重要技术改进。
    Plants are a newly developing eukaryotic expression system being explored to produce therapeutic proteins. Purification of recombinant proteins from plants is one of the most critical steps in the production process. Typically, proteins were purified from total soluble proteins (TSP), and the presence of miscellaneous intracellular proteins and cytochromes poses challenges for subsequent protein purification steps. Moreover, most therapeutic proteins like antigens and antibodies are secreted to obtain proper glycosylation, and the presence of incompletely modified proteins leads to inconsistent antigen or antibody structures. This work introduces a more effective method to obtain highly purified recombinant proteins from the plant apoplastic space. The recombinant Green fluorescent protein (GFP) is engineered to be secreted into the apoplast of Nicotiana benthamiana and is then extracted using an infiltration-centrifugation method. The GFP-His from the extracted apoplast is then purified by nickel affinity chromatography. In contrast to the traditional methods from TSP, purification from the apoplast produces highly purified recombinant proteins. This represents an important technological improvement for plant production systems.
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  • 文章类型: Journal Article
    背景:油会通过炎症损害移植结果,这导致了体积保留率低至20%的不可预测性。现有的除油技术相对低效。在这项研究中,采用一种新的方法,通过絮凝和离心去除油,制备浓缩脱油脂肪(CDF)。这项研究中提出的假设是CDF将通过提高纯化效率和减少炎症而表现出改善的体积保留和质量。
    方法:这项基础研究涉及使用从接受腹部吸脂术的女性获得的样本进行的体外和体内实验。通过絮凝和离心制备CDF。在体外实验中,采用钙黄绿素乙酰氧基甲酯(AM)染色的活细胞和碘化丙啶(PI)染色的死核评估了两组的脂肪微观结构:科尔曼脂肪组和CDF组.此外,使用葡萄糖转运试验(GTT)评估两组的葡萄糖摄取能力.在体内实验中,该研究包括三组:两个实验组(低体积浓缩脱油脂肪,LCDF;高容量浓缩脱油脂肪,HCDF)和一个对照组(科尔曼脂肪),每组10只健康雌性BALB/c裸鼠,每只小鼠皮下注射1ml移植物。8周后,收获脂肪移植物并进行体积评估,HE染色和免疫染色用于评估移植物结果。
    结果:在体外实验中,CDF的浓度率为Coleman脂肪的79.6%,与15.1%以上的油分离。细胞活力,通过AM/PI染色评估,两个移植物之间没有显着差异,但是GTT的结果表明CDF的组织活力高于Coleman脂肪。在体内实验中,CDF的体积保留率高于Coleman脂肪,以水驱替来衡量。组织病理学评分显示HCDF组和LCDF组脂肪结构完整,空泡少,炎症,与科尔曼脂肪相比,纤维化。此外,LCDF组和HCDF组的perilipin阳性面积百分比高于Coleman组,表明使用浓缩脱油脂肪改善了移植物质量和结果。
    结论:“浓缩脱油脂肪”是指通过絮凝和离心去除油的自体脂肪移植物。该过程增加体积保留和活细胞并减少浸润的炎性细胞。
    方法:本期刊要求作者为每篇文章分配一定程度的证据。对于这些循证医学评级的完整描述,请参阅目录或在线作者说明www。springer.com/00266.
    BACKGROUND: Oil compromises graft outcomes via inflammation, which accounts for the unpredictability of volume retention rates as low as 20%. Existing techniques for oil removal are relatively inefficient. In this study, a novel approach was taken to prepare concentrated deoiled fat (CDF) by utilizing flocculation and centrifugation to remove the oil. The hypothesis put forward in this study was that CDF would exhibit improved volume retention and quality by enhancing purification efficiency and reducing inflammation.
    METHODS: This basic research involved both in vitro and in vivo experiments using samples obtained from women who underwent abdominal liposuction. The CDF was prepared by flocculation and centrifugation. In the vitro experiments, the microstructure of fat was assessed using Calcein acetoxymethyl ester (AM) staining for living cells and propidium iodide (PI) staining for dead nuclei in two groups: Coleman fat group and CDF group. Additionally, the glucose uptake capacity of these two groups was evaluated using the glucose transport test (GTT). In the vivo experiments, the study included three groups: two experimental groups (low-volume concentrated deoiled fat, LCDF; high-volume concentrated deoiled fat, HCDF) and one control group (Coleman fat), with 10 healthy female BALB/c nude mice in each group, 1ml of the graft was injected subcutaneously to each mouse. After 8 weeks, the fat grafts were harvested and subjected to volume evaluation, HE staining and immunostaining for perilipin to assess graft outcomes.
    RESULTS: In the vitro experiments, the concentration rate of the CDF was found to be 79.6% that of Coleman fat, with 15.1% more oil separated. Cell viability, as assessed by AM/PI staining, did not show a significant difference between the two grafts, but the results of the GTT showed that the tissue viability of the CDF was higher than that of Coleman fat. In the vivo experiments, the CDF had higher volume retention than Coleman fat, as measured by water displacement. Histopathologic scoring indicated that HCDF group and LCDF group had a more intact fat structure with fewer vacuoles, inflammation, and fibrosis compared to Coleman fat. Additionally, the percentages of perilipin-positive area in the LCDF group and HCDF group were higher than in the Coleman group, indicating improved graft quality and outcome with the use of concentrated deoiled fat.
    CONCLUSIONS: \"Concentrated deoiled fat\" refers to an autologous fat graft from which oil has been removed by flocculation and centrifugation. This process increases volume retention and viable cells and decreases infiltrated inflammatory cells.
    METHODS: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors   www.springer.com/00266 .
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  • 文章类型: Journal Article
    原位RT-PCR由于其快速加工和低成本设备而具有优于其他表达分析方法的优势。然而,这项技术并非没有挑战。提出了一种基于由离心管制成的胶囊的协议,该协议具有优于载玻片的优势。这种胶囊保护组织学切片不干燥,和它的容易组装减少了孵化之间的暂停时间。此外,放置样品的容器尺寸允许添加和取出不同的溶液。每次孵育后,胶囊不需要事先密封,and,最重要的是,它是一种低成本和易于获得的材料。还描述了使用低温恒温器进行组织切片的指南,该指南提供了优于其他切片方法的优势。
    In situ RT-PCR presents advantages over other expression analysis methods due to its rapid processing and low-cost equipment. However, this technique is not without its challenges. A protocol based on a capsule made from centrifuge tubes that offers advantages over slides is presented. This capsule protects histological sections from drying out, and its easy assembly reduces time pauses between incubations. In addition, the container size where the sample is deposited allows the addition and withdrawal of the different solutions. The capsule does not need previous sealing after each incubation, and, above all, it is a low-cost and accessible material. A guideline for tissue sectioning using a cryostat that offers advantages over other sectioning methods is also described.
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  • 文章类型: Journal Article
    静脉内脂肪乳剂用于某些中毒的抢救治疗。一个并发症是干扰实验室分析。这项研究的目的是确定静脉内脂肪乳剂对体外凝血参数的常规实验室分析的影响,并确定是否有任何分析技术仍然可靠。
    从19名健康志愿者获得样品并一式三份。一个样本作为对照,和其他两个被稀释以模拟用Intralipid®20%FreseniusKabi100mL(稀释-1)或500mL(稀释-2)治疗普通成人。凝血试验进行凝血酶原时间,活化凝血酶原时间,D-二聚体浓度和纤维蛋白原。通过三种技术进行凝血测试。测试-1在SysmexCN6000分析仪上进行。使用半自动StagoKC4Delta的手动机械终点方法进行测试-2。测试-3涉及在SysmexCN6000分析仪上重复测试之前的高速离心。
    对于测试-1,只有9个(47%)稀释样品可以进行凝血测试,并且由于血脂血症,无法分析稀释-2的凝血测试。对于测试2和测试3,可以分析所有样品,两种测试方法的所有结果均在实验室参考范围内。
    对接受静脉内脂肪乳剂的患者进行实验室分析的困难是由于多种因素造成的。大多数自动凝血分析仪使用光学测量,在静脉内脂质浓度高的情况下,这可能是不可靠的。通过使用高速离心或使用手动机械终点检测来改变测试溶液中的血脂,我们能够获得可靠的结果。这些发现受到使用离体方法和健康志愿者的限制。
    该离体模型证实Intralipid®干扰常规凝血研究。重要的是,临床医生要了解并告知其实验室其管理。
    UNASSIGNED: Intravenous lipid emulsion is used in the rescue treatment of certain poisonings. A complication is interference with laboratory analyses. The aim of this study was to determine the impact of intravenous lipid emulsion on routine laboratory analysis of coagulation parameters ex vivo and determine if any of the analytical techniques remain reliable.
    UNASSIGNED: Samples were obtained from 19 healthy volunteers and divided in triplicate. One sample served as a control, and the other two were diluted to simulate the treatment of an average adult with Intralipid® 20 per cent Fresenius Kabi 100 mL (dilution-1) or 500 mL (dilution-2). Coagulation tests performed were prothrombin time, activated prothrombin time, D-dimer concentration and fibrinogen. Coagulation testing was performed by three techniques. Test-1 was performed on a Sysmex CN6000 analyzer. Test-2 was performed with a manual mechanical endpoint method using the semi-automated Stago KC4 Delta. Test-3 involved high-speed centrifugation before repeat testing on the Sysmex CN6000 analyzer.
    UNASSIGNED: For test-1, only nine (47 per cent) samples in dilution-1 could be analyzed for coagulation tests, and no coagulation tests could be analyzed for dilution-2 because of lipaemia. For test-2 and test-3, all samples could be analyzed, and all results of both testing methods fell within the limits of the laboratory reference range.
    UNASSIGNED: Difficulties in laboratory analysis of patients having received intravenous lipid emulsion are due to multiple factors. Most automated coagulation analyzers use optical measurements, which can be unreliable in the presence of a high intravenous lipid concentration. By altering the lipaemia in the testing solution using high-speed centrifugation or by using manual mechanical endpoint detection, we were able to obtain reliable results. These findings are limited by the use of an ex vivo method and healthy volunteers.
    UNASSIGNED: This ex vivo model confirms that Intralipid® interferes with routine coagulation studies. It is important that clinicians are aware and inform their laboratories of its administration.
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