军事医学2026，Vol.50Issue(4)：291-296,6.DOI:10.7644/j.issn.1674-9960.2025-00191
海上运输环境对血液质量影响的研究
Impact of maritime transport environments on blood quality
吴亚娇 1肖斌龙 1张乃淙 1周小芹 1詹子鑫 1卢龙坤 1梁声强1
作者信息
- 1. 第九〇九医院,厦门大学附属东南医院,福建 漳州 363000
- 折叠
摘要
Abstract
Objective To evaluate the impact of different marine environments on the quality of red blood cells in additive solution with reduced leukocytes transported in a passive blood transport container(2-10℃)in order to provide data for marine transportation of blood.Methods By simulating marine conditions for supply,transportation trials were conducted in both inland and open seas that covered a distance of 20 nautical miles.Paired samplet-tests were used to analyze intra-group changes in quality parameters of red blood cells in additive solution with reduced leukocytes before and after transportation while independent sample t-tests based on these changes(Δ values)were used to study the inter-group differences in severity of damage.Results Intra-group analysis showed that following inland sea transportation,the mean corpuscular volume(MCV)and mean corpuscular hemoglobin(MCH)in these red blood cells were elevated by 0.52%(P<0.05)and 0.68%(P<0.01),with all the indicators within acceptable limits.In contrast,open sea transportation in high seas resulted in a 3.29%increase in the osmotic fragility of erythrocytes(P<0.01),along with a surge of 39.13%in free hemoglobin(FHb)(P<0.01),30.00%in hemolysis rates(P<0.01),and a 0.42%decrease in chloride ion concentrations(P<0.001),with some parameters near critical quality thresholds.Inter-group comparisons confirmed that Δ free hemoglobin(ΔFHb)and Δ hemolysis rates increased more significantly in the open sea group than in the inland sea group(P<0.05),although no statistically significant differences were found in ΔMCV,ΔMCH or Δ chloride ion concentrations(ΔCl⁻)between the two groups.Conclusion This study finds that open-sea transportation causes more significant hemolytic damage to red blood cells in additive solution with reduced leukocytes.The strong mechanical vibrations and impacts resulting from harsh marine conditions may be important determinants of blood quality.It is recommended that anti-shock stabilizing systems be used during long-distance marine transportation of blood and real-time cold-chain monitoring be enforced in the entire transport process to ensure that blood products meet the requirements for clinical quality.关键词
红细胞/血液运输/血常规/生化指标/溶血Key words
red blood cells/blood transportation/complete blood count/biochemical indicators/hemolysis分类
医药卫生引用本文复制引用
吴亚娇,肖斌龙,张乃淙,周小芹,詹子鑫,卢龙坤,梁声强..海上运输环境对血液质量影响的研究[J].军事医学,2026,50(4):291-296,6.
