Investigation Of The Status Of Perioperative Blood Transfusion And Using Blood Research Of A Tumor Hospital In Xinjiang From The Year2012to2013

Objective: Through the investigation of the status of perioperative blood transfusionof a tumor hospital in Xinjiang, to analyze the rationality of the transfusion of eachclinical department and provide the basis for elevating the clinical reasonable transfusionratio in the future.Methods: The retrospective investigation was conducted in a tumor hospital in Xinjiangfrom October2012to December2013and the patients with elective surgery and needingallogeneic blood transfusion were selected. All the electronic medical records and archivemedical records of the patient were investigated. The purpose, kind and volume ofperioperative blood transfusion of cancer patients investigated and the status oftransfusion adverse reactions were recorded. The transfusion cases were comprehensivelyevaluated through “Clinical blood transfusion technical specification” promulgated bythe ministry of health in2000; also the ABO type and RhD type of the blood transfusionpatients were analyzed.Results: The total infusion and per capita infusion of red blood cells, plasma andplatelets all raised and the per capita infusion of red blood cells, plasma and platelets in2012had statistically significant differences with2013(P<0.05); The haemorrhageamount in department of orthopaedics and gynaecology were higher,116880ml and70800ml, respectively, but urology department was least. The volume of bloodtransfusion in department of orthopaedics and gastrointestinal were higher,94783ml and75220ml, respectively, also urology department was least. The per capita infusion ofblood in department of orthopaedics and hepatology were higher,1662.86ml/case and1622.52ml/case, respectively, but gynaecology was least,843.62ml/case; The total infusion of red blood cells in department of orthopaedics and gastrointestinal were higher,341.50U and270.50U, respectively, however, the per capita infusion of red blood cellsin department of orthopaedics and hepatology were higher,5.99U/case and5.08U/case;The total infusion of plasma in department of orthopaedics and hepatology werehigher,26040ml and21970ml, respectively, while, the per capita infusion of plasma indepartment of hepatology and orthopaedics were higher,593.78ml/case and456.84ml/case; The total infusion of platelets in department of gynaecology and gastrointestinalwere higher,657ml and630ml, respectively, but, the per capita infusion of plasma indepartment of neurology and hepatology were higher,12.81ml/case and12.51ml/case;The clinical reasonable transfusion ratio of red blood cells, plasma and platelets were91.97%,83.61%and88.29%, respectively and The difference of easonable transfusionratio between red blood cells and plasma was statistically significant (P<0.05); Thereasonable transfusion ratio of red blood cells in department of urology and hepatologywere higher,100.00%and97.30%, respectively, but, gynaecology department was least,88.33%; The reasonable transfusion ratio of plasma in department of urology andorthopaedics were higher,100.00%and96.49%, respectively, however, gastrointestinaldepartment was least,88.33%; The reasonable transfusion ratio of platelets in departmentof urology and cardiothoracic were both100%, but, gastrointestinal department was least,81.01%; There were13cases whose infusion volumes were lower than≤3U in the24unreasonable red blood cells transfusion, and the rate was54.17%. There were31caseswith the combined transfusion in the49unreasonable plasma transfusions, and the ratewas63.27%; There were53cases with unqualified transfusion records, and the rates inthe departments of gynaecology and cardiothoracic were higher,28.30%and22.64%,respectively. There were46cases with unqualified blood application records, and therates in the departments of gastrointestinal and gynaecology were higher,26.67%and22.22%, respectively. Total10cases with transfusion adverse reactions were found,6cases of red blood cells (2.01%),3cases of plasma (1.00%),1case of platelets (0.33%),however, late-onset hemolysis reaction wasn’t found; The rate of Rh (-) in uighurs was5.80%, but The rate of Rh (-) in Han was0.99%, so The rate of Rh (-) in uighurs wassignificantly higher than Han (P<0.05); The infusion volumes of A Type blood inUighurs and Han were largest, accounted for34.29%of the total amount. There was nodifference of infusion volumes between B type blood and AB type blood. Theinfusion volumes of O type blood were least.Conclusion: The blood component transfusion rate is high in the tumor hospital in Xinjiang, but the phenomenon of unreasonable blood transfusion is still preserved. So thetraining of clinical blood transfusion knowledge for medical staff need to strengthen; TheRh (-) blood resources in Xinjiang area were more sufficient, so we can use thisadvantage to reserve a large number of Rh (-) blood sources.