Background and purpose: Reasonable proportion with blood less than half of the surgical system

cancer patients during surgery prone to acute massive blood loss

this study aimed to investigate blood transfusion in the patients who diagnosed with cancer during operation in the Affiliated Tumor Hospital of Xinjiang Medical University

and in order to improve the intraoperative blood transfusion and make it more scientific and more reasonable. Methods: The patients who were taken selective operations and heterogenous blood transfusions in the Affiliated Tumor Hospital of Xinjiang Medical University from Oct. 2012 to Dec. 2013 were enrolled

and the clinical data were retrospectively surveyed and investigated.The intraoperative use of blood components and reasonableness in each department were analyzed. Results: The medical records of 299 blood transfusion receipts proportions of reasonable transfusion of RBC from department of gastrointestinal surgery

gynecology

orthopedics

hepatobiliary surgery

neurosurgery

urological surgery and thoracic surgery were 88.9%

91.8%

94.3%

96.3%

91.6%

100%

81.3%

respectively. And the proportions of reasonable transfusion of plasma were 86.2%

71.8%

96.4%

78.4%

100%

100%

87.5%

respectively.The proportions of low-volume blood transfusion and the combined transfusion of RBC and plasma were 62.5% and 43.2% in unreasonable blood transfusion. Conclusion: Except for the unreasonableness in very few departments

the intraoperative blood component transfusion is carried on fairly well. The medical staff still should be further trained in the appropriate use of blood and strengthened the knowledge on blood transfusion.