[Investigation of the status of perioperative blood transfusion in grade III-A general hospitals in Zhejiang province].

Objective To investigate the situation of perioperative blood transfusion in Grade M-A hospitals in Zhejiang province, in order to provide statistics for improving appropriateness of blood transfusion. Method The questionnaire was conducted in 9 Grade M-A hospitals in Zhejiang province according to "The Technical Criterion of Clinical Blood Transfusion". The data including total quantity , whole blood and component blood transfusion in 2007 were analyzed. Results Among 19 102 cases, the percentage of component blood transfusion was 99. 3% ,but 44. 1% transfusion is conducted just according to doctors'experience without any medical indication .including 603 patients not reexamining the level of Hct or Hb in 72 h after operation. For the patients with complete transfusion record, the irrational rate of whole blood, RBCand platelet transfusion were 39. 2% , 39. 2% , 43. 7% , the mainly reason was the relax demand on the transfusion indication. Conclusions Although Grade Ⅲ-A hospitals in Zhejiang did fairly well in perioperative blood component transfusion, there are still some seriously unreasonable phenomenons . Every medical organization should pay more attention to improve the quality of clinical blood transfusion. Key words: Blood component transfusion; Transfusion indication; Appropriate clinical application of blood