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目的为了观察胃肠道癌患者围手术期输血与术后感染的关系。方法作者回顾性地分析了２８９例此类患者术后感染的多种因素。结果２８９例中有１０５例进行了围手术期输血，其感染率为３４２８％（３６例）；围手术期未输血的１８４例中，术后感染率为３８０％（７例），两者比较有显著性差异（Ｐ＜０．０５）。术后感染发生随输血量而增大（Ｐ＜０．０１）。结论胃肠道癌肿患者围手术期输血会增加术后感染并发症的发生。故在保证患者能够耐受麻醉，手术治疗及术后恢复顺利的情况下，应尽量不输血或少输血。对确需输血者应采取红细胞成份输血，提高输血质量。
Objective To observe the relationship between perioperative blood transfusion and postoperative infection in patients with gastrointestinal cancer. Methods The authors retrospectively analyzed the multiple factors of postoperative infection in 289 patients. RESULTS: Perioperative blood transfusion was performed in 105 of 289 cases. The infection rate was 34.8% (36 cases). Among 184 cases who did not receive blood transfusion during the perioperative period, the postoperative infection rate was 3 to 80% (7 cases). There was a significant difference between the two (P<0.05). Postoperative infection increased with blood transfusion (P<0.01). Conclusion Perioperative blood transfusion in patients with gastrointestinal cancer increases postoperative infection complications. Therefore, in order to ensure that patients can tolerate anesthesia, surgical treatment and postoperative recovery, they should try their best not to transfusion or transfusion. For those who need blood transfusions, they should take red blood cell transfusions to improve blood transfusion quality.