The invention relates to an off-road double-temperature double-control blood transportation vehicle. The vehicle comprises an off-road automobile chassis and a large plate type carriage arranged on the off-road automobile chassis, wherein the off-road automobile chassis uses an EQ 2050 type second-type off-road automobile chassis; the large plate type carriage is divided into a front blood bank and a back blood bank which are independent; a double-temperature double-control refrigerating/heating machine set for guaranteeing the transportation and the storage of bagged whole blood and frozen plasma at the same time is arranged in the large plate type carriage; the temperature in the front blood bank and the back blood bank which are independent is set as 4 DEG C or minus 20 DEG C, two sets of blood bank blood frames in the same structure and with interchangeability are arranged in each of the front blood bank and the back blood bank, and six stainless steel blood baskets in the same structure and with interchangeability are arranged on each set of blood bank blood frames. The blood transportation vehicle disclosed by the invention has the characteristics of large transportation volume, strong off-road capacity, high mobility, precise temperature control, long blood transportation distance and long blood storage time, and the storage and the transportation of the bagged whole blood preserved under the condition of 4 DEG C and the frozen plasma preserved under the condition of minus 20 DEG C at the same time are realized.