Endler G C, Mariona F G, Sokol R J, Stevenson L B
Department of Anesthesiology, Wayne State University, Hutzel Hospital, Detroit, MI 48201.
Am J Obstet Gynecol. 1988 Jul;159(1):187-93. doi: 10.1016/0002-9378(88)90519-4.
We reviewed maternal deaths in the state of Michigan occurring from 1972 through 1984. There were 15 maternal deaths in which anesthesia was considered the primary cause and 4 deaths in which anesthesia was a contributory factor. Complications of regional anesthesia were the main cause of death during the early part of the period, whereas the inability to accomplish endotracheal intubation emerged as the principal cause of death in recent years. Eleven of the 15 patients had undergone cesarean section. Obesity was a risk factor in 12 patients, in an equal number of patients the risk factor was the emergent nature of the operation, and hypertensive disease was a risk factor in eight. Thirteen of the 15 deaths occurred in black patients.
我们回顾了1972年至1984年密歇根州发生的孕产妇死亡情况。有15例孕产妇死亡，其中麻醉被认为是主要原因，4例死亡中麻醉是一个促成因素。区域麻醉并发症是该时期早期的主要死亡原因，而近年来无法完成气管插管成为主要死亡原因。15例患者中有11例接受了剖宫产。肥胖是12例患者的危险因素，同样数量的患者危险因素是手术的紧急性质，高血压疾病是8例患者的危险因素。15例死亡中有13例发生在黑人患者中。
