Atrash H K, Friede A, Hogue C J
Obstet Gynecol. 1987 Mar;69(3 Pt 1):333-7.
From an analysis of 11 abdominal pregnancy-related deaths and an estimated 5221 abdominal pregnancies in the United States, we estimated that there were 10.9 abdominal pregnancies per 100,000 live births and 9.2 per 1000 ectopic pregnancies; the mortality rate was 5.1 per 1000 cases. Although the risk of having an ectopic pregnancy is rising, the risk of abdominal pregnancy, which is probably always a sequel of a missed ruptured ectopic pregnancy, is apparently declining; this may be due to improved prenatal care. However, only one of nine women who reached the hospital alive had an accurate preoperative diagnosis of abdominal pregnancy, which suggests that preventing abdominal pregnancy-related death may depend, at least in part, upon increasing physicians' awareness of its clinical features.
通过对美国11例与腹腔妊娠相关的死亡病例以及估计的5221例腹腔妊娠进行分析，我们估计每10万例活产中有10.9例腹腔妊娠，每1000例异位妊娠中有9.2例腹腔妊娠；死亡率为每1000例病例中有5.1例。尽管异位妊娠的风险在上升，但腹腔妊娠的风险显然在下降，腹腔妊娠可能始终是未破裂异位妊娠漏诊后的一种后果；这可能归因于产前护理的改善。然而，9名存活到达医院的女性中只有1人在术前被准确诊断为腹腔妊娠，这表明预防与腹腔妊娠相关的死亡可能至少部分取决于提高医生对其临床特征的认识。
