Strauss L T, Huezo C M, Kramer D G, Rochat R W, Senanayake P, Rubin G L
Int J Gynaecol Obstet. 1984 Feb;22(1):67-75. doi: 10.1016/0020-7292(84)90106-1.
Except for data from several geographically limited studies, little is known globally about the number and causes of death associated with surgical sterilization. To identify clinical characteristics and problems leading to deaths related to the procedures, the International Planned Parenthood Federation ( IPPF ) and the Centers for Disease Control (CDC) in the United States collaborated in a global mail survey of 4642 physicians. Usable responses were received from 1298 physicians (28%) in 80 countries. Fifty-five sterilization-associated deaths which occurred from January 1, 1980 to June 30, 1982 were reported. The most frequently reported causes of death were infection, anesthetic complications, and hemorrhage. There were some regional differences in the relative frequencies of these causes. Most cases did not involve surgical accident. The characteristics most frequently associated with the reported fatal procedures were: interval sterilizations, minilaparotomy incision, tubal ligation and general anesthesia. Most deaths were attributable to the surgical sterilization procedure.
除了一些地域有限的研究数据外，全球对于与手术绝育相关的死亡人数及原因了解甚少。为了确定导致这些手术相关死亡的临床特征和问题，国际计划生育联合会（IPPF）与美国疾病控制中心（CDC）合作，对4642名医生进行了一项全球邮件调查。在80个国家的1298名医生（28%）中收到了有效回复。报告了1980年1月1日至1982年6月30日期间发生的55例与绝育相关的死亡病例。最常报告的死亡原因是感染、麻醉并发症和出血。这些原因的相对频率存在一些地区差异。大多数病例不涉及手术事故。与报告的致命手术最常相关的特征是：间隔绝育、小切口剖腹术切口、输卵管结扎和全身麻醉。大多数死亡可归因于手术绝育程序。
