Peterson H B, DeStefano F, Rubin G L, Greenspan J R, Lee N C, Ory H W
Am J Obstet Gynecol. 1983 May 15;146(2):131-6. doi: 10.1016/0002-9378(83)91040-2.
In 1979, the Centers for Disease Control began surveillance of deaths attributable to tubal sterilization in order to determine why they occur and what may be done to prevent them. Since that time, 29 such deaths have been identified as occurring in the United States from 1977 through 1981. Of these 29 deaths, 11 followed complications of general anesthesia, seven were due to sepsis, four were due to hemorrhage, three were due to myocardial infarction, and four deaths were related to other causes. Some of these deaths might have been prevented by use of endotracheal intubation for general anesthesia, particularly for laparoscopic sterilization, safer use of unipolar coagulation or use of alternative techniques, careful insertion of the needle and trocar for laparoscopy, and discontinuation of oral contraceptives before sterilization. Further surveillance may help to make tubal sterilization even safer.
1979年，疾病控制中心开始对输卵管绝育所致死亡进行监测，以确定其发生原因以及如何预防。自那时起，已确认1977年至1981年期间美国发生了29例此类死亡。在这29例死亡中，11例因全身麻醉并发症所致，7例因败血症，4例因出血，3例因心肌梗死，4例与其他原因有关。其中一些死亡或许可通过以下措施预防：全身麻醉采用气管内插管，尤其是腹腔镜绝育时；更安全地使用单极电凝或采用替代技术；腹腔镜检查时小心插入针和套管；绝育前停用口服避孕药。进一步监测可能有助于使输卵管绝育更加安全。
