Budnick L D, Pakter J
Am J Public Health. 1982 Jun;72(6):580-4. doi: 10.2105/ajph.72.6.580.
Seventy-three non-federal acute care New York City hospitals were asked to report the number of ectopic pregnancies. These reports were compared with legally required certificates of termination of pregnancy (fetal death certificates). The number of ectopic pregnancies reported via the questionnaire was six times the number reported on the certificates of termination of pregnancy. Based on the hospital survey, ectopic pregnancies increased from 1,457 in 1975 to 2,080 in 1980. The number of ectopic pregnancies per 1,000 conceptions per year increased 48.5 percent, from 6.48 in 1975 to 9.62 in 1980 (p less than .001). Of the 30 fatalities related to an ectopic pregnancy, 93.4 percent were Black or Hispanic and two-thirds were single. An unexplained finding was that 75 per cent of the fatal tubal pregnancies were right-sided (p less than .01). At least one-half of the deaths were attributable to physician error and one-fifth were attributable to patient neglect. Ectopic pregnancy continues to be overlooked and misdiagnosed. Increased physician suspicion of this complication in the susceptible population is needed to decrease fatalities.
纽约市73家非联邦急症护理医院被要求上报异位妊娠的病例数量。这些报告与法律要求的终止妊娠证明（胎儿死亡证明）进行了对比。通过调查问卷上报的异位妊娠病例数量是终止妊娠证明上所报数量的6倍。根据医院调查，异位妊娠病例数从1975年的1457例增至1980年的2080例。每年每1000次受孕的异位妊娠病例数增长了48.5%，从1975年的6.48例增至1980年的9.62例（p值小于0.001）。在30例与异位妊娠相关的死亡病例中，93.4%为黑人或西班牙裔，且三分之二为单身。一个无法解释的发现是，75%的致命输卵管妊娠发生在右侧（p值小于0.01）。至少一半的死亡病例归因于医生失误，五分之一归因于患者疏忽。异位妊娠仍然被忽视和误诊。需要提高医生对易感人群中这种并发症的怀疑度，以降低死亡率。
