Grimes D A, Satterthwaite A P, Rochat R W, Akhter N
Obstet Gynecol. 1982 Nov;60(5):635-40.
This report summarizes the second of 2 epidemiologic investigations of deaths attributable to sterilization in Bangladesh. All deaths resulting from sterilizations performed nationwide between September 16, 1980, and April 15, 1981, were investigated and analyzed. Nineteen deaths from tubal sterilization were attributed to 153,032 sterilization operations (both tubal sterilization and vasectomy), for an overall death-to-case rate of 12.4 deaths per 100,000 operations. This rate is lower than that (21.3) for operations performed in Dacca and Rajshahi Divisions from January 1, 1979, to March 31, 1980, although this difference is not statistically significant. Anesthesia overdosage, tetanus, and hemorrhage were the leading causes of death. Improvements in anesthesia management, surgical asepsis, and postoperative monitoring of vital signs should make sterilization operations even safer. Although tubal sterilizations performed in Bangladesh cost some lives, they avert far more maternal deaths. The net health impact is strongly favorable: For every 100,00 tubal sterilizations performed, approximately 100 deaths are prevented.
本报告总结了孟加拉国绝育所致死亡的两项流行病学调查中的第二项。对1980年9月16日至1981年4月15日期间在全国范围内进行的绝育手术导致的所有死亡病例进行了调查和分析。19例输卵管绝育死亡病例归因于153,032例绝育手术（包括输卵管绝育和输精管切除术），总体死亡率为每100,000例手术中有12.4例死亡。尽管这一差异无统计学意义，但该死亡率低于1979年1月1日至1980年3月31日在达卡和拉杰沙希地区进行的手术死亡率（21.3）。麻醉过量、破伤风和出血是主要死因。麻醉管理、手术无菌操作和术后生命体征监测的改善应使绝育手术更加安全。尽管在孟加拉国进行的输卵管绝育手术导致了一些死亡，但它们避免了更多的孕产妇死亡。对健康的净影响是非常有利的：每进行100,000例输卵管绝育手术，大约可预防100例死亡。
