患女,37岁,40天前,因第三胎孕7月,在家请接生员行牛夕引产术,术后2天,娩出一死婴。产后自觉下腹持续性隐痛,并向腰部放射伴畏寒发烧,曾到县医院行诊刮术及抗感染治疗,刮出牛夕少许,一周后症状减轻好转出院。近半月下腹剧痛,高烧不退,在当地给予抗感染治疗无效。入院体检:T38℃,P100次/分,R37次/分,被动弯腰 Female, 37 years old, 40 days ago, because of the third pregnancy in July, at home, a midwife abortion delivery line, 2 days after delivery, a dead baby. Postpartum Conscious lower abdomen persistent pain, and radiation to the waist with chills and fever, went to county hospital curettage and anti-infective treatment, scrape out a small Niu Xi, a week after the symptoms alleviate improved discharge. Abdominal pain in nearly half a month, high fever, given in the local anti-infective therapy is invalid. Admission medical examination: T38 ℃, P100 beats / min, R37 beats / min, passive bending