病例介绍:患者女,26岁,农民,因产后发热1天而急诊入院。此系计划外第二胎,孕7~+月。1983年10月28日在家用纺纱锭针人工破膜,于1983年11月2日8时娩出一个7~+月大小胎儿,产后出血不多,11月3日6点开始发烧,当夜23点急诊入院。查体:体温38.1℃,脉搏120次/分,血压20～40/0～20毫米汞柱,重病容,心率120次/分,律整,呼吸困难,肺呼吸音粗,肝脾未触及,腹胀,下腹压痛,无明显反跳 Case description: Female patient, 26 years old, farmer, due to postpartum fever and emergency admission 1 day. This is a planned second child, pregnant 7 ~ + month. October 28, 1983 in the home spinning needle artificial rupture of the membrane, at 8 o’clock on the November 2, 1983 delivered a 7 ~ + month size fetus, postpartum hemorrhage is not much, began to have fever at 6 o’clock on the November 3, night 23 Point emergency admission. Physical examination: body temperature 38.1 ℃, pulse 120 beats / min, blood pressure 20 to 40/0 to 20 mm Hg, severe disease, heart rate 120 beats / min, law, dyspnea, Abdominal distension, abdominal tenderness, no obvious rebound