患者,35岁,3孕1产。1978年顺产1胎,1979年孕2~+月行人工流产,一向月经规则。末次月经1987年4月15日,停经40天后出现早孕反应,孕4~+月感有胎动,1987年10月11日在当地医院行羊膜腔穿刺利凡诺引产术。10月12日排出死胎,但胎盘一直未排出,阴道出血不多。于10月12、15日两次行钳刮术未能取出胎盘,然后转我院。妇检:阴道出血,有血性分泌 Patient, 35 years old, 3 pregnant 1 produce. Abortion in 1978, 1 child, pregnancy 2 ~ + month in 1979, abortion, has been menstrual rules. The last menstrual April 15, 1987, 40 days after menopause early pregnancy reaction, pregnancy 4 ~ + month have fetal movement, October 11, 1987 at the local hospital amniocentesis amphetamino induced abortion. October 12, stillbirth discharge, but the placenta has not been discharged, vaginal bleeding is small. On October 12, 15 twice failed to remove the placental forceps curettage, and then transferred to our hospital. Gynecological examination: vaginal bleeding, bloody secretion