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Discussion TNF-αis an inflammatory cell cytokine,with the properties of autocrine, produced by cadiocyte at the early age of MIRI,inducing myocardial function abnormal and cadiocyte necrosis in MIRI、pyaemia、chronic cardiac insufficiency、viral myocarditis and the homograft rejection of heart.

讨论 TNF-α是心肌缺血再灌注早期心肌细胞产生的炎性细胞因子，是一种自分泌的作用因子，在缺血再灌注损伤、脓毒症、慢性心功能不全、病毒性心肌炎以及心脏同种移植排斥反应中均能导致心肌功能能障碍和心肌细胞坏死。

How to prevent and reduce pyemia is important.

怎样预防和降低脓毒症具有重要意义。

Objective To explore therapeutic regimen of pyemia in severe burned patient.

目的 探讨大面积烧伤病人脓毒血症的救治方法。

Methods 196 severe burned patients with pyemia of burn were retrospectively analyzed.

回顾我科十年来烧伤病人脓毒血症196例救治方法。

Results:All the 66 cases weren't showed abdominal residual abscess,infection of portal vein and pyemia.

结果：66例患者手术后均未出现腹腔残余脓肿、门脉感染及脓毒血症。

The formation and the mortality rates of pyemia are reduced through the treatment. But how to terminate the occurrence and development effectively, restore the damage of organs is a challenging problem.

尽管通过治疗降低了脓毒症的发生率和死亡率，但如何有效终止病情发生、发展，促进受损器官恢复，仍是一个具有挑战性的问题。

Results To treat shock and early operation for extensive deep burn wounds would do help to decrease the rate of pyemia.

结果 尽快纠正休克，深度创面尽早手术切痂，脓毒血症发病率显著降低。

Infection positions are inclined to lead to abscess, then invade into organs and blood stream and results in organic abscess for marion, pyemia is another clinical character of Chromobacterium violaceum infection.

可引起感染部位脓肿，并可侵入体内各脏器及血液引发脏器的脓肿，脓毒血症是该菌感染的临床特症，重者可引起各脏器功能衰退，中毒性休克甚至死亡。

skin ulcer is the skin integrity harm which causes by many kinds of reasons, not prompt cicatrization, but infects concurrently, clinical many are the complication which some illness get sick, like the chronic diabetes, lower limb shallow varicosity, the thrombus unenlightened vasculitis and so on, the processing measure usual application physiological saline configuration celebrates the magnamycin solution clean wrap, the curative effect is slow, even the long treatment does not recover, extremely easy to cause pyemia, increases life-threatening for the patient.

皮肤溃疡是由多种原因引起的皮肤完整性损害，未及时愈合而并发感染，临床多系一些疾病的并发症，如慢性糖尿病，下肢浅静脉曲张，血栓闭塞性脉管炎等，处理措施通常应用生理盐水配制庆大霉素溶液清洗包扎，疗效缓慢，甚至久治不愈，极易导致脓毒血症，给患者增添生命危险。2004年3月~2007年5月，我科采用复方生肌散加痢特灵治疗，经临床对比观察，效果显著。

21 cases with pyogenesis in diabetes mellitus were operated and filled up with CPF,then were linked negative pressure drained equipment,so the whole infective surface were drained.The quantity of secretion and the healing time of wound were observed as indicators of this study.

利用Coldex聚乙烯酒精水化海绵填塞感染脓腔，接高负压、全创面持续封闭式引流，治疗糖尿病合并化脓性感染创面，21例为实验组，以创面的分泌物多少和伤口愈合时间为临床观察指标。

Do you know, i need you to come back

你知道吗，我需要你回来

Yang yinshu、Wang xiangsheng、Li decang,The first discovery of haemaphysalis conicinna.

1〕 杨银书，王祥生，李德昌。安徽省首次发现嗜群血蜱。