平湖| 威远| 萍乡| 恭城| 宜兰| 凤台| 湘东| 东川| 内黄| 宝应| 万安| 太白| 崇信| 建德| 神木| 天池| 阳泉| 曲沃| 武胜| 勐海| 炉霍| 资源| 凭祥| 敦煌| 新安| 克拉玛依| 呼玛| 友好| 合作| 西山| 柳江| 清苑| 米林| 水城| 新城子| 剑河| 呼伦贝尔| 南川| 勐腊| 江口| 广饶| 惠来| 左权| 宜都| 沙雅| 常宁| 宝坻| 井陉| 诏安| 濮阳| 子洲| 万山| 盐田| 堆龙德庆| 武定| 自贡| 辽阳市| 信丰| 泽库| 正定| 秭归| 刚察| 朗县| 礼县| 称多| 调兵山| 界首| 楚州| 郁南| 宁河| 勃利| 社旗| 大港| 乐都| 容县| 峨山| 罗甸| 唐县| 西和| 泽普| 淄博| 丽江| 和龙| 广昌| 樟树| 银川| 保德| 新津| 炉霍| 坊子| 齐齐哈尔| 荣成| 广德| 宿豫| 恒山| 永城| 泾川| 衢州| 枣强| 黑河| 朗县| 上高| 西华| 天山天池| 佛冈| 华亭| 藁城| 达坂城| 启东| 勐腊| 固始| 璧山| 新源| 曲水| 甘洛| 鹰潭| 廊坊| 枣阳| 墨玉| 阿勒泰| 台东| 白朗| 汉源| 韶山| 云县| 安远| 沾益| 宝山| 安溪| 大悟| 广宗| 阿城| 襄阳| 舒兰| 那曲| 洪湖| 大英| 武功| 清原| 斗门| 太仆寺旗| 墨江| 法库| 巫溪| 康乐| 翁源| 长岭| 荆州| 通道| 丰南| 井研| 玛沁| 清河门| 孝义| 攸县| 宣威| 邵武| 麻山| 防城港| 镇康| 莆田| 户县| 弋阳| 科尔沁左翼中旗| 南昌县| 鄂伦春自治旗| 扶余| 麦积| 泰州| 安徽| 津南| 泸水| 曲麻莱| 虞城| 高阳| 建水| 汉寿| 湖北| 贵溪| 富蕴| 福贡| 八公山| 禹城| 武功| 科尔沁左翼后旗| 兴安| 沁县| 昌邑| 琼海| 大荔| 灵石| 仪征| 河口| 台山| 德格| 龙门| 通城| 弓长岭| 绵竹| 南和| 遂川| 遂宁| 马龙| 三河| 梅县| 福州| 合川| 崇明| 伊吾| 平安| 凯里| 东阿| 望奎| 横峰| 乌拉特中旗| 舞钢| 海林| 瑞丽| 资中| 饶河| 苏尼特左旗| 连州| 闽侯| 盘县| 南华| 泰兴| 图木舒克| 新青| 铜陵市| 威远| 莆田| 巩义| 曾母暗沙| 岳阳市| 磐石| 吉县| 叶县| 黄冈| 铜仁| 海兴| 桃江| 林甸| 浦口| 辛集| 岳阳市| 桂东| 克山| 开鲁| 宁武| 夏邑| 乌达| 上林| 开阳| 麦盖提| 茂县| 化德| 巴彦| 卓资| 旅顺口| 舟曲| 塔河| 合作| 措勤|

要买有品质的高纯铅就来南大电子——泰州高纯铅

2019-09-16 10:05 来源:搜狐健康

  要买有品质的高纯铅就来南大电子——泰州高纯铅

  要扩大公立医院薪酬制度改革试点,研究建立公务员和企业相当人员工资调查比较制度。中新社现有员工2000余人,总社设在北京,拥有46个境内外分社。

  “上海精神”与人类命运共同体理念一脉相承。PresidentXiJinpingdeliversaspeechatthe18thMeetingoftheCouncilofHeadsofMemberStatesoftheShanghaiCooperationOrganizationinQingdao,ShandongProvince,onSunday.(Photo/ChinaDaily)PresidentXiJinpingmakesanobservationaboutatraditionalChinesepaintingwithsummitattendeesonSunday.(Photo/ChinaDaily)LeadersofSCOmemberstatessigndocumentsonSunday.(Photo/ChinaDaily)Fireworks,alightshowandaperformancearestagedtowelcomeSCOleadersonSaturday.(Photo/ChinaDaily)JournalistsphotographasecurityrobotatthenewscenterofthesummitonFriday.(Photo/ChinaDaily)JournalistscovertheSCOQingdaoSummitonSunday.(Photo/ChinaDaily)

  资料图:南极拉森C冰架。English-LanguageNewsWebEditorRequirements::Aminimumofabachelor’sdegreeatanaccreditedcollegeoruniversitywithamajorinjournalism,English,economics,internationalpolitics,,:Haveathoroughunderstandingandappreciationfortheroleofjournalismandaccurate,ftWord,AdobePhotoshop,Dreamweaver,:Previousjoborinternshipexperienceinan:Responsibleforconductingnewsinterviews,andcompiling,editingandrevisingnewsmanuscriptsfromothersourcesforwebsitenews,dupdates,andproducingspecialnewspackages,aswellasothe,:’sdegreeatanaccreditedcollegeoruniversitywithamajorinjournalism,English,economics,internationalpolitics,andaccurate,,:-Thejobisfull-time.-rewritingandcopy-editingstorieswrittenbystaffandfromothermediaresources;-writingoredittingheadlines,readingprovesandcontributingideasinstoryselectionandlayoutandsoon;-helpingproductionanddevelopmentofothereditorialmaterials,whichincludewritingstories,columns,reviewsandrecordings

  PhototakenonJune10,2018showsagiantpandabornlastyearattheChinaConservationandResearchCenterfortheGiantPandaplaysonasunnyday.(Photo:ChinaNewsService/AnYuan)PhototakenonJune10,2018showsagiantpandabornthisyearattheChinaConservationandResearchCenterfortheGiantPandaplaysonasunnyday.(Photo:ChinaNewsService/AnYuan)PhototakenonJune10,2018showsagiantpandabornthisyearattheChinaConservationandResearchCenterfortheGiantPandaplaysonasunnyday.(Photo:ChinaNewsService/AnYuan)PhototakenonJune10,2018showsagiantpandabornthisyearattheChinaConservationandResearchCenterfortheGiantPandaplaysonasunnyday.(Photo:ChinaNewsService/AnYuan)PhototakenonJune10,2018showsagiantpandabornthisyearattheChinaConservationandResearchCenterfortheGiantPandaplaysonasunnyday.(Photo:ChinaNewsService/AnYuan)PhototakenonJune10,2018showsagiantpandabornthisyearattheChinaConservationandResearchCenterfortheGiantPandaplaysonasunnyday.(Photo:ChinaNewsService/AnYuan)PhototakenonJune10,2018showsagiantpandabornthisyearattheChinaConservationandResearchCenterfortheGiantPandaplaysonasunnyday.(Photo:ChinaNewsService/AnYuan)PhototakenonJune10,2018showsgiantpandasbornthisyearattheChinaConservationandResearchCenterfortheGiantPandaplayonasunnyday.(Photo:ChinaNewsService/AnYuan)BrocadepaintingTheDrunkenBeautydisplayedattheParisChinaCulturalCenteronJune5,2018.()ExhibitionReconstruction:TechniquesandDesignofChineseSilkopenCultureDepartment,andorganizedbytheChinaNationalSilkMuseum,theexhibitionisanotherhighlightoftheChineseCultureandTourismMinistrysinternationalprogramofChinaWeek:InheritanceandInnovat,thenewexhibitionpresentsthetechniquesandcharmoftheancientChinesesilkthroughfoursub-themes:Broderie,Impression,Tissage,andTeinture,thatis,embroidery,printing,nJune5,2018.()ZhouWei,theevent’scuratorandassistanttothedirectoroftheChinaNationalSilkMuseum,saidtheexhibitioninfusednewdesignswithtraditionalcraftsman,thecenteralsoheldapubliclectureon"ReconstructionofChineseSilksDesignMaterials"onJune4,andanindustrialexchangemeetingthemed"Reconstruction:TechniquesandDesignofSilk"()Theindustryexchangemeetingon"Reconstruction:TechniquesandDesignofSilk"isheldattheParisChinaCulturalCenteronJune5,2018.()TheexhibitionhallofTeinture.()AmodelshowsasilkflowerdressattheParisChinaCulturalCenteronJune5,2018.()AmodelsshowsasilkdressattheParisChinaCulturalCenteronJune5,2018.()AmodelshowssilkscarvesandhandbagsattheParisChinaCulturalCenteronJune5,2018.()VisitorslookatanembroidereddressattheParisChinaCulturalCenteronJune5,2018.()

PeopleattendtheofficialopeningceremonyoftheFIFAFanFestinMoscow,Russia,onJune10,2018,(Photo:ChinaNewsService/WangXiujun)PeopleattendtheofficialopeningceremonyoftheFIFAFanFestinMoscow,Russia,onJune10,2018,(Photo:ChinaNewsService/WangXiujun)PeopleattendtheofficialopeningceremonyoftheFIFAFanFestinMoscow,Russia,onJune10,2018,(Photo:ChinaNewsService/WangXiujun)PeopleattendtheofficialopeningceremonyoftheFIFAFanFestinMoscow,Russia,onJune10,2018,(Photo:ChinaNewsService/WangXiujun)PeopleattendtheofficialopeningceremonyoftheFIFAFanFestinMoscow,Russia,onJune10,2018,(Photo:ChinaNewsService/WangXiujun)PeopleattendtheofficialopeningceremonyoftheFIFAFanFestinMoscow,Russia,onJune10,2018,(Photo:ChinaNewsService/WangXiujun)

  AstaffmemberrepairsaculturalrelicatarestorationhospitalinthePalaceMuseuminBeijing,June9,sCulturalandNaturalHeritageDay,thefirstbatchof40peoplewatcheddoctorsrepairingpiecesfromsomeofthemuseumscollections,includingpiecesofcalligraphy,paintings,bronzewareandclocks,,,000squaremetersandhasthenationsmost-advancedrestorationstudios.(Photo:ChinaNewsService/LiuGuanguan)ShanJixiang(C),thecuratorofthePalaceMuseum,poseswithvolunteersattheopeningofitsrestorationhospitaltothepublicinBeijing,June9,sCulturalandNaturalHeritageDay,thefirstbatchof40peoplewatcheddoctorsrepairingpiecesfromsomeofthemuseumscollections,includingpiecesofcalligraphy,paintings,bronzewareandclocks,,,000squaremetersandhasthenationsmost-advancedrestorationstudios.(Photo:ChinaNewsService/LiuGuanguan)StaffmembersrepairculturalrelicsatarestorationhospitalinthePalaceMuseuminBeijing,June9,sCulturalandNaturalHeritageDay,thefirstbatchof40peoplewatcheddoctorsrepairingpiecesfromsomeofthemuseumscollections,includingpiecesofcalligraphy,paintings,bronzewareandclocks,,,000squaremetersandhasthenationsmost-advancedrestorationstudios.(Photo:ChinaNewsService/LiuGuanguan)AvolunteertalkstovisitorsaboutculturalrelicsrestorationatahospitalinthePalaceMuseuminBeijing,June9,sCulturalandNaturalHeritageDay,thefirstbatchof40peoplewatcheddoctorsrepairingpiecesfromsomeofthemuseumscollections,includingpiecesofcalligraphy,paintings,bronzewareandclocks,,,000squaremetersandhasthenationsmost-advancedrestorationstudios.(Photo:ChinaNewsService/LiuGuanguan)AstaffmemberrepairsaculturalrelicatarestorationhospitalinthePalaceMuseuminBeijing,June9,sCulturalandNaturalHeritageDay,thefirstbatchof40peoplewatcheddoctorsrepairingpiecesfromsomeofthemuseumscollections,includingpiecesofcalligraphy,paintings,bronzewareandclocks,,,000squaremetersandhasthenationsmost-advancedrestorationstudios.(Photo:ChinaNewsService/LiuGuanguan)ShanJixiang,thecuratorofthePalaceMuseum,meetswithvisitorstoarestorationhospitalinthePalaceMuseuminBeijing,June9,sCulturalandNaturalHeritageDay,thefirstbatchof40peoplewatcheddoctorsrepairingpiecesfromsomeofthemuseumscollections,includingpiecesofcalligraphy,paintings,bronzewareandclocks,,,000squaremetersandhasthenationsmost-advancedrestorationstudios.(Photo:ChinaNewsService/LiuGuanguan)ShanJixiang,thecuratorofthePalaceMuseum,meetswithvisitorstoarestorationhospitalinthePalaceMuseuminBeijing,June9,sCulturalandNaturalHeritageDay,thefirstbatchof40peoplewatcheddoctorsrepairingpiecesfromsomeofthemuseumscollections,includingpiecesofcalligraphy,paintings,bronzewareandclocks,,,000squaremetersandhasthenationsmost-advancedrestorationstudios.(Photo:ChinaNewsService/LiuGuanguan)

    习近平介绍了上海合作组织青岛峰会达成的重要共识和成果:各方同意加强团结协作,深化和平合作、平等相待、开放包容、共赢共享的伙伴关系;秉持共同、综合、合作、可持续的安全观,维护地区安全稳定;维护世界贸易组织规则的权威性和有效性,巩固开放、包容、透明、非歧视、以规则为基础的多边贸易体制,反对任何形式的贸易保护主义,加强“一带一路”建设合作和发展战略对接;继续在文化、教育、科技、环保、卫生、旅游、青年、媒体、体育等领域开展合作,促进文化互鉴、民心相通;扩大上海合作组织的国际交往和合作,同联合国及其他国际和地区组织共同致力于促进世界持久和平和共同繁荣;积极支持和配合吉尔吉斯斯坦接任主席国工作,办好明年峰会。AerialphototakenonJune1,2018showstheQingdaoJiaozhouBayBridgeinQingdao,eastChinauangdaodistrict.(Xinhua/GuoXulei)AerialphototakenonJune1,2018showstheQingdaoJiaozhouBayBridgeinQingdao,eastChinauangdaodistrict.(Xinhua/GuoXulei)AerialphototakenonJune1,2018showstheQingdaoJiaozhouBayBridgeinQingdao,eastChinauangdaodistrict.(Xinhua/GuoXulei)AerialphototakenonJune1,2018showstheQingdaoJiaozhouBayBridgeinQingdao,eastChinauangdaodistrict.(Xinhua/GuoXulei)AerialphototakenonJune1,2018showstheQingdaoJiaozhouBayBridgeinQingdao,eastChinauangdaodistrict.(Xinhua/GuoXulei)

  English-LanguageNewsWebEditorRequirements::Aminimumofabachelor’sdegreeatanaccreditedcollegeoruniversitywithamajorinjournalism,English,economics,internationalpolitics,,:Haveathoroughunderstandingandappreciationfortheroleofjournalismandaccurate,ftWord,AdobePhotoshop,Dreamweaver,:Previousjoborinternshipexperienceinan:Responsibleforconductingnewsinterviews,andcompiling,editingandrevisingnewsmanuscriptsfromothersourcesforwebsitenews,dupdates,andproducingspecialnewspackages,aswellasothe,:’sdegreeatanaccreditedcollegeoruniversitywithamajorinjournalism,English,economics,internationalpolitics,andaccurate,,:-Thejobisfull-time.-rewritingandcopy-editingstorieswrittenbystaffandfromothermediaresources;-writingoredittingheadlines,readingprovesandcontributingideasinstoryselectionandlayoutandsoon;-helpingproductionanddevelopmentofothereditorialmaterials,whichincludewritingstories,columns,reviewsandrecordings

  中国新闻社,简称“中新社”,是中国以对外报道为主要新闻业务的国家级通讯社,是以台港澳同胞、海外华侨华人和与之有联系的外国人为主要服务对象的国际性通讯社。AlightsandfireworksshowtakesplaceinQingdao,thehostcityofthe18thShanghaiCooperationOrganization(SCO)summit,ineastChinasShandongProvince,June9,2018.(Xinhua/JiangKehong)AlightsandfireworksshowtakesplaceinQingdao,thehostcityofthe18thShanghaiCooperationOrganization(SCO)summit,ineastChinasShandongProvince,June9,2018.(Xinhua/JiangKehong)AlightsandfireworksshowtakesplaceinQingdao,thehostcityofthe18thShanghaiCooperationOrganization(SCO)summit,ineastChinasShandongProvince,June9,2018.(Xinhua/JiangKehong)AlightsandfireworksshowtakesplaceinQingdao,thehostcityofthe18thShanghaiCooperationOrganization(SCO)summit,ineastChinasShandongProvince,June9,2018.(Xinhua/JiangKehong)AlightsandfireworksshowtakesplaceinQingdao,thehostcityofthe18thShanghaiCooperationOrganization(SCO)summit,ineastChinasShandongProvince,June9,2018.(Xinhua/LiXueren)AlightsandfireworksshowtakesplaceinQingdao,thehostcityofthe18thShanghaiCooperationOrganization(SCO)summit,ineastChinasShandongProvince,June9,2018.(Xinhua/LiZiheng)Alightsandfireworksshowwiththethemeof"AWarmWelcometoFriendsfromAfar"takesplaceinQingdao,thehostcityofthe18thShanghaiCooperationOrganization(SCO)summit,ineastChinasShandongProvince,June9,2018.(Xinhua/XieHuanchi)Alightsandfireworksshowwiththethemeof"AWarmWelcometoFriendsfromAfar"takesplaceinQingdao,thehostcityofthe18thShanghaiCooperationOrganization(SCO)summit,ineastChinasShandongProvince,June9,2018.(Xinhua/XieHuanchi)

  PhototakenonJune6,2018showscustomsenforcementofficersinIstanbul’sPendikporthavecaughtundocumentedmigrants,wrappedinaluminumfoiltohidefromx-raydetectors,onan18-wheeltruckenroutetoItaly.(Photo/Agencies)PhototakenonJune6,2018showscustomsenforcementofficersinIstanbul’sPendikporthavecaughtundocumentedmigrants,wrappedinaluminumfoiltohidefromx-raydetectors,onan18-wheeltruckenroutetoItaly.(Photo/Agencies)

  BrewerBudweisersBrianPerkinsscoreswithtailor-madestrategyfortheboomingChinamarketBrianPerkins,globalvice-presidentforBudweiserbeerbrandatbrewerAnheuser-BuschInBev,isunlikecommonfolkwholivenuptheirsummerswithrooftopbarbecueswithbeer,,instead,prefers,thissummerissignificantbecauseit-thesoccerWorldCup-,Budweiserhasbeenapa-organizinggroundactivities,launchingthecompanysnewpromotionalcampaign,arrangingthesaleschannelsinkeyglobalmarketsincludingChina,theUnitedStates,theUnitedKingdomandBrazil,andmuchmore-,aSouthAfricannationalandanalumnusofCambridgeUniversityandHarvardBusinessSchool,,"RedLightcups"inover300foodstreets,6,000karaokesingingclubsandbars,10,000hypermarketbranches,30,000restaurantsand170,ongoingconsumptionupgrade,hesaid."Theinerproductstoday,",theLeuven,Belgium-headquarteredparentofB,theparentofBudweiserbeerbrand,$"E-commerceisimportanttoourbusiness,especiallyasyoungChineseconsumersagedbetween18and30havealreadychangedtheirshoppinghabitsfromofflinetoonline,"saidPerkins,who,heisspearheadingBudweisersexpansionintoothersaleschannelssuchasrestaurants,off-tradeconsumptionspotssuchasnightclubsandkaraokesingingclubs."Chinaisoneofthemostimportantmarketsintheworldforus,"hesaid.",,Shanghaiisonemar"HedoesthatbytravelingacrossChinaquiteoften."ItraveltoChinaprobablyfourtimesayearandImveryclosetoChinesecolleaguesandactuallytheyvebecomepersonalfriends,"hesaidinMay."Imveryexcited.""TheChinamarketwastraditionallydominatedbylow-pricedbeer,butrecentyearshaveseenrapidgrowthinmoreexpensiveinternationalbrandsandadeclineincheapdomesticbrands,"saidZhaoShiyuan,swesternandnortheasternregionswhereeconomicdevelopmenthasspawnedhigherincomes,betterqualityoflife,lifestyleaspirations,allofwhichareresultingin,orarelikelytoleadto,,PerkinssaidhewillbeinMoscowearlytomakesureBudweisersbrandactivationisperfect-afterall,itisanopportunityto"bringpeopletogether"."WellhaveaBudweiserboatwithabigscreenthatwillgoupanddowntheMoscowriver,llhavespecialpromotionsatthecityllalsohaveaBudweiserhotel."Despitehistightschedule,,,sinvestmentinsoccerissaidtobe"thebiggest",withouthavingtodown10to15Budweiserbeersduringatensegame.

  AdogincostumeplayswithaballduringacontestwiththethemeofFIFAWorldCupinLima,Peru,onJune10,2018.(Xinhua/LuisCamacho)AwomaninteractswithherdogduringacontestwiththethemeofFIFAWorldCupinLima,Peru,onJune10,2018.(Xinhua/LuisCamacho)AwomaninteractswithherdogduringacontestwiththethemeofFIFAWorldCupinLima,Peru,onJune10,2018.(Xinhua/LuisCamacho)DogsincostumeareseenduringacontestwiththethemeofFIFAWorldCupinLima,Peru,onJune10,2018.(Xinhua/LuisCamacho)中新网认为,国内互联网信息产业已经到了规范发展的关键时期,而侵权问题则成为制约产业发展的突出问题。

  

  要买有品质的高纯铅就来南大电子——泰州高纯铅

 
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2019-09-16 09:08:00 广州日报 分享
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,2017showstwilightthroughtheSeventeenArchBridgeintheSummerPalaceinBeijing,capitalofChina.(Xinhua/LiuXianguo)China,700activitieswillbeheldacrossChinatocelebratethisyearsculturalandnaturalheritageday,,whichwasestablishedtosafegstakealookat20culturalheritagesitesinChina,,originallynamedQingyiYuan,ortheGardenofClearRipples,wasanimperialgardenconstructedin1750byEmperorQianlonginabidtocelebratehismother,emperorsandempressesspenttheirleisuretimethere,eselandscapegardendesign,,capitalofsouthwestChinasTibetAutonomousRegion,,2018,togreettheSpringFestivalandTibetanNewYear.(Xinhua/Chogo),LhasaThePotalaPalace,winterpalaceoftheDalaiLama,hassymbolizedTibetanBuddhismanditscen,madeupoftheWhiteandRedPalaceswiththeirancillarybuildings,isbuiltonRedMountaininthecenterofLhasaValley,atanaltitudeof3,,JokhangTempleMonasteryandNorbulingkawereaddedtothelistrespectivelyin1994,,2018showsthesnowsceneryofWestLakeinHangzhou,eastChinaZhejiangProvince,,2018.(Xinhua/HuangZongzhi),,WestLakeCulturalLandscapeofHangzhouhasinspiredfamouspoets,,pagodas,pavilions,gardensandornamentaltrees,,2018showsseaofcloudsafterrainfallatHuangyaguansectionoftheGreatWallinTianjin,northChina.(Xinhua/YangYushan),theGreatWallwindsupanddownacrossdeserts,grasslands,mountainsandplateaus,,horsetracks,watchtowers,andsheltersonthewall,,000years,,itisstilloneofthemostappealingattractionsallaroundt,oneofthegreatestwondersoftheworld,,northwestChinasGansuProvince,,2016.(Photo/Xinhua),Gansuprovince,theMogaocaves,alsoknownastheThousand-BuddhaCaves,aretheworldslargest,mostrichlyendowed,,atthecrossroadsoftradeaswellasreligious,,thecarvingofthecavesstartedin366ADandcontinuedforabout1,,housingabout45,000squaremetersofmuralsandmorethan2,000paintedsculptures,,wi(Photo/Xinhua)sYuanDynastyinChina,slegendarycapitalcity,designedbytheMongolrulersChineseadvisor,LiuBingzhong,,includingtemples,palaces,tombs,nomadicencampmentsandtheTiefangangCanal,,,:/FengJun):anImperialSacrificialAltarinBeijingLocatedinthesouthernpartofBeijing,theTempleofHeavenisamagnificentcomplexoffirs,andisthelargestoneinBeijingamongseveralroyalaltarstoHeaven,Earth,theSun,,SoutheastChinasFujianprovince,onDec9,2016.(Photo:ChinaNewsService/WangDongming)e15thand20thcenturiesover120kilometersinthesouth-westofFujianprovince,irfunctionexe,,efilm,resembling"scarfs"and"dresses",aspartoftheirrestorationintheEmperorQinshihuangsMausoleumSiteMuseuminXian,Shaanxiprovince,Feb23,2015.(Photo/CFP)ntainingterracottawarriorsandhorsesarelocatedinLintongcounty,nearXi’ancity,,,themausoleumislaidoutinlinewiththedimensionsofXianyang,,,,ridianGate(WuMen)ofthePalaceMuseuminBeijing,April17,2018.(Photo:ChinaNewsService/DuYang)ForbiddenCity,locatedinthecenterofBeijing,,,,(anareaenclosedbyfourpoles).In1924,theimperialfamilyoftheQingDynastywasremovedfromtheForbiddenCity,age,nearMountHuangshan,Anhuiprovince,inMay.(Photo:ChinaDaily/WangHao),HuangshancityinsouthAnhuiprovince,thetwotraditionalvillagesXidiandHongcunarearchitecturalcomplexes,,landscape,architecturalform,decorationandconstructiontechniquesallretaint,northChinasShanxiProvince,April22,,listedasaUNESCOWorldCulturalHeritagesitein2001,willwitnessatourismpeakastheMayDayholidayiscoming.(Photo:Xinhua/YanYan),some16kmwestofDatongcity,Shanxiprovince,theYungangGrottoeswerebuiltagainstthemountainandextendaboutonekm(),000statueswithinacarvedareaof18,000squaremeters,YungangGrottoesrepresenttheoutstandin,withtheirstrictunityoflayoutanddesign,coPoliticalPartyForumvisitLiuyuanorLingeringGardeninSuzhou,eastChinasJiangsuProvince,April22,2013.(Xinhua/ShenPeng),whichseekstorecreateminiaturenaturallandscapes,isnotillustratedanybetterthanintheninegardensinthehistoriccityofSuzhou,’,2017showstheviewofChengdesummerresortinnorthChinasHebeiProvince.(Xinhua/LiuMancang),ChengdeIntermsofthegenerallayout,architecturalstyles,constructiontechniques,decorationdetailsandgardenlandscape,theMountainResort,avastcomplexofpalacesandadministrativeandceremonialbuildingsbuiltbetween1703and1792,representsthebroadexchangeandconvergencebetweenHancultureandtheethniccultures-Confucianism,BuddhismandTaoism-andthearchitecturalstylesbetweenChina,theMountainResorthastemplesofmanyarchitecturalstylesandimperialgardensblendeffortlesslyintoalandscapeoflakes,,,centralChinasHenanProvince,April17,(Xinhua/ZhuXiang)e(618-907).Located13kmsouthofLuoyang,Henanprovince,theLongmenGrottoesareconcentratedontheeastandwestcliffsoftheYishuiRiver,,duringtheNorthernWeiDynasty,Grottoes,liketheTwentyGemsofLongmenCalligraphyandZhuSuiliang’sstonetablets,,madein641inhonorofthemotherofthefourthsonofEmperorTaizong,,,LushanMountainisoneofthemostrenownedmountainsandtourismresortsinthecountry.(Photo/ShanghaiDaily),LushanMountainisoneofChina’,whichwasinscribedontheWorldHeritageListin1996,i,LushanisthebirthplaceofChineselandscapepoetry,plus,thefamousLushanPlenumrepresentsitsroleinChina’,,southwestChinasYunnanProvince,,SCOin1997.(Photo:Xinhua/YangZongyou),lyingontheLijiangplainatanelevationof2,400metersinsouthwestYunnanprovinceofChina,alandstrategifelementsfromseveralcultures,a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   医学指导/广东省中医院大骨科副主任陈博来教授

   “老从腰腿起”,因此医院骨科里看到最多的是腰腿疼痛的老年人。不过你知道吗?一半骨科门诊患者,患的是腰椎管狭窄症,而此症,在我国70岁以上老人中发病率达100%!

   并不是所有的腰椎管狭窄都要处理,但如果发病了,最该做的第一件事就是全休,马上卧床休息!千万不可忍痛再动!如果病情严重,不要抗拒手术治疗,要知道,目前医学已经进步至可局麻微创用椎间孔镜为椎管减压。

   文/广州日报记者何雪华 通讯员宋莉萍、李雪、杜炎鑫、陈树东

   病例:

   臀腿痛 4个月进展到只能打针镇痛

   79岁的马婆婆,中年开始身体就屡出状况,高血压史长达30多年,需要长期用药控制;做过甲状腺、子宫切除术。今年,马婆婆又遭遇新问题。

   5月初,马婆婆开始觉得不对劲,腰、臀疼痛,腿也开始发麻。此前,她还坚持每隔一天到1000米外的小公园散散步,与街坊聊天解闷;5、6月间,马婆婆发现外出越来越困难,腿又麻又软,走走就觉得很费劲,勉强撑着走,很快腰就感觉胀痛,痛感从腰牵连到臀部,放射到大腿上。

   到了9月初,马婆婆的“痛症”已经加重至臀、腿剧烈地痛,不但无法平卧,晚间连入睡都严重困难。无奈之下,家人把她送至医院,医生为其打静脉针,以止痛药来缓解,连打6天,也仅求得片刻安宁。马婆婆回忆那段日子,用“身心煎熬、心灰意冷”来形容,最担心自己“痛到死”。

   析病:

   腰椎椎管狭窄惹的祸

   到底马婆婆身体出了什么问题?老人被家人送至广东省中医院,该院大骨科副主任陈博来教授一看,心里隐隐有底——多数是腰椎椎管狭窄惹的祸。果然,反复研究马婆婆的腰椎X光、CT、MRI影像资料后,初步确认她虽有腰椎滑脱不稳,但主要致病因素应在腰椎L4/5左侧侧隐窝狭窄,椎管后方黄韧带、前方椎间盘及对侧侧隐窝等处狭窄。

   其实马婆婆这样的病例真不少见。陈博来指出,在大医院骨科,一半病人来看的是“腰椎管狭窄症”,其实70岁以上老人,100%有此症。

   老人骨关节退变,腰椎间盘突出,往往导致椎管狭窄这一老年骨关节脊柱疾病。不过一般腰椎管狭窄早期甚至中期,可不产生症状,或者只是有轻微的腰痛、腰麻,不影响步行或生活起居状态。但是,如果老人的骨关节出现松动、滑脱,脊柱不稳定,或者附着在骨关节周围的韧带、肌肉出现萎缩,比如腰背肌、腿肌等力量变差,那就可能发病。

   并不是所有的腰腿痛麻都需要马上跑医院,但如果全休数日,没有缓解,那就要小心了。陈博来指出,腰椎管狭窄病情可迅速加重,像马婆婆这样4个月进展至卧床不起者并非罕见。

   他教给老人们辨识:一是正常老人可连续活动40分钟,最理想的是每天能到公园去散步一次,如果腰腿的痛、麻,已经让您走不远,即走500米或15~30分钟就“扛不住”,要停下来休息,那要警惕;二是正常老人站个十几分钟没问题,如果不能久站,那也意味着有问题了。

   治疗:

   别怕!椎间孔镜可微创减压

   对于腰椎管狭窄症,到了马婆婆这样的状况,只能手术。而按照既往的手术指南,需要从椎中央切开骨头,揭开椎板,扩大神经管,给它减压。这样一来,就需要开大刀,一节椎管解压就要开刀10厘米,而且椎管周围布满了神经、血管,出血多,康复慢,并发症多。稍有不慎,损伤神经,甚至致患者瘫痪。更要命的是,腰椎管狭窄症多数“受害”的是老年人,他们心肺功能相对较差、骨质疏松,手术风险大。

   难道“七老八十”就是只好卧床等死?当然不是,现在已经有了椎间孔镜可微创减压。

   陈博来教授团队采用Uless减压技术为马婆婆解难题。不用切骨头,也不用切韧带,只要开一个0.7厘米的切口,将筷子大小的椎间孔镜伸进两节椎管间天然的椎间孔,精准定位穿刺,在25倍率放大镜帮助下,针对增生小关节、肥厚韧带、膨出的突出等,扩大椎间管。1个小时精准手术后,马婆婆的疼痛立即消失,几乎不出血,还只是局麻加了一点点静脉麻醉,术后两三小时就下地活动了!

   专家提醒:

   腰痛腿麻

   全休一周最基本

   陈博来指出,局麻微创椎间孔镜手术为严重腰椎狭窄解压,椎间狭窄、神经根管狭窄、中央管狭窄均可手术,但要注意,伴超过I度滑脱的狭窄不宜。只有稳定性滑脱I度以内,可微创。

   腰椎管狭窄几乎100%“老人”会得,但并不是都会发病。陈博来说,脊柱稳定的、骨关节没松动或滑脱、骨头节周围韧带和肌肉力量强大、没有骨质疏松症等,腰椎处于动态平衡中,就不会发病。

   不过,往往老人一些不起眼的举动,会引发狭窄发病。比如忙家务活,常常弯着腰洗菜切肉炒菜洗碗,一忙个把小时不停歇;再如提大水桶、腰部用力不当等。建议老人做家务,每15分钟换姿势挺挺腰,停一下;水盆等操作台不能太矮;也不要做重力坠腰的动作。

   并不是腰椎狭窄一发病就没得救,陈博来指出,早期发病,患者可能只觉得轻度的腰、腿、臀痛和麻,如果不影响步行和生活状态,那么一发作,最重要的是前两周的处理。全休一周是最基本的,最好两周,让脊柱、被触发的关节、肌肉有机会恢复稳态。还可保守治疗如功能锻炼、物理或中医传统疗法如针灸、练功,外用内服等全身调整,治疗因肝肾亏虚所致的筋骨失养。

   痛麻本身是信号,人体可自体消炎,分泌消炎因子、止痛因子进行修复。

   “千万不可忍痛去接孙儿孙女,更不可忍痛锻炼,越走路、越锻炼,神经水肿、炎症就越厉害,不断恶性循环。”如果全休后症状不减反加重,需要及早去医院。

责编:王志胜
张海居委会 堠北庄镇 内湖村 无锡 井陉县
二坪镇 井口镇 汝城县 下王镇 措勤县