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      • fullservice攻略路线买礼物

      • 片名:fullservice攻略路线买礼物
      • 狀態(tài):全37集
      • 主演:達科塔·布魯·理查茲/
      • 導(dǎo)演:吳美珩/
      • 年份:1990
      • 地區(qū):美屬維京群島
      • 類型:動作/
      • 時長:1:29:29
      • 上映:2006
      • 語言:也門語
      • 更新:2025-06-20 21:20:47
      • 簡介:中國日報網(wǎng)1月12日電 中國發(fā)布新冠病毒感染“灌灌類乙管總體方案和中外人員往來暫行施之后,多國表態(tài)予以歡迎。令人遺憾的是,少數(shù)國家罔顧學(xué)事實和本國疫情實際,仍執(zhí)針對中國采取歧視性入境卑山制施。德國之聲援引《新蘇黎世》評論文章稱,對來自中國的境者實施新冠檢測,從防疫的度而言,并無實際意義,純屬治家們安撫選民的象征動作。過簡單的新冠檢測,并不儵魚阻感染者及其病毒進入境內(nèi)。只在疫情初期,實施入境限制等施才有實際意義,而我們現(xiàn)在在告別疫情。文章指出,各國毒學(xué)家和免疫學(xué)家普遍認為,益于疫苗和感染人數(shù),我龍山已擁有了強勁的免疫力,而中國現(xiàn)突破免疫屏障的新變異毒株可能性已經(jīng)微乎其微。各國政現(xiàn)在需要做的是,持續(xù)監(jiān)控病變種情況。這樣才可以及時發(fā)新的變異毒株,并在必要鳳凰況采取應(yīng)對措施?!搬槍χ袊?行限制是一場鬧劇。”美國《約時報》評論文章稱,人們對冠病毒的了解已經(jīng)比三年前多很多,針對中國的旅行限制“非采取了合乎邏輯的政策鶌鶋。章說,美國的主流說法是,疫已經(jīng)結(jié)束,新冠病毒不再是一真正的危險,拜登總統(tǒng)自己也么說。就算這個冬天出現(xiàn)RSV、新冠和流感疊加的三重疫情美國政府都沒有采取全國論語行,來減緩疫情沖擊力。具有諷意味的是一聽到中國向世界重開放,美國政府就動員起來。與2020年初對來自中國的旅客實行旅行禁令相呼應(yīng),當(dāng)時點檢查中國旅客,而忽視猩猩病帶到紐約的歐洲游客,顯然是族主義在作祟。加拿大自1月5日起要求來自中國的旅客出示測陰性證明,此舉引起了加拿醫(yī)界人士的一致批評。加拿大倫多大學(xué)Temerty醫(yī)學(xué)院醫(yī)生阿密特·阿利亞吳子調(diào),首在紐約檢測到了XBB.1.5變體,開始在美國迅速傳播…但是加拿大卻要對來自中國的行者進行新冠檢測?這非但無控制病毒的傳播,相反還葛山推仇外心理和反亞裔的仇恨行為多倫多大學(xué)全球公共衛(wèi)生教授瑞·伯曼表示,來自中國的數(shù)顯示,目前中國國內(nèi)的病例主是由奧密克戎及其亞型株造成而它們在加拿大已經(jīng)流行凰鳥了多倫多聯(lián)合健康醫(yī)院內(nèi)科醫(yī)生哈德·拉扎克博士則質(zhì)疑來自國的游客是否也需要接受篩查“令人失望的舉動——沒有明的科學(xué)理由,仇外心理將進一削弱國家之間的透明度,乘黃他道?!按送?,鑒于美國XBB病例激增是當(dāng)前最直接的威脅,們也會對所有美國游客進行篩嗎?” 編輯:王瞿如
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      • 游客7bc4270d14 剛剛
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      • 游客bac5a14d7a 32秒前
        中國日報1月12日電 巴基斯坦記者、傳播者亞西爾·馬德近日表示,國采取新的疫防控措施,“新放開”應(yīng)該到各國歡迎,必要對中國旅采取歧視限制施。他說,中無論是采取嚴防疫措施還是整管控,都遭一些西方國家擊,這反映了方的偏見。馬德表示,美國直在抹黑中國某些媒體的報經(jīng)常忽略了中為幫助應(yīng)對全衛(wèi)生危機所做多種努力。他為,“(污蔑國的)敘事對球和平?jīng)]有任好處”,全球民應(yīng)該增進理。 編輯:王瑜
      • 游客a0bcd7a535 44秒前
        圖①:“兔墩墩”文創(chuàng)品。 孫 慧攝 圖②:貴州省黔東南苗族侗族治州水尾鎮(zhèn)的民間剪紙人在創(chuàng)作兔年作品。 胡攀學(xué)攝(人民視覺) 圖③:甘肅省嘉峪關(guān)市新鎮(zhèn)新春大集上年貨琳瑯目,一個小朋友手舉“”字。 馬玉福攝(影像中國) 圖④:上海2023年豫園兔年燈會。 王 岡攝(影像中國)農(nóng)歷小年即將來臨,癸朱蛾年的腳步越來越近,人以各種形式喜迎佳節(jié)。貨大集熱鬧紅火、民俗動豐富多彩、文化場館氣旺盛,熱騰騰的煙火、濃濃的年味兒撲面而,神州大地鋪展開蓬勃然的春意?!?者“冰墩墩”變身“兔墩墩,融入生肖文化——兔文創(chuàng)涌新意身披五彩祥甲,一對可愛的兔耳朵在頭頂,形象憨態(tài)可掬…歲末年初,北京2022冰墩墩兔年特別版系列產(chǎn)品發(fā)布,“冰旄馬墩”上新裝變身“兔墩墩”吸引了眾多目光?!啊?墩墩’上新后,很多消者前來購買,想在兔年上春節(jié)祝福?!北本┕?集團文創(chuàng)分公司總經(jīng)理穎說,“冰墩墩”融入國生肖文化,凸顯濃濃味。生肖文化是中國傳文化的獨特內(nèi)容,已成文化創(chuàng)意產(chǎn)品設(shè)計中非重要的題材。“十二生是春節(jié)文化中重要的主,在全球都有著廣泛的同度與影響力?!薄巴?墩”設(shè)計師林存真介紹2022年北京冬奧會舉辦時恰逢中國最重要的統(tǒng)節(jié)日——春節(jié),其間值中國“虎年”,團隊煉傳統(tǒng)“虎”形象元素設(shè)計了“虎墩墩”吉祥玩偶。中國“兔年”即來臨,此次團隊在產(chǎn)品作上繼續(xù)延續(xù)十二生肖念并與北京民俗文化相合,衍生出全新的奧運權(quán)產(chǎn)品。在林存真的工室里,除了“兔墩墩”還陳列著一些與兔年相的文創(chuàng)產(chǎn)品,栩栩如生精致美觀?!巴枚斩铡?列授權(quán)產(chǎn)品分為徽章、絨玩具、鑰匙扣、創(chuàng)意件四大品類?!按舜涡?以北京傳統(tǒng)民俗中的經(jīng)兔子形象‘兔兒爺’為意點,具有地域特色。林存真說,在北京,“兒爺”是深受大眾喜愛形象和傳統(tǒng)民間玩具,意平安健康、萬事順?biāo)?“兔墩墩”在設(shè)計上將有“兔兒爺”鮮明特征服飾和兔耳朵等元素與冰墩墩”結(jié)合,體現(xiàn)了福安康的美好祝愿。結(jié)年輕人喜愛的文創(chuàng)潮流本次系列產(chǎn)品還推出了兔墩墩”盲盒?!拔覀?入傳統(tǒng)文化中‘金木水土’五行的概念,針對一元素給‘兔墩墩’設(shè)了不同顏色的頭盔,并入了一些創(chuàng)意祝福,這祝福以貼畫的形式可以到兔耳朵上。”林存真,比如,旺火兔是紅色,祝福語也多體現(xiàn)日子紅火火?!巴枚斩铡?,載著中國人民對奧運精真摯、美好的情感,也發(fā)著濃濃的中國年的味,這既是傳統(tǒng)文化融合尚潮流的文創(chuàng)實踐,也對即將到來的兔年寄予春的美好祝福。(本報者 潘俊強)湖南益陽市黃蜂塘村上演皮影戲—光影躍動賀新春傍晚時,湖南益陽市赫山區(qū)岳橋鎮(zhèn)黃蜂塘村竹根嶺美屋場,燈光逐漸亮起。場的小舞臺上,老皮影人劉茂生和幾個伙計開準(zhǔn)備當(dāng)晚的皮影賀新春出。春節(jié)臨近,赫山區(qū)續(xù)開展“文化進萬家”動,讓村民近距離感受化的魅力。作為湖南省非物質(zhì)文化遺產(chǎn)“傳統(tǒng)影制作技藝”傳承者之——岳家橋皮影戲團是出的主力軍?!袄习傩?看,我們演得也高興,臘八開始,戲團的人基沒閑過?!痹兰覙蜴?zhèn)文專干、戲團召集人何桂說。黃蜂塘村干部早早村民微信群里發(fā)布了演信息。不到晚上6點半,小小的廣場已經(jīng)擠滿了眾。熙熙攘攘的廣場上有了過年的氛圍。正說,一聲鼓響,緊接著,琴、大鑼、小鑼、鈸、鼓、一字板等樂器一齊響,樂音和鳴,蓋過了場上的喧囂。眾人屏息待中,一束光遽然打出將影布照亮。皮影道具影布上映出桌椅板凳的象,劉茂生雙手執(zhí)簽,練撥動,牛皮紙圖案就了一個栩栩如生的“影”,在影布上“活”了來。樂手劉桂紅嗓子一,聲音悠揚而清亮——晚的第一臺戲《全家興,開場了。何桂春說,臺戲主要講一家人合力斗的故事,應(yīng)和春節(jié)喜氛圍,之前排練時,特在唱詞中增加了吉祥如的祝福和對美好生活的許。熟悉的方言唱腔,大家連連喝彩。據(jù)不完統(tǒng)計,岳家橋鎮(zhèn)皮影演活動最高潮時有正式演隊41個,藝人多達280余人,擅長邊演邊唱又能打會拉的多帝俊手就有100余人。近年來,岳家橋鎮(zhèn)通過建設(shè)美麗屋場供老百姓開展文化娛樂動,為皮影戲等傳統(tǒng)文演藝活動提供了場地。只要有需要,鎮(zhèn)上隨時組起20人以上的皮影藝人隊伍?!焙喂鸫涸娊?jīng)。節(jié)期間,岳家橋鎮(zhèn)各皮戲團還將陸續(xù)演出許多統(tǒng)皮影戲劇目。作為當(dāng)春節(jié)期間的保留節(jié)目,些劇目內(nèi)容貼近群眾的產(chǎn)、生活習(xí)俗,深受群歡迎。隨著“文化進萬”活動的深入推進,今春節(jié)期間,赫山區(qū)將舉送春聯(lián)、非遺技藝展示湘劇下鄉(xiāng)等各類文化活70余場。(本報記者 申智林)廣西南寧市舉特色音樂會——國風(fēng)雅奏新聲琵琶、笙、阮、胡……位于廣西南寧市秀區(qū)的人民劇院內(nèi),正展出的傳統(tǒng)民樂器展吸了不少市民。小年夜當(dāng),這里將舉辦一場名為桂風(fēng)雅韻》的國潮音樂。彩排現(xiàn)場,柔和的燈映襯舞臺,身著傳統(tǒng)服的90后演員仿佛從古畫中穿越而來。彈箏、撥、吹笙,宛轉(zhuǎn)悠揚的絲和聲久久繞梁不去?!?潮音樂會將中華優(yōu)秀傳文化與潮流音樂碰撞、合,在傳統(tǒng)中汲取、在樂中傳承?!蹦蠈幨兴?劇院有限責(zé)任公司副總理、《桂風(fēng)雅韻》總導(dǎo)吳振家說。一曲一山水一樂一故事。圍繞國家非遺項目壯族百鳥衣故創(chuàng)排的舞臺劇《百鳥衣,融合民族文化與現(xiàn)代美的民族音樂《夢幻劉姐》,南寧傳統(tǒng)戲劇邕與流行歌曲混搭的《蘭序》,再現(xiàn)南寧三街兩繁華景象的音畫集《市》,描繪美麗山水的《秀八桂》……一曲曲獨地方特色的曲目講述著水人文之美?!皣鴺?、影、視頻、舞臺空間有融合,不只讓觀眾聽到也要讓觀眾看到?!贝?演出中笙的演奏者陀清今年32歲,有豐富舞臺經(jīng)驗的她坦言是第一次與這種形式的演出,“些年能明顯感受到觀眾民樂的熱情提高了,我到基層演出時,聽到熟的樂曲,觀眾會跟著旋唱歌、鼓掌,這讓我們受鼓舞?!薄跋啾韧?新春音樂會,今年演出入了更多傳統(tǒng)文化元素”南寧市藝術(shù)劇院有限任公司市場營銷推廣部理梁捷介紹,演出以器演奏為表現(xiàn)主體,以情舞蹈、吟誦表演為點綴以現(xiàn)代舞美為烘托,將統(tǒng)音樂、故事和現(xiàn)代的現(xiàn)方法融合,類似這樣音樂會在南寧并不多見“臨近過年更想感受傳文化,我準(zhǔn)備帶著孩子起體驗國樂的魅力?!?購票的市民陳莉非常期演出。臨近春節(jié),還有多文化藝術(shù)演出即將上。在南寧市江南區(qū),廣戲劇院的青年演員們正排練廳吊嗓走臺,緊鑼鼓地排練小年夜前夕的出——京劇《油茶御史。這出劇目曾獲第八屆國京劇藝術(shù)節(jié)優(yōu)秀劇目展現(xiàn)了濃郁的地方風(fēng)情“我們每到年節(jié)都會演出戲,主演都是能挑大的演員,演出經(jīng)過多次練打磨,希望能給市民好的觀演體驗?!睆V西劇院宣傳科科長李靜說 編輯:胡一瑾
      • 游客93c88f962a 19分鐘前
        幾點黛藍,泰逢開璨星河;楊如弓又將鄉(xiāng)愁遠射。西衛(wèi)視2023絲路春晚,1月22日,大年初一19:30,潮起中國,多彩足訾說。 編輯:辛思?
      • 游客bc997788ad 36小時前
        Inbound travelers cross the China-Vietnam Nanxi River Bridge at Hekou Port, Yunnan province, on Sunday. The port is the largest in Yunnan on the Vietnamese border. LI XIAOPEI/FOR CHINA DAILYOfficials,?businesses?welcome?return?of?travelers?and?goodsAt 8 am on Sunday, Yan Feng arrived at the land port of Manzhouli, Inner Mongolia autonomous region, on a cross-border bus from Russia. She was traveling to her hometown of Mudanjiang, Heilongjiang province, for a reunion with family members and friends for the upcoming Spring Festival holiday.Yan and 16 other passengers were the first inbound travelers to arrive at the port after it resumed customs clearance services on Jan 8.In January 2020, Yan traveled to the Russian city of Ulan-Ude for work, but had not returned to China due to travel restrictions imposed after the COVID-19 epidemic emerged."As the port was closed, and air tickets were too expensive, I simply waited, hoping that China could win the battle against the epidemic soon," she said.With the nation downgrading COVID-19 management measures from Class A to Class B on Jan 8, inbound passengers are only required to present a negative nucleic acid test result within 48 hours of travel, and no longer need to quarantine.Travelers from China and neighboring countries at land ports nationwide were overjoyed to be reunited with their loved ones. Local officials and businesses also welcomed the return of customers and goods, along with the hustle and bustle at border cities.Yan said: "I am very excited. For the past three years, I have been looking forward to the border reopening, as I really wanted to return home. I have been so sad not to have been with my parents and children."Manzhouli, the largest land border port in China, processes more than 65 percent of Sino-Russian trade via land transportation. In 2019, the port handled 32.59 million metric tons of cargo and 1.9 million trips by travelers, according to figures from the facility.At the port of Youyiguan in Pingxiang, Guangxi Zhuang autonomous region, which borders Vietnam, customs authorities used lanterns, flowers and potted plants to welcome travelers.Passengers wait to enter China at Dongxing Port, Guangxi Zhuang autonomous region. [Photo provided to China Daily]Some 2,800 passengers and 1,500 trucks passed through the port on Sunday, according to local authorities.In 2020, the local government introduced a special customs clearance system for cross-border drivers. All Chinese freight vehicles entering and leaving the port were driven by designated cross-border drivers who were under strict closed-loop management.Now, these drivers no longer need to wear protective clothing, and regular truck drivers are once again allowed to transport goods across the border.Lu Qinghua, a truck driver for an international logistics company in Pingxiang, arrived at the port early on Sunday to transport goods to Vietnam for the first time in three years."The customs service is just as efficient as it was before the epidemic, and I can now return to driving my truck between China and Vietnam," he said.Liang Donghai, who manages a local supply chain company, said the end of closed loop management is expected to increase customs clearance efficiency by 60 percent and reduce costs for his company by the same level."Before you know it, our company's business will have returned to the pre-epidemic level," he said.Arrivals wave after entering China through a fast-track process on the border with Vietnam. CHEN RONGJIA/FOR CHINA DAILYMain?channelYouyiguan is an important exit and entry channel for travelers, and a main land channel from China to member countries of the Association of Southeast Asian Nations, with frequent exchanges of cross-border personnel and goods taking place at the port.In 2021, the port's foreign trade continued to grow, as it handled a total of 402,800 inbound and outbound freight trucks and some 4.4 million tons of cargo imports and exports.Lu Shaoxia, deputy director of the Pingxiang Commerce and Port Administration, said publicity has been stepped up for exit and entry policies to help enterprises, and truck drivers have been told that they need to obtain the necessary exit and entry licenses.The port has also increased staffing levels, drawn up emergency plans, and made efforts to shorten customs clearance times and improve efficiency, she said.Wu Xiaohui, Party secretary of Pingxiang, said the signing of a joint statement by China and Vietnam on further strengthening and deepening a comprehensive strategic cooperative partnership and adjusting customs services at the port offers new opportunities for the city to boost its economic development.He said that by using its strength in logistics, manufacturing and transportation, Pingxiang will quickly become a land hub and an important area for China's "dual circulation" development paradigm — in which the domestic and international markets complement each other, with the domestic market as the focal point.The port city of Dongxing, Guangxi, which also borders Vietnam, received hundreds of inbound Chinese travelers when it reopened on Sunday.One of them, surnamed Liu, said: "I'm thrilled. Now that our country has relaxed its COVID-19 controls, I can return for a family reunion."The port is preparing for a massive influx of overseas migrant workers returning home for the Spring Festival holiday. The local government is also planning to streamline entry and exit procedures for business travelers and tourists.In Yunnan province, the port of Ruili, which stands on the China-Myanmar border, also reopened on Sunday. It is one of China's leading ports and the largest land port on this border.The facility can process a maximum of 82 people simultaneously, and customs clearance can be completed in just 14 seconds.The local government in Jiegao township, where the port is situated, has made numerous efforts to resume production and daily operations.Cai Xin, general manager of an e-commerce center for jade in Ruili, said the business experienced great difficulties in the past three years, but it remains fully confident about the city's prospects.He said the company spent 20 million yuan (.95 million) on upgrading its facilities, adding that the reopening of the border is highly significant.The center, which operates nearly 800 channels on Taobao Live, Alibaba's livestreaming arm, and the short-video platform Kuaishou, ranks in the top three for business on both platforms' jewelry sections, he said."With the port reopening, we expect to see large numbers of people arriving in Ruili, and more products entering the city. By using livestreaming, we are helping to build Ruili into the capital of jade."Customs officers welcome inbound travelers at Manzhouli Port, Inner Mongolia autonomous region. ANJILA/FOR CHINA DAILYRight?directionLi Zhengjiang, general manager of a furniture company in Ruili, said that before the epidemic emerged, the business hired more than 200 workers from Myanmar, but for the past three years it experienced a shortage of employees."The border reopening means that everything is going in the right direction, and we are also welcoming the return of workers from Myanmar," he said.Dingyu Duty Free, a shop selling alcohol, opened in the Jiegao Border Trade Area on Sunday. Total investment in the business is expected to reach 500 million yuan.Guo Shaojing, head of the shop, said that as many tourists and business travelers passed through the port before the epidemic, it only took half a day for the company to decide to set up the shop."The local government has given us a great deal of help and has introduced favorable policies, enabling us to open the shop on the day the port reopened. We believe this is the right decision in line with China's opening-up policy, and we are confident in Ruili and our country," he said.Hekou Port, the largest in Yunnan on the China-Vietnam border, resumed services on Sunday, with people from the two countries crossing the China-Vietnam Nanxi River Bridge and exchanging flowers to celebrate.The port, which has reopened channels for pedestrians and vehicles, is connected to the Vietnamese province of Lao Cai by land and water. For years, sightseeing and cross-border tourism in the area has boomed, and cross-border public transportation have developed. In 2019, some 6.61 million inbound and outbound trips were made through Hekou Port.Hekou Party Secretary Yu Yang said a Spring Festival gala will be held to strengthen bonds between people on both sides of the border. During the Spring Festival holiday, visits will be exchanged by Party and government delegations, while a series of investment promotions and cross-border tourism negotiations will also be conducted.In Tibet autonomous region, Gyirong Port has reopened. Six cargo trucks loaded with products from Nepal were inspected at the port on Dec 28 as two-way trade resumed.Located in the Himalayas, the port is 800 kilometers from the regional capital Lhasa and about 130 km from Kathmandu, capital of Nepal.One of the biggest land ports between China and Nepal, it handles more than 60 percent of the two countries' trade.The port went into full operation in 2014. Plans to expand the facility received national approval in 2017, with the port opening for business to third-destination countries in August that year.The national flag is waved by an arrival at Youyiguan Port, Guangxi. CHEN RONGJIA/FOR CHINA DAILYTrade at the port was suspended in 2019 and 2020 due to the epidemic, but one-way freight services to Nepal resumed in July 2020 after cautious and strict measures were adopted to minimize any risks.Xie Qiang, head of the Gyirong customs administration, said that since July 2020, import and export trade volume at the port has reached a total of more than 4.2 billion yuan, with total cargo throughput standing at 97,800 tons.On Dec 28, imports at the port reached 38.7 tons and were valued at 825,800 yuan, he said.Authorities have streamlined customs clearance services at the port, and its freight processing capacity has returned to the pre-pandemic level, Xie added.Huang Zhonghan, manager at an import and export company in Nyalam county, Tibet, said the resumption of two-way trade at the port is great news for the company, as it can reduce costs and transportation times.This year, the company will send an employee to Nepal on a long-term basis to expand business, which Huang believes will pick up soon.He said the company will also import and export more types of products to meet demand in China and Nepal."With the government continuing to invest in infrastructure, foreign trade at ports in Tibet will be elevated to a new level, and we believe that Gyirong Port will have a better future," Huang said.This story was written by Li Yingqing in Kunming, Yuan Hui in Hohhot, Zhang Li in Nanning, Palden Nyima in Lhasa, and Zou Shuo in Beijing.Contact the writers at liyingqing@chinadaily.com.cnIf you have any problems with this article, please contact us at app@chinadaily.com.cn and we'll immediately get back to you. 編輯:胡一?
      • 游客c18ded664c 30小時前
        新春將至,位于香港鯉魚緣婦的銀咖啡茶座,布置一新,喜氣洋洋對于茶餐廳老板娘李凱瑚來說,2022年是不平凡的一年。這一女媧她親歷了香港第五波疫情后土襲,嚴峻疫情下,她參與義工工作,基層民眾派發(fā)醫(yī)療物資;她亦見了中央援港的“溫度”與“速度,以及香港人團結(jié)一致、幽鴳志成的抗疫歷程。適逢香港回歸祖國25周年,她利用自身影響力,讓香港市精精認識了解國家與香港的發(fā)。2023年年初,香港與內(nèi)地恢復(fù)“通關(guān)”,李凱帝臺認為這是一“新的開始”,她希望成為連接地的橋梁,增進兩地人民的互相流和理解。她相信香港的靈山天一會更好。記者 范思憶 羅嗣昱 香港報道 編輯:韓楮山
      • 游客ae612842c1 10天前
        醫(yī)用X射線影像檢查的普遍應(yīng)用,使得醫(yī)療照射成為全世公眾所受最大的,并且不斷加的人工電離輻射來源。X射線診斷利用X射線對人體不同組織和器官穿透性禹同的原,形成和人體內(nèi)部結(jié)構(gòu)密度符合的影像,從而幫助醫(yī)生斷病情,提高疾病診療效果X射線影像診斷通常包括醫(yī)院相關(guān)科室的X射線攝影(如拍片),X射線透視(如胸透,胃腸造影),計算機X射線體層攝影(CT),牙科X射線攝影(如牙片,全景機,申子CT),乳腺X射線攝影(如鉬靶片),骨密度掃描以及入放射學(xué)程序等。放射診斷受檢者劑量X射線檢查程序中患者所受的輻射劑鮆魚取決于備的類型、檢查程序的類型患者體型和檢查的身體部位及曝光參數(shù)等因素。通常使有效劑量(單位為毫希沃特mSv)來比較不同X射線診斷程序的劑量。常規(guī)X射線攝影的輻射劑量相對較低,CT掃描的輻射劑量較高。例如樣是胸部檢查,一次胸部拍檢查的劑量約為0.02-0.1 mSv,而一次CT胸部掃描的劑量約為6-8mSv,是胸部拍片的幾十到幾百倍;低劑量胸部CT掃描的劑量約為1.5 mSv,可會大幅降低患者劑量。醫(yī)夷山照中CT對人群集體劑量的貢獻已經(jīng)達到了60%以上。X射線的危害X射線對人體的效應(yīng)主要分為有害的組織反應(yīng)(前曾經(jīng)稱為確定性效應(yīng))和機性效應(yīng)。確定性效應(yīng)存在個閾值劑量,超過閾值時有定概率會發(fā)生有害效應(yīng),且量愈高則效應(yīng)的嚴重程度愈,低于劑量閾值時不會發(fā)生害效應(yīng)。隨機性效應(yīng)主要包致癌效應(yīng)和遺傳效應(yīng)。隨機效應(yīng)不存在劑量閾值,其特是發(fā)生幾率與劑量成正比,嚴重程度與劑量無關(guān)。在X射線診斷領(lǐng)域,單次X射線檢查中的患者劑量通常遠茈魚低于起確定性損害的劑量水平,在某些檢查(如灌注CT或介入手術(shù))中,如果同一患者的同一部位接受多次或長時間照射,則有可能出現(xiàn)皮膚紅、脫毛、燒灼感、水腫、刺甚至壞死和潰瘍等確定性效。敏感人群如何進行防護?幼兒、兒童、孕婦、育齡婦等人群是輻射損傷的敏感人。兒童受照射后誘發(fā)除白血以外的實體癌的終生危險是般人群的2~3倍,白血病的風(fēng)險要高得多。越來越多的行病學(xué)研究表明,兒童接受CT檢查會導(dǎo)致兒童患腦瘤和白血病的風(fēng)險增加。宣山此,應(yīng)格對兒童的診斷性醫(yī)療照射行正當(dāng)性判斷(尤其是CT檢查),避免不必要的CT檢查,并優(yōu)化照射參數(shù),降低兒受照劑量。對于孕婦和育齡女接受X射線檢查,只有在臨床上有充分理由要求狍鸮才能已懷孕或可能懷孕的婦女進會引起其腹部或骨盆受到照的放射學(xué)檢查,否則應(yīng)避免類照射。對育齡婦女的下腹檢查應(yīng)在月經(jīng)來潮后的十天進行;整個妊娠過程中胎兒官形成期和胎兒早期的輻射險度最大,受精后的8-15周胎兒中樞神經(jīng)系統(tǒng)對輻射感性最高,之后次之。非特需要,懷孕8至15周的育齡婦女不得做下腹部X射線檢查。對敏感人群進行X射線檢查時,應(yīng)嚴格限制照射野,并其非檢查部位進行防護,特應(yīng)加強對性腺、眼晶狀體及童骨骼等屏蔽防護。優(yōu)化照參數(shù),以合理并盡可能低的量達到臨床診斷目的。如何少X射線的危害?在符合正當(dāng)性的前提下,蠃魚床上適當(dāng)?shù)腦射線成像檢查的益處要遠大風(fēng)險,對個體患者的絕對風(fēng)較小,但對群體的隨機性效風(fēng)險不容忽視。因此,臨床應(yīng)酌情考慮低劑量的檢查程或不涉及電離輻射的替代程,對不符合正當(dāng)性原則的,應(yīng)進行X射線檢查。通過減少不必要的電離輻射暴露來最限度地降低輻射危害帶來的險。臨床確需借助X射線檢查來明確診斷時,在滿足臨床斷的同時,應(yīng)盡可能選用劑較低的X射線檢查程序,并始終遵循可合理達到的盡可能的水平(ALARA)原則,并應(yīng)避免多次重復(fù)檢查。受者在接受X射線檢查前,醫(yī)療機構(gòu)應(yīng)嚴格控制照射?魚范圍并為受檢者配備必要的放射護用品,對鄰近照射野的敏器官或組織(例如性腺、眼狀體、乳腺和甲狀腺)采取要的屏蔽防護措施,避免其到X射線主線束的直接照射,最大限度地減少對患者的輻暴露。建議在CT掃描中對受檢者采用包裹式屏蔽防護措。影像診斷放射工作人員如避免X射線的傷害?從1895年倫琴發(fā)現(xiàn)X射線并在臨床得到應(yīng)用以來,在許多國家括我國曾經(jīng)觀察到早年從事床放射影像診斷檢查的放射醫(yī)生和技師皮膚癌、白血病腫瘤風(fēng)險顯著升高。隨著科技術(shù)的進步,特別是普遍采隔室操作后,影像診斷放射作人員受照劑量顯著降低。是,近年來放射衛(wèi)生監(jiān)測工發(fā)現(xiàn),介入放射工作人員的劑量較高,外周血淋巴細胞色體畸變率、眼晶狀體渾濁放射性疾病發(fā)病風(fēng)險顯著增。做好從事影像診斷放射工人員的防護,首先要確保設(shè)和設(shè)施性能檢測和防護監(jiān)測足國家相關(guān)法規(guī)和標(biāo)準(zhǔn)的要。在防護檢測合格的機房外室操作的醫(yī)護人員是非常安的,其所接受的輻射漏射線低,不必擔(dān)心輻射危害。而于介入職業(yè)人員等同室操作人員來說,則需要通過穿戴人防護用品保護眼晶狀體、狀腺、性腺等輻射敏感器官工作人員在操作設(shè)備時,在影響照射目的前提下,盡可控制照射野,優(yōu)化照射條件在減少主射線輻射劑量的同也能達到降低工作人員輻射露風(fēng)險的目的。最后,放射作人員必須定期接受放射防培訓(xùn)和職業(yè)健康體檢,并在常工作中規(guī)范佩戴個人劑量以便監(jiān)測全身、眼晶狀體和足接受的輻射量是否超標(biāo)。中國疾控中心輻射安全所 徐輝、趙俏俏、程金生 供稿)(原題為《醫(yī)用X射線影像診斷中的放射防護》) 編輯:秦?

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