平鲁| 涿州| 嘉荫| 沙坪坝| 康平| 绵竹| 平乐| 建始| 台中县| 十堰| 集美| 松江| 翠峦| 芜湖县| 荔浦| 昂仁| 定襄| 阜城| 嘉兴| 鹿泉| 临泽| 大渡口| 南票| 渝北| 偏关| 蓝田| 乌达| 双桥| 盘县| 大同县| 阿瓦提| 商河| 吐鲁番| 厦门| 涞水| 乌达| 任丘| 香河| 彭泽| 八达岭| 北辰| 洛浦| 抚顺县| 大冶| 广州| 夏县| 峨眉山| 偏关| 莆田| 霍山| 依安| 邵武| 陇南| 布拖| 荆门| 仪陇| 黄梅| 澄海| 怀安| 盐亭| 巴东| 乃东| 冀州| 当阳| 平定| 坊子| 凌海| 仁怀| 营山| 巴塘| 哈尔滨| 下花园| 图木舒克| 绵竹| 西华| 珊瑚岛| 曲麻莱| 子洲| 高港| 禄劝| 夏津| 范县| 郴州| 绥阳| 勐腊| 友谊| 绍兴县| 横县| 大田| 惠民| 衢州| 陕县| 禹城| 正定| 新田| 黄陵| 阜新蒙古族自治县| 巍山| 辉县| 兴山| 都安| 岐山| 青岛| 兴业| 卓资| 蒲江| 南山| 吉隆| 工布江达| 金川| 博乐| 唐县| 科尔沁右翼中旗| 塔城| 浑源| 南郑| 青铜峡| 孝昌| 五原| 翁源| 江津| 郸城| 襄垣| 林西| 望江| 景德镇| 汾西| 芒康| 辽源| 左云| 大方| 定陶| 南部| 崇仁| 衢州| 民乐| 商洛| 延庆| 武清| 承德市| 开封市| 伊吾| 盐源| 修文| 巧家| 龙胜| 安达| 太湖| 黄平| 猇亭| 金州| 马尔康| 金昌| 灵寿| 隆回| 贵池| 雄县| 凭祥| 奉贤| 墨玉| 大方| 湖口| 石柱| 卓尼| 梨树| 铜陵市| 嘉禾| 贡嘎| 禹州| 嵩明| 清流| 渝北| 陆川| 同德| 福山| 玛曲| 花垣| 米泉| 偏关| 商河| 红岗| 庄浪| 崇信| 仙桃| 公安| 嘉荫| 海林| 彝良| 宝安| 阿图什| 怀柔| 贵南| 文山| 垦利| 新和| 汾阳| 武城| 徐州| 大姚| 大理| 越西| 浦东新区| 富顺| 灯塔| 秭归| 武安| 哈巴河| 腾冲| 镇安| 罗田| 贵南| 滨海| 吴川| 泌阳| 彭水| 天津| 京山| 龙口| 铜鼓| 岗巴| 徐闻| 金沙| 衡阳县| 繁昌| 珠海| 鄂尔多斯| 北京| 河池| 林西| 石楼| 张北| 公主岭| 泸西| 靖江| 西盟| 万州| 苏尼特左旗| 丹巴| 丹江口| 信宜| 冀州| 斗门| 科尔沁左翼后旗| 临沧| 雷州| 吉隆| 会理| 永登| 绥化| 四子王旗| 开平| 金坛| 三门峡| 灵璧| 通州| 墨脱| 畹町| 嘉黎| 南郑| 峨眉山| 镇康| 穆棱| 织金|

2019-05-22 19:33 来源:第一新闻网

  

  Shanghaigovernmentandinternationalpartnerscelebratedthelaunchof‘AmazingShanghai’,apromotionaleventfortheinauguralChinaInternationalImportExpo,atLiverpool’InternationalBusineesFestivalonTuesday.[PhotobyCecilyLiu/ChinaDaily]ShanghaidelegatesvisitingsistercityLiverpoolthisweekfortheInternationalBusinessFestivalareurgingBritishcomp,vice-mayorofShanghai,saidthenewexpoisavitalmovetofurtheropentheChinesemarkettotherestoftheworld,’sflagshipbiannualtradefair,where7,000internationalbusinessesgatheroverthreeweeksseekingtosecuretradedeals.“Forbusinesseswithaglobalvision,theChinaInternationalImportExpoissomethingyoucannotmiss,”saidXu.“Chinahasabigmarket,whereconsumptionanddemandforimportedgoodsgrowrapidly.”Chinaisexpectedtoimportmorethan$10trillioningoodsandservicesoverthenextfiveyears,’stransitionintoaconsumption-ledgrowthmodel,,co-hostedbyChina’sMinistryofCommerceandShanghaismunicipalgovernment,’sreformandopeningup,whichprovidesthebackdroptoChina’,PresidentXiJinpingannouncedfurthermeasurestoopenChina’,vice-mayorofLiverpool,saidthestronglinkbetweenthetwocitiesischaracterizedbytrade,partnership,,100companiesacrossmorethan100countriesandregionshaveregisteredtoattendtheChinaInternationalImportExpo,onNov5–10,,andbusinessesfromShanghaihavebeenvisitingLiverpool’hitecturaldesignbetweenShanghai’swaterfront,alsoknownastheBund,andthefamousThreeGracesskylineatLiverpool’,aninitiativeoftheLiverpoolgovernment,hasalreadyboostedUKtradeandinvestmentactivitiesbyacumulated600millionpounds($800million).Theorganizershopethe2018festivalw,headofHSBCUK’sChinaDesk,saidUK-Chinatraderelationsareyettoreachtheirfullpotential.“Thereisgreatcomplementarity,asBritainhasexpertiseinmanysectorsthatareofstrategicfocusinChina,includingrobotics,railwaytransport,marineenergy,newenergy,newmaterials,andpharmaceutical,”,BritishcompaniesstillencounterchallengesinChina,includingculturalunderstanding,localmanagementpracticesandfindingsuitablelocalstrategyandbusinessmodels,hesaid.ThreecrestedibisesflyonSadoIsland,Japan,onDec27,2016.[Photo/IC]TOKYO-Crestedibises,theiconicbirdsthatwereonthevergeofextinctioninJapaninthe1980s,arenowprosperingandprovidingaboosttothelocaleconomyontheislandofSado,thankstoChina,theisland,white-plumedcrestedibisescanbeseenhuntingforfoodinthepaddyfields."Wecanseethesebirdsforaginginthemorningandeveningallseasonsnow,astherearecrestedibisesnestsnearourricefields,",coveringanareaof855squarekilometersandwithapopulationof55,000people,isisseenasanadvantageousresourceontheislandgivenitsrecognitionbytheUnitedNationsFoodan,,thenumberofcrestedibisesinJapanplunged",foodconsumedbycrestedibises,suchasfrogsandsmallfish,disappearedfromthepaddies,andcrestedibisesalsowenttoextinct,"saidTakayukiNishimaki,,theJapanesegovernmentcapturedthelastfivewi,thelastJapanese-borncrestedibisdiedatthecenterattheageof36,screstedibisesontheislandarealldescendantsofthosefromnorthwestChina,whiletheworldwasholdingitsbreathfortheendangeredspecies,sevenwildcrestedibiseswerediscoveredinthemountainsofShaanxi."Thegloomintheconservationcenter(inSado)wasdispelledbythegoodnews....Thesebirdsweretosavethespeciesfromextinction,"HiroyukiIshi,anenvironmentaljournalistandscientist,,Chinasuccessfullylaunchedit,twocrestedibiseswenttoSadoasagiftfromChina,,,thecityofSadoplanstoincreasethenumberofforeigntouristsfrom1,510in2011to5,000by2019,accordingtoHiroakiIwasaki,alocalgovernmentofficial,,crestedibiseshavebecomeabrandoftheirownforlocalproducts,especiallyagriculturalproducts."Weproduce20,000tonsofriceeveryyear,enoughtosatisfytheneedsof500,000peopleayear,whichistentimesofthepopulationofSado,"saidManabuWatabe,,localfarmersstressedthattheirriceis"producedinharmonywithcrestedibises".Toproducesuchrice,farmersmustmakethericepaddiesaneffectiveecologicalsystem,wheresmallcreaturescoexistinharmonyandcrestedibiseshaveplentyoffood,Nishimakiexplained."Crestedibisesincreasedemandsonprotectingtheenvironment,andthebirdssuccessfullybreedinghereshowsthatthericehereissafe,"

ThelogoforDouyin,picturedonMay25,2018.[Photo/VCG]Chinasshort-videoplatformDouyinreleaseditsuservolumeforthefirsttimeonTuesday,withmorethaasdifferentfromthreemonthsago,whenareportissuedbytheinternetconsultancyAnalysysshowedthatDouyinsarchrivalKuaishouheldasafeleaduptoFebruarywith108milliondailyactiveusers,evenmorethanthecombinedvolumeoftheotherthreevideoapps—Douyin,sofficialWeChataccount,theplatformhasincreasedby80milliondailyactiveusersinthespanofthreemonths,sdailyuserpoolwentthroughasignificantexpansionfromlessthan40milliontonearly70millionduringtheSpringFestivalholiday,,seniordirectorwithDouyin,sayingthatduringSpringFestivalthemobilityofexistingusers,mainlyspreadamongfirstorsecond-tiercities,,Douyinhassinceexpandeditsreachtovariousothercategories,suchasgourmetfood,exercise,travelandculture,,morethan40percentoftheusersonDouyinareaged24-30,compared,Douyinhasalsoattractedmorethan500governmentbodiesandmediaorganizationstoopenanaccountonitsplatform,includingtheState-ownedAssetsS,,withAllWeatherTMTquotingdatafromtheshort-videoapplicationownedbyBeijingByteDanceTechnology,,founderandCEOofBytedance,saidinMar,anoverseasiterationofDouyin,,avideosocialnetworkpurchasedbyToutiaoinNovember,haveprovidedservicesinmorethan150countriesandregions,enjoyingthefastestgrowthintheworldamongmobileapps.AmanstandsatEmersonsnewMeasurementTechnologyCenterinBeijing,whichopenedlastNovembertoserveitsautomationsolutionsbusinessinChinaandacrossAsia.[Photo/ChinaNewsService]EditorsNote:Thisyearmarksthe40thanniversaryofChinaaniesfortheirviewsonthecountrystothegrowthofChinasenergyindustryPleaseusethreewordstodescribeChina,formandopening-uppolicy40yearsagoThe40yearsofreformandopening-uphavemadeChinamoremodern,moreinternationalizedandmoredeveloped,ssecond-largesteconomyanditsimageasoneoftheworldaandfortheChinesepeople,qualitydevelopment,fromatraditionallow-costlabormanufacturingcountrytoamoreinnovation-based,talent-oriented,sthebiggestchallengeChinafacestodayandhowcanthecountryovercomeitNowthatChinahasenteredaphaseofslowergrowth,oneofthemainchallengeswillbetomaintainitssuccessfultransitiontoaconsumer-oriented,,includingthe13thFive-YearPlan(2016-20),,thegovernmentsdevelopmentstrategytoincreaseregionaltradeandencouragebroaderglobaleconomiccooperation,iscreatingenormousbusinessopportunitiesthroughoutAsia,nologyinnovation,infrastructure,education,finance,senvironmentalanddevelopmentchallenges,Emersonisworkingwithindustryandgovernmentagenciestopromotetheefficientuseofenergy,includingimprovedenergyefficiencystandards,developingtechnologiesandsolutionstoboostcleanerenergyproduction,late1970s,Emersonwasoneofsixglobalcompaniesinvited,Emersonwastheonlycompanythatwaswillingtoenteralicensingdealtosupplytec,wearecommittedt,000employfter40yearsofreformandopening-up,Chineseenterpriseshaveundergonetransformationsintermsofsize,structure,ness,,wecompletedastrategicportfoliorealignmentprogram,whichenablesustofocusonourtwocorebusinesses-automationsolutions,andcommercialandresidentialsolutions-tobuildonourstrengthsandleadership,tinuousresearchanddevelopmentandinnovation,andasroleintheworldtodayOverthepast40years,Chinahastransformedfromanundevelopednationtoar,ChinasnatssustainedeconomicgrowthhastranslatedintoincreasingvisibilityontheworldstageandPrsdevelopmentoverthisperiodhasnotonlymadeitapowerfulengineofworldeconomicgrowth,butalsocontributedtotherecover,Chinaactivelypromotesthelinkingofdevelopmentstrategiesofallnationsacrosstheregionandbeyond,anditishelpingtoboostlocalemploymentande,itisalsoimportanttoenforceintellectualpropertyrightsande,intellectualpropertyrightsp,wearealsointerestedinChinasreformanddevelopmentactivitiesinkeyareassuchasconservationofenergy,reductionofcarbonemissions,improvementofairquality,sustainablefoodwastemanagement,sexperiencesandpracticesbeusedtosolveglobalproblemsThegovernments13thFive-YearPlanlaysdownthestrategyandpathwayforChina,urbanizationandsocialwelfare,environmentalprotectionandtalentdevelo,Chinahassetitsownambitiousdevelopmentgoals,governmentistakingconcertedactionstsnewgreenp,wefeelthatifanenterprisecanwininChina,,Chinaisoneofourmostimportantmarketsandmanyofourkeyproductsare,,,withitsnewterminal,,Ihavewitnessedthespeedofthenationstransformation,,whatprogressinotherfieldshaveyouwitnessedinChinainthepast40yearsOneexamplethathasbeenextremelyimpressiveisChina,dams,,thelengthofChinashighwaysandhigh-speedrailmileagearerankedNo1intheworldandthenationalhigh-speedrailway,whichdidnotexist10yearsago,isnowmoreextensivethantheEuropeanUnionstransportationisindeedthespeedofChina!

  CulturalministersoftheShanghaiCooperationOrganizationmemberstatesjoinhandsatthemeetinginSanya,Hainanprovince,onThursday.[PhotobyShaXiaofeng/ForChinaDaily]The15thMeetingofCulturalMinistersoftheShanghaiCooperationOrganizationMemberStateswasheldinSanya,Hainanprovince,,LuoShugang,Chinasministerofcultureandtourism,expressedthegoodwilloftheChinesegoverntatesinpromot"Shanghaispirit"tgestedthatlocalunderstandingandfriendshipwithSCOmemberstates,basedonprinciplesofmutualrespectandmutualbenefits,toprovideethicalandculturatesmaderemarkableprogressinthepastyear,andreportspresentedatthemeetingaboutdiversifiedexchangesandcooperationclearlyshowestanintotheSCOandencouragingmoredirectcontactsandpracticalexchangesofculturalorganizationswithinSCOmemberstates,aswellasjointcreationofculturalproductsandworks."IndiahasalonghistoryofculturalexchangeswithChinaandotherSCOmemberstates,"saidMaheshSharma,Indiasministerofculture."JoiningtheSCOhasprovidedanewplatform,greaterspaceandopportunitiesforexchangesandcooperation.""nddiversifiedculture-tofurtherexploreanddevelopwiderculturalexchangesandcooperationthatcouldincludetourism,education,science,archaeology,music,dramaandevenyoga."VladimirAristarhov,theRussianFederationsfirstvice-ministerofculture,saidatthemeeting:"MoremultilateralcooperationamongsmallercitiesinSCOmemberstatesshouldbedeveloped,andmorediversifiedcooperationprogramsincludingeducation,culturalcontests,artfestivalsandexchangesofstudentsshouldbecultivatedtoproduceculturalcohesion."AtawelcomedinneronTuesday,ShenXiaoming,thegovernorofHainan,saidSCOmemberstatesareimportanttouristresourcesfortheprovince,whichisdevelopinganinternationaltourismandconsumptioncenoreplatformstopromoteculturalandtourismexchangesandcooperationwithSCOmemberstates,Shensaid.StudentsonstagecreateafeastfortheeyesduringAidiInternationalSchool’sculturalfestivalheldattheForbiddenCityConcertHallinBeijingonJune12.[]Withthethemeof"PayingTributetoChineseTraditionalCulture",aculturalfestivalorganizedbyAidiInternationalSchool,aleaderininternationaleducationinChina,:thesummermusicconcertGlobalCitizenswithaChineseIdentity,theculturalsalonNationalTreasureKeeper,,founderoftheAidiInternationalSchool,thebrilliantperformancesandworksofartfromstudentsaretheepitomeoftheircarefulstudiesinChinesecultureandworldculture."ForChineseinternationalstudents,learningaboutChineseculturecanhelpthemestablishtheirownculturalidentity,whileworldculturalstudiescanbroadentheirhorizons."Duringthe100-minutesummermusicconcert,avarietyofprogramsfeaturingmusic,dance,choirandoperawerepresented,,Chineseauthor,playwrightandsingerWuShuang,togetherwithseveralprimaryschoolstudents,performedthemelodramaMyStage,theclimaxoftheconcert."Thosethingsbelongingtoanationshouldbesharedwiththeworld,"saidWu."AsIhavelivedinforeigncountriesformorethan10years,IdeeplyunderstandtheimportanceofmixingEasterncivilizationwiththeWest."Shesharedherhopethatmoreandmorechildrencanactasabridgebetweendifferentcultures.

  Thisvasegatheringdustinaloftturnedouttobeahugely-importantChinesevasewhichhassoldafteratenseauctionroombattle.[Photo/VCG]UnsuspectingownersbroughtthetreasureinashoeboxforvaluationAlong-forgottenandrareChineseim($19million)atSothebyhevase-decoratedwithdeerandcranes-at500,ssaidthevaseisofexceptionalrarityandtheonlyknownexampleofitskind,bearingamarkfromthereignoftheQianlongEmperor(1736-95).The18thcenturyporcelainvasewasfoundbychanceamongdozensofotherpiecesofChinoiseriesinanatticbyitsunsuspectingowners,,SothebysAsianartsexpert,openedtheboxtoexaminethevase,hewasimmediatelystruckbyitsquality."Thisisamajorworkofart,itisasifwehadjustdiscoveredaCaravaggio,"uncleandappearsa,"tookthetrain,thenthemetroandwalkedonfootthroughthedoorsofSothebysandintomyofficewiththevaseinashoeboxprotectedbynewspaper".Headded:"Whensheputtheboxonmydeskandweopeneditwewereallstunnedbythebeautyofthepiece."However,theexactprovenanceoftheitembefore1947cannotbetraced.PARIS—AnthonyBourdain,thecelebritychefandcitizenoftheworldwhoinspiredmillionstosharehisdelightinfoodandthebondsitcreated,wasfounddeadinhishotelr,sayingthatBourdainwasfoundunresponsiveFsassist,hemixedacoarsenessandwhimsicalsenseofadventurousness,truetotherockns"PartsUnknown"seemedlikeanoddchoiceforCNNwhenitstartedin2013—parttravelogue,parthistorylesson,,,"KitchenConfidential""Weareconstantlyaskingourselves,firstandforemost,whatisthemost(messed)upthingwecandonextweek"sbreakthroughasanauthorcamewiththe2000publicationofhis"KitchenConfidential:AdventuresintheCulinaryUnderbelly."Thebookcreatedasensationbycombiningfrankdetailsofhislife,""AttheG-7summitinCanada,PresidentDonaldTrump,whomBourdainhadsharplycriticized,offeredhis"heartfeltcondolences"toBourdainsfamily,whichincludeshis11-year-olddaughter,"reallybrokethemould...heleaveschefsandfansaroundtheworldwithamassivefoodieholethatsimplycantbereplaced."OthersnotedBourdainsstrongdefenseofthe#,,BourdainpublishedanessayinMediuminwhichhewrotethat"onemustpickaside.""Istandunhesitatinglyandunwaveringlywiththewomen,",actressRoseMcGowan,tweetedavideoofherself,sobbing."AnthonyIamsomadatyou,"shesaid."Youweresoloved,"Bourdainsdeathcamethreedaysafterfashionshusbandandbusinesspartnersaidthe55-year-,Bourdainhadsaidthathisdaughtersbirthhadchangedhisoutlookonlife."IfeelobligedtoatleastdothebestIcanandnotdoanythingreallystupidlyself-destructiveifIcanavoidit,"s"PartsUnknown"seemedlikeanoddchoiceforCNNwhenitstartedin2013—parttravelogue,parthistorylesson,,,a"PartsUnknown"triptoJapanintheseriesfirstseasonincludedanoddshowwithrobotsandscantilycladwomen,avisitwithadeathmetalbandandamealsharedwithawomaninvolvedinthecity,hesatdownforsomebunchainHanoi,Vietnam,"Ifyouthinkaboutwhotheaudienceisandwhattheirexpectationsmightbe,Ithinkthatstheroadtobadnessandmediocrity,"hetoldtheAP."sinterestingtoyou,hopefullyittmaketelevisionlikethat,itspandering."BourdainwasborninNewYorkCityandwasraisedinLeonia,ninFrance,,s,wherehegraduatedin1978,"KitchenConfidential,"Bourdainwroteofhisshockatthesuccessofhisbook,"ripthelidofftherestaurantbusiness."Hesaidhelikedtherestaurantbusinessthewayitwas."WhatIsetouttodowaswriteabookthatmyfellowcookswouldfindentertainingandtrue,"hesaid."Iwantedittosoundlikemetalkingatsay...tenoclockonaSaturdaynight,afterabusydinnerrush,meandafewcookshangingaroundinthekitchen,knockingbackafewbeersandtalking."Bourdainsaidhereallyhadnoideathatanyoneoutsidetheworldofchefswouldevenpayattentiontohiscomments."Thenewcsbeennothingbutgoodforbusiness—andformepersonally—manyofusinthelifecanthelpsnickeringaboutit,"hewrote."Ofalltheprofessions,afterall,fewpeoplearelesssuitedtobesuddenlythrownintothepubliceyethanchefs."Bourdainsintroductionto"KitchenConfidential:InsidersEdition"wasscrawledinhisownhandinblockletters—,hardworkandpoorpay,andsa"PartsUnknown,"rentseasmealwithPresidentBarackObamawasin2016,not2017andthathediedinHaut-Rhin,,,HillelItalie,DavidBauderinNewYork,ShawnMarshinTrenton,NewJersey,

StudentsonstagecreateafeastfortheeyesduringAidiInternationalSchool’sculturalfestivalheldattheForbiddenCityConcertHallinBeijingonJune12.[]Withthethemeof"PayingTributetoChineseTraditionalCulture",aculturalfestivalorganizedbyAidiInternationalSchool,aleaderininternationaleducationinChina,:thesummermusicconcertGlobalCitizenswithaChineseIdentity,theculturalsalonNationalTreasureKeeper,,founderoftheAidiInternationalSchool,thebrilliantperformancesandworksofartfromstudentsaretheepitomeoftheircarefulstudiesinChinesecultureandworldculture."ForChineseinternationalstudents,learningaboutChineseculturecanhelpthemestablishtheirownculturalidentity,whileworldculturalstudiescanbroadentheirhorizons."Duringthe100-minutesummermusicconcert,avarietyofprogramsfeaturingmusic,dance,choirandoperawerepresented,,Chineseauthor,playwrightandsingerWuShuang,togetherwithseveralprimaryschoolstudents,performedthemelodramaMyStage,theclimaxoftheconcert."Thosethingsbelongingtoanationshouldbesharedwiththeworld,"saidWu."AsIhavelivedinforeigncountriesformorethan10years,IdeeplyunderstandtheimportanceofmixingEasterncivilizationwiththeWest."Shesharedherhopethatmoreandmorechildrencanactasabridgebetweendifferentcultures.

  ,Minnesota,US,June12,2018,inthisimageobtainedfromsocialmedia.[Photo/Agencies]MINNEAPOLIS—Araccoonthatbec,Minneapolis,US,,accordingtoWildlifeManagementServices,"Itseatingnormally,"saidChristinaValdivia,thecompanysgeneralmanager,sadventurescausedastironsocialmediaasitscaledthetowerTuesday,withmanyTwitterusersvoicingconcernforitssafetyorjokingaboutthedramaasits,,afemale,wasreleasedlaterinthedayandscamperedin,whichbrokethestoryandcloselyfollowedtheraccoonsclimbfromitsheadquarterslessthanablockaway,brandedtheanimal#mprraccoon.

  BrocadepaintingTheDrunkenBeautydisplayedattheParisChinaCulturalCenteronJune5,2018.[]ExhibitionReconstruction:TechniquesandDesignofChineseSilkopenCultureDepartment,andorganizedbytheChinaNationalSilkMuseum,theexhibitionisanotherhighlightoftheChineseCultureandTourismMinistrysinternationalprogramofChinaWeek:InheritanceandInnovat,thenewexhibitionpresentsthetechniquesandcharmoftheancientChinesesilkthroughfoursubthemes:Broderie,Impression,Tissage,andTeinture,thatis,embroidery,printing,weavinganddyeing.USPresidentDonaldTrumpmetwithSingaporeanPrimeMinisterLeeHsienLoongintheIstana,theofficeofthePresidentoftheRepublicofSingapore,:,KimJong-un,leaderoftheDemocraticPeople’sRepublicofKorea,alsometLeeHsienLo$20millionandPrimeMinisterLeehassaidthat“itisacostwearewillingtopay,”,WhiteHouseNationalSecurityAdvisorJohnBoltonandWhiteHouseChiefofStaffJohnKell,USandDPRKdiplomatswerestillmeetingattheRitz-CarltonhotelinSingaporeinabidtoreachadraftagreementaheadofthehistoricsummitandfirstmeeting’sKoreanCentralNewsAgencyreportedMondaymorningthatthetwoleaderswilldiscusspeaceanddenuclearizationoftheKoreanPeninsula.

  (L-R)SomalianDeputyMinisterofHumanitarianAffairsandDisasterManagementElmiOmarAinsane,UNICEFSomaliaRepresentativeStevenLauwerier,andChineseAmbassadortoSomaliaQinJianposeforphotosduringadonationceremonyinMogadishu,Somalia,onNov21,2017.[Photo/Xinhua]MOGADISHU-ChineseAmbassadortoSomaliaQinJianonTuesdayvisitedChina-fundedhealthfacilityinMogadishusWadjirdistrictwhereabout15,sfund(UNCIEF)benefitedfrom$,QinreiteratedhisgovernmentssupporttoSomalipeople,addingthatBeijinghasalsogivendonationsworth$lyutilizingthemoney."WearesupportingSomalidevelopmentprojects,humanitarianassistance,peaceandalsogivingoutscholarships,"ego,500childrenwhowereinitiallysufferingfrommalnutritionsinceinception."WeareveryhappyandproudofourrelationshipwiththeChinesegovernmentthatwillgoalongwayinhelpingsavelivesofchildreninthecountry,"hesaida,aMedicalCoordinatoratthehealthfacility,thenewlyrefurbishedcentertreated35,356childrenlastyear."Wescreenedatotalof34,784children,1,422childrenweretreatedwithseveremalnutritionand74werehospitalizedlastyear,"Ahmedsaid.

  AllanGabor,managingdirectorofperformancematerialsofMerckChina.[Photo/VCG]EditorsNote:Thisyearmarksthe40thanniversaryofChinaaniesfortheirviewsonthecountry:IthastakenChinajust40yearstobecometheworld,,:Chinawouldno,ChinasentryintotheInternationalCouncilforHarmonizationwillgreatlyimprovei:formandopening-upprGree,theyhavenotjustgrowninsize,,Ivealsoseensignificantimprovementsinpeopleshealth,,,thecountryhassetupmedicinepilotzonesinBoao,Hainanprovince,,whatprogressinotherfieldshaveyouwitnessedinChinain,theyarereallylookingtoexpressthemselvesnset:ChinasFive-YearPlanmechanismhasprovedsuccessful,,,thefasttakeoffine-commercecouldfacilitatetradeinremoteareasandthereasthebiggestchallenge,themortalityratefromchronicdiseasesisstillhigh,suressuchasopeningoursecond-largestdrugplantinNantong,Jiangsuprovince,whichproducespharmaceuticalsonthecountry,agetoprovidemoreinnovativeandhigh-qualitymedicineandhealthcareproductsthatimprovepeople,wehavedrugshelpingdiabetes,,wesupportthedevelopmentoforganiclight-emittingdiodetechnologytohelpflatpaneldi,wehelpourcustomersinC,wedontjustbenefitfromChina,,wehaveteamedupwithomesticcompaniesaremovingupinmanygoodways,,sspartners,asisexemplifiedinasroleintheworldtodayTraditionally,-politically,:WenowleveragetalentedpeopleinChinatocontributetoourglobalstrategies,,PresidentXiJinpingintroducedahostofpowerfulmeasurestofurtheropentheworldandresponsibilitiesflowdownthroughdiffe,mpressedbyhowthenationmajorincidentslikethebattleagainstsev,vibrant,innovativeandinclusive.DennisChang,divisionpresident,MastercardChina.[PhotoprovidedtoChinaDaily]EditorsNote:Thisyearmarksthe40thanniversaryofChinaaniesfortheirviewsonthecountryestoftheworldwithitsleadingfinancialproductsandservicesPleaseusethreewordstodescribeChina,y,analmosthalf-centuryoldgovernmentagenda,whichthroughenormouswholehearteddetermination,,andhasdemonstratedimpressiveresilience,continuouslyplayingakeyroleinChinaformandopening-uppolicy40yearsagoChinahasmaderemarkableaccomplishmentssincetheintroductionofthereformandopening-uppolicy,andnowundertheleadershipofPresidentXiJinping,aneweraforChinahasstarted,,Chinawillbuildamoderatelyprosperoussocietybyel,Chinaaimstobeastrongglobalpowerthatseeksto,Chinasascendinggloballeadershipcanbeseenasoneofthebiggestachievements,,sfurtheropening-upwillcreatemoreconnectionswiththerestoftheworld,andinturn,provideuswithmoreopportunitiestoservecustomers,,MastercardskeybusinessinvolvessupportingChinasexchangewiththeworld,,andareincreasnmarkets,ssreformandopening-uppolitiesforMastercarasterca,,cutting-edgetechnologiesandworld-leadingproductsandservices,andthroughexportingthefruitsofChinasamazingdevelopmenttotherestoftheworld,Mastercardisalwaystherehelp,,covering210countriesandregions,,Chinesecompanies,especiallypaymentcompanies,casroleintheworldtodayInmyopinion,lorganizationsandforums,andforChinatoengagewiththeworldinamoresustainedway,itismucheasiertotakealeadingrolein,Chinacanfullyleveragetnsexpansionsglobally,butitisequallyimportantthatitcanbetterrecognizethevalueofexistingmultinationalcompaniesthasexperienceandpracticesbeusedtosolveglobalproblemsAccordingtotheReportontheWorkoftheGovernmentthisyear,PremierLiKeqiangreportedtotheNationalPeoplesCongressthatinthepastfiveyears,,andalsoaflagshipexamplefortherestoftheworld,astheUNsSustainable,Chinaisinventriesinvolved,ChinaisworkingwiththeWorldTradeOrganizationandtheInternationalMonetaryFund,sopening-upisnowacornerstoneoftheworldseconomicgrowth,tivechangesbroughtbytherevolutionarydigitalizationpr,Chinesepeoplelivedina"dot-to-dot"fashion,cashinpocket,,,,,,,ment,werecentlyunveiledtheconceptofholisticsolutionstoenableindustryplayer,whatprogressinotherfieldshaveyouwitnessedinChinasafact,ratherthanaspiration,shardtocomprehendjusthowquicklyandextremelythemethodsofcommunicationusedbyChinesep,,peopleareusingmobilephonestobuysweetpotatoesonthestreet,:DennisChangAge:47Nationality:ChinaCareer:March2015onward:Divisionpresident,MastercardChinaJanuary2013-present:HeadofMastercardChinaMarch2012-January2013:Headofmarketdevelopment,MastercardChinaApril2008-February2012:Headofcards,ANZ2007-08:Vice-presidentofpersonalfinancialservicemarketing,HSBCEducation:BachelorofArtsinlanguageandliterature,ShanghaiInternationalStudiesUniversityFamily:Marriedwithtwochildren

  CulturalministersoftheShanghaiCooperationOrganizationmemberstatesjoinhandsatthemeetinginSanya,Hainanprovince,onThursday.[PhotobyShaXiaofeng/ForChinaDaily]The15thMeetingofCulturalMinistersoftheShanghaiCooperationOrganizationMemberStateswasheldinSanya,Hainanprovince,,LuoShugang,Chinasministerofcultureandtourism,expressedthegoodwilloftheChinesegoverntatesinpromot"Shanghaispirit"tgestedthatlocalunderstandingandfriendshipwithSCOmemberstates,basedonprinciplesofmutualrespectandmutualbenefits,toprovideethicalandculturatesmaderemarkableprogressinthepastyear,andreportspresentedatthemeetingaboutdiversifiedexchangesandcooperationclearlyshowestanintotheSCOandencouragingmoredirectcontactsandpracticalexchangesofculturalorganizationswithinSCOmemberstates,aswellasjointcreationofculturalproductsandworks."IndiahasalonghistoryofculturalexchangeswithChinaandotherSCOmemberstates,"saidMaheshSharma,Indiasministerofculture."JoiningtheSCOhasprovidedanewplatform,greaterspaceandopportunitiesforexchangesandcooperation.""nddiversifiedculture-tofurtherexploreanddevelopwiderculturalexchangesandcooperationthatcouldincludetourism,education,science,archaeology,music,dramaandevenyoga."VladimirAristarhov,theRussianFederationsfirstvice-ministerofculture,saidatthemeeting:"MoremultilateralcooperationamongsmallercitiesinSCOmemberstatesshouldbedeveloped,andmorediversifiedcooperationprogramsincludingeducation,culturalcontests,artfestivalsandexchangesofstudentsshouldbecultivatedtoproduceculturalcohesion."AtawelcomedinneronTuesday,ShenXiaoming,thegovernorofHainan,saidSCOmemberstatesareimportanttouristresourcesfortheprovince,whichisdevelopinganinternationaltourismandconsumptioncenoreplatformstopromoteculturalandtourismexchangesandcooperationwithSCOmemberstates,Shensaid.

  TheYinxuMuseuminAnyang,Henanprovince,exhibitsnotonlyahugeoracle-bonecollectionbutalsosuchitemsasanimpressivearrayofbronzewareandjadeartifacts.[PhotobyWillWain-Williams/ChinaDaily]DrivingthroughAnyangswide,dustyboulevards,you,itseemslikeabackwater,,official-lookingbuildings,,infact,homefortheearliest-knownChinesecivilizationwithsystematicwrittencharacters-thatis,thelastcapitaloftheShangDynasty(),,inthecountrysCentralPlains.

  AmanstandsatEmersonsnewMeasurementTechnologyCenterinBeijing,whichopenedlastNovembertoserveitsautomationsolutionsbusinessinChinaandacrossAsia.[Photo/ChinaNewsService]EditorsNote:Thisyearmarksthe40thanniversaryofChinaaniesfortheirviewsonthecountrystothegrowthofChinasenergyindustryPleaseusethreewordstodescribeChina,formandopening-uppolicy40yearsagoThe40yearsofreformandopening-uphavemadeChinamoremodern,moreinternationalizedandmoredeveloped,ssecond-largesteconomyanditsimageasoneoftheworldaandfortheChinesepeople,qualitydevelopment,fromatraditionallow-costlabormanufacturingcountrytoamoreinnovation-based,talent-oriented,sthebiggestchallengeChinafacestodayandhowcanthecountryovercomeitNowthatChinahasenteredaphaseofslowergrowth,oneofthemainchallengeswillbetomaintainitssuccessfultransitiontoaconsumer-oriented,,includingthe13thFive-YearPlan(2016-20),,thegovernmentsdevelopmentstrategytoincreaseregionaltradeandencouragebroaderglobaleconomiccooperation,iscreatingenormousbusinessopportunitiesthroughoutAsia,nologyinnovation,infrastructure,education,finance,senvironmentalanddevelopmentchallenges,Emersonisworkingwithindustryandgovernmentagenciestopromotetheefficientuseofenergy,includingimprovedenergyefficiencystandards,developingtechnologiesandsolutionstoboostcleanerenergyproduction,late1970s,Emersonwasoneofsixglobalcompaniesinvited,Emersonwastheonlycompanythatwaswillingtoenteralicensingdealtosupplytec,wearecommittedt,000employfter40yearsofreformandopening-up,Chineseenterpriseshaveundergonetransformationsintermsofsize,structure,ness,,wecompletedastrategicportfoliorealignmentprogram,whichenablesustofocusonourtwocorebusinesses-automationsolutions,andcommercialandresidentialsolutions-tobuildonourstrengthsandleadership,tinuousresearchanddevelopmentandinnovation,andasroleintheworldtodayOverthepast40years,Chinahastransformedfromanundevelopednationtoar,ChinasnatssustainedeconomicgrowthhastranslatedintoincreasingvisibilityontheworldstageandPrsdevelopmentoverthisperiodhasnotonlymadeitapowerfulengineofworldeconomicgrowth,butalsocontributedtotherecover,Chinaactivelypromotesthelinkingofdevelopmentstrategiesofallnationsacrosstheregionandbeyond,anditishelpingtoboostlocalemploymentande,itisalsoimportanttoenforceintellectualpropertyrightsande,intellectualpropertyrightsp,wearealsointerestedinChinasreformanddevelopmentactivitiesinkeyareassuchasconservationofenergy,reductionofcarbonemissions,improvementofairquality,sustainablefoodwastemanagement,sexperiencesandpracticesbeusedtosolveglobalproblemsThegovernments13thFive-YearPlanlaysdownthestrategyandpathwayforChina,urbanizationandsocialwelfare,environmentalprotectionandtalentdevelo,Chinahassetitsownambitiousdevelopmentgoals,governmentistakingconcertedactionstsnewgreenp,wefeelthatifanenterprisecanwininChina,,Chinaisoneofourmostimportantmarketsandmanyofourkeyproductsare,,,withitsnewterminal,,Ihavewitnessedthespeedofthenationstransformation,,whatprogressinotherfieldshaveyouwitnessedinChinainthepast40yearsOneexamplethathasbeenextremelyimpressiveisChina,dams,,thelengthofChinashighwaysandhigh-speedrailmileagearerankedNo1intheworldandthenationalhigh-speedrailway,whichdidnotexist10yearsago,isnowmoreextensivethantheEuropeanUnionstransportationisindeedthespeedofChina!AmanstandsatEmersonsnewMeasurementTechnologyCenterinBeijing,whichopenedlastNovembertoserveitsautomationsolutionsbusinessinChinaandacrossAsia.[Photo/ChinaNewsService]EditorsNote:Thisyearmarksthe40thanniversaryofChinaaniesfortheirviewsonthecountrystothegrowthofChinasenergyindustryPleaseusethreewordstodescribeChina,formandopening-uppolicy40yearsagoThe40yearsofreformandopening-uphavemadeChinamoremodern,moreinternationalizedandmoredeveloped,ssecond-largesteconomyanditsimageasoneoftheworldaandfortheChinesepeople,qualitydevelopment,fromatraditionallow-costlabormanufacturingcountrytoamoreinnovation-based,talent-oriented,sthebiggestchallengeChinafacestodayandhowcanthecountryovercomeitNowthatChinahasenteredaphaseofslowergrowth,oneofthemainchallengeswillbetomaintainitssuccessfultransitiontoaconsumer-oriented,,includingthe13thFive-YearPlan(2016-20),,thegovernmentsdevelopmentstrategytoincreaseregionaltradeandencouragebroaderglobaleconomiccooperation,iscreatingenormousbusinessopportunitiesthroughoutAsia,nologyinnovation,infrastructure,education,finance,senvironmentalanddevelopmentchallenges,Emersonisworkingwithindustryandgovernmentagenciestopromotetheefficientuseofenergy,includingimprovedenergyefficiencystandards,developingtechnologiesandsolutionstoboostcleanerenergyproduction,late1970s,Emersonwasoneofsixglobalcompaniesinvited,Emersonwastheonlycompanythatwaswillingtoenteralicensingdealtosupplytec,wearecommittedt,000employfter40yearsofreformandopening-up,Chineseenterpriseshaveundergonetransformationsintermsofsize,structure,ness,,wecompletedastrategicportfoliorealignmentprogram,whichenablesustofocusonourtwocorebusinesses-automationsolutions,andcommercialandresidentialsolutions-tobuildonourstrengthsandleadership,tinuousresearchanddevelopmentandinnovation,andasroleintheworldtodayOverthepast40years,Chinahastransformedfromanundevelopednationtoar,ChinasnatssustainedeconomicgrowthhastranslatedintoincreasingvisibilityontheworldstageandPrsdevelopmentoverthisperiodhasnotonlymadeitapowerfulengineofworldeconomicgrowth,butalsocontributedtotherecover,Chinaactivelypromotesthelinkingofdevelopmentstrategiesofallnationsacrosstheregionandbeyond,anditishelpingtoboostlocalemploymentande,itisalsoimportanttoenforceintellectualpropertyrightsande,intellectualpropertyrightsp,wearealsointerestedinChinasreformanddevelopmentactivitiesinkeyareassuchasconservationofenergy,reductionofcarbonemissions,improvementofairquality,sustainablefoodwastemanagement,sexperiencesandpracticesbeusedtosolveglobalproblemsThegovernments13thFive-YearPlanlaysdownthestrategyandpathwayforChina,urbanizationandsocialwelfare,environmentalprotectionandtalentdevelo,Chinahassetitsownambitiousdevelopmentgoals,governmentistakingconcertedactionstsnewgreenp,wefeelthatifanenterprisecanwininChina,,Chinaisoneofourmostimportantmarketsandmanyofourkeyproductsare,,,withitsnewterminal,,Ihavewitnessedthespeedofthenationstransformation,,whatprogressinotherfieldshaveyouwitnessedinChinainthepast40yearsOneexamplethathasbeenextremelyimpressiveisChina,dams,,thelengthofChinashighwaysandhigh-speedrailmileagearerankedNo1intheworldandthenationalhigh-speedrailway,whichdidnotexist10yearsago,isnowmoreextensivethantheEuropeanUnionstransportationisindeedthespeedofChina!

 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首 页 >> 时政 >> 科技 >> “塑料子宫”延续早产儿生命 >> 阅读

“塑料子宫”延续早产儿生命

2019-05-22 08:38 作者:徐芃 来源:中国青年报 编辑:郑雪婧
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TheplanetMars.[Photo/Agencies]WASHINGTON-ThebestevidencethatlifeonceexistedonMarshasbeenrevealedin3-billion-yearoldorganicmatterinrocksandcyclicalemissionsofmethanefromtheplanetssurface,NASAscientistsdisclosedonThursdayinapressconferenceexplainingrecentdiscoveriesbytheCuriosityrover."Wha,"NASAbiochemistJenniferEigenbrodesaid."ttellusthatlifewasthere."OrganicmoleculesserveasthebuildingblocksoflifewhilemostofthemethaneinEarthsatmosphericcomesfromanimalandplantlife,scientistsexplained."Thechancesofbeingabletofindsignsofancientlifewithfuturemissions,iflifeeverwaspresent,justwentup,"saidCuriosity,however,notedthattheevidenceofancientlifeisfarfromconclusivebecausemethane—releasedfromtheplanetssurface—andorganicmolecu,amobilechemistrylababoutthesizeofacar,hasbeen

 

“生物袋”工作示意图

可这不是普通的塑料袋,这套装置在尽可能模仿子宫的结构,凝聚了人类新生儿研究最前沿的成果。里面那只小羊羔是从母羊子宫内取出的胎羊,这些小羊羔一共有8只,都在羊妈妈体内长到100~115天,从肺部发育的角度对比,相当于22~24周的人类胎儿。

美国费城儿童医院的研究团队将这个装置称为“生物袋”。艾米丽·帕特里奇医生说:“我们这个装置,就是在体外再造一个子宫。”

未来,这个“人造子宫”将用来庇护那些过早来到世间的新生命。

按照世界卫生组织的定义,出生时间小于28周的新生儿被称为“极端早产儿”。

在美国,极端早产是新生儿死亡的首要原因。每3个早早辞世的新生儿里,就有1个是极端早产儿。这些着急的小生命,还没在妈妈的子宫里待满26周,就匆匆降生,然后匆匆告别。即使侥幸存活,他们也很容易出现慢性肺疾病、脑性瘫痪、视觉或听觉障碍等后遗症,影响终生。

在母体子宫和外部世界之间,“生物袋”有望成为极端早产儿的堡垒,为这些脆弱的新生命提供庇护。目前,这项装置已经在胎羊身上取得成功。经过4周的养育,8只小羊羔在“生物袋”里睁开了眼睛,粉红的表皮上也长出浅浅一层白色绒毛,神经系统与身体器官逐渐成熟,时不时还扭扭身子。

“这些新生儿迫切需要一个临时的庇护所”

“我想,大多数医生都不会忘记第一次走进新生儿重症监护病房(NICU)的场景。”帕特里奇医生回忆,“那么轻的一个小孩子……只要看到他,你立马就能意识到,他这时候还不应该来到这个世界,他还没有准备好。”

一个24周左右的早产儿是什么样子?费城儿童医院的另一位研究者解释道,找一瓶500毫升的矿泉水,拿到手里掂量掂量,一个极端早产儿就这么重。

成年人手掌大小、全身发紫、无法自主呼吸与进食……这些都是极端早产儿的典型特征。这些孩子本该继续待在母亲的子宫,通过血液从胎盘处获得氧气和营养,代谢废物。子宫内的羊水对胎儿起到保护作用,使其能够在稳定的压力和温度下成长。

“在母体子宫与外部世界之间,这些新生儿迫切需要一个临时的庇护所。”研究团队的带头人、费城儿童医院外科医生弗雷克说,“如果我们可以为他们找到一个模拟子宫的环境,只需要几周的时间,就能大幅改善极端早产儿的处境。”

从数据上看,在医疗设施完备的情况下,23周是早产儿生死的分割线。

在23周以前出生的胎儿,存活率几乎为零。从23周开始,胎儿在子宫中每多待一周,存活率就会上一个台阶:第23周是15%,第24周就上升到55%,到第25周,胎儿存活率已经可以达到80%。

如果能够在子宫环境中待到第28周,胎儿就算是闯过了最危险的关口。

经过28天超过670个小时的实验,8只胎羊全部发育正常。作为对比,此前同类型设备的动物实验最高纪录仅仅是60小时,实验动物还承受了脑损伤。这次的8只小羊羔全都安然无恙,目前看来,与正常子宫孵化的没有什么两样。最容易出现早产并发症的肺和大脑都没有出现状况。

“在体外再造一个子宫”

“我们这个系统就是在体外再造一个子宫。”帕特里奇医生说。

“我们不要把这些孩子当成新生儿对待。”研究团队带头人、费城儿童医院外科医生弗雷克总结,“我们还是把它们当作尚未出生的胎儿。”因此,工作的目标不是让新生儿适应这个世界,而是为胎儿提供一个类似母体的环境。

胎儿的生存呼吸都在液体环境中进行,帕特里奇医生将子宫外的世界称为“旱地”。对“粮草装备”尚不齐全的极端早产儿来说,贸然“登岸”往往凶多吉少。一般人安之若素的环境,对新生儿来说则仿佛在枪林弹雨中穿行,稍不留神就有性命危险。

这个临时堡垒的主体是一个塑料袋,里面灌满了研究者配制的电解质溶液,用来替代羊水。这些人工羊水从一端流入,另一端流出,清除代谢废物,为胎儿提供接近无菌、温度稳定的成长环境。“生物袋”的另一个组成部分则是血液循环系统,替代脐带与胎盘,通过血液为胎儿排除二氧化碳和代谢废物,提供氧气与营养。

“对于早产儿的救治如同闯关。”北京和睦家医院儿科主任杨明曾对媒体说,“闯过了一关,或许还有惊险的下一关。” 呼吸衰竭、颅内出血、血糖不稳定、高胆红素血症、严重感染、持续肺动脉高压、喂养不耐受等,都是极端早产儿可能要经历的关口。

呼吸就是所有早产儿首先面临的关口。“早产儿第一个问题就是肺发育不好。”安贞医院妇产科副主任医师杨冬介绍,“所以他出来面临的第一个问题就是呼吸窘迫。”

杨明接触的一个极端早产儿就没有自主呼吸能力,从助产士手中接过来,孩子“口唇都是青紫的”,只能自己“顽强地倒气”。

宝宝在母亲肚子里是不呼吸的,胎儿吸入氧气,排出二氧化碳,都是通过血液循环,借由脐带和胎盘进行传输。在子宫内,胎儿的肺泡都是闭合状态,浸润在羊水中。

足月(37周后生产)顺产的孩子在第34周左右,呼吸中枢基本发育成熟,会分泌一种肺表面活性物质,分娩时产道挤压,肺泡中的水分被充分排出,肺泡就会在活性物质的刺激下迅速膨胀,空气顺利进入新生儿的双肺。胎儿发出的第一声响亮的嚎哭,就是阶段性胜利的信号。

极端早产儿的呼吸中枢没有发育成熟,肺表面活性物质也没有完全到位,往往需要借助呼吸机辅助呼吸。这是一个两难的选择,呼吸机将氧气压入肺中,维持呼吸的同时,也会对早产儿的肺部造成损伤。长时间、高浓度的氧气甚至会造成眼部血管畸形发育,导致新生儿视网膜脱落。

为了解决这种问题,“生物袋”采用的是一种“无泵”设计。胎儿在袋中通过血液排出二氧化碳,获得氧气。血液流动需要动力,“生物袋”的循环系统采用一种新型氧合器,将内部阻力降到极低,这样,即使仅仅借助新生儿微弱的心脏搏动,也能让血液保持循环。

极端早产儿会在人工羊水中发育成熟

“我们希望能够提供给极端早产儿一套不同的医疗模式。”弗雷克医生说,“我们正在和美国食品药品监督管理局(FDA)联系,我认为3年内会开始人类的临床试验。”

如果临床试验顺利的话,弗雷克医生预言,未来,极端早产儿都会在人工羊水中发育成熟,而不是躺在保温箱里。

不少人想起了科幻小说里的情节,有了人工子宫,女性是不是可以省去怀胎的辛苦。弗雷克医生的回答很认真:我们志不在此。他特别强调,“生物袋”不适用于23周以前的胎儿,现有条件无法满足胎儿早期发育所需的更加精细的条件。

今年2月底,一个出生时仅有600多克的极端早产儿在北京和睦家医院顺利出院。当时,这个名叫Alex的小男孩已经在医院待了200多天,体重也从最初的600克变为5公斤。

和睦家医院儿科主任杨明还记得最开始见到Alex的样子,这个24周出生的极端早产儿“几乎是半透明的”,腹壁血管、脏器位置、肠蠕动的形状都清晰可见。因为刚出生时身体太小,Alex的尿不湿用的是一块最小尺码的无菌方纱巾,测量排尿量时,需要积攒几块才能称重。

在中国,Alex这样的孩子也被称为“有生机儿”。

安贞医院妇产科副主任医师杨冬介绍,“有生机儿”死亡率、发病率都比较高,面对这种情况,很多家庭会选择将孩子流掉。“如果将来发育不好,这样的小孩对家庭来说是一个沉重的负担。”要养育“有生机儿”,经济承受能力是每个家庭都需要考虑的事情。

2015年,福建女子林海燕生下了一对双胞胎女儿“希希”和“涵涵”。结婚4年,她和丈夫张辉终于通过试管婴儿的方法怀上了孩子。

但是,因为双胞胎出生时仅有26周,需要送到新生儿科,借助保温箱和呼吸机,才有可能健康长大。“两个我们都想救,但是我们的经济能力,让我们只能选择救一个。”无奈之下,林海燕和丈夫将体重更重一些的“希希”送进了保温箱,将“涵涵”留在自己的病房,孩子没法进食,就用滴管,每隔半小时往嘴里滴几滴奶。

出生46小时后,涵涵离开了这个世界。

“早产儿家长都要面临这样的两难处境,究竟是穷尽各种手段保住孩子的性命,还是竭尽所能减少他的痛苦?”一位重症监护室随访计划负责人说,“有一件事,每一位极端早产儿家长可能都默默想过:‘如果早知道结果依然会这么糟糕,我一开始就不会让孩子经历这么多。’”

 

在费城儿童医院工作了21年,弗雷克医生说,自己看到新生命诞生的记录都十分详实,但对于极端早产儿来说,记录的最后几页大都在重复遗憾的故事。他希望“生物袋”能够给这些急切的新生命多提供一种选择。



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