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生孩子,越自然越好

生孩子,越自然越好


生孩子,越自然越好
  十月怀胎,一朝分娩。
  生孩子原本是件十分自然的事,不过,如今越来越多的产妇却更愿意选择不自然的方式生产——剖腹产。近日,记者从北京妇产医院、北京积水潭医院等处了解到,今年“五一”期间,各大医院产房爆满,提出想要剖腹产的女性数量又有所增加。
  不久前,中国优生科学协会曾向媒体披露了一组调查数字。数字显示,20多年来,北京市剖腹产比率从1980年至1984年的19.5%,逐年增长至2004年的47.92%。在有些地区,这一比例甚至高达70%。而根据WHO(世界卫生组织)的规定,一个国家孕妇的剖腹产率应控制在15%以下;在美国等西方国家,至今剖腹产率仍控制在15%—24%之间。
  是什么让剖腹产率在我国居高不下?生孩子要回归自然为什么那么难?是产妇的个人原因,还是有一定的社会原因?就此记者采访了有关专家,她们是北京妇产

医院妇幼保健院护理部副主任姜梅、北京积水潭医院妇产科主任李少芬、北京美中宜和妇儿医院院长高峰(原北京妇产医院儿科主任)、北京美中宜和妇儿医院妇产科医疗总监徐蕴华(原北京协和医院产科主任)。
  医疗干预过多成风气
  问:这么多年来,剖腹产率居高不下是什么原因?
  徐蕴华:剖腹产的人之所以那么多,在孕妇方面主要有4点原因:1.害怕受罪,无法忍受妊娠之疼;2.出于挑选良辰吉时的美好愿望,或者其他原因,想要自主安排婴儿出生时间;3.缺乏生产知识,从网络上,或者亲戚朋友的口口相传中,接受了过多的负面信息,对生孩子十分恐惧,一到医院就主动提出剖腹产,认为更安全,也不会影响产后性生活质量;4.如今产妇年龄越来越大,有些医院现在35岁以上的高龄产妇占总人数的10%,她们阴道组织弹性差,产程会比较长,再加上胎儿较大的情况很常见,医生有时会建议她们实施剖腹产。
  李少芬:除了孕妇自身的原因之外,医院政策、医生态度或偏好也扮演了重要的角色。
  国外有个有趣的统计,剖腹产大多发生在医生快要下班的时候。因为剖腹产可以让医生较方便地掌控生产时间、状况,让他们不用加班。这也说明是医生促成了一些医疗干预。
 问:什么是过度医疗干预?什么是适度干预?
  高峰:根据临床医学的需要,在分娩过程中适当做医疗干预是必要的,但是过多的干预对母婴健康有害。在分娩中医疗干预有很多种方式,剖腹产是大家最熟悉的,另外还有提前破水、强迫体位、灌洗肠(用来刺激宫缩)、打催产素等。
  徐蕴华:医疗干预过度要具体问题具体分析。正常使用催产素不是过度干预,但有些医院因夜晚值班人员少,担心产妇有危险,为让产妇在白天生而使用催产素,就属于干预过度。正常情况下,剖腹产应基本上控制在20%—30%之间,如今这一比例呈上升趋势,也有医疗干预过度的因素。
  李少芬:分娩是一个非常复杂的过程,要不要选择医疗干预,要考虑产妇的实际情况。如果胎位不正,骨盆不够大,胎儿太大,孕妇有一些禁忌症,可能就不适合自然分娩,最好剖腹产。分娩其实是一种抢救,其危险虽然往往就那么几分钟,但适当干预能确保产妇和婴儿的安全。
  姜梅:剖腹产比例和侧切率太高,就是医疗干预太多的典型表现。这些医疗化的手段并没有使妇女的产程更顺利,相反,容易引发多种并发症。作为一个多年在产房工作的医生,我坚决支持自然分娩。
  问:分娩过度医疗化有哪些危害?
  徐蕴华:过度干预,会造成产妇和婴儿的风险。如人为提高宫缩频率,由3—4分钟一次加快到1—2分钟一次,很容易导致婴儿缺氧、窒息,或者产妇子宫破裂。
  高峰:剖腹产是不得已而为之的做法,它会带来手术风险,也不利于孩子肺内液的排干和肺泡的扩张。另外,产妇手术后恢复慢,之后所受的痛苦一点也不比自然分娩少。
  问:很多医疗干预都是为了避免产妇疼痛。产妇应如何看待疼痛?
  姜梅:疼痛对大人,对孩子都有好处。第一,它是一种信号,不同程度的痛感,表明产程到了什么阶段了,孩子是否要出生了;第二,疼痛使产妇的血压、心率、血糖水平升高,肌张力也就自然提高,这对促进分娩十分有利;第三,阴道扩张带来的疼痛能够帮助孩子大脑塑形,利于他们将肺泡里的液体排出来;第四,疼痛促使产妇做出挤压动作,导致胎儿在体内移动,能增强孩子的平衡能力。而剖腹产的婴儿出生后易注意力不集中,方位感较差。
  情感相伴更放松
  问:产程动辄七八个小时,甚至十几个小时,但绝大多数产妇只在生产的最后一刻才能看见医生,她们一直处于不安、无助的状态中,这是否也是让很多人寻求医疗帮助的原因之一呢?
  李少芬:的确,医院的陌生环境也是造成产妇紧张,盲目寻求医疗帮助的重要原因。而精神紧张将会导致宫缩乏力,压迫肠道,产妇食欲下降。在生产过程中,产妇的体力消耗相当于一次万米长跑,缺乏能量补充,再加上恐惧,生产就会很痛苦。
  这就需要我们向产妇提供生产过程的常识。如果有条件,产妇也可事先与相关医护人员接触一下,彼此有了亲近感,也能降低产妇的紧张程度。
  姜梅:降低产妇的紧张感,从根本上说,要帮她们建立积极的分娩心态。产妇的疼痛感是规律的、间歇性的,就像爬山,累了让她歇一会儿,注意力一分散,也就没那么痛了。
  高峰:在大多数医院,产房门口都有“男宾止步”的牌子。把产妇一个人丢在陌生的环境里,医患交流少,感到自己孤立无援,更加重了孕妇的恐惧感。这就给医院提出了人性化服务的要求。
 问:什么是人性化服务?它有什么作用?
  高峰:人性化服务包括硬件和软件多方面内容。从硬件方面来说,妇产医院就是要让人感觉更亲切,门诊、病房、产房,都要给人一种家庭的感觉。
  以美中宜和为例,我们的目的是要把医院“家庭化”,因此,这里的产房舒适、宽敞,是一个能随意活动、完全私密的空间。产床看起来是张普通床,实际上却是可以调整的专业产床。病房里配备的是彩电、音响、饮水机、洗澡间,就像在家里一样。而像呼吸机这样的医疗设备,我们则用家具把它“藏”起来,避免产妇看见,产生紧张心理。这种便利,不仅能让产妇放松,还能防止家属自行带入的物品过多,导致母婴出现不必要的感染。
  从软件服务角度来看,

医院能为产妇提供的服务也有很多。仍以美中宜和为例,首先值得一提的是分娩预演。这一环节模拟的是整个分娩过程,包括从熟悉临产征兆、到了解前往医院的路线,接受助产士接诊,在产床上模拟分娩等多个环节。
  其次,在分娩前,孕妇和医院还会共同设计一份分娩计划,双方各拿一份。小到病房灯光的明暗、放什么背景音乐,大到丈夫是否陪伴分娩,孕妇都可以自己设定。正是这种温情相伴,能让产妇更放松,从而享受分娩。
  分娩后,除了常规的护理,美中宜和还提供婴儿游泳、抚触锻炼等指导。即使出院了,产妇有什么需求,仍然可以随时打电话来咨询。医院还会安排产妇和婴儿定期回访。
  姜梅:从怀孕到分娩,实际上就是一个健康教育的过程。北京妇产医院开设了产前孕妇学校,每周三次为孕妇免费介绍分娩知识。很多人在听完课之后,心里便不恐惧了,主动提出要采取自然分娩的方式。
  生产劳苦但不痛苦
  问:如今,形形色色关于无痛分娩的宣传很多。不少人认为,无痛分娩才是人性化最根本的一环,这种看法正确吗?
  李少芬:无痛分娩不是一点痛都没有,严格地说应该叫“镇痛分娩”。如今用得比较多的是硬膜外麻醉,即麻醉感觉神经,但对运动神经不产生影响。在欧洲,多数人都会选用镇痛分娩,所以他们医院里的产妇一般很安静,没有太多叫喊。但相对来说,无痛分娩较贵,比正常分娩要多收1000元左右。
  姜梅:如今一些医院,包括一些媒体,过分强调了无痛分娩减轻疼痛的一面,但没有把弊端说清楚。事实上,产科用药一个最基本的原则,就是要求产妇在清醒的状态下参与分娩过程,用药不能影响产程,不能改变宫缩,否则可能引起产后大出血。镇痛药物对刚出生的婴儿有什么影响,目前循证医学的有关研究还不完整。但在欧洲,他们在广泛使用镇痛药物20多年后,现在已经开始逐渐不用了。
  如今,通过非药物的人性化服务来镇痛,是一种新趋势。例如让产妇边生产边看电视,灵活改变生产的体位,生产时能享受按摩、热敷,甚至能来回走动等。
  问:将来的分娩方式会向哪个方向发展?
  徐蕴华:应该说,“自然分娩”加“辅导”是最好的选择。在产前,产妇要注重保健;在生育的过程中,要加强陪伴者的作用。孕妇最好能多上一些课,对于生育过程中的呼吸、体位、生产方式等多做一些了解。
  最后要提醒的是,对于想要孩子的妇女来说,一定要提前做好规划,控制好体重,充分了解生育过程中可能经受的困难。
  高峰:目前人性化服务做得比较好的,当然是收费较高的私立医院。对于只要一个孩子的一般白领阶层来说,虽然还是能够接受这个价位的,但显然不够普及,这样的医院往往也规模较小。我们希望,像美中宜和这样能提供人性化服务,同时能够满足不同层次需求的医院,会越来越多。

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Black monkey

It is a good artical and it is helpful for me!
please read a short story as follows:
78, I gave up the chance to stay in the city, volunteered to six Chao Shan in the south of the depths of a remote primary school teaching. Although the material conditions of hardship, but my spirit is happy. I love it here simply lovely children, clean rivers and mountains and the vibrant animals and plants.
Day, I heard that the village was a scarce catch the monkeys, ready to sell the hotel, for guests to eat monkey brain. I immediately went to the home that Laoxiang repeatedly to his work, saying that this is Heiye Hou, national animal protection and let him put. Shan Liren Kaoshanchishan that he could, catching monkeys Maiqianyousha wrong »to the monkeys away, unless bought it. I Yaoya and spent the next 50 to buy a small那只Heiye Hou. I would like to immediately release it, but it is too small, also was injured, so I carefully to its tone. A month later, it finally fully recovered. I put it to the mountains, how can it also refused to go. Later, it was finally gone, I Changranruoshi. A month later, it was also back to see me, I am pleased in the flow of tears. It has long become a big monkey, found the monkeys, but still always come back. It's not days, I also very concerned about. It is very bright, has a unique spiritual, than those who only Sajiao pets much stronger. Slowly, our feelings deeper and deeper. It every color black, I call on the intimacy and "black."
In this way more than two years have passed, black became part of my life. Unexpectedly, a sudden disaster is the Advent.
On that day, I went to Shiji Li made a special trip outside the village for a sick child makeup. At that time, black is with me, so I put it. Along the way, in my black跑来who went before him, Beng mention more interesting. It slender limbs and body cloaked in black hair, clean and shiny, really like a small Jiling Gui.
Jixing, is a valley, suddenly, running in front of the black screamed with me and the dancing. I Dajing, busy Sixia Li Zhang Wang, 1:00 Shaye Mo see. Modi, I found the front of a huge rock Ji Shibu after two Lvying Ying bright spot, it is clear beast's eyes! Is a beast hidden in there. Although they are hidden in the excellent, but the condenser's eyes are not people evasion. Normally, animals are Paren, heard the voice of the video is long overdue Duode not, why is it hidden in there »
I was in the Leng, suddenly heard the roar out, the shadow of an orange From Stonehenge jumped on the sky, Mengpu up to us! Ah, yes a ferocious Jin Qianbao! I immediately think of the last villagers always poultry and livestock lost, it was found to be a dry leopards, Meizhun is it. Is about the wild mountains of too little, seems to be forgiven. But it Dantaibaotian, broad daylight attack was Qiren Lai!
I know very well that the powerful leopards, quickly turned run. But leopards run really fast, which is a few seconds of work, Yinfeng only heard a while back, I was suddenly in the Pudao! Extreme confusion, the Dazui Zhijue leopards bite to the face to me. I can survive this desperate resistance, punched hit leopard head. But I simply can not and leopards Shuangquan Li Zhao and the canine ratio, immediately appeared on the arm on the numerous blood mouth. I never Dingbu Zhu!
Zhijue leopards Taizui the hard bite to my neck, finished! Shuliao twinkling of an eye, leopards Canjiao out, Meng Zhuantou to jump back, keen to torsional pendulum up. Dingjing a look, the original is black is riding on the evil leopard, who Shuangzhua in leopard surface Mengzhua. Leopards in one eye has been the Zhuaxia. It is no wonder leopards release me. What a courageous black! It could have been alone escape, but Maosi come back to save me!
Dale Ge leopards were taken by surprise, suffer heavy losses, one also can not get away, Flying into a shameful rage to the extreme, Ben can not jump Fanteng. I quickly managed to run a few steps back, a tree after a躲到. I shouted for help, how can this barren Yeling the people ah »
Jingbu Zhu black leopards almost crazy disruption, and finally被甩down. It can be positive confrontation is not the evil leopard opponent. Sure enough in the lightning attack leopards, black can not resist, fell to the evil several times to the leopard claws, 1:00 Xianxianghuansheng! I do not live and screaming, not a black, a catalyst for the whole leopard killed in the mouth! Thanks to black Jizhongshengzhi, "miso" and Bengdao a tree. I breathed a sigh of relief.
Shuliao, leopards will Pashu, yelling out, to climb up the tree. All of a sudden the tree on the chaos on a Yi Guoyu, the two shadow to channeling to channeling, call constantly. Black leopards in the end more than good at Panyuanpashu, not for leopards in a cheap, and a tree to jump to the other.
Leopards in a tree in front of black roared Jisheng, unable to jump past, only the first under the tree. Its black unmatched, and I angrily to run-up. I Dahai, Xiangpao, how can escape had » Leopards face extremely Zhengning, about all the anger and to the whole Shaji caving in to me!
Qianjunyifa a time when black and screamed and ran back behind the leopards provocative demonstrations. Leopards-black yelling Jisheng, want to scare off, black is not running. Leopards furious, wind Sidiquzhui black. It also understand that some, not black Nongsi, which I also do not want to eat.
Blackie, "miso" has fled to a tree, so that the leopards flutter empty. It could have jumped to escape from the trees quickly, but it was not even among the tree trunks to drill to drill. Several leopards almost Yaodao its butt, I Jingde Zhimao cold sweat. Gradually, the more they run the farther. I suddenly realize that black is the deliberate aim is to open with leopards, I better cover out of danger! I was excited tears streaming down unconsciously. This is true? » Only a small black monkey ah! To me, it has its own life and death Zhizhiduwai!
I can bear to how a person can escape it » Well, I still personally? » Blackie has given me boundless courage and strength. I do not believe we work together fighting over evil leopard! I Jianqi a wooden sticks, strive to recover the past.
I found a small black Skip to the LDC package, the Jingbuzaipao. Luanzhua chaos on the ground chopped up. Leopards rushed Daxi, Mengpu boost. A black hide, they also Sida together.
Suddenly, only heard, "Ong" out, as the ground from a burst of cyclones, a group of the moment to beat a shadow surrounded by leopards and black! Immediately came the leopards Sixinliefei the Canjiao. It Xiangpao, numerous black spots that have almost covered it. Blackie was not spared, it was swallowed up by a storm!
I understand that, it is a local specialty products Ye Feng, it was called "killing bees" than the North's largest Ma Feng also much greater, in a June 7 cm long way. Their temperament is extremely fierce, if the attack rallied together, can more than 1,000 kilograms of bison alive sting death. Not to thick leather top with. They堪称subtropical jungle in the real hegemony. And ordinary bee different, their nests are built on the ground, like the LDC package.敬而远之its people, and we must not close. Who would dare destroy their Waterloo, they must allow an instant who perished!
Blackie probably found in a tree on the cellular, leopards before with the past. It destroyed cellular, as is angered bees, and leopards perish together! !
The proliferation of bees still, I hurried趴on the ground, a move not moving. I can not inhibit the body to the Zhanli, grasping hands into the soil, stubbornly. Tears came out. Blackie, my good brother……
After a long long time, everything has finally subsided, Ye Feng Lu were both continued to be the Waterloo. I feel quietly past, Dingjing a look, I immediately found a black, it was满布big red envelope, so the body swelling up. It seems to be expected as early as a result of this, the expression is serene, it does not have too much resistance, calmly greeted the death.
See那只leopards, obviously, after dying and the fierce struggle, was even worse in the sting, everything is futile. It has long been beyond recognition, the language can not be described. I Zhuangzhuo Dan approached, the black hold up. I have no tears, only holding it firmly.
I take back to black schools, was rushed to hospital immediately. Prior to departure, I asked the students will make the black burial. After the injury well, I would like to villagers about all this. They all think inconceivable that black is a heaven of the Monkey God, save the people, but also Nongsi the evil leopard, is really for the people of pesticides ah.
Later, I left the six Chao Shan, but I have been deeply miss the monkey black justice, as a distant memory of loved ones in heaven.
_________________________________________
from:www.fcsgame.com/dofus-kamas.htm
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宝吉牌废旧钢筋调直截断机

长葛市宝吉机械设备厂生产销售宝吉牌多功能废旧钢筋调直除锈机:直接调直除锈直径为4.5mm以下废旧钢筋及铁丝,长度弯曲度不限一次调直。速度:30米/分钟,功率:1.5KW380V。销售价格:2400元/台。废旧钢筋盘园钢筋两用调直除锈机:直接调直除锈直径为2-8.5mm内废旧钢筋和盘园钢筋,长度弯曲度不限一次调直。速度:34米/分钟,功率:3KW1.5KW380V。销售价格:4500元/台。宝吉牌链条式多功能废旧钢筋拉丝调直除锈机:350型:可拉直径为2--12mm长度弯曲度不限一次完成废旧钢筋的调直\除锈\减径。速度:34米/分钟,功率:7.5KW380V。15000元/套(国标钢材,自重1.6吨,6米长,32A50.8节距优质链条,合金链轮)。500型:可拉直径为2--22mm长度弯曲度不限一次完成废旧钢筋的调直\除锈\减径。速度:34米/分钟,功率:15KW380V。28000元/套(国标钢材,自重2.0吨,6米长,80A63节距优质链条,合金链轮)。均含钢筋压(轧)头机一台,合金模具一套。宝吉牌对辊式废旧钢筋调直机:直接调直除锈直径为3-12mm废旧钢筋,长度(20公分以上均可)弯曲度不限一次调直除锈。速度:34米/分钟,功率:4KW380V。销售价格:5500元/台.盘园铁丝调直定尺自动切断机:直接调直除锈直径为2--4.5mm钢筋,调直自动定尺切断一次完成,速度:34米/分钟,功率:2.8KW380V。长度误差:±5mm。销售价格:8000元/台。盘园钢筋调直自动定尺切断机:对直径为3--10mm的盘园钢筋废旧钢筋调直\除锈\6米内全自动定尺截断电脑计数一次完成。完成速度:34米/分钟,长度误差:±3mm。电机功率:四级7.5KW380V。价格:15000元/台。多功能盘园钢筋拉丝机:500型双辊拉丝机壹台(含500型变速箱,不含电机,根据实际需要配置四级7.5KW或者15KW电机)或者350型双辊拉丝机壹台(含350型变速箱,不含电机,根据实际需要配置四级7.5KW电机),钢筋轧头机一台,放线架二台,拉丝合金模一套。含机上装置。500型双辊拉丝机:1.8万元/套;350型双辊拉丝机1.2万元/套(可生产铁丝或钢筋铁丝除锈)。宝吉牌普通钢筋压螺纹钢筋机:直接可以把3-8mm普通钢筋一次成型压成螺纹钢筋并能除锈。完成速度:34米/分钟,功率:0KW380V。销售价格:8000元/台。宝吉牌废旧钢筋压螺纹机:直接可以把3-10mm废旧钢筋一次成型压成螺纹钢筋并能除锈。完成速度:34米/分钟,功率:5KW380V。销售价格:11000元/台。钢筋压(轧)头机:直接碾压变细钢筋头部,用于拉丝穿越合金模。4200元/台(含电机开关)。设备实行三包,免费培训直达客户能单独操作和维护维修。先学后交钱,学会了再购买。长期成本价供应所有另配件,免费技术升级和咨询。免费代办运输,运输过程中损坏或丢失由宝吉负责。宝吉厂及宝吉牌产品荣获2004年《中国质量万里行》"诚信·维权"重点保护品牌(单位),荣获2004年中国科学研究院名牌与市场战略专家委员会"质量服务信誉AAA级企业"。专业废变宝,只会做最好。宝吉牌废变宝专用机械设备系独家设计精工制造,竭力为老百姓创造和制造能挣钱的机遇和机器。经营宗旨:信誉至高无上,质量精益求精,服务无微不至,创新永无止境。宝吉产品及服务,必系最佳。宝吉机械设备厂徽标和宝吉牌商标已注册,敬请认准宝吉牌,假冒必纠!实施ISO9000质量管理体系,对所有2006年5月1日后销售的宝吉牌各类机械设备郑重承诺:三包期内有问题就换新的。市场部电话:0374-6315817,手机:013703744588。详细了解宝吉机械设备最新图片及说明敬请联系:E-mail:fbbcyyxgs@126.com。QQ:188452374
信誉至高无上,质量精益求精,服务无微不至,创新永无止境。

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石头茶盘

我公司成立2005年12月7日,坐落于茶叶之乡-安溪龙门,是一家专门从事茶盘设计与制造的现代企业。本公司生产的产品原材料全部以进口花梨、红檀、绿檀、黑檀、酸枝、鸡翅等优质原木 想了解更多茶具及茶叶登入公司网http://www.jhchaju.com 查看订购热线0595-26269285 26329698


我公司成立2005年12月7日,坐落于茶叶之乡-安溪龙门,是一家专门从事茶盘设计与制造的现代企业。本公司生产的产品原材料全部以进口花梨、红檀、绿檀、黑檀、酸枝、鸡翅等优质原木 想了解更多茶具及茶叶登入公司网http://www.jhchaju.com 查看订购热线0595-26269285 26329698


我公司成立2005年12月7日,坐落于茶叶之乡-安溪龙门,是一家专门从事茶盘设计与制造的现代企业。本公司生产的产品原材料全部以进口花梨、红檀、绿檀、黑檀、酸枝、鸡翅等优质原木 想了解更多茶具及茶叶登入公司网http://www.jhchaju.com 查看订购热线0595-26269285 26329698


我公司成立2005年12月7日,坐落于茶叶之乡-安溪龙门,是一家专门从事茶盘设计与制造的现代企业。本公司生产的产品原材料全部以进口花梨、红檀、绿檀、黑檀、酸枝、鸡翅等优质原木 想了解更多茶具及茶叶登入公司网http://www.jhchaju.com 查看订购热线0595-26269285 26329698

我公司成立2005年12月7日,坐落于茶叶之乡-安溪龙门,是一家专门从事茶盘设计与制造的现代企业。本公司生产的产品原材料全部以进口花梨、红檀、绿檀、黑檀、酸枝、鸡翅等优质原木 想了解更多茶具及茶叶登入公司网http://www.jhchaju.com 查看订购热线0595-26269285 26329698
福建安溪茶叶批发网 http://www.fjcyp888.web.82758.com qq:842937471

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佛山干燥剂

内容不错,佛山干燥剂全力支持!
干燥剂请找我!

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不关我的事,节约点喝茅台20

几个早起积肥的知青各挑着一担大粪匆匆地走着。忽然走在头里那人不慎滑倒。担着的东西泼洒一地。几个同伴赶紧放下担子, 上前去正要扶他起来。
跌倒者奋力挣开同伴的搀扶,手指着正满地流淌的那物,慷慨激昂、铿锵有力 地说道:同志们,不要管我,抢救公社的大粪要紧!



















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