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Heavy! Hongqi Guoya is listed, and the top configuration challenges Mercedes-Benz Audi. Who will win？

This is not only a car, but also a redefinition of "luxury" and a symbol that China’s automobile industry once again shows its strength to the world. Today, we will discuss the story behind this new car and uncover its unknown secret.

From the moment it appeared, it was destined to be an ordinary car. The name of this car has a profound cultural connotation. The word "Guoya" conveys the high respect and inheritance of the national culture of the red flag, and also indicates that it will become a product representing the highest level of China automobile.

Hongqi Guoya is not only an ultra-luxury executive car, but also a declaration of "the return of the king". Hongqi brand has been a symbol of high-end cars in China since its birth, and this new car has pushed this status to a new height.

No matter from the body design, interior technology or dynamic performance, Hongqi Guoya is challenging the global luxury car market: we are not only known as the "national car", but also have the strength to compete with international first-line luxury brands.

This time, the red flag can be described as "full of heart" in design. Guoya provides 8 body colors and 3 kinds of two-color painting, which satisfies consumers’ ultimate pursuit of personalization.

Whether it is for business or private travel, every detail of Guoya shows luxury and dignity. You can choose the five-seat version or the four-seat version-even the most discerning customers can find their favorite choice in this car.

The craft and design of the interior make people feel like they are in an art palace. Every inch of leather and every detail have been carefully polished, showing the ultimate pursuit of quality by Hongqi.

Not only that, Hongqi Guoya is "stacking materials" to the extreme in configuration: intelligent four-wheel drive system, dual-cavity air suspension, rear wheel steering, and the world’s first flexible scroll screen, AR-HUD virtual reality head display and other cutting-edge technologies, which simply move the future automotive technology into real life.

Hongqi Guoya is not only gorgeous in appearance, but also powerful in core. The power system provides the choice of 3.0T and 4.0T hybrid electric power, and the maximum power reaches 290kW and 360kW respectively, which means that it not only has strong power output, but also gives consideration to economy and environmental protection. Compared with Mercedes-Benz S450L and Audi A8L of the same level, Hongqi Guoya’s performance is not inferior, even better in some aspects.

The meticulous carving of the red flag in the driving experience is even more exciting. Thanks to the advanced hybrid system, the vehicle starts quietly, but when it needs to explode, it can release strong power. This driving texture is not only the strong power output, but also the ultimate pursuit of driving comfort by Hongqi.

The listing of Hongqi Guoya is not only the launch of a new model, but also another sublimation of Hongqi brand strategy. The red flag is no longer just a symbol of "national car", but it is breaking the situation that "luxury cars are monopolized by foreign brands" with practical actions.

Guoya is clearly positioned as an ultra-luxury executive car this time, and plans to officially put into production in mid-2024, with an annual production capacity of 15,000 vehicles and a monthly sales volume of 1,200 vehicles. This figure is almost the same as the sales volume, which shows the market confidence of Hongqi in this car.

The appearance of Hongqi Guoya is undoubtedly a milestone victory for China automobile industry. It is not only a car, but also represents the confident rise of China automobile brands in the luxury car market. Through continuous innovation and breakthrough, Hongqi has changed from a simple symbol of "national car" to a global benchmark of China’s automobile industry.

Every time a new car is launched, Red Flag is proving to the world that China can not only build a good car, but also build a top luxury car. Hongqi Guoya is the best embodiment of this concept, which not only shows the technical strength and technological level of China’s own brands, but also conveys a sense of national pride.

As consumers, we can feel that Hongqi Guoya is not only providing us with a luxury car, but also standing tall for the China brand. No matter from the design, configuration, performance, or marketing strategy, this car reveals a high-end, atmospheric and upscale atmosphere. Through Guoya, Red Flag has proved to the world the power of China brand, and demonstrated our confidence and control over the future.

In the future, the arrival of Hongqi Guoya is bound to reshuffle the entire luxury car market. Perhaps, the next time you see the shiny logo on the highway, you will not only be amazed at its appearance, but also be proud of the "national strength" it represents.

Finally, what do you think when you see it here? Welcome to share your views on Hongqi Guoya in the comment area, and don’t forget to like, pay attention to and share, so that more people can feel this pride and strength!

Jinjialing Financial District： ＂Digital Finance＂ sets sail first

Since the beginning of this year, Jinjialing Financial District has been particularly active in the field of digital financial application innovation.

In July, Bank of Qingdao launched the first electronic factoring business in the country, providing factoring financing for small and micro enterprises through the digital supply chain finance platform. Based on this model, Bank of Qingdao will vigorously serve vegetables, eggs, aquatic products and other suppliers to farmers, agricultural product processing, agricultural technology and other enterprises to help rural revitalization.

In May, three financial district institutions, including Bank of Qingdao, Qingdao Flash Payment Information Technology Co., Ltd., and Shujin Public Service (Qingdao) Co., Ltd., were selected for the second batch of "scenario application laboratories". "Digital finance" became the common "label" of the three declaration projects. In the "petri dish" of new technologies, new formats, and new models, Jinjialing Financial District has become a unique landscape with "digital finance".

In April, Shandong Guosheng Microloan Co., Ltd. issued small digital RMB loans to a hotel and an individual respectively. The two loans not only relieved the financing party’s urgency of capital turnover, but also became the earliest digital RMB microloan scenario in the country, expanding the scope of use of digital RMB.

This set of "monthly spectrum" is a marker point for the development of digital finance in Jinjialing Financial District, marking the drip-by-drip achievements and development paths of digital finance in Qingdao. Digital finance is the foundation for the construction and development of digital economy and digital city, and has become the focus of various cities. On the surging tide, there is Qingdao’s brave figure. As the place where Qingdao Financial Institution Group and financial technology gather, Jinjialing Financial District is taking the lead in tasting the sweetness of digital finance.

On August 28, Jinjialing Financial District will usher in the Digital Finance Construction Summit Forum with the theme of "Digital Gathering in Qingdao, Rongzhi Sailing". At that time, industry experts and scholars will gather at Qingdao Haitian Financial Center Hotel to discuss the digital transformation of the financial industry, make suggestions for the high-quality development of Jinjialing Financial District’s "Digital Finance Pioneer Zone", and accumulate more experience for digital finance to better serve the digital economy.

Consolidating the foundation: the agglomeration of financial technology companies

Digital finance is the use of digital technologies such as big data, 5G, and blockchain to reduce transaction costs, alleviate information asymmetry, and strengthen risk management. The development of digital finance cannot be separated from the agglomeration of financial technology enterprises.

At present, the financial district has gathered a number of financial technology enterprises and research institutions such as Qingdao Flash Payment Information Technology Co., Ltd., Wan Chain Index (Qingdao) Information Technology Co., Ltd., Jiantou Data Technology (Shandong) Co., Ltd., CCID Research Institute, etc. There are 49 financial technology enterprises, and the digital transformation and innovation of "Bank +" Financial Institution Group are endless, and they jointly support the construction base of digital finance.

In 2019, Qingdao was approved to become one of the national fintech application pilot cities, exploring the use of new-generation information technologies such as cloud computing, artificial intelligence, and big data to improve the quality and efficiency of financial services. As early as 2017, Flash Payment, which focuses on supply chain financial services, was established, and the angel round received 20 million yuan in financing. Up to now, Flash Payment has provided digital technology services to more than 6,600 enterprises, and the cumulative supply chain financial transaction volume has exceeded 57 billion yuan. It has provided innovative solutions and technology and operation services for many core supply chain financial enterprises, commercial factoring, financial leasing, financial companies, banks and other customers. There are many industry leaders in deep cooperation, such as Qingdao Metro, Luhua Capital, Shanghai Shentong Metro, Suzhou City Investment, etc.

On the main track of supply chain finance, the development of digital finance, the financial technology enterprises in Jinjialing Financial District "have their own unique skills". The Wanchain Index, which is good at using big data for corporate credit portrayal, has achieved a good result of helping small and micro enterprises to raise 2.30 million yuan in 35 minutes. Through excellent big data computing and analysis capabilities, the Wanchain Index has raised more than one billion yuan for many small and medium-sized enterprises a year; Shandong Jiantou Technology, which uses "3D reality modeling" to explore new financial scenarios, reduces financing costs and risks through the "visible" and "identifiable" auxiliary financing of collateral. Jiang Mingying, chairperson of the company, once said that Shandong Jiantou Technology has overcome the accuracy and cost problems of "3D reality modeling", achieved efficient, fast and intelligent acquisition, and seized the opportunity in technology.

Digital RMB is one of the "new infrastructures" for the high-quality development of the digital economy and financial industry. The Financial Institution Group in Jinjialing Financial District frequently "tasted" new application scenarios of digital RMB. In May 2022, Qingdao Julang Financial Leasing Co., Ltd. launched the first "digital RMB + digital financial leasing" business in China, and issued financial leases to enterprises in the form of digital RMB to Qingdao Aierjiajia New Materials joint stock company, a national-level specialized and special "little giant" enterprise. The intelligent characteristics of digital RMB have improved financial efficiency. At the same time, the leasing assets are managed digitally in the after-sales and leaseback process, and the risk prevention and Client Server capabilities are improved.

Effectiveness: Deeply empowering the real economy

Financial activity means economic activity, and financial stability means economic stability.

Digital finance is still financial in nature, and its value is reflected in empowering subjects that cannot be reached by traditional finance through technological means, turning the impossible into possible, and promoting the high-quality development of the real economy.

Digitalization has given "inclusive" wings to banks and other Financial Institutions Groups, with the help of artificial intelligence, big data computing and other technologies, to reduce customer acquisition costs, improve the coverage of financial services, and help financial services achieve "sinking" services.

With the blessing of science and technology, data has opened the "wall-breaking action" and become a tool for leveraging financing. China Merchants Bank Qingdao Branch cooperates with the Municipal Big Data Bureau to use decision tree, neural networks and other technologies to build a credit model and demand model for small and micro enterprises, and build a Data Warehouse Interim for financial services for small and micro enterprises, effectively reducing customer acquisition costs. According to information released by the Qingdao Central Sub-branch of the People’s Bank of China recently, this year, China Merchants Bank Qingdao Branch has accumulated 309 new customers through this model, reducing customer acquisition costs by 30%, increasing customer acquisition efficiency by 35%, and issuing loans cumulatively 309 million yuan.

Big data computing power not only improves the quality and efficiency of financial services, but also helps Financial Institution Group to better prevent financial risks. Bank of Qingdao integrates 500,000 pieces of data from multiple data sources to build a risk control rule base and automated decision-making tool for small and micro enterprises’ financial service scenarios, realizes automatic early warning and rapid disposal of various risks, and promotes the transformation of the risk control system from manual decision-making to data decision-making. After the system is launched, 3,140 risk control decisions in loans are automatically made, and more than 5,960 post-loan warning signals are detected, involving about 240,000 customers.

The use of digital technology has helped Financial Institution Group better empower emerging industries. As of the end of April, there were more than 5,000 high-tech enterprises in Qingdao. As talent-intensive enterprises, high-tech enterprises are restricted in financing means. On March 30, Industrial Bank Qingdao branch granted 20 million yuan of credit to Qingdao Kejie Robot Co., Ltd. under the "talent loan" to help enterprises increase R & D and innovation. In the approval of this business, Industrial Bank Qingdao Branch applied an independent innovation "technology flow" evaluation system, from 17 dimensions such as talent labels, intellectual property rights, R & D investment, and science and technology innovation competitions, to accurately quantify the scientific research achievements of scientific and technological talents and the scientific and technological innovation strength of enterprises. This greatly simplifies the information and processes required for traditional credit issuance, and provides enterprises with priority credit without guarantee, so as to strengthen their technological and financial strength with financial technology.

Build an ecology: turn on the financial "traffic light"

Technology helps financial services multiply, but there should be clear boundaries for the integration of finance and technology. While encouraging innovation and ensuring the quality of financial services, financial risks should also be prevented and financial order should be maintained. The "traffic light" system necessary for the development and growth of digital finance is also gradually clear in Jinjialing Financial District.

The most important thing in supervision is the construction of financial rule of law. Since the beginning of this year, the main person in charge of Qingdao Intermediate Court has visited Jinjialing Financial District many times. In April, the Qingdao Intermediate Court and the Financial Management Commission signed a Memorandum of Cooperation, and the two parties agreed to establish a regular contact mechanism to carry out in-depth cooperation in resolving financial disputes and preventing financial risks, and accelerate the construction of Qingdao’s financial rule of law. In June, the Qingdao Intermediate Court’s financial trial workstation was located in the Jinjialing Financial District. The relevant person in charge of the Municipal Intermediate People’s Court said that through the workstation, a high-quality judicial service demonstration base will be built, and efforts will be made to achieve local absorption of judicial needs, local resolution of disputes in the financial district, local provision of judicial services, and local development of circuit trials. By giving full play to the radiating effect of judicial assistance to financial support for the real economy, it will provide judicial protection for the high-quality development of the financial district and the legal business environment

The professional financial and legal service industry has grown in Jinjialing Financial District. Recently, Guantao Zhongmao Law Firm Qingdao branch settled in Jinjialing Financial District. The firm’s business involves financial innovation and capital markets, international trade and WTO, intellectual property protection, corporate restructuring and bankruptcy, traditional commercial litigation and many other financial fields. Its Beijing headquarters has been honored by the Ministry of Justice of the People’s Republic of China. As of the first half of the year, the number of law firms in Jinjialing Financial District has reached 61, building an "iron wall" for financial legal services and financial order maintenance.

Synchronized with the supervision and layout of the red light system, the Jinjialing Financial District Management Committee has given the green light to the policy, striving for the opportunity of the first trial for the Financial Institution Group in the district, and at the same time creating a good ecology, and constantly promoting the progress of the construction of the "Digital Finance Pioneer Zone". In April this year, Jinjialing Financial District issued the "2022 Action Plan for the Construction of the Digital Finance Pioneer Zone", proposing to take the application scenario construction as a breakthrough point, aiming at the "seven major tasks", and strive to gather industries, improve the ecology, innovate the pilot, and optimize the environment, so as to make Jinjialing Financial District a digital finance pioneer zone with wealth management characteristics. In June, the Qingdao Central Sub-branch of the People’s Bank of China and the Qingdao Local Financial Supervision Administration jointly issued the "Guiding Opinions on Supporting the Establishment of a Financial Technology Pilot Demonstration Zone", explicitly supporting the Jinjialing Financial District to build a digital finance pilot zone and further expanding the scale and influence of the digital finance industry.

At the Digital Finance Summit Forum held on August 28, the Digital Finance Industry Alliance and Digital Finance Scenario Application Laboratory led by the Financial Management Commission will be inaugurated, creating a new stage and opportunities for the development of the digital finance industry in Jinjialing Financial District.

The nine-story platform starts from the soft soil. According to the relevant person in charge of the Jinjialing Financial District Management Committee, digitalization is a new impetus for the transformation and upgrading of the financial industry. The construction of the "Digital Finance Pioneer Zone" in Jinjialing Financial District has laid a solid foundation and taken off in an all-round way. In the next step, the Jinjialing Financial District Management Committee will strive for more policies and cheap conditions for the Financial Institution Groups and financial technology enterprises in the district, attract more high-quality digital finance-related projects to settle down, and develop and expand the digital finance industry in the interaction between government and enterprises, so as to help the construction of digital Qingdao to a new level.

(Qingdao Daily/Guanhai News reporter, Ding Qianqian, correspondent, Sui Hua)

After a lapse of one year, Korea and the United States resumed the joint performance exercise by computer simulation.

　　[Global Times Comprehensive Report] Yonhap News Agency said on the 16th that South Korea’s Joint Chiefs of Staff indicated that South Korea and the United States would conduct joint command post exercises from the 18th to 28th of this month.

　　The South Korean military originally planned to start the exercise on 16th, but a South Korean military official who participated in the exercise was diagnosed with Covid-19 on 14th, and the exercise schedule was postponed. According to the report, the exercise of South Korea and the United States in the first half of the year was cancelled due to the epidemic. This time, South Korea and the United States held a joint exercise after a lapse of one year. The exercise was conducted in two parts by means of computer simulation. The first part was a hypothetical all-out war with North Korea, which was held from 18th to 22nd. The second half is a counter-attack exercise, which was held from 24th to 28th.

The woman pays the deposit to pick up the car, and the price is increased. 4S shop： The sales agreement is invalid without signing.

　　On December 30, 2019, Ms. Cao of Wuhan reported to the complaint platform of the quality report that she bought a Cadillac XT5 sedan during the Wuhan Auto Show in November, signed a car booking agreement on the spot and paid a deposit of 10,000 yuan; However, when he was told to pick up the car at the end of December, he was told by the 4S shop that he needed to temporarily increase the price by 6,500 yuan, otherwise he would not leave the car.

　　On January 2, 2020, the customer service staff of Wuhan Hengxin Xingkai Automobile Sales & Service Co., Ltd., which belongs to the 4S shop involved, told The Paper that the car booking price was supported by the manufacturer during the auto show, but because the customer picked up the car after the time supported by the auto show price, he could only raise the price or refund the deposit of 10,000 yuan. In addition, the vehicle booking agreement signed at the time of car booking is invalid because it is not signed by the sales consultant.

　　Xing Xin, a partner of Hunan Jinzhou Law Firm, believes that the 4S shop asked for a fare increase when communicating with Ms. Cao to pick up the car, which shows that the validity of the agreement has not been denied. Ms. Cao has the right to protect her rights and interests by bringing a lawsuit to the court.

　　Ms. Cao introduced that in November 2019, at the booth of Cadillac at Wuhan International Expo Center Auto Show, she ordered a black Cadillac XT5 sedan on the spot. After many times of communication with the sales, the price was 275,700 yuan. On the same day, she signed a car booking agreement and paid a car purchase deposit of 10,000 yuan. It was agreed with the sales that the date of picking up the car was "before New Year’s Day".

　　After booking the car, Ms. Cao repeatedly asked about the time of picking up the car, and was told by the 4S shop that the booked car had not arrived at the store. On December 27th, the sales staff of 4S shop contacted Ms. Cao, saying that the car could be picked up, but it needed to increase the price by 6,500 yuan, otherwise the car booking agreement signed during the auto show would be invalid.

　　Ms. Cao said that at the auto show, the salesperson told her that there was a special preferential price during the auto show, and she could not get this discount after the auto show. She only paid the deposit and signed a car booking agreement during the auto show.

　　Vehicle booking agreement signed by Ms. Cao and 4S shop Photo courtesy of the interviewee

　　As can be seen from the car booking agreement provided by Ms. Cao, the agreement clearly indicates that the car price of the reserved car is 275,700 yuan, the delivery time is "the car arrives at the store" and Party B pays the full amount of the car, but it does not mention the specific time of picking up the car and the effective period of the car price.

　　It is stated in the agreement that the agreement can take effect only after Party A (4S shop) seals it and Party B signs it, but there is no company seal or sales consultant signature on the agreement.

　　On January 2, The Paper called Wuhan Hengxin Xingkai Automobile Sales & Service Co., Ltd., which belongs to the 4S shop involved. The customer service staff of the company said that in November, the customer signed an order for car booking at the auto show, and the price at that time was indeed supported by the manufacturer’s price. However, because the customer picked up the car after the auto show price support time, he could only pick up the car at a higher price.

　　"If the customer picks up the car in November, we can still follow the agreed price, but now the price has gone up, from 275,700 to 282,700, and there is nothing we can do." The customer service said that the vehicle booking agreement needs to be signed by both the customer and the sales consultant, but Ms. Cao’s vehicle booking agreement is only signed by the customer and not signed by the sales consultant, which is an invalid agreement.

　　In this regard, Ms. Cao said that the current status of the electronic agreement is indeed that the sales are pending. "But when booking a car, the agreement is operated by 4S shop sales on the APP, and the content is also written by them. At that time, I didn’t think so much. I signed it first, but I didn’t know it was so dishonest."

　　On the afternoon of January 2, after many consultations, the customer service staff of Wuhan Hengxin Xingkai Automobile Sales & Service Co., Ltd. told The Paper that two solutions have been proposed at present: the first one is that the customer raises the price by 6,500 yuan to pick up the car; Second, if the customer is unwilling to add money, he can refund the deposit of 10 thousand yuan.

　　In view of the above, Xing Xin, a partner of Hunan Jinzhou Law Firm, believes that the car booking agreement belongs to an electronic contract, and the salesperson, as an employee of the 4S shop, has acted as a duty behavior since the salesperson sent it to Ms. Cao, which can already be regarded as an invitation issued by the 4S shop. After Ms. Cao signed the agreement, it was regarded as a promise, and at the same time, Ms. Cao paid the deposit, and the agreement was established and came into effect. "The 4S shop asked for a fare increase when communicating with Ms. Cao to pick up the car, indicating that it did not deny the validity of the agreement, and it was also regarded as a de facto recognition of the validity of the agreement."

　　Therefore, Xing Xin believes that the agreement does not take Ms. Cao’s car pick-up in November as a restrictive condition for the preferential car payment, and increases the price when picking up the car. Ms. Cao has the right to ask the 4S shop to continue to perform the agreement by bringing a lawsuit to the court.

Air Force General Hospital： An Operation Story in ＂Off-year＂

[Introduction to medical experts] Gu Jianwen, a famous neurosurgeon, is a high-level scientific and technological leader, doctoral tutor and brain surgeon in the whole army; Vice President of Air Force General Hospital; Director of the Chinese Medical Association, vice chairman of the PLA Neurosurgery Committee; Specializes in minimally invasive surgery for brain tumors. Treatment of cerebrovascular diseases, epilepsy, Parkinson’s disease and spinal diseases. Won the first prize of scientific and technological progress of the whole army in 2008 and many provincial and ministerial awards. More than 6,000 operations were completed.

[Author Brief Introduction] zhouyan, deputy chief physician of neurosurgery in Air Force General Hospital, is a doctor of medicine, and is good at treating spinal cord tumor, spinal diseases, meningioma, area spasm, trigeminal neuralgia and craniocervical junction malformation. The basic research of meningioma and microsurgical treatment of meningioma in the central area of skull base won the second prize of medical achievements of the whole army in 2007.

February 11, 2015 is a small year in the north. For Pony, a girl from Changchun, there is no joy today, only fear and anxiety. Her operation is scheduled for today. ……

25 years of "sensory separation"

From birth, she gave her parents the impression that she was particularly good. She didn’t cry when she was given an injection, and she didn’t make trouble when she bumped and wrestled. Although she was a girl, she always gave people the heroic spirit of a boy. I didn’t feel anything wrong myself. Until the 24-year-old that serious trauma, knee cruciate ligament rupture.

During the routine preoperative examination in the hospital, the doctor found that she was particularly insensitive to pain, but her sense of touch was normal. A serious problem was found in the next MRI. The pony has severe hydrops in the cervical spinal cord, which is what we call syringomyelia. And that’s not all. The cerebellar tonsil leaves its normal position and enters the cervical spinal canal, which further compresses the nerve tissue at the top of the cervical spinal canal. This is what we call "cerebellar tonsil hernia malformation", also known as Chiari malformation. To put it simply, this phenomenon of pony’s insensitivity to pain and normal touch is called "sensory separation", which is a typical symptom of syringomyelia.

For ponies that have grown for 25 years, this phenomenon does not affect their work and life. Should it be cured? My parents and newly married husband traveled to many big hospitals in Changchun and Beijing, and consulted many famous experts in detail. They learned that if they are not treated, they may continue to develop their illness, which may eventually lead to muscle atrophy and difficulty in walking, making it difficult to take care of themselves, let alone work.

Gu Jianwen, an expert in neurosurgery and vice president of the Air Force General Hospital, said: This is a congenital disease, which is caused by the abnormal development of the brain structure in the midline of the posterior cranial fossa during the embryonic period, the cerebellar tonsil extending downward, or protruding into the cervical spinal canal with the lower part of the medulla oblongata or even the IV ventricle through the foramen magnum. Syringomyelia is a chronic and progressive lesion of the spinal cord. The etiology is not very clear, and its pathological features are the formation of tubular cavities in the spinal cord (mainly gray matter) and the proliferation of glia (non-nerve cells). It often occurs in the cervical spinal cord. Obviously, it needs treatment, but,

Who will treat pony’s illness?

Who will treat the patient? For a family with an only daughter, the choice is difficult, and there is no choice to regret. Repeated comparisons, recommended by relatives and friends, after a year, I finally came to the Air Force General Hospital and found Professor Gu Jianwen, a neurosurgeon.

No matter how big the experts are, they have grown up through hardships. Faced with this case, Professor Gu Jianwen believes that the treatment is very difficult. Firstly, the stability of atlantoaxial joint needs to be evaluated in detail; Secondly, whether there is causal relationship between cerebellar tonsillar hernia and syringomyelia; Finally, how can we solve all the problems at once, so that patients can benefit greatly and suffer less. In fact, until now, these problems are still international problems. Professor Gu Jianwen decided that no matter how big the risk is, as long as there is a glimmer of hope, he will never give up. The operation must be done.

As the treating doctor of Pony, I made detailed preparations for the operation she will undergo. Arrange for her to take X-ray examination of cervical hyperextension and hyperflexion to understand the stability of atlantoaxial joint; Three-dimensional CT reconstruction of craniocervical junction was carried out to further understand the stability and observe whether there are other developmental malformations. Dr. Yu Panfeng from the Orthopedic Spinal Group was also invited to evaluate. Through evaluation, it is considered that the operation does not affect the stability of cervical spine.

Professor Gu Jianwen led us to determine the surgical plan: posterior cranial fossa enlargement+reconstruction of occipital cistern+partial cerebellar tonsillectomy+syringomyelia shunt. Four types of operations are completed at the same time, and the difficulty can be imagined.

go deep into the mountains, knowing well that there are tigers there—go on undeterred by the dangers ahead

On the day of the northern off-year, the operation began at 9: 30 am.

1. Release physical space

The first operation: the narrow posterior cranial fossa and vertebral bone were opened with rongeur, which opened the confined physical space.

2. Remove the "appendix" in the brain

The second operation: after opening the dura mater, we can see that the cerebellar tonsil herniates into the lower edge of the foramen magnum, tightly squeezing the very, very important nerve tissue. And this part of the tissue has become the "appendix" of the brain, completely useless tissue. The operation successfully removed some useless cerebellar tonsil tissue and retracted it to the normal position (foramen magnum). This is only the first step. Next, we should explore the outlet of the fourth ventricle and the opening of the central spinal canal, because this may also be the cause of syringomyelia. Exploration found that, as expected … These two openings were tightly locked by the thickened arachnoid membrane. The next step is to carefully separate and open up water channels.

3. Break through the stagnant spinal cord "dammed lake"

The third operation: exploration found that the most bulging position of the spinal cord started from the third cervical plane. The surface of the spinal cord, which used to have beautiful wrinkles, has been swollen and smooth by stagnant water. Sometimes, smoothness is not necessarily a good thing. Just as a dammed lake is a lake formed by blocking a valley or river bed and storing water by landslides caused by earthquake activities. There are four processes in the formation of the dammed lake: one is the original water system; Second, the original water system was blocked by plugs. Third, after the river valley and river bed are blocked, the flowing water gathers and overflows around. Fourth, the dammed lake will be formed when the water is stored to a certain extent. Once the dammed lake breaks, it will form a flood peak downstream, and improper disposal will lead to major disasters. Similarly, after the spinal cord is filled with water, the function of the spinal cord is gradually lost. The operation is to get through the "barrier lake" of this spinal cord.

Cutting the back of the spinal cord and placing the shunt tube is an extremely delicate and gentle job, because this position is too important, and the result of any slight difference may be disastrous. The length of the incision is only 2-3mm, and the shunt tube is as soft as hair. Moreover, there is a heavy procedure. Because this patient’s syringomyelia is not a whole, but divided into several compartments, this important operation is to use a shunt as thin as a hair to get through the compartments. This is more and more like the plot of a martial arts novel, but it is actually the case.

4. Put a big bed on the spinal cord.

The fourth operation: reconstruction of cisterna magna. The artificial dura mater is used to enlarge the cisterna magna to further reduce the pressure and provide a safer and more effective buffer zone. Let the spinal cord no longer sleep in a small bed. Instead, the external cavity of the spinal cord is enlarged, and a "Simmons" big bed is rebuilt, so that the spinal cord can sleep in the big bed this life.

The operation lasted 2 hours. After the pony recovered from anesthesia, she felt more sensitive pain in her hands. I believe that with the extension of time, the surgical effect will get better and better.

According to the custom, on the day of off-year, the Kitchen God will tell the Jade Emperor about a family’s good and evil, and return on New Year’s Eve with orders to reward the good and punish the evil, or to bless or reduce the disaster. In reality, I have never seen the characters in these customs, but as a doctor, at this moment, I suddenly feel that the wish for the well-being of patients is to repay the blessings. I sincerely hope Pony can recover smoothly and go home for the New Year.

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[Related knowledge link]

The malformation of cerebellar tonsil hernia, also known as Chiari malformation, is a congenital developmental abnormality that the cerebellar tonsil extends downward or protrudes into the cervical spinal canal with the inferior medulla oblongata or even the IV ventricle through the foramen magnum due to the abnormal development of the brain structure at the midline of the posterior cranial fossa during the embryonic period.

1, the medulla oblongata and upper compression can appear hemiparalysis or quadriplegia, tendon hyperreflexia and other pyramidal signs, sensory disorders, urinary and defecation disorders and dyspnea; Cerebral nerve involvement can include facial numbness, diplopia, tinnitus, hearing impairment, dysarthria and dysphagia, cervical nerve root symptoms such as pain in the lower occipital region, cerebellar symptoms such as nystagmus and gait irregularity;

2. There may be symptoms of increased intracranial pressure such as headache and papilla edema;

3. The brain stem and upper cervical segment are compressed and flattened, and the surrounding arachnoid adhesion and thickening can form cysts; The medulla oblongata and cervical spinal cord can be affected by compression ischemia and cerebrospinal fluid pressure, resulting in secondary syringomyelia and corresponding symptoms.