癌症已“熬”成慢性病！15个癌症前期小征兆必定要晓得！
<img src="https://mmbiz.qpic.cn/sz_mmbiz_gif/pSPpMZ6hLacy4icAHU86VGzufaiaasJ4MvicpfPXZ7qPzulrZ473nWwicKicvkiaeaUN9CrIUtUfIVhCARcSjxF8CQHw/640?wx_fmt=gif&wxfrom=5&wx_lazy=1&wx_co=1&tp=webp" style="width: 50%; margin-bottom: 20px;"><span style="color: black;">点亮星标</span><img src="https://mmbiz.qpic.cn/mmbiz_png/b96CibCt70iaajvl7fD4ZCicMcjhXMp1v6Uk1m7u836g6YKGghObS5SlTTEUh6kiaghuwy61VveG8yxibmA0kExkGeg/640?wx_fmt=png&wxfrom=5&wx_lazy=1&wx_co=1&tp=webp" style="width: 50%; margin-bottom: 20px;"><span style="color: black;">，不<span style="color: black;">错失</span>每一次推送</span>一<span style="color: black;">说到</span>癌症，<span style="color: black;">咱们</span><span style="color: black;">常常</span><span style="color: black;">第1</span>印象<span style="color: black;">便是</span>绝症，让人“谈癌色变”。第十届国家癌症中心学术年会上分享的数据<span style="color: black;">表示</span>，我国癌症5年<span style="color: black;">存活</span>率近十年来已从30.9%<span style="color: black;">提升</span>到40.5%。癌症发病率虽有所<span style="color: black;">提升</span>，但<span style="color: black;">公众</span>观念的变化及医疗的进步，癌症在我国<span style="color: black;">已然</span>熬成慢性病<span style="color: black;"> 。</span><span style="color: black;">①②</span><img src="https://mmbiz.qpic.cn/sz_mmbiz_jpg/pSPpMZ6hLaf9ys4x12LzeKaXyvyj48ocMNJpoOPfREHp80GQibrvMEOYkdOhfqmaNf3pNHc5rnzY04ca9XnibxzQ/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"><p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/sz_mmbiz_png/pSPpMZ6hLaf9ys4x12LzeKaXyvyj48oclqE4VzXWLLYaT1Rx0dRqEvIMVva2Jl6XRaB3HzicibcIy2HPzsJalL2g/640?wx_fmt=png&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p><span style="color: black;">图自白鹿视频②</span><span style="color: black;">实质</span>上，从早癌到晚癌，可能要经历好几年。<span style="color: black;">况且</span>随着医学技术的发展，经过科学治疗，不少癌症的五年<span style="color: black;">存活</span>率已在90%以上。<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">癌症已“熬”成慢性病</span></strong></p>国家卫生健康委疾控局<span style="color: black;">颁布</span>的《癌症防治核心信息及知识要点》中指出：“癌症是一类严重<span style="color: black;">害处</span>群众健康的慢性病。”<span style="color: black;">③</span><img src="https://mmbiz.qpic.cn/sz_mmbiz_png/pSPpMZ6hLaf9ys4x12LzeKaXyvyj48octkvWhxSo20u8sRoXvIPjAkJfrmkDx3bQkln9wv5wJUmtA4w2AWAKibQ/640?wx_fmt=png&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"><span style="color: black;"><strong style="color: blue;">1.从<span style="color: black;">初期</span>到晚期癌症可能要好几年</strong></span><span style="color: black;">都数</span>癌症的发展其实并<span style="color: black;">无</span><span style="color: black;">那样</span>快，癌症的致病过程<span style="color: black;">亦</span>是很漫长的。从正常细胞“异变”到癌细胞，<span style="color: black;">持续</span>分裂增殖成细胞团，到“可见”可诊断的癌症结节肿块，要经历相当长的时间，少则几年，<span style="color: black;">一般</span><span style="color: black;">必须</span>十<span style="color: black;">数年</span>二十<span style="color: black;">数年</span>，或几十年。<span style="color: black;">④</span>只<span style="color: black;">不外</span>有些症状被<span style="color: black;">咱们</span>当作普通身体不适忽略掉了，以至于一<span style="color: black;">发掘</span><span style="color: black;">便是</span>晚期，自然感觉病情<span style="color: black;">发展</span>快，<span style="color: black;">亦</span>难治疗<span style="color: black;">恢复</span>。<img src="https://mmbiz.qpic.cn/sz_mmbiz_jpg/pSPpMZ6hLaf9ys4x12LzeKaXyvyj48ocfmGXDNLjQGqx7OWTGA1ma7Aia5Hkpx9LoHv2OOr3JYwYeKpO9gsVPtg/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">图自上海疾控⑤</span></p><span style="color: black;"><strong style="color: blue;">2.科学治疗有些癌症五年<span style="color: black;">存活</span>率超90%</strong></span>随着人们观念的变化和医疗水平的进步，癌症在我国<span style="color: black;">已然</span>朝着慢性病的发展方向转变。2021年，<span style="color: black;">按照</span>国家癌症中心统计数据<span style="color: black;">表示</span>，恶性肿瘤的五年<span style="color: black;">存活</span>率<span style="color: black;">已然</span>从十年前的30.9%<span style="color: black;">提高</span>到<span style="color: black;">日前</span>的40.5%，<span style="color: black;">加强</span>了近10个百分点，某些恶性肿瘤<span style="color: black;">例如</span>食管癌，五年<span style="color: black;">存活</span>率<span style="color: black;">已然</span>高于美国等发达国家。<span style="color: black;">⑥</span><span style="color: black;">北京大学肿瘤医院胃肠肿瘤中心四病区副<span style="color: black;">专家</span>医师</span>姚震旦在接受白鹿视频采访时<span style="color: black;">暗示</span>，<span style="color: black;">初期</span>癌症的治疗效果极佳，<span style="color: black;">按照</span>统计，<span style="color: black;">初期</span>胃癌和肠癌的五年<span style="color: black;">存活</span>率都在90%以上，中期胃癌的五年<span style="color: black;">存活</span>率大概在50%<span style="color: black;">上下</span>，中期肠癌的五年<span style="color: black;">存活</span>率大概在70%。即便是中晚期的癌症<span style="color: black;">病人</span>，治疗以后<span style="color: black;">存活</span>率<span style="color: black;">亦</span>变得更好，带癌<span style="color: black;">存活</span>时间更长。<span style="color: black;">②</span><img src="https://mmbiz.qpic.cn/sz_mmbiz_png/pSPpMZ6hLaf9ys4x12LzeKaXyvyj48ocdJyPSMK7uEX0wa0SD0d7qdlecVcFNqjIlAft2hoLJT0pg6JTfB6T4g/640?wx_fmt=png&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"><span style="color: black;">图<span style="color: black;">自白鹿视频</span></span><span style="color: black;">因此呢</span>，癌症早<span style="color: black;">发掘</span>、早治疗非常必要。<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">15个癌症前期小征兆要<span style="color: black;">晓得</span>！</span></strong></p>癌症<span style="color: black;">初期</span>会有<span style="color: black;">那些</span>症状和体征，这是<span style="color: black;">非常多</span>人都关心的问题。厦门大学<span style="color: black;">附庸</span>中山医院肿瘤科副<span style="color: black;">专家</span>医师潘战和2018年在“肿瘤专科<span style="color: black;">大夫</span>”<span style="color: black;">微X</span>公号刊文列出癌症<span style="color: black;">初期</span>可能会有的15种症状和体征，供<span style="color: black;">大众</span>参考。<span style="color: black;">⑦</span><span style="color: black;"><strong style="color: blue;">1. 肿块、结节</strong></span>肿块结节不<span style="color: black;">必定</span><span style="color: black;">便是</span>癌症，<span style="color: black;">咱们</span><span style="color: black;">能够</span>对它做一个初步判断：一看<span style="color: black;">体积</span>。越小的结节从概率上越倾向良性，当然<span style="color: black;">亦</span>不是绝对的，要<span style="color: black;">重视</span>随访复查；<span style="color: black;">倘若</span>结节超过1厘米要<span style="color: black;">注意</span>。<span style="color: black;">重视</span>，<span style="color: black;">连续</span>增大<span style="color: black;">尤其</span>是增大<span style="color: black;">快速</span>的结节，倾向恶性可能，要<span style="color: black;">尤其</span><span style="color: black;">注意</span>。二看质地。质软或囊性肿块，倾向于良性；质硬、固定或实性肿块，倾向恶性可能，但淋巴瘤的肿大淋巴结摸起来质韧。三看边界和活动度。良性肿瘤<span style="color: black;">一般</span>边界清，活动度较好；恶性肿瘤<span style="color: black;">都数</span>边界不清，与<span style="color: black;">周边</span>组织<span style="color: black;">常常</span>粘连或融合，活动度较差。<img src="https://mmbiz.qpic.cn/sz_mmbiz_png/pSPpMZ6hLaf9ys4x12LzeKaXyvyj48ocaZ2Djmk8AaZUXQkOuh46uc0fnQLLKTzjiaZKCkA29xeNBvVU3uudUcw/640?wx_fmt=png&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"><span style="color: black;">健康时报 毛圆圆/摄</span><span style="color: black;"><strong style="color: blue;">2. <span style="color: black;">连续</span><span style="color: black;">病痛</span>非外伤</strong></span><span style="color: black;">倘若</span>身体某个部位<span style="color: black;">显现</span>非外伤<span style="color: black;">引起</span>的、<span style="color: black;">原由</span>不明的<span style="color: black;">连续</span><span style="color: black;">病痛</span>，应去医院查明<span style="color: black;">原由</span>。<span style="color: black;"><strong style="color: blue;">3. 长治不愈久咳嗽</strong></span><span style="color: black;">针对</span>久治不愈的咳嗽或痰中带血，尤其是<span style="color: black;">长时间</span>吸烟者，应<span style="color: black;">警觉</span>肺癌等的可能。<span style="color: black;"><strong style="color: blue;">4. 不明<span style="color: black;">原由</span>总发烧</strong></span><span style="color: black;">倘若</span>发烧<span style="color: black;">原由</span>不明，且<span style="color: black;">连续</span>存在，要<span style="color: black;">警觉</span>癌症可能，尽早进行<span style="color: black;">关联</span><span style="color: black;">检测</span>。<span style="color: black;"><strong style="color: blue;">5. 莫名消瘦和疲乏</strong></span><span style="color: black;">倘若</span><span style="color: black;">无</span>主动进行<span style="color: black;">减肥</span><span style="color: black;">熬炼</span>，<span style="color: black;">亦</span><span style="color: black;">无</span>刻意节食，体重却不明<span style="color: black;">原由</span>下降或进行性消瘦，或伴厌食、乏力、易疲劳等，要查明<span style="color: black;">原由</span>，消瘦和疲乏<span style="color: black;">亦</span>可能是癌症的表现之一。<span style="color: black;"><strong style="color: blue;">6. <span style="color: black;">无</span>外伤却<span style="color: black;">流血</span></strong></span>非外伤性<span style="color: black;">反常</span><span style="color: black;">流血</span>，<span style="color: black;">例如</span>：便血或呕血，要<span style="color: black;">重视</span>排除肠癌、胃癌可能；咳血、痰中带血要<span style="color: black;">警觉</span>肺癌；不规律阴道<span style="color: black;">流血</span>或非<span style="color: black;">大姨妈</span>期<span style="color: black;">流血</span>，可能与子宫内膜癌、卵巢癌等妇科肿瘤<span style="color: black;">相关</span>；<span style="color: black;">没</span>痛性血尿或伴排尿困难，小心泌尿系肿瘤；非外伤鼻<span style="color: black;">流血</span><span style="color: black;">重视</span>排除鼻咽癌可能。<span style="color: black;"><strong style="color: blue;">7. 消化<span style="color: black;">反常</span><span style="color: black;">连续</span>在</strong></span><span style="color: black;">倘若</span>消化不良<span style="color: black;">连续</span>存在，或伴反酸烧心，上腹闷痛不适，要<span style="color: black;">警觉</span>胃癌或食管癌等的可能。<span style="color: black;"><strong style="color: blue;">8. 吞咽<span style="color: black;">食品</span>梗阻感</strong></span><span style="color: black;">倘若</span><span style="color: black;">摄食</span>时有胸骨后闷胀感或胸骨后面的烧灼感，胸骨后<span style="color: black;">病痛</span>，<span style="color: black;">或</span>感觉食管内异物感，尤其是进行性加重的吞咽<span style="color: black;">食品</span>梗阻感，要<span style="color: black;">警觉</span>食管癌、喉癌等的可能。<span style="color: black;"><strong style="color: blue;">9. 声嘶<span style="color: black;">连续</span>难恢复</strong></span><span style="color: black;">倘若</span>声嘶难于恢复，<span style="color: black;">连续</span>时间较久，要<span style="color: black;">警觉</span>喉癌、肺癌等侵犯或压迫喉返神经的可能。<span style="color: black;"><strong style="color: blue;">10.大便习惯、性状改变</strong></span>大便习惯、次数或性状<span style="color: black;">出现</span>改变（<span style="color: black;">例如</span>大便外形变细、大便带脓、血、黏液等），或便秘与腹泻交替，要<span style="color: black;">警觉</span>大肠癌，应尽早到医院<span style="color: black;">检测</span>。<span style="color: black;"><strong style="color: blue;">11.白斑增大灼痒</strong></span>口腔粘膜白斑、女性外阴或男性阴茎龟头白斑<span style="color: black;">快速</span>扩大伴灼痒感，应<span style="color: black;">重视</span>排除癌变。<span style="color: black;"><strong style="color: blue;">12. 黑痣增大变色</strong></span><span style="color: black;">倘若</span>黑痣<span style="color: black;">忽然</span>增大或边缘变得不规则或颜色<span style="color: black;">出现</span>改变或<span style="color: black;">显现</span>破溃<span style="color: black;">流血</span>或灼痒<span style="color: black;">病痛</span>、痣上原有的毛发脱落，要<span style="color: black;">可疑</span>黑色素瘤可能。<span style="color: black;"><strong style="color: blue;">13.很容易<span style="color: black;">出现</span>骨折</strong></span><span style="color: black;">无</span><span style="color: black;">显著</span>外力或仅有轻微外力<span style="color: black;">功效</span>，很容易就<span style="color: black;">出现</span>的骨折，可能是病理性骨折，应<span style="color: black;">警觉</span>骨恶性肿瘤。青少年<span style="color: black;">倘若</span><span style="color: black;">显现</span>非外伤性关节处<span style="color: black;">病痛</span>肿胀，要<span style="color: black;">重视</span>排查白血病。<span style="color: black;"><strong style="color: blue;">14. 溃疡伤口久不愈</strong></span><span style="color: black;">倘若</span>皮肤伤口或溃疡<span style="color: black;">连续</span>不愈，要<span style="color: black;">警觉</span>皮肤癌可能。口腔溃疡很<span style="color: black;">平常</span>，但<span style="color: black;">倘若</span><span style="color: black;">长期</span><span style="color: black;">连续</span><span style="color: black;">不可</span>愈合，应<span style="color: black;">警觉</span>口腔癌可能。<span style="color: black;"><strong style="color: blue;">15. 男性乳房<span style="color: black;">反常</span>变化</strong></span>尽管男性乳腺癌极少见，但<span style="color: black;">倘若</span>男性乳房<span style="color: black;">反常</span>增生<span style="color: black;">成长</span>或<span style="color: black;">显现</span>其他<span style="color: black;">反常</span>变化，要<span style="color: black;">警觉</span>男性乳腺癌可能，尽早到乳腺专科就诊。当然以上这些表现不<span style="color: black;">必定</span><span style="color: black;">便是</span>癌症，但提醒你要<span style="color: black;">注意</span>，应到医院进一步<span style="color: black;">检测</span>以<span style="color: black;">知道</span>诊断。<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;"><span style="color: black;">初期</span><span style="color: black;">即时</span><span style="color: black;">发掘</span>，</span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">把癌症扼杀在摇篮</span></strong></p><span style="color: black;">针对</span>普通人<span style="color: black;">来讲</span>，<span style="color: black;">定时</span>体检，<span style="color: black;">能够</span><span style="color: black;">即时</span><span style="color: black;">认识</span>身体健康<span style="color: black;">情况</span>；尤其在癌症<span style="color: black;">广泛</span>高发的年纪，<span style="color: black;">即时</span>进行筛查，能把<span style="color: black;">危害</span>降到最低。《居民<span style="color: black;">平常</span>恶性肿瘤筛查和预防<span style="color: black;">举荐</span>(2023版) 》<span style="color: black;">意见</span>，<span style="color: black;">通常</span><span style="color: black;">危害</span>的普通人群<span style="color: black;">能够</span><span style="color: black;">这般</span>安排筛查：<span style="color: black;">⑧</span>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/sz_mmbiz_jpg/pSPpMZ6hLaf9ys4x12LzeKaXyvyj48ocAetwKzK4mDCYYZ2pB1SgafI1ibSNEQz3ZIq6VQY46iagj6IsTvdEekHQ/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p><span style="color: black;">健康时报图</span><span style="color: black;">针对</span>高危人群，尤其是有癌症家族史的人群，更应该遵医嘱提前、<span style="color: black;">定时</span>做好筛查体检。<span style="color: black;"><strong style="color: blue;"><strong style="color: blue;"><strong style="color: blue;"><span style="color: black;">
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<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;"><span style="color: black;">文案</span></span></strong></span></p><a style="color: black;"><span style="color: black;"><img src="https://mmbiz.qpic.cn/sz_mmbiz_jpg/pSPpMZ6hLafZS5b01mibJ2B1QaGoBAXLoelBu80LdmAL1AFfEicBEUXnibBSO1CDRHIibcjIZrxbicmIQBL6pYgjxyQ/640?wx_fmt=jpeg&wxfrom=5&wx_lazy=1&wx_co=1&tp=webp" style="width: 50%; margin-bottom: 20px;"></span></a><a style="color: black;"><span style="color: black;"><img src="https://mmbiz.qpic.cn/sz_mmbiz_jpg/pSPpMZ6hLafZS5b01mibJ2B1QaGoBAXLoqw1FALhgZynzRpxDVW3m3iayzf65ciaVFrm5t9FiadYxbrCoA75aLykMA/640?wx_fmt=jpeg&wxfrom=5&wx_lazy=1&wx_co=1&tp=webp" style="width: 50%; margin-bottom: 20px;"></span></a><a style="color: black;"><span style="color: black;"><img src="https://mmbiz.qpic.cn/sz_mmbiz_jpg/pSPpMZ6hLafZS5b01mibJ2B1QaGoBAXLoCyRDXejSXqibsibvxVF5L1H6Xbp5blcj8EMmLIwbaUgewA6goSy78icfA/640?wx_fmt=jpeg&wxfrom=5&wx_lazy=1&wx_co=1&tp=webp" style="width: 50%; margin-bottom: 20px;"></span></a><span style="color: black;"><a style="color: black;"><span style="color: black;"><img src="https://mmbiz.qpic.cn/sz_mmbiz_jpg/pSPpMZ6hLafZS5b01mibJ2B1QaGoBAXLoOOqSBYeR4xibZ5uwmSMGRpWNV9wInx11qQFL7Ou3hph3ggbM1uX0PrA/640?wx_fmt=jpeg&wxfrom=5&wx_lazy=1&wx_co=1&tp=webp" style="width: 50%; margin-bottom: 20px;"></span></a></span>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">本文综合自：</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">① 2023-03-29 山西日报《第十届国家癌症中心学术年会在并召开》</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">② 2023-08-14 白鹿视频《#癌症在我国<span style="color: black;">已然</span>熬成慢性病#》</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">③ 国家卫生健康委疾控局《癌症防治核心信息及知识要点》</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">④ 2020-09-29<span style="color: black;">微X</span>公众号“肿瘤专科<span style="color: black;">大夫</span>”《到底<span style="color: black;">那些</span>人容易得癌症？<span style="color: black;">大夫</span>说得癌症的人都属于这五类人！》</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">⑤ 2020-06-30 上海疾控《防癌科普丨癌症是种慢性病？》</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">⑥ 2021-04-27 国家卫生健康委员会2021年4月27日例行<span style="color: black;">资讯</span><span style="color: black;">颁布</span>会文字实录</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><a style="color: black;"><span style="color: black;">http://www.nhc.gov.cn/xcs/s3574/202104/df811bc1ee8b4c8db0f0561758172ca</span></a>8.shtml</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">⑦ 2018-10-29肿瘤专科<span style="color: black;">大夫</span>《最全肿瘤科普：肿瘤预防、早诊筛查、治疗。一文全<span style="color: black;">包含</span>》</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">⑧ 《居民<span style="color: black;">平常</span>恶性肿瘤筛查和预防<span style="color: black;">举荐</span>(2023版) 》.上海市抗癌协会，复旦大学<span style="color: black;">附庸</span>肿瘤医院.</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">编辑：任璇</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">编辑：鲁洋</span><span style="color: black;"><strong style="color: blue;"><img src="https://mmbiz.qpic.cn/sz_mmbiz_jpg/pSPpMZ6hLafHib76InBEQnzMib2PLf8wmGL1BBl3GyDiatMPshjDPGtpTwwItYPtKibetQKhlFhqvgnndjc5nvBjpw/640?wx_fmt=jpeg&wxfrom=5&wx_lazy=1&wx_co=1&tp=webp" style="width: 50%; margin-bottom: 20px;"></strong></span></p>
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