1、holiday, pension and health, cultural and creative experience, sports health, farming, rural bed and breakfasts in new formats. Three is the brand to create articles. XX agricultural comparative advantage into full play, especially the exclusive advantages of climate, mountains and sea resources, to
2、 create a group of the city, the provinces “called“ XX seafood, snack foods and safe agricultural products brand characteristics. Meanwhile, new industry guidance, support more farmers to participate in entrepreneurship, promoting large-scale projects such as bed and breakfasts, farm, seed breeding
3、base construction. Four is the mechanism innovation of the article. Deepen agricultural reform, focusing on supporting foster professional major, family farms, cooperatives, enterprises and other new subjects of agricultural management, improve agricultural production and operation of large-scale, p
4、rofessional level. Advance the reform of property right system in rural areas, to pay special attention to land rights, improve the function of property rights trading center to guide land management to professional users, family farms, cooperatives, leading enterprises in circulation. Spare no effo
5、rt to promote the provinces “Trinity“ farmer cooperative economy organization system reform of County building, and actively explore the Trinity of production, supply and marketing, creditFarmer cooperative economy organization system, real organic aggregates up to all kinds of business entities, cl
6、osely linked to the all aspects of production and marketing. (B) to make the countryside more beautiful. Promoting the construction of new towns and new countryside reactions together, strengthening the construction of rural eco-environment, create the beautiful countryside construction upgrades, ma
7、king rural areas more livable, suitable for industry, and travel. A focus on rural environment improvement. As far as the rural, the most basic is to make the environment clean and orderly. Pollution to extensively mobilize the masses continue to carry water, clear rivers, down violations, treatment
8、 of bleaching, such as waste reduction, flowering tree “big six“, vigorously carry out waste reduction, resource recovery, improve the cleaning mechanism, enhance the level of meticulous management of the village. Second, we must pay special attention to the beautiful residential building. Adhere to
9、 the “planning ahead, because village system, combination classification implementation, demolition, alteration simultaneously“ policy, vigorously implement the “five hundred“ beautiful countryside construction, actively promote “beautiful house“ pilot expansion. Around 104 national road, Ling Road,
10、 longjindadao, sea road, Ju XI Liao road to catch the five sides of the main roads in about 200 villages, beautiful countryside features boutique village created, good job on planning, environmental protection, cultural heritage, industrial development, crafting lines to create the beautiful rural s
11、cenery, boutique village breed characteristics. No matter whichas long as they caught up peach Lake and village after eight acres to create a standard, even if the County financial to be nervous, the County Government will fulfil their commitments, and 3 million Yuan/village of subsidies. Third, we
12、must pay special attention to development of beauty industry. Construction and traditional villages and beautiful countryside protection of history and culture village, rural tourism, bed and breakfast in combining economic, on rural tourism development in precise and accurate positioning, precision
13、 marketing, supply, and vigorously promote the beautiful rural landscape of rural tourism complex, line, fashion boutique farm village construction and strive to build a group of XX feature quality boutique accommodation project. (C) efforts to get farmers to become even richer. “Off not well-off, t
14、he key to fellow“, the “three agriculture“, final destination was improving farmers welfare, improving farmers living standards. Focus on three aspects: one is “increasing income-generating“ efforts. Actively developing the characteristic agriculture, processing, e-commerce, farm and bed and breakfa
15、st in economy, ensure a stable operating income growth. Deepen the “three rights“ rights empowering the reform, promoting the property income growth. Strengthening of farmers skills training, increase employment levels, promoting sustained growth in wage income. Guide enterprises to strengthen socia
16、l responsibility, equality and mutual benefit, and signed a contract of purchase and sale of agricultural products for farmers, cooperatives and farmers are encouraged “guaranteed earnings + share“ distribution system, sharing the value-added benefits of industrial development. Second in the growing
17、 collective efforts. City has developed the implementation of village-level collective economy three years cultivating meter, Requires three years of hard work and largely kongkecun, the majority of villages have operating income. Against this target, we have to be based on local conditions, use you
18、r head, and actively explore and find ways, and ensure completion of tasks in the city. Third, work on strengthened safeguards. Advancing precision of poverty, improve the low-income household tracking, dynamic management mechanism, especially for “unemployed can hold, unable to get out of poverty“
19、of poverty, further strengthening the fallback of subsistence allowances and social assistance, and address the basic needs of poor people. Deepening the reform of public services in rural areas, focus on resolving prominent weakness of rural public service and peoples livelihood facilities, such as
20、 through the teaching, medical and other ways to improve educational levels, improving health conditions in rural areas. By encouraging the Central village to set up day care centres to promote old-age home, rural elderly pension problems. Third, firmly grasp and continued to play well “five water t
21、reatment of“ winning the war on February 29 this year, the provinces “five water treatment肺部肿瘤分良性肿瘤和恶性肿瘤（肺癌），肺部的良性肿瘤包括支气管和肺的真性肿瘤、腺瘤、平滑肌瘤、脂肪瘤、纤维瘤等。支气管、肺良性肿瘤的细胞分化和形态与正常细胞相似，肿块大多有包膜，和周围组织分界清楚，边缘光滑、整齐，呈圆形或椭圆形，多为实体病变。一、前言 这是在新英格兰杂志上提供的一张经典的胸部影像，一位 72 岁男性患者，因进行性呼吸困难和咳嗽就诊，既往于 15 岁开始吸烟，每日 1 到 2 包，胸片显示右侧胸部可疑
22、病变，进一步胸部 CT 显示大疱性肺气肿，同时右肺中叶结节改变，同时患者还携带有烟草，活检证实右肺中叶为非小细胞肺癌，这张胸部 CT 展示的吸烟相关性肺部疾病。临床医生在工作中应宣传吸烟的危害，鼓励戒烟。 肺癌是最常见的恶性肿瘤之一，近年来我国肺癌的发生率呈明显上升的趋势，部分地区肺癌的发病率和死亡率已占各种恶性肿瘤的首位。预计到 2025 年我国每年死于肺癌的人数将接近 100 万，肺癌的发病年龄主要在 40 到 80 岁之间， 70 岁为高峰，男性居多。但是近年来肺癌的发病年龄较前明显提高，有学者提出肺癌的发病年龄较前提高 5 到 10 岁，临床上也偶然能够看到 20 岁到 30 岁之间的
23、肺癌患者。同时女性的发病率也较前增加，其增长速度要快于男性的发病率。 二、肺癌的病理及临床表现 （一）病理类型 病理及临床表现和影像学是一致的，不同的病理类型其选择的治疗方案和预后也是不同的。通常分为非小细胞癌和小细胞肺癌，其中非小细胞肺癌在我国大约占肺癌的 80% ，它还分为鳞癌、腺癌和大细胞未分化癌，其中鳞癌最常见，约占 40% ，多发生在段支气管， 80% 发生于男性，生长较慢，转移较晚。腺癌占 30% ，以女性较为多见，多发生在外围小支气管，其发展速度快慢悬殊。大细胞未分化癌多发生在肺的外周，恶性程度较高，以前它的发生率仅次于鳞癌，但随着腺癌的发病率增加，相应其发病率较前降低。小细胞肺
24、癌常常发生在大支气管、生长较快、转移较早。另外一种特殊的类型就是复合癌，它是指同一肿瘤内可以有两种类型的癌细胞，其中以腺鳞癌多见。 （二）临床表现 holiday, pension and health, cultural and creative experience, sports health, farming, rural bed and breakfasts in new formats. Three is the brand to create articles. XX agricultural comparative advantage into full play, espec
25、ially the exclusive advantages of climate, mountains and sea resources, to create a group of the city, the provinces “called“ XX seafood, snack foods and safe agricultural products brand characteristics. Meanwhile, new industry guidance, support more farmers to participate in entrepreneurship, promo
26、ting large-scale projects such as bed and breakfasts, farm, seed breeding base construction. Four is the mechanism innovation of the article. Deepen agricultural reform, focusing on supporting foster professional major, family farms, cooperatives, enterprises and other new subjects of agricultural m
27、anagement, improve agricultural production and operation of large-scale, professional level. Advance the reform of property right system in rural areas, to pay special attention to land rights, improve the function of property rights trading center to guide land management to professional users, fam
28、ily farms, cooperatives, leading enterprises in circulation. Spare no effort to promote the provinces “Trinity“ farmer cooperative economy organization system reform of County building, and actively explore the Trinity of production, supply and marketing, creditFarmer cooperative economy organizatio
29、n system, real organic aggregates up to all kinds of business entities, closely linked to the all aspects of production and marketing. (B) to make the countryside more beautiful. Promoting the construction of new towns and new countryside reactions together, strengthening the construction of rural e
30、co-environment, create the beautiful countryside construction upgrades, making rural areas more livable, suitable for industry, and travel. A focus on rural environment improvement. As far as the rural, the most basic is to make the environment clean and orderly. Pollution to extensively mobilize th
31、e masses continue to carry water, clear rivers, down violations, treatment of bleaching, such as waste reduction, flowering tree “big six“, vigorously carry out waste reduction, resource recovery, improve the cleaning mechanism, enhance the level of meticulous management of the village. Second, we m
32、ust pay special attention to the beautiful residential building. Adhere to the “planning ahead, because village system, combination classification implementation, demolition, alteration simultaneously“ policy, vigorously implement the “five hundred“ beautiful countryside construction, actively promo
33、te “beautiful house“ pilot expansion. Around 104 national road, Ling Road, longjindadao, sea road, Ju XI Liao road to catch the five sides of the main roads in about 200 villages, beautiful countryside features boutique village created, good job on planning, environmental protection, cultural herita
34、ge, industrial development, crafting lines to create the beautiful rural scenery, boutique village breed characteristics. No matter whichas long as they caught up peach Lake and village after eight acres to create a standard, even if the County financial to be nervous, the County Government will ful
35、fil their commitments, and 3 million Yuan/village of subsidies. Third, we must pay special attention to development of beauty industry. Construction and traditional villages and beautiful countryside protection of history and culture village, rural tourism, bed and breakfast in combining economic, o
36、n rural tourism development in precise and accurate positioning, precision marketing, supply, and vigorously promote the beautiful rural landscape of rural tourism complex, line, fashion boutique farm village construction and strive to build a group of XX feature quality boutique accommodation proje
37、ct. (C) efforts to get farmers to become even richer. “Off not well-off, the key to fellow“, the “three agriculture“, final destination was improving farmers welfare, improving farmers living standards. Focus on three aspects: one is “increasing income-generating“ efforts. Actively developing the ch
38、aracteristic agriculture, processing, e-commerce, farm and bed and breakfast in economy, ensure a stable operating income growth. Deepen the “three rights“ rights empowering the reform, promoting the property income growth. Strengthening of farmers skills training, increase employment levels, promot
39、ing sustained growth in wage income. Guide enterprises to strengthen social responsibility, equality and mutual benefit, and signed a contract of purchase and sale of agricultural products for farmers, cooperatives and farmers are encouraged “guaranteed earnings + share“ distribution system, sharing
40、 the value-added benefits of industrial development. Second in the growing collective efforts. City has developed the implementation of village-level collective economy three years cultivating meter, Requires three years of hard work and largely kongkecun, the majority of villages have operating inc
41、ome. Against this target, we have to be based on local conditions, use your head, and actively explore and find ways, and ensure completion of tasks in the city. Third, work on strengthened safeguards. Advancing precision of poverty, improve the low-income household tracking, dynamic management mech
42、anism, especially for “unemployed can hold, unable to get out of poverty“ of poverty, further strengthening the fallback of subsistence allowances and social assistance, and address the basic needs of poor people. Deepening the reform of public services in rural areas, focus on resolving prominent w
43、eakness of rural public service and peoples livelihood facilities, such as through the teaching, medical and other ways to improve educational levels, improving health conditions in rural areas. By encouraging the Central village to set up day care centres to promote old-age home, rural elderly pens
44、ion problems. Third, firmly grasp and continued to play well “five water treatment of“ winning the war on February 29 this year, the provinces “five water treatment2大部分因不适就诊后诊断肺癌的患者常为晚期，早期患者多为意外体检发现，患者的临床表现有局部症状，如咳嗽、咯血、胸痛、胸闷、气急等，也可以有全身症状，如发热、消瘦、恶液质等。同时部分患者还可表现出副癌综合征，这种副癌综合征的症状和体征表现于胸部以外的脏器，它不是肿瘤的直接作
45、用和引起，可出现在肺癌发现前后，如内分泌神经肌肉、结缔组织、血液、血管等异常改变。肺外侵犯和转移的表现以骨骼、颅内、肝脏、肾上腺等受到肿瘤转移侵犯后所产生的相应症状。三、肺癌的影像学诊断 肺癌的影像学评价方法有胸片、胸部 CT 、核磁共振成像（ MRI ）、血管造影以及核素扫描等。 （一）胸部 X 线检查 X 线 是临床上发现肺癌的重要手段，它简单经济、空间分辨率高，提供诊断信息量大，同时也积累了丰富的临床经验。肺癌的胸片表现为在肺门或肺叶存在结节或团块影，其中直径小于等于 3 厘米 的肿块称为结节，大于 3 厘米 时称为团块。同时也可能存在肺部的浸润胸膜渗出、肺不张或膈肌升高等。 根据肿块所
46、处的位置将肺癌还分为中央型和周围型肺癌，其中中央型肺癌系起自三级支气管以内的肺癌，病理组织分型多数为鳞癌，也可为未分化癌，腺癌比较少见。临床上患者可表现有咳嗽，其中以刺激性干咳多见，咯血以及胸痛低热等，胸片上的直接征象有肺门肿块、支气管狭窄以及间接征象中阻塞性肺气肿、阻塞性肺炎、肺不张等。 1 、中央型肺癌 这是中央型肺癌的几张胸部正位片，可见到巨大的右肺门团块影，右上肺团块影。肺门肿块导致阻塞性肺不张，形成典型的 S 形改变，但是临床上典型的 S 形改变并不是很常见。 2 、周围型肺癌 周围型肺癌是指起自三级支气管以下，呼吸细支气管以上的肺癌，以腺癌、鳞癌多见。早期可表现为局限性小斑片状阴影
47、，边缘不清，密度较淡。到中晚期肿块增大，密度增高呈圆形或类圆形，边缘清楚holiday, pension and health, cultural and creative experience, sports health, farming, rural bed and breakfasts in new formats. Three is the brand to create articles. XX agricultural comparative advantage into full play, especially the exclusive advantages of clim
48、ate, mountains and sea resources, to create a group of the city, the provinces “called“ XX seafood, snack foods and safe agricultural products brand characteristics. Meanwhile, new industry guidance, support more farmers to participate in entrepreneurship, promoting large-scale projects such as bed
49、and breakfasts, farm, seed breeding base construction. Four is the mechanism innovation of the article. Deepen agricultural reform, focusing on supporting foster professional major, family farms, cooperatives, enterprises and other new subjects of agricultural management, improve agricultural production and operation of large-scale, professional level. Advance the reform of property right system in rural areas, to pay special attention to land rights, improve the function of property rights trading center to guide land management to professional users,
