月度归档 2024年4月10日

[Case introduction]

On November 29, 1969, a 36-year-old man who used to be healthy was treated for syncope. The electrocardiogram showed second degree atrioventricular block (Mobitz II) with right bundle branch block, and the ventricular rate was 45 beats/minute (Figure 1). Diagnosed as Asperger’s syndrome, long-acting isoproterenol and prednisone (40mg) were taken after admission.

Figure 1. Patient’s ECG

The patient’s conduction block has not recovered after 19 days of medication and temporary pacing. On December 18th, 1969, a single-chamber Teletronics P6 pacemaker (the first one) powered by a non-programmable mercury-zinc battery was implanted through the right external jugular vein (Figure 2). Three days later, the electrode was reset due to continuous chest stimulation. After opening the pouch, it was found that the nylon fixing screw was not inserted deep enough, which led to a short circuit of the battery. Clean the fixing hole and fill it with piston grease, then reinsert the electrode and finally cover it with silicone sealant.

Figure 2. Ten pacemakers implanted and replaced by patients. From left to right, from top to bottom. Teletronics P6 (1969), Teletronics P10 (1972 & 1974), Teletronics 120b (1976), Intermedics 223-01 (1980), Medtronic Mirel VL (1980), Medtronic Activatracx VVI+ (1986), Medtronic Legend 8416 (1995), Verity ADX 5156 (2008) in San Yuda, and Medtronic Azure SR (2021).

Teletronics P6 is developed by an Australian company, and can be implanted intravenously, without opening the chest to pace the epicardium. Teletronics P6 pacemaker is not sealed yet, and it will not be sealed until P8.

Teletronics P6 Pacemaker

In February 1972 (2 years and 2 months after the first implant), the battery of pacemaker was exhausted and replaced with Teletronics P10 (Figure 2).

In September, 1974 (2 years and 7 months after the second implantation), the battery was exhausted again, and manual removal of the lead was attempted, but the adhesion between the original electrode and the tricuspid valve ring was seriously unsuccessful. Teletronics PY3620/60 unipolar pacing lead and Teletronics P10 pacemaker were implanted through the right internal jugular vein (Figure 2).

In March 1976 (one year and six months after the third implant), the battery was exhausted and replaced with Teletronics 120B pacemaker (Figure 2).

In early May 1980 (4 years and 2 months after the fourth device was implanted), the battery was exhausted and replaced with Intermedics 223-01 pacemaker (Figure 2).

Ten days after the replacement of the fourth pacemaker, the patient developed bradycardia. ECG showed ventricular arrest, ventricular tachycardia and ventricular fibrillation. Temporary pacemaker was implanted, and Medtronic BP 6962-65 bipolar pacing lead and programmable Medtronic Mirel VL pacemaker were implanted from the left external jugular vein three days later (10 days after the fifth implantation) (Figure 2). Teletronics PY3620/60 electrode located on the right side cannot be pulled out manually, and it is embedded and fixed on the right chest wall.

In August, 1986 (6 years and 3 months after the implantation of the sixth set), the outpatient electrocardiogram indicated that the pacemaker could not be seized, so the electrode implantation and pacemaker replacement were carried out in emergency. Medtronic Bipolar 4012 Bipolar Electrode Lead and Medtronic Activatrax Pacemaker (Figure 2) were implanted through the left cephalic vein. This pacemaker is the first commercially available frequency response pacemaker.

In February, 1989 (2 years and 5 months after the replacement of the sixth set), one of the partially removed right pacing electrodes eroded the muscles of the chest wall and was surgically trimmed. Subsequently, chronic right capsular infection occurred, which required long-term drainage and drug treatment.

In June, 1995, the prompt of pacemaker replacement was detected during routine follow-up, and Medtronic Activitrax was replaced by Medtronic Legend 8416 (6 years and 4 months after the seventh replacement).

In 2008 (13 years after the eighth battery was replaced), the battery was exhausted and replaced with the Verity ADX 5156 pacemaker in San Yuda. During the operation, it was found that the electrode had obvious insulation rupture, and it was repaired with joint kit.

In October 2021 (13 years after the ninth replacement), the pacemaker battery was exhausted again. Considering that the electrode had been used for 36 years, it was decided that the electrode also needed to be reset. After the right capsular bag was dried, Medtronic 5076 electrode and Medtronic Azure single-chamber pacemaker were implanted through the right cephalic vein (Figure 4).

Fig. 4. Chest radiograph (5 electrodes in the body) after the 10th pacemaker implantation in October, 2021.

[opinion]

On October 8, 1958, the first rechargeable pacemaker developed by Rune Elmquist was implanted by Dr. Ake Senning in Sweden. In the following 43 years, Arne Larsson replaced 22 pacemakers and reset the electrodes five times. Pacemakers began to be commercialized in 1961, and the Guinness World Record for the longest single service life was 37 years and 281 days.

This patient who has been pacing for 53 years should be the longest reported so far. Over half a century, 10 pacemakers and 5 pacing electrodes were implanted and replaced, which witnessed the development history of most pacemakers. Although many electrodes remained in the body and suffered from capsular infection, they lived from 36 to 89 years old, which is the benefit brought by scientific and technological innovation. I also have a patient who was implanted with a dual-chamber pacemaker at the age of 86 because of repeated syncope due to third-degree atrioventricular block. Now he is 101 years old.

Pacemaker research and development is mainly with the progress of battery, software and hardware technology, and now it has entered the era of no wires. However, in the initial stage, it was seriously challenged. For example, the initial implantation required open chest surgery to implant epicardial leads, which were often unstable. In 1958, the first fully implanted pacemaker failed 8 hours after operation; The perioperative mortality rate is as high as 10%; Pacemaker failures are common; Mercury-Zinc battery-powered pacemakers can only be used for up to 24 months; The one-year mortality rate of patients with pacemaker implantation was as high as 20%.

The technical development in 1960s and 1970s improved the above situation, and the most important thing was the introduction of lithium batteries, which greatly extended the service life and reliability of pacemakers. In the first 20 years, the patient underwent 11 acute interventions due to sudden battery exhaustion or acute electrode failure, but only 3 selective interventions in the last 33 years.

In fact, in addition to technological progress, we need to thank the early patients who are willing to try, because they are faced with great uncertainty. Including the recent first case of pig heart transplantation, medical history should remember the names of these volunteers!

　 Brief introduction of the author

Cheng Zhenfeng

Huzhou Central Hospital, Zhejiang Province

　Cheng Zhenfeng, chief physician, master tutor, chief expert of Huzhou Health and Health Commission, chief expert of cardiology department of Huzhou Central Hospital, fifth-stage student of CCI, member of China Atrial Fibrillation Center Alliance Committee, verification expert of China Chest Pain Center, expert of China Hypertension Compliance Center Certification Committee, young editorial board member of China Intervening Cardiology Journal, member of CTO old buddy, founded "Morning Reading of Zhenfeng" in 2017, and has published more than 1,200 articles so far.

Current planning: Shen Li

Author of this article: Cheng Zhenfeng

post production: Ling Wujuan

Affected by the lack of core and rising raw material prices, the performance of listed car companies is under pressure.

Author | Zhen Yao

Edit | Jane

Produced by | Bangning Studio (gbngzs)

2021 has entered the countdown, with only the last two months left. After entering November, it seems that overnight, autumn and winter have completed the seasonal change, and the temperature in many parts of the country has dropped precipitously.

This sudden chill is also reflected in the third quarter financial report of most mainstream listed car companies.

As of the close of November 1, SAIC, Great Wall Motor, BYD, Guangzhou Automobile Group and many other A-share listed car companies announced their third quarter 2021 financial reports. Bangning Studio counted the data of 10 car companies and found that only Changan Automobile rode the dust and achieved net profit growth.

Compared with the sharp recovery in the first and second quarters, listed car companies once again encountered profit pressure in the third quarter. Most car companies’ revenues and profits have both declined, and the decline rate is basically above double digits, even exceeding 200%.

In terms of net profit alone, in the third quarter, among the 10 car companies, except Changan Automobile, 9 all experienced different degrees of decline. Although Xiaokang, Beiqi Blue Valley and Haima did not disclose the year-on-year data of net profit in the financial report, their net profit in the third quarter was negative. Obviously, their business development is facing no small challenge.

On October 29th, the latest data from the National Bureau of Statistics compiled by China Association of Automobile Manufacturers showed that the profit of the automobile manufacturing industry increased by less than 2% in the first three quarters of this year. In the first three quarters, the accumulated profit of the automobile manufacturing industry was 379.97 billion yuan, up by 1.2% year-on-year, and the growth rate dropped by 4.3 percentage points from January to August, which was lower than that of enterprises above designated size by 43.5 percentage points.

The China Automobile Association said that the impact of chip shortage is still going on, and it is expected that profits may show negative growth after October.

▲ Image source: China Automobile Association

Under the impact of unfavorable factors such as lack of core and rising raw material prices, many car companies need to bear the pressure of performance to move on in the short term; In the long run, we should also deal with the changes of the new four modernizations and globalization in order to develop with the trend.

▍ Full pressure bearing

Since the end of 2020, the chip shortage storm has become the core issue that affects the recovery of the global automobile industry and the stability of the supply chain after the outbreak of the epidemic. In the third quarter of this year, in addition to the shortage of chips, the automobile industry in China is also facing soaring prices of raw materials, non-ferrous metals and electronic components, which has hindered the rapid recovery of most automobile enterprises in the "post-epidemic era".

According to the data of China Automobile Association, in September, the production and sales of passenger cars were 1.767 million and 1.751 million, respectively, down by 13.9% and 16.5% year-on-year, and the decline was 2 and 4.8 percentage points higher than that in August. From January to September, the production and sales of passenger cars were 14.658 million and 14.862 million, respectively, up by 10.7% and 11.0% year-on-year, and the growth rate continued to drop by 4.5 and 5 percentage points from January to August, and the cumulative growth rate continued to drop sharply. "The shortage of chips has affected production and sales to some extent." According to the analysis of China Automobile Association.

▲ Image source: China Automobile Association

The decline in performance is more intuitive in the third quarter financial reports of major car companies. Bangning Studio believes that it is mainly manifested in two points:

First, SAIC and GAC, which take joint venture brands as their profit pillars, both lost to joint venture brands, and their net profit in the third quarter fell by more than double digits. Second, 40% of the car companies represented by Great Wall Motor and BYD, due to the shortage of chips and the rising price of raw materials, increased revenue does not increase profits.

Take SAIC as an example. As a leading automobile enterprise in China, its revenue and net profit both declined in the third quarter.

For a long time, the joint venture brand has been regarded as a "cash cow" by car companies. SAIC, which holds SAIC-Volkswagen, SAIC-GM and SAIC-GM-Wuling, is one of the representatives. Over the years, it has made a lot of money by virtue of joint venture brands. However, in the third quarter of this year, the operating income of SAIC decreased by 13.5% and the net profit decreased by 14.75%.

▲ Image source: SAIC Group Production and Marketing Express

Saic’s revenue profit has shrunk this time, which is related to sales performance. The data shows that its cumulative sales volume in the first three quarters was 3.619 million units, a slight increase of 0.16% year-on-year. According to previous data, SAIC sold 2.297 million vehicles in the first half of the year, up 12.1% year-on-year.

SAIC Volkswagen and SAIC-GM are "profit cows" of SAIC. Under the influence of lack of core, the sales of the two companies are greatly reduced. The data shows that in the first three quarters, the cumulative sales volume of SAIC Volkswagen was 850,400 units, down 17.54% year-on-year; The cumulative sales volume of SAIC-GM was 901,900 units, down 5.22% year-on-year; Although the cumulative sales volume of SAIC-GM-Wuling reached 1,051,400 vehicles, up 6.74% year-on-year, the profit margin of its products is limited, which is a drop in the bucket for SAIC.

Not only SAIC, but also GAC’s net profit even dropped by 64.71% due to the decline of joint venture brand sales.

Due to the shortage of chips, the production and sales of Guangqi Honda and Guangqi Toyota under Guangzhou Automobile Group suffered a lot in the third quarter. In September this year, Guangqi Honda sold 72,100 vehicles, down 17.92% year-on-year. GAC Toyota sold 48,300 vehicles in September, down 40.37% year-on-year.

China automobile dealers association made some statistics and early warning. On November 1st, the association released the "Market Insight and Price Monthly Report in October 2021", which showed that under the influence of chip shortage, the production capacity of head manufacturers such as Volkswagen, Honda and Toyota were greatly affected, and the sales volume continued to decline. The year-on-year decline in September expanded to 31.0%, and the lack of core remained the biggest obstacle to the rise of the joint venture market in the short term. "If the pressure on chip supply is not effectively alleviated, it is expected that the joint venture market will continue to experience a significant decline in the fourth quarter." The monthly report pointed out.

For Guangzhou Automobile Group, its new energy is worth showing off. From January to September, Guangzhou Automobile Aian, a new energy subsidiary of Guangzhou Automobile Group, produced and sold nearly 80,000 vehicles, with an increase of 95.91% in output and 104.01% in sales.

Thanks to the improvement of the operation of independent brands, the gross profit margin of Guangzhou Automobile Group has been improved. The financial report shows that its gross profit margin in the third quarter reached 6.33%, up 0.78 percentage points from the previous quarter and 3.25 percentage points from the same period last year.

It can be seen that for car companies that have long relied on joint ventures, there is a situation in which strong joint ventures have strong performance and weak joint ventures have weak performance. If there is a big decline in the joint venture brand, it will directly affect the group’s profit. Therefore, how to improve the profitability of independent brands is one of the important problems faced by car companies.

However, in China’s automobile brand sector, its third-quarter financial report also shows that manufacturers are under pressure, such as Great Wall Motor, BYD, Xiaokang and Beiqi Blue Valley, all of which increase their income without increasing their profits.

The data shows that Great Wall Motor’s revenue increased by over 10% in the third quarter, but its net profit was 1.416 billion yuan, slightly lower than 1.44 billion yuan in the same period last year. In this regard, soochow securities said that the decline in profits of Great Wall Motor in the third quarter was affected by factors such as lack of core in the industry and the provision of equity incentive fees.

Great Wall Motor’s financial report data shows that the operating costs in the first three quarters rose sharply, rising by 46% from 51.88 billion yuan in the same period last year to 75.74 billion yuan, among which the sales expenses and management expenses all increased significantly.

BYD is also deeply troubled by rising costs. The car company achieved operating income of 54.307 billion yuan in the third quarter, a year-on-year increase of 21.98%; The net profit of returning to the mother was 1.27 billion yuan, down 27.50% year-on-year. In this regard, CITIC Securities Research Report pointed out that the price increase of upstream raw materials and the decrease in income of medical protection products after the normalization of the epidemic are the two main reasons that affect BYD’s performance.

Surprisingly, although the continuous increase in income does not increase profits, it does not prevent BYD’s share price from rising all the way. Since the low point in May, the company’s share price has doubled in less than half a year. On November 2nd, BYD closed at 313.88 yuan per share, an increase of 3.93%.

According to the analysis of Shanghai Securities, the next few years will be a period of rapid release of BYD’s profits, and the company’s profits will show a nonlinear rapid growth. Blade lithium iron battery and DM-i have changed from initial doubt to trend, indicating that the company’s innovation is gaining market recognition.

Only Changan Automobile, a car company, has a red net profit.

During the reporting period, Changan Automobile achieved an operating income of 22.4 billion yuan, a slight decrease of 2.8% year-on-year; The net profit attributable to shareholders of listed companies was 884 million yuan (adjusted), up 42.9% year-on-year; The net profit attributable to shareholders of listed companies after deducting non-recurring gains and losses was 519 million yuan (after adjustment), a year-on-year increase of 92.67%.

The operating income and profitability of this car company have steadily increased, which is closely related to market sales.

Since the beginning of this year, with the sales growth and product structure optimization of Changan Automobile, the profitability of independent business has been greatly improved, and the company’s performance is continuing to improve. The data shows that in the first three quarters of this year, the sales volume of Changan Automobile increased by 26.4% year-on-year, and the cumulative sales volume reached 1.732 million units.

However, the financial report shows that due to repeated overseas epidemics and chip shortage, Changan Automobile production failed to meet the market demand in the third quarter, and the ratio of warehouse to sales was at a historical low. Among them, Changan Automobile’s sales in September decreased by 8.41% year-on-year to 188,200 units. However, the company said that with the recovery of overseas chip production capacity, it is expected that supply and demand will tend to improve.

The shortage of automobile chips has ushered in an inflection point. On November 1st, china automobile dealers association released the latest issue of "Automobile Consumption Index", showing that the automobile consumption index in October was 66.1. The association pointed out that the current chip shortage problem has eased slightly, but the automobile market is basically in a state where supply determines demand, and the overall market demand continues to delay accumulation. With the easing of market capacity supply, market demand has been partially released. In the fourth quarter, dealers began to impulse and increase sales promotion. With the improvement of supply satisfaction, car sales in the fourth quarter are expected to increase compared with the third quarter.

▍ Continuous investment

Innovation-driven, investing heavily in research and development, and introducing first-class talents … This is the commonality of world-class manufacturing enterprises, and it is also a topic that independent automobile brands need to face together-only innovation-driven and technology is king can we achieve "overtaking in corners" in key core technologies.

Although the profits of most car companies declined in the third quarter, it did not prevent mainstream car companies from increasing R&D investment. Some insiders said that with the wave of globalization, R&D innovation has become a necessary means for car companies to maintain their competitive advantage and obtain rich profits.

In terms of financial report data, SAIC led by 4.836 billion yuan, followed by BYD, Changan Automobile and Great Wall Motor. The R&D expenses of the three car companies in the third quarter reached 2.238 billion yuan, 2.085 billion yuan and 1 billion yuan respectively. Although Beiqi Blue Valley and Jianghuai Automobile were still losing money in the third quarter, their R&D expenses both exceeded 200 million yuan, increasing by 40% and 28% respectively.

Judging from the R&D expenses in the first three quarters of this year, many enterprises have invested more than 1 billion yuan in R&D.. Among them, the accumulated R&D expenses of SAIC have exceeded 10 billion yuan, reaching 12.6 billion yuan, up 41.55% year-on-year. SAIC explained in the financial report that the reason for the increase in R&D expenses is to further increase R&D investment in new energy, intelligent networking, digitalization and other technologies.

In the era of digital intelligent Internet of Things, with the large-scale popularization of 5G and AI technologies, the automobile manufacturing industry is welcoming a subversive change. The mainstream car companies represented by SAIC, BYD, Changan Automobile and Great Wall Motor are realizing the transformation from "following" to "leading".

On October 29th, the news that SAIC set up Feifan Automobile and planned to set up Zero Beam Technology Company was announced at the same time as the third quarterly report.

Feifan Automobile has a registered capital of 7 billion yuan. Among them, SAIC subscribed 6.65 billion yuan, accounting for 95% of the registered capital. Shanghai Ruyuan Automotive Technology Partnership (Limited Partnership) (employee stock ownership platform) subscribed for 350 million yuan, accounting for 5%.

SAIC said that the company will market the R brand as an independent brand and company through Feifan Automobile, explore a new model of data-driven and industrial co-creation, and accelerate the development of the mid-to-high-end smart electric vehicle market.

In addition to the continuous transformation of the R brand, SAIC also plans to set up a company called Zero Beam Technology on the same day, which is positioned as a platform-based software technology enterprise.

The registered capital of Zero Beam Technology is 3.7 billion yuan, of which 3.45 billion yuan is subscribed by SAIC, accounting for 93.24% of the shares. Shanghai Zero-Rise Technology Partnership (Limited Partnership) (employee stock ownership platform) subscribed for 250 million yuan, accounting for 6.76%.

In addition, SAIC’s capital operation continues. Today, SAIC Hongyan has been injected as a wholly-owned subsidiary of the listed company SAIC. Next, SAIC’s RV lifestyle and Youdao Zhitu will also strive for IPO. SAIC also launched Jiehydrogen Technology to introduce strategic investors, enjoy a new round of external financing, and Zhonghaiting A round of financing.

Changan Automobile is also accelerating its investment. On August 24th, at the Changan Automobile Technology Ecology Conference, Changan Automobile released its high-end new energy automobile brand Aouita, and also announced the partial shape of the first high-end intelligent electric medium-sized SUV E11 jointly built by Changan (C), Huawei (H) and Contemporary Amperex Technology Co., Limited (N) of Aouita Technology.

According to the plan, in the next five years, Changan Automobile expects to invest a total of 150 billion yuan in the whole industry chain to build the technology ecology of technology companies and accelerate the construction of software and intelligent capabilities.

In order to deepen the layout of the new track and accelerate the landing of new technologies, Great Wall Motor continued to increase R&D investment in the first three quarters of this year, and the cumulative R&D investment scale has exceeded that of last year.

For example, Great Wall Motor has already set up Salon Zhixing. It is reported that the "Z brand" affiliated to Salon Zhixing may be released at this year’s Guangzhou Auto Show. In addition, the Great Wall and BMW’s beam car will also be completed and put into production in 2022.

Guangzhou Automobile Group also issued a number of announcements, involving the implementation of the construction project plan of Guangzhou Automobile Ai ‘an self-developed battery trial production line, the implementation of its joint venture brand Guangqi Honda HQ model project, and the participation of Guangzhou Automobile Industry Group, the controlling shareholder of Guangzhou Automobile, in the financing of 1 billion yuan. Guangzhou Automobile Group is accelerating the development of electrification, intelligence and sharing.

▍ Breaking overseas

As a technology-intensive industry, the automobile manufacturing industry is in a critical period of transformation and upgrading and technological innovation. In the future, how should China automobile enterprises find high-quality resources and become the most competitive global enterprises? This is an important issue that most independent brands face in the new round of global competition.

At present, Chinese automobile brands are increasing their export and overseas expansion. China’s advantages in the field of new energy vehicles have opened the second growth curve for the export of China brand cars. At the same time, relying on the development experience and technical ability accumulated in the field of new energy for many years, China brand cars have achieved the "going out" of technical standards.

▲ Image source: China Automobile Association

According to the data analysis released by the General Administration of Customs compiled by China Automobile Industry Association, in the first three quarters of 2021, the total import and export volume of automobile goods exceeded 150 billion US dollars, which continued to maintain rapid growth year-on-year. In the first three quarters, a total of 1.492 million vehicles were exported, a year-on-year increase of 1.1 times; The export value was US$ 24.04 billion, a year-on-year increase of 1.2 times.

Cui Dongshu, secretary-general of the Association, analyzed that the supply advantage brought by the complete industrial chain of China automobile was further amplified under the influence of overseas epidemic, especially the shortage of chips was beneficial to China automobile export. The strong rise of China’s automobile export shows that the world competitiveness of China’s automobile industry has been greatly improved.

As the overseas sales champion of single brand in China, the export sales volume of SAIC passenger cars reached 28,000 in September. Among them, pure electric MG EZS has won the third place in Swedish pure electricity market and the fourth place in French pure electricity market.

"China’s automobile exports have continued to grow substantially, which is not unrelated to the gradual recovery of the global automobile market. The overall export scale is obviously driven by the export of new energy vehicles." According to relevant sources of Great Wall Motor, in the third quarter of this year, Great Wall Motor continued to promote global development on a large scale, entering the markets of Egypt, Brunei and Europe, and further expanding the global sales territory of Great Wall Motor.

In terms of overseas sales, with the help of the third-generation Haval H6, Haval First Love, Haval Big Dog and Great Wall Gun, the cumulative overseas sales of Great Wall Motor in the first three quarters reached 98,000, up 136.3% year-on-year, and the overall sales accounted for 11.1%.

▲ Great Wall Motor landed at Munich Auto Show

Like Great Wall Motor, China car companies such as Chang ‘an, Jianghuai, Geely and Chery are also accelerating the pace of global distribution, focusing on expanding the national and regional markets along the Belt and Road through mergers and acquisitions, setting up factories and introducing new products.

On November 1, Changan Automobile announced that from January to October this year, under the guidance of the national "Belt and Road" strategy, the cumulative export of Changan Automobile’s own brands exceeded 100,000 vehicles for the first time, reaching 102,029 vehicles, a year-on-year increase of 135%, a record high for Changan’s overseas exports, and the annual sales target was reached two months ahead of schedule. Among them, more than 90% of the sales come from the "Belt and Road" countries.

Shi Jianhua, Deputy Secretary-General of China Automobile Industry Association, believes that China’s automobile market has entered a stage of low-speed steady growth and intensified competition. As the world’s largest producer and marketer for 12 consecutive years, China’s automobile industry is in a critical development period of transformation and upgrading, from big to strong. China automobile enterprises should establish brand awareness, actively expand the international market, actively participate in the formulation of international standards and regulations, and constantly expand themselves in the global market competition.

　　On the evening of March 27th.

　　# The giant panda died #

　　Rushed to Weibo for hot search

　　That evening

　　China Giant Panda Protection Research Center released a message.

　　Giant panda "Qingnian", female

　　Born on June 21, 2022

　　Panda Center Wolong Hetaoping Base

　　Intussusception due to rare intestinal obstruction

　　The condition is extremely critical

　　He died on March 23rd after being rescued.

　　According to reports,

　　Since the onset of "Qingshi" on March 2,

　　Repeated consultations with hospitals such as Huaxi.

　　The operation of intestinal obstruction was successfully completed on March 5th.

　　In the process of recovery

　　"Qingnian" suddenly intussuscepted again and caused secondary obstruction.

　　Emergency surgery was performed on March 17th.

　　The necrotic intestinal segment was successfully removed.

　　soon afterwards

　　Although the expert team takes care of it 24 hours a day

　　But it still failed to retain the life of "Qingnian"

　　China Giant Panda Conservation Research Center said

　　The disease is ruthless, and the dead are gone.

　　I only wish "Qingnian" rest in peace.

　　future

　　We will continue to explore

　　Methods for preventing and treating acute abdomen of giant pandas

　　Continuously improve the medical level of giant pandas

　　Do your best to ensure the safety of giant pandas.

　　A little more news.

　　Giant panda intussusception

　　It is a more dangerous acute abdomen than intestinal obstruction.

　　It is a part of intestinal tube and its mesentery inserted.

　　In the intestinal cavity connected with it

　　Causing intestinal contents to pass through obstacles

　　It is easy to cause intestinal perforation, intestinal necrosis and peritonitis.

　　Even shock.

　　The rescue time is very short

　　There is no sickness on the panda planet.

　　"Qingnian", go all the way.

　　Comprehensive China Giant Panda Protection Research Center WeChat WeChat official account, @ CCTV News, Weibo Hot Search

According to Yangguang News,Fuzhou Bus Taxi Co., Ltd. was first launched.100unit“Official taxi", while providing customized services for official vehicles for civil servants, it can also provide services for civil servants’ family vehicles.

The starting price of the first batch of 100 "official taxis" in Fuzhou is 3 km. 15 yuan.

　　It is reported that the first batch of 100 "official taxis" invested by Fuzhou Bus Taxi Company will be aimed at the different needs of various car users.Provide real-time car service, meeting or long-distance car service and fixed-point guarantee.. Among them,Vehicles providing fixed-point security services will be parked outside the office area of Fuzhou Municipal Government for standby., for deployment. The price adopts the charging standard of car rental, and it is settled on site, and whoever uses it pays.

　　Xiao Chen, a staff member of Fuzhou Bus Taxi Co., Ltd.:“We are nowSent to Passat’s 1.8T executive edition.. However, for example, when a civil servant needs to travel on official business and needs to use a car urgently, the nearby vehicles are also deployed according to the existing situation of the company."

　　The real-time car use mode is aimed at daily official travel, temporary meeting travel, etc. The car use unit can call the car by phone. existeightWithin working hours, call the dispatching platform to switch cars nearby,30Arrive at the car location within minutes, and the starting price is based on the vehicle type, the car rental time and distance.15Yuan, starting mileagethreeKilometers.

　　It is noteworthy that in order to increase the vehicle utilization rate, this100unit“Official taxi"In addition to providing customized services for official vehicles for government departments and institutions, it alsoIt can provide services for civil servants’ family cars, but passengers must show their civil servants’ certificates before they can get a ride. Civil servants who travel for personal reasons can enjoy a 20% discount..“Only for civil servants, the official car has been cancelled to provide convenience for them. Before you get on the bus, you should show us your identification."

Fuzhou Car Reform Office and taxi companies responded one after another.

　　Once this matter was reported, it immediately caused an uproar on the Internet. Many people wonder, isn’t the bus being reformed?“Official taxi"What’s going on?

　　In this regard, the relevant departments have responded — —

Person in charge of Vehicle Reform Office of Fuzhou Municipal Development and Reform Commission:

The "official taxi" is a scheme designed by the enterprise itself, which belongs to the market behavior completely, and the government has not participated. For "official taxis", Fuzhou did not give any investment or subsidies, nor did it sign any cooperation agreement.

The public concern about bus reform is high, and the innovative service of enterprises cannot be hyped, let alone misunderstood by the public.

Relevant person in charge of Fuzhou Bus Taxi Co., Ltd.:

The company believes that the market for civil servants’ cars has great potential after the bus reform, and the "official taxi" launched this time is a commercial act aimed at opening up the market.

The "20% discount for civil servants" clause in the scheme is a promotion method for enterprises to explore the market; "Providing services for civil servants’ family cars" is also a propaganda way to expand the number of customers.

　　Fuzhou street“Official taxi"The number is only 100, but it has earned the attention of the national media. The internet is also filled with public worries.“Official taxi"Why cause anxiety? How can we treat this new thing rationally?

CCTV comment: Dialectically treat "official taxi"

"Official Taxi" is of exploratory significance.

　　For some time, the bus reform has gradually deepened, and many places are reforming the bus.“Shift period"Try to reform the supporting system. In this situation,“Official taxi"It is of certain exploratory significance to walk into people’s field of vision and try to solve the problem of civil servants’ travel in a socialized way.

　　This time Fuzhou Bus Taxi Company launched“Official taxi"Service, if it is as stated by the Vehicle Reform Office of Fuzhou Development and Reform Commission, the government did not participate in the decision-making of the enterprise, and the government in operation did not invest or subsidize it. Then, it can be seen that the enterprise is a business decision based on the judgment of the official travel market.

　　In the process of deepening reform in an all-round way, handling the relationship between the government and the market is the core essence.In many areas of reform, the government’s all-in-one mode has gradually withdrawn, and enterprises have filled the vacuum through socialized services, which is normal in many cases.If this time is really“The government belongs to the government and the market belongs to the market."Maybe people worry too much.

"Official taxi" cannot be reduced to "privileged car"

　　Since it is“market behavior"Why does it arouse public concern and worry? Reveal the secret in one sentence, that isPeople are worried that this is the resurgence of unreasonable official vehicles, that the "privileged service" will reappear with a vest, that old wine will be bottled in new bottles in some places during the reform, and that the bus reform that has been painstakingly promoted will be abandoned halfway … …

　　People’s anxiety is not unreasonable.“Official taxi"Several details in the service make people worry.

　　First of all,“Official taxi"Our clients are mainly civil servants. As we all know, in a market economy, no product can be eaten by all people, old and young, Xian Yi, and any product or service is only aimed at a specific target group. However, when serving the target population, the product should not discriminate against the non-target population. Unfortunately,The target group of "official taxis" is strictly limited, and even "passengers are required to show their official documents". People are worried that this will become a kind of "privilege".

　　Secondly,“Official taxi"Our service provider is Fuzhou Bus Taxi Company, which is a state-owned enterprise. The left hand is a government agency and the right hand is a state-owned enterprise. People are worried about whether there will be transactions behind it. On the one hand, state-owned enterprises escort the car service of government departments; On the other hand, when the enterprise loses money, will the government pay the bill? Although the form has been changed,People are worried that this is still taxpayers paying for unreasonable official cars..

　　Third,“Official taxi"Provide 20% discount service for civil servants’ private travel. such“Specially supplied products"or“Special needs service"For ordinary people, there is absolutely no happiness. Since public servants travel for personal reasons, why not take taxis or buses like ordinary citizens? On the other hand, the 20% discount service may be a bonus and service extension of the usual official ride.Since the public pays for the official ride, it benefits from private travel. Where is the rationality?

Insisting on "Market Logic" and Changing "Official Taxi" into "Sunshine Taxi"

　　Of course, all these worries will inevitably lead to a magnifying glass to examine the details, and it is also inevitable to think the worst of people. But this just shows that the road to reform has never been smooth sailing, and only by adhering to the correct direction and principles can we ensure the ultimate success of the reform.

　　“Official taxi"It is not a bad thing to cause anxiety. Only in analysis and discussion can the truth become clearer and clearer.As long as we firmly adhere to the direction and principles set by the bus reform, firmly adhere to the logic of socialization and marketization, and ensure openness and transparency in decision-making and operation, the "official taxi" will move toward the direction of "sunshine taxi", and the bus reform will not be far from success.

Text/CCTV Review Special Contributor Wang Jian