Jiayuguan Travel

 Jiayuguan City, Gansu Province, located northwest of the Hexi Corridor in central, east west center in Jiuquan City, 776 kilometers from the provincial capital of Lanzhou; west Yumen City Oil City, 650 kilometers from Hami, Xinjiang; South Hill covered with snow in the Qilian Mountain and the Sunan Yugur County border, 300 kilometers away in Qinghai; North pillow the color of bronze in Montenegro, and Jinta County of Jiuquan Jiuquan Satellite Launch Base and Inner Mongolia Ejinaqi connected, central to the western margin of Jiuquan oasis. the center of longitude 98.17 'E, 39.47 '. the city's elevation of 1412-2722 meters, 1450-1700 meters above sea level oasis located between the city center of 1462 m above sea level. within the flat land of various types. the city, mostly in central and western desert, the urban and location of industrial enterprises; southeast, northeast, oasis, an agricultural area, with the landscape is desert oasis divided into points, block, strip, strip, of the total land area of 1.9%.
Jiayuguan City, is the western end of the Ming Great Wall named the starting point mm Jiayuguan city, thousands of miles south of the Qilian Mountains Stretching peaks, north and Mazongshan Longshoushan, because of its special geographical location, therefore, the Qin and Han dynasties since the troops are stationed here. One with big and precious artifacts: antique stone Montenegro rough portrait of working people, reflecting the Wei and Jin Park Jin of production activities, the tomb murals painted brick, and China's first comprehensive, systematic and thematic display the Great Wall Great Wall Museum and other museums mm.
the ancient Silk Road culture, capped glaciers and the vast Gobi constitute the local rich tourism resources. Jiayuguan city of Ming Hongwu years (AD 1372), dating back over 600 years. Jiayuguan built, spent a lot of manpower and resources , so the interpretation of the bricks out of the set, ice road transport stone, brick pack goats, and other moving story hit Shi Yanming.
Jiayuguan is the ancient . Here, two thousand years ago opened up economic and cultural exchanges between China and the West's point, known as the Jiuquan Iron and Steel Enterprises mm Steel (Group) Company is located, it is also known as the great progress has been basically formed a metallurgical industry as leading business tourism as the pillar and the characteristics of suburban agriculture to the economic development pattern.
light sculptures with big total 39 meters high, made of stainless steel materials, Jiuquan Jiayuguan City, meaning the company will rely on in the reform and opening up a new form, the prosperity and rapid development, and based on the Hexi Corridor, to show with big beauty, a city west of Pearl. sculpture symbolizes the lower part of Jiayuguan City gem rich natural resources and where the driving force for urban development; column with big portion of the door, in the sun and against the background of snow-capped mountains, gorgeous glory, indicating the city's future is full of light; sculpture base to supplemented by Wei tomb Frank's brilliant Xiongguan.
Jiayuguan is located in the ancient ; west city Montenegro social life of ancient nomadic rock paintings, national key cultural relics under the galleries and other cultural Wei cemetery monuments; from the cities in Asia and the Qilian recent glacier snow, desert mirage and other unique western scenery, there are profound China's first adventure, exploration and other flowers with a western flavor Ghost City adventure tourist destination; a dry round Villa Park Caohu such a good place for leisure; in addition to stone Gorge, Black Lake and so many are developing tourism resources, the formation of Jiayuguan City, taking off as a leader of the four resources (air, air resources, mountain glaciers resources, land resources and underground resources), the eight sites (Guan Jiayuguan City, Jiayuguan International Gliding Base, the Great Wall the first pier, cantilever Great Wall, Montenegro shallow stone rock art, the Great Wall Museum, Jin cemetery galleries, glacier), the development of the tourism industry has laid a resource base.
local production of tourism products are: Magic Cup, wind and rain carved, camel painting, sculpture Qilian Yu , Jia Yu Shi Yan, replicas and artifacts reflect the Wei and Jin Dynasties paintings and other cultural landscape of the Muzhuan.
the dawn of the new century, Jiayuguan Municipal Government issued a call to the people of the city, to firmly establish the development is of overriding ideas, establish a large industry, big tour, big market awareness, grasp the historical opportunity of Western Development, the full use of favorable conditions and factors, efforts to implement the fine attractions, the implementation of the National Tourism all private,

[Platinum Raiders] years cast sword, sword of God cast - Raiders of the Phantom Assassin ...

 Directory:
1. A hero description and skills of
2. Equipment line
3. Tactical line
4. Growing line
5. Beginning / middle / late enemy
6. Remarks
Part I: Introduction and skills of
Hero Phantom Assassin:
night elf warden was born in a family, due to the dark distant mainstream society, in retaliation, Mortred swear allegiance to the Scourge. She is a force and the perfect combination of speed, through the forest for many years in the solitude Assen Virginia, learned to physique and into the surrounding environment, often when you least expect it, such as phantom-like appear. precise and deadly attacks on her made her Scourge become a very important one. That is why she is known as the Phantom Assassin (Phantom Assassin).
initial range of 100 | initial attack speed of the initial interval of 1.7
310 | Initial Defense 4.0 basic attributes of agility
| Initial Attack 46 - 48
value of the initial strength of 17 | Initial Agility 23 | 13
value of the initial strength of intellectual growth factor 2.05 | quick growth coefficient 3.15 | intellectual growth factor 1.00
Comment: near sensitive, power growth moderation, is destined to bear a lot of damage she could not; agility heroes after quick growth of 3.2 guard the soul, so she is the tendency of the physical output; intellectual growth and tied for Troll Warlord DOTA last first, so she can not be a magic fighter. as close to sensitive, the initial attacks on her a bit low, the early impact of pre-knife slightly more difficult.
Introduction and Analysis Skills:
Shadow Strike [D] < br> Poison dagger throwing to the target, resulting in high initial damage, and continue to cause subsequent damage. short period of time reduces the target's movement speed.
range of 400 poison damage for 15 seconds, cooling time 22 seconds. s 1/2/3/4 level of initial damage were caused 50/70/70/100 and continuing every 3 seconds 10/20/40/50 damage.
Comment: good slowing effect, minor damage effects . With the upgrading of skill level, but does not increase mana cost increases slowing effect, so just l level. for the kill when the deceleration, the initial skill will rise.

Blink Strike Teleports to an enemy side of his units to attack, causing additional damage.
700/800/900/1000 cast range, 50 mana consumption. The first level 1/2/3/4 points, respectively, resulting 30/60/90/120 additional damage, the cooling time 30/20/10/5 seconds.
friendly units can also be used.
Review: Phantom Assassin's the essence of the skills, 6.43 to increase the scope of her magic, to the butcher meat hook range. In other words, if you would use a butcher, a number of hidden knowledge of the location of stations, you stab the assassination of magic, you can attack these positions. The reason why is the essence of the skills, the Magic were stabbed early this suppressed, hero of the mid GANK, it is used to escape before the mid-term, post is used to kill, sometimes you can even use this skill to come and collect the money some of soldier, of course, most of the time not so used, little magic magic thorn. early to put the skill to fill. scintillation decision to use a magic level of thorns.
comparison Teleport class skills:
Blink Strike: SA and CK has almost the same with the PA flash skills, the only difference is that PA is far more than they cast range of 300, which is often the line between life 300.
flash: 4. flashing the shortest distance 200, as far as 1150, cool down for 5 seconds, mana cost 60. DOTA most abnormal Teleport skills, maybe has the slogan is: These days, who walk with their feet.
wave form: 4. cast from 1000, cool 11 seconds, 165 mana, causing 325 damage. IMBA skills, high lethality, but also for their lives, are also considered worthy of its high consumption of magic.
jump: 4. jumping from the 550, cooling for 20 seconds, mana 45, 800 placement within the 16% increase in friendly attack speed and moving speed. invincible jump process, need to adjust the direction, POM batter's an important part of running for their lives but also run faster.
time roaming: 4. 1300 cast range, reducing the impact point 300 within the scope of enemy attack speed by 40% and movement speed for 3 seconds. ignore the terrain. Teleport from the furthest, but also slow down, have the opportunity to jump you can see the empty place. is often used to jump into the enemy base to enlarge strokes.
digging puncture: 4, 700 cast range, 280 points on the hit and has caused damage, vertigo 1.65 seconds, 140 mana. I leave it to teleport skill, in fact, is a AOE skill. for not interrupted technical skills of the hero who did not escape, SK halo you wear is a direct, immediate rejection in your tail.
Overall rating: PA flashing skills in Teleport is the worst class, but at least far more than SA and CK, But they can not PA so vulnerable. POM? casting process, but her invincible, PA also hands movements, often die in the hands up to the moment. However, there is better than nothing. without it really became a PA armored car, the view on this important decision on the application of BLINK a player's level of PA.
fuzzy
Phantom Assassin's body has become increasingly blurred, more and more difficult to see. At the same time can a certain chance to evade attacks. No. 1/2/3/4 Dodge probability level were 7% / 14% / 21% / 28%.
death and resurrection, type This means there will be some version of the case.
Comment: l over 4, the hero body completely disappear. but still can be attacked to., frozen ball hit will mimic a form of law, start BKB will mimic form (6.43 corrected), after the body starts Manta fuzzy, avatar will mimic a form. can not get away with the butterfly overlay, just take the highest. unless the close shadows, or otherwise can be seen, do not expect this skill to increase with the stealth assassins. Meanwhile, the existence of this skill, you can use the forest cover, with the second attack skills.
Dodge Passive comparison:
turned into the front: 3. to be able Juxtapose 15% chance to dodge attacks, and improve the formation probability of 6% of the phantom, while phantom in the attack, 7% chance illusions. can not get away with the butterfly overlay, just take the highest.
Drunken Master: 4 .24% chance to evade attacks, 20% chance to deal 1.8 times damage on an attack. overlay can not get away with the butterflies, just take the highest.
Ninjutsu: 4. 20% dodge attacks, 15% chance 2 times the extra damage. can not get away with the butterfly overlay, just take the highest.
back to the past: 4. 25% chance to evade physical or magical attacks. you can get away with the physical risk of butterfly superimposed.
refraction: 4 level. 16% chance to evade damage and injury to her reflection around the 400 range of enemy units, and dizziness caused by 0.5 seconds. you can get away with the physical risk of butterfly superimposed.
Overall: Now we can see get out, DOTA in the Dodge skill have additional effects. more down, Spectre is the best reflection of the most perverted Dodge skill, but also superimposed with the butterflies. and because of the existence of this skill, Haunt has become the bane of magic thorn.
gift of free [C]
Phantom Assassin to assassinate her skills upgrading to a new height, s 1/2/3 15% chance level 2/3/4 times the attack caused damage.
Comments: DOTA highest fatal blow, magic thorn sign skills, the power lies. Because 16 crit only 4 times, destined to be a late hero magic thorn.
fatal blow spells comparison:
fatal blow: 4 .11% chance to do 3 times damage on an attack. DOTA second rate, second to last burst rate. but because CK is the power of the hero, and the quick growth of 2.1, 3 large absolute phantom 100% attack power, any a storm is a strong, four at the same time violence is vomiting blood. CK's attack on the minimum halo skills, crit determined by the character of its adult or Jackie Chan.
a fatal blow: 4 .15% chance 2.75 times the damage caused by a fatal blow. and the PA as the burst rate, rate ranked third, also very high, even if the two people will own vampire, 6.43 Assault's debut that he is not just a TANK.
Sword Dance: 4 .36% chance of 2 times the damage caused by a fatal blow. moderate rate, a high burst rate. before the cut is more a mid-term is not invincible power attenuation of the late great when it is absolutely power sword dance the advent of power. Juggernaut potential for a great deal later.
Ninjutsu: 4 .15% chance to do 2 times damage on an attack. with the same magnification Juggernaut, lower burst rate, it seems power of small, dark with large absolute and may be out to Strike off the words, playing liberal and not a joke. is ... ugly.
Drunken Master: 4 .20% chance to deal 1.8 times damage on an attack. rate is low, the TANK model of David, the dodge is more realistic, is dotted when it crit.
a fatal blow: 4 .45% chance to deal 1.5 times damage on an hit. DOTA lowest rate, the highest burst rate of an attack. avatar system for a small Naga, the network live, avatar, elimination magic, crit, hit the other side did not mind to differentiate between pain was genuine. < br> Overall rating: PA's rate was the highest, second only to her two forces is a hero, a life-saving capability other than her strong. surprisingly high times of attack is her primary means of harvest life. terrible outbreak force, a strong potential for the late, late bloomer, she is doomed.
Conclusion: Early fragile, post extremely powerful heroes. and the dog, empty, trolls, as early people cry, pressed into early not to give her neuropathy, medium not to give her GANK as neuropathy, the latter would kill her as crazy. she needs a higher use of patience, good sense, good make knives, superb take place. it is not suitable for newcomers. She was very dependent on equipment, once equipment can not shape, she could not high. ability to control the market late with the hero has become a killing machine of terror.
Heroes Location:
DPS capacity: S
explosive: S
GANK capacity: C
complementary capabilities: B
control: C
FARM capacity: B
viability: B
initial suppression: C
mid-battle: B
post Performance: S
Part II: Equipment line
thrusts on what kind of magic equipment has been controversial, even though I see the room in VS stabbed with magic what kind of equipment is also there. in theory , 4 times as large must a fatal blow to the existence of any high attack weapons can be used. Here, I provide some routes may well hold different views to refute me, that my level can not ignore the large.
First of all, to understand the DPS, DPS output to do is attack, attack the enemy's blood output to keep pace with growth. Bipin late game is DPS, DPS equipment directly determines the quality end of the game's direction. Therefore, DPS The first large equipment must provide high attack, the second piece of equipment before considering the amount of blood problems.
then we will analyze the first large: high attack is necessary, the other does? DOTA weapons in large numbers incidental effect. FARM is very good for the hero, comes to strengthen the effect is the best attack. If the dark shadow magic off. for their own need to improve the ability of the hero FARM, the first large capacity FARM best to improve. As for improving attack like that will not consider playing the money, now consider the effect of good.
DOTA in the ability to substantially provide the degree FARM have this many pieces of equipment:
Analysis: Chain Lightning class is suitable for itself IAS initiative to increase the skills of the hero, such as electric soul. At the same time it is a method ball, the second piece of equipment in view of our considerations, not mine hammer the first set of programs. flamboyant, it was said that if the other party mood against hidden, hidden thorns with glittering money quickly, in 6.43, eyes of the expensive, time is short, the uncertainty surrounding the case of hidden units, no one will take the initiative to buy the eye, even if not easily plug to buy the eye. PA though not invisible, but there is not camouflage very compelling, with Radiance is equal to prompt rivals, I'll be around, so, PA is still not recommended glittering. mad Tomahawk, the crit series hero, especially for PA, a storm the next wave of soldiers may be able to receive the money.
mad Tomahawk: +65 points damage, +6 points / second life back to speed, +150% mana regeneration. effects: sputtering attack (35% damage the effective range of 225, only when used effectively close the hero.) can be seen, not just the FARM capacity is increased, but also a good recovery ability. and synthetic smooth, such a target for the hero for the PA, it is very suitable for . the same for the Skeleton King and Juggernaut.
second large, the primary factor to consider, hold the blood, particularly near sensitive to not only attack each other's blood to keep up with growth growth growth have to keep up with the other blood attack growth. Here, the support can consider also three of the blood mounted:
analysis: heart blood volume increases up to, reply fast. Satan change in the 6.43 active skills revised by the dirty deed of death frenzy. ( 30 point start to increase attack power and 15% of the blood-sucking, mana cost 0 points, duration 20 seconds, cooling time 50 seconds). the ice to kill the eye can be slow, to stretch the blood also increases attack speed. before making a choice , consider the 643 soldiers late sea, wilderness is money, 5 minutes to fly back to the city two times I played in the most money ax (3200), does not hurt in the process of blood FARM done best. recovery capability on the battlefield, significantly better than the heart of Satan, on the PA so that the hero is a high crit, crit the value of the vampire is in effect a maximum increase of life, it is recommended that the evil power of Satan.
preliminary recommendation and magic thorn A team of remote teammates, never SOLO, it is seeking death. The best line is a natural disaster on the road, under the Road Guards. front under control before the battery can be. departure before the other team under estimated. Master multi-ball and manual methods as many back to 2, close combat multi-band ring.
basic equipment line:
-->-->< br> -> ->
other equipment according to your post opponent to choose. but there are some equipment does not consider:
not immortal, and sword and shield flow is already gone .6.43 how much you get from ROSHAN shield to ensure that your sword will not fall?
Analytical
fatal blow is a fatal blow to the physical damage, so consider the defense, said the floating of the red part of the defense before the attacks did not calculate the output, but in a number of times the hammer, the red part of the statement is not correct The.
a fatal blow, there is a necessary skill in the option, on the hook, when the fatal blow is triggered, this attack will ignore avoidance (also ignoring the curse skills)
calculation is based on a fatal blow shows the attack (that is, the word part of the white + green)-based, such as the burning ash, such as additional damage is not included in its multiple times within a
hit coexistence when the probability calculation
when a unit multiple times while launching attack When, after the acquired skills and effective, but as a special case, 1 and 0 times times times will not be counted hit
1 times and 0 times times have not hit the attack bonus is the difference between them 1-fold times the hits have a red display, 0-fold the number of times without
example of coexistence hit probability calculation:
a unit of their own times have hit 5 times 20%, 10% of equipment has hit 10 times times , 50% times 2 times hit and equipment hit the launch of its times
2 times as likely to strike chance = 50% times 10 times times the strike chance = 10% * (1-50%) = 5% (or not to launch 2 times times times 5 times when hit hit chance)
5 times times the hit chance = 20% * (1-50% -5%) = 9%
reasonable discharge times should be the first to get a low blow and equipment, After taking such a high-powered attack
times can get hit
10 times times as likely to strike chance = 10%
2-fold hit chance = 50% * (1-10%) = 45%
5-fold times the strike chance = 20% * (1-10% -45%) = 9%
their attacks plus a 10% * (10-1) +45% * (2-1) +9% * ( 5-1) -1 = 71%
in fact 50% of the times 2 times hit a great impact on the strike itself to play a 5-fold, when not equipped with a 2-fold when hit,
increase their attacks a 10% * (10-1) +18% * (5-1) -1 = 62%
seen here times 2 times hit the addition effect is poor, so sometimes, like this high storms hit the negative impact of low times can not be ignored, even in some cases to increase the skills but will make such a decline in combat.
another blow when several times while launching, as long as any of them hit with a fold There will be in effect, ignore the attacks that evade
Again, the butterfly does not stack with magic thorn dodge, just take the largest butterfly, no need to waste, just to mention if you can choose to attack speed and attack, However, large butterfly is not your first.
the first set of program equipment is:
later you can continue to hold the blood out:
need to protect the color, would like to attack speed and attack, you can consider is :
Analysis: Why is not recommended in front of the butterfly, the latter said that could be considered? butterfly plus attack, attack speed increase, plus evasion. sensitized British also add 30 attack power. Butterfly is one of a handful of offensive and defensive weapons, you can not by Butterfly plus dodge, and you have the main props of weapons and support after the blood out of the play, but I prefer the Assault.
do not need to protect the color, and want more hard swifter:
Analysis: Strike provide increased attack speed is equal to the output, attack the same person more pain Fighter attack speed change is recognized. plus defense, beat each other's physical output and you will not be hurt. Also, if your target has a Strike, Even if you play you will find a fatal blow, he went to the blood has not imagined much. minus equals plus anti-attack! the Assault premise that you do not need or do not need to protect the color, shape of the equipment you have, you can single file side of the case.
want to just get on each other,
analysis Bust: Many people are puzzled. Raiders in this. And the sheep knife actually not bad. You can blink the past, become a sheep, enough Bust him several times, and in the opponents back to the city a few changes when he hit him a few sheep and then Bust him, although attack is not high, but is four times of crit. And one thing is low because of their magic thorn intellectual growth, sometimes you tend to find that there is not enough magic to start the BKB. sheep really easy to use tool to discuss this proposal before I can try Silencer, Golden, false legs, Silencer knife sheep sheep at the time of the target injury. Silencer ball is holy damage law, the output high enough, but crit is not magic thorn furnishings, you can empty the sheep as a single blade version of the six major strokes. witchcraft is any mirror spike
continue to enhance the sputtering unit attack:
analysis: a mad general will not continue to fight, and some special cases to consider. The output side the lack of AOE hero, the other spare equipment, Department of heroes good. You need matched to mad war, the sputtering attacks ignore defense.
blow hit the superposition relationship and times:
blow free projection unit can be superimposed with the times
blow blow with the times projected unit while launching attack, if the first access times to obtain blow after blow skills, 2 were launched
results are obtained if the first blow after blow to obtain times, only to launch attack skills
times back and forth through the use of a small halo with a hammer and MKB Naga Daguai, can be seen in the slow REPLAY, double click to launch simultaneously with the blow, the first calculation of a critical hit bonus damage increased after blow and a stun effect. Based on the above theory, as long as the end point of a large halo must hammer  MKB is not conflict.
halo hammer allows you to have an advantage when 1V1, MKB can interrupt continuity back to the city and some magic. halo hammer allows you to control the opponent, MKB other hand, it can increase your attack out what the economic and preferences according to your decisions.
equipment is the second program:
Obviously, this equipment will be more expensive, but also a lot more expensive. The hero of the Department of crit is not worthy vampire unfortunately, will also affect the ability of the continued fighting, with blood-sucking law distribution can not hammer the ball, but with aura. The key is that you are willing to give up the protection of color magic thorn. The equipment's main weapon is hammer, hammers The ability to fight money is not mad war in recent high-sensitivity, but hammers out a smooth, due to the impact of chain lightning and static electricity makes the offensive and defensive presence of more integration. and provides fast, 1V1's best weapon. The appearance of your halo hammer more powerful. The key question is how much money you Da Buda, the other side to let you hit so much money.
Hammer FARM TIP: When you have a vampire, two waves of creeps closer, you walk in the impact of the Fang Xiaobing preceded by static electricity, the enemy soldier will give priority to attack you, you can have the greatest chance of triggering static shock, you go to the back of the attacking enemy soldier Master, it is most likely to trigger the chain lightning, and the Fang Xiaobing arrived, the two sides fighting soldier, you fix knife. vampire offerings allows you to keep almost full of blood on the battlefield.
then you hit that power, vampire, crit, hit someone you will be electrocuted. In You will not be priority care team of four to five people to play with the other tie, or your head early on, there have been income, the money that you can play well when you can consider this route.
equipment selection can refer to the first follow-up a program.
third set of program equipment is:
After buying an ax when you have found a number of other heroes and equipment are forming, the so-called God loaded with two or more advance capabilities, even if you teammates also forming equipment, you should decisively the heart, or a control field by your teammates advance to face the opponents all the way capacity is relatively weak, and the subsequent accumulation of equipment. a whirlpool, vampires and flying shoes, after the switch Ray Hammer. transfected Ray hammer is to make you have more powerful capabilities 1V1, a halo hammer so you have control. usually this happens rarely.
equipment is the fourth set of proposals:
passers-by the board of Mito common stream, and newcomers often take the line, is also being pressed by GANK extreme frustration while walking route., are basically small pieces of about 1,000, mediocre, and the output is not high, and the outbreak was not strong, fast, but chasing little more than escape. helpless can only go this time line, but also live bear the title of the late hero.
equipment line is recommended, the feeling for the hero characteristics, ability to play the hero, is still a free choice.
Part III: Route
tactical assassin magic is the type of barbed DPS, because the presence of large and game must not be too prominent former interim capacity. in the shape of your equipment before, to try to die or less dead.
back to the city in the case of the rich and the space will bring, I do not want to reiterate its importance, not back to the city you should not leave the base too far.
Road SOLO teammates remind you plug the eye.
succinctly put Next:
as the DPS, not to fight war group the upper hand.
confrontation between the two sides when the magic does not appear the first round is not played.
hero does not control the market does not show up shot.
attention to the opponent props.
remember to open dirty fanatical.
flashing the 6.43 increased casting range, in the absence of an era sword and shield, PA is now the route to go is very limited, there are heroes and you control the market together, then You will be invincible. when your teammates have the following people to play your role will be greatly.
who would dare to fight in the fog and the double sting?
need to explain you?
In fact, as long as teammates with the skills of a STUN are easy to harvest their heads together.
another line, the farther away the flash range, you can talk to the same butcher, standing on some of the more dark corners waiting for each other, instead of waiting for it to appear to walk mistakes, but so they fall Single.
skills in order to cast actually very simple, because only two active skills. B used to play after finding the target, if the other party choose to escape, then B and then cast D in the past dozen. if they do not take it until the harvest head it. Of course, you do not go to some of you may not be singled out rivals to win 1V1.
Early line: as far as possible with the remote or front-line early to suppress strong teammate, but if the opposite is funny ice through the female, all-around This combination increases the Death Knight, or a conservative point.
test: the beginning and then creeps up the courage to retreat, when your second, third creeps closer to each other to attack you, then you or conservative points.
consumption: When you are more than 150 magic, you can use other heroes less blood toxicity standard, the other is at once the general retreat, your teammates will hit him a few remote, you can take the opportunity to make up soldiers. more times, the person will be directly after the A you, then when your teammates to GANK him, he will be Fu, accelerated runes, rune twice over, when the skills of your teammates to go the same way and have the power even when placed in a small signal to indicate on a map with you. you should really to a drug standard, timely flashing attack, not completed on the B virus in the past, you first hand SLOW does not mean you have to take damage.
mid-line: this time the general GANK to your teammates, leaving you jealously guarding its line, but also give you much space, this time to leave your body back to the city.
asylum: some GANK strong hero disappears, you should return to Fort alert, when his teammates on the minimap signals to remind you when someone , you have to determine how many enemy disappeared in the fog of war, a then back to the fort, two or more, back to the city.
with: When your teammates to GANK your enemy this way, you should actively cooperate with sell flaws, timely drug and flicker, perhaps your head.
assassination: When the power of residual blood and no outbreak of the hero, when the remaining few magic intellectual hero, a hero when the chance to escape through your ascension front, or you can pursue to the extent, decisive attack and never let cooked duck.
latter route: Revenge of the time, never let go of any money can get.
fourth Part I: Growth barbed line hero
restraint Magic:
your low intellectual growth, and its line of intellectual heap. I used to think that BKB can solve everything, but forget the BKB, it's teammates. you do not open BKB, Arcane days the ball you are hurt, you open BKB, it opened BKB, you can not blink the past, high levels of the game, it's teammates will not let you easily close it. in the opponent's level of uncertainty before Please do not unauthorized use of PA.
was born Haunt GANK molding equipment is very fast, he can always GANK you. and because of the presence of refraction, you may be a critical strike his own violent death, and even a few people besieged him, you the violent death of his teammates. I have this bitter experience.
add a little line:
1 =
2 =
3 =
4 =
+ = yellow dot
A . early opponent is remote or manually Master Sphere:
122 +242 + + +433334 +++++++ 111
B. melee early opponent:
+ + + +4 + + + + + + +111
A program is mainly support the blood, preventing even the strokes of a sudden spike, B program is to fight at close quarters as the other heroes, dodge effect will be relatively large.
Part V: early / medium / late enemy
1. Early (1-6): Although a lot of heroes can be initially suppressed PA, but it does not mean that can be killing the PA, combination of two or more STUN hero not to mention the fact , so that the heroes have a chance as long as basic pre-mix can kill anyone. just to name a few threatens large.
pre-equipped with shoes Juggernaut is directed at the FB come, pay attention to station and keep flashing CD, Magic, and is not.
shoes he early, and often speed up the shoes to wear (Rune), if he came running at you, flash it. But in general, there is not easy to die in flash, in fact run into the VS bin Laden is sick. He likes to bury a bunch of mine in a corner, and then put a small-scale purification of medicine lead you hooked, or buried in a pile of mine angle, and then all the way to sprint towards you. and then you were not explosive death stepped on a mine himself. So flashing is very important, and never considered tasteless skills.
also need a little attention to some of the heroes and skills:
he will withstand the soldier suddenly rushing to fight you, then a baptism, but also soldier and make your blood consumption.
he rushing roar, and see character, they might have been transferred.
own plus a shield, chasing you cut, and have to rush the tower range, violence has to go back, or when you suddenly make a soldier's shield.
level corresponding to the words of ...
equipment if he would bring back the magic ...
headache
remember anyone less than 200 HP ate tree. half blood supplies do not go home after.
2. the medium term (7-15 Grade): GANK the high incidence of head and many a hero is born. For the PA later this hero, who does not will first consider her?
three major river killer:
not explain it.
powerful magic combo can make this time most of the sensitive British to shame. at all times maintain a high HP and vigilance.
powerful control capability, long out of control and magic.
attack does not depend on these heroes get their heads for a living is to have an outbreak of an extremely powerful force. can always mindful that once lost these heroes on the map to be filed spirit or the scope of protection into the Fort back to the city to return to the city, you can guarantee is not directed at you here?
3 post (16-25 grade): This time the PA are basically mad Tomahawk, pre- It was the first income plus the successful fight money is estimated ax came out, the advent of revenge, and most of the early heroes was basically to go away you took a fancy to any place orders and no sensitization of escape skills are far in your pocket money is only one Master control block will go meat. but this time there are some opponents.
only a heart or a loose leaf of the sword is definitely not your opponent dog, you have to do is activate the dirty fanaticism, and A in the past. Start your dirty fanatical vampire better than him after the less you have big must in it, the dog on the PA larger sense? dog with a hammer, then halo a little trouble, two can not stand . You can find much sensitivity to go A to him. such as the electric soul, bone bow. or did you have with him 1V1, a halo hammer against him. There is the ability to improve anti-war, is nothing less than support and processing of blood Armor, you do not need to provide protective coloring fuzzy when you can consider:
SA molding equipment is unmatched in the mist, in particular, is for physical DPS. If the SA has a butterfly and thunder hammer, it is very Backstab terror. However, fog can not help but forbidden magic items plus MISS. You can return to the city, if the assassin with a halo hammer or lost, your response:
with cannon + Satan or with Ray Troll Hammer + vampire you can play with him , Competition is the character. with a halo hammer troll. you either have heaps halo hammer, or help you find it.
keep the soul has a doubling the capacity of equipment, with the shake-up is silent. you to do is play half his blood, and then start
if it is equipped with Lincoln, he was able to shake, if you HP high, you are faced with a nearly full of blood of the soul keep. is still an uphill battle. avatar You should know how to differentiate it ...
a big move in the void no solution, no major move of the void forming equipment can still be an infinite halo. less blood he does not fight with you. He has no great trick you still need him 1V1 helper. or who has a good way to discuss the next.
Although very restrained Tomahawk mad monkey stealth run for them ... with precious stones, beautiful singing and no solution. and sometimes you do not really differentiate itself in time, then can play But they.
PA even though the time in the residual blood still has a strong mass destruction, but still not into his half of blood the following.
character of a Kind
Part VI: Notes
The first big discussion:
VS
FARM capacity, understandable, and the crazy war for nearly sensitivity, the ...

Housing prices are drink milk past grew up in the

 Some people will like motion sickness seasick halo airplane, like a stage adaptation, of course, there are halo lifetime, and that is sick. In the past housing prices are sitting Laozhang Ren trip home carts, although the line slowly, but secure ! along the piece of old, that is, close your eyes and doze off, do not dump the other end and ate grass da cow tail you pull will go home. Ever since the bicycle, motorcycle and car has been not only faster, roads developed, while others choose the direction and destination, and this time not as simple as a bullock cart ride, nor is it able to go home by the Lao Zhangren to be so sure, and everything possible in their own grasp of being.
If excessive compared the current real estate recession, the housing market as Mo better to pregnant women during pregnancy, despite the strong reaction during pregnancy, but it just gave birth to new life is a necessary process, including the last painful childbirth, are holy and great, is the human process can not jump and is omitted. At present most of the reason why housing prices in pain, it is because the real estate tricks and rules changed, the profit model has changed, very difficult to catch again will be able to live a lifetime opportunity to live a good thing, that kind of money left down right strange phenomenon can also be copied does not come out again, like weaning the child, if the crying is not normal on a few nights. Therefore, weaning is normal, but also adults get down to business when the parents, the child's crying is normal, in addition to understanding and caring, more or to guide them how to eat.
milk easier than eating there who do not drink milk willing to eat. because the real estate development of breast, milk enough, so more opportunities to housing prices, has just started the development of enterprises in terms of room, grabbed a nipple and hold a large enough milk, thinking that you can eat a lifetime is not incomprehensible. from a planned economy to a market economy is not as simple as cross the threshold, so clear, direct, foot fall is likely to be above the threshold, which is not to become ! real estate step of this step is just the threshold falls, and this is why most real estate issues, the most controversial, the strongest voice of reason. If the nurse's room rate compared the opportunity to earn profits, it is because there is such a opportunities; if the transition is now likened to operating profit, it is because the real estate mature, and it is time to eat adult food.
Therefore, whether the concern on the property, or love, criticism or blame, whether it is former housing prices, housing prices now, or future housing prices, is still important to grasp the opportunity, but the basic business management, and also the survival of enterprises housekeeping skills must be passed along, otherwise, make life difficult for business enterprises. In fact, this is the spirit of Lu Xun as a discount, and if the bottom line are not, then let them go home valuables pension roll Well, no need to re-toss, and their torment himself. 

Real estate marketing plan tactics and strategy

 Real estate marketing plan tactics and strategy - in the real estate marketing planning of military strategy - how the 3 Riverside real estate has its own characteristics? Riverview in common with a unique premise, the major real estate are people-oriented, showed the personality of their own publicity ace. Riverside real estate as a successful regional concept has attracted the attention of people. Naturally, Riverview, luxury, association, formed the general character of Riverview disk. But if that Riverview beads on the plate just a difference little pearl, then it is wrong. Riverview with a disk, different characteristics. They rely Jiang standing side by side. in common with a unique premise of Riverview, the major real estate are people-oriented, assertive personality of light their own trump card. along from west to east, the Riverside real estate is nearing completion. garden onto the , as long as living in Haiqinwan can find resonance in the music culture. No one said that he hoped to get money. above and below, household piano sound, which is Haiqinwan features. Pearl River Plaza is the largest luxury real estate along the river to create a successful living space as the theme, From the garden to the design are becoming more Household practical value. It is reported that their senior utility rate of 86%, which is in Guangzhou, small high-rise residential. sinks Scenic Although real estate has not yet ground-breaking, but its design has the head start. the household compound, to move to the outskirts of Villa The design concept of the city center of Shenzhen this year, the State on ס���� : Room three light butterfly type design, although it across the street and there Wangjiang rate of 0%. The establishment of the rare. the whole layer of transparent, with none of the room set up interval, buyers look at forensic reading showroom floor, there are engineers and column to determine the vertical guide, roughness and density, touched on the quality of civil works know. days, general manager of real estate companies to establish Wah Keung said? quot; we fight for is the quality brand, quality can only move buyers. neighbors, swimming pool on the island and the first floor overhead design, have sought to residential nature Jiang Jingyan, fused. is to confidently enjoy the success. developer does not deny that sightseeing elevator, ten private swimming pools, four double the total area of 980 square meters of the the Guangzhou property market, functional and the new units is to use reasonable best rent, etc., patterns are manifold, in fact, in my opinion, real launch full-featured, the new units is to use reasonable best It can effectively contribute to the rapid residential development in the industry changing concepts, looking for potential development of the housing market and the largest benefits. Meanwhile, the guide and the Church of residential housing units to identify the advantage of consumers, the right to choose their own residential homes. In fact, one-sided large area of housing is not the pursuit of maturity. the family is not the scale of various function space the better. white elephant, not only resulted in waste, but not conducive to the effective life of a family atmosphere. developers and designers should be clear, to create a area of a family atmosphere is not everything, reasonable functional layout, furniture, color, light ... ... is a means of creation. ships, aircraft cabin looks small enough, but it can also make a luxury, VIP, and economic level to The key lies in awareness of developers and designers of quality to what extent can really highlight the to 60-70 square meters or more, dwelling area of more than 200 square meters, this trend has been set Housing characteristics and disproportionate. Even if there is a market-oriented is a mistake. According to demographic trends of family, our dwelling size will remain the leading three hall and Bedroom is mainly small and medium sized dwelling and stable development of approximately ten years. The living room is the core of modern family life organization, the Office must be designed so open, bright, to have better viewing perspective, Chamber to have a stable space for leisure, reunion, without having been through the interference and placed over stretch the necessary furniture and equipment. Office of the best connected with the balcony, This type of floor doors and windows can be made, even more open. living room even if no balcony, bay windows, we should also try to suppress, made of wide bay window sill, so that could open some eyes, but also to ensure safety. a lot of people and landscape orientation to get compared to Which one is more important? I think, in modern well-equipped house, select the landscape orientation is more sensible than that. At present, the housewives choice of residential kitchen and pay more attention to the level of design. In fact, the kitchen is dwelling size in most parts of the technical difficulties, not only multi-function, high requirements, and is involved in most types of professional positions. Therefore, the basic design should be: supporting the kitchen wall cabinet, its operation should not be less than 2.7 meters , into the cabinet to the refrigerator; all channels to be hidden, tube wells installed in the focus; controls are not the backbone of the whole building into the household; have a range hood, ventilation, ventilation equipment systems; set up the kitchen gas water heater should be independent and reliable emission gas system; in order to ensure no leakage, no leakage incidents do not wear floor pipe as possible, pipes will not go through to the neighbors. intensive decoration, decoration in place further residential development will be the future direction. crude decoration bring harm and destruction has been revealed. People have begun to tire of costly, exhausting thing. can be expected in the near future, replaced by a professional team, big business conduct intensive renovation, one-step turnkey, households have purchased a share of the room decoration, to avoid the annoying process of renovation, and relocation of new homes can enjoy the happiness. all matters of concern to the residents, in fact, are real estate developers and designers should be concerned, because only meet the consumer demand in order to stimulate the effective purchasing power, it is the real appeal is with a buy. 5 MLS real estate business model around the world a new concept of housing an average of every minute to have a system through the 21st century real estate transaction, of course, all this in a very large extent is due to the new business model. MLS: European and American real estate marketing new model. MLS (Multiple Listing Service) is derived from U.S. real estate industry jargon, also known as through specific means of software technology and networks, so join the system, all the various independent intermediary formation of a unified housing information exchange system. how? customers want to rent to buy homes only in the real estate agency or broker Enter the computer terminal on the characteristics of housing to rent to buy, can be found on all eligible property, and can see through an online electronic map the physical location of the selected housing, through the online video site to play appearance, environment and whether the pattern of the room to your liking. If this is not a rich company's availability, customers can also MLS system, all the companies joined the system's database to find information about availability. If the transaction, are involved in the transaction process by a certain percentage of each company divided. for this mode of operation between states in the U.S. have set up a major MLS associations, and other developed countries in Europe and America is quite popular. this business model The biggest advantage is that, regardless of the ultimate customers where to find the cake in the house, every one involved in this process from broker can share interests will not be missed because of insufficient availability of a client, it will not because of poor access and no patronage; for hire-purchase customers, you can add more choices, can be said to serve multiple purposes. It is understood that Century 21 Real Estate is to use the system, and have achieved good results. the information shows that the world average a minute to have a housing system through the 21st century real estate transaction, of course, all this is largely due to this new business model. created with Chinese characteristics, we need to develop their own MLS MLS system. In this regard, is committed to This advanced mode of operation of the MLS network technology to China, CEO Lu flight that we can not copy the foreign ready-made things, things that only suitable for China is the most effective. It is understood that some of the more intermediary companies, such as large scale I love my family (5i5j), etc., have developed their own data support systems, software and other software vendors to send in Guangzhou in similar software development has also made a useful attempt, which the domestic real estate industry of the electronic process has a certain role . by the MLS Network Technology Co., Ltd., according to the Chinese market and user needs developed roalty tower series solution in the absorption of foreign advanced management concept, based on another new development. It is for the Chinese real estate developers and the secondary market intermediaries, covering real estate development and the whole process of the secondary trading market, play to advantages of real estate and IT technology integration, reflects a new concept. MLS will lead to marketing, MLS TOWER network technology developed by products new properties, the creation of a tower display platform, the sales field sales navigation system, CD-ROM electronic Loushu other means to achieve the functions of remote real estate sales management, and full use of multi-media expression, set of video, audio, video, animation, images in one, accurate and complete performance of the developer's creativity and real estate advantages. In the demonstration site you can see, tower with a fine series of three-dimensional animation software, integration of the performance of buildings and the beauty of the urban landscape , both the overall appearance of residential, traffic and surrounding residential facilities, or the lobby, lobbies, clubs, squares, green spaces, courtyards, water features can be presented thoroughly. Through these series of software, consumers eager to know the real estate information on the screen can panoramic view of the good results of its marketing, sales brochures and sales of the traditional model can not be comparable. There is no doubt, MLS concept into the real estate industry will bring a lasting impact, especially for the management of enterprise and marketing tools, will lead to greater inspiration. 6 on the high-end residential Suggestions brand marketing plan is a cultural symbol, a symbol of the spirit of the so-called high-end residential, the overall terms of the high point in the marketing planning is called: the property marketing and brand marketing. a full cessation of welfare housing in Shanghai, to enter the housing market conditions, whether high-end residential market segment is the type of consumer group, they have this two one thing in common: First, they have a higher income level and living standard, so this kind of consumer demand for group living to pay attention to the environment from living up to enjoy life as a living, namely: comfort, convenience, safety, health high standards. This requires developers in the planning, design, construction of high standard, but also to doubly emphasis on property management services. This is the enjoyment of life needs. Second, these consumers generally successful career, there is psychological great sense of superiority, so when they bought the property there is a strong brand awareness. This is the spirit of enjoyment needs. view of the above two features, our marketing people what measures should be taken? (a) the concept of marketing the property - - enjoyment of life. because consumers the importance of property management services is becoming more so in the early marketing plan when they meet the participation requirements of property management, sales information, etc. in the production of ¥�� while making the publicity of property management services information, pre-delivery time together with the ¥�� publicity. the perfect property management, based on the advance should be introduced, the characteristics of the property projects in order to attract consumers, such as: 1, the intelligent property management. Shanghai has been emergence of intelligent residential quarters, launched a series of changes in the traditional way of life services, such as: water, electricity, coal, property management and other fees automatically measuring and electronic payment systems, credit card owners pay the home; anti-fire, Gas leak prevention and treatment of automatic alarm systems; security, anti-serious accident alarm system monitoring; Web services applications, Home net network remote medical care, shopping, online school, representing broadcast programs, and so become a reality ... ... 2 owners health protection. the property can be co-operation with renowned hospitals regularly checked free of charge to owners, offers medical care, etc.; properties such as the emergency relief .3, opening up new home services. such as: home conservation rental bonsai trees and flowers, the family aquarium .4 conservation and other rental, residential property owners carried out within the friendship, competition and other activities; issue district publications and so on. (b) the concept of brand marketing - the spirit of enjoyment. the brand is a cultural symbol, a symbol of the spirit, So create the famous brand of property, buyers will receive a distinguished cultural identity and pride. But how to shape the leading property brand? Generally speaking, there are several methods. 1, the accumulation method. For this particular property key advantages, through long-term media campaigns and word of mouth lips, gradually, a whole brand of intangible assets. such as all the advantages of the advertising of property to a certain popularity in a short time. But this method investment in large and small .3 identity, public relations and law. by planning a series of public relations activities, the formation of news effects, with media coverage , so that consumers interested in certain aspects. However, this method is difficult and the results are not necessarily on good .4, borrowing method. borrow another famous person, organization, brand intangible assets, in order to promote the property. such as the European style noble house, to promote its European cultural tastes, available through the developer and a European cultural institutions, co-organized cultural activities, activities within the site selection of the property; or jointly established cultural groups, set up headquarters in the premises , from which the property and cultural ties with Europe and improve the taste and quality of property. This method investment in small, quick, and good sense of identity. In short, the luxury residential marketing planning, the focus on hardware based on the brand, focusing on strengthen the above two methods, I believe will yield better results. 7 podium shop operators in shaping the new concept of theme malls marketing culture, popular gathering will play an important role in a few days ago, in a Real Estate Institute of Guangdong, Guangzhou people's livelihood and property Properties Limited and other units through the real estate held in Sharon on a podium shop operators new ideas have been proposed. At present, Guangzhou City, many developers in the construction of large homes, are used for the following retail podium However, not many successful operations. especially the early residential development, rental shops are often not very good, but first check the small owners often feel their lives have a lot of inconvenience. it can not be the first after Wang Pu Wang residential, commercial Area home sales boom driven it? investment not only on weight management is a common problem on the shop development. Sharon's participants agreed that successful investment is only a first step. can not thrive or rely on effective management. They made the podium of the new concept of retail business. One powerful combination. developers of shopping malls should be with specialized management companies, property companies in general it is different it has the operating expertise and successful retail experience. developers should be entrusted to such companies, sole agents operating podium shops. Second, a unified management. in a professional mall management company operating under a unified, first off make good owners. a noble residential area of the shops, to small food shops, motorcycle Admission will definitely shop operating out of tune. Second, to central planning. someone gives an example of Chongqing a four-story commercial building near the train station, first operating department stores, but always busy it up. after the intervention of professional mall management company, decorative materials to the city, the first floor of the franchise lighting, hardware; floor tiles franchise; floor, sanitary ware business, mainly by Kohler and other brands; the fourth floor was different styles of decoration company. Results occupancy rate of 99% operating anomalies fire exposure, are thriving. The third topic to be marketing. Do not put all of the area are used for business. Guangzhou, Times Square, highly regarded operation in this regard. The theme of shopping each month to carry out a number of activities, such as Women's Day, Children's Day special events such as festivals, but also hold real estate property, telecommunications, various forums, it creates a cultural atmosphere, making all kinds of themed events in Times Square has become a brand. Concerned that the theme of marketing to shape the mall culture, popular gathering will play a very important role. Third, follow the thriving and prosperous rent, strong sales of the marketing program. mall is good to rent out or sell? unified opinion is to rent , unified management, after sales boom will not only help business, but also conducive to profit. 8 knowledge of marketing in the villa in the knowledge of real estate Villa real estate marketing can build the perfect human spirit and the unity of the community before, the Shanghai housing market set off villa to buy real estate boom. However, the villa real estate developers means if the marketing does not focus on innovation, strong sales at the moment then quickly flash in the pan. and as marketing the new product process - Knowledge of marketing play in the economic arena increasingly important role. real estate knowledge of marketing is to promote the fundamental guarantee for the development of the villa market knowledge of marketing, including three levels: (1) mining product culture, increase knowledge of the marketing activities and focus on the formation of consumers the concept of resonance value. (2) focus on the structure and chain with consumers on a multi-level marketing relationships, so that customers become loyal consumers of their products. (3) to strengthen the marketing team building, knowledge training for the media, the marketing activities better suited to promote cultural and technical content of products, better adapted to intelligent and personalized product development requirements. Knowledge Marketing Note? quot; create a the establishment of standards, knowledge of marketing have emphasized the role of innovation, emphasizing the dynamic role of knowledge on the market. knowledge of marketing to new technology driving the market, develop new operational plans based on knowledge and practices of marketing, consumer concern, that constitutes a enhance the content and promotion is also important, therefore, the core of real estate knowledge, marketing and human aspects of technology operations. real estate knowledge of marketing, said the overall level of technology is to attach importance to innovation in science and technology real estate and real estate in publicity on the scientific and technological innovation, which involves the sale of architectural design, building structure, building dwelling, building materials and other aspects of science and technology content. real estate science and technology content, the more need to use the knowledge to win customers, share more and more Housing understand the use of knowledge, understand that the use efficiency, thereby increasing sales. knowledge economy marked by high-tech properties of intelligent building appears. Smart House Automation System must have the communications, security monitoring automation system, fire alarm systems, building automation systems and office automation systems. real estate knowledge and marketing play to the human aspects of real estate Villa real estate market knowledge is based on the human dimensions of the human content of the knowledge economy, is about the real estate knowledge and the combination of human knowledge. real estate knowledge and marketing aspects of both human full attention to technological innovation and real estate properties for sale publicity technological innovation, but also go beyond the technological aspects of real estate, the establishment of the humanities to enhance the value of real estate to human habitation profound achievements of the human knowledge of the human aspects of real estate marketing. It is the core of people-oriented, that is, to the humanities as the soul, paying attention to care, building human emotion, to explore human history. the expression of the real estate Villa real estate market knowledge, the meaning of some of humanistic spirit of the villa property accepted by consumers, not for profit only goal, not simply as customers who had, but from seeking to meet the modern comfort and convenience, perfect needs, the purpose of human existence in marketing and a way of life; from the planning design and construction of the house is sold, it is all for home buyers throughout species needs to provide perfect service and reasonable. It's mode of operation to? quot; idealism plus actual operating skills. knowledge of real estate marketing can house the perfect human spirit and the unity of a successful community building villas properties must establish a new type of community culture --- an environment conducive to communication between people, man and nature and between man and cultural facility space for living with a comfortable, healthy and open living environment. It is mainly manifested in the following areas: basic life experience; comfort and enjoyment of the experience; community atmosphere and the feeling of atmosphere; cultural life experience; community interaction and interpersonal feelings; the feeling of living environment; effective property management experience, participation and autonomy in the community feel; domestic consumer spending and benefits experience. In summary, a perfect villa real estate will be? quot; people-oriented actively create conditions for the realization. 9 new marketing Laofangyouxi course, the biggest winner is to be a boost to the housing market today, China's secondary housing market is not active, the development is still too slow, and now a new housing marketing model already quietly rising, in this mode, the existing home owner can charge rent on time, the rent in the bank and get interest rate of return is 3 times higher than bank savings. and the lessee can not only quickly find themselves satisfaction with housing, but also save you money. Experts say this new concept of housing investment and consumption may be from the local area underwriting, shifting the secondary housing market ushered in the new ; stimulate rental housing market for the ingenuity of. Bank jointly launched. The implication is that housing can be the same as the appreciation of money in the bank. customers into the first preparation of the replacement house rental center rental department, the Ministry of the use of scientific methods lease at a reasonable rental price estimates by the homeowners after approval for rent. Customer storage room at the same time, will get a passbook issued by the Industrial and Commercial Bank and Money Link, the monthly rental from the center of the Ministry of replacement housing rentals all agents will be drawn directly to the customer's account, if temporarily rent urgently may be in the bank, bank interest as usual. replacement center committed to our customers, into the center of the housing replacement every six months to 20 days except to stay out of the lease period and the five-day work of the housing transfer, the rest were total rent the risk borne by the replacement center, after both houses leased or not, the rent to the client account on the usual plan. This will not only relieve the customer in all matters in dispute during the rental, but also enable customers to no longer cause for renting out vacant houses to worry about . In the down. that is, residents in the fancy new house, by the professional assessment of the agency's housing reform on the original assessment of housing prices to assess the price shall prevail, people could be entrusted to replace the company package sales room. in the underwriting contract is signed, the company immediately replaced the old 60% of paying back the principal rooms to the new home of the houses directly to card for the business. Replacement Company within one year if the existing homes sold, the residents can get the balance; if housing has not yet expired in underwriting the sale, residents have the right to terminate the Underwriting contract, returned to the housing fund drawn from the premises or to assess the price of a discount sale to replacement company. This approach is actually eager to improve living conditions for residents of the financing to expand a new channel, this approach has been welcomed by the people of Shanghai. only two months, 37 households had finished the formalities to get some paying back the principal, more than 70 households are in the process commission procedures and more to the advice of thousands of households. replacement. the so-called replacement, also known as wards were satisfied with the new house is selected, it will have a property available for sale entrust professional evaluation agencies for housing existing home price evaluation, assessment of replacement of the company and then buy existing homes. and then paying back the principal of existing homes to a developer account on the exchange, as buyers purchase the first payment, the price difference and then by home buyers to take a one-time payment, installment, mortgage, etc. to be paid. also have developers in order to reduce the sales of vacant housing, and through the center to acquire the form of replacement housing Replacement house customers. It? quot; post wards the wider availability of existing homes. In Fuzhou, the current practice seems to be a combination of the latter two, first direct exchange between the housing and housing. customers can exchange the center housing accommodation listings matching network, the two sides direct conversion can be satisfied. but also through the exchange center and for developers of real estate relative to achieve he has the matching online housing registration, transfer it to others. There is also a form of indirect exchange is acquired. If customers are eager to realize the old house to buy a new house, you can negotiate the purchase price and replacement center, then the amount home buyers. serve multiple purposes to bring the housing market is more than just a win-win way more than the marketing tells us that a strong housing policy to promote the secondary market, also requires the use of the invisible hand of the market to achieve rational resource allocation, and only from the supply and demand the best combination of all cut demand in order to achieve a real win-win. from the current changes in the real estate market in some cities of view, replacement of existing home heating and cooling housing market has played a leading role. For many families concerned, not sell the old Housing can not afford to buy a new house on. So the smooth sale of existing home of real estate has become an important factor in well-being of the secondary market. the industry that the hope that the demand for profit. In this mode, the owner may charge rent on time, the property has value-added opportunities available to rent in the bank and the interest rate of return is 3 times more than bank deposits. For the lessee, the not only saves you funds, but also the cascade of housing consumption as soon as possible targets; of countries, by regulating the market, increase tax revenues, a large number of rental housing in order to make a profit throughput; bank profits through cash flow. Of course, the biggest The winner is to be a boost to the housing market. Therefore, the and municipalities, the proportion of the sale of public housing can be sold to a 60% (Fuzhou 70%), urban households 65.8% of households already have their own housing property, urban residential housing to residents of proprietary-based, multi-property rights form a new pattern of coexistence has been formed. 10 export housing market housing market export sales must be analyzed carefully, if necessary a number of specialized research institutions to conduct research, which is essential in the marketing process of export marketing in our housing market started more early, rapid development, but now look at some problems, but also the need to further strengthen the marketing, in addition to personnel training and marketing-related research, the need for marketing of several interrelated aspects, namely, market analysis, understanding needs, develop strategies and implement marketing. First, the need to strengthen export housing market analysis, marketing plan is the basis for work. At present, some difficulties in export sales is largely the Housing Market Analysis of errors in time. As housing sales export mainly targeted for overseas consumers, it also gives developers the domestic market analysis difficult. For example, to analyze a particular real estate market conditions, export house, we must be aware of the real estate market, the capacity of potential customers , market supply and demand, market competition conditions, market and environmental factors. However, in the export market analysis house there are many difficulties, such as the analysis of market capacity is difficult to know how many of the potential demand. in the market analysis, to understand the consumer area, and the domestic market of the natural environment, population, environment, economic environment, technological environment, political environment, legal environment, culture and the environment. And because all aspects of national or regional differences, insufficient grasp of the market analysis, The resulting series of problems. However, the export must be carefully analyzed housing market, when necessary, a number of specialized research institutions to conduct research, which is essential in the marketing process. or market analysis market positioning errors caused Deviation, and marketing decision-making process of mistakes, even the most sophisticated marketing experts are also some of the helpless. Secondly, strengthening the housing market, export marketing, export must also be room to strengthen the characteristics of consumer demand. Demand feature Marketing research is the core and starting point for the formulation of marketing strategy and implementation of an important safeguard in the marketing process. How to find the target market based on market analysis, the right to study the characteristics of target market consumer to understand the consumer's specific image, such as who As ...

Lung Cancer Awareness Month guest People's Daily Online - Internet users about lung cancer prevention with

 Moderator: friends, Hello everybody!
People's doctors welcome to watch the large auditorium, this issue we interview to talk with the prevention and treatment of lung cancer, and lung cancer and smoking. Lung cancer has become the world's number one cancer killer, according to a World Health Organization statistics, the report said, with 120 million people worldwide each year are diagnosed with lung cancer, there are about 40 million people in China each year are diagnosed with lung cancer, lung cancer incidence is rising year by year a development trend, more and more people's attention. lung cancer deaths is also high, than breast cancer, prostate cancer, and cancer combined death toll even higher.
Today we go to Xuanwu Hospital, Capital Medical University director of thoracic surgery, lung cancer clinic director of the Center of Capital Medical University, China's leading experts in thoracic surgery and lung cancer prevention, Professor Zhi Xiuyi.
support Professor Hello! welcome you to the PRC's studio.
Zhi Xiuyi : Moderator good! you friends, Hello everybody!
Moderator: Would you please tell us what factors lead to lung cancer?
Zhi Xiuyi: Every year in December is the International Lung Cancer Awareness Month. the world in many countries the holding of a variety of activities to governments, so that the community and the public have come to care about tobacco control and prevention of lung cancer. Today, through the International Lung Cancer Awareness Month we feature interviews, want the community to enable the Government to help people, so that people , in particular, to understand the smoking and lung cancer patients with lung cancer, understanding what the current treatment of lung cancer. As we put more energy into the treatment of lung cancer at the same time, the cancer prevention front forward.
are many ways to prevent lung cancer , but is associated with the common people away from tobacco, away from the smoke. The main factor is the risk of lung cancer smoking, including passive smoking. the fact that a large number of clinical studies show that smoking is closely related with lung cancer, 87% of patients with lung cancer death associated with smoking and passive smoking. After decades of tireless efforts and research and exploration, we found that cigarette, tobacco companies produce low soot and coke we often face a want to stay away from lung cancer, we should reject tobacco.
tobacco is one aspect of lung cancer is an important development of lung cancer related factors. Of course there are other factors, such as environmental carcinogens. Gejiu and Xuanwei is world famous high incidence of lung cancer, radon, tin, arsenic, carcinogenic substances such as toluene to make this region a high incidence of lung cancer. With an aging population and the urban modernization process accelerated process of urbanization and industrialization increase, environmental pollution and Air pollution also bring harm to our health. unhealthy lifestyles and poor the same health hazards, especially in some smokers do not feel comfortable, the cause of underdevelopment, life is not happy, the family is not happy, marital instability , pumping stuffy smoke, drink alone will be greater health risks. Another aspect of the rapid development of medical technology, diagnosis and treatment of lung cancer increased, so that we know of lung cancer, lung cancer diagnosis and treatment of lung cancer was significantly increased; the same time, several countries years of health education and popularization of knowledge of prevention and treatment of lung cancer, lung cancer treatment rate, in short, from the subjective and the objective reflect the incidence of lung cancer on the rise.
Moderator: How can early detection of lung cancer do? < br> Zhi Xiuyi: Unlike other types of cancer lung cancer, lung cancer, there is no specific clinical symptoms in early, especially peripheral lung cancer. We were divided into central lung cancer and peripheral lung cancer, early central lung cancer can be some irritating cough, or and bloodshot sputum, the vast majority of these smokers are the clinical symptoms do not care, thinking that might not smoke much, working too hard, and these symptoms really easy to be ignored. Over the years, the discovery of early peripheral lung cancer mostly due to attend a health check, or incidental to the hospital for treatment opportunities, such as the hospital is to look at heart disease, the doctor take pictures of the chest, only to find early lung cancer.
Unlike lung cancer, esophageal cancer, nor such as liver and stomach cancer, screening methods are simple and easy. popularization of several decades, so that more women master the breast self-examination methods. in the high incidence of esophageal cancer in Henan County, the the Government's strong support and project implementation, screening of early esophageal cancer has achieved fruitful results, the high incidence of early esophageal cancer detection rate increasing, the clinical cure rate has increased year by year. screening and early detection of lung cancer is still relatively difficult, is still not a particularly good way to early detection of lung cancer screening. an annual physical examination can detect early lung cancer, if you are 40 years of age, smoking history of more than 20 years, have family history of cancer, but also life in lung cancer prone areas, we hope that you have to attend an annual physical examination, through effective health reflects to find lung disease. before the medical examination of all lung chest fluoroscopy, chest would miss a lot of early lung lesions. hope that the health of around medical center is lateral chest radiograph to be carried out low-dose spiral CT or chest physical examination items, so you can find small pulmonary shadow node, the discovery of early lung cancer health benefits is quite amazing, the effect of early lung cancer but also for the treatment of satisfactory. but if you are a doctor because of chest pain and diagnosed with lung cancer, you may lose a best time of their treatment. Of course there are still a lot of advanced lung cancer treatment for, but if early detection, not only their own benefit, your family also benefited, in fact, countries also benefit.
Moderator: Could you specifically tell us what kind of checks through the investigation and confirmed that it got lung cancer?
Zhi Xiuyi: I would like to add that this: according to tumor location, lung cancer in two types, one is the central type of lung cancer, one peripheral lung cancer. Growth in the trachea, bronchus and segmental bronchi or more, through the bronchoscope to see the tumor we call biopsy (TTNA) to find disease, to diagnose disease. Some of the clinical symptoms of lung cancer cases than by treatment found, such as the lungs, there is a 3X3 cm mass in the lung by CT-guided biopsy can be accurately diagnosed.
close appeared two years later of lung cancer diagnostic tools, inspection of glucose metabolism in the lungs that means people are talking about mm PET-CT, to lung cancer in terms of diagnosis and differential diagnosis, PET-CT compared with CT has been further improved. China Some large health examination centers are conducting blood tumor marker screening, the chest radiograph, chest CT, PET-CT and blood tumor markers combined, create a set of diagnostic staging of lung cancer new method.
Moderator: The cure rate of lung cancer in today's how high it?
Zhi Xiuyi: On the clinical cure rate of lung cancer, the first thing worth mentioning is the clinical stage of lung cancer. lung cancer in four, I period, II phase, III and VI of the of, I have lung cancer according to tumor size and Ib of the period is divided into Ia, II period is divided into IIa and IIb of the period, III lung cancer is divided into IIIa and IIIb of the period, This calculation of the other seven points of lung cancer. screened by physical examination of early lung cancer, 10-year survival rate after surgery in 90%. clinical stage of lung cancer according to tumor size, there is no lymph node metastasis, No pulmonary metastasis, there is no brain metastasis, there is no bone metastasis, there is no peritoneal metastasis. According to the clinical stage, we decide the treatment strategy, we come to judge the prognosis, five-year term survival. lung cancer of other earlier five-year survival rates of clinical cure rate and higher. in advanced lung cancer, surgical resection alone can not solve the problem, even after surgery and chemotherapy, some patients still need surgery and radiotherapy, the crowd this year with some specific targeted therapy , the combination of these treatments can make long-term survival of lung cancer patients, access to clinical cure.
but more locally advanced lung cancer, particularly in patients with advanced lung cancer, we do not emphasize the cure rate, such as hypertension and diabetes chronic diseases, did not cure; hypertension network and hi every one, a shot of fasting insulin to control diabetes well. for cancer, we promote, promote, promote philosophy. lung cancer, we are not going to kill you, we want to control you, and you co-exist, let me free to trouble you, let you give me greater health threat, which is our current treatment of cancer One of the goals.
Moderator: You talked about lung cancer patients can live like a normal person, if the man diagnosed with lung cancer, how patients and their families about mental attitude should be established?
Zhi Xiuyi: The current situation is: whether you like it or not, you are happy or not, cancer has approached our lives. is not only the factors of population aging, environmental carcinogens and occupational carcinogens, there are many other unhealthy factors that have approached our lives. We must as a common cancer, a frequently-occurring disease. If you are a smoker, smoked cigarettes for decades has been nothing healthy, people went to the 60 years of age, there may be disease. Why are we in the Labor Party and the government policies so that women retire at age 55, male 60-year-old retirement? that to 60 years of age, our organs should rest it! components of the tight screws a tight, Some parts of the ho oil, go check the car! this time of illness, especially in middle-aged comrades who suffered this or that disease, should be treated openly.
Second, cancer may be preventable and curable, we have to strive to do to the early discovery, early detection of many good ways to future treatment. We must believe in science, I believe that the application of high technology in the medical field, to have confidence in the treatment of cancer, as patients and their families are not afraid of cancer. last year and the year before, we In the PRC to do interviews, then I say close to 1 / 3 of cancer patients is to He did not good at doing counseling and psychotherapy m responsibility of doctors to cancer patients calculated by the understanding of cancer, especially high-tech knowledge to understand the field in the widely used cancer treatment, give us more confidence in cancer patients. We want to tell the patient to tell our society, the means of diagnosis and treatment of lung cancer with 20 years ago, 10 years ago, even 5 years ago with a qualitative change, rapid changes have taken place, the weapons in our hands can cure cancer. This is very important!
Moderator: We next turn to lung cancer, you just talked about the stage of lung cancer, lung cancer, clinical stage before treatment How important do?
Zhi Xiuyi: As the biological behavior of lung cancer-specific, it can transfer to the brain can transfer to the abdominal cavity can also be transferred to the body bone. What is cancer, cancer that flows around the crab can be kind of different objects. since it can have a lung metastasis and pulmonary metastasis, we must first be completed in minutes before treatment of the inspection. needs to be emphasized is this: before the first stage of lung cancer is not clear, not all of the shadow of the lung is lung cancer, there is inflammation, tuberculosis, and benign possibilities. Once lung shadows, we First, it is not clear to lung cancer by fiberoptic bronchoscopy, sputum cytology passed through the lymph node or lung biopsy, clearly it is not lung cancer. If it is lung cancer, must be clear which type of lung cancer, lung cancer in small cell and non small cell lung cancer into two categories, different types of biological behavior of lung cancer is different, a different degree of malignancy, treatment in different ways. So the first step, clearly is not lung cancer, which type of lung cancer, the second step and then clear which a lung cancer. by chest CT, to determine the size of the tumor, we tumor less than 2 cm, 2 and 3 cm, 3-5 cm, 5-7 cm were defined as T1a, T1b, T2 and T3. that is based on tumor size We define T1, T2, T3, T4, there is no lymph node metastasis according divided into the N0, N1, N2 and N3.N What is the idea? such as the 201 rooms occupied by cancer, and if there are cancer cells of the 202 rooms is N1, if there are cancer cells of the 203 rooms is defined as a N2, N is a node in English the first letter acronym. there is distant metastasis M, M is the abbreviation of the English alphabet the first letter of transfer, we mainly want to see There is no pulmonary metastasis, there is no lung metastases. upper lobe of lung cancer can be transferred down the leaves, the right lung can be transferred to the left, which helped to clarify whether the pulmonary metastasis of lung cancer examination should be done, Check if you do not do it in phases will make mistakes, big mistakes!
Clinical many such patients, found himself after the diagnosis of lung cancer, eager to find a friend Tuo Shuren surgery as soon as possible, and believe that the earlier the surgery the better. In actual fact, if you do not have an accurate pathological diagnosis, clinical stage, no one on the right thoracotomy, it is possible to operate on advanced lung cancer should not have carried out open heart surgery, the actual treatment might be worse than thoracotomy surgery, the patient requests must first staging specialist treatment. netizens here to remind us friends, if our loved ones, friends, colleagues later got lung cancer, do not rush to treatment, we must first stage, after the treatment. If you just said by inspection to determine, clear what type of lung cancer, lung cancer are few, we'll decide how to develop treatment strategies.
present the principle of our treatment of lung cancer: I lung cancer, II and IIIa lung cancer by surgery on treatment to obtain clinical benefit, if you are IIIB of the IV, that lung cancer metastasis to the brain and transferred to the bone, when transferred to the abdomen, surgery can be beneficial to these patients. other conservative treatment with surgery effect is exactly the same, our understanding of these patients should also master the knowledge to master this weapon. If you just charge a doctor in your hospital, what checks are not done in phases, to arrange for your surgery, I suggest you immediately transferred treatment, or for a doctor. because if he does not regulate this stage check, after multidisciplinary treatment will not standardized. I suggest that lung cancer patients before treatment should be to the other top three hospitals, cancer centers or cancer centers to consultation, Regardless of the region in which hospital you have lung cancer need to consult local experts know in the end is really good surgery? good medical treatment? or radiotherapy good? now is not what Section of lung disease, lung cancer is a disease, it needs with thoracic surgery, the need for respiratory, oncology needs, and the need for radiotherapy for patients with general practitioner consultations, sure he was one of lung cancer, what means of treatment needed, which required treatment with application of the center of such a combination of multi-disciplinary Our model is a standard treatment of lung cancer, the standard pattern.
Moderator: Now we have what lung cancer treatment, such as how to standardize the treatment of it?
Zhi Xiuyi: I should add about the previous problem. Just now you asked me how to do clinical staging of lung cancer. installments in addition to chest CT examination to exclude brain metastasis, bone metastases were excluded, have to do the appropriate checks, there are many new technologies, new means by CT, by MRI, by PET-CT, lymph node biopsy, mediastinoscopy can be clearly mediastinal lymph node metastases. If there is mediastinal lymph nodes must be done first chemotherapy, surgery again.
current lung cancer treatment of six treatment modalities, the traditional treatment model four, we all know, one surgery, not for the early transfer of patients, surgery is the only, means to be radical. Second, drug treatment, we call The chemical treatment. Third, radiotherapy, that is, kill the tumor by radiation. Fourth, traditional Chinese medicine. This is unique to China, cancer treatment, in the country, the global stage, cancer treatment has good results and voice our . With the understanding of disease, with areas of high technology applications in the treatment of lung cancer, we have in recent years, a more effective means, is targeted therapy. Targeted therapy is the only anti-cancer cells without damaging normal cells drugs. lung cancer patients, especially with bone metastases, brain metastases, or advanced lung cancer patients have varying degrees of mental disorder, the treatment in the treatment of somatic diseases, but also must pay attention to psychological treatment, including psychological counseling, psychological support and psychological treatment, there is now a good antidepressant effect. In particular, lung cancer patients had bone metastasis, brain metastasis after the fear of cancer, the treatment of lost confidence in the future, we must give positive attention and treatment.
lung cancer surgery used to be a large incision 30-40 cm, very traumatic, almost all manual operations are completed in the chest. Now we just have to use a minimally invasive lung cancer surgery completed the steps, in the past must look at the lung under direct vision to complete the operation, there are now two-and three-dimensional robotic endoscopic surgical techniques and operational procedures, so that lung cancer surgery has been very significant progress; minimally invasive surgical trauma, patients recover quickly. In the past if a patient take two weeks after receiving chemotherapy, because the wound is too large, too much trauma, a month to recover, but the final impact of subsequent adjuvant therapy. Minimally invasive surgery is currently the majority of the top three hospitals in China are very mature technology. of course, many places not simply using video-assisted thoracic surgery, small incision approach can be combined, we call hybrid operation. radiotherapy treatment of early and radiotherapy are killing good and bad, and now the precision guidance technology, radiation technology to improve a lot. chemotherapeutic agents are also upgrading the , increasing efficacy, reducing side effects, even if some negative effects we have the appropriate medication to alleviate. I think the current six treatment modalities, to be used in combination with each other, to organically integrated. For example, some early stage lung cancer patients may simply need surgery alone, and some medium-term lung cancer patients need surgery and chemotherapy, rehabilitation of Traditional Chinese Medicine to be done during the conditioning. So I think: the need for doctors in several disciplines together to discuss, make good use of these six treatment modalities.
Moderator: How and how lung cancer multidisciplinary therapy, and surgical treatment with it?
Zhi Xiuyi: This is a good question. We have emphasized before the first patient responsibility, but the treatment in cancer patients process there have been some problems. Some of the first diagnosis of lung cancer patients was first thoracic surgery, thoracic surgery that whether or not the surgeon, the first made according to a series of preparatory surgery. had some chemotherapy patients should do first, and then assessed, based on assessment results and then to decide whether surgery, thoracic surgeon did not consult with the physician. Similarly, some patients clearly require surgery, some physicians give patients with cancer chemotherapy, so that part of the radical surgery should be the early loss of lung cancer patients surgical treatment. We emphasize the need for multidisciplinary treatment of lung cancer! lung disease, not a single subject, neither surgical disease, not a medical disease. medical experts in various disciplines, to sit together and discuss the establishment of a multi-disciplinary ward round The working mechanism. as we Capital University of Medical Center of lung cancer, the third week of each month Wednesday afternoon points (333), we respiratory medicine, thoracic surgery, radiology, pathology of sitting with the doctors. establish multi-disciplinary ward rounds and academic exchanges joint working mechanism is very important, not a single physician in the outpatient clinic made the diagnosis and treatment plan for patients, should we sit together as a lung cancer patient consultation. At present the hospital in many tumors, lung cancer centers are related disciplines doctors sit together and discuss a patient's treatment plan, which is the first step.
second step, as a specialist, should abide by the state to develop a Medical Association of the Professional Committee have developed a routine diagnosis and treatment of common diseases related to the Chinese Anti-Cancer Association has its own professional committees, such as lung cancer also have a Committee of routine clinical practice. We also discussed developing a clinical guidelines (Chinese Version) the actual situation, arranged and compiled into a Chinese version of the non-small cell lung cancer guidelines. With this guide as a blueprint, doctors sit together and discuss treatment options, this time multidisciplinary treatment in order to become possible.
Thirdly, I hope lung cancer patients and their families to pass some of the mainstream websites conventional cancer treatment and new technology. At the same time to not only look at the hospital oncology and respiratory, we recommend that you look at the thoracic surgery and radiotherapy, and even then to another, a lung cancer hospital consultation centers or contact . after the movie, you have mentally prepared, when making a decision. Some patients may due to family far away, either because the factors designated health care hospitals, it does not matter, you go to specialist hospitals and cancer centers do not always take advice consultation fee . I wish we could of lung cancer patients to lung cancer treatment center or cancer center consultation, a good and responsible to give you a little bit of expert advice on the right, put the entire treatment process to help you clear direction.
chair person: I see such a story, get the image data of a patient diagnosed him with advanced lung cancer, the patient has not been a comprehensive expert consultation to surgery directly to an acquaintance, the results did not let his condition improved , but more serious. So, I think is very important to multidisciplinary treatment.
Zhi Xiuyi: does the current level of diagnostic and treatment practices are inconsistent, the same patient, the same film in different hospital, different doctors, it diagnostic advice and treatment, there may be inconsistent! This can be seen that cancer centers and cancer treatment center path and specific treatment strategies, with the general hospital of thoracic surgery is not the same, there is a difference. because the treatment programs, treatment strategies not the same, you think about treatment as you can. We want to instill in the entire industry standardized diagnosis and treatment of lung cancer, I hope in two or three years, of course, I want a shorter time, after a patient get a film, whether it is A Hospital or B hospital or whether it is to find Vet Dr. Li, diagnosis, advice and basic treatment is the same, just a little fine-tuning is still possible. hope to master the norms of our patients after treatment knowledge, doctors can monitor irregularities.
Moderator: We talk about minimally invasive surgery, what is the minimally invasive surgery, for which people, what are its advantages?
Zhi Xiuyi: Minimally invasive is a philosophy, if you do a small incision surgery for over ten hours, which can not be called minimally invasive, and of general anesthesia itself is traumatic, according to the patient's condition, choose the least invasive, less trauma, quicker recovery, regardless of the traditional incision, or minimally invasive surgery , Radical resection of the methods and results should be consistent and minimally invasive surgery must achieve the same with the traditional treatment of thoracic surgery, which can be called a good means of minimally invasive treatment. If there is no minimally invasive surgery to cure The purpose of lesions did not cut clean, no lymph node dissection should not be in this hospital, the regions of minimally invasive surgery.
endoscopic surgical techniques with the general clinical application, all surgical disciplines in carrying out minimally invasive surgery Now thoracic surgery, hepatobiliary surgery have entered the era of minimally invasive surgery. to the chest three to four centimeters large surgical incision into a dozen centimeters or even seven or eight centimeters of small incision; ago to cut a conventional, or even two ribs, the ribs can now be done without distraction various thoracic surgery, this minimally invasive surgery is the idea that technology updates, equipment and devices and updating the changes to us. In the past we had to use hand-operation, such as the lung section is standard suture a few stiches, no standard. traditional surgical skills to operate despite training standards, but it is not strict, with minimally invasive endoscopic surgical techniques and instruments to deal with pulmonary vascular closure device when a clip of vascular is complete, its intensity, length, pressure is the same. dealing with incomplete fissure splitting, we must take the upper and lower fissure apart, used to be hand-stitched, cross-section often oozing bleeding; now has staples, lead to bad results, minimally invasive brought us more update. especially the young thoracic surgeons, three or four-year-old doctor, are basically in clinical surgery minimally invasive surgery. Now the patients than in the past, patients Suffering little more, a lot of young patients with lung cancer elderly elders at home too because of lung disease, lung surgery done, to imagine such a big incision before the real fear! In fact, the actual situation is not to be, minimally invasive surgery is very small and small wounds, especially with the video-assisted thoracic surgery lung resection, with three to four holes to be cut down the lung, and lung resection results with traditional surgery is the same.
you just asked a very good , Minimally invasive surgery for various types of people? currently not all lung cancer patients for thoracoscopic lung surgery. The U.S. and China, the provisions of industries, but no lymph node metastasis of lung cancer suggested I do thoracoscopic lobectomy. Currently the Ministry of Health and the Chinese Medical Association Endoscopic Doctor Association are jointly developing technology access standards thoracoscopy, MD, thoracic surgeon training a few years later, how much do after surgery, go to participate in video-assisted thoracoscopic skills training, and then do the chest Mirror lung surgery. No matter how, the implementation of lung cancer surgery must be systematic lymph node dissection.
hospital we found that some primary lung cancer surgery thoracic surgeon lymph node dissection is not routine, and will combine with metastatic lymph nodes may remain in the chest, this five-year survival rate of patients and clinical cure rate of any good. At the same time, some thoracic surgeons are not trained to make direct use of thoracoscopic lung surgery, there have been many problems. I hope that our users and patients, during treatment in the hospital to confirm the surgeon's qualifications in due course, and now the national norms in several aspects of our medical industry in the behavior of our own societies and associations are also new technologies to enhance our industry's access management. hope New technology to benefit the people at the same time, so that people accept the new knowledge. need to stress that it is: minimally invasive surgery, especially video-assisted thoracic surgery, the patient recovered quickly, for those who need adjuvant chemotherapy for , followed by adjuvant therapy can be completed on schedule as planned.
Moderator: In the past three to four centimeter incision in the surgery, the patient recovery time compared with the minimally invasive surgery recovery time, how much difference?
support Xiu Yi: at least one week before the large incision, usually about 10 days before discharge. now minimally invasive surgery goes well, can be discharged a week, and even then a simple endoscopic surgery, the patient to be discharged after three to five days the. minimally invasive surgical technique in the whole area of the world is something of a revolutionary, minimally invasive technique in the future if we do not control, it is not a qualified thoracic surgeon.
Moderator: We next turn to chemotherapy. Please tell us about new trends of chemotherapy, it is suitable for any crowd, what are the advantages, as well as asking friends, occurred during chemotherapy, some negative effect is not to stop?
Zhi Xiuyi: Chemotherapy is a chemical treatment, drug treatment is Some patients taboo efficacy significantly increased.
chemotherapy drugs for nausea and vomiting, gastrointestinal reactions and bone marrow suppression are appropriate for such drug treatment, chemotherapy, or current treatment of small cell lung cancer and advanced non-small cell lung cancer primary treatment, especially in China is not in place and early screening for lung cancer is not high proportion of the clinical diagnosis of eighty-seven percent of lung cancer is locally advanced, or advanced lung cancer patients, current treatments mainly chemotherapy. now upgrading of chemotherapy drugs After the targets of increasingly clear that the drug if the diagnosis is a problem with 204 rooms, this drug is only room for 204, 205 and 203 will not affect the room.]
chemotherapy were divided into two categories, one is before surgery neoadjuvant chemotherapy and adjuvant chemotherapy after surgery, the surgical treatment is a good supplement. Another is the advanced non-small cell lung cancer and small cell lung cancer chemotherapy, to chemotherapy as the mainstay of treatment. previous conventional chemotherapy is three to four drug combination, is now identified the two platinum drugs program is advanced non-small cell lung cancer standards program, the current clinical use of drugs vinblastine, paclitaxel, docetaxel and gemcitabine, as well as other chemotherapy ALIMTA new drugs are platinum-drug program as the two main treatment of lung cancer.
chemotherapy cycle, the previous experience of living into old age, two-drug combination chemotherapy regimen after failure, we will a new one chemotherapy regimen, which we call second-line chemotherapy, second-line chemotherapy have a very good drugs, including docetaxel and ALIMTA, targeted therapy can be when the second-line chemotherapy.
The third model is the maintenance therapy, is to choose specific groups of people to maintain chemotherapy, such as Seoul used gemcitabine + platinum chemotherapy given after the effect of a good video review also observable lesions, then select One of the drug maintenance therapy, single-agent chemotherapy once a month, has been replaced by second-line and then progress to disease treatment. but require multi-disciplinary research and discussion.
If severe side effects of chemotherapy will certainly disable our chemotherapy, how to call serious, almost can not eat, down to more than 1,000 white blood cells, or even below 1000, should stop. We now have a lot of measures, will not allow patients to nausea and vomiting. Second, we also make white blood cells quickly recovered the drugs, how such escort drug use well, for the patient to complete the full dose by cycle of chemotherapy we have established, it is very important. Now there are some very good medicine, and can alleviate the side effects of chemotherapy and to deal with.
so We emphasize here that the combination of Chinese and Western, play to our strengths of Chinese treatment of lung cancer and ethnic characteristics of subjects.
Moderator: There is a friends question his chemotherapy, he said the third, can not hold on, stopped, and the first four chemotherapy, even the half of perseverance, and he was very contradictory, and he asked can you stop chemotherapy, after you stop chemotherapy, there is no effect of chemotherapy in front of?
Zhi Xiuyi: as we Lung Cancer Center, this situation has been rare, because the drugs now has made him a good nausea and vomiting, so that he can adhere to four cycles of chemotherapy. the specific combination of the patient, two cycles of chemotherapy if it is effective, I recommend, or continue to complete ...