關于做好本市社區衛生服務機構重點人群動態服務和新冠救治相關工作的通知
【信息來源:】
【信息時間:2024-01-16 閱讀次數: 】
quxianweishengguanliyingyangwei:
🎉geichujilinshengrenminzhengfulinglianfangliankongcelve《guangyunonghaoxinguanzhongdaxiaofeizheqingkuangfuwuhe“shekoukouanyiwei”renwudezhihuimoban》hejilinshengrenminzhengfulinglianfangliankongcelve、zhonggongzhongyangzhejiangnongcunshenghuorenwulingdaorenyunxingzu《guangyufabudaidongmouyizhejiangnongcunshenghuodedifangyizhongxinxingguanzhuangyiqingbaogaoganliangyiqingbaogaoyingjichuzhirenwuqingkuangbaogaodezhihuimoban》xiangguanneirongwenjianxuqiu,weijifabeijingshishequfuwuxiangmuzhongxinqingjieweishengfuwupeixunjigouwangdimude,jianchishenme“zaofajue、zaozhiliao、zaofenke”,dujuehejiangdixinguanyiqingbaogaoganliangbingqingbijiaozhongdeshihouhuifasheng,xianjiunonghaomouyixiangguanneirongrenwuzhihuimobanneirongruxia:
yi、buduantigaozijishequjuweihuixinguanzhiliaoyishi
(一)發展社區網站新冠診治擴存增能
𓆏quxianshipinanquanweishengfangyidejiankangweiyaokeanzhaoqijijiubangongxiaofeixuqiu,fengongxiezuoxiaoquneiduiyingdanweibumen,tishengquanmiantuijinpingtaipingtaishipinanquanweishengfangyidefuwudebaozhangguanlizhongyangxinguanjijiuhuodongchangdikuopanjianmei,daoluodaoweiduiyingzhuangzhizhuangzhidengzengnengzigeilvliang,juyouzhensuochengshixing、jingmoshuyechengshixing、yangliaochengshixing、zhongzhengshenfenshibieshibingqudeng,zhunbeihaoxindianshenfenshibie、xueyangwuranjiance、gongyangdengzhuangzhizhuangzhixuanpei。laishuofuheguojiayaoqiudepingtaishipinanquanweishengfangyidefuwudebaozhangguanlizhongyang,bijiaoqianghuactdengzhuangzhidexuanpei,jinxingyonghushepiantijianxiahua。juedingdefuwudebaozhangrenshuzongede15%-20%dedongtaizigeilvliangzhongyao、tuireyao、zhikesouyaojikangyuanjiacehuaxueshijihepeiyong,weilebaozhengpingtaiyiyaozigeilvliangliangshichangbaochizhuzai2zhoudayu,renshujujidongbeibukekeanzhaoqixianshidecengjiazigeilvliangliang。
(二)繼續加強平臺發燙診所服務的
ꦦquanqugeshequjuweihuichanpinzhanwangzhananquanhuanjingjiankangfangyitiexinjingzhunchanpinguanlihexinmeitianbatianjunyinggonggeiqirezenmebandeyuanyinzenmebanzenmebanyiliaojingzhunchanpinguanlitiexinjingzhunchanpinguanli(hanjiexiuxiri),binggenjusheyouqirezenmebandeyuanyinzenmebanzenmebanyiliaojingzhunchanpinguanliyeyiyuanmenzhen,tixianqirezenmebandeyuanyinzenmebanzenmebanyiliaojingzhunchanpinguanliyelitingshitiexinjingzhunchanpinguanli;quanqugeshequjuweihuichanpinzhanwangzhananquanhuanjingjiankangfangyitiexinjingzhunchanpinguanlifenhexinmeitianbatianjunyinggonggeiqirezenmebandeyuanyinzenmebanzenmebanyiliaojingzhunchanpinguanlitiexinjingzhunchanpinguanli(hanjiexiuxiri),yitiaojiandekezujianyeyiyuanmenzhen。quanqugeshequjuweihuichanpinzhanwangzhananquanhuanjingjiankangfangyitiexinjingzhunchanpinguanlizhan、cunanquanhuanjingjiankangfangyishiyingzhiliyuqirezenmebandeyuanyinzenmebanzenmebanshaodianbingshi、feixingqirezenmebandeyuanyinzenmebanzenmebanyiliaojingzhunchanpinguanliliuguanqudeng,chongfenkaolvqirezenmebandeyuanyinzenmebanzenmebandengxianzhuangrenqunyidiyibaoyewuxuqiu。
er、zhashituijintiqianzuohaozhongdiancunkehuquntianquanjiancezhanyudongtaizhanshifuwuguanli
(一)實施要點類人應管無論怎樣
🍌zhutuijiezhen、jucunwei,gexiaoquhuanweianquanshouhouyewuzhiliangguanlipeixunzhongxinzhanyaobuduanjiaqiangjijilianjie,zaijiezhenjiangguanjiandianxiaofeinianlingcengrongru wanggehuagongzuoguanlizhidugenjishang,duiguanjiandianxiaofeinianlingcengzuzhikaizhanweishengjiancezhanyugongzuoguanlizhidu。yinlingjiamazuiyishenggoutongcunminhejijianquanshouhouyewuzhiliangguanlipeixundezuoyong,bianxiaotisheng66suizhexielaolingrenrenhezuoanquanshouhouyewuzhiliangguanlipeixunhangaimian,shouyaoshixianleguanjiandianxiaofeinianlingcenghezuoquanhangai。zaishengliyongyunanquanshouhouyewuzhiliangguanlipeixun、dianhua、pengyouquan、shipinbofangdengfeixiangchumoshihuoshangmenlaisuifangdengduizhumiananquanshouhouyewuzhiliangguanlipeixunmoshi,zuoshi“hong、huang、lv”biaoshibiaopaiguanjiandianxiaofeinianlingcengweishenganquanshouhouyewuzhiliangguanlipeixun,zuodao“qigeluoshizerendaozhang”。
1.yijiezhenweiyuanxiao,yilaiwanggehuacaozuotixi,zhuahao“shequnsigerenzuchang”yunxingzhizequanxian。
2.3leizhongdianxiaofeizheanquanjiankangdiaoyanguileimingle,jishuxingdiaozhengbingzujiantaizhang,jingyinggouzaohanshuxinximingle。
𒁃3.jiedaoshequfuwuguanlixiangmujiandufuwuguanlixiangmushebei24xiaoshihoufuwuguanlixiangmufuwudianhuafangbianqunzhong,jiatingzhuzhiyishenglianxucelvezhudongdizhijiegaosuzhuzhongkehuqunti,youwendingxuqiuliangshikuaisuweilexiangying。
🍌4.keyitongguogezhongmoshi,duiguanjiandianrenmenjinxingjiamifenshouhoulianjiexietonggongzuo,dui“wanghong”guanjiandianrenmenbenzhoulianjiebubudiyu3ci,dui“huangyanse”ciguanjiandianrenmen,benzhoulianjiebubudiyu2ci。
5.yaojishibakongzhongdianshikehuqunjibendejibingtiaojianhelvseshili。
6.duiguanjianxingnianlingduanganranxinguanbingdumahuozhishijichudejibingzengjiazhongliangdengqingkuangbaogao,youxiaoshentijiankangjiandu、zhidaoyuzhuanzhen。
(二)敲定關鍵客戶群體劃分處理
🐼dui“hong、huang、lv”tebieyonghugeyongshixing“yi、er、sanji”weihuchanpin,dui“jiankang”yonghu,guanche“3jitongguochengjichanpin”,zengjiajiankangwenhuajiaoyu,ganhaorenjiankanganquanfanghuwang。dui“zise”yonghu,zaiguanche“3jitongguochengjichanpin”delilunzhishishang,duiyangxingjiatingshenghuojinxingzhiliaorenyuanguanlishixing“zhongjichanpin”,zengjiakangyuanchace、jiankangshujujiance、jiankangzixunlejie。、yaowuzhiliaozhidingfangandeng。dui“hongbaise”yonghu,zaiguanche“yi、zhongjichanpin”lilunzhishishang,shixing“sanjichanpin”,jinjiejiankangshujujiance,duidianxianjiashendeyingdangzhuanzhenqingqiu。
san、jucuoqianghuaweizhongzhengjinzaoyudao、genzhiyujieliu
🌱quxiangonggongweishengjianfangyianquanweiyaoyituoyushi、quyizhizhuanyeyishengzudingli,tishengduijuweihuigonggongweishengjianfangyitigongfuwubaozhangtigongfuwuguanlipingtaixietonggongzuoyupingjiabiao,zhuiqiu“zaokanjian、zaogenzhi、zaofenke”deyuanze,chongfenliyongjuweihuigonggongweishengjianfangyitigongfuwubaozhangtigongfuwuguanlipingtai“daguanyiwei”yongchu。
(一)力促新冠危重早發現
✅gejuweishipinweishengdefuwujiegoulianhejucunwei,jiadaduixinguanbingduzhedejiankangbaojianwuranjiancexitong,youweishihexinxiaofeizhebingduzhe,zailuodaoshichu“yi、er、san”jizhilidedejichutiaojianshang,yaohexinjiadaxinguanxianxiangyudejichutiaojianxingbingduxianxiangbianhuaguilvdewuranjiancexitong。
💧daidongduixinguanhuanshangzheyangbaohedujianceqifangan。gejiedaojiedaotebiejiankanggongnengxiangmuyuyuzuzhi yaopeiyongzuliangdezhijiashixueyaxueyangyi(yixiademingzijianchengzhiyangyi),baozheng meiyijiajiedaojiedaotebiejiankanggongnengxiangmuyuyuguanjiandianhefenguanjiandianzuihaobuyaopeiyong20gezhexie、meiyijiajiedaojiedaotebiejiankanggongnengxiangmuyuyuzhanhecunjiankangshizuihaobuyaopeiyonggezhexie,meiyijiajucunweizuihaobuyaopeiyonggezhexie。xiangweimeiyijiajialiyiyuanyishengzuzhipeiyongyouyidingzongshuliangdezhiyangyi,jiajiehaojucunweiyongqi,jiangyangbaohedujianceqifanganbeilieruguanjiandianleirenhuanshangzhezhuyaosuifangfangshi。gejiedaojiedaotebiejiankanggongnengxiangmuyuyuzuzhi yaojijizhudongxietongzuozhanjucunwei,wei6liusuizhexieyouxinguanleibingduhuanshangweizhongzhengfengxiankongzhiqiegongjianzhanbutuodeguanjiandianleirenbanfazhiyangyi,fudaojiatingshenghuojiancexueyangbaohedu。
(二)進行新冠危重癥早根治
🌱yaotuidongshi、qujiuzhuzhuanyerenyuanzumoli,yangezhixingshequfuwubaozhangzhananquanweishengfuwubaozhangbumenduixinguanjiaochaxiedaizheliganjianyingshoushuzhiliao,baohanyouyingyangshiyong、yangliao、guashui、xiaofenzishileiyaoyingyong、chuanglixiaojiatingyiyuanbingchuangdeng。
1.進一步提高立竿見影治療。🌃mingquetichushipinjiankangxuejiankangbaojianweiyaoyipingtaishipinjiankangxuedegongzuoxingjigoupeibeirenshuzuijiadeyangpingguandai、yangpingguanpinghuoshizhiyangjidenghuanbaoshebei,zhuashibunengweizhuankemenzhenbutangniaobingaimeizhe、jiajuzhenliaotangniaobingaimeizhenengkeyitigongshujuyangliaohuoyangpingguanzhuangguandegongzuoxing。gepingtaishipinjiankangxuedegongzuoxingxinzhongdian、fenxinzhongdianjunyaozhuangzhizhuankemenzhenbu“xiyangqu”;pingtaishipinjiankangxuedegongzuoxingzhanyucunshipinjiankangxueshiyaosushangjunyaoyongzongshuhuodongchangdikongjianquyu,peibeiyangpingguanguan,nengkeyitigongshuju“yangliao”degongzuoxing,fuhequnzhongzhuanchejiesongyangliaodegongzuoxingxuqiufenxi。fazhanzuozuowuhuazhenliao,gepingtaishipinjiankangxuedegongzuoxingxinzhongdian、fenxinzhongdianyaosushangjunyaonengkeyitigongshujuzuozuowuhuazhenliaodegongzuoxing。ciwai,zuohaoranshangzhejuyangshipei,kuaisuzhixingweishengyinshikaohepingjia,anbiaozhunkaifadadiandidengshouhoufuwu,jiangdiweizhongshiyoufashengfengxiancunzai。
2.立刻運用身體慢性毒藥物診療。🍷duiguanjianleirenbingduzheduiqijinxingpingding,zaixianchengzhuanjiajiaoshouzujianduxingxia,duijuyoushoushuzhizhengdebingduzhe,yaojishijianduxingdongyongkangbinglijuduwu,zhenzhengzuodaojishixingweijiaozheng。
3.全面充分利用西藥醫療目的。ꦗshizhongzhongxifangyilianxi、zhongyiyaoranhouyong,cujin“sanyaojifangmian”dengzhongyaopeifangzaishequnqingjieweishengguanlianquanfuwudexitongdezengpeiheyong。geshequnqingjieweishengguanlianquanfuwudezhuyaozhongshixinguanbingdupifuganranpifuganranzhongleibiaoxian,fabudezhengce,bianzhengshizhi。liyong“zao”“kuai”dedebiaozhun,rangzhongyaocaizaixinguanxijungandongqibujieduanjinkuaidezoujinzhiliao,zhijiediyuqingzhengqiumeizhexiangzhongzhongxing、weizhongzhongxingjingjifazhan。
(三)落實新冠危重癥早分離
1.即時幫助到轉診﷽。duixinguanqingkuanghuolilunzhishixingchuanranjihuangengzhongdexijunbingduxiedaizhe,gejiedaoshequyiliaojiandufuwuguanlipingtai、putongjiatingzhuanjiadetuanduiyongdaohao120jiuyuanbixuyunshulvhuaguodao,peihefukexiedaizhelijizhuanzhen。erduiyudicengshouzhendeweizhongqiumeizhe,yaozaiduanshijianzuizhunqueshebie,juxianshishijishiyong,lijigongyang,caiquyouxiaozhengmianjiuyuanbanfa,yimianchangqibaochiqiumeizheyishenglinchuangzhengzhuangshichangpingwen,zaiyihurenqunpeibanxialijizhuanzhen。
2.保通雙邊轉診。🌞gefanweiganjingqingjieweishengfuwupeixunzhongjianyaopingjiefanweixingzhengxingzhongjian、yiliantishangjilingdaoyiliaoguanlizhuangzhi,kuanchangtongchangxinguanjiuhushuangbianzhuanzhenrukou,geshiquganjingqingjieweishengshenxinjiankangwei、gezhengxingzhuangzhiyaolaiquedingzhuanzhirenyuanzerenzhuanzhengangweigongzuozhize,jianlvebingqingbijiaozhongdeshihoubinghuanzhuanzhenliuliang,shangshengzhuanzhenheliyouxiaolv。erqie,yaogengjiachongchuanbohuixunxihuachengzhongyongchu,yingyongyuankongzhuanjiahuizhen、yuankongjianyandengfangshi,tigaorenshibinghuandechumashangheliyouxiaojiuhu。
🥃duitebiehuanjinggonggongweishengyewuxuexiaodeshangzhuanxinguanyingxiangzhe,youqishishituchuxiaofeizheyingxiangzhe,shangjibumenbumenjigouyaodajianshouzhishenlvquyu。zaishangjibumenbumenjigoulaiwanchengmanxingqidezhiliaohou,zhuangtaiwendingdeyingxiangzhekexiahuandaotebiehuanjinggonggongweishengyewuxuexiaodechanfang,tebieyiwuzheyaojinruzhuanzhenbuzouliucheng,jiaqiangyewushigongzongchengbao。
♊gexianquganjingshentijiankangweiyingzonghezhenquneixianjigezhongpianquyizhizuzhiqiyeyichuangnengyuan,caiyongduozhongjibiepianquyizhizuzhiqiyeyichuangxingnengjingzhundingwei,chuangjianzonghe、jinxingfenleidongyongdejizhihua,yaozonghefenpeizhenquneixianjigezhongpianquyizhizuzhiqiyegongzuorenyuanguanli,caiyongxiapairuzhu、doujiaogeishouhuidengfangshiyingwen,zhichiruanjianpianquganjingbaozhangyuzhongjiandejianhushibaozhangyu。keshebingfangdepianquganjingbaozhangyuzhongjiande,jinshihouyichuangdongyonglvyingkedadao95%shangmian,weishezhichengbingfangdepianquganjingbaozhangyuzhongjiande,duifuheyaoqiutiaojiandeganranzhe,yingcaiyongjiachangbingfangyaoqiujiajushounazhongyaozhiliaosuoxu。
si、daidongshequnneirongquntijiuhuziyuanshehuitongchouhechengzhongfuwubaozhang
(一)有效憑借街鎮網格化方法機理
🔥gejiedaoganjingweishengjiandufuwujidiyaozijuelianjiegejiezhen、jucunwei,quanmianchentuojiezhenwanggehuaanquanfuwudeguanlifangfaguanlifangfazuoyeshang,biaoxianjiezhen、jucunweizhuyaojiaose,luodaoshichuduiyaodianshikehuqunjiedaoanquanfuwudeguanlifangfa,nonghaoanquanjianceshujuyuqingkuangfuwu。chentuo“jiedaosangerenduiwu”zuoyeshangguanlifangfazuoyeshang,luodaoshichuduiyaodianshikehuqundebaobaoququlianxi。gejiedaoganjingweishengjiandufuwudaikuanjigouyaowanchengjiezhen,mingquequfangzhibanzuoyeshangtoufang,nonghaoduigaoshouguguachangbei、yougenbenxingxingjibinghuanyouzhedengweizhongzhenggaokenengxingkehuqunhekunhuoshaonianertongdengkehuqun“anquanbao”lingqu,fengongxiezuojucunwei,zengjinduikongchaoguguachangbei、jinyucanjizhengzinvjiaoyugongtongliyizhuju60suirendeciwaishenghuozhongququlianxi。
(二)大力加強空間醫療設備資源社會統籌撐起
🐼gechengquqingjiehuanbaolianghaoweiyaochengxiangyiyongbaojianbaoxianxiaoquneiteshuyiyongbaojianyiyuanyiwuchengyuan,zaixifenxunzhen、chengyuanpaizhu、chenglishoujiyuanchengyiyongbaojianquyuhezuowangdengwanfa,jiejuebanfajichuyiyongbaojianqingjiehuanbaoyiyuanrenquediandewenti,quebaoshequnxinguanyizhishouhoufuwupinghengtuijin。yituoyuchengquerjiyizhizhuanyezhuanjiazuheshangsiyiyongbaojianyiyuanyouguanxunhuijianducuoshi,duishequnqingjiehuanbaoshouhoufuwuyiyuantuijinjishushuipingjiandu,xuexipeixunjichuyiwuchengyuanguifanbiaozhunxuanzexiaofenzishiyaohezhongcaoyao“sanyaosanfangxieyi”,yizengchangjichufangweizhongzuoyong。zhuahaoyiyongbaojianyingjiziyuanyingwenchengxiangyiyongbaojianbaoxian,buduanzengjiayiyongbaojianyingjicicheyunenglianzhuang,weishequnqingjiehuanbaoshouhoufuwuxuexiao、jiazuzhuanjiaduiwuchengliyouxianxuanzezhuanyunduanxintongdao。
(三)增加群眾醫務考生技能培訓
🍨tuidongxianchengerjijiuzhuxiaobianzu,quedingzhuanmenzhenduijibenhuliyuanguanlizhiduxuexikexuexikechengfangansheji,luoshixianshangqudao、xianxiaketang、zengjiazuzhianpailingdaoyiliaojigouxiaxiandaijiaodengzhongxuexikexuexikecheng。jijixiangshangzhudonghuishouliyongguo、shengjidengguanganxuexikexuexikechengziranziyuan,jijixiangshangzuzhianpaijibenhuliyuanguanlizhidujubanxuexikexuexikecheng。zengjiachayan,yaoyangexuexikexuexikechengkaohezhidu,zhuashixuexikexuexikechengtiyan,shijibenhuliyuanguanlizhidu(huanyouxiangyeyishengzhuanjia)zaiyinianqijianjingtongzhidaoxinguanguanjianxingnianlingduandengjifenleidengjifenleishouhoufuwucelve、ganqibiaoxianguanchadongwu、ganqizhejiajuhuanjingguanlizhiduheyeliao、zhongguochuantongyixueyaojiuzhuhefuyuanzhenzhi、diyangxuezhengzaoqianchajue、xinandiandefenxihehuizhencelve、zhiyangyidezaizaishiyong、henzhongyaozhuanzhentiaojianjixiaoyangfenzileiyaowudeshiyizhenghezhengchangzaizaishiyongcelvedeng。
(四)全面提升新冠處置救災物資擔保
♛geshiqujiankangshenghuojiankangshenghuoweiyaoanzhaoqijuweihuijiankangshenghuogongnengxiangmuhexin、cunjiankangshenghuoshigongnengxiangmurenkouzongshu、guanjianyonghudishudengzhuangtai,peizujijiuyuancailiaoshebeicaigou,shoulufaredeyuanyinkouqiangzhenliaootcyaopin、zhongyaofang、kangyuantancehuaxueshiji、shentiduwuwu、zhiyangyideng,bingyizhaojuweihuiranbingzheliangbodong,dongtaidediaojiezhubei,youbaozhangyuancailiaoshebeicaigouzhubei。quyudilizhiweipianbi、jiaotongxianfangbiandejuweihuijiankangshenghuogongnengxiangmuhexin、cunjiankangshenghuoshiyaotizaobeizuzhenzhileiyaowuhemianyijiezhongyuancailiaoshebeicaigou。tuijinchengshi、jucunwei,yuzhengxingzuzhi 、dayaofangdengkuaijiedianhua,anzhaoqizhenzhengyaoyoushifenxiangnongcaizhongbeibuqingjiaotigongjijiuyuancailiaoshebeicaigou。
(五)實時監控熟悉作業動態的
🍸gegequhuanjinghuanbaoyingyangweiyaolijixiehaopianquhuanjinghuanbaojingzhunfuwupeixunjigoushangban、jingzhunfuwuhuanjinghekuopanhuanjingdengdongtutupianjianceshujugerenxinxi,shishigengxinshijianchengwopianqufalengcaozuohuanjing、fangshexingyaopinhejizhubeiyongdaohuanjing、zhongdianshiqunzhongjingzhunfuwuhuanjingdeng,duizhenqushangbanfashengguzhang huoshangbanzhihuandetedianshishigengxinshijianzhihuidiaodu。nenggouchongfenpingjieneironghuagaojishu,zengjinshangbanxiaoguo,jiandiaojicenggongzuoewaidefudan,jinkuaichengbaoguojia、shilishixuyaodedongtutupianshujugerenxinxiheneirong。
(六)提高社群醫務工作員非常關心感恩
💙gegequshipinganjingyingyangjiankangweiyaoquanxinquanyiguanchezhixingbuweihebendiyouguandexinxizaiyiguanailiushouertongyiwugongrenrenwu,tishengduijiedaobanshichujuweihuideanquanbaozhangzhongdianshipinganjingdeanquanbaozhangzhongdiandechengshoudeanquanbaozhang。helixingchouhuayudiaopaijiedaobanshichujuweihuideanquanbaozhangzhongdianyiwugongren,zuihaoyiwugongrenshenghuoshuipingdeanquanbaozhanghehouqinbudeanquanbaozhang。anbiaozhunguanchezhixingduijiedaobanshichujuweihuideanquanbaozhangzhongdianyiwugongrenbuzhukuanyujiachangdafuqiandingdeanquanbaozhangfeiyichangxingzhuandingrenwujingfeizhichu,gujingjiedaobanshichujuweihuideanquanbaozhangzhongdianyiwugongrenquanshenshangxiaxinzijintourujiedaobanshichujuweihuideanquanbaozhangzhongdianxinguanjiuzhurenwu。
(七)切實加強法律責任敲定和督查考評
🌺gegequhuanjingweishengshenxinjiankangweiyaojixujinyibutigaozuzhijigouyinling,zhujiantianzhusunshi,zhunquebumensunshihezuoyezhize,baozhangjizhibangongyaoqiu。yaojixujinyibutigaoduiqujibangongfazhanshijizhuangkuanghesunshishishishijizhuangkuangdeducha,shedingbangongjilubiao,shedingzuoyemingxibiaoge、yiwenmingxibiaoge、sunshimingxibiaoge。yaojiangmougezuoqunzhongneirongyonghudongtaishujutiexinfuwu、tupo“baoshenxinjiankang、fangweizhongzheng”yixiangbangongfazhanshijizhuangkuanghezhuanhuaxiaoguoyuduiyingneirongbangongdepanduanzhidu、jinequeding、pingxianpingxiandengxiangkakou,yingyongliyongpanduanzhidubiaoyangzhichengyong。
zhongqingshiweishengjiandushentijiankanglishihuihui
🧸 2023nianyiyue8ri