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From: MDBG CC-CEDICT Chinese-English Dictionary 漢英字典

 拼死拼活 [ㄆㄧㄣ ㄙˇ ㄆㄧㄣ ㄏㄨㄛˊ; pin1 si3 pin1 huo2]
 one's utmost
 (to fight or work) desperately hard
 to put up a life or death struggle
 at all costs