The Saturday night accident occurred when a semt-truck lost control and crashed into a line of vehicles in northwest China's Gansu province, Reuters reported.
However, according to China's Xinhua news, the lorry driver told authorities his brakes failed as he travelled down a hill towards the toll station.
Ten of the 44 injured people were seriously injured, according to local government.
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The day before this tragedy, seven people lost their lives in a traffic accident caused by an out-of-control heavy-duty truck crossing into the opposite lane and hitting oncoming traffic in Yingjing county, Sichuan province. The Gansu provincial authorities demanded examination on risky sections of expressways across the province.
Images show twisted metal and debris littering the road, while the toll station, which leads to Lanzhou, has been closed.
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The semi-trailer was registered to Li's home northeastern Liaoning province, more than 2,000 kilometres from the scene of the accident.
The accidents follow a dramatic October 28 highway crash in southwestern China that killed 15 people.
Chongquing police also released dashcam video from a nearby auto showing the bus crash.
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