芝加哥急救

Chicago Med S02E02

Part 5 Jan. 23, 2020, 12:07 p.m.

那好但你要知道
Okay, you know that
如果我开了口
if I do that,
我就是在暗示她的父母她已经彻底没救了
I'm insinuating to her parents that she's definitely gone.
你让我很难做
You are putting me in a terrible position.
你说得对
You're right.
提姆出生时他没有呼吸
When Tim was born, he wasn't breathing.
我为他做的第一个手术
I performed his first surgery.
他醒来后第一个见到的是我
When he came to, I was the first person he saw.
他的小手抓着我的手指
And he put his hand around my finger.
求你了小娜
Please, Nat.
我不能失去这个孩子
I-I can't lose this kid.
大概凌晨两点突然停电了
So, it's about 2:00 in the morning, pitch black out.
双方交火都是手♥枪♥
We start taking fire. Small arms.
只有几个坏人
Just a few bad guys.
我们有个人跳进干河床找掩护
One of our guys drops into a wadi for cover.
脚部中枪
Gets hit right in the foot.
天啊
Oh, man.
我找到他时他疼得满地打滚
When I get to him he's writhing in agony.
我那手电筒照他的脚
I shine my light on his boot,
看到两处细小的刺伤
see two tiny puncture wounds.
怎么回事
So what was going on?
我慢慢照亮河床
Slowly, I light up the wadi,
就在不远处有只眼镜蛇正盯着我
and right there, staring back at me, is a cobra.
不是吧
Get the hell out.
吐着信子准备再次进攻
Hood flared. Ready to strike again.
太扯了
Man, that's insane.
我们刚听说那个硬汉马可
We just heard. Our banger, Marco?
胸部CT显示子弹不在中线位置
CT chest showed the bullet isn't in the midline
也没碰到主动脉
or touching the aorta.
而是在左侧椎旁肌里
It's in the left paraspinal muscles.
要手术取出来吗
Surgeon gonna go in and get it?
不用医生说无碍
No. Says it's harmless.
留在那里很安全
Safer just to leave it there.
过几天就没事了
Should be as good as new in a few days.
就可以出院了
And back on the street.
没错
Yeah.
这里也有毒蛇啊
Snakes here too.
器官捐赠
Organ donation?
艾莉西亚脑死亡了吗
So Alicia's brain dead?
检测结果还没出来
The test results have not come back yet.
那你为什么要让我们宝宝捐赠器官
Then why are you even here asking us to cut up our baby?
我不是这个意思
No, that's not what I'm saying.
-你放弃她了吗 -没有
- Have you given up on her? - No!
我发誓
No, I swear,
我正在尽全力诊断你们的女儿
I'm doing everything in my power to diagnose your daughter.
我不信
I don't believe this!
艾莉西亚生死未卜
Alicia's life is hanging in the balance,
-我们宝贝女儿 -安德烈
- our baby girl! - Andre, just--
她说没希望了
She's saying there's no hope.
但明明就有艾莉西亚还活着
But there is. Alicia is still alive.
她应该是我们的医生
She's supposed to be our doctor.
詹姆斯先生不要这样
Mr. James, please.
我知道这事很难接受
I know that this is difficult to process,
但现实是
but the reality is,
我们还不知道检测结果
we don't know what the test results are gonna say.
现在还有个宝宝在努力求生
And right now there's a baby fighting to survive,
和艾莉西亚一样的宝宝
a baby just like Alicia.
还需要什么
What would it require?
我们已经有了艾莉西亚的血液
We already have Alicia's blood.
你们只需同意检测就好
All I'm asking is that you allow us to test it.
艾莉西亚血型匹配
Alicia's a match.
是啊
Yeah.
我知道这事并不容易
I know this wasn't easy.
谢谢
Thank you.
作为医生
You know, as a doctor,
你会愿意倾尽全力抢救病患
you want to do everything in your power to save your patient.
我也正在这么做
And I am.
但现在
But it's just now,
我要是救自己的病患
if I save my patient,
你的病患就活不下来了
it means yours won't make it.
麦格雷戈盖尔先生长了个垂体瘤
Mr. Mcgregor has a pituitary tumor.
很大一个
A big one.
好像压♥迫♥了视交叉
Appears to be pressing on the optic chiasm.
如果他视力受损
Which, if his vision is impaired,
这就能解释他摔倒的原因了
could explain why he fell.
你觉得肿瘤长了多久
How long do you think it's been there?
从尺寸来看至少十年
Based on the size, a decade. Maybe even longer.
梅格斯菲尔德在03年被拆
Meigs field was torn down in '03.
04年萨米·索萨和摩伊希斯·阿鲁
In '04, Sammy Sosa and Moises Alou
还在瑞格利队打球
were still fixtures at Wrigley.
举办成人礼的那个餐馆
The restaurant where the quinceanera took place
当时还在营业
was still open for business.
这期间麦格雷戈盖尔先生的肿瘤持续变大
All the while, Mr. Mcgregor's tumor is likely growing.
给视交叉施压
Putting pressure on his optic chiasm.
他依然堵塞严重
He's still really congested.
给他做个胸部X光注射五毫克呋♥塞♥米♥
Order a chest x-ray and give him 5 milligrams of lasix
看能否排除部分液体
to try and clear some of the fluid.
罗德斯医生他的病情好像恶化得很快
Dr. Rhodes, it seems like he's getting worse pretty quickly.
他能撑到移植手术吗
Is he gonna make it to the transplant?
你知道我们上个月做了什么吗
Do you know what we did last month?
我们买♥♥了个儿童座椅
We bought a car seat.
我们以为他终于能出儿童重症监护室了
We were so sure that we were gonna beat the PICU,
终于能带宝宝回家了
finally take our baby boy home.
战斗还没结束
The fight is not over yet.
你们现在最重要的事
The important thing for you right now
就是活在当下
is to try and stay in the present.
什么情况
What do we got?
乔伊·比林斯 44岁女性
Joy Billings, 44 year old female.
没有生命体征胸部中弹
Triple zero. GSW to the chest.
右胸有18规格的静脉注射
18 gauge IV in the right AC.
根据规定没有给药
No drugs given per protocol.
-紧急情况 -失去生命体征时间
- Baghdad's alive! - Down time?
-大概八分钟 -什么情况
- Roughly eight minutes. - What happened?
她和孩子在看电视
Watching TV with her kids.
黑帮在屋外火拼
Rival gangs start blasting at each other outside.
一颗榴弹进了屋里
Stray bullet ripped into the house.
听我口令一起抬
All right, let's move her on my count.
准备一二三
Ready, one, two, three.
联♥系♥血库
Call the blood bank.
-警方抓到凶手了吗 -抓到了
- Police get the shooters? - Yeah.
是今早那孩子的兄弟马可
Buddies of the kid from this morning, Marco.
-呼吸音两侧都有 -她失血过多
- Breath sounds bilaterally. - She's lost a lot of blood.
准备进行大量快速输血
Trigger the MTP. Hang blood on the rapid transfuser.
麦基我们需要创伤外科医生
Maggie, need a trauma surgeon now.
她在手术室还要三分钟
She's in the OR. Three minutes.
太久了准备胸部手术盘
That's too long. Chest tray.
你要为她开胸吗
You're gonna cut her open?
首次切开
First incision.
二次切开
Second incision.
医护兵你来接手
Corpsman, need you to take over
我要十字钳夹住她的主动脉
so I can cross clamp her aorta.
好的
Yes, sir.
像鼓掌一样反复按压
Back and forth as if you were clapping.
进入
In.
停止按压
Hold compressions.
继续按压注射一毫克肾上腺素
Resume compressions. Milligram of epi.
停
Hold.
继续
Resume.
停
Hold.
跳啊可恶跳啊拜托
Beat, damn it, beat. Come on.