争分夺秒（2015）

Critical S01E03

Part 3 Jan. 6, 2021, 2:20 p.m.

Then here we go.
吸引器纱布
Suction. Packs.
拉钩
Morris.
(拉钩: 又称牵开器用以牵开组织显露手术野
便于探查和操作)
给我
Hit me.
给我
To me.
三
Three.
一
One.
二腹部塞入十条纱布
Two. Ten in the abdomen.
已用15条
15 in.
可以打开钳子了吗
Am I OK to unclamp?
是的准备好了吗
Yeah. Ready?
准备好了可以了老大
Ready. OK, boss.
我要松开一半好
I'm going to unclamp by a half. Fine.
可以吗可以
OK? OK.
一半好了
Half. There.
血压下降
Pressure dropping.
维持
Holding.
维持
Holding.
好
OK.
可以试一下打开四分之三吗好
Am I OK to risk three-quarters? Fine.
可以吗可以
Yeah? Yep.
四分之三
Three-quarters.
好了
There.
下降
Dropping.
维持
Holding.
维持
Holding.
好好
OK. OK.
可以全部松开吗做吧
Can I go all the way? Do it.
全部松开了
That's all the way.
下降
Dropping.
下降加油
Dropping. Come on.
加油啊
Come on!
下降
Dropping.
维持
Holding.
病人稳定看起来不错
Patient is stable. Looking good.
喔有点上升
Ooh! Bit of a rise.
哈好极了
Ha! Nice.
或许我们现在可以看一下腿了?
Maybe we could look at the legs now?
好的很快看一下请放图像
Yeah, quickly. Images, please.
下一张
Image.
下一张
Image.
下一张
Image.
该死好吧
Shit! OK.
非常感谢没问题
Thank you very much. No problem.
为什么还穿着鞋子没人敢脱
Why's the shoe still on? No-one dared take it off.
请给丽贝卡戴两层手套
Can we double glove Rebecca, please.
请给我七号♥ 手套
Seven's please. Gloves.
钳子松开了
Clamps off.
所以在寻找出血点前先把胸部重新包起来
Let's re-pack the chest before we hunt down the bleeds.
请给我纱布
Packs, please.
再来
And again.
胸部塞入两条已用两条
Two in the chest. Two in.
格伦
Glen?
你没事吧没事
You OK? Yes.
交给我吧
I'll take it.
去脱手套
Get the gloves.
博伊尔先生怎么了
Mr Boyle? Yeah?
事实上我不太好我可以先歇一歇吗
Actually, I'm not OK. Can I have a minute, please?
当然
Absolutely.
请给她一杯水
Someone bring her a cup of water, please.
我去拿
I'll go.
你需要听一下他的血气检查结果说吧
You need to hear his gases. Go on.
他筋疲力竭了当你恢复体循环的时候
Well, he's knackered. When you restore his circulation,
他的双腿会大出血的
a whole pile of shit is going to come out of those legs.
保住腿的话病人就会死吗
Save the legs but the patient dies?
不不会让他在我手底下出这种事
Oh, no. Not on my watch.
告诉我他现在的血压情况
Tell me his haemodynamics.
没有动脉钳血压依旧维持很好
Pressure's holding off-clamp. Good.
锯掉他的腿
We're taking his legs.
我要开始止血了
I'm going to proceed with haemostasis.
比利请你再呼叫一次血库
Billy, can you put in another call to blood bank, please.
第三包 12-8-4-2 请给我钢圈好吗
Pack C. 12-8-4-2. Can I have the ring-plates?
12单位的交叉配血 8单位新鲜冰冻血浆
12 units of crossmatch, eight units of FFP,...
谢谢 4单位血小板和2单位冷凝蛋白质
Thank you. four of platelets and two of cryo.
(冷凝蛋白质: 病患纤维蛋白原偏低时输入可帮助凝血)
现在我要结扎两边的髂动脉结扎线
I'm going to sloop the iliacs while I'm here. Sloops.
你还好吗谢谢
You good? Thank you.
好把腿锯掉
OK. Take the legs.
按照你自己的速度来大面♥积♥清创好吗
Crack on in your own time, wide debridement, yes?
我们一个区一个区的打开止住出血点
OK, we're going to unpack quadrant by quadrant, lock down the bleeds.
我需要在膝盖弯曲处将腿支撑45度楔子
I need the legs supported in knee flexion 45 degrees. Wedge.
手术刀
Blade.
拿出来一条
One out.
两条
Two.
锯子
Saw.
你没事吧是的谢谢
You OK? Yep. Thank you.
下部两个区已经打开手术刀
Lower quadrants are unpacked. Blade.
下部两个区没有明显的出血点
There are no obvious sources of bleeding in the lower quadrants.
也没有明显腹膜后出血血压维持
And no obvious retroperitoneal bleed. BP is holding.
我现在要结扎髂动脉了能拿一下吗
I'll go for the iliacs now. Can you hold that?
谢谢
Thank you.
另一边能请你来吗
Can you do the other side, please?
钳子
Clips.
好了我们控制住髂动脉了你可以松开止血带了
OK, we have control of the iliacs. You can release the tourniquets.
拿出四条拿出四条纱布
Four out. Four packs out.
直接送去楼下食堂吧
Those are going straight down the canteen.
用不着花时间弄得很漂亮
Don't waste time making them look pretty.
心胸外科和普外科真的一个人都来不了吗
Have we seriously still not got anyone from cardiothoracics or gen-surg?
请谁去催一下
Someone chase them, please.
就不应该让我们催...
We shouldn't have to be chasing...
就不应该让我们催的
We shouldn't have to be chasing them.
你好这里是创伤手术室请告诉我们
Hello, this is trauma theatre. Can you please advise us when
心胸外科和普外科医生何时才能到场好吗
we will be able to welcome the cardiothoracic and general-surgeons?
是的非常感谢
Yes. Thank you very much.
他们会再次紧急呼叫
They're fast-bleeping them again.
那接下来呢
Well? What's next?
打开左上区继续止血
Unpack the left upper quadrant and continue the haemostasis, please.
拿出一条两条
One out. Two.
该死
Shit!
脾脏大出血
Haemorrhaging around the spleen.
血压在下降
BP is dropping.
在直线下降!
It's crashing!
该死该死他快流血致死了
Shit! Shit! He's bleeding out!
吸引器
Suction!
请再次夹上动脉钳钳子快
Get him reclamped, please. Clamp. Quickly!
血包呢快快快比利赶快输进去
Where's that blood? Quick, quick, quick, Billy. Just bang it in.
对正在输进去加油血压还在下降
Yeah, banging it in. Come on, it's still dropping.
已经重新夹上
Reclamped.
血库送来的血
Delivery from blood bank.
快快
Quick. Quickly.
现在钳子在控制着腹腔流血
The clamp's controlling the abdominal bleeding for now
但我们要摘除脾脏
but we're taking the spleen.
血压还是很低他快不行了
BP's still very low. He's shutting down.
赶紧输血
Well, let's fill him up.
我们可以继续用快速滴液输血
Well, we can keep going with the rapid infuser...
那就这么做吧
Then let's do that.
继续输交叉配血
Keep the crossmatch,
新鲜冷冻血浆和血小板不要停血管夹
FFP and platelets going. Dardik, please.
纱布和绷带两份纱布与绷带
Gauze and bandages. Gauze and bandages times two.
手术镊弯血管钳缝线
Forceps, Lahey, ties.