急诊室的故事

ER S02E10

Part 7 March 14, 2020, 9:23 p.m.

Cross clamp him now.
夹钳
Statinsky.
子弹伤及了主动脉
Bullet severed the aorta.
开始内部挤压
Start internal compressions
拜托快点
Come on, hurry up in there!
谢谢
Thank you!
该死
Damn.
看路
Hey! Watch out!
神父去哪了
Where's the priest?
二床
Curtain two.
胸片显示纵膈增宽
Widened mediastinum...
死亡时间 4:17
Time of death: 4:17.
老天
Oh, man.
老天不
Oh, man, no.
天哪
Oh, man.
做点什么吧
Do something.
再想想办法吧
Do something else.
在抢救一下吧老天
Try and do something, man.
没用的
It won't help.
我很抱歉
I'm sorry.
天哪
Oh, man.
给他找个神父
Well, get... get him a priest.
你们能做到的对吧
You guys can do that, right?
你们能给他找个神父吧
You guys can get him a priest.
莉迪亚你能不能去一趟楼上
Lydia, can you, uh... run upstairs
看能不能请到牧师
And try to find the chaplain?
他肯定想要个神父
He'd want a priest.
*四只鸣唱的鸟儿三只法国♥母♥鸡*
*Four calling birds, three French hens*
*两只鸠*
*Two turtle doves*
*还有一只站在梨树上的鹧鸪鸟*
*And a partridge in a pear tree*
*在圣诞节的第十二天*
*On the twelfth day of Christmas*
*我的真爱送给我*
*My true love gave to me*
*十二个五音不全的医生*
*Twelve tone-deaf doctors*
*十一个逞威风的贵族*
*Eleven lords a-lording*
*十个打鼓的鼓手*
*Ten drummers drumming*
*九个什么的什么*
*Nine something something*
*八个挤奶的女仆*
*Eight maids a-milking*
*七只乱拍的天鹅*
*Seven swans a-swatting*
*六只搞笑的大鹅*
*Six geese a-gagging*
*五只金戒指*
*Five golden rings*
*四只鸣唱的鸟儿三只法国♥母♥鸡*
*Four calling birds, three French hens*
*两只鸠*
*Two turtle doves*
*还有一只站在梨树上的鹧鸪鸟*
*And a partridge in a pear tree*
谢谢你们
Thank you.
*我们祝你圣诞快乐*
*We wish you a merry Christmas*
*我们祝你圣诞快乐*
*We wish you a merry Christmas*
*我们祝你圣诞快乐*
*We wish you a merry Christmas*
*新年快乐*
*And a happy new year*
突然间一大群天神
And suddenly, there was with the angel
和天使一起
a multitude of the heavenly host
赞颂上帝说"荣耀属于至高之处的天主
praising god and saying, "Glory to the god in the highest,
主爱的人们在世间享平安"
and on earth, peace and goodwill toward men..."
一个小老太太突然背痛
L.O.L. with sudden back pain.
她出汗喘不上气
She's diaphoretic, short of breath.
她有病史吗
What's her history?
高血压血压220/140
Hypertension. She's 220/140.
叫马克来
Call Mark.
让卡特立即下来
Get Carter down here now.
遵命长官
Aye-aye, sir.
我的背痛得像被撕裂了
My back. It's ripping apart.
医生帮帮她
Doctor, help her.
什么时候开始疼痛的
When did this pain start?
二十分钟前
20 minutes ago.
那会我们正在购物
We were shopping.
脉搏丧失
Loss of pulses.
主动脉瓣反流
Aortic regurge.
拍个胸片做个血管造影
Let's get a chest film, an angiogram.
用心得安 1毫克静脉注射
Propranolol-- one milligram I.V. bolus.
建立动脉管路
Set up an art line.
是心脏病发作吗
Is it a heart attack?
不是先生你妻子的心电图正常
No, sir. Your wife's E.K.G. is normal.
我要做一些检测
I'm ordering tests
看看她是否患有夹层主动脉瘤
to see if she has a dissecting aneurysm.
血压在下降
Pressure's coming down.
开始注射硝普酸钠
Start sodium nitroprusside
每分钟50毫克
50 micrograms per minute.
滴定测量直到舒张压100
Titrate to a diastolic of 100.
通知手术室
Alert the O.R.
现在什么情况
What do we got?
急性主动脉夹层分离
Acute aortic dissection.
需要我通知手术室吗
Want me to call the O.R.?
通知了我需要你跟这位先生谈谈他叫...
Done. I need you to talk to mister, uh...
-卢巴度 -好的
- Rubadoux.- Ok.
解释手术过程让他同意手术进行
Explain the procedure. Get consented for the clamp and run.
明白吗
You understand?
好的
Ok.
我妻子需要做手术吗
Does my wife need an operation?
可能需要先生
She might, sir.
如果你跟我来我会跟你解释的
If you'll come with me, I'll explain it to you.
好的
Ok.
我的和医生去一趟亲爱的
I got to go with the doctor, sweetheart.
马上就回来
I'll be right back.
这边请
Just down this way.
这唱的有我们想的那样糟糕吗
Were we as bad as we thought we'd be?
比那还糟糕
It was worse.
其实还不错
It was great.
卡拉斯先生我很抱歉...
Mr. Calus, I'm so sorry...
马克你看见卡拉斯先生了吗
Mark, have you seen mr. Calus?
他刚还在那
Yeah, he was just in there.
这显示本顿医生担心的情况是真的
This shows what dr. Benton feared is true--
你的妻子患有夹层动脉瘤
your wife has a dissecting aneurysm.
主动脉管壁撕裂了
The wall of the aorta is tearing.
而且考虑到你妻子的年纪
And with your wife's age
和她高血压的病史
and her history of hypertension...
但她非常有活力呀
But she's very active.
但手术依然有风险
Still, surgery's a risk.
手术成功几率多少
What are the odds?
大概百分之五十
About 50/50.
但如果你妻子的动脉壁继续撕裂
But if your wife's aorta continues ripping
那也就回天乏术了
then she has no odds at all.
听起来我没得选了
Sounds like we have no choice here.
好吧我签字
Okay, I'll sign.
你可以选择一种新的手术方法
Well, you have a choice of a new surgical technique:
主动脉阻断术
The clamp and run procedure.
这个的好处在与标准化手术耗时相比
This has the benefit of being completed
只需要用很少的时间就能完成手术
in a fraction of the time the standard surgery takes.
这个好在哪儿
Why is that better?
即使进行了这个手术
You always run a risk
依然可能出现心脏病或者中风病症
of heart attack or paralysis with this operation.
是新技术吗
It's new?
是的这是全国最顶尖的
Mm-hmm. Developed by one
血管外科医生研究出来的治疗方法
of the top vascular surgeons in the country
他就是本院的医生
And he works here.
新技术就更好吗
Newer is better?
我不知道我不知道怎么选
I don't know. I don't know.
你说了算
It's up to you.
但是
But...
你你会建议我选择这种新的方式吗
You... you'd go with the new thing?
是的
I would.
你会的
you would.
那好我要在哪签字