急诊室的故事
ER
第一季
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急诊室的故事
ER S01E11
Part 1
Nov. 22, 2019, 11:57 a.m.
礼物
圣诞老人
Santa!
圣诞老人
Santa!
圣诞老人
Santa!
圣诞老人 醒醒
Santa Claus, wake up!
圣诞老人 你还好吗
Santa, you okay?
圣诞老人
Santa.
我一定是打瞌睡了
I must've dozed off.
醒过来有点晕
I woke up feeling a little dizzy.
肯定是因为连着上了两班
Must be those double shifts.
过来 我们给你检查一下
Come on back, we'll check you out.
好了 起
Alright, up.
天呐十点了 孩子们肯定排队排了几个街区了
Oh, my god, it's 10:00! Kids will be lined up for blocks.
我得走了
I gotta go!
你得先去看看医生
I think you should see a doctor first.
-但是我已经迟到了 -至少让我给你量个血压
- But I'm already late. - Least let me check your pressure.
你在服用什么药物吗
Are you taking any medication?
我已经好多了 谢谢你年轻人 总之谢谢你
I'm feeling a lot better. Thanks, young man. Thanks, anyway.
我给瑞秋买♥♥了冰鞋 但不知道给珍买♥♥什么
I've got skates for Rachel, but I never know what to get Jen.
距离圣诞只剩六小时购物时间了
Only six shopping hours till Christmas.
不敢相信我竟然拖到了最后
I can't believe I waited till the last minute.
我得弥补一下去年
I gotta make up for last year.
-你给她买♥♥的什么 -手持吸尘器
- What'd you get her? - Dustbuster.
给她买♥♥把扫帚 更便宜
Get her a broom, it's cheaper.
我已经想破头了
I'm running out of ideas.
去菲尔茨商场
Ok. Go to Fields.
把你的病人的情况告诉我 我替你
Fill me in on your patients. I'll cover for you.
-你确定吗 -一小时之内回来
- You sure? - Be back in an hour.
-能借你的车吗 -克洛伊开走了
- Can I borrow your car? - Chloe has it.
格林医生
Dr. Greene,
弗里曼 津伯格和吴等着出院
Freeman, Zimberg and Woo are waiting to be discharged.
听起来像一家国际律师事务所
Sounds like an international law firm.
-给 -谢谢
- Here. - Thanks.
进去要小心 因为瑞吉娜总是出现幻觉
Be careful going in here because Regina's busy hallucinating.
奥尼尔先生开坚果罐头时把手也割开了
Mr. O'Neill opened up his hand along with a can of nuts.
直升机一会送来一个头部受伤患者
Incoming head trauma on the chopper!
好 苏珊 替我一会儿
Okay. Susan, take over for me?
苏珊 一号♥房♥有一个电灼伤病人
Susan, there's an electrical burn in 1...
二号♥房♥的"浑身虚弱晕眩"
...A "weak and dizzy all over" in 2...
一个软骨撕裂的在三号♥房♥等
...and torn cartilage waiting in 3.
刘易斯医生 神秘圣诞老人送的
Dr. Lewis. From your Secret Santa.
那个 行吧
You know, okay.
我要去做个腰椎穿刺 能帮我做革兰氏染色吗
I'm tied up with an LP. Will you Gram stain that for me?
给 谢了 圣诞快乐
There, thanks. Merry Christmas.
哈蕾的软糖
Haleh's fudge?
你都把我宠坏了 杰瑞
You're spoiling me, Jerry.
帮帮我 帮帮我 帮帮我
Help me! Help me! Help me!
快来人帮帮我 我儿子快死了
Somebody help me, my son's dying!
我是医生 把孩子给我 我抱住了
I'm a doctor. Give me your kid. I got him, I got him.
他掉进湖里了
He fell in the lake.
请帮帮他 莫里 莫里
Please help him. Murray! Murray!
-溺水 -莫里
- Near drowning! - Murray!
这孩子已经冻僵了 创伤一室
This kid's frozen. Trauma 1.
他发绀了
He's cyanotic.
都是我的错
It's all my fault.
莫里 求你千万别死 千万别
Murray, don't die please. Please don't.
先生 你往后点 带他出去
Sir, you gotta back up. Get him out of here!
你得跟我过来
You gotta come with me.
先生 你得到后面来等
Sir! You have to wait back here.
我要待在这
I have to stay right here.
他没有呼吸了 开始肺部抽吸
He's not breathing. Start pulmonary suction.
喉镜
Laryngoscope.
5.5气道内管插管
Five-and-a-half ET tube?
对 很好
Yeah, perfect.
撑住 小家伙
Come on, little guy.
管子插♥进♥去了
Tube's in.
把水吸出来然后上气囊
Suck the water out of him then bag him.
康妮 给他验血 血凝率再拍个胸片
Connie, I want blood studies, a coag panel and chest film.
出什么事了
What happened?
我带他去冰钓 莫里跑在前面然后掉进去了
I took him ice fishing. Murray ran ahead and fell in.
他在水下多久 多久
How long was he under? How long?
-我不知道 -上气囊
- I don't know. - Let's bag him.
大概五分钟吧 我找不到他
Five minutes, maybe. I couldn't find him.
血压30 脉搏很微弱
BP's 30 palp, pulse is weak.
心搏过缓 心率32
He's bradycardic, heart rate's 32.
-体温多少 -27摄氏度
- What's his temp? - 80.
让他暖起来 不然就不行了
Warm him up or we'll lose him.
万福玛利亚 圣慈之心 主与你同在
Hail Mary, full of grace, The Lord is with thee.
在妇女中颇受赞颂
Blessed art Thou among women.
保佑子♥宫♥中的后代 耶稣
Blessed is the fruit of thy womb, Jesus.
圣母玛利亚 为我们罪人祈祷
Holy Mary, Mother of God, Pray for us sinners.
现在还有
Now and at the...
上帝 别把我儿子带走
Oh, God, don't take my little boy!
求你别把我儿子带走
Please don't take my son.
给他吸加热过的润湿的氧气
Put him on heated, humidified O-2.
把抽吸管给我
I need the suction cath.
加热过的静脉液在这
The warmed IVs are here.
做个胸膜灌洗让他的心脏热起来怎么样
How about a pleural lavage to warm his heart?
好 好主意
Yeah, good idea.
莉迪亚 给我拿两根周长36的
Lydia, grab me two 36
-胸腔闭式引流管 -好
- French thoracostomy tubes. - Right.
我们要可能要做心肺分流
We may have to do a cardiopulmonary bypass. All right?
好了 卡特 你知道该怎么做 去吧
All right, Carter, you know the drill. Come on!
一直低着头
Keep your head down!
什么情况
What do you got?
25岁男性
Twenty-five-year-old male.
在高尔夫球场上撞了雪地摩托
Crashed his snowmobile on a golf course,
没戴头盔 发现时已昏迷
no helmet. Found him comatose.
脉搏110 血压正常140/90
Pulse 110. Normotensive, 140 over 90.
呼吸12且微弱 在现场给他插管了
Resp's 12 and agonal. Tubed him in the field.
神经系统检查呢
Neuro exam?
昏迷指数4 右侧瞳孔放大
GCS four, right pupil blown.
去脑强直
Decerebrate posturing.
准备好了
Ready.
-心搏停止 -打点阿斯托品吗
- He's in asystole. - How about atropine?
-体温太低了 -我摸不到脉搏
- Body temp's too low. - I'm not getting a pulse.
挺住 莫里 别在这个时候放弃
Come on, Murray. Don't give up on me now.
撑住 小伙子
Come on, pal.
把急救车推过来
Get the crash cart over here!
加油 莫里
Come on, Murray.
撑住
Stay with us.
好了 走吧 卡特 诊断结果
All right, let's go. Carter, diagnosis?
右脑硬膜下血肿 同侧瞳孔扩大
Hematoma, right side of the brain. Same as the blown pupil.
-预后呢 -差
- Prognosis? - Poor.
昏迷指数4
With a Glasgow score of 4,
他现在这样已经算很好的了
I think he's doing as good as a rock.
走吧 大伙 快走 快走
Let's go, people, move, move, move! Let's go!
快 把他解开
All right, hurry up. Unstrap him.
赶紧他把移到床上
We gotta move him, we gotta move him quick.
快点 都动起来
All right, here we go. Come on, let's move!
一 二 三 抬
One, two, three, move!
好了 卡特 你会如何降低颅内压
All right, Carter, how do you decrease intracranial pressure?
钻洞减压
Bur hole decompression.
总算有点外科医生的样子了
Spoken like a true surgeon.
但不到万不得已我不会在病人头上打洞
But, I don't drill into heads unless I have to.
强力换气
Hyperventilate him.
血压持续不变 130/90
Pressure's holding, 130 over 90.
马利克 持续推75克甘露醇
Alright, Malik, rapid bolus him with 75 g's of mannitol.
巴宾斯基反射阳性[锥体束受损害]
Positive Babinski.
他的耳朵有液体渗出
He's got fluid draining from his ear.
-是脑脊髓液 -颅底骨折
急诊室的故事
ER
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