心跳（2016）

Heartbeat S01E02

Part 5 Aug. 27, 2020, 8:15 a.m.

他们在为不能接受化疗的患者进行医学试验
They're running medical trials for people who can't tolerate chemo.
贝丝贝丝
Beth? Beth?
脉搏很弱她有些低血压
Weak pulse; she's hypotensive.
给我拿一袋乳酸林格氏液
Get me a bag of LR!
贝丝
Beth!
发生了什么
What's happening?
怎么了
What's wrong?
怎么了快告诉我啊
What's wrong? Somebody tell me!
怎么了
What's happening?
我的病人在那里
Those are my patients in there.
需要我带他们去做超声检查
Who need me to do their ultrasound.
贝丝有三♥期♥平滑肌肉瘤
Beth has stage three leiomyosarcoma,
艾米莉有三♥级♥心力衰竭
and Emily has class 3 heart failure
还有舒张功能障碍
with diastolic dysfunction.
见鬼
Crap.
艾米莉艾米莉很害怕
Okay, Emily-- Emily's so scared.
我应该在里面陪着她们
I should be in there with them,
你能告诉我让她们分体
and how can you tell me that asking them for a separation
怎么就成了一种对她们不道德的蔑视
is some sort of an amoral disregard for who they are?
我不认为我说过这些潘蒂尔医生
I don't believe I said that, Dr. Panttiere.
你不觉得我知道将她们分开
And you don't think that I respect how difficult
对她们来说有多么的艰难
it'll be for them if they're separated.
你的患者已经做出想要的决定了潘蒂尔医生
Your patients have already decided what they want to do, Dr. Panttiere,
唯一还在纠结这事的人是你
and the only one grappling with this decision is you.
她们有机会活下来
They have a chance to live.
你说的有理但代价是什么
Okay, you have a point, but at what cost?
是的她们可能不会适应被分开
I mean, yes, they may never adjust to being separated,
但如果她们适应呢
but--but what if they do?
我觉得你已经做出决定了医生
Well, I think you've already made your decision, Doctor.
但是为什么感觉这么艰难
But why does it feel so hard?
因为没有正确的选择
Because there isn't a right answer.
谢谢
Thanks.
我回病房♥了
I'm going back in.
潘蒂尔医生
Dr. Panttiere!
我们做了超声检查
We did an ultrasound,
和我们预计的一样
and it is as we suspected.
肿瘤生长了
The tumor is compromising
阻碍了血液到心脏的回流
the blood flow back to your heart.
贝丝没事吧
Is Beth gonna be okay?
不她有事
No, she's not.
她长了肿瘤需要切除
She has a tumor that has to be removed.
那我们去其他地方切除肿瘤
So we'll go someplace else, and we'll have it removed.
没那么简单
It's not that simple.
我们可以切除肿瘤
We can resect the sarcoma,
但如果你们仍然连体
but you will likely die from the chemo
你们很可能会死于化疗
if you remain joined.
你们必须要分体
You have to have a separation.
-你说真的吗 -是的
- Oh, are you serious? - Yes.
贝丝如果我能想到别的办法就好了
Beth, if I thought there was another way,
但你的癌症恶化了
but your cancer is advancing,
并且会扩散到她身上
and it will metastasize to your sister.
-好吧 -什么
- Yes. - What?
好
Yes.
我同意分体手术艾米莉
I consent to the separation, Emily.
我可不答应贝丝
Hell if I do, Beth.
我无法感同身受
I don't know how you feel.
我理解不来
I don't understand.
不你也别想理解
No, don't even try.
我甚至无法想象
I can't even begin to imagine
对你们俩来说想明白
how frightening this is for you two
没有了对方自己是谁这个事有多可怕
to figure out who you are without your sister,
-但你会陪伴着彼此 -你保证过你绝对不会
- but you will be with your sister - You promised you would never
-一同走过这一遭的 -让我们这样子的
- throughout all of this. - do anything like this to us.
我可以给你们找个心理医生
I'll get you a psychologist.
-你保证过的贝丝 -见鬼艾米莉
- You promised, Beth. - Damn it, Emily,
你亲姐妹就要死了
your sister is going to die.
我都没法跟你说她承受了多大的痛苦
I cannot even begin to describe the type of pain she's in,
但我可以让你看看
but I can show you.
痛苦只会越来越严重
The pain is only gonna get worse.
好吧
Yes.
相信我
Trust me.
对不起
I'm sorry.
你醒来的时候我会在你身边的
I'll be here when you wake up.
我不想醒过来
I don't want to wake up.
八小时
第一轮结束了
First shift is over!
好第一组休息一下
Okay, team one, get some rest.
医生该你了
You're up, Doctor.
你是谁
Who are you?
潘蒂尔医生
Dr. Panttiere.
她们是我的病人
These are my patients.
艾米莉有三♥级♥心力衰竭
Emily has class 3 heart failure
射血分数是20%
with an ejection fraction of 20%.
她的血液动力学情况需要微处理下
Her hemodynamics need to be micromanaged.
有超声心动图呢
We have a TEE in place.
我们会密切关注的
We'll keep tabs on her.
赶紧走吧别碍事
Just stay out of my way.
好啊好像你说了算一样
Yeah, like that's gonna happen.
好了各位
Okay, people.
今晚将会是个漫漫长夜
It's going to be a long night.
十六小时
第二轮结束
Second shift is over.
女士
Ma'am.
艾米莉有心力衰竭三♥级♥
Emily has class 3 heart failure
射血分数是20%
with an ejection fraction of 20%.
谢谢抽吸
Thanks. Suction.
不客气
You're welcome.
二十四小时
医生们第三轮结束
Third shift is over, doctors.
继续吸
More suction.
你不置换髋关节吗
You're not gonna replace the hip?
夹钳
Clamp.
你让她怎么走路
How is she gonna walk properly?
-再缩一点 -抱歉
- More retraction. - I'm sorry.
你留着准备干吗呢愣头青
You're gonna leave it up to what, cowboy?
-让她去上尊巴舞课吗 -把她带出去
- Some Zumba lessons? - Get her out of here.
好啊
Right.
这可是我的手术室
This is my OR.
你不是纪录保持者吗被扔出最...
Don't you hold the record for being thrown out of the most--
我觉得可以了
I think we're ready.
一二三
One, two, three.
她心室间隔有情况
She's got a septal shift.
看监视器啊
Someone look at the monitor.
艾米莉心力衰竭
Emily's heart's decompensating.
看监视器啊
Someone look at the monitor.
看看啊
Look. Look!
我觉得潘蒂尔医生有话要跟你说
I think Dr. Panttiere's trying to tell you something.
又说什么
Now what?
看回波
Look at the echo.
看看回波
Look. Look at the echo.
米力农堵住了用布美他尼冲下去
Bolus her with milrinone and chase it down with Bumex.
是医生马上就来
Yes, Doctor. Right away.
把多巴酚丁胺加到10微克
Increase her dobutamine to ten MICs.
她心力衰竭
Her heart's decompensating.
右心室正在扩大
Her right ventricle is dilating.
你还有心脏手术要做吗
Are you boarded in cardiac surgery?
因为我要做了
Because I am.
我来处理腔静脉
I'll deal with the cava.
心耳钳
Santinsky.
谢谢
Thank you.
抽吸
Suction.
一年前