心跳（2016）

Heartbeat S01E01

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

All first-year interns
到教育会议中心
to the Educational Conference Center.
我在等
I'm waiting...
我的心脏
for my heart!
你了解你的护士「吉桑」吗
Hey, you know your nurse, "Gee-Sug"?
智星
Ji-Sung.
我想约她
I was thinking about asking her out.
她喜欢什么
What does she like?
反正不是你
Not you.
你当着她的面叫她「金元宝」
You call her Ping Pang Pong to her face.
你会帮我说好话的吧
So you'd put a good word in for me, then?
她按♥摩♥肯定很拿手
I bet she gives a great massage.
等不到我要的心脏我就不走
I'm not leaving without my heart!
这感觉真好
This is nice.
和你一起虚度时光
Just hanging out with you.
圣马太医学研究中心
这里为什么没酒
Why don't they serve alcohol here?
因为这是医院
'Cause it's a hospital.
你还在找匹配的心脏吗
You still looking for that heart?
你知道我现在想干什么吗
You know what I want right now?
现在不行不行
Now? No. No.
-我很想很想 -不行我的背
- And I want it bad... - No, my back is...
我想狠狠来一场
And I want it rough.
我要弄个安全暗号♥ 你太投入了
I want a safety word. You get way too into it.
我能先吃吗
Can I eat first?
你再这样撞我
You hit me like that again,
我可不让着你了
I'm gonna stop letting you win.
天哪我不
Oh, God, I can't...
我不行
I can't...
我知道他要自杀
I knew he was gonna kill himself.
米莉森特说得对
Millicent was right.
我在屋顶上看到他的时候
When I saw him on the roof,
看到的只是我的患者的完美配型
all I could see was a perfect match for my patient.
完美的身高完美的体重
The right height, the right weight.
换作是我也一样
I would have done the same thing.
不你不会
No, you wouldn't.
我要找个护士去吼一通
I'm gonna go yell at a nurse.
过来过来过来
Uh, hey, come here. Come here. Come here.
和我说说吧
Talk to me.
我没事
I'm fine.
我想说的是我在努力亚历克丝
I mean, I'm trying, Alex.
我真的在努力
I'm really trying here.
难道通常不是女孩子想要
Isn't it usually the girl that wants to talk
倾诉她们的感受吗
about their feelings?
好吧
Well...
如果你不能对我敞开心扉
Look, we can't move forward
我们就无法更进一步
if you're not gonna open up.
我想搬去和你一起住
I want to move in.
是因为我前女友那事吗
Is this about my ex?
不跟那个完全没关系
No, it has nothing to...
皮尔斯那是半年前的事了
Pierce, it was six months ago.
我们那时候都还没开始约会
We were barely dating.
没错可我们已经睡过了
Yeah, we were sleeping together.
但我们还不是情侣
But we weren't dating.
我不需要一遍遍回忆当初的事
I don't need to revisit what happened.
没错我知道
Yeah, I know.
为什么不
Why not?
-这让你很困扰吗 -是的
- It bothers you? - Yeah.
你想要我每天早上一睁眼就对你说
You want me to wake up every morning and say,
「亲爱的你曾经背叛我跟你前任鬼混过」
"Hey, sweetie, you cheated on me with your ex-girlfriend"?
好了小错误而已
Come on. It was a mistake.
人孰无过
It happened.
我我只是
I... I just...
天哪
Oh, God!
心脏全面衰竭
She's in full failure.
-收缩压只有40 -注射一剂肾上腺素
- Her systolic is 40. - Give an amp of epi.
再推一支碳酸氢钠
And chase it down with an amp of Bicarbonate...
必须马上插管
We need to intubate soon.
我需要Mac3喉镜片和7.5毫米导管
I need a Mac 3 blade and a 7.5 tube.
她的部分凝血活酶时间是多久
What's her PTT?
没有呼吸了
She stopped breathing.
除颤仪
Paddles!
充电至360焦
Charge it to 360.
-360焦 -离手
- 360! - Clear!
-充电至360焦 -360焦
- Charge to 360. - 360!
有脉搏了
We got a pulse.
部分凝血活酶时间是多久
What's her PTT?
-36秒 -太低
- 36. - Too low.
供心已经准备好了吧把它取过来
Tell me the donor is cleared, and get me that heart.
马上就来医生
Right away, Doctor.
卡拉汉气囊辅助呼吸
Callahan, bag her.
你在干什么
Hey, what are you doing?
我要做异位移植
I want to do a heterotopic transplant.
什么
What?
谁不想尝试这个手术但我不会让你这么做的
Don't we all. That's not gonna happen.
她的肺动脉压太高
Her pulmonary pressures are too high.
如果进行原位移植
If I do an orthotopic transplant,
供体心脏就会衰竭
the donor heart will fail.
它无法在这么高的压力下搏动
It won't be able to pump against that kind of pressure.
我可以做的我在接受培训期间
I can do this. I assisted on one
曾作为助手参与过一次这样的手术
during my fellowship...
亚历克丝全球只有四个医生
Alex, there are four doctors in the world
会做这个手术
who know how to do this operation.
现在有五个了
Now there'll be five.
十二年前
血压在下降
Pressure's dropping.
抽吸时有大量血液倒流医生
I've got a lot of blood coming back at me through the suction, Doctor.
-脱脂棉 -出血太多
- Pledgets. - A lot.
五单位的O型血再给我拿
Five O, and get me some, uh...
生物组织胶
some bio-glue.
生物组织胶医生
Bio-glue, Doctor.
好了跟我讲讲当前的情况
Okay, walk me through this.
没有血压了
We're losing pressure.
跟我讲讲现在的情况医生
Walk me through this, Doctor.
这是
This is, uh...
这一组织很脆弱我
This is delicate tissue. I, uh...
我要
I'm gonna...
我要全部转移到卡斯特罗上
I want to load everything on the... on the Castro
减少缝合线上的拉力
to take the tension off the suture line...
因为仅靠缝线是撑不住的
'cause it's not gonna hold.
然后用弯嘴镊夹住血管以转移拉力
Gonna put a side-biter on the vessel to take the tension off
防止继续撕裂止住出血
so it won't tear more and stop the bleeding.
出血减少血压回升
Bleeding's down. Pressure's up.
还没走
Still here?
我差点害死他
I almost killed him.
是啊所以努力做得更好
Yeah, so do better.
你会任由他死在我手上吗
Would you have let me kill him?
不会
No.
再过半分钟我就会把你赶出手术室
Another 30 seconds, I would've kicked you out of the OR.
所以你是在考验我
Oh, so you were testing me.
没错想成为外科医师
Hell, yeah. You want to be a surgeon,
最好脸皮再厚点医生
you better get a thicker hide, Doctor.
脸皮再厚一点
A thicker hide
还是彻底地冷血无情
or absolutely no capacity for compassion whatsoever?
我不是针对你
This isn't personal.
-不是吗 -不是
- Isn't it? - No.
是你要求我教你如何生存
You asked me to teach you how to survive.
你今天遇到了挫折
You choked today.
你为什么总是针对我
Why are you always on me?
因为你有机会成功
'Cause you got a shot at making it.
如果你不搞砸的话
If you don't screw it up.
转身