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1、手术室2.0是多年研发的成果O.R.2.0isthefruitofyearsofdevelopment.我懂科技Iknowthetech.我向你保证,你不会失望的1promiseyouitwontletyoudown.你懂科技,但你不懂手术Youknowtech,butyoudontknowsurgery.你出轨了吗?Yourehavinganaffair?没有,怎么可能No.Never.我不知道班和我是不是快要离婚了IdontknowifBenandIareonapathtodivorce.戴顿买♥♥下加夫尼医疗集团的Daytonhasboughtcontroll
2、inginterestin控制股权theGaffneyMedicalGroup.那我想现在应该是他掌权了So,Iguesshesinchargenow.我们将直播手术,让全世界亲眼目睹Wellbelive-streamingasurgeryfortheentireworldtowatch.这不是在模拟Thisisnotasimulation.那里有活生生的人躺在手术台上Theresahumanbeingonthattable.我知道,而你可以救他的命Iknow,andyouregonnasavehislife.那如果我没办法呢?AndwhatifIdont?如果他死了呢?Whatifhedie
3、s?我正式进入末期肾病mofficiallyinend-stagerenaldisease.辛会是最可能跟你匹配的捐赠者Seaniswouldbeyourbestpossibledonormatch.我不会用我儿子的肾,汉娜mnottakingmyson,skidney,Hannah.警告Warning,warning.那个平台有缺陷,我们得把它关掉Theplatformisdefective.Wegottashutitdown.我完了,莎伦mruined,Sharon.我得把医院卖♥♥了Ihavetosellthehospital.撑住,布莱斯Comeon,Bri
4、ce.布莱斯,动动你的脚Brice,moveyourfeetforme.握我的手Squeezemyfingers.加油,小子,握我的手Comeon,buddy,squeezeem.救他脱困的时候,他四肢都会动Onextracation,hewasmovingallhislimbs.现在一动也不动Theresnothingnow.听好了,各位,听我说1.istenup,everybody!Listenup.州际公路发生连环车祸Multi-vehiclecrashontheinterstate.大量伤患即将到院Masscasualtiesenroute!救护直升机现在即将降落Ambosaboutt
5、olandrightnow.汉娜,我需要你今天不只是一位妇产科医生,好吗?Hannah,mgoingtoneedyouformorethan0.B.Today,okay?好Yeah.得在他休克之前稳定他的气道Needtosecurehisairwaybeforehecrashes.依托咪酯每公斤0.2毫克Pointtwomigsperkigetomidate,罗库诺林每公斤0.6毫克pointsixmigsperkigroc.收到Gotit.导管Tube.准备Ready.插♥进♥去了min.帮他用复苏器通气Baghim.玛姬洛活,急症室有大量伤患彼得,我得先走了Pe
6、ter,mgonnahavetocutthisshort.谢谢Thankyou.25岁男性Twenty-five-year-oldmale.心率115Heartrateone-fifteen,血压,收缩压75,舒张压50B.P.seventy-fiveoverfifty.昏迷指数13G.C.S.Thirteen.动脉出血Arterialbleed.在现场已绑上止血带Tourniquetplacedinthefield.里普利,跟我来,六号♥治疗室Ripley,withme.InSix.没问题Yougotit.马素医生,预计到达时间五分钟DoctorMarcel,E.T.A.inf
7、ive.祖舒亚,这就够你忙了Joshua,yougotenoughwiththis.那算红色伤票Thatsaredtag.你没问题的,翠丝,我马上回来Youregood.Tracy,llberightback.抱歉,请等一下Oh,msorry,holdforasecond.那是绿色伤票Thatisagreentag,代表目前非紧急,先生non-emergencyfornow,sir.我们得请你们去候诊室稍等,好吗?Weregonnahaveyouwaitinthewaitingroom,okay?麻烦请问去1.etsgoback.抱歉,你们两位Youtwo,msosorry.那也是绿色伤票Th
8、atisagreentagalso.身上挂着绿色伤票的人Everyonewithagreentag,麻烦你们去候诊室等待youhavetowaitinthewaitingroom.绿色伤票请去候诊室Greentaginthewaitingroom.谢谢Thankyou.麻烦你检查他的手臂Checkthearm,please.胸腔没问题Chestisclear.你在做什么?Whatareyoudoing?确认这是动脉血Makingsurethisisanarterialbleed.压脉带可以当作第二条止血带Cuffactsasasecondarytourniquet.慢慢松开Releaseits
9、lowly.如果停止出血Andifthebleedinghasstopped.那就不是动脉血Itsnotanarterialbleed.不是每个人都知道这个技巧Noteverybodyknowsthattrick.很不错Verynice.所以我通过罗?SoIpass?哦天啊Oh,God.一切都发生得太快了Oh,itallhappenedsofast.我不是故意的Ididntmeanit.我努力不要撞到他们Itriednottohitthem.我刹不住Icouldntstop.那不是你的错Itwasntyourfault.我的天啊Oh,myGod.不是你的错-天啊-It,snotyourfaul
10、t.-Oh,myGod.我们去看有没有人可以来帮你检杳一下1.etsseeifwecanfindsomebodytotakealookatyou.不,我们已经尽力提供各位所有资讯Weredoingourbestrightnowtogeteveryonealltheinformation.-德洛莉斯或廉斯-好-DoloresWilliams.-Yes.她在这里吗?-好的-Isshehere?-Okay.罗比,罗比威尔逊Robbie.RobbieWilson!拜托,不好意思,各位Please,please,everyone,麻烦你们去候诊室gotothewaitingroom很快会有人出来回答你们
11、所有的疑问andsomeonewillbeoutsoontoanswerallyourquestions.麻烦各位移步到候诊室Tothewaitingroom,please.就是这样,凯萨,什么状况?ThatsitCesatalktome.艾维凡斯,30岁IvyVance,thirties,头部撞到她车上的内装hitherheadagainsttheinteriorOfhervehicle.主诉头痛和失去定向感,昏迷指数12ComplainingOfheadachesanddisoriented,G.C.S.Twelve.送去三号♥治疗室YouregoingtoTreatment
12、Three.四肢都没有活动Igotnomovementthroughthelimbs.我来了,交给我Igotyou.Comingin.我接住了Gotit-动作慢一点-好,没问题-Easy.-Yeah,yeah.稳稳地搬上推床Keephimsteady.好,走吧,可以吗?Allright,letsmoveready?嘿,玛姬Hey,Maggie.你需要帮手,我可以帮忙Youneedanextrapairofhands,Icouldputthegloveson.我可能会接受你的帮忙,谢啦Imaytakeyouuponthat.Thanks.-玛姬-是,-Maggie.-Yeah.里面需要骨科Nee
13、dorthointhere.知道了Gotit麻烦你去三号♥治疗宝Oh,andyou,regoingtoTreatmentThree.收到Gotit.硕克,什么状况?Zach,whatdowegot?艾维凡斯IvyVance.有几处撕裂伤,闭合性头部创伤Afewlacerations,closedheadinjury.好,你好,艾维,我是艾莎医生Okay.Hi,Ivy.mDoctorAsher.我接下来要问你一些问题,好吗?mgoingtoaskyousomequestions,okay?好的,所以你撞到头,是吗?Okay,so,youhityourhead?对Uh-huh.你知道
14、这里是哪里吗?Doyouknowwhereyouare?医院Hospital.今天星期几?Whatdayistoday?星期三Wednesday.好,一切都没问题Okay,everythingsgood.我们只需要检查你头上的肿包去照个电脑断层扫描,好吗?Wejustneedtocheckthatheadbumpout,getaC.T.Soundokay?麻烦推她去做检查Transport!等等,那是什么?Wait,whatsthat?仓鼠Hamster.跟她一起来的Cameinwithher.玛姬Maggie!怎么了?Yeah?你要去枪伤救治区YouregoingtoBaghdad.十岁男童
15、,布莱斯摩根Gotaten-year-oldboy.BriceMorgan.昏迷指数七G.C.S.seven.车子被压在半挂卡车底下Vehiclewascrushedunderasemi.父亲当场死亡,米高,X光,快点FatherdiedatthesceneMike,X-ray,letsgo.收到Gotit.吉米,麻烦接手Jimmy,takeover.米高,帮我照一张颈椎X光摄影Mike,givemeacrosstableCspine.好Yeah.远离Clear!韧带?Theligaments?这有可能吗?Isthatevenpossible?就是啊Yeah.他在体内断头了Hesinterna
16、llydecapitated.现在只靠皮肤支撑他的头Theonlythingholdinghisheadonishisskin.杰克?Jack?嘿,八岁男童,头部有撕裂伤Hey.Eight-year-oldboy,withaheadlac.他是我儿子Hesmyson.我们会好好照顾他的Welltakegoodcareofhim.继续压着他的头Keepthatcompressonhishead.麻烦你去二号♥治疗宝,谢啦,杰克YouregoingtoTreatmentTwo,thanksJac.迪恩Dean.你明天就会有新肾脏了,放轻松点Hey,youregettinganewki
17、dneytomorrow.Takeiteasy.好,我没事啦Yeah,mfine.马素医生DoctorMarcel.什么事?Yeah?男孩的妈妈来了Theboysmotherishere.好Okay.摩根女士,我是马素医生MissMorgan,mDoctorMarcel.我知道你失去你先生了,我很遗憾Iknowyoulostyourhusband.mverysorry.我儿子,布莱斯,拜托告诉我他还活着Myson,Brice,pleasejusttellmehesalive.他还活着Heis.但是他身受重伤,在里面Buthehasbeencriticallyinjured.Here.天啊,不O
18、h,myGod.No.No,no,no.听着,我会尽全力救治你儿子1.ook,Imgonnadomyverybesttohelpyourson.但是我不想轻描淡写布莱斯的伤势ButIdon,twanttominimizetheseverityofBricescondition.他现在的状况是Hesufferedwhat,s.我们所谓的双侧寰枕关节脱位whatscalleda.abilateralatlanto-occipitaldislocation.意思是他的颅骨的韧带Whatthatmeansisthattheligamentsfromhisskull跟他的脊椎分离了haveseparat
19、edfromhisspinalcolumn.什么?不What?No,no.我们会送他去做电脑断层扫描和磁力共振造影Weregonnadoa,C.T.andanM.R.I.可以帮助我们决定手术的方式,好吗?andthatsgonnahelpusdeterminehowtoproceedsurgically,okay?手术?Surgically?对Yes.这是必要的才能把他的头固定在脊椎上It,snecessaryinordertostabilizetheheadtothespine.麻烦呼叫艾布斯医生好吗?AndletspageDoctorAbrams,please,okay?丽兹?1.iz?艾
20、布斯医生是很优秀的神经科医生DoctorAbramsisagreatneurosurgeon.好吗?Okay?好的Allright.你来陪陪他吧?来吧Whydontyoucomebewithhim?Comeon.宝贝,没事的,妈咪在这里Hey,baby.Itsokay,Mommyshere.妈咪在这里Mommy,shere.玛姬Maggie.马特Matt.哈里斯薛尔,40岁,在事故中受伤HarrisShorr,forties,injuredinthataccident.他的右手肿胀和瘀伤Hisrightarmsswollenandbruised.在现场主诉晕眩ComplainedOfdizzi
21、nessonthescene.昏迷指数15,心率IlOG.C.S.fifteen,heartrateone-ten,呼吸速率每分钟25次respiratoryratetwenty-fiveperminute.好的,你们去四号♥治疗室Allright,youregoingtoTreatmentFour.我会尽快请医生过去llhaveadoctorintheresoonaspossible.你好了吗?Areyoudoneyet?快好了Almost决策时间,艾杰Decisiontime,AJ我们有两种绷带Wegottwotypesofbandages.我们有金钢狼或蜘蛛侠你想选什么毒药
22、?WevegotWolverineorSpider-Man.Whatsyourpoison?,1毒药?我不想要毒药Poison?Idontwantpoison.不,亲爱的,他是在问你喜欢哪一种No,honey,hesaskingwhichoneyouwant.哦,蜘蛛侠好的-Oh,Spider-Man.-Allright.我朋友会帮你包扎伤口我等一下再来看你,艾杰Myfriendherewillfixyouup.llcatchyoulater,A.J.艾莎医生,这是艾维的电脑断层扫描,DoctorAsher,here,sIvysC.T.我联络上她的紧急联络人Igotintouchwithher
23、emergencycontact?她的一位女同事Awomansheworkswith.没有家属吗?Nofamily?似乎没有Doesntseemlikeit.那位女士解释了那只仓鼠Uh,thewomanexplainedaboutthehamster.她说那八成是救来的Shesaiditsprobablyarescue.她说艾维喜欢带东西找家ShesaysIvylikestofindhomesforthings.好吧,看起来她可以继续这么做Oh.Well,lookslikeshecancontinuetodoso.我看到一些轻微的挫伤,不严重mjustseeingasmallcontusion
24、,nothingserious.是啊,跟我想的一样Yeah,thatswhatIthought.好的,我再跟她说Yeah,well,Iwillletherknow.嘿,艾维,你还好吗?Hey,Ivy,how,reyoufeeling?好一点了Better.很好,我要跟你说个好消息Good.Well,goodnews.你的电脑断层扫描没有显现任何令人担忧的伤势YourC.T.didntshowanyconcerninginjuries.所以我们会每几个小时帮你进行神经检查So,weregonnagiveyouaneurocheckeverycoupleofhours只是要确保一切都没问题just
25、tomakesureeverything,sokay.谢谢Thankyou.你的同事说你喜欢救动物Your,uh,workfriendsaidthatyouliketorescueanimals.它们是我的家人Theyrefamily.是啊,我想我可以理解Yeah,IguessIcanunderstandthat.我是说,我们都是亲戚从鱼到仓鼠到我们,所以Imean,weareallrelated?Fromfishtohamsterstous,so.我们都需要一个家Andweallneedahome.没错Thatwedo.我就是被拯救的Iwasrescued.什么?Hm?我以前状况很差,但有人
26、对我伸出援手Iwasinaverybadplaceandsomeonetookcareofme.是啊Yeah.我深有同感Icanrelatetothat.有像你这样的人在这个世界上真好Itisagoodthingthatpeoplelikeyouareintheworld.-嘿,艾卓亚-怎么了?-Hey,Archer.-Yeah.那是谁?Whoisthat?那是新任急症室主治医生,名叫里普利ThatsthenewE.D.attending.NamesRipley.-里普利?对啊-Ripley?-Yeah.-我觉得看起来好眼熟-是吗?-Huh.Lookssofamiliartome.-Yeah?
27、他是哪里你知道他的背景吗?Whatdoyou,uh.whatdoyouknowabouthim?他很聪明Well,hesreallysmart.在哥伦比亚大学拿到所有的学位GotafullridetoColumbia.他的推荐函很亮眼He,sgotgreatreferences.里普利医生,麻烦帮我看一下四号♥治疗室的病人,我把病历传给你了DoctorRipley,helpmewithapatientinFour.Ijustsentyouthechart.薛尔先生MisterShorn哈里斯没事Harrisisfine.这是我太太,柯德莉Thisismywife,Audrey.我
28、是里普利医生,而这位是mDoctorRipley.Andthisis,uh.玛姬洛活,我们的护士长.MaggieLockwood,ourchargenurse.班太太MissesBen.我认识你吗?Excuseme?我们的儿子,米高Oh,ourson,Michael,被你先生教过wasyourhusbandsstudent.我们去年在家长教师晚会上见过Wemetlastyearatparent-teachernight.哦Oh.所以你们也卷入那场连环车祸吗?So,youtwowereinthatpile-up?努力闪过,哈里斯无法控制车子Triedtoavoidit,Harrislostcon
29、trolofthecar.我不知道发生什么事Idontknowwhathappened.我头晕了I.Igotdizzy.而且,我想我的手断了Also,IthinkIbrokemyarm.这里需要照X光X-ray!照右上臂和前臂的1.etsget,A.P,前后位照和侧面照andlateralviewsoftherightupperarmandforearm.你说你头晕?Yousayyougotdizzy?对-之前就常这样-Yeah.-That,sbeenhappeningalot.而且你呼吸短促?Andyoureshortofbreath?有一点1.ittlebit.远离Clear!远端挠骨未移
30、位性骨折Non-displacedfractureofthedistalradius.恐怕你真的折断羽翼了Afraidyoudohaveabustedwing.要请骨科医生下来看看吗?Getorthodownheretotakealook?麻烦了Please.你的血压偏高Yourbloodpressureshigh.你知道吗?Didyouknowthat?不知道No.这里显示你在服用锂盐瞳硫平和拉莫三嗪Sayshereyoureonlithiumaswellasquetiapineandlamotrigine.对,我有躁郁症Yeah,mbipolar.他一直控制得很好He,sbeenmanag
31、ingverywell.那很好Thatsgood.但是我担心你的呼吸ButIamconcernedaboutyourbreathing,血压,还有头晕的问题bloodpressure,thedizziness.我想再多做几项检查dliketodomoreofawork-up.我也希望Iwishyouwould.我一直都很担心他Ivebeenworriedabouthim.但是你没事吧,柯德莉?没有哪里痛?Butyoureokay,Audrey?Nothinghurts?没有No.好Okay.麻烦帮我们向班先生问声好PleasegiveourregardstoMisterBen.先做一套标准的血
32、液检查1.etsstartwithstandardbloodwork.我等一下再回来看你和追踪检查结果Um,1Icomebacksoonandfollowup.谢谢你,医生Thanks,Doc.既然薛尔先生有在服用情绪稳定剂SinceMisterShorrisonmoodstabilizers,我们不用请精神科医生来会诊吗?shouldntwehavepsychiatrytakealookathim?查理斯医生在待命DoctorCharlesisoncall.我还不想惊动他Idontwanttobotherhimjustyet.先看看检查报告结果再说吧1.etsjustseewhatthela
33、bsshow.好的Allright她还好吗?Oh,howsshedoing?情绪上一团糟Emotionally,shesawreck.她觉得都是她的错Thinksitsallherfault.生理上,我还不知道Physically,Idontknowyet.我在她的头皮发现瘀伤Ifoundabruiseonherscalp,所以我安排了无显影剂的电脑断层扫描somorderinganon-contrast,C.T,确认里面有没有问题toseeiftheressomethingthere.-好,再告诉我结果-当然-Okay,keepmeposted.-Sure.她心室颤动了Shesin,V,-f
34、ib.设定电击板,开始压复苏器Setupthepaddles,startbagging.马上来Onit.充电到120焦耳Chargetoone-twenty.充电Charging.远离Clear!没有脉搏,注射一毫克肾上腺素Nopulse.Oneepimilligram.马上来Coming.嗯,一定是头部创伤,对吧?Um,gottabetheheadtrauma,right?我是说,她都没有,她没有其他外伤Imean,shedoesnteven.shedoesn,thaveanyotherinjuries.不,不应该发生这种事No,thisshouldntbehappening.充电至200焦
35、耳Chargetotwohundred.充电Charging.远离Clear!再一剂肾上腺素Anotheroneofepi.200焦耳再一次Twohundredagain.充电Charging.远离Clear!好了Okay,okay.有脉搏了Igotapulse.她的瞳孔放大了Her,um.herpupilsareblown.不不可能,让开,我看看No.No,no,no,no,no.Watchout,watchout.她脑死了,对吧?Shesbraindead,isntshe?我们先先插管吧1.etsum.letsintubate,先帮她接上呼吸器,直到最后确认找人去联络她的紧急联络人puth
36、eronaventuntilweconfirmanduh,hearfromhercontact.为什么?我漏掉了什么吗?Why?DidImisssomething?我是不是有哪里没做好?IstheresomethingelseIcouldvedone?我非常怀疑Isincerelydoubtthat.我是妇产科医生,这不是我的领域mO.B.-G.Y.N.ThisisntwhatIdo.不,也许是伪动脉瘤但电脑断层扫描没发现?No,probablyapseudoaneurysmthatC.T.didntpickup?或者是我没发现OrIdidntseeit.汉娜,没人看出来,好吗?Hannah,
37、nobodydid,allright?这种事常常发生,不是你的错Thiskindofthinghappens.Notyourfault.真的吗?这也不是你的专业领域Really?HardlyyourareaOfexpertiseeither.我说真的,我可以创造奇迹,但这个?Itstrue,Icanperformmiracles,butthis?我是说,我从来没见过颅骨和脊椎Imean,veneverseensuchdistraction拉离和脱位这么严重,但病人还活着的anddislocationofskulltospineandstillhavethepatientalive.是啊,我在想
38、Yeah,vebeenthinking,我们似乎无法采用标准的后侧法doesntseemlikewecouldtakethestandardposteriorapproach,毕竟他有大面&hearts积♥头皮和颈部撕裂伤notwithallthemassivescalpandnecklacerations.对,而且枕骨只有几厘米的厚度Yeah.Andanoccipitalboneonlyafewmillimetersthick.对啊Yeah.那我们该怎么办?Sowhatdowedo?从嘴巴进去吗?Gointhroughthemouth?对Yeah.经口Transoral.你是认
39、真的吗?Youreserious?这是前侧寰枕螺钉固定唯一的选择It,stheonlyoptionforanterioratlanto-occipitalscrewfixation.但不是个好选择Butit,snotagoodone.以前有过先例吗?Hasiteverbeendonebefore?有一、两例在尸体上的研究Onceortwiceinacadaverstudies.尸体?不曾在活人身上做过研究吗?Cadaver?Neveronalivepatient?没错Thatscorrect.而且是成人的尸体Andtheywereadultcadavers.我不确定在小孩身上能不能成功Ihav
40、enoideaifitcouldworkonachild.这种伤势的存活率有多高?Survivalrateforthiskindofinjuryiswhat?50%?Fiftypercent?那你觉得对这个小孩来说呢?Whatdoyougivethiskid?顶多5%吧Fivepercent.Atbest.我们得提高那个概率Wegottaincreasethoseodds.丹尼斯,急症室人满为患了必须清出病房♥Dennis,the,E.D.isoverwhelmedandhasgottoclearrooms.每个部门都需要找出空床容纳更多病人Everydepartmentneed
41、stofindbedsformorepatients.这个嘛,必要的话就在单人房♥里塞两张床Well,uh,doubleuptheprivateroomsifyouhaveto.请进Comein.葛云女士MissGoodwin,我们有一位十岁男童,筐枕关节脱位wehaveaten-year-oldboywithatlanto-occipitaldislocation.真是遗憾msorrytohearthat.是,我要说的是Yeah,well,thethingis,我们无法尝试用标准的手术术式wecantattemptthestandardsurgicalapproach.我们必须
42、试着从嘴巴进去Wehavetotrygoinginthroughthemouth.哇Whoa.但为什么要跟我报告这件事?Andwhyareyoubringingthistome?因为以前从来没在小孩身上进行过Becausethishasneverbeendonebeforeonachild.事实匕只有在成人尸体上进行过Infact,itsonlybeendoneonadultcadavers.我需要你授权我使用2.0Ineedyoutoauthorizemyusing2.0.2.0?2.0?不,那是场灾难No.It,sadisaster.它会捏造数据Ithallucinateddata.为什么
43、你不用复合手术室呢?Why.cantyouusetheHybrid0.R.?那个手术室无法胜任Notuptothetask.而你设法想用2.0解决这个问题?Andyouvemanagedtoputupguardrailson2.0?我想我是IthinkIhave.很好,你想?Oh,good.Youthink?我有跑过模拟程序那个平台表现得非常好Iverunsimulationsandtheplatform,sperformedverywell.是,但不是用在真人身上吧?Yeah,but.butnotwitharealpatient?不,自从No,notsince.那个系统导致这家医院破产Its
44、entthishospitalintobankruptcy.听着,2.0的科技比这间医院的任何技术都还先进1.ook,2.0,stechismoreadvancedthananythingelseinthishospital.我相信它1believeinit.而我认为那是这个小男孩唯一的希望AndIbelieveitsthatboysonlyhope.莎伦,拜托,想想那些债务?Sharon,comeon,Imean,the.theliability?可能面临的官司?Potentiallawsuit?-我们-彼得-Dowe.-Peter,如果那是这个小男孩唯一的希望ifitstheboy,sonlyhope,我们还有什么选择?whatchoicedowehave?