急诊室的故事
「第一天」
Susan? Susan? Susan!
You have to get up.
快起床
What time is it?
几点了?
It's a baby.
是一个婴儿
A baby.
婴儿啊
In respiratory arrest.
呼吸停止
One-year-old found unresponsive in crib.
一岁婴儿 在婴儿床里被发现无反应
Couldn't get an IV.
无法进行静脉穿刺
What'd you find on arrival?
你们到达时情况怎样?
No spontaneous resps.
无自主呼吸
She's cyanotic, faint pulse at 200. We scooped and ran.
已经出现紫绀 脉搏微弱200跳 我们就冲过来了
紫绀: 严重缺氧的表现 皮肤和粘膜呈青紫色
What happened?
怎么回事?
She stopped breathing.
她突然呼吸停止了
Has she been sick?
之前有生病吗?
No.
没有
Any medication?
有使用任何药物吗?
No.
没有
Any recent trauma?
最近受过任何外伤吗?
No. Nothing!
没有 啥都没有!
Let's see if we can find a vein...
看看能否找到一条静脉...
Can't get through it.
穿刺不进去
Sinus tach 180.
窦性心动过速 心率180
Come on.
快点
Laryngoscope.
喉镜
Magill forceps.
麦氏插管钳
Where are you?
在哪里呢?
An earring.
一只耳环
Hyperventilate her. Blood sugar?
给她人工加压通气 血糖怎么样?
Twenty.
20
I need an 18-gauge spinal. I'll go in interosseus.
18号骨髓穿刺针 我要从骨间肌打进去
Is she gonna be all right?
她会没事的吧?
I'll need dextrose.
给她用葡萄糖
Is she gonna be okay?
她会好起来的吧?
Dextrose is in.
已注射葡萄糖
Okay, got it?
可以了 你来扶着?
Got it.
好的
Get a blood gas, chest film, CBC and Chem-7.
做血气分析 胸片 血液细胞分析 生化七项
She's gonna be fine.
她会没事的
急诊室的故事
ER 字幕组
翻译 纯纯九尼玛
时间轴 以言
校对 秦武欣冰 以言 李良
特效 以言
医学顾问 秦武欣冰 李良
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ER 字幕组
████████
You got an infant in respiratory arrest and you didn't wake me up?
来了一个呼吸停止的婴儿你竟然没叫醒我?
You got an extra hour's sleep, you should be thanking me.
你多睡了一个小时了喂 要谢我才对啊
I know, but...
我知道 但是...
We didn't need you for the baby.
那孩子的情况没必要叫醒你呀
Now...we need you.
现在...到你上场了
For what?
干嘛?
German tourists.
德国旅游团
They got food poisoning at some Hofbrau House on 46th.
他们在第46街一家皇家啤酒屋得了食物中毒
Guten Morgen.
(德语) 早上好
Das ist Dr. Carter.
(德语) 这是Carter医生
Guten Morgen, Herr Doctor.
(德语) 早上好 Carter医生
They need...
他们需要...
...stool guaiacs.
...粪便检查
Rectals?
肛指检查?
One, you've got a rule out MI.
一号房是心梗待查
Two is that baby Lewis saved.
二号房是Lewis救回来的小婴儿
Three is some old guy who keeps sticking his hand up his shirt.
三号房的老家伙一直把手伸进衣服里
Four is chest pain.
四号房是胸痛
Five is a kid with an allergic reaction.
五号房是一个有过敏反应的小孩儿
Where's the guy with the hand?
那个手伸进衣服里的家伙在哪?
Morning, Sue.
早上好 Sue
Morning.
早上好
Hey, Timmy. What's up?
嗨 Timmy 什么情况?
Oh, hold please.
请稍等
We got four coming in on a chopper, two critical.
直升机正在送四个病人过来 其中两个病危
How soon?
多久会到?
Five to ten.
五到十分钟
Okay.
好的
Morning.
早上好
Hey, Timmy.
嘿 Timmy
Dr. Lewis.
Lewis医生
Hold, please.
请稍等一下
l got a chest pain in Exam Room 4.
四号房有一个胸痛的病人
Night shift ran an x-ray and EKG.
夜班时做的X光和心电图
You know, Timmy, l really need a cup of coffee.
Timmy 我真的要来杯咖啡才行
Cream, no sugar.
加奶 无糖 对不对?
Yep.
没错
Thank you.
谢谢
Wanna help with a chest pain?
要帮忙看胸痛不?
Yes.
好啊
Be right back.
一会回来
Good morning, Mr. Zambano.
Zambano先生 早上好
l'm Dr. Lewis. This is John Carter.
我是Lewis医生 这是John Carter
ln order to evaluate pain, start with P.Q.R.S.T.
为了评估疼痛 先用PQRST分诊法
So start.
开始啊
Oh, great. Provoking/palliating, right?
好 P是有没有加重或减轻对吧?
Yep.
对
So…what brought on your pain?
疼痛什么时候开始的?
I was in the shower, it just started.
就洗澡的时候开始的
And could you describe the pain?
你能描述一下是怎么个痛法吗?
Q是quality of pain (疼痛的性质)
lt's like somebody's squeezing my chest.
就像有人在挤压我胸
Right.
好
Well, good.
很好...
Radiation.
放射情况
Does the pain move anywhere? Neck, back?
疼痛有转移吗? 颈部或者背部?
胸痛若放射至颈部、背部、上肢 常常是冠心病的重要表现
No.
没有
What is he, a beginner?
他是什么情况 新来的?
This is a teaching hospital, Mr. Zambano.
Zambano先生 这是一所教学医院
Your EKG's normal, your pain subsidised, and your history of angina...
你的心电图正常 痛也消了 加上你有心绞痛病史...
S是Severity (疼痛的程度) T是Time (疼痛是何时开始?是否持续性?)
...l don't think we need to be too concerned.
我觉得无需太担心
Dr. Carter will keep an eye on you while...
在等待你的心肌酶检测报告期间
...we wait for your enzyme results, okay?
Carter医生会照看你的 好吗?
lt's been eight weeks.
已经八周了
Wait a second, you mean you haven't even been out there yet?
等等 你还没去找过她?
Thought about it, just haven't done it.
想过 就是没去
You and Hathaway were so close.
你和Hathaway过去很要好的啊
lt's not gonna get any easier, Doug.
逃避没用的 Doug
Just go!
去就对了啦!
Let's go!
上!
Two majors, two minors.
兩个重伤 兩个轻伤
Passenger space intrusion.
后座遭到撞击
Guy ran a red light. T-boned a car at 50 mph.
有个闯红灯的家伙 以时速50英里拦腰撞上造成的
Head, neck, chest, pelvic and light hip injury.
头部 颈部 胸部 骨盆受伤 臀部轻微受伤
She's had 3 liters so far.
已经输入三公升盐水
GCS?
昏迷指数?
格拉斯哥昏迷指数 Glasgow Coma Scale: 医学上评估病人昏迷程度的指标 分为睁眼反应、说话反应和运动反应三个方面 分数越低昏迷程度越重
Three-one-one.
3-1-1
Pressure's 50 over 30, pulse 120.
血压50/30 脉搏120
All right, okay. Let's go.
好的 走吧
Hurry up. Go!
快点 上!
What else you got?
这个情况怎样?
Head, neck and abdominal pain.
头部 颈部和腹部疼痛
Pressure's 65.
血压65
Pulse 150 and thready.
脉搏150 脉搏细速
GCS 4-6-5.
昏迷指数 4-6-5
She's also got a scalp laceration and a deformed right humerus fracture.
头皮裂伤和右肱骨畸形骨折
All right. Get her downstairs right away. All right?
好 赶紧推她下去
Take her into 2.
带她去二号抢救室
Doug, take the little girl into 1.
Doug 带这小女孩去一号抢救室
Mommy!
妈咪!
All right, people, you wanna do this on my count.
各位 准备听我口令
And one, two, three, go!
一 二 三 抬过来!
Good.
很好
Type and cross-match 6 units packed-cell.
六个单位的红细胞血型和交叉配血
CBC. Chem-7.
做血液细胞分析和生化七项
Let's get the O-neg moving, now.
赶紧拿O型Rh阴性血
l need a chest tube tray.
给我胸腔闭式引流术包
Come on people, let's move.
手脚快一点
This isn't a museum, let’s go, we got work to do.
这里可不是博物馆 得赶紧救人
Who else is on the floor?
还有人手吗?
Everybody's working.
都忙着呢
All right. Well, call the O.R. and let's see who they can spare.
好吧 通知手术室 让他们看看谁有空
Mommy!
妈咪!
Type and cross-match four units.
四个单位的血型和交叉配血
Positive.
阳性
医生在为小女孩做腹腔诊断性穿刺 结果抽出了血性液体 是「阳性」说明患者有严重的内脏破裂出血
She's still 50 palp. Pulse is 180.
血压50 脉搏180
All right. Sweetheart, I want you to tell me where else it hurts, okay?
好 宝贝儿 告诉我还有哪里受伤了好吗?
I want you to concentrate, all right? You hear me?
要集中精力哦 听到了吗?
Mommy!
妈咪!
Okay? You hear me? Tell me where it hurts.
你听得见吗? 告诉我哪里痛
Does it hurt here? How about here?
这里? 还是这里?
Spleen.
脾脏受损
Okay. We gotta get her to the O.R., now!
得赶紧送她去手术室!
Stay really still, okay?
千万别动哦
Mommy!
妈咪!
This the guy who hit them?
这就是撞人的家伙?
Yeah. ls he gonna be all right?
是的 他会好起来吗?
Yep.
会的
Too bad.
真可惜
We'll need blood alcohol.
要做血液酒精检测
Bet it's over .20
我敢说肯定超过0.2
.35, easy.
至少0.35
Let's get a tox screen and a CT of his head.
给他做血液毒理分析还有头部CT
We have to rule out head trauma.
我们必须排除头部创伤的可能
He done this before?
他之前酒驾过吗?
Five times.
已经五次了
Mr. Ring, we’ve called Orthopedics.
Ring先生 我们已经通知骨科医生了
They'll be down in a minute to take a look at your leg.
他们马上就会下来检查你的腿
My wife and daughter all right?
我妻子和女儿还好吗?
We're working on them right now.
我们正在抢救她们
l didn't even see him coming.
我压根就没看见他
The light changed, Janet screamed, and there he was.
红绿灯一变色 Janet大叫着 然后他就出现了
We're working on your family.
我们正在全力救治你们全家
How many more do we have?
还有几个啊?
Three.
三个
Three...
三个啊…
l have to check on a patient. l'll be right back.
我得先去检查一个病人 马上回来
Still feeling okay?
感觉还好吗?
How much longer am l gonna have to wait?
我还要等多久?
Just a couple more minutes. We are very busy today.
再等一会吧 我们今天忙翻了
But you're feeling all right otherwise?
不过除此之外你感觉还好吧?
Mr. Zambano?
Zambano先生?
Mr. Zambano?
Zambano先生?
Mr. Zambano?
Zambano先生?
Oh, damn! Mr. Zambano?
该死! Zambano先生?
Hey hey hey!
喂喂喂!
Hey hey hey! l need some help in here!
喂喂喂! 快来人啊!
Hey!
喂!
Clear!
让开!
Hey! What the hell are you doing?
喂! 你在搞什么鬼啊?
Sorry.
对不起
You need help?
要帮忙吗?
l'm here.
我来了
Are vital signs stable?
生命体征稳定了?
Yes.
是的
Sir, you're gonna be just fine.
先生 你会没事的
Pressure's 80 over 50. Pulse 120.
血压80/50 脉搏120
They ready for her upstairs?
楼上准备好了吗?
All right, well, let’s go.
好 那走吧
Get Ortho to the O.R.
赶紧让骨科到手术室
We're taking you to another part of the hospital to make you better, okay?
我们送你到医院的另一个地方帮你恢复
Where's my mommy?
我妈妈呢?
We're taking care of her too.
我们也在照料她
And your daddy’s gonna be there when you wake up, all right?
等你醒来就可以看见你爸爸了
There you go, Doug.
给你 Doug
Yeah.
好
She gonna make it?
她能挺住吗?
Ruptured spleen. How's the father?
脾破裂 孩子父亲怎么样了?
Orthopods are doing his leg.
骨科医生正在检查他的腿
The driver's sleeping like a baby. Not a scratch on him.
那个司机睡的很香 毫发未伤
How's the mother?
母亲怎么样了?
Maybe.
说不准
lt's been eight weeks since she attempted suicide.
从她企图自杀到现在已经八周了
You two were close.
你们俩过去走得很近
You and Hathaway shared a lot of things.
你和Hathaway曾经无话不谈
l stopped by. A couple of times.
我也去过她家几次的
Never got out of the car.
只是没出车门
Take her some flowers. You don't have to stay long.
给她带束花就好 不用呆很久
You want me to go with you?
要不我陪你去?
l'm off Sundays. That’d be a good time.
星期天我休息 那个时候去挺好的吧
l don't know. l don't know.
我不知道 我真不知道该怎么办
l'll drive.
我载你去
lt's me.
我要走了
lt's not your fault, Doug.
Doug 这不是你的错
You gotta forgive yourself sooner or later.
你迟早得原谅你自己的
Pop! Pop! Just like that, he shoot me. For cigarettes!
就像「砰砰」这样 他为了点香烟就开枪射我!
Give him a gram of ancef lV.
给他静脉注射一克头孢唑林
No older than my grandson. Twelve, maybe. With a little gun.
还没我孙子大 大概就十二岁 带着把小手枪
CBC, chest and shoulder films.
做血液细胞分析 胸部 肩部X光
Little man. Little gun.
小屁孩 小手枪
Fifteen years l am selling liquor out of the same store.
我在同一家店卖了15年的酒啊
Robbed seven times, never hurt. Nothing!
七次被抢 没受过伤 从来没有!
Now l get shot by sixth grader with baby gun.
这次却被一个带着小手枪的小鬼射伤了
Dr. Benton you got a patient in 2 with abdominal pain...
Benton医生 二号房来了一个腹痛的病人
...and the person in Trauma with a stab wound to the forearm.
抢救室来了一个前臂被刺伤的伤者
Well, Mr. Gregor, you're lucky.
Gregor先生 你很走运啊
The bullet went straight through.
子弹穿透了过去
l'm gonna send you up to the O.R.
我要送你去手术室
They'll explore the wound for any serious damage,
他们会对你的伤口做进一步的检查
remove any dead tissue and debris.
清除一些坏死的组织和碎片
Work up the patient in 2, I want a focused H&P,
开始处理二号房的病人 做病史采集和体格检查
and don't take all day, I'll be there in ten minutes.
别耗上一整天 我十分钟后去检查
Ten minutes?
十分钟?
Or less.
或者更少
Hey doc, you like cognac? l can get you a good cognac.
医生 你喜欢干邑吗? 我可以给你弄一瓶好的
Smooth as silk.
丝滑爽口哟
That won't be necessary.
不必了
Cigars, then?
那雪茄怎样?
Cuban, maybe?
要不古巴雪茄?
No, no, no. That's fine. Thank you, though. I...
不必了 没关系 谢谢你 我...
l don't smoke.
我不吸烟
Dr. Carter.
Carter医生
You have nine minutes.
你还有九分钟
Good doctor, eh?
真是一个好医生啊 对吧?
He's the best.
他是最好的医生
He has a low-grade fever, slight productive cough...
低烧 轻微的排痰性咳嗽
...postural hypotension, and he's dehydrated.
体位性低血压以及脱水
I...l have to go home.
我...我得回家啊
l know.
我明白
You told us your first name. Do you remember your last name?
你说过你的名字 那你记得自己姓什么吗?
I...l have to go home.
我得回家啊
Victor, you need to lie still.
Victor 你需要静卧
Why don't you lie back right here?
躺回去吧
Hey, Malik. We might need some restraints over here.
Malik 过来帮忙绑住他
l have to feed my dogs.
我得回家喂我的狗啊
Okay, yes.
是 是
Give him D5, NS. 300cc’s. Do a head CT, non-contrast.
给他5%的葡萄糖入300毫升生理盐水 做一个脑部CT平扫
Get Psych Services down here for a consult. Do a GGF1.
叫精神科的下来会诊 做一个GGF1
A GGF1?
GGF1?
Grandpa's Got a Fever. CBC, Chem-7,
老爷爷发烧 做血液细胞分析 生化七项
GGF1: 医学俚语 概括了为发烧原因未明的年长男性病人做的几项测定
chest x-ray, UA, and blood culture times two.
胸片 尿常规 还有血培养两次
All right, come on. Give it to me quick.
好了 汇报给我听 快点
65-year-old male with severe peripheral vascular disease...
65岁男性 先前已有严重外周血管疾病...
...manifested by claudication of the left calf.
症状为左侧肢体跛行
He's 10 days post-op from Mercy General after having an aortobifemoral bypass.
10天前在仁济医院接受腹主动脉-股动脉旁路手术
Normal post-op course until about six hours ago...
术后一切正常 直到六小时前左下腹出现疼痛
...when he began to experience lower left quadrant pain...
...without palliative or provoking factors.
没有使疾病减轻或加重的因素
Other than a large Mexican dinner.
除了一大顿墨西哥晚餐
Meds?
用药呢?
30cc's Milk of Magnesia, constipation.
30毫升的镁乳治疗便秘
Mother's maiden name?
母亲娘家姓什么?
He's joking.
逗你玩呢
Good morning, Mr. Thunhurst. l'm Dr. Benton.
Thunhurst先生 早上好 我是Benton医生
You have abdominal pain?
您有腹痛?
l called my doctor. He isn't here yet.
我通知我的医生了 他还没来
Joe Arndt. You know Joe?
Joe Arndt 你认识Joe吗?
No, l don't.
不认识
ls it sensitive here?
这里痛吗?
No rebound or guarding.
无反跳痛或僵硬
Leg is warm.
腿是温暖的
Cap refill is normal.
毛细血管回流正常
My leg is fine, my stomach hurts.
我腿没事 是胃疼
Dr. Carter, what would you do?
Carter医生 你会怎么做?
In view of his history of constipation and the defused nature of the pain...
考虑到他之前有便秘 而且腹疼有缓解迹象
...l'd order a CBC...
我会做血液细胞分析
...Chem-7, UA amylase and a KUB.
生化七项 尿液分析 泌尿系统平片
And if they're normal?
如果结果都正常的话?
l'd discharge him, let him follow his personal physician.
让他出院 由私人医生随访
Congratulations.
恭喜你
You just cost this hospital a $2-million malpractice settlement.
你方才让医院损失了200万作医疗事故和解费
You could have a thrombosis at the graft site…
你可能在血管移植处有血栓形成
…with potential extension into the renal or mesenteric arteries.
可能已移行到肾动脉或肠系膜动脉
What the hell is a thrombosis?
血栓形成是啥?
lt's a blood clot. Mr Thunhurst.
就是血块 Thunhurst先生
See, they replaced an artery in your leg.
他们在你腿上放入了新的动脉
Sometimes a clot forms at the graft site and the arteries.
有时候在移植处或动脉里会有血块形成
It’s unlikely but l'd like to rule it out.
可能性不大 但我希望能完全排除
Get him an arteriogram.
给他做一个动脉造影
Shouldn’t we wait for my doctor?
我们不先等我的医生来吗?
No, l don't think that'd be wise.
不 我不认为这是明智的做法
Let’s notify Radiology and get them on it right away.
通知放射科马上帮他做
Thrombosis.
血栓形成
The mother's still in surgery. The blood alcohol came back at .435
母亲还在手术中 血液酒精浓度结果是0.435
What about the drug screen?
药物检测呢?
lt was negative.
阴性
There's no justice, is there?
真是没天理啊 对吧?
Not much.
是啊
He's dehydrated and has a slight upper respiratory tract infection.
他有脱水和轻微的上呼吸道感染
The fluids help but he's still confused and agitated.
补液后有缓解 但他还是神志不清 情绪激动
Sir, sir, sir. l have two dogs and...
先生啊先生 我有两条狗...
Two? That's great, sir.
两条? 那很好啊先生
And I have to...I...
我...我还得...
Did you run a CAT scan?
做了电脑断层扫描没?
Diffuse atrophy. Nothing new or focal.
弥漫性萎缩 没有新形成的也没有病灶
l'm out of here.
我得走了
That's it?
就这样?
What were you expecting?
不然你想怎样?
l expected him to be admitted to a Psych Services bed.
他应该被送去精神科住院啊
But he's got an infection.
但是他有感染
He's senile and he needs psych support.
他年纪大了 并且需要精神治疗
So now you're a psychiatrist?
哟 现在你又是精神科医生了?
l can recognize senile dementia when l see it.
我还是能认出老年性痴呆症的
Look, he’s not medically cleared to my service, okay?
听我说 去我那之前他得先把病治好
He has a upper respiratory tract infection and he's dehydrated.
他有上呼吸道感染并且脱水
What he needs is antibiotics and lV hydration, okay?
他需要的是抗生素和补液
l'll buff him up, start the antibiotics and pull the lV.
我会把他清理干净 开始用抗生素和补液
Give him 2.5 Haldol and have Social Services do a follow-up.
给他2.5毫克的氟哌啶醇 让社会服务部负责随访
氟哌啶醇: 精神科用药 用于各种急、慢性精神分裂症 控制兴奋躁动、敌对情绪 和攻击行为的效果较好 因心血管系不良反应较少 也可用于老年性精神障碍
l don't have a bed for him.
我没床位给他
He needs our help.
他需要我们的帮助
You want me turning away homicidal psychotics...
你想让我拒收有杀人倾向的精神病患者
...because your patient's got one of my beds?
就因为你的病人占了床位?
Find him a medical bed or release him. l'm not admitting him.
帮他找张内科床位 要么就让他出院 我不会收他的
End of discussion.
就这样
You fell asleep?
你睡着了?
Oak Street Beach.
在橡树街海滩那里
You fell asleep in the sun?
你晒着太阳睡着了?
Yeah.
是的
Can you sit down?
能坐下吗?
l don't think so.
不能吧
Maybe we should just lean him against the gurney or something, huh?
要不就让他靠着床吧
Mark?
l passed.
我通过了
The bar?
律师考试?
Yes! Yes!
没错!
God, l am so proud of you!
我真以你为荣!
This is heartwarming, but...
好温馨啊 不过...
...can l get some help here?
能不能先帮帮我啊?
Malik, can you take some vital signs?
Malik 能检查一下生命体征吗?
Sure thing, doc.
没问题 医生
Congratulations.
恭喜你
Jen…What are you doing?
Jen 你干嘛呢?
Remember the back seat of your Celica?
还记得你那辆赛利卡车的后座吗?
Remember the trip to Hawaii?
记得那次夏威夷旅行吗?
Jen, you gotta get accepted to the bar more often.
Jen 你真得多考上几次
Timmy, where's the car accident?
Timmy 车祸患者的父亲在哪里?
Hi, Mr. Ring.
你好 Ring先生
l'm Dr. Benton.
我是Benton医生
ls my daughter out of surgery?
我女儿的手术结束了?
Not yet, but don't worry. She's gonna be okay.
还没 但是别担心 她会好起来的
We had to repair her spleen.
我们必须先修复她的脾脏
l need to talk to you about your wife.
我要和你谈谈你太太的情况
She's got a spinal fracture and massive internal bleeding, and...
她有脊柱骨折 还有大量内出血
…now she has what's called DIC.
现在她处于弥散性血管内凝血的状态
Which basically means her blood won't clot as a result of the trauma.
就是说由于外伤 她的血液无法凝血
She's going to die.
她...挺不住了
Mr. Ring...
Ring先生...
...did you and your wife ever discuss organ donation?
你和你太太有讨论过器官捐赠的事吗?
He needs to be admitted.
他需要住院
On what grounds?
理由呢?
Change of mental status.
精神状态不稳
He's senile, that's nothing new.
他年纪大了 这很正常
You give him antibiotics, we’ll send him home.
给他打抗生素 然后送他回家
He has no family. There’s no one to make sure he takes his meds...
他没有家人 没人管他吃药
...to...to feed him, to go to the bathroom...
吃饭 上厕所...
That's what Social Services are for.
那是社会服务部该做的
They can't get to him today.
他们今天没空过来管他
What about Psych?
精神科呢?
Cvetic won't admit him.
Cvetic不收
He can be treated medically as an outpatient.
我可以收他为门诊病人
We don't have the beds.
我们没床位了
lf Cvetic won't take him, he's out.
如果Cvetic不收 就只能让他走了
Thank you, Timmy.
谢谢Timmy
Emergency alarm's going off.
警报响了
Okay, Malik, grab the crash cart. Susan, we got a mayday.
Malik 拿上抢救车 Susan 有紧急求救信号
Hi.
嗨
Hi.
嗨
l can't find my earring.
我在找耳环
Hi.
嗨
Your hand was on the emergency call button the entire time?
你的手一直按着求救按钮?
Oh, man.
我的天哪
l miss all the good stuff.
我错过了好戏啊
l'm never gonna live this down.
我要被大家笑死了
This is great. Everybody thought you were some kind of a saint.
真好 大家以前都把你当圣人呢
l was gonna start calling you ''Mahatma.''
我都想叫你「圣雄」了呢
圣雄 Mahatma: 梵语中「圣人」的意思 常用于偉人 如圣雄甘地
What’s gonna happen when Wertz hears?
Wertz听到之后会怎么样啊?
You were with your wife. Lucky you.
幸好是和你老婆咯 还算走运
I mean, hey.
你懂我意思
l'm chief resident. l'm supposed to set a good example.
我是总住院医師 本该立个榜样的
Well, it’s a big hospital. Maybe Wertz won't even hear about it.
医院那么大 Wertz也许听不到呢
Hey, Mark...
嘿 Mark…
How's it hanging?
爽吗?
l'm a dead man.
我死定了
Carter!
Doctor, time to get up.
医生 该起床咯
Clear!
让开!
l've got a rash.
我得疹子了
l need a doctor.
需要看医生
Okay.
好的
Are you a doctor?
你是医生吗?
Me?
我吗?
She's got a rash.
她得了疹子
Can you help me?
你能帮我吗?
Sure. l can try.
当然 我试试看
Pressure's 70 over 50.
血压70/50
Pulse is 120, resps 32.
脉搏120 呼吸率每分钟32次
Temperature's 102.5.
(摄氏39.2度) 体温华氏102.5度
Pulse ox is only 85 percent.
血氧饱和度只有85%
血氧饱和度正常在95%以上 此病人严重缺氧
You her husband?
你是她丈夫?
Yes.
是的
Mr. Franks, this is Dr. Greene.
Franks先生 这位是Greene医生
What kind of medications is she on?
她在用什么药?
l tried to get her to see our doctor for weeks but…
我这几周一直叫她去看我们的医生
…she wouldn't go.
她就是不想去
Lasix, Dig, KCl, Isordil, nitro…
速尿 洋地黄 氯化钾 消心痛 硝酸甘油
...captopril, Antivert, Darvocet, Timoptic.
开博通 美克洛嗪 右旋达而非 噻吗心安
We need a chest film, EKG, CBC...
做个胸片 心电图 血液细胞分析
...Chem-7, Dig level, UA...
生化七项 洋地黄测定 尿常规
...blood cultures times two, blood gases...
血培养兩次 血气分析
...and hydrate her with a 300cc bolus of saline.
再给她300毫升盐水补液
ls she gonna be all right?
她会好起来的吧?
We may have to make a difficult choice in the next few hours.
在接下来的几小时內 我们或许得做出一个艰难的抉择
We're dealing with an impending respiratory failure.
她马上就会呼吸衰竭
Please do everything you can.
请尽你所能
We’re gonna get blood gases first and then we’ll take it from there, okay?
我们先做血气分析看看情況如何 好吗?
Okay.
好的
So you're in your third year of medical school.
这么说 你是三年级的医学生
Must be hard.
很辛苦的吧
lt's pretty demanding.
要求是挺高的
Must be very...
一定很...
...hard.
...辛苦
hard也有「硬」的意思⋯⋯你懂的(❍ᴥ❍)
Afternoon, Dr. Carter.
下午好 Carter医生
Oh. Hi, Dr. Lewis.
噢 嗨 Lewis医生
Poison ivy. Pretty nasty case.
毒藤中毒 挺严重的
I did my Dermatology rotation last fall, saw a lot of this stuff.
我在去年秋天皮肤科轮转的时候遇到好多这样的病例
You don't mind if l stick around and observe, do you, doctor?
你不介意我旁观吧 医生?
Oh, he’s doing fine on his own.
他自己就处理的不错啊
l'm sure he is.
那是一定的
Oh. Surest thing, Medrol Dosepak and antihistamine will clear this right up.
当然啦 用甲强龙和抗组胺剂就可以了
Remember the summer when Jerry broke his arm up at the lake?
记得Jerry在湖边摔断胳膊的那个夏天吗?
And you were so worried.
你当时担心得不得了
l told you that boys will be boys.
我说男孩子就是调皮
But you pampered him.
但你还是惯着他
lt's remarkable he turned out as well as he did. lsn't it?
他现在过的这么好真是万幸 对吧?
Mr. Franks?
Franks先生?
l'm troubled with the results of your wife's blood gases.
你太太的血气分析结果让我很担心
How old is she?
她今年高寿?
Eighty-six.
86
Our options are limited.
我们的选择不多了
Her condition is terminal.
她的生命已经走到尽头了
lf we put her on a respirator, we may not be able to wean her off it later.
如果给她接上呼吸机 之后可能就撤不掉了
We'd be prolonging her life in a vegetative state.
就等于以植物人的状态延续她生命
Or we can make her comfortable.
另一个选项是让她舒服一点
Give her fluids, antibiotics...
补液 用抗生素
...let nature run its course.
然后顺其自然
You mean let her die.
你是说让她死
She'd die in peace.
让她安详的离开
Put her on the respirator.
给她接呼吸机
Mr. Franks, are you sure that's what she'd want?
Franks先生 你确定这是她想要的吗?
We'll hold off until we get another blood gas.
那我们再做一次血气分析再说吧
Hopefully things will improve with the nebulizer treatments.
但愿雾化治疗能让她有所好转
She has 13 grandchildren. Did you know that?
她有13个孙辈 你知道吗?
No, sir. l didn't know that.
不 先生 我不知道
l just thought you should know.
我就是觉得你该知道
So you're finally up.
你终于醒了
What time is it?
几点了?
Seven-thirty.
七点半
Boy, l must've really tied one on this time.
天啊 我这次真是喝高了
l'll go get you a doctor.
我去叫医生
Thanks.
谢谢
Oh, damn it!
见鬼!
Did l get busted again?
我又被抓了吗?
You don't remember?
你不记得了?
No, not much.
不怎么记得了
What, am l hurt or something?
咋了 我是受伤了还是怎么啦?
The policeman went for a cup of coffee. He'll be right back.
警察去喝咖啡了 一会儿回来
Boy, l must've really screwed up this time, didn't l?
我这次真的搞砸了 对不对?
You hit a family.
你撞了一家子
The mother's dead, and the daughter's in lntensive Care.
母亲死了 女儿在加护病房
You ordered an angiogram?
你预约了血管造影?
Yeah, they haven't gotten around to it yet. Radiology's backed up.
是的 不过还没做 放射科挤爆了
Thank God for small favors.
谢天谢地
You're not concern about a thrombosis?
你不担心是血栓形成?
His urine came back positive.
他的尿检结果是阳性
l think his abdominal pain is related to a urinary tract infection.
我觉得他的腹痛来自于尿道感染
He had a Foley catheter during the surgery.
他手术时插了导尿管
You don't think it's serious, Joe?
你认为这不严重是吧 Joe?
l'll write you a prescription, have you home in time for dinner.
我写个处方就可以送你回家吃晚饭了
Well, that's the same thing he said.
他也是这么说的
Excuse me, doctor. May l have a word with you, please?
不好意思 医生 我能和你聊下吗?
I...l really think you might want to reconsider.
我…我真的觉得你应该再考虑一下
What are you, a third-year resident?
你才多大? 第三年住院医师?
Second year. Surgical resident.
第二年 外科住院医师
Well, the next time you wanna practice expensive overly aggressive procedures...
下一次你想开又贵又有创伤性的检查的时候
…you do it on one of your indigent patients.
记得在你的穷人病人身上开
They won't know you're showing off for your medical students.
他们不会发现你这是在学生面前卖弄
We'll have you out of here in five minutes.
五分钟后你就可以走了
Joe, that's great. Thanks so much for...
太好了 Joe 谢谢你
Right in the middle of the reception she just starts puking her guts out.
婚宴进行到一半的时候她就开始吐了
Honey, l'm sorry. l just…I just...Oh, God!
宝贝 对不起 我只是...天啊!
There she goes again.
又来了
Compazine, 10 milligrams lM. CBC and Chem-7.
康帕嗪 10毫克肌注 血液细胞分析 生化七项
Do you know what she ate?
她吃了什么?
l don't think she ate anything until the reception.
她在婚宴开始后才有吃东西吧
Did you, honey?
亲爱的 你有吃什么吗?
Everybody had the same buffet at Gerber's.
大家在嘉宝斯都吃了一样的自助餐啊
You're holding your reception at Gerber's Hofbrau House on 46th?
你在第46街的嘉宝斯皇家啤酒屋举办婚宴?
That's where those German tourists ate. The ones from this morning.
那群德国游客也是在那吃的 今天早上那一群
How many guests at your wedding?
你请了多少宾客?
Couple of hundred.
两百个吧
l'll get more emesis basins.
我去多拿一些呕吐盆
She's become a little more lucid.
她神志清楚一点了
Have her blood gases improved?
血气分析结果有改善吗?
PCO-2's up to 70. She's tiring.
二氧化碳分压高达70 她在持续恶化
She's getting better.
她在好转了
Your wife was dehydrated, Mr. Franks.
Franks先生 你太太先前有脱水
She woke because we gave her fluids.
她醒来是因为我们在给她补液
Her respiratory problem is worsening.
她的呼吸状况在恶化
l'm very tired.
我好累啊
l know, dear.
我知道 亲爱的
Are you in any pain?
你有哪里痛吗?
l'm dying, aren't l, doctor?
医生 我要死了 对不对?
No, you're gonna be fine.
不会的 你会好的
Mrs. Franks.
Franks太太
You are not gonna be able to continue breathing on your own for very much longer.
你很快就会无法自主呼吸
Do you want us to put you on a machine to help you breathe?
你要我们帮你接上呼吸机帮助你呼吸吗?
Yes. She does.
要 她要
l'm asking your wife, Mr. Franks.
我是在问你太太 Franks先生
For how long?
要多久?
l don't know.
我不知道
We've already discussed this!
我们已经讨论过了!
No…No…
不要...不要...
国外的医生非常尊重人权 许多诊疗措施只能由患者本人决定
l don't want you to go.
我不想你走
Oh, l know.
我知道
lt's okay, darling.
没事的 亲爱的
A couple of hundred?
两百人?
Yeah.
对
But not everybody had the potato salad. Only about 60 are sick.
但不是每个人都吃了土豆沙拉 只有大概60个中毒
Oh, Connie! Thank God!
噢 Connie! 谢天谢地!
l've never been so glad to see anybody in my whole life.
我从来没这么高兴见到一个人
Good night, everybody!
晚安咯各位!
Just keep your head down, ma’am. We'll be with you as soon as we can.
把头低下 我们会尽快来为您治疗的
Dr. Greene.
Greene医生
Not everybody gets Compazine.
不用每个人都给康帕嗪
D5, NS lVs if they look like they need it, okay?
给有需要的补5%葡萄糖水和盐水就好了
Yeah, l'm holding.
我等着呢
What the hell was that?
什么声音啊?
Accordions.
手风琴
Their moved their wedding reception into our waiting room. 'Night!
他们把婚宴移到我们的候诊室里来了 晚安!
Dr. Lewis.
Lewis医生
Yeah.
怎么了?
l need you.
麻烦来一下
Okay.
好
Can you watch him? We’ll be back in a second.
你照看他一下 我马上回来
They found him walking down the middle of Halsted, naked.
他们发现他光着身子在霍斯泰德街上游荡
He was still wearing his hospital bracelet.
还戴着医院的手环
Hey, Victor.
嗨 Victor
My dogs. l have to feed my dogs.
我的狗 我得去喂狗
l know you do.
我知道
Want me to l get Cvetic, don’t you?
要我叫Cvetic医生吗?
No. l want you to take him to Psych Services and check him in, right now.
不 你带他去精神科办入院 马上
What if they won't accept him?
如果他们不收呢?
Then l'll sign him into Cvetic's service!
那我就亲自把他签给Cvetic!
How you holding up?
还好吗?
Oh, yeah, l’ll make it, l'm off in three hours. You on tonight?
没事的 再三小时就下班了 你今晚值班?
No. Benton.
不 Benton值班
You know, you should talk to Doug about Hathaway. lt's been two months.
你得和Doug谈谈Hathaway的事 这都两个月了
l did. l even offered to drive him out there.
谈了啊 我甚至提议载他去
Why is he acting like this? They were together two years.
他为什么这样? 他俩在一起了兩年啊
He feels guilty. He thinks it's his fault.
他感到愧疚 觉得是他的错
Well, l guess things are better with you and Jennifer, huh?
你和Jennifer的情况就好多了 对吧?
She passed her bar. She was excited.
她通过了律师考试 很激动而已
Yeah. So were you, from what l could see.
可不是 我看你也是啊
So what happens next? She gets a job?
接下来呢 她找份工作?
She's looking.
物色中
Yeah.
是哦
Lewis?
Yeah.
怎么了?
What the hell do you think you're doing?
你他妈的在干嘛?
You do not admit a patient to my service without a consult.
没有叫会诊就别擅自把病人送来
He needs psychiatric help.
他需要精神方面的治疗
Not in my opinion.
我不觉得
He was found naked wandering down Halsted street.
发现时他光着身子走在霍斯泰德街上
He's senile, not psychotic!
他是老糊涂了 不是精神问题
He needs full time care.
他需要全天候的照顾
Admit him to your service. Don’t turf him to mine.
那你收啊 别扔给我
I tried to, Wertz wouldn't let me.
试过了 Wertz不让
Don't ever do that to me again.
下不为例
Dr. Benton?
Benton医生?
l'm sorry about what happened earlier today with the thrombosis patient.
之前那个血栓形成病人的事 我很遗憾
l think you were right.
我觉得你是对的
ls that so?
是吗?
I think he should've had the angiogram.
我认为他需要做血管造影
Great.
很好
l'll be sure to notify the New England Journal of Medicine that you concur.
我会把你的认同意见告知新英格兰医学杂志的
新英格兰医学杂志: 由美国麻州医学协会出版的综合性医学期刊 也是目前全球最受欢迎及广受阅读的同侪审阅性质的医学杂志期刊之一
Mark.
Mark
Doug Ross needs you.
Doug Ross找你
What's up?
怎么了?
Mrs. Franks died.
Franks太太去世了
[For you're the lover I've been waiting for...
Doris Day－"That Old Black Magic"
你是我期盼的爱人
The mate that fate had me...created for...
是我命中注定的...伴侣
And every time your lips...meet mine...
每当你我…两唇相贴
Darling, down and down I go...
亲爱的 我越陷越深
Round and round I go...
越转越急
In a spin...
在这漩涡里
Loving the spin I'm in...
我沉迷在这漩涡中
Under That Old...Black Magic...
那古老的黑暗魔法...
...called love.]
就是爱
She asleep?
她睡着了?
Finally.
可是睡着了
l'm proud of you, counselor.
律师大人 我以你為荣
Never thought l'd make it, huh?
压根没觉得我能过 对吧?
l knew you'd make it.
我知道你可以的
l miss you.
我好想你
l miss you too.
我也很想你
We have to make love more often.
我们得多来几发才行
The look on your face!
看你那害羞劲儿!
lt was a little embarrassing.
今天那一出挺尴尬的好嘛
We could pick up where we left off.
我们可以继续在医院里没完成的事
What if Rachel wakes up?
要是Rachel醒了怎么办?
We could stay out here.
我们待在外面好了
ln the yard?
在院子里?
lf Mrs. Navrocki sees us?
如果让Navrocki太太看见的话?
What if she did, huh?
那又怎么样?
l have to be back in the hospital in two hours, Jen.
Jen 我两个小时后就得回医院了
l'm sorry.
对不起
You're never gonna leave, are you?
你不会离开的对吗?
The hospital.
我指医院
l don't know.
我不知道
l need you, Mark.
Mark 我需要你
l love you.
我爱你
Hi.
嗨
Hi.
嗨
How did you get...
你是怎么进...
So, let's go.
走吧
Where?
去哪?
Your place.
你家啊
l live with my folks.
我住父母家的
My place, then.
那就我家
Okay.
好吧
I mean what are we there for, if we can't keep a 75-year-old man...
如果连阻止一个光着身子的75岁老人
...from wandering around the North Side naked?
在街上游荡我们都做不到 要我们何用?
l just…I just get so frustrated sometimes, you know. l just...
我只是...我只是有时候会感到很失落
...wanna scream.
很想大叫发泄
Well, you can't solve all the world's problems.
你一人不可能解决世上所有的问题
That's what Wertz said.
这和Wertz说的一样
He's very wise.
他是明理的人
Listen, you have to be...you have to be very careful how you deal with consults.
听着 你得小心你叫来的会诊医生
You can get yourself in real trouble.
你这样会自找麻烦的
l just wanna make a difference.
我就是想做点什么
Yeah, well, you also wanna have a career.
那是 不过你也不想丢工作吧
And not everybody's gonna be as understanding as l was.
不是每个人都像我这么善解人意的
Oh, yeah, you're real understanding.
矮油 你真是善解人意
That's one of my best qualities.
这是我的优点之一
Well, one of them.
之一哦
Hello, Helen.
Helen 你好
Can l come in?
我能进去吗?
No, you can't.
不 不行
Go away. Please.
走吧 不送
Who is it, Mama?
妈 谁啊?
l asked him to leave.
我正赶他走呢
lt's okay, Mama.
妈 没关系的
Hi.
嗨
You look beautiful.
你看着很漂亮
How've you been?
最近还好吧?
Okay.
没事了
l just came by to see you.
我就是路过来看看你
Say hi.
问候一下
lt's good to see you.
见到你很开心
Take care.
保重
Dr. Benton?
Benton医生?
What is it?
怎么了?
EMTs are on their way in.
急救人员正在送病人来
They think it's a ruptured bowel.
他们觉得是肠破裂
What's the pulse?
脉搏?
Pulse is 140. Pressure’s 60 over 40.
脉搏140 血压60/40
We've been pumping in fluids. He's had 1500cc's.
我们在加压输液 已经输了1500毫升
His abdomen's rigid, extremely tender.
下腹僵硬 严重压痛
Guy says he was here today, something about a thrombosis.
他说今天来过医院 关于什么血栓的问题
All right. Let’s get a CBC. Type and cross six units.
做血液细胞分析 六个单位的血型和交叉配血
Let's drop an NG.
做鼻胃插管
Call the O.R., tell them to prep for an exploratory lap.
通知手术室 让他们做剖腹探查术前准备
此病人可能是肠系膜动脉栓塞引起的肠缺血坏死
That’s it, people. Come on. All right, people, come on!
好 各位 快点!
Let’s go. We know what we are doing. We've done this before.
这种病例我们做过的 我们知道要怎么做
All right. Camacho, l got him. Clear. Let's get him in close.
好 散开 Camacho 我抓住了 把他搬过去
Mr. Thunhurst, listen to me, don't worry about a thing. Everything’s gonna be fine.
Thunhurst先生 你什么都不用担心 都会好起来的
All right, on my count, we've done it before.
听我口令 我们做过的
Here we go. One, two, three! Let's go!
一 二 三 抬过去!
There we go. All right, clear. Let's move, people!
好的 散开 大家动起来!
Here we go.
开始了
All right, l need to drop an NG.
好 做鼻胃插管
Let's get a chest x-ray and abdominal. Make it a portable. Let's move!
拍胸部和腹部X光 要床旁拍片 赶紧的!
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