All language subtitles for [ドラマ][医龍4 第11話]「坂口憲二、稲森いずみ、小池徹平、阿部サダヲ」[720p x264 AAC][最終話].cht
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1
00:00:22,122 --> 00:00:23,056
院長
2
00:00:24,524 --> 00:00:26,927
佐久間先生的心包引流完畢了
3
00:00:28,395 --> 00:00:29,363
院長
4
00:00:31,665 --> 00:00:34,134
院長 院長
5
00:00:35,035 --> 00:00:37,204
院長 院長
6
00:00:37,204 --> 00:00:38,105
櫻井先生嗎
7
00:00:38,105 --> 00:00:41,608
對心肺停止的佐久間先生進行了心臟按摩後倒下了
8
00:00:42,042 --> 00:00:44,611
醫生您放心 不要緊的
9
00:00:44,611 --> 00:00:47,281
能聽到嗎 醫生 醫生
10
00:00:47,281 --> 00:00:48,115
醫生
11
00:00:48,115 --> 00:00:50,384
心臟按摩時 血壓突然急速上升
12
00:00:50,384 --> 00:00:52,753
櫻井醫生的心臟主動脈弓動脈瘤前兆破裂
13
00:00:52,753 --> 00:00:55,389
受其影響 基底動脈頂端動脈瘤也破裂
14
00:00:55,389 --> 00:00:56,323
醫生
15
00:00:56,790 --> 00:00:57,991
櫻井醫生
16
00:00:57,991 --> 00:01:01,061
櫻井修三 68歲 男性 醫生
17
00:01:01,061 --> 00:01:04,063
因體內有主動脈弓動脈瘤 以及基底動脈頂端動脈瘤
18
00:01:04,063 --> 00:01:04,864
插入中心靜脈導管
19
00:01:04,864 --> 00:01:05,632
是
20
00:01:06,099 --> 00:01:07,067
準備超聲波
21
00:01:07,067 --> 00:01:08,435
準備經皮心肺輔助法
22
00:01:08,435 --> 00:01:09,202
是
23
00:01:09,403 --> 00:01:10,871
輸入足夠的鎮靜劑
24
00:01:10,871 --> 00:01:14,541
沒錯 心臟瘤和顱內瘤均破裂
25
00:01:15,575 --> 00:01:19,179
心臟血管三層中的內膜和中膜破裂
26
00:01:19,179 --> 00:01:20,547
現在只有外膜撐著
27
00:01:20,547 --> 00:01:21,715
如果外膜也破裂
28
00:01:21,715 --> 00:01:23,884
從前兆破裂轉為完全破裂的話
29
00:01:23,884 --> 00:01:25,018
就無法回天了
30
00:01:25,686 --> 00:01:29,289
顱內動脈瘤雖也破裂 但出血量在最小限度內
31
00:01:29,289 --> 00:01:31,758
但如果再破裂就沒救了
32
00:01:31,758 --> 00:01:32,926
朝田醫生
33
00:01:36,863 --> 00:01:39,700
只能立刻同時進行腦和心臟的手術了
34
00:01:41,969 --> 00:01:43,337
腦這邊誰來做
35
00:01:43,337 --> 00:01:45,138
邁克醫生不在啊
36
00:01:46,974 --> 00:01:49,343
荒瀨 從L&P的腦外科醫生裏找
37
00:01:49,343 --> 00:01:50,677
由於同時破裂
38
00:01:50,811 --> 00:01:53,313
比預定的手術 難度又大幅增加
39
00:01:53,313 --> 00:01:54,114
這裏的醫生做不成的
40
00:01:54,114 --> 00:01:56,717
現在不進行同時手術的話 再無他法救櫻井醫生了
41
00:01:56,717 --> 00:01:57,684
荒瀨
42
00:01:59,619 --> 00:02:02,356
總之我先從腦外科醫生裏找找
43
00:02:02,956 --> 00:02:05,492
準備手術 送到手術室
44
00:02:08,428 --> 00:02:09,830
把腦外科的水島給我拽來
45
00:02:09,830 --> 00:02:11,732
開玩笑吧 代替邁克醫生
46
00:02:11,732 --> 00:02:12,866
只能這麼幹了
47
00:02:16,770 --> 00:02:17,270
病情如何
48
00:02:17,270 --> 00:02:19,006
心臟瘤和顱內瘤都破裂了
49
00:02:19,006 --> 00:02:21,274
現在朝田醫生要進行同時手術
50
00:02:32,152 --> 00:02:35,622
不行 我院的所有腦外科醫生都說不可能
51
00:02:45,365 --> 00:02:46,333
只能
52
00:02:49,336 --> 00:02:50,771
我來了
53
00:02:54,241 --> 00:02:55,675
我來做顱內手術
54
00:02:57,310 --> 00:02:59,012
你說真的嗎 朝田
55
00:02:59,212 --> 00:03:00,614
你胡說什麼呢
56
00:03:00,781 --> 00:03:02,816
做心臟手術的同時怎麼可能再做顱內手術
57
00:03:02,816 --> 00:03:03,316
即使這樣
58
00:03:03,316 --> 00:03:06,219
也不能眼睜睜看著老師就這麼死去
59
00:03:11,958 --> 00:03:14,761
你的確在心臟手術中喚起了數次奇跡
60
00:03:15,062 --> 00:03:16,530
但是腦手術另當別論
61
00:03:18,899 --> 00:03:20,067
也許你會親手
62
00:03:22,002 --> 00:03:25,205
斷送櫻井醫生的性命
63
00:03:34,748 --> 00:03:36,416
籐吉醫生打來電話
64
00:03:36,416 --> 00:03:37,651
籐吉醫生
65
00:03:38,185 --> 00:03:39,386
情況我已聽說
66
00:03:39,953 --> 00:03:42,589
能擔當起櫻井醫生手術的腦外科醫生
67
00:03:42,589 --> 00:03:44,124
日本僅有一人
68
00:03:45,358 --> 00:03:47,928
想方設法從日本腦外科醫生中找過了
69
00:03:48,361 --> 00:03:49,463
但是一人都沒有
70
00:03:49,463 --> 00:03:52,532
他現在不是醫生
71
00:03:53,233 --> 00:03:57,137
但是他曾在Best Surgeon in the USA中
72
00:03:57,137 --> 00:03:58,872
力壓邁克 鮑德溫
73
00:03:58,872 --> 00:04:03,410
獲得了首席之位 是天才腦外科醫生
74
00:04:03,410 --> 00:04:05,245
能力在邁克之上嗎
75
00:04:05,645 --> 00:04:07,547
之前莫西干說過
76
00:04:07,914 --> 00:04:09,850
有個雖2004年獲得了首位
77
00:04:09,916 --> 00:04:12,152
但放棄醫生之路的腦外科醫生
78
00:04:13,653 --> 00:04:14,621
是誰
79
00:04:15,689 --> 00:04:17,290
那個腦外科醫生
80
00:04:19,091 --> 00:04:20,961
是岡村征
81
00:04:39,412 --> 00:04:42,382
已經和岡村說過了 他馬上就到你們那
82
00:04:55,162 --> 00:05:00,634
已商業之力無法拯救現在的櫻井醫生
83
00:05:02,068 --> 00:05:05,605
能拯救他的 只有擁有最高水平的醫生
84
00:05:08,241 --> 00:05:11,011
一定要救回他
85
00:05:20,754 --> 00:05:23,657
岡村先生是凌駕於邁克醫生之上的腦外科醫生
86
00:05:23,657 --> 00:05:24,958
的確回過頭來想想
87
00:05:24,958 --> 00:05:26,760
他的醫療知識非比尋常
88
00:05:26,760 --> 00:05:27,561
是
89
00:05:27,594 --> 00:05:29,529
但是野口醫生辭了岡村先生
90
00:05:29,529 --> 00:05:31,998
野口醫生不會允許同時手術的
91
00:05:31,998 --> 00:05:33,333
既使不被允許也要進行
92
00:05:33,400 --> 00:05:36,102
現在L&P因發表進軍海外消息而備受媒體關注
93
00:05:36,102 --> 00:05:37,871
岡村先生已經十年都沒做過手術了吧
94
00:05:37,871 --> 00:05:39,072
那麼危險的事絕對不會被允許的
95
00:05:39,072 --> 00:05:40,840
只能靠岡村先生了
96
00:05:42,442 --> 00:05:45,812
這種事我也知道
97
00:05:46,146 --> 00:05:49,482
但是這件事被野口醫生知道的話
98
00:06:04,064 --> 00:06:05,865
要死了
99
00:06:05,899 --> 00:06:06,833
野口醫生
100
00:06:06,833 --> 00:06:08,902
從印度寄來了最上等茶葉
101
00:06:08,902 --> 00:06:10,637
您知道如何製作美味的印度拉茶嗎
102
00:06:10,637 --> 00:06:11,571
不知道嗎
103
00:06:11,571 --> 00:06:14,107
那我現在就為您說明
104
00:06:14,474 --> 00:06:18,178
首先將水倒入鍋中將之沸騰 然後這個
105
00:06:27,053 --> 00:06:29,689
我來還你之前手術的人情了
106
00:06:32,425 --> 00:06:36,963
我也想救櫻井醫生
107
00:06:39,699 --> 00:06:42,902
比之前預想的同時手術難度大幅提高
108
00:06:43,770 --> 00:06:45,238
這種狀態下的顱內瘤
109
00:06:45,238 --> 00:06:46,606
能進行手術的
110
00:06:49,009 --> 00:06:50,577
只有我
111
00:06:53,647 --> 00:06:54,648
走吧
112
00:07:06,126 --> 00:07:09,029
用文火慢慢煮 接下來是重點
113
00:07:09,029 --> 00:07:10,797
向神祈禱
114
00:07:10,797 --> 00:07:11,698
能做出美味的拉茶
115
00:07:11,698 --> 00:07:12,966
停
116
00:07:13,800 --> 00:07:15,802
你究竟在說什麼
117
00:07:21,641 --> 00:07:22,676
不是 那個什麼
118
00:07:22,809 --> 00:07:25,979
為去印度作準備所以學習了很多
119
00:07:26,012 --> 00:07:27,714
你要去印度嗎
120
00:07:27,847 --> 00:07:28,581
是的
121
00:07:32,886 --> 00:07:35,822
我也是醫龍隊的嘛
122
00:07:36,256 --> 00:07:39,159
不是領隊也是後援
123
00:07:40,126 --> 00:07:41,528
是隊伍一員
124
00:08:27,507 --> 00:08:28,875
來 站台
125
00:08:28,875 --> 00:08:29,576
是
126
00:08:33,613 --> 00:08:35,515
我們一定會救回您
127
00:08:35,782 --> 00:08:39,352
讓您再次作為醫生復出
128
00:08:44,324 --> 00:08:46,393
1
129
00:08:47,227 --> 00:08:49,062
2
130
00:08:50,163 --> 00:08:52,198
3
131
00:08:53,233 --> 00:08:55,201
4
132
00:08:55,635 --> 00:08:58,405
5
133
00:08:59,139 --> 00:09:01,941
6
134
00:09:03,009 --> 00:09:07,147
7
135
00:09:08,047 --> 00:09:09,249
麻醉成功
136
00:09:09,249 --> 00:09:10,316
安裝腦電波監視器
137
00:09:10,316 --> 00:09:11,050
是
138
00:09:58,932 --> 00:10:00,166
準備好了
139
00:10:09,209 --> 00:10:12,078
為了做出美味拉茶 向神祈禱
140
00:10:12,078 --> 00:10:13,246
緊急手術
141
00:10:13,279 --> 00:10:13,780
快
142
00:10:13,780 --> 00:10:15,114
簡直是不可能完成的手術
143
00:10:15,315 --> 00:10:16,816
聽說要進行心臟和腦的同時手術
144
00:10:16,816 --> 00:10:18,084
停
145
00:10:19,252 --> 00:10:23,756
剛才你說了啥 心臟和腦的同時手術
146
00:10:35,902 --> 00:10:37,036
為什麼岡村會在
147
00:10:37,036 --> 00:10:40,673
岡村是曾經的天才腦外科醫生
148
00:10:41,541 --> 00:10:44,077
只有他能夠代替邁克醫生
149
00:10:44,077 --> 00:10:46,079
多久沒握手術刀了
150
00:10:47,480 --> 00:10:49,282
10年
151
00:10:49,449 --> 00:10:51,117
這麼危險的手術
152
00:10:51,251 --> 00:10:52,852
NO
153
00:10:54,988 --> 00:10:56,723
你打算殺了櫻井醫生嗎
154
00:11:11,938 --> 00:11:15,074
現在只能賭在兩位天才外科醫生身上了
155
00:11:23,082 --> 00:11:24,017
現在開始
156
00:11:24,050 --> 00:11:29,489
進行針對基底動脈頂端破裂動脈瘤的
157
00:11:29,489 --> 00:11:31,024
切除手術
158
00:11:31,291 --> 00:11:31,791
手術刀
159
00:11:31,791 --> 00:11:32,458
是
160
00:11:40,466 --> 00:11:41,568
現在開始
161
00:11:42,302 --> 00:11:44,704
進行針對主動脈弓動脈瘤的
162
00:11:45,138 --> 00:11:47,674
主動脈弓重建術
163
00:11:47,674 --> 00:11:48,174
手術刀
164
00:11:48,174 --> 00:11:48,775
是
165
00:11:52,011 --> 00:11:52,912
開始了
166
00:12:01,754 --> 00:12:02,789
鑷子 紗布
167
00:12:06,426 --> 00:12:06,926
電刀
168
00:12:06,926 --> 00:12:07,560
是
169
00:12:42,428 --> 00:12:43,663
切開胸骨
170
00:12:43,663 --> 00:12:44,364
胸骨鋸
171
00:12:44,364 --> 00:12:45,064
是
172
00:12:45,098 --> 00:12:45,598
haken錐
173
00:12:45,598 --> 00:12:46,099
是
174
00:12:46,099 --> 00:12:46,599
血液回收機
175
00:12:46,599 --> 00:12:47,233
是
176
00:12:52,005 --> 00:12:54,841
準備輸血 MAP10單位 冰凍血漿20單位
177
00:12:54,841 --> 00:12:55,475
拜託了
178
00:12:55,475 --> 00:12:56,075
是
179
00:12:56,075 --> 00:12:57,176
開始進行顱骨切開
180
00:12:57,176 --> 00:12:57,744
穿孔器
181
00:12:57,744 --> 00:12:58,444
是
182
00:13:00,813 --> 00:13:01,414
好 開始吧
183
00:13:01,414 --> 00:13:02,148
是
184
00:13:03,483 --> 00:13:05,418
腦電波監控儀保持在40以下
185
00:13:05,585 --> 00:13:06,152
開胸器
186
00:13:06,152 --> 00:13:06,853
是
187
00:13:12,625 --> 00:13:14,260
開始切開心包膜
188
00:13:14,627 --> 00:13:16,129
開始切開硬膜
189
00:13:16,129 --> 00:13:16,763
硬膜剪刀
190
00:13:16,763 --> 00:13:17,497
是
191
00:13:24,704 --> 00:13:25,238
梅氏剪
192
00:13:25,238 --> 00:13:26,005
是
193
00:13:29,275 --> 00:13:30,643
開胸 完畢
194
00:13:34,113 --> 00:13:35,581
開顱 完畢
195
00:13:36,983 --> 00:13:37,850
機器人手術組合
196
00:13:37,850 --> 00:13:38,584
是
197
00:13:42,922 --> 00:13:45,858
完全感覺不到10年的空白
198
00:13:48,661 --> 00:13:52,699
岡村醫生真的10年沒有拿手術刀了嗎
199
00:13:54,834 --> 00:13:56,636
木原醫生 怎麼樣了
200
00:14:00,173 --> 00:14:01,174
放操控微手臂
201
00:14:01,174 --> 00:14:01,908
是
202
00:14:02,475 --> 00:14:02,975
梅氏剪
203
00:14:02,975 --> 00:14:03,643
是
204
00:14:09,382 --> 00:14:10,516
管鉗
205
00:14:26,733 --> 00:14:28,935
人工心肺建立完畢
206
00:14:29,335 --> 00:14:30,737
沒有新的出血
207
00:14:30,737 --> 00:14:32,972
荒瀨 加肝素
208
00:14:35,475 --> 00:14:36,743
肝磷酯IV
209
00:14:36,743 --> 00:14:37,477
是
210
00:14:43,282 --> 00:14:47,153
史無前例的心臟腦部同時手術
211
00:14:47,153 --> 00:14:49,522
通常情況下 心臟手術中心須使用肝素
212
00:14:49,522 --> 00:14:53,025
但是 在腦部手術中使用肝素的話
213
00:14:53,059 --> 00:14:57,964
萬一隨後血管破裂血流不止就會致命
214
00:14:58,164 --> 00:15:00,133
所以要在低體溫狀態下讓體外循環停止
215
00:15:00,133 --> 00:15:01,167
沒錯
216
00:15:01,501 --> 00:15:04,904
在20度的超低體溫狀態下停止體外循環的話
217
00:15:04,904 --> 00:15:06,339
血液流動就會停止
218
00:15:06,339 --> 00:15:08,374
出血的風險得以迴避
219
00:15:08,374 --> 00:15:10,109
同時手術才有可能繼續進行
220
00:15:16,516 --> 00:15:18,084
深層體溫為20度
221
00:15:18,084 --> 00:15:18,851
停下
222
00:15:18,851 --> 00:15:19,552
是
223
00:15:24,423 --> 00:15:27,393
先兆破裂擴散到降主動脈
224
00:15:27,393 --> 00:15:29,729
就是說不能用普通的方法處理了
225
00:15:32,331 --> 00:15:34,467
循環停止的極限是
226
00:15:36,702 --> 00:15:38,104
30分鐘
227
00:15:46,312 --> 00:15:49,282
循環停止時間 30分鐘是極限
228
00:15:49,649 --> 00:15:52,485
30分鐘內同時醫治腦部和心臟
229
00:15:54,086 --> 00:15:55,087
停止體外循環
230
00:15:55,655 --> 00:15:56,756
停止體外循環
231
00:16:05,498 --> 00:16:06,833
循環停止
232
00:16:07,233 --> 00:16:08,367
計時開始
233
00:16:08,367 --> 00:16:10,736
是 開始計時
234
00:16:13,539 --> 00:16:14,507
開始吧
235
00:16:14,907 --> 00:16:15,408
梅氏剪
236
00:16:15,408 --> 00:16:15,908
是
237
00:16:15,908 --> 00:16:16,442
鑷子
238
00:16:16,442 --> 00:16:16,943
是
239
00:16:16,943 --> 00:16:17,476
開負壓吸引
240
00:16:17,476 --> 00:16:17,977
是
241
00:16:17,977 --> 00:16:19,245
頭部降溫 降低室溫
242
00:16:19,245 --> 00:16:19,979
是
243
00:16:26,285 --> 00:16:27,520
開始打開大腦外側裂
244
00:16:27,520 --> 00:16:28,020
手術剪
245
00:16:28,020 --> 00:16:28,621
是
246
00:16:36,562 --> 00:16:37,997
顳拉得太近了
247
00:16:38,664 --> 00:16:40,533
不要給顱頂加壓
248
00:16:43,135 --> 00:16:43,803
槍型剪
249
00:16:43,803 --> 00:16:44,537
是
250
00:16:48,908 --> 00:16:50,576
現在開始撕開第三腦室底膜
251
00:16:51,043 --> 00:16:52,178
真快啊
252
00:16:52,411 --> 00:16:53,613
進入後循環
253
00:16:53,613 --> 00:16:54,113
骨膜分離器
254
00:16:54,113 --> 00:16:54,814
是
255
00:16:55,281 --> 00:16:56,115
帶皮氈的線
256
00:16:56,115 --> 00:16:56,849
是
257
00:16:58,417 --> 00:16:59,785
血凝固了
258
00:17:05,691 --> 00:17:08,961
好 基底動脈 到基底動脈主幹了
259
00:17:13,065 --> 00:17:16,801
基底動脈頂端位於人腦最深處
260
00:17:16,903 --> 00:17:21,406
由於破裂 不得不在血海中 找到基底動脈主幹
261
00:17:21,406 --> 00:17:23,442
確認左右小腦上動脈
262
00:17:23,442 --> 00:17:28,180
以及左右大腦後動脈
263
00:17:28,180 --> 00:17:30,249
然後沿著主幹前進 到達基底動脈頂端
264
00:17:30,249 --> 00:17:32,084
否則無法切除
265
00:17:34,954 --> 00:17:38,791
左側SCA左小腦上動脈
266
00:17:47,066 --> 00:17:48,834
右側SCA也已確認
267
00:17:48,834 --> 00:17:50,069
注意腦壓板的壓力
268
00:17:50,069 --> 00:17:50,803
是
269
00:17:54,273 --> 00:17:55,141
動作真快
270
00:17:56,709 --> 00:18:00,012
朝田他們也完成了中樞部位血管的修剪
271
00:18:00,012 --> 00:18:04,317
已經開始末梢部位血管的切除
272
00:18:04,317 --> 00:18:04,817
梅氏剪
273
00:18:04,817 --> 00:18:05,451
是
274
00:18:18,497 --> 00:18:19,265
怎麼了
275
00:18:19,265 --> 00:18:21,434
弓部遠端也已經癌變
276
00:18:22,535 --> 00:18:24,303
在這個地方做吻合術的話
277
00:18:24,403 --> 00:18:26,772
發生癌變的組織遲早會擴大
278
00:18:27,640 --> 00:18:30,643
有術後破裂的可能
279
00:18:30,943 --> 00:18:33,412
但是加以治療的話
280
00:18:33,679 --> 00:18:36,449
循環停止期間 主動脈弓置換無法完成
281
00:18:45,291 --> 00:18:46,926
無論手術進行得多順利
282
00:18:47,159 --> 00:18:49,962
30分鐘之內做主動脈弓置換都太冒險了
283
00:18:50,162 --> 00:18:52,999
把時間花在這裏的話
284
00:18:53,032 --> 00:18:55,534
後面重建動脈三大分支絕對來不及
285
00:19:05,411 --> 00:19:07,480
喂
286
00:19:11,584 --> 00:19:13,619
增加象鼻支架術怎麼樣
287
00:19:14,787 --> 00:19:18,157
這樣的話 即使主動脈弓部末梢發生癌變
288
00:19:18,257 --> 00:19:20,526
通過左側開胸重建也會變得容易
289
00:19:20,526 --> 00:19:23,095
但是 那樣做的話 需要做多餘的縫合
290
00:19:23,095 --> 00:19:24,296
沒有那麼多時間了
291
00:19:37,410 --> 00:19:38,411
對不起
292
00:19:52,858 --> 00:19:54,393
支架植入術
293
00:19:59,799 --> 00:20:01,767
支架植入術嗎
294
00:20:02,068 --> 00:20:04,170
接下來是要進行血管內支架手術嗎
295
00:20:04,170 --> 00:20:06,839
那種手術不在介入室無法完成
296
00:20:06,839 --> 00:20:08,574
要準備C型臂嗎
297
00:20:08,574 --> 00:20:09,608
不需要
298
00:20:10,643 --> 00:20:14,814
將支架型血管 通過手術區直接植入主動脈中
299
00:20:15,081 --> 00:20:18,717
的確 能直視下植入支架型血管
300
00:20:18,751 --> 00:20:20,319
也能預防以後的瘤化
301
00:20:20,319 --> 00:20:22,855
而且不需要多餘的縫合
302
00:20:22,855 --> 00:20:25,424
所以能將時間的損失降到最低
303
00:20:26,826 --> 00:20:28,894
開放式血管支架植入術
304
00:20:29,528 --> 00:20:30,596
拿支架型血管來
305
00:20:30,596 --> 00:20:31,130
拜託了
306
00:20:31,130 --> 00:20:31,864
是
307
00:20:37,570 --> 00:20:39,038
支架型血管拿來了
308
00:20:40,673 --> 00:20:42,641
幹得好 莫西干
309
00:20:43,843 --> 00:20:47,413
櫻井醫生就拜託你們了
310
00:20:52,952 --> 00:20:54,253
修剪結束
311
00:20:54,453 --> 00:20:55,955
伊集院 拜託了
312
00:20:55,955 --> 00:20:56,689
好
313
00:21:06,632 --> 00:21:10,669
開始將開放式血管支架植入主動脈弓降部
314
00:21:12,972 --> 00:21:13,873
出來了
315
00:21:20,880 --> 00:21:22,781
他們幾個的話
316
00:21:22,781 --> 00:21:25,284
或許真能完成同時手術
317
00:21:31,023 --> 00:21:32,191
開始配置
318
00:21:41,133 --> 00:21:43,569
開放式支架植入結束
319
00:21:47,706 --> 00:21:51,477
接下來開始人造血管的主動脈弓吻合
320
00:21:51,810 --> 00:21:52,511
人造血管
321
00:21:52,511 --> 00:21:53,245
是
322
00:21:53,579 --> 00:21:54,513
40
323
00:21:56,582 --> 00:21:58,384
動眼神經也已確認
324
00:21:58,584 --> 00:22:01,687
SCA PCA確認無誤
325
00:22:07,560 --> 00:22:10,229
櫻井醫生沒事的吧
326
00:22:10,529 --> 00:22:12,731
他一定會回來的吧
327
00:22:13,532 --> 00:22:16,602
朝田醫生他們一定能做到的
328
00:22:35,254 --> 00:22:36,188
梅氏剪
329
00:22:38,724 --> 00:22:40,392
主動脈弓吻合結束
330
00:22:40,392 --> 00:22:43,529
接下來進入人造血管的準備工作
331
00:22:43,529 --> 00:22:44,063
梅氏剪
332
00:22:44,063 --> 00:22:44,663
是
333
00:22:46,065 --> 00:22:49,969
左大腦後動脈 右大腦後動脈
334
00:22:51,036 --> 00:22:54,440
好 看到了 是基底動脈頂端
335
00:22:56,108 --> 00:22:57,042
真快
336
00:22:57,376 --> 00:22:58,577
急性期破裂的情況下
337
00:22:58,577 --> 00:23:01,113
只用了10分鐘就到達基底動脈頂端
338
00:23:06,919 --> 00:23:08,320
現在開始切除
339
00:23:10,689 --> 00:23:11,957
這是
340
00:23:12,825 --> 00:23:13,726
怎麼了
341
00:23:16,862 --> 00:23:20,132
無法進行切除
342
00:23:24,803 --> 00:23:26,605
無法切除是怎麼回事
343
00:23:27,006 --> 00:23:29,375
瘤入口部份動脈硬化嚴重
344
00:23:29,375 --> 00:23:31,977
前行切除的話瘤會破裂
345
00:23:36,248 --> 00:23:38,384
如果在頸部的硬化部份破裂
346
00:23:39,618 --> 00:23:41,353
就無計可施了
347
00:23:56,602 --> 00:23:58,570
無法進行切除的話
348
00:23:59,405 --> 00:24:02,274
就無法醫治腦瘤
349
00:24:07,446 --> 00:24:09,481
只能關顱了啊
350
00:24:11,850 --> 00:24:14,653
這個手術本來就太冒險了
351
00:24:22,027 --> 00:24:24,897
只有一個辦法
352
00:24:29,935 --> 00:24:31,904
流量控制手術
353
00:24:33,038 --> 00:24:37,643
在腦內進行搭橋手術 進行流量控制
354
00:24:40,245 --> 00:24:42,147
在腦內進行搭橋手術
355
00:24:43,282 --> 00:24:46,952
關鍵的腫瘤入口的動脈硬化非常嚴重
356
00:24:46,952 --> 00:24:48,454
無法夾閉
357
00:24:48,587 --> 00:24:52,524
所以就在前面的正常硬度的地方進行夾閒
358
00:24:52,524 --> 00:24:56,128
阻止住從心臟流出的高壓血流
359
00:24:56,795 --> 00:25:00,499
接下來用本人身上取下的血管
360
00:25:00,499 --> 00:25:05,904
連接顳淺動脈和位於腦內最深部位的大腦後動脈
361
00:25:05,904 --> 00:25:08,140
確保血液流通
362
00:25:08,207 --> 00:25:12,144
不過 這和心臟搭橋手術的難度天差地別
363
00:25:12,945 --> 00:25:16,648
而且還有另一個問題
364
00:25:16,882 --> 00:25:18,951
要在腦內進行搭橋手術
365
00:25:19,418 --> 00:25:22,154
需要顳下入路視野
366
00:25:22,354 --> 00:25:24,456
顳下入路
367
00:25:25,157 --> 00:25:28,394
需要將患者傾斜30度
368
00:25:29,094 --> 00:25:31,397
心臟手術的難度會進一步加大
369
00:25:32,564 --> 00:25:34,066
這樣也能做嗎
370
00:25:45,244 --> 00:25:46,779
你以為你在跟誰說話呢
371
00:25:49,248 --> 00:25:52,418
有我們就能做
372
00:25:55,788 --> 00:25:56,722
荒瀨
373
00:26:01,093 --> 00:26:02,661
向左側調30度
374
00:26:07,132 --> 00:26:09,735
好 首先截取血管組織
375
00:26:09,735 --> 00:26:12,404
從左前臂開始區域麻醉 截取橈骨動脈
376
00:26:12,404 --> 00:26:12,905
好
377
00:26:12,905 --> 00:26:13,705
等一下
378
00:26:17,943 --> 00:26:19,711
用橈骨動脈不行
379
00:26:22,948 --> 00:26:25,217
我會準備最好的血管組織
380
00:26:25,284 --> 00:26:26,885
最好的血管組織
381
00:26:29,488 --> 00:26:30,756
ITA
382
00:26:33,459 --> 00:26:35,060
胸廓內動脈
383
00:26:35,661 --> 00:26:39,398
可是 截取胸廓內動脈的時候
384
00:26:39,398 --> 00:26:42,501
主動脈弓的手術就做不了了
385
00:26:42,668 --> 00:26:44,670
只剩下15分鐘了
386
00:26:44,670 --> 00:26:47,906
就算朝田再怎麼趕也做不完心臟手術了
387
00:26:47,906 --> 00:26:52,144
還是用橈骨動脈吧 這樣心臟的手術也不用停下來了
388
00:26:52,144 --> 00:26:52,678
不行
389
00:26:52,678 --> 00:26:54,746
可是要就櫻井醫生
390
00:26:54,746 --> 00:26:56,515
不能只是救活他
391
00:27:02,788 --> 00:27:05,557
要讓櫻井醫生做為醫生重新回到醫院
392
00:27:06,625 --> 00:27:09,261
繼續守護這個地區的醫療
393
00:27:11,296 --> 00:27:13,532
為此要用最好的血管組織
394
00:27:15,167 --> 00:27:18,103
用胸廓內動脈來做搭橋
395
00:27:18,770 --> 00:27:20,105
小龍
396
00:27:21,974 --> 00:27:24,476
這裏有最好的團隊
397
00:27:31,283 --> 00:27:32,885
我相信
398
00:27:35,854 --> 00:27:39,658
這裏所有人 竭盡全力時
399
00:27:42,394 --> 00:27:44,029
凝聚起來的團對力量
400
00:27:55,374 --> 00:27:59,344
你取截取最好的血管組織吧
401
00:27:59,444 --> 00:28:02,781
腦血管搭橋我一定會成功完成的
402
00:28:05,017 --> 00:28:05,884
IMA
403
00:28:05,884 --> 00:28:06,618
是
404
00:28:07,519 --> 00:28:11,490
好 在SCA和PCA的中間部位做永久性阻斷
405
00:28:11,590 --> 00:28:12,591
7毫米手術直鉗
406
00:28:12,591 --> 00:28:13,358
是
407
00:28:14,593 --> 00:28:15,093
電刀手術
408
00:28:15,093 --> 00:28:15,794
是
409
00:28:17,062 --> 00:28:19,398
一般腦血管搭橋手術
410
00:28:19,398 --> 00:28:23,435
會截取手腕處的橈骨動脈來完成
411
00:28:23,435 --> 00:28:28,974
不過 纖細的腦血管和橈骨動脈的直徑存在差別
412
00:28:28,974 --> 00:28:31,310
即使手術時順利吻合
413
00:28:31,310 --> 00:28:33,545
後面也有可能破裂
414
00:28:33,645 --> 00:28:34,947
與此相比
415
00:28:34,947 --> 00:28:40,052
胸廓內動脈的口徑較小 血管柔軟
416
00:28:40,052 --> 00:28:42,955
和腦血管較容易吻合
417
00:28:43,689 --> 00:28:46,158
心臟手術和腦內手術同時進行
418
00:28:46,825 --> 00:28:49,928
正是因為現在處在開胸的狀態
419
00:28:50,028 --> 00:28:55,067
才能截取到胸骨內部最好的血管組織
420
00:28:57,336 --> 00:28:59,504
縮短心臟手術的時間
421
00:28:59,538 --> 00:29:01,673
來截取腦血管搭橋用的血管組織嗎
422
00:29:01,673 --> 00:29:04,142
因為這是對患者來說最好的選擇
423
00:29:04,142 --> 00:29:07,746
他們會把支架植入術爭取來的時間全部用光了
424
00:29:07,746 --> 00:29:11,083
朝田醫生他們一定能在循環停止時間內完成的
425
00:29:11,883 --> 00:29:15,387
可是只剩下12分鐘了
426
00:29:17,723 --> 00:29:18,256
電刀
427
00:29:18,256 --> 00:29:18,957
是
428
00:29:19,191 --> 00:29:20,492
這個結束之後就植入暫時性支架
429
00:29:20,492 --> 00:29:21,393
5毫米2之組合
430
00:29:21,393 --> 00:29:22,127
是
431
00:29:27,566 --> 00:29:28,500
血管剝離完成
432
00:29:28,500 --> 00:29:29,935
修剪交給我了
433
00:29:29,935 --> 00:29:31,236
朝田回去處理心臟
434
00:29:31,236 --> 00:29:32,004
拜託了
435
00:29:32,004 --> 00:29:32,571
波氏剪
436
00:29:32,571 --> 00:29:33,305
是
437
00:29:33,672 --> 00:29:34,439
開胸器
438
00:29:34,439 --> 00:29:35,173
是
439
00:29:40,846 --> 00:29:42,681
永久性阻斷完畢
440
00:29:42,881 --> 00:29:45,217
應該能抑制住流向腫瘤的血液
441
00:29:47,719 --> 00:29:49,087
修剪完成
442
00:29:50,655 --> 00:29:51,757
還有10分鐘
443
00:29:53,825 --> 00:29:55,293
接著做中樞側吻合
444
00:29:55,293 --> 00:29:56,294
快點
445
00:29:56,428 --> 00:29:56,928
4號線
446
00:29:56,928 --> 00:29:57,429
是
447
00:29:57,429 --> 00:29:58,964
P1 P2暫時阻斷
448
00:29:58,964 --> 00:29:59,998
從底部開始
449
00:29:59,998 --> 00:30:00,732
是
450
00:30:02,300 --> 00:30:05,837
院長爺爺不會有事的吧
451
00:30:06,138 --> 00:30:07,239
沒事的
452
00:30:07,339 --> 00:30:08,974
一定會好起來的
453
00:30:10,409 --> 00:30:11,810
貼在這裏
454
00:30:21,953 --> 00:30:23,055
臨時阻斷
455
00:30:23,055 --> 00:30:23,789
是
456
00:30:50,649 --> 00:30:52,951
中樞側的吻合馬上就要結束了
457
00:30:52,951 --> 00:30:55,921
接下來就是再建3個分支了
458
00:30:57,689 --> 00:30:58,857
還剩5分鐘
459
00:30:58,957 --> 00:31:01,960
要吻合一根血管通常要花5分鐘
460
00:31:01,960 --> 00:31:03,595
現在要吻合3根
461
00:31:03,595 --> 00:31:05,363
到這一步已經完成得很好了
462
00:31:05,864 --> 00:31:09,568
不過 接下來要是做三個分支的吻合的話
463
00:31:09,734 --> 00:31:12,304
就算是朝田也絕對來不及完成
464
00:31:16,908 --> 00:31:17,409
梅氏剪
465
00:31:17,409 --> 00:31:17,943
是
466
00:31:19,244 --> 00:31:20,979
中樞側吻合完成
467
00:31:40,665 --> 00:31:42,634
朝田他在幹什麼呢
468
00:31:43,034 --> 00:31:45,570
切下人造血管的話就連接不上了啊
469
00:31:46,004 --> 00:31:47,139
不會吧
470
00:31:53,645 --> 00:31:55,514
用島狀en bloc吻合法來再建
471
00:31:55,514 --> 00:31:56,648
en bloc
472
00:32:02,721 --> 00:32:04,055
島狀en bloc吻合術
473
00:32:04,189 --> 00:32:07,325
將弓部三個分支的底部剪下呈島狀
474
00:32:07,325 --> 00:32:10,896
將分支作為一體 吻合人工血管
475
00:32:11,897 --> 00:32:14,799
這樣的話 就不用一根一根來吻合三個分支
476
00:32:14,799 --> 00:32:17,802
而可以一下子全部吻合 節省時間
477
00:32:19,204 --> 00:32:22,274
這是看出櫻井醫生的動脈瘤中分支出來的血管
478
00:32:22,274 --> 00:32:25,210
並沒有出現壓迫破裂這一點
479
00:32:25,210 --> 00:32:26,344
而做出的瞬間的選擇
480
00:32:26,344 --> 00:32:27,979
一下子吻合三個分支
481
00:32:27,979 --> 00:32:29,514
還有這種方法
482
00:32:29,581 --> 00:32:30,215
追加帶皮毯的線
483
00:32:30,215 --> 00:32:30,715
是
484
00:32:30,715 --> 00:32:31,716
準備4號線
485
00:32:31,716 --> 00:32:32,217
給我玻璃吸管
486
00:32:32,217 --> 00:32:32,884
是
487
00:32:32,884 --> 00:32:35,086
開始做弓部3分支的en bloc吻合
488
00:32:35,086 --> 00:32:35,587
4號線
489
00:32:35,587 --> 00:32:36,254
是
490
00:32:39,291 --> 00:32:41,359
他們還沒有放棄
491
00:32:42,127 --> 00:32:46,431
想要讓櫻井醫生重新做為醫生回到醫院
492
00:32:46,765 --> 00:32:50,368
這一共同的想法沒有改變
493
00:32:53,705 --> 00:32:55,340
P1 P2暫時阻斷結束
494
00:32:55,340 --> 00:32:56,575
開始做PCA的吻合
495
00:32:56,575 --> 00:32:57,108
手術刀
496
00:32:57,108 --> 00:32:57,742
是
497
00:32:58,843 --> 00:32:59,344
4號線
498
00:32:59,344 --> 00:33:00,045
是
499
00:33:01,646 --> 00:33:02,547
血管組織
500
00:33:16,561 --> 00:33:18,463
L&P的 你們有在好好看嗎
501
00:33:20,165 --> 00:33:22,567
這樣的手術一輩子可能只看得到一次
502
00:33:23,668 --> 00:33:25,770
你們要想做個好醫生的話
503
00:33:26,805 --> 00:33:30,809
就睜大眼睛 好好看著這群人在做的事
504
00:33:35,247 --> 00:33:38,083
醫龍團隊和岡村醫生的技術確實很高明
505
00:33:39,951 --> 00:33:44,789
不過 其實高明的不是技術
506
00:33:45,290 --> 00:33:46,958
而是不到最後一刻
507
00:33:47,425 --> 00:33:50,228
絕不放棄對於患者來說最好的選擇
508
00:33:50,228 --> 00:33:52,998
這是他們最堅定的宗旨
509
00:33:54,099 --> 00:33:54,833
4號線追加
510
00:33:54,833 --> 00:33:55,367
是
511
00:33:55,367 --> 00:33:56,201
準備好人工心肺
512
00:33:56,201 --> 00:33:56,701
是
513
00:33:56,701 --> 00:33:57,235
紗布
514
00:33:57,235 --> 00:33:57,736
是
515
00:33:57,736 --> 00:33:58,370
吸引
516
00:33:58,370 --> 00:33:59,104
是
517
00:34:01,873 --> 00:34:03,675
將ITA末梢吻合在PCA上
518
00:34:03,675 --> 00:34:04,175
是
519
00:34:04,175 --> 00:34:04,709
10號尼龍線
520
00:34:04,709 --> 00:34:05,243
是
521
00:34:05,243 --> 00:34:06,011
復溫準備
522
00:34:06,044 --> 00:34:06,778
是
523
00:34:22,761 --> 00:34:24,094
朝田
524
00:34:24,362 --> 00:34:25,230
4號線
525
00:34:25,230 --> 00:34:25,830
是
526
00:34:25,864 --> 00:34:27,331
人工呼吸器準備
527
00:34:27,331 --> 00:34:27,831
是
528
00:34:27,831 --> 00:34:28,699
玻璃吸管
529
00:34:28,933 --> 00:34:29,434
是
530
00:34:29,434 --> 00:34:30,467
止血帶
531
00:34:30,502 --> 00:34:31,235
是
532
00:34:31,603 --> 00:34:32,603
紗布
533
00:34:32,737 --> 00:34:33,438
是
534
00:34:33,438 --> 00:34:35,873
縫合完成後 P2臨時阻斷解除
535
00:34:35,907 --> 00:34:36,408
是
536
00:34:36,408 --> 00:34:37,676
再次擴張
537
00:34:46,117 --> 00:34:49,521
這就是醫龍團隊
538
00:34:59,230 --> 00:35:02,767
我是為了拯救病人才想當醫生的
539
00:35:02,767 --> 00:35:04,836
千萬不要忘記你的這份初衷啊
540
00:35:06,304 --> 00:35:11,009
我會建立一個與時俱進的理想型醫院
541
00:35:12,477 --> 00:35:14,479
相信你能做到的
542
00:35:31,563 --> 00:35:32,063
4號線
543
00:35:32,063 --> 00:35:32,564
是
544
00:35:32,564 --> 00:35:33,064
Jacobson顯微尖勾
545
00:35:33,064 --> 00:35:33,565
是
546
00:35:33,565 --> 00:35:34,065
組織鉤
547
00:35:34,065 --> 00:35:34,566
是
548
00:35:34,566 --> 00:35:35,066
夾剪
549
00:35:35,066 --> 00:35:35,600
是
550
00:35:35,600 --> 00:35:36,501
貼片
551
00:35:36,534 --> 00:35:37,102
冷敷片
552
00:35:37,135 --> 00:35:37,836
是
553
00:35:37,836 --> 00:35:40,004
加油 加油 加油 加油
554
00:35:40,004 --> 00:35:41,873
加油
555
00:35:43,174 --> 00:35:44,209
還剩下1分20秒
556
00:35:44,209 --> 00:35:44,743
紗布
557
00:35:44,743 --> 00:35:45,477
是
558
00:35:46,010 --> 00:35:47,245
SEP沒有變化
559
00:35:47,245 --> 00:35:49,013
好 開始加壓
560
00:35:50,048 --> 00:35:50,548
梅氏剪
561
00:35:50,548 --> 00:35:51,182
是
562
00:35:51,182 --> 00:35:51,716
小梅氏剪
563
00:35:51,716 --> 00:35:52,484
是
564
00:35:55,086 --> 00:35:57,288
en bloc的三分支 縫合結束
565
00:35:57,288 --> 00:35:59,424
ITA-PCA吻合結束
566
00:36:00,425 --> 00:36:01,960
接下來要開始體外循環了
567
00:36:01,960 --> 00:36:03,294
體外循環停止 解除
568
00:36:05,997 --> 00:36:07,165
人工心肺 開泵
569
00:36:07,165 --> 00:36:07,899
是
570
00:36:38,830 --> 00:36:39,898
沒有出血
571
00:36:40,865 --> 00:36:41,900
趕上了
572
00:36:42,300 --> 00:36:45,336
接下來只要將送血按分支的順行性變更好就結束了
573
00:36:45,336 --> 00:36:46,070
3號線
574
00:36:46,070 --> 00:36:46,604
是
575
00:36:46,604 --> 00:36:49,040
這邊也是STA和ITA的吻合結束
576
00:36:49,040 --> 00:36:49,841
臨時阻斷
577
00:36:49,841 --> 00:36:50,575
是
578
00:36:59,617 --> 00:37:02,053
送血管更換 結束
579
00:37:02,620 --> 00:37:05,790
STA-ITA-PCA 搭橋術結束
580
00:37:18,169 --> 00:37:20,205
心臟復甦
581
00:37:21,706 --> 00:37:23,107
SEP的確認
582
00:37:52,270 --> 00:37:56,107
好 SEP沒有問題
583
00:38:02,847 --> 00:38:07,252
基底動脈頂端流量控制手術
584
00:38:07,819 --> 00:38:08,786
結束
585
00:38:23,868 --> 00:38:27,906
主動脈弓置換術 結束
586
00:38:31,009 --> 00:38:34,579
同時手術 成功
587
00:39:16,888 --> 00:39:17,922
同時手術
588
00:39:18,923 --> 00:39:20,058
成功
589
00:39:20,091 --> 00:39:22,994
太好了 太好了
590
00:39:22,994 --> 00:39:25,830
成功了 成功了
591
00:39:30,735 --> 00:39:32,604
太好了
592
00:41:17,308 --> 00:41:22,113
因為你的加入 櫻井醫生才得救
593
00:41:22,480 --> 00:41:26,384
哪裏 是團隊的力量
594
00:41:28,986 --> 00:41:33,524
但是這是我最後一次手術
595
00:41:35,927 --> 00:41:38,463
日本的醫療 這樣下去 總有一天會崩潰
596
00:41:39,464 --> 00:41:45,470
我現在想做的是通過商業經營的力量
597
00:41:46,170 --> 00:41:48,339
拯救那些將被制度害死的生命
598
00:41:52,810 --> 00:41:55,513
我們會在最前線繼續戰鬥
599
00:42:03,121 --> 00:42:04,756
朝田龍太郎
600
00:42:08,559 --> 00:42:10,261
也許哪天
601
00:42:12,296 --> 00:42:17,168
我還會需要你的協助
602
00:42:21,706 --> 00:42:23,241
有需要隨時開口
603
00:42:25,009 --> 00:42:29,981
你也是我們團隊的一員
604
00:42:50,701 --> 00:42:53,538
幹得漂亮 伊集院 不愧是你
605
00:42:53,538 --> 00:42:54,372
真厲害 不簡單
606
00:42:54,372 --> 00:42:55,506
真的做到了
607
00:42:55,506 --> 00:42:57,809
這傢伙可是我的弟子啊
608
00:43:12,056 --> 00:43:16,294
是嗎 岡村
609
00:43:16,294 --> 00:43:20,198
是 手術成功了
610
00:43:23,501 --> 00:43:24,836
大家都等著您
611
00:43:25,002 --> 00:43:25,770
什麼
612
00:43:31,976 --> 00:43:33,544
不止是我們
613
00:43:35,413 --> 00:43:37,315
這個地區的所有人
614
00:43:41,052 --> 00:43:42,920
都等著老師的回歸
615
00:43:44,856 --> 00:43:46,324
我會用
616
00:43:47,859 --> 00:43:52,296
你們救回的這條命
617
00:43:54,565 --> 00:43:59,537
全力守護
618
00:44:00,438 --> 00:44:04,742
這個地區的人們的生命
619
00:44:10,815 --> 00:44:13,084
不戴朝田他們去
620
00:44:13,084 --> 00:44:14,585
一起去的
621
00:44:16,153 --> 00:44:17,788
只有伊集院
622
00:44:18,956 --> 00:44:20,391
是他本人的意願
623
00:44:20,892 --> 00:44:26,330
還有L&P的想要去的年輕醫生們
624
00:44:27,498 --> 00:44:29,901
這怎麼回事 鬼頭女士
625
00:44:30,568 --> 00:44:33,704
把朝田他們集合起來推向世界 不是你的願望嗎
626
00:44:33,704 --> 00:44:37,108
看過他們的手術後 改變了我的想法
627
00:44:38,509 --> 00:44:42,647
醫龍團隊已經是一支完美的隊伍
628
00:44:43,514 --> 00:44:47,852
就算把他們帶去那邊 我最多就是個經理人
629
00:44:47,852 --> 00:44:52,256
說什麼傻話 是世界最好團隊的領導人
630
00:44:52,657 --> 00:44:57,728
我想作為一個醫生 成為醫療現場的表率
631
00:44:58,829 --> 00:45:00,598
不是別人
632
00:45:01,299 --> 00:45:06,771
靠我的手 拯救全世界的患者
633
00:45:09,573 --> 00:45:14,512
然後再組成屬於我的新的團隊
634
00:45:17,381 --> 00:45:19,483
一支超越醫龍的團隊
635
00:45:20,651 --> 00:45:22,853
進軍印度不可以失敗
636
00:45:23,421 --> 00:45:27,124
我說過我們需要朝田這個超級巨星
637
00:45:27,124 --> 00:45:28,659
我想你是忘了吧
638
00:45:31,062 --> 00:45:34,131
我也是超級巨星
639
00:45:44,108 --> 00:45:46,510
那就讓我見識一下吧
640
00:45:55,486 --> 00:45:57,388
伊集院要去印度嗎
641
00:45:57,388 --> 00:46:01,058
是 我想到國際上更多的磨練自己的技術
642
00:46:01,792 --> 00:46:05,363
把在醫龍團隊裏學到的 傳授給當地的醫生們
643
00:46:07,765 --> 00:46:09,900
我作為這家醫院的院長
644
00:46:10,901 --> 00:46:13,671
要建立一所以麻醉醫為中心的醫院
645
00:46:15,172 --> 00:46:20,244
我要讓兒童用人工心臟投入實際醫療
646
00:46:22,680 --> 00:46:23,714
我會
647
00:46:27,184 --> 00:46:29,253
回櫻井醫院
648
00:46:40,431 --> 00:46:42,433
每次分別前都是這樣的呢
649
00:46:44,268 --> 00:46:45,302
是啊
650
00:46:49,073 --> 00:46:50,274
不做這個嗎
651
00:46:52,676 --> 00:46:55,513
真是 拿你沒轍
652
00:47:10,494 --> 00:47:12,430
雖然又要各奔東西了
653
00:47:13,097 --> 00:47:15,099
但不管在哪我們都是一個團隊
654
00:47:15,433 --> 00:47:16,967
在各自的地方
655
00:47:17,968 --> 00:47:20,838
去實現自己所追求的醫療
656
00:47:23,074 --> 00:47:27,778
在將來的某一天 再聚在一起吧
657
00:47:49,433 --> 00:47:51,235
櫻井修三
658
00:47:53,437 --> 00:47:58,809
一直 就是遇到任何事都不屈服的男人
659
00:48:01,479 --> 00:48:03,814
46年了
660
00:48:05,049 --> 00:48:10,020
現在面對這麼嚴重的疾病也沒有屈服
661
00:48:20,498 --> 00:48:21,699
野口
662
00:48:25,636 --> 00:48:29,206
我很期待你所說的
663
00:48:30,674 --> 00:48:32,643
理想的醫院
664
00:48:54,865 --> 00:48:56,033
我覺得
665
00:48:57,735 --> 00:48:59,336
這次應該用瓣膜置換術
666
00:48:59,336 --> 00:49:03,807
不行 不要害怕嘗試
667
00:49:04,608 --> 00:49:05,342
知道了
668
00:49:07,144 --> 00:49:07,645
喂
669
00:49:07,645 --> 00:49:08,412
是
670
00:49:08,512 --> 00:49:10,347
你蓄鬍子有點早吧
671
00:49:10,414 --> 00:49:12,783
有啥不好 很適合呀
672
00:49:12,783 --> 00:49:14,718
您不也老是摸鬍子嗎 是吧
673
00:49:14,718 --> 00:49:17,188
這可是我60年經歷的標誌
674
00:49:17,188 --> 00:49:18,155
真是
675
00:49:30,334 --> 00:49:31,735
麻醉銀行嗎
676
00:49:32,203 --> 00:49:33,871
把我們這培養好的麻醉醫
677
00:49:33,871 --> 00:49:35,973
派遣到麻醉醫不足的地方去
678
00:49:35,973 --> 00:49:37,007
真了不起
679
00:49:37,007 --> 00:49:38,108
我將一生追隨您
680
00:49:42,112 --> 00:49:43,714
等一下
681
00:49:43,714 --> 00:49:45,015
一生追隨您
682
00:49:45,015 --> 00:49:48,485
兒童用人工心臟將在一年後投入臨床
683
00:49:48,485 --> 00:49:51,622
和籐吉醫生的心肌細胞層雙管齊下的話
684
00:49:52,356 --> 00:49:56,827
可以拯救更多無法接受移植的孩子的生命
685
00:49:58,128 --> 00:50:01,565
患者正在等著我們的研究成果
686
00:50:05,169 --> 00:50:06,604
恭喜
687
00:50:08,439 --> 00:50:12,243
聽說你正式就任了櫻井醫院的院長職務
688
00:50:17,348 --> 00:50:18,482
5年
689
00:50:19,950 --> 00:50:21,986
從印度開始
690
00:50:22,486 --> 00:50:23,654
5年時間
691
00:50:23,654 --> 00:50:30,027
我建立了世界規模的醫療同盟
692
00:50:30,527 --> 00:50:33,097
成為這個組織的領導者
693
00:50:35,099 --> 00:50:37,167
權利真美好
694
00:50:38,469 --> 00:50:43,641
我將會把日本的醫療帶向世界的頂點
695
00:50:46,810 --> 00:50:52,616
我只想好好面對這個地區的每一條生命
696
00:50:54,718 --> 00:50:57,721
區域醫療和世界水平的醫療
697
00:50:59,523 --> 00:51:02,860
我們流向的是不是同一片大海呢
698
00:51:10,567 --> 00:51:15,739
後年 要在中國上海建設扶貧醫院
699
00:51:16,507 --> 00:51:20,744
我正好在找能夠領導這家醫院的超級巨星
700
00:51:23,314 --> 00:51:26,483
咱們的緣分 還長著呢
701
00:55:31,728 --> 00:55:32,729
阿龍
702
00:55:46,510 --> 00:55:47,945
人久不見
703
00:55:52,082 --> 00:55:53,083
美紀
704
00:55:55,085 --> 00:55:56,219
我回來了
705
00:56:16,306 --> 00:56:20,677
現在開始 針對主動脈瓣狹窄癥
706
00:56:21,745 --> 00:56:25,816
進行經心尖的主動脈瓣植入術
707
00:56:26,116 --> 00:56:26,616
手術刀
708
00:56:26,616 --> 00:56:27,317
是
44548
