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1
00:00:00,600 --> 00:00:04,230
一定会把雄太治好的
2
00:00:04,970 --> 00:00:08,570
从取出心臟到移植為止 必须在4小时内完成
3
00:00:08,570 --> 00:00:11,870
适合雄太的臟器捐赠者出现了
4
00:00:11,870 --> 00:00:14,740
因為鬼头医生的患者不能接受移植手术了
5
00:00:14,740 --> 00:00:16,210
那个臟器就代為…
6
00:00:17,010 --> 00:00:20,150
活体肝臟移植和心臟移植手术同时进行
7
00:00:20,150 --> 00:00:22,350
等一下 肝机能有缺陷的患者
8
00:00:22,350 --> 00:00:24,290
是绝对不可以接受心臟移植的 那是违反条例规定的
9
00:00:24,290 --> 00:00:25,090
我知道
10
00:00:25,620 --> 00:00:27,220
你会被吊销医生执照的
11
00:00:27,290 --> 00:00:29,920
没关系 只要能救活患者就好了
12
00:00:29,920 --> 00:00:33,600
如果雄太进行心臟移植的事情 让野口医生知道了的话
13
00:00:33,600 --> 00:00:35,330
移植就不得不中止
14
00:00:35,330 --> 00:00:38,130
野口医生 在确认了当天的手术日程之后就会外出
15
00:00:39,530 --> 00:00:41,270
只有瞒著他做了
16
00:00:43,340 --> 00:00:44,070
请进
17
00:01:21,680 --> 00:01:26,080
据说你要同时进行 活体肝臟移植和心臟移植手术
18
00:01:27,180 --> 00:01:27,980
对
19
00:01:29,180 --> 00:01:33,220
而且是把成年人用的捐赠心臟 移植到9岁的孩子身上
20
00:01:35,890 --> 00:01:38,830
那心臟本来是要捐赠给我的患者啊
21
00:01:44,830 --> 00:01:47,170
去做吧 朝田
22
00:01:50,710 --> 00:01:53,040
如果没有把它移植到你的患者身上
23
00:01:54,110 --> 00:01:58,480
那就浪费了一条宝贵的生命了
24
00:02:01,680 --> 00:02:05,620
去救你眼前的患者吧
25
00:02:18,470 --> 00:02:21,600
你那个本来要接受移植的患者啊 真是遗憾
26
00:02:22,740 --> 00:02:25,470
遗憾？ 你说谁呢
27
00:02:27,810 --> 00:02:29,140
那可是我的患者
28
00:02:30,750 --> 00:02:32,210
不会让他死的
29
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只剩下3小时25分鐘了吗
30
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肝臟送到了
31
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是
32
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（手术侵袭: 简言之, 在手术过程中的物理创伤和精神消耗作為手术风险的评估, 对患者治疗计划的制定以及确保治疗的儿全具有非常重要的意义）
33
00:03:05,410 --> 00:03:07,420
手术过程将伴随不少的手术侵袭
34
00:03:07,420 --> 00:03:09,080
我来负责人工心肺的支援
35
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拜託你负责在手术过程管理中协助朝田
36
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最强队伍的成员 马上要聚齐了哦
37
00:03:46,520 --> 00:03:49,990
现在开始 进行摘出的活体肝左叶移植手术
38
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镊子
39
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是
40
00:03:51,930 --> 00:03:52,390
6-0线
41
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是
42
00:03:52,930 --> 00:03:56,930
现在开始 进行针对扩张型心肌症的
43
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心臟移植手术
44
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手术刀
45
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是
46
00:04:01,470 --> 00:04:02,070
镊子 纱布
47
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是
48
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要开始了
49
00:04:14,280 --> 00:04:16,750
肺动脉压上升 体内血压正在降低
50
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照这个状态的话恐怕…
51
00:04:21,320 --> 00:04:22,260
怎麼办
52
00:04:22,860 --> 00:04:25,530
马上开胸 然后转入人工心肺管理
53
00:04:25,860 --> 00:04:26,790
可是能做到这个的就只有…
54
00:04:26,790 --> 00:04:27,730
按我说的做
55
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医生
56
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对於我来说 没有不可能的事
57
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手术刀
58
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是
59
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有什麼事吗
60
00:04:45,610 --> 00:04:48,820
恩田议员已经在会场等候
61
00:04:50,520 --> 00:04:53,050
似乎比预定时间早到了
62
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是吗
63
00:04:55,860 --> 00:04:57,930
您还是快点出发比较好吧
64
00:05:03,060 --> 00:05:06,430
我让人备好车了
65
00:05:11,640 --> 00:05:15,040
我知道了 出发吧
66
00:05:27,660 --> 00:05:31,530
啊 对了 我忘了告诉你
67
00:05:34,000 --> 00:05:36,330
我已经签好约了
68
00:05:36,930 --> 00:05:39,800
和Gold Berg Brothers公司
69
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谢谢你备的车
70
00:05:51,350 --> 00:05:52,550
走吧
71
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骨锯
72
00:06:02,960 --> 00:06:03,620
肌肉鉤
73
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backhand
74
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给小孩移植成人的心臟
75
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大人和小孩之间 血管的尺寸有差异
76
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要把相关的血管完全缝合起来
77
00:06:30,650 --> 00:06:35,160
换句话来说 就如把不同粗细的软管缝合起来一样
78
00:06:35,290 --> 00:06:38,560
需要最大限度的集中力和平衡感
79
00:06:40,160 --> 00:06:43,430
而且同时移植的话 也限制了手术视野内的活动
80
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手术过程管理变得相当困难
81
00:06:45,700 --> 00:06:46,970
在此之中…
82
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谐波刀
83
00:06:48,900 --> 00:06:49,840
是
84
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把成人的心臟移植到小孩身上？
85
00:06:53,510 --> 00:06:55,980
而且还要和活体肝臟移植一起进行？
86
00:06:55,980 --> 00:06:58,380
靠北洋医院那群废物吗
87
00:07:02,520 --> 00:07:04,050
这不可能做得到
88
00:07:04,190 --> 00:07:05,250
对吧
89
00:07:07,920 --> 00:07:08,490
开胸器
90
00:07:08,490 --> 00:07:09,000
是
91
00:07:09,390 --> 00:07:11,590
就是那群被赶出明真的家伙吧
92
00:07:11,590 --> 00:07:12,660
肯定办不到
93
00:07:17,330 --> 00:07:18,130
这个…
94
00:07:18,200 --> 00:07:19,130
粘连
95
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已经超越了心尖部 粘连到心臟侧壁
96
00:07:22,940 --> 00:07:25,610
虽然已经预料到会发生粘连
97
00:07:26,670 --> 00:07:31,380
由於上次的Batista手术
和慢性心臟衰竭的恶化比预料中严重
98
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粘连甚至发展到心臟侧壁处了
99
00:07:34,450 --> 00:07:37,720
要把粘连全部剥离的话 即使是朝田也要花上三小时啊
100
00:07:40,420 --> 00:07:42,290
如果不把剥离彻底完成
101
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就无法进行心臟移植
102
00:07:47,430 --> 00:07:51,370
外山 开始剥离心臟周围的粘连
103
00:07:51,370 --> 00:07:51,900
可是…
104
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用最快的速度
105
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能够做得到的 就只有我和你了
106
00:07:59,040 --> 00:08:01,110
我知道了 外科纱布
107
00:08:01,840 --> 00:08:02,510
谐波刀
108
00:08:02,510 --> 00:08:04,650
小高 野村 要跟上哦
109
00:08:10,050 --> 00:08:11,190
很有干劲嘛
110
00:08:11,190 --> 00:08:14,590
可是无论怎样 也是不可能在时间内完成全部粘连的剥离
111
00:08:14,590 --> 00:08:16,460
那麼能够做到现在这一步 算是不错的表现了
112
00:08:16,460 --> 00:08:18,130
那群废物就只能想到这一步了吧
113
00:08:18,130 --> 00:08:20,060
停住呼吸 检查压力（pressure check）
114
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换气装置关闭
115
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血压没有变化
116
00:08:22,400 --> 00:08:24,600
暂时把Fio2（吸入氧浓度）提升到1个单位哦
117
00:08:24,600 --> 00:08:26,600
外山 下侧壁拜託你了
118
00:08:26,600 --> 00:08:27,540
我知道了
119
00:08:33,140 --> 00:08:34,280
好厉害
120
00:08:39,150 --> 00:08:41,280
没时间了哦
121
00:08:56,660 --> 00:08:58,670
据说北洋的那群医生在做心臟移植手术
122
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他们做得到吗 是北洋的医生哦
123
00:09:01,340 --> 00:09:03,870
而且是心臟移植哦 没问题吗
124
00:10:09,670 --> 00:10:11,540
＜野口肾雄勉励会 祝贺明真医疗城竣工＞
125
00:10:11,540 --> 00:10:13,270
今天谢谢你的蒞临
126
00:10:13,270 --> 00:10:16,010
我们等一下再谈 谢谢
127
00:10:16,740 --> 00:10:18,950
HI 谢谢
128
00:10:22,420 --> 00:10:25,750
啊 辛苦您了 您今天是直接从家裡过来的吗
129
00:10:25,750 --> 00:10:26,290
对的
130
00:10:26,290 --> 00:10:27,690
啊 那太好了
131
00:10:29,420 --> 00:10:31,630
马上了 马上了 马上就好了
132
00:10:31,630 --> 00:10:33,030
我们等一下慢慢谈
133
00:10:50,880 --> 00:10:52,480
朝田 IVC（下腔静脉）一侧也拜託你了
134
00:10:52,480 --> 00:10:53,550
我知道了
135
00:10:54,550 --> 00:10:54,950
圆头剪
136
00:10:54,950 --> 00:10:55,620
是
137
00:10:57,750 --> 00:11:00,620
肝动脉缝合结束 接下来进入胆囊道的重建
138
00:11:00,620 --> 00:11:01,560
镊子
139
00:11:01,560 --> 00:11:02,360
是
140
00:11:02,760 --> 00:11:03,220
4-0线
141
00:11:03,220 --> 00:11:04,630
肠道开始膨胀了
142
00:11:04,630 --> 00:11:05,560
筋肌鬆弛药追加
143
00:11:05,560 --> 00:11:06,090
知道了
144
00:11:06,090 --> 00:11:07,160
单一长支架也準备好了
145
00:11:07,160 --> 00:11:08,360
好的 我知道了
146
00:11:08,630 --> 00:11:10,300
即使是按照现在这个速度
147
00:11:10,300 --> 00:11:13,700
要完成全部的剥离还是…
148
00:11:13,700 --> 00:11:15,770
我们都知道这很困难
149
00:11:17,910 --> 00:11:19,570
但还是
150
00:11:20,240 --> 00:11:22,580
赌在那微乎其微的可能性上
151
00:11:23,580 --> 00:11:24,850
為了救活患者
152
00:11:30,920 --> 00:11:35,420
他们 是真正的医生
153
00:11:37,960 --> 00:11:40,460
也许对於你来说 很难明白
154
00:11:50,810 --> 00:11:53,270
我爸爸 也曾经是个医生
155
00:11:59,810 --> 00:12:04,320
脱离大学附属医疗机构 為了寻求理想的医道
156
00:12:04,320 --> 00:12:07,050
去了无医村开医馆
157
00:12:14,800 --> 00:12:17,200
不分昼夜地工作
158
00:12:17,200 --> 00:12:22,140
父亲甚至没有向贫困的人家要诊金
159
00:12:22,140 --> 00:12:23,700
钱就不用付了
160
00:12:23,700 --> 00:12:25,910
谢谢你治好我父亲
161
00:12:27,980 --> 00:12:35,120
可是 一直勉强自己招来的恶果 最后还是病倒了
162
00:12:36,120 --> 00:12:39,120
病因是缺血性扩张型心肌症
163
00:12:39,920 --> 00:12:43,920
只有心臟移植才能治癒
164
00:12:45,630 --> 00:12:49,300
在日本 捐赠者少得不像话
165
00:12:49,630 --> 00:12:51,900
可是去国外接受心臟移植手术
166
00:12:51,900 --> 00:12:53,500
又需要很大一笔钱
167
00:12:54,100 --> 00:12:57,970
没有人会借那麼多钱给我们家
168
00:12:57,970 --> 00:13:02,180
不但如此 医馆开业时所欠下的钱
169
00:13:02,180 --> 00:13:05,450
在我爸病倒之际 来追债的人就上门了
170
00:13:06,780 --> 00:13:10,650
医疗器械被没收抵押 诊所也被迫关闭
171
00:13:11,850 --> 00:13:14,860
失意至极中 母亲死去
172
00:13:15,520 --> 00:13:19,460
父亲也在绝望中堕落而去
173
00:13:25,270 --> 00:13:30,600
就像个白痴一样 為别人用尽全力
174
00:13:31,270 --> 00:13:32,810
到头来
175
00:13:33,270 --> 00:13:35,810
却没有任何人对他伸出援手
176
00:13:37,340 --> 00:13:38,610
抱著对这个世界
177
00:13:40,150 --> 00:13:42,820
和对他自己的愤恨 鬱鬱而终
178
00:13:43,750 --> 00:13:47,890
当时靠奖学金上医学院的我
179
00:13:49,820 --> 00:13:51,630
捨弃了医学这条道路
180
00:13:53,760 --> 00:13:57,770
我不想再重蹈父亲的覆辙
181
00:13:58,500 --> 00:14:00,840
去过这种因為没有钱 而保不住自己性命的愚蠢人生
182
00:14:05,240 --> 00:14:05,910
可是…
183
00:14:12,650 --> 00:14:13,580
可是
184
00:14:15,450 --> 00:14:16,850
為什麼
185
00:14:18,320 --> 00:14:19,790
因為他们是患者
186
00:14:21,390 --> 00:14:23,860
只要受著病痛折磨的患者在眼前
187
00:14:23,860 --> 00:14:25,130
就要对他们伸出援手
188
00:14:26,760 --> 00:14:28,700
这才是医生
189
00:14:38,840 --> 00:14:40,340
只要眼前有患者
190
00:14:41,280 --> 00:14:42,480
就要伸出援手
191
00:14:44,380 --> 00:14:45,580
这才是医生
192
00:14:59,260 --> 00:15:00,260
什麼？
193
00:15:03,930 --> 00:15:05,000
伊集院他…
194
00:15:05,470 --> 00:15:06,130
怎麼了
195
00:15:12,070 --> 00:15:13,340
陷入困境？
196
00:15:13,340 --> 00:15:14,480
不是乘包机的吗
197
00:15:14,480 --> 00:15:16,210
如果到不了那个机场…
198
00:15:17,810 --> 00:15:20,010
怎麼办 没时间了
199
00:15:28,060 --> 00:15:29,390
伊集院医生
200
00:15:41,770 --> 00:15:45,570
无论怎麼样 我都要把它送到
201
00:15:54,680 --> 00:15:58,290
绝不放弃
202
00:16:13,630 --> 00:16:16,040
外山 SVC（上腔静脉）一侧也拜託你了
203
00:16:16,040 --> 00:16:17,100
我知道了
204
00:16:22,110 --> 00:16:24,310
进入缝合空肠阶段 镊子
205
00:16:24,310 --> 00:16:27,850
能尽量想想什麼办法吗 此事攸关性命
206
00:16:28,580 --> 00:16:29,980
所以我说尽力想办法…
207
00:16:32,590 --> 00:16:33,520
你想怎麼样
208
00:16:33,650 --> 00:16:35,660
告诉我他所在的準确地点
209
00:16:36,390 --> 00:16:38,590
我一定会让心臟运过来的
210
00:17:27,240 --> 00:17:29,710
调配好了直升机 正赶过来
211
00:17:31,110 --> 00:17:31,850
我知道了
212
00:17:32,780 --> 00:17:34,520
还有50分鐘心臟就能送到了
213
00:17:37,320 --> 00:17:39,250
没时间了 同时剥离吧
214
00:17:39,250 --> 00:17:41,060
好 谐波刀
215
00:17:41,060 --> 00:17:41,660
是
216
00:18:01,540 --> 00:18:03,010
肝臟这边还差一点点
217
00:18:03,210 --> 00:18:03,540
镊子
218
00:18:03,540 --> 00:18:04,080
是
219
00:18:04,550 --> 00:18:05,080
4-0线
220
00:18:05,080 --> 00:18:05,750
是
221
00:18:27,700 --> 00:18:31,440
情况很严峻 即使捐赠的心臟能送到也…
222
00:18:31,440 --> 00:18:36,040
只剥离了主动脉周围和心臟右侧两处
223
00:18:45,450 --> 00:18:45,990
圆头剪
224
00:18:45,990 --> 00:18:46,650
是
225
00:18:52,130 --> 00:18:54,530
活体肝臟移植 完成
226
00:18:57,130 --> 00:19:00,400
接下来的事 就拜託你们了
227
00:19:06,740 --> 00:19:08,810
接下来是左侧室的剥离
228
00:19:18,490 --> 00:19:21,090
粘连剥离 完成
229
00:19:24,420 --> 00:19:28,760
什麼意思 现在还没有完全剥离完吧
230
00:19:33,630 --> 00:19:37,370
现在这种状态 是无法取出这孩子的心臟的
231
00:19:43,640 --> 00:19:44,240
是
232
00:19:46,050 --> 00:19:48,250
伊集院马上要到了
233
00:19:55,120 --> 00:19:56,190
怎麼了
234
00:19:59,390 --> 00:20:00,730
放弃了吗
235
00:20:01,130 --> 00:20:02,460
果然如此
236
00:20:05,800 --> 00:20:07,940
不是说要坚持做到最后吗
237
00:20:12,540 --> 00:20:13,470
朝田
238
00:20:20,810 --> 00:20:22,750
算了 让我来
239
00:20:22,750 --> 00:20:24,350
你还是住手吧 61公斤
240
00:20:34,030 --> 00:20:35,230
朝田
241
00:21:36,590 --> 00:21:38,330
这是心臟 我马上去洗好手进来
242
00:21:38,330 --> 00:21:39,130
拜託你了
243
00:21:41,530 --> 00:21:42,330
捐赠者的心臟送到了
244
00:21:50,840 --> 00:21:54,170
你到底打算怎样 剥离还没有完成哦
245
00:21:57,310 --> 00:21:58,110
朝田
246
00:22:15,360 --> 00:22:19,870
外山 你的速度果然叹為观止
247
00:22:20,400 --> 00:22:21,740
但是现在开始
248
00:22:22,270 --> 00:22:26,740
助手换成亲眼目睹 捐赠者心臟摘出过程的伊集院
249
00:22:30,010 --> 00:22:30,880
你打算干什麼
250
00:22:34,480 --> 00:22:35,750
Piggy-back（并列心臟移植）
251
00:22:42,920 --> 00:22:44,060
Piggy-back？
252
00:22:47,490 --> 00:22:48,560
Piggy-back？
253
00:22:49,760 --> 00:22:53,030
只在医书上看过的手术
254
00:22:53,030 --> 00:22:54,330
Piggy-back？
255
00:22:54,740 --> 00:22:56,570
一般的心臟移植
256
00:22:56,570 --> 00:22:58,670
是在保留左心房后壁前提下
257
00:22:58,670 --> 00:23:03,240
把受体的心臟切除 然后缝合上捐赠者的心臟
258
00:23:04,180 --> 00:23:08,920
Piggy-back是在受体的心臟右外侧
259
00:23:08,920 --> 00:23:11,650
同时移植上捐赠者的心臟
260
00:23:11,650 --> 00:23:14,690
换句话说 就是以背负新心臟的状态进行移植
261
00:23:14,690 --> 00:23:16,760
两个心臟并排存在
262
00:23:16,760 --> 00:23:20,560
这样的话 比起更换心臟本身
263
00:23:20,560 --> 00:23:22,960
要缝合的血管数就大大减少
264
00:23:22,960 --> 00:23:24,160
不但如此
265
00:23:24,160 --> 00:23:27,300
即使出现了捐赠心臟 暂时性机能低下的情况
266
00:23:27,300 --> 00:23:30,970
假如留著自己的心臟 就能提供辅助直至机能恢复
267
00:23:30,970 --> 00:23:32,910
就是这样啊
268
00:23:33,310 --> 00:23:35,310
装置人工心肺 4-0线
269
00:23:35,310 --> 00:23:35,980
是
270
00:23:36,040 --> 00:23:37,310
止血带 无齿直止血钳
271
00:23:37,310 --> 00:23:38,450
可是
272
00:23:39,180 --> 00:23:40,580
即使是Piggy-back
273
00:23:40,580 --> 00:23:42,250
要在剥离没有完成的情况下 进行也是不可能的啊
274
00:23:46,390 --> 00:23:48,860
人工心肺装著结束 开泵
275
00:23:48,860 --> 00:23:49,460
是
276
00:23:57,400 --> 00:23:58,000
电烧
277
00:23:58,000 --> 00:23:58,800
是
278
00:24:01,540 --> 00:24:03,800
準备两条18毫米的人工血管
279
00:24:03,800 --> 00:24:04,810
什麼
280
00:24:05,670 --> 00:24:07,410
Piggy-back应该是连接肺动脉间的…
281
00:24:07,410 --> 00:24:10,280
不是只用一条人工血管搭桥就够了吗
282
00:24:10,280 --> 00:24:11,550
这是什麼啊
283
00:24:17,820 --> 00:24:21,560
右边的胸膜留如此大的切口
284
00:24:23,360 --> 00:24:24,690
是这样吗
285
00:24:26,230 --> 00:24:27,790
原本的Piggy-back
286
00:24:27,790 --> 00:24:31,300
是把捐赠者的心臟放在受体原心之上
287
00:24:31,300 --> 00:24:36,700
直接缝合左心房的上腔静脉和主动脉
288
00:24:36,700 --> 00:24:39,970
只需要用人工血管对肺动肺搭桥
289
00:24:41,240 --> 00:24:44,110
可是朝田要做的
290
00:24:44,110 --> 00:24:46,950
是把捐赠者的心臟放在没有粘连的胸腔裡
291
00:24:46,950 --> 00:24:49,750
為了弥补比原本的手术方法 多出来的一段距离
292
00:24:49,750 --> 00:24:52,290
在主动脉的缝合上也使用人工血管
293
00:24:52,850 --> 00:24:56,260
这样的话 比起原本的Piggy-back
294
00:24:56,260 --> 00:24:58,060
就能在更少剥离粘连下完成手术
295
00:24:58,060 --> 00:25:00,390
所以刚才中途停止了剥离
296
00:25:00,390 --> 00:25:03,060
没时间进行全部的剥离
297
00:25:04,000 --> 00:25:07,600
捐赠心臟的状态 有限的空间
298
00:25:07,600 --> 00:25:09,800
全部情况都计算在内
299
00:25:09,940 --> 00:25:11,670
然后改变手术的方式
300
00:25:23,950 --> 00:25:25,150
胸膜切开 完成
301
00:25:25,150 --> 00:25:26,350
捐赠者的心臟 準备好了
302
00:25:26,350 --> 00:25:27,350
大动脉钳
303
00:25:27,350 --> 00:25:28,150
是
304
00:25:29,820 --> 00:25:32,690
切断血流 注入心停止液
305
00:25:32,690 --> 00:25:33,430
是
306
00:25:41,300 --> 00:25:41,900
捐赠者的心臟
307
00:25:42,840 --> 00:25:43,440
是
308
00:26:05,060 --> 00:26:07,930
现在开始 进行特殊Piggy-back手术
309
00:26:07,930 --> 00:26:08,800
是
310
00:26:09,860 --> 00:26:10,260
尖头剪
311
00:26:10,330 --> 00:26:11,000
是
312
00:26:18,200 --> 00:26:20,110
从这裡开始是关键
313
00:26:33,420 --> 00:26:34,020
野口医生
314
00:26:34,550 --> 00:26:36,890
糟糕了
315
00:26:50,240 --> 00:26:51,640
左心房缝合开始
316
00:26:54,170 --> 00:26:54,710
镊子
317
00:26:54,710 --> 00:26:55,380
是
318
00:26:55,710 --> 00:26:56,180
4-0线
319
00:26:56,180 --> 00:26:57,110
是
320
00:27:06,650 --> 00:27:08,250
按朝田的速度来的话
321
00:27:09,060 --> 00:27:10,590
在时间内应该能尽力做到…
322
00:27:10,590 --> 00:27:11,520
不可能的
323
00:27:13,460 --> 00:27:14,330
雾岛
324
00:27:17,000 --> 00:27:20,330
捐赠者的心臟 是机能很弱的临界心臟
325
00:27:20,330 --> 00:27:23,540
而且缺血运输时间太长了
326
00:27:25,270 --> 00:27:26,810
无论怎麼变换手术方式
327
00:27:27,140 --> 00:27:29,410
假如捐赠心臟撑不住了 那就毫无意义
328
00:27:30,340 --> 00:27:33,050
即使能够顺利让血液循环回复 也不可能存活
329
00:27:33,510 --> 00:27:34,850
成功的可能性有多大
330
00:27:34,850 --> 00:27:37,250
0.1％
331
00:27:37,850 --> 00:27:39,350
有这个机率就算不错了
332
00:27:51,300 --> 00:27:51,500
尖头剪
333
00:27:51,560 --> 00:27:52,170
是
334
00:27:55,570 --> 00:27:56,770
左心房缝合结束
335
00:27:56,900 --> 00:27:59,040
接下来进行右心房切开
336
00:27:59,040 --> 00:27:59,510
镊子
337
00:27:59,510 --> 00:28:00,110
是
338
00:28:02,180 --> 00:28:03,780
同时移植？
339
00:28:03,780 --> 00:28:05,780
我还以為您知道
340
00:28:06,450 --> 00:28:07,580
阻止他们
341
00:28:07,580 --> 00:28:08,250
什麼
342
00:28:08,250 --> 00:28:09,520
赶快去阻止他们
343
00:28:10,320 --> 00:28:11,720
那麼做的话
344
00:28:14,520 --> 00:28:16,660
在明真可就没有你的立足之地了
345
00:28:19,590 --> 00:28:20,730
知道吗
346
00:28:21,130 --> 00:28:24,800
最近10年 在日本进行了49例心臟移植手术
347
00:28:24,800 --> 00:28:27,530
术中死亡率是0
348
00:28:28,740 --> 00:28:32,340
现在去制止手术的话 移植也就随之失败
349
00:28:32,870 --> 00:28:36,540
而且现在在进行的是活体肝和心臟同时移植
350
00:28:36,540 --> 00:28:41,410
如果强行中止导致手术失败的话
351
00:28:41,410 --> 00:28:43,750
你作為院长难辞其疚
352
00:28:44,150 --> 00:28:45,120
你说什麼
353
00:28:48,590 --> 00:28:51,990
继续去享受你的派对吧
354
00:28:54,230 --> 00:28:58,530
我和野口医生你 已经在同一条船上
355
00:28:59,800 --> 00:29:00,870
接下来能做的
356
00:29:01,470 --> 00:29:03,700
就是祈祷安全上岸了
357
00:29:08,270 --> 00:29:09,410
不过
358
00:29:15,280 --> 00:29:22,420
如果手术成功 就是日本首例心肝同时移植
359
00:29:24,690 --> 00:29:27,890
在进行手术的是医龙队
360
00:29:29,630 --> 00:29:31,630
一定会成功的
361
00:29:50,720 --> 00:29:52,520
替我转达
362
00:29:54,050 --> 00:29:56,260
让他们加油吧
363
00:29:57,060 --> 00:29:59,160
朝田他们
364
00:30:03,100 --> 00:30:04,900
进行SVC（上腔静脉）和RA（右心房）的缝合
365
00:30:04,900 --> 00:30:05,450
4-0线
366
00:30:05,450 --> 00:30:05,880
是
367
00:30:05,880 --> 00:30:07,430
右循环
368
00:30:07,430 --> 00:30:09,370
血液引流后保持负荷水平
369
00:30:09,440 --> 00:30:09,900
是
370
00:30:09,900 --> 00:30:10,300
外科纱布
371
00:30:10,300 --> 00:30:10,800
是
372
00:30:11,440 --> 00:30:12,240
吸引器UP
373
00:30:12,240 --> 00:30:12,570
是
374
00:30:12,570 --> 00:30:13,570
血液引流马上好
375
00:30:13,570 --> 00:30:14,840
调高 负压
376
00:30:15,310 --> 00:30:16,380
朝田 就这麼两点固定做下去？
377
00:30:16,440 --> 00:30:17,040
嗯
378
00:30:17,040 --> 00:30:17,780
再给我一根4-0线
379
00:30:17,780 --> 00:30:18,650
是
380
00:30:21,920 --> 00:30:24,250
这就是朝田的新队伍吗
381
00:30:24,250 --> 00:30:25,320
嗯
382
00:30:28,720 --> 00:30:29,590
继续进行血液引流
383
00:30:29,590 --> 00:30:30,260
是
384
00:30:33,330 --> 00:30:35,200
开始进行肺动脉的远端缝合
385
00:30:35,200 --> 00:30:35,600
4-0线
386
00:30:35,600 --> 00:30:36,060
是
387
00:30:36,060 --> 00:30:36,460
镊子
388
00:30:36,460 --> 00:30:37,000
是
389
00:30:37,860 --> 00:30:39,000
吸引器再升高一点
390
00:30:39,000 --> 00:30:39,600
是
391
00:30:39,600 --> 00:30:40,600
把负荷降回来
392
00:30:40,600 --> 00:30:42,270
是 皮下注射500
393
00:30:42,270 --> 00:30:43,400
追加FFP（新鲜冰冻血浆）
394
00:30:43,400 --> 00:30:44,140
是
395
00:30:55,880 --> 00:30:58,150
教授 差不多该开始演讲了
396
00:30:58,150 --> 00:31:01,690
日本首例心肝同时移植啊
397
00:31:01,690 --> 00:31:02,360
什麼
398
00:31:05,090 --> 00:31:06,890
越来越有意思了
399
00:31:08,090 --> 00:31:09,160
野口教授
400
00:31:11,300 --> 00:31:13,100
let's party
401
00:31:25,510 --> 00:31:26,850
肺动脉缝合结束
402
00:31:26,850 --> 00:31:28,180
开始切开主动脉
403
00:31:29,650 --> 00:31:35,320
我们明真医疗城的竣工 已经近在眼前
404
00:31:44,800 --> 00:31:46,000
时间
405
00:31:46,530 --> 00:31:47,600
快要到了
406
00:32:05,420 --> 00:32:07,350
再快点 主动脉缝合 4-0线
407
00:32:07,350 --> 00:32:07,820
短柄吸引器
408
00:32:07,820 --> 00:32:08,150
是
409
00:32:08,150 --> 00:32:09,220
保留缝合线路交给我
410
00:32:11,360 --> 00:32:12,830
排气
411
00:32:23,970 --> 00:32:24,240
尖头剪
412
00:32:24,240 --> 00:32:25,040
是
413
00:32:28,040 --> 00:32:29,910
Piggy-back结束
414
00:32:29,980 --> 00:32:30,580
flow down
415
00:32:30,580 --> 00:32:31,640
开始flow down
416
00:32:35,920 --> 00:32:36,780
解除遮断
417
00:32:36,780 --> 00:32:37,850
back up（辅助循环）
418
00:33:00,610 --> 00:33:01,610
成功了
419
00:33:01,870 --> 00:33:03,080
成功了
420
00:33:03,080 --> 00:33:04,410
结束了
421
00:33:04,610 --> 00:33:05,810
竟然成功了
422
00:33:05,810 --> 00:33:07,010
真让他们干成了
423
00:33:09,750 --> 00:33:11,080
成功了
424
00:33:23,960 --> 00:33:27,830
日本也应学习美国的医疗制度
425
00:33:28,500 --> 00:33:33,570
在医疗世界中导入市场机制
426
00:33:34,910 --> 00:33:38,310
付出的金钱越多 得到的治疗也就越好
427
00:33:38,310 --> 00:33:44,450
这不就是医疗改革的方向吗
428
00:33:56,800 --> 00:33:57,460
VT
429
00:33:57,460 --> 00:33:58,600
心室性心跳过速？
430
00:33:58,600 --> 00:34:00,270
不好了 出现VT了
431
00:34:00,270 --> 00:34:01,000
為什麼
432
00:34:01,000 --> 00:34:02,070
盐酸利多卡因设到50毫克
433
00:34:02,070 --> 00:34:02,470
是
434
00:34:02,470 --> 00:34:03,270
拿镁来
435
00:34:03,270 --> 00:34:03,670
是
436
00:34:03,670 --> 00:34:04,200
DC（除颤器）
437
00:34:04,200 --> 00:34:04,870
是
438
00:34:06,070 --> 00:34:07,140
20J 充电
439
00:34:07,140 --> 00:34:08,010
充电完毕
440
00:34:08,010 --> 00:34:08,810
闪开
441
00:34:15,280 --> 00:34:16,080
DC
442
00:34:16,080 --> 00:34:17,020
20J 充电
443
00:34:17,020 --> 00:34:17,680
充电完毕
444
00:34:17,680 --> 00:34:18,420
闪开
445
00:34:25,160 --> 00:34:26,360
再打开人工心肺
446
00:34:26,360 --> 00:34:26,960
是
447
00:34:29,430 --> 00:34:30,360
开泵了
448
00:34:35,170 --> 00:34:36,640
VT的太厉害
449
00:34:37,500 --> 00:34:39,240
缺血时间太长了
450
00:34:39,970 --> 00:34:41,510
这个心臟已经不能用了
451
00:34:43,510 --> 00:34:44,510
安装VAD（心室辅助设备）
452
00:34:44,510 --> 00:34:46,310
做好心臟无法挽救的準备
453
00:34:46,310 --> 00:34:47,450
要用辅助人工心臟吗
454
00:34:47,450 --> 00:34:48,380
这个孩子受不了
455
00:34:48,380 --> 00:34:48,850
什麼
456
00:34:48,850 --> 00:34:50,720
刚刚做完肝臟移植
457
00:34:51,450 --> 00:34:52,590
他的身体已经到极限了
458
00:34:52,590 --> 00:34:53,120
可是…
459
00:34:53,120 --> 00:34:54,390
捐赠的心臟还在跳动
460
00:34:54,390 --> 00:34:55,320
继续血液引流
461
00:34:55,320 --> 00:34:55,920
是
462
00:34:57,460 --> 00:34:58,590
怎麼办
463
00:35:13,740 --> 00:35:17,280
再进行一次电击除颤 20J
464
00:35:20,950 --> 00:35:21,810
电击
465
00:35:33,890 --> 00:35:34,560
怎麼了
466
00:36:05,930 --> 00:36:07,730
你在干什麼
467
00:36:09,530 --> 00:36:10,800
朝田
468
00:36:25,880 --> 00:36:29,480
再把心臟机能停止一次
469
00:36:31,880 --> 00:36:34,050
停止移植过来的心臟机能？
470
00:36:36,390 --> 00:36:37,520
真的假的
471
00:36:38,060 --> 00:36:38,720
野村
472
00:36:40,930 --> 00:36:42,730
超低温冷冻治疗仪器能随时就位吗
473
00:36:43,730 --> 00:36:44,600
可以
474
00:36:44,600 --> 00:36:45,530
超低温冷冻治疗仪器？
475
00:36:47,670 --> 00:36:49,540
心臟裡有一个焦点
476
00:36:49,940 --> 00:36:52,270
在心跳停上之后切开心肌
477
00:36:52,270 --> 00:36:57,080
在乳头肌周围进行超低温冷冻治疗
478
00:36:59,350 --> 00:37:00,750
超低温冷冻治疗
479
00:37:01,610 --> 00:37:04,480
找到造成室性心动过速的地方
480
00:37:04,480 --> 00:37:08,820
用冷冻凝固技术 把超低温冷冻治疗仪插进去吗
481
00:37:08,820 --> 00:37:12,490
确实是 用超低温冷冻治疗的话
能在不对心肌造成损伤的情况下
482
00:37:12,490 --> 00:37:14,960
锁定那个焦点
483
00:37:14,960 --> 00:37:16,460
问题是怎麼找到焦点
484
00:37:17,130 --> 00:37:18,930
稍有差池
485
00:37:20,400 --> 00:37:23,070
就会影响刺激传导系统造成传导阻滞
486
00:37:24,470 --> 00:37:25,610
心跳停止了
487
00:37:26,210 --> 00:37:26,810
尖刀
488
00:37:34,350 --> 00:37:34,810
超低温冷冻治疗仪
489
00:37:34,810 --> 00:37:35,410
是
490
00:37:39,950 --> 00:37:40,550
好
491
00:37:40,550 --> 00:37:43,960
你知道焦点在哪吗
492
00:37:45,630 --> 00:37:50,230
刚才用手感觉心臟收缩 只有一个地方不对劲
493
00:38:01,440 --> 00:38:02,580
开始超低温冷冻治疗
494
00:38:44,350 --> 00:38:45,690
超低温冷冻治疗结束
495
00:38:47,220 --> 00:38:48,550
开始缝合心肌
496
00:38:48,550 --> 00:38:49,490
是
497
00:38:49,490 --> 00:38:49,890
镊子
498
00:38:49,890 --> 00:38:50,560
是
499
00:38:50,820 --> 00:38:51,290
X-0线
500
00:38:51,290 --> 00:38:51,820
是
501
00:38:51,820 --> 00:38:52,560
钢毡
502
00:38:52,560 --> 00:38:53,230
是
503
00:38:56,700 --> 00:38:57,030
镊子
504
00:38:57,030 --> 00:38:57,760
是
505
00:39:15,850 --> 00:39:16,520
flow down
506
00:39:23,260 --> 00:39:24,260
遮断解除
507
00:39:26,190 --> 00:39:27,390
back up（辅助循环）
508
00:39:27,660 --> 00:39:28,460
是
509
00:39:49,150 --> 00:39:50,680
竇性心律维持住了
510
00:39:50,680 --> 00:39:52,220
没有出现VT
511
00:39:54,890 --> 00:39:55,620
成了
512
00:39:56,760 --> 00:39:57,490
成功了
513
00:39:58,760 --> 00:39:59,360
成了呢
514
00:40:05,800 --> 00:40:06,870
成了啊
515
00:40:06,870 --> 00:40:07,730
成了呢
516
00:40:12,740 --> 00:40:13,810
成了
517
00:40:16,010 --> 00:40:17,080
真是奇蹟
518
00:40:18,010 --> 00:40:19,150
差点忘了
519
00:40:20,150 --> 00:40:23,550
他是能让0.1％可能性成為100％的男人
520
00:40:25,420 --> 00:40:27,020
朝田龙太郎
521
00:40:37,960 --> 00:40:41,370
手术 完成
522
00:41:06,060 --> 00:41:10,530
你 努力了呢
523
00:42:07,120 --> 00:42:07,790
片冈小姐
524
00:42:07,790 --> 00:42:08,790
这裡有给您的留言
525
00:42:08,790 --> 00:42:09,790
谢谢
526
00:42:15,730 --> 00:42:17,330
我就知道手术会成功
527
00:42:19,200 --> 00:42:20,330
嗯
528
00:42:31,880 --> 00:42:32,810
野口
529
00:42:48,630 --> 00:42:49,560
各位
530
00:42:50,500 --> 00:42:54,570
突然传来一个特大的好消息
531
00:42:57,040 --> 00:43:01,840
各位听了一定会大吃一惊
532
00:43:05,310 --> 00:43:06,380
那就是
533
00:43:09,650 --> 00:43:10,850
那就是
534
00:43:12,380 --> 00:43:13,520
good bye
535
00:43:14,520 --> 00:43:17,460
日本首次最快达成的…
536
00:43:32,670 --> 00:43:35,610
＜野口肾雄的种种恶行＞
537
00:43:35,610 --> 00:43:38,480
＜隐瞒医疗疏失被曝光＞
538
00:43:42,210 --> 00:43:44,250
＜不可原谅的医疗疏失＞
539
00:44:00,600 --> 00:44:01,930
瑕疵条款？
540
00:44:02,200 --> 00:44:03,870
根据这项的瑕疵条款
541
00:44:04,070 --> 00:44:06,740
由於在您履行业务时 產生了重大的失职
542
00:44:06,740 --> 00:44:09,140
这项债权将无条件让渡
543
00:44:09,340 --> 00:44:12,240
同时认可代表人的变更
544
00:44:12,240 --> 00:44:16,020
这项条款不是针对我的健康吗
545
00:44:16,020 --> 00:44:18,280
我们根据这项条款
546
00:44:18,280 --> 00:44:20,890
做出了债权转让的决定
547
00:44:20,890 --> 00:44:25,690
有企业愿意高价购买我们的债权
548
00:44:25,690 --> 00:44:30,300
它将是明真医疗城新的老板
549
00:44:40,110 --> 00:44:41,910
你从一开始就策划好了
550
00:44:42,910 --> 00:44:45,310
故意让我和Gold签订协议的吗
551
00:44:52,790 --> 00:44:53,920
这才是真正的
552
00:44:58,190 --> 00:44:59,860
双赢
553
00:45:03,800 --> 00:45:05,130
道格拉斯
554
00:45:36,930 --> 00:45:38,930
谢谢
555
00:45:41,870 --> 00:45:45,870
多亏了提供心臟的捐赠者
556
00:46:00,720 --> 00:46:01,450
山野先生
557
00:46:02,860 --> 00:46:05,190
他目前病情稳定
558
00:46:08,330 --> 00:46:08,930
為什麼
559
00:46:10,000 --> 00:46:11,200
因為是人工心臟
560
00:46:12,660 --> 00:46:13,670
雾岛医生
561
00:46:18,740 --> 00:46:20,540
次世代型的人工心臟
562
00:46:21,010 --> 00:46:23,540
在日本还是试验阶段 尚未实用化
563
00:46:25,010 --> 00:46:26,880
在美国已经获得认可
564
00:46:26,880 --> 00:46:29,950
植入后也可以保证疗效
565
00:46:29,950 --> 00:46:30,880
嗯
566
00:46:30,880 --> 00:46:33,620
朝田和我讨论了 接受人工心臟的构想
567
00:46:34,820 --> 00:46:36,820
对於体表面积未达到1的孩子
568
00:46:36,820 --> 00:46:38,360
还是非常困难的
569
00:46:38,360 --> 00:46:42,060
同时参与讨论的鬼头医生的患者却很合适
570
00:46:42,730 --> 00:46:46,060
器官移植在日本还很有限
571
00:46:46,060 --> 00:46:48,430
现在移植人工心臟 无法适用医疗保险
572
00:46:48,430 --> 00:46:50,840
要花大量的费用
573
00:46:51,600 --> 00:46:55,010
我们打算进行试验 从而获得国家的认可
574
00:46:55,010 --> 00:46:57,380
所以才让山野会长…
575
00:46:58,710 --> 00:47:01,910
这才是神的领域
576
00:47:06,120 --> 00:47:10,860
你的技术 说不定已经达到这个领域了
577
00:47:13,990 --> 00:47:15,660
雾岛医生 也是為了这个吗
578
00:47:16,460 --> 00:47:16,930
嗯
579
00:47:17,200 --> 00:47:18,200
骗人的吧
580
00:47:18,200 --> 00:47:21,330
如果是那样 早就该来我们这裡的手术室了吧
581
00:47:23,000 --> 00:47:24,340
就算没有我
582
00:47:26,140 --> 00:47:27,940
也已经是一个出色的团队了
583
00:47:32,280 --> 00:47:34,610
以后再有什麼事儘管叫我
584
00:47:38,150 --> 00:47:39,820
随时都会赶过来的哦
585
00:47:47,830 --> 00:47:52,300
多亏了院长暗地裡收集野口恶行的证据
586
00:47:52,630 --> 00:47:56,030
没什麼 都是你的功劳
587
00:48:00,240 --> 00:48:02,170
经营方针改革一新
588
00:48:02,570 --> 00:48:06,180
脱胎换骨成為大型综合医疗城
589
00:48:07,050 --> 00:48:11,250
负担起最尖端医疗的 就是鬼头医生
590
00:48:13,490 --> 00:48:16,860
我会实现世界最高水準的医疗让大家看的
591
00:48:18,190 --> 00:48:21,460
相应地 地区医疗就交给北洋
592
00:48:21,460 --> 00:48:22,660
交给我吧
593
00:48:22,930 --> 00:48:27,670
但是你打算怎麼收回融资资金呢
594
00:48:29,130 --> 00:48:30,070
我觉得
595
00:48:31,540 --> 00:48:34,670
当今日本的医疗制度非常有问题
596
00:48:35,740 --> 00:48:39,950
把患者放在第一位的医生 却没有相应回报
597
00:48:39,950 --> 00:48:42,550
这个国家的制度也有问题
598
00:48:44,750 --> 00:48:45,750
所以呢
599
00:48:48,020 --> 00:48:55,860
所以 不仅仅是患者 还要让国家出钱
600
00:48:59,000 --> 00:49:02,070
以明真為中心 推动全国
601
00:49:02,070 --> 00:49:04,000
改变医疗政策
602
00:49:06,670 --> 00:49:07,670
能行吗
603
00:49:09,340 --> 00:49:12,140
算了 不管谁来做老大
604
00:49:12,140 --> 00:49:15,250
我都会推行我的医疗
605
00:49:15,850 --> 00:49:17,750
我一定会成功的
606
00:49:58,120 --> 00:50:02,060
他好像被一个叫道格拉斯的人打了
607
00:50:02,060 --> 00:50:04,130
他是哪国的
608
00:50:04,130 --> 00:50:06,200
估计是非法滞留
609
00:50:06,200 --> 00:50:07,970
好像钱都没有了呢
610
00:50:07,970 --> 00:50:10,440
又没入医疗保险 又没钱的外国人
611
00:50:10,440 --> 00:50:11,840
到哪裡都不会有人要的
612
00:50:11,840 --> 00:50:13,170
我们能怎麼办
613
00:50:13,170 --> 00:50:17,980
他没有入保险的钱 就不能接受治疗
614
00:50:17,980 --> 00:50:20,650
这就是美国的现实
615
00:50:20,650 --> 00:50:27,720
no no
616
00:50:28,590 --> 00:50:35,730
no…
617
00:50:45,200 --> 00:50:46,340
来一下
618
00:50:46,340 --> 00:50:47,270
怎麼了
619
00:50:47,270 --> 00:50:49,010
我只和你说哦
620
00:50:49,010 --> 00:50:49,610
什麼
621
00:50:49,610 --> 00:50:52,540
我已经放弃加入医龙队了
622
00:50:52,540 --> 00:50:53,680
你想过要加入啊
623
00:50:54,150 --> 00:50:55,550
取而代之
624
00:51:00,690 --> 00:51:02,220
我要做后援团
625
00:51:02,290 --> 00:51:02,820
什麼
626
00:51:02,820 --> 00:51:05,290
我是医龙队的第12人
627
00:51:09,490 --> 00:51:10,160
小高医生
628
00:51:10,160 --> 00:51:11,030
嗯
629
00:51:11,360 --> 00:51:13,230
这位医生就是上次提过的
630
00:51:13,230 --> 00:51:15,100
啊 秃头武者啊
631
00:51:15,100 --> 00:51:16,230
不 是失意武者
632
00:51:22,640 --> 00:51:24,710
说出来了 说出来了
633
00:51:29,850 --> 00:51:30,650
做什麼呢
634
00:51:37,260 --> 00:51:38,120
进去吧
635
00:51:43,900 --> 00:51:45,460
大家都在等著呢
636
00:52:06,890 --> 00:52:07,690
哟
637
00:52:08,820 --> 00:52:10,090
预备 起
638
00:52:10,090 --> 00:52:12,160
merry christmas
639
00:52:14,830 --> 00:52:18,430
这是大家给你的圣诞礼物
640
00:52:19,500 --> 00:52:20,300
哇
641
00:52:20,570 --> 00:52:21,970
早点好起来哦
642
00:52:21,970 --> 00:52:24,540
一起去踢球哦
643
00:52:25,740 --> 00:52:26,670
谢谢
644
00:52:45,990 --> 00:52:48,790
大家接下去有什麼打算
645
00:52:55,270 --> 00:52:58,070
回北洋
646
00:52:59,140 --> 00:53:00,240
那裡的患者
647
00:53:01,010 --> 00:53:02,440
正等著我们呢
648
00:53:03,810 --> 00:53:04,510
是呢
649
00:53:04,640 --> 00:53:05,510
但是
650
00:53:07,580 --> 00:53:09,180
有什麼事儘管叫我们
651
00:53:09,380 --> 00:53:11,320
随时都会赶来的
652
00:53:28,430 --> 00:53:29,770
你呢
653
00:53:44,080 --> 00:53:45,350
少了谁
654
00:53:47,820 --> 00:53:49,890
都救不回这孩子的命
655
00:53:54,160 --> 00:53:55,290
这个队伍
656
00:53:57,500 --> 00:53:59,230
是最棒的
657
00:56:45,460 --> 00:56:47,530
心臟移植的专家？
658
00:56:47,530 --> 00:56:49,130
似乎技术非常好
659
00:56:49,270 --> 00:56:51,070
他来了
660
00:56:52,200 --> 00:57:15,430
＜全剧终＞
42147
