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1
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L&P醫學實驗室的研究員
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藤吉圭介醫生
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00:00:07,140 --> 00:00:08,129
藤吉醫生
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00:00:08,141 --> 00:00:10,769
先讓超級醫療特區通過
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00:00:10,878 --> 00:00:13,506
然後用心肌細胞層治療
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00:00:13,513 --> 00:00:16,676
成功把藤吉釣上鉤了呢
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00:00:16,683 --> 00:00:19,675
藤吉醫生去了L&P
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00:00:19,686 --> 00:00:23,144
這次又在打什麼算盤 野口
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00:00:25,225 --> 00:00:27,022
為超級巨星們的活躍
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00:00:27,027 --> 00:00:31,293
提供相稱的舞臺就是我的工作
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00:00:47,547 --> 00:00:49,947
{\an8}L&P醫院世界首例心肌細胞層治療運用成功
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00:00:48,849 --> 00:00:50,749
為什麼野口在L&P
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00:00:50,751 --> 00:00:53,845
他除了擔任顧問 還有很多頭銜啊
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00:00:52,953 --> 00:00:56,081
{\an8}野口賢雄 醫療國際化推進委員會委員長
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00:00:53,854 --> 00:00:55,583
讓日本的醫療進軍世界
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00:00:56,323 --> 00:00:58,223
也就是說藤吉醫生的心肌細胞層
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00:00:58,358 --> 00:01:01,054
為了進軍世界 被利用了
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00:01:01,561 --> 00:01:04,189
難道 他的目標還不止藤吉醫生
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我們面對的不是野口
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是病人
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病人還等著我們
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00:01:14,941 --> 00:01:16,738
剛才那位病人的樣本
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00:01:16,743 --> 00:01:18,734
把DNA送到解析室
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生態足跡也別忘了
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是 明白
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00:01:21,114 --> 00:01:21,978
無塵工作臺準備好沒
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工作臺已經準備好了
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好的
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藤吉醫生
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研究還順利嗎
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辛苦你了
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能救回富田加奈真是太好了
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心肌細胞層效果良好 心臟機能正在順利恢復
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多虧了超級醫療特區
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其實 我有一個提議
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請講
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你能不能去美國
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繼續進行研究呢
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去美國
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對
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這次治療成功
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美國食品藥物管理局也有意批准心肌細胞層
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如果讓美國的公司搶先獲得專利權
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我們要用就得支付巨額價錢
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這樣的話 就只有部分病人用得起心肌細胞層了
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為了豁夠盡可能多地救助病人
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你能不能去美國呢
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今年 第十屆世界能源峰會
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邀請了珈藍首長國聯邦石油省大臣阿富默德
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於今日召開
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峰會一結束
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我就會將阿富默德大臣帶去L&P
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請務必準備周全
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不好 阿富默德大臣病倒了
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快叫救護車
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喂 救命啊 救護車
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救護車
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救護車還沒來嗎
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我是醫生
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野口先生
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大臣 您怎麼樣了
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恐怕是闌尾炎 急性闌尾炎
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盲腸
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什麼 盲腸啊
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沒事的 盲腸
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No
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輕視闌尾炎的人必受闌尾炎之苦
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放心 大臣原定視察的
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L&P醫院會為您受診
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朝田
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謝謝你邀我來這裡
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在明真 滿腦子都是人工心臟開發的競爭
73
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沒有好好和病人交流
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00:03:58,972 --> 00:04:01,270
診治病人才是醫生的原點
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是呢
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在這裡 能夠個別
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00:04:06,713 --> 00:04:08,738
和病人好好交流
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00:04:10,717 --> 00:04:13,880
但作為代價 經營很慘淡
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醫療不是賺錢的工具
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你還是老樣子呢 和初識那時候一點沒變
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辛苦了
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謝謝
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午飯來了哦
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你怎麼了
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沒事吧 不要動
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急性闌尾炎
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沒事 我還有工作
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現在可不是逞強的時候
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現在馬上手術
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手術
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我既沒錢也沒時間 沒事的 真的沒
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00:05:05,938 --> 00:05:09,135
就這樣不管不顧會有生命危險
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扶他起來
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阿富默德大臣對日本醫師
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非常感興趣 萬萬不可大意
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視察是不可能了
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就讓大臣親自體驗
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日本醫療水準的高低吧
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沒錯 大臣是急性闌尾炎
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馬上手術
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這可不好辦啊
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大臣原定參加5天后在歐洲召開的國際會議
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能不能讓大臣趕上那個會議呢
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5天後
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必須得滿足病人的要求啊
106
00:05:55,554 --> 00:06:00,048
也就是說 你們很歡迎這病人啊
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進行機器人手術
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要給VIP裡的VIP最好的QOL
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Quality of Life
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檢查資料有什麼問題嗎
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這位病人比我們想像的還要受歡迎啊
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沒事的
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他得儘早把在日本賺到的錢
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送到非洲家裡
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所以才拒絕做手術嗎
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不能長期住院
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荒瀨
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採取腰椎麻醉
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進行低容量管理
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00:07:04,890 --> 00:07:06,414
讓他在3小時後能步行回家
121
00:07:08,360 --> 00:07:11,124
以最小的切口做最短時間的手術
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接下來 進行急性闌尾炎切除手術
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手術刀
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是
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電動手術刀
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是
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接下來 進行機器人急性闌尾炎手術
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右臂 冠狀動脈狹窄分型指令準備
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左臂 剪刀 準備
130
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第三只手臂 3D相機 準備
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主控制器 命令 OK
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埠內接上全部手臂
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埠準備完畢
134
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接下來處理闌尾
135
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牽引鉤
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是
137
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haken錐
138
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是
139
00:08:22,935 --> 00:08:23,560
Pean氏止血鉗
140
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是
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00:08:25,637 --> 00:08:26,228
凱莉彎止血鉗
142
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是
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00:08:27,773 --> 00:08:28,740
加抗生劑了
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好的
145
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進行結紮 3號線
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是
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結紮 3號線
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相機埠順時針旋轉
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結紮完畢 闌尾切除
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梅氏剪
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是
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手術刀
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是
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闌尾切除完畢 消毒
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00:09:12,251 --> 00:09:14,481
將右臂換成剪刀
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00:09:19,391 --> 00:09:21,222
闌尾切除完畢
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00:09:24,229 --> 00:09:25,958
不愧是機器人
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00:09:29,568 --> 00:09:33,664
切口小 僅用15分鐘就切除了闌尾
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00:09:35,274 --> 00:09:37,230
不愧為醫龍團隊
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00:09:45,117 --> 00:09:47,415
圖本的醫療真是不得了
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00:09:47,619 --> 00:09:49,587
一點做過手術的感覺都沒有
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今後生了什麼病還想來日本看
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謝謝
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您沒事 真是太好了
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聽說您還可以準時參加
166
00:09:58,697 --> 00:10:02,428
歐洲的國際會議 我放心了
167
00:10:02,868 --> 00:10:06,827
吉田外務大臣都來了 我們真是不勝惶恐
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00:10:07,339 --> 00:10:10,900
事實上 在闌尾炎的術前檢查中
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00:10:11,076 --> 00:10:13,670
我們還發現了一個病症
170
00:10:14,179 --> 00:10:16,113
冠狀動脈狹窄
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00:10:18,250 --> 00:10:21,845
冠狀動脈狹窄就是指冠狀動脈血管變細
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00:10:21,887 --> 00:10:23,616
造成心臟供血
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00:10:23,622 --> 00:10:26,318
不足的症狀
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00:10:26,558 --> 00:10:29,425
阿富默德大臣的狹窄率達到90%
175
00:10:29,728 --> 00:10:32,196
隨時可能發展為心肌梗塞
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00:10:32,197 --> 00:10:34,222
需要及早進行手術
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00:10:35,233 --> 00:10:36,962
不過 這樣一來歐洲的會議
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00:10:36,968 --> 00:10:39,960
還是進行您這次體驗過的機器
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00:10:40,505 --> 00:10:43,565
機器人手術 這樣就趕得上了
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交給我們把
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00:10:45,076 --> 00:10:48,671
我作為醫療國際化推進委員會委員長
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可立即進行準備
183
00:10:52,317 --> 00:10:55,718
這樣一來 你也有可能作為國際醫生
184
00:10:55,720 --> 00:10:57,847
被邀請去迪拜啊
185
00:10:57,989 --> 00:11:01,049
國際醫生 迪拜
186
00:11:01,560 --> 00:11:04,688
其實 我的心臟也不好
187
00:11:05,463 --> 00:11:09,729
真有那麼好的話 我也做做機器人
188
00:11:09,734 --> 00:11:11,235
機器人手術
189
00:11:12,337 --> 00:11:13,668
我也想做做那個
190
00:11:13,672 --> 00:11:17,904
當然了 木原醫生來負責
191
00:11:18,243 --> 00:11:19,505
交給我吧
192
00:11:21,813 --> 00:11:23,906
4天後可以出院
193
00:11:24,482 --> 00:11:26,040
謝謝你們 醫生
194
00:11:29,721 --> 00:11:31,586
是很珍貴的東西嗎
195
00:11:32,490 --> 00:11:35,391
是送給重要的人的護身符
196
00:11:35,393 --> 00:11:36,087
是嗎
197
00:11:36,094 --> 00:11:38,289
我來日本時
198
00:11:38,330 --> 00:11:39,888
家人送的
199
00:11:45,904 --> 00:11:49,305
孩子們真可愛
200
00:11:49,307 --> 00:11:51,036
這是我的寶貝哦
201
00:11:52,010 --> 00:11:56,538
可是 我最小的妹妹簡戈
202
00:11:56,614 --> 00:12:00,243
才三歲心臟就不好
203
00:12:00,251 --> 00:12:01,479
心臟
204
00:12:01,786 --> 00:12:05,449
有可能需要移植
205
00:12:05,657 --> 00:12:08,125
所以 我想儘早回去
206
00:12:08,126 --> 00:12:12,495
用賺到的錢 讓她盡可能住好點的醫院
207
00:12:13,765 --> 00:12:17,360
要是有加藤醫生的兒童用人工心臟就好了
208
00:12:21,372 --> 00:12:24,432
現在已經不做了
209
00:12:24,442 --> 00:12:25,636
為什麼
210
00:12:29,314 --> 00:12:31,441
校長 您難道要相信這種無稽之談嗎
211
00:12:29,848 --> 00:12:32,715
{\an8}黑心醫生 巧妙騙取國家資金
212
00:12:31,449 --> 00:12:34,509
從現在開始 你退出研究小組
213
00:12:34,519 --> 00:12:38,080
作為科主任 我會繼續研究工作的
214
00:12:38,089 --> 00:12:40,649
這裡已經不需要你的試製品了
215
00:12:40,658 --> 00:12:42,159
反正都是垃圾
216
00:12:43,895 --> 00:12:45,362
魔法心臟
217
00:12:48,099 --> 00:12:50,124
那是魔法心臟
218
00:12:50,301 --> 00:12:54,135
儘早完成 也在我們國家投入使用
219
00:12:54,138 --> 00:12:56,436
這樣的話 簡戈也會得救
220
00:13:03,548 --> 00:13:04,572
抱歉打擾了
221
00:13:04,682 --> 00:13:06,616
加藤醫生 有電話
222
00:13:06,618 --> 00:13:07,642
好的
223
00:13:15,159 --> 00:13:16,319
您好
224
00:13:16,494 --> 00:13:18,860
我是L&P醫院的岡村
225
00:13:19,297 --> 00:13:20,389
L&P
226
00:13:20,598 --> 00:13:25,968
是的 我想當面跟加藤醫生談點事情
227
00:13:34,045 --> 00:13:36,912
怎麼了 看你一直都像是牙疼的樣子
228
00:13:37,215 --> 00:13:39,115
沒事 偶爾這樣
229
00:13:39,217 --> 00:13:40,241
蛀牙
230
00:13:40,251 --> 00:13:42,481
我可沒蛀牙
231
00:13:42,654 --> 00:13:44,519
身體有其他不適的地方嗎
232
00:13:45,823 --> 00:13:47,723
胸口有點
233
00:13:48,226 --> 00:13:49,659
揪著痛嗎
234
00:13:49,694 --> 00:13:53,562
沒事 偶爾這樣 真沒事 偶爾而已
235
00:13:59,937 --> 00:14:03,464
我的病好了吧
236
00:14:49,554 --> 00:14:50,987
加維爾的檢查結果
237
00:14:51,489 --> 00:14:54,925
冠狀動脈狹窄 左前降支單根血管病變
238
00:14:54,926 --> 00:14:56,587
症狀一模一樣
239
00:14:56,594 --> 00:14:59,825
和送到L&P的珈藍王族的阿富默德大臣
240
00:14:59,830 --> 00:15:01,627
報導有說 要做機器人手術
241
00:15:01,632 --> 00:15:03,361
據說狹窄率90%
242
00:15:03,367 --> 00:15:06,427
加維爾是99% 更嚴重
243
00:15:06,437 --> 00:15:08,962
狹窄率99%
244
00:15:09,106 --> 00:15:11,506
也就意味著心臟上裝著顆大型炸彈
245
00:15:11,509 --> 00:15:13,773
隨時可能心肌梗塞發作
246
00:15:13,778 --> 00:15:16,804
可是加維爾想儘早治好病
247
00:15:16,847 --> 00:15:18,678
回到家人身邊
248
00:15:21,919 --> 00:15:23,181
怎麼辦 朝田
249
00:15:31,395 --> 00:15:33,863
{\an8}阿拉伯語入門
250
00:15:38,102 --> 00:15:40,229
杜拜在召喚我
251
00:15:40,237 --> 00:15:43,638
人家想要的是這台手術機器人吧
252
00:15:44,709 --> 00:15:47,542
這個機器人已經是我身體的一部分了
253
00:15:47,678 --> 00:15:51,978
你看 這六向自由度的吊臂行雲流水般的操作
254
00:15:51,982 --> 00:15:53,973
簡直就是上帝之手
255
00:15:55,319 --> 00:15:59,415
咦 融為一體了
256
00:16:00,591 --> 00:16:03,560
就這樣運到杜拜好了
257
00:16:03,561 --> 00:16:04,858
我期待著
258
00:16:06,063 --> 00:16:08,998
早川醫生 有時間嗎
259
00:16:10,668 --> 00:16:11,657
是
260
00:16:13,270 --> 00:16:18,537
給你們介紹下 L&P醫院來的實習醫生 早川
261
00:16:18,542 --> 00:16:21,136
我終歸是L&P的人
262
00:16:21,178 --> 00:16:23,669
藤吉醫生赴美研究期間
263
00:16:23,681 --> 00:16:27,811
你代替不了藤吉的 莫西幹
264
00:16:29,286 --> 00:16:32,380
進組之後 能學到很多東西哦
265
00:16:33,290 --> 00:16:35,053
會議要開始了
266
00:16:36,927 --> 00:16:40,829
實習醫生 是你的話會怎樣治療
267
00:16:41,332 --> 00:16:43,425
要讓他儘早出院
268
00:16:43,434 --> 00:16:47,131
就必須採用對身體負擔最小的方法
269
00:16:48,405 --> 00:16:50,498
依據目前國內的治療方針
270
00:16:51,542 --> 00:16:53,669
第一選擇是介入治療
271
00:16:53,677 --> 00:16:55,269
我們醫院沒有介入室
272
00:16:55,279 --> 00:16:59,443
沒有 這裡是包括心臟治療在內的綜合性醫院吧
273
00:16:59,450 --> 00:17:01,179
這傢伙真叫人火大
274
00:17:01,285 --> 00:17:04,015
那我跟L&P聯繫下吧
275
00:17:04,021 --> 00:17:04,851
讓他們出借下設備
276
00:17:04,855 --> 00:17:06,846
我們不做介入
277
00:17:10,461 --> 00:17:12,190
{\an8}MIDCAB微創冠狀動脈搭橋手術
278
00:17:10,461 --> 00:17:12,190
做MIDCAB
279
00:17:13,864 --> 00:17:15,729
我也是這麼想的
280
00:17:15,733 --> 00:17:17,633
原來如此 MIDCAB
281
00:17:17,635 --> 00:17:19,102
MIDCAB的話
282
00:17:19,103 --> 00:17:22,129
是要在乳房下側做小切口開胸手術吧
283
00:17:22,606 --> 00:17:24,528
是早就不用了的手術方式吧
284
00:17:24,540 --> 00:17:27,441
這對加維爾來說是最佳治療方式
285
00:17:28,012 --> 00:17:32,244
手術創傷小 恢復快 能儘早恢復日常生活
286
00:17:32,249 --> 00:17:34,308
可是視野狹小 手術難度也劇增
287
00:17:34,318 --> 00:17:37,151
對普通醫生來說也許是這樣 可是
288
00:17:37,821 --> 00:17:40,381
我們能辦到
289
00:17:47,331 --> 00:17:51,461
加維爾 是和L&P的阿富默德大臣一樣的病症
290
00:17:51,535 --> 00:17:54,003
那邊應該要採用機器人手術
291
00:17:54,872 --> 00:17:56,772
手術費昂貴吧
292
00:17:57,941 --> 00:17:59,875
至少超過300萬吧
293
00:18:12,756 --> 00:18:13,780
加維爾 等等
294
00:18:13,791 --> 00:18:15,224
我不接受手術
295
00:18:15,359 --> 00:18:18,487
我必須儘早回去 簡戈正被病痛折磨
296
00:18:18,495 --> 00:18:20,895
加維爾 現在不是說這話的時候
297
00:18:20,898 --> 00:18:23,423
可是 我們國家醫院很少
298
00:18:24,668 --> 00:18:26,898
離家又遠 要花一天
299
00:18:26,904 --> 00:18:28,337
我們不能就這樣讓你回去
300
00:18:28,338 --> 00:18:32,035
可是我沒錢 之前的手術已經是極限
301
00:18:32,342 --> 00:18:35,778
再浪費錢 簡戈就治不了病了
302
00:18:35,946 --> 00:18:37,436
300萬 我根本沒錢
303
00:18:37,447 --> 00:18:38,414
300萬
304
00:18:38,415 --> 00:18:39,973
我聽見她們說的了
305
00:18:40,250 --> 00:18:43,378
跟大醫院住著的大臣同一種病
306
00:18:43,654 --> 00:18:47,647
要花費300萬 我沒有300萬啊
307
00:18:49,459 --> 00:18:54,396
治療方法不只一種 你放心
308
00:18:54,665 --> 00:18:56,895
我們自有打算
309
00:18:57,834 --> 00:19:00,462
即便這樣你還擔心治療費的話
310
00:19:02,272 --> 00:19:04,672
日後有能力再付也無妨
311
00:19:07,010 --> 00:19:10,912
你能按時回去 也不必擔心錢
312
00:19:12,816 --> 00:19:15,808
還要拒絕嗎
313
00:19:18,889 --> 00:19:22,985
謝謝 真的謝謝你們
314
00:19:36,506 --> 00:19:40,237
{\an8}岡村先生 朝田他們要對冠狀動脈狹窄患者進行MIDCAB 再聯絡
315
00:19:38,909 --> 00:19:40,570
去櫻井醫院實習
316
00:19:40,744 --> 00:19:44,180
將他們身邊發生的事情 鉅細靡遺地向我彙報
317
00:19:44,181 --> 00:19:47,776
我們相信你很優秀 才定下這項實習計畫的
318
00:19:49,953 --> 00:19:53,616
讓我當間諜嗎
319
00:19:53,623 --> 00:19:57,457
看來我們沒有選錯人
320
00:20:19,416 --> 00:20:21,111
抱歉 特地叫你來
321
00:20:21,718 --> 00:20:24,585
要跟我談什麼
322
00:20:28,024 --> 00:20:30,652
這裡的加利福尼亞紅酒不錯俄
323
00:20:30,927 --> 00:20:32,827
加藤醫生 你在美國待過 應該會喜歡吧
324
00:20:32,829 --> 00:20:35,263
不用了 我待會還要回醫院
325
00:20:39,903 --> 00:20:43,896
前些天 看到了這麼篇報導
326
00:20:45,475 --> 00:20:47,875
{\an8}世界最小的人工心臟 持久性是課題
327
00:20:46,610 --> 00:20:49,807
明真的話 要投入實用估計還需時日
328
00:20:49,980 --> 00:20:53,472
已經跟我無關了
329
00:21:04,861 --> 00:21:07,091
{\an8}永久型人工心臟開發計畫
330
00:21:06,196 --> 00:21:10,929
你願意在L&P繼續人工心臟的研究嗎
331
00:21:11,935 --> 00:21:16,838
資金 開發設備 一切必要條件都齊全
332
00:21:21,177 --> 00:21:22,474
我拒絕
333
00:21:24,748 --> 00:21:29,685
我只為拯救患者竭盡全力
334
00:21:30,820 --> 00:21:32,913
也因為這樣 才來到櫻井醫院
335
00:21:35,458 --> 00:21:39,554
不想被你的商業所利用
336
00:21:39,729 --> 00:21:43,529
利用商業不對嗎
337
00:21:44,667 --> 00:21:49,229
商業能救助許多患者
338
00:21:55,178 --> 00:22:01,139
你想必也見過無數小孩子 因為沒有接受移植
339
00:22:02,519 --> 00:22:05,079
從而丟了性命
340
00:22:06,856 --> 00:22:10,519
所以才會投入開發永久型兒童用人工心臟
341
00:22:10,527 --> 00:22:12,620
難道不是嗎
342
00:22:16,332 --> 00:22:21,964
在L&P救助患者的研究
343
00:22:23,273 --> 00:22:26,765
與爭名奪利無關
344
00:22:29,379 --> 00:22:33,145
這點我可以保證
345
00:22:49,032 --> 00:22:50,329
加藤醫生
346
00:22:50,900 --> 00:22:52,060
睡不著嗎
347
00:22:52,869 --> 00:22:54,302
我沒事
348
00:22:55,338 --> 00:22:58,136
只是擔心簡戈
349
00:23:01,511 --> 00:23:05,936
魔法心臟 但願能早日成功
350
00:23:05,948 --> 00:23:07,609
用於簡戈的治療
351
00:23:09,118 --> 00:23:11,848
加藤醫生的話 我很放心將她交給你
352
00:23:24,033 --> 00:23:25,660
真熱心呢
353
00:23:27,036 --> 00:23:28,901
這種病例做MIDCAB
354
00:23:28,905 --> 00:23:30,805
在其他地方想都不敢想
355
00:23:30,807 --> 00:23:32,274
不愧是朝田
356
00:23:35,178 --> 00:23:36,668
我很慶幸來這裡
357
00:23:36,679 --> 00:23:38,146
真的慶幸嗎
358
00:23:38,548 --> 00:23:40,448
跟女朋友坦白了嗎
359
00:23:40,883 --> 00:23:43,545
錯過了坦白的最佳時機
360
00:23:43,986 --> 00:23:46,216
她至今以為我還在明真
361
00:23:49,759 --> 00:23:51,624
該怎麼開口呢
362
00:23:58,367 --> 00:23:59,629
荒瀨醫生
363
00:24:00,770 --> 00:24:03,671
你註定一輩子光棍 放棄吧
364
00:24:03,739 --> 00:24:05,366
荒瀨醫生都結婚了
365
00:24:05,374 --> 00:24:07,239
我怎麼可能光棍
366
00:24:43,212 --> 00:24:46,477
放心 很快就能回家人身邊了
367
00:24:48,918 --> 00:24:54,322
1 2 3
368
00:24:54,323 --> 00:24:56,621
為什麼非得參觀學習呢
369
00:24:56,625 --> 00:24:59,560
櫻井院長吩咐 一定讓你看
370
00:25:01,230 --> 00:25:02,822
MIDCAB看了也沒意思
371
00:25:02,832 --> 00:25:08,828
6 7 好了 麻醉成功
372
00:25:10,439 --> 00:25:12,634
廢話不要太多哦 莫西幹
373
00:25:19,749 --> 00:25:20,738
拜託了
374
00:25:20,750 --> 00:25:22,274
出發 迪拜
375
00:25:29,391 --> 00:25:32,986
今天 貌似櫻井醫院也在進行冠狀動脈狹窄的手術
376
00:25:33,529 --> 00:25:35,394
據說要做MIDCAB
377
00:25:35,397 --> 00:25:38,264
MIDCAB 老土啊
378
00:25:38,767 --> 00:25:41,395
現在可是2014了
379
00:25:44,940 --> 00:25:47,704
大臣 謝謝您特地前來
380
00:25:47,710 --> 00:25:49,439
請 這邊來
381
00:26:18,207 --> 00:26:22,837
現在開始 針對左冠狀動脈前降支狹窄
382
00:26:22,845 --> 00:26:25,177
進行MIDCAB手術 手術刀
383
00:26:25,180 --> 00:26:26,238
是
384
00:26:26,749 --> 00:26:27,340
鑷子 紗布
385
00:26:27,349 --> 00:26:28,338
是
386
00:26:28,350 --> 00:26:28,873
吸引
387
00:26:28,884 --> 00:26:29,976
是
388
00:26:30,319 --> 00:26:34,653
現在開始 針對左冠狀動脈前降支狹窄
389
00:26:34,657 --> 00:26:36,887
進行機器人手術
390
00:26:50,806 --> 00:26:51,898
自動化設置 完成
391
00:26:51,907 --> 00:26:54,000
器械 ok
392
00:26:58,113 --> 00:26:58,977
開胸器
393
00:26:58,981 --> 00:26:59,970
是
394
00:27:03,585 --> 00:27:04,085
血液回收機
395
00:27:04,086 --> 00:27:05,178
是
396
00:27:07,556 --> 00:27:08,079
鋼絲
397
00:27:08,090 --> 00:27:09,079
是
398
00:27:15,931 --> 00:27:16,693
心定位器
399
00:27:16,698 --> 00:27:17,790
是
400
00:27:22,004 --> 00:27:23,062
好了
401
00:27:26,108 --> 00:27:29,043
第一項結束 進入第二項
402
00:27:29,044 --> 00:27:31,274
冠狀動脈狹窄分型指令已編輯完畢
403
00:27:31,747 --> 00:27:34,113
縮放比例調至3
404
00:27:38,854 --> 00:27:41,084
停止第二從動裝置 改為用凝血器凝血
405
00:27:41,089 --> 00:27:42,078
是
406
00:27:45,828 --> 00:27:48,160
凝血器調整完畢
407
00:27:49,698 --> 00:27:51,791
剝離左胸廓內動脈
408
00:27:51,800 --> 00:27:52,767
是
409
00:27:56,004 --> 00:27:56,561
罌粟堿
410
00:27:56,572 --> 00:27:58,005
Hemogrip止血鉗
411
00:28:00,709 --> 00:28:02,438
準備注射β-受體阻滯劑
412
00:28:05,914 --> 00:28:06,539
Harmonic超聲刀
413
00:28:06,548 --> 00:28:07,537
是
414
00:28:22,030 --> 00:28:24,555
凝血器輸出功率調到40
415
00:28:24,633 --> 00:28:26,191
增加到40了
416
00:28:26,435 --> 00:28:28,903
縮放比例調到5
417
00:28:28,904 --> 00:28:31,270
左心室功能良好
418
00:28:36,111 --> 00:28:41,105
左胸廓內動脈剝離完畢 接下來剝離冠狀動脈
419
00:28:42,217 --> 00:28:44,412
冠狀動脈剝離完畢 接下來
420
00:28:44,419 --> 00:28:46,353
{\an8}SNARE 可溶性N-乙基馬來#先亞胺敏感因數結合蛋白受體
421
00:28:44,419 --> 00:28:46,353
切開第一對角支SNARE
422
00:28:46,355 --> 00:28:46,878
是
423
00:28:47,222 --> 00:28:47,745
蚊式血管鉗
424
00:28:47,756 --> 00:28:48,313
是
425
00:28:48,323 --> 00:28:48,914
吹霧管
426
00:28:48,924 --> 00:28:49,879
是
427
00:28:50,025 --> 00:28:51,458
控制速率
428
00:28:55,363 --> 00:28:56,227
鑽石手術刀
429
00:28:56,231 --> 00:28:57,129
是
430
00:28:58,900 --> 00:29:00,094
增加SNARE
431
00:29:01,036 --> 00:29:01,661
波－密二氏心血管手術剪
432
00:29:01,670 --> 00:29:02,159
是
433
00:29:02,170 --> 00:29:02,693
冠脈內分流栓導管
434
00:29:02,704 --> 00:29:03,830
是
435
00:29:03,905 --> 00:29:05,236
冠狀動脈鑷子
436
00:29:09,211 --> 00:29:11,805
縫合左胸廓內動脈和左前降支
437
00:29:12,581 --> 00:29:13,479
去準備
438
00:29:13,482 --> 00:29:14,540
是
439
00:29:15,550 --> 00:29:17,814
還有一針 就可解除SNARE
440
00:29:20,989 --> 00:29:22,889
第三項完畢
441
00:29:22,891 --> 00:29:27,123
好了 下面只要閉合心包就結束了
442
00:29:27,362 --> 00:29:30,422
看來機器人手術很成功啊
443
00:29:31,066 --> 00:29:35,025
太棒了 接下來大臣也
444
00:29:38,440 --> 00:29:39,805
大臣
445
00:29:42,177 --> 00:29:46,637
冠狀動脈瘤內血栓脫落引發心肌梗塞
446
00:29:46,648 --> 00:29:48,240
那就用介入治療
447
00:29:48,250 --> 00:29:51,879
不 吉田大臣的冠狀動脈瘤形狀
448
00:29:52,187 --> 00:29:55,554
狹窄處與擴張處相連 介入治療不可取
449
00:29:55,557 --> 00:29:57,889
正中切開胸骨 進行搭橋手術
450
00:29:57,893 --> 00:29:58,587
我馬上去準備
451
00:29:58,593 --> 00:29:59,753
不 那個也做不了
452
00:30:00,295 --> 00:30:03,787
吉田大臣胸骨上有感染性動脈周樣硬化
453
00:30:03,798 --> 00:30:04,787
什麼
454
00:30:07,669 --> 00:30:09,466
如果在感染性動脈周樣硬化上動刀
455
00:30:09,471 --> 00:30:12,702
細菌就會進入手術範圍 細菌一旦進入手術範圍
456
00:30:12,707 --> 00:30:14,698
會引起縱隔炎 會致命的
457
00:30:14,709 --> 00:30:16,438
無法進行正中切開
458
00:30:17,712 --> 00:30:18,872
那要怎樣才好
459
00:30:21,249 --> 00:30:25,117
不妙啊 要怎麼辦
460
00:30:35,063 --> 00:30:36,826
辦法只有一個
461
00:30:49,778 --> 00:30:52,736
不行 現在這邊手術剛進行到一半
462
00:30:52,881 --> 00:30:55,042
以L&P的設備 不能想想辦法瑪
463
00:30:55,049 --> 00:30:58,416
這個情況 用再先進的設備
464
00:30:58,420 --> 00:31:01,719
也治不好冠狀動脈瘤 除了朝田以外
465
00:31:04,125 --> 00:31:08,585
病人再這麼拖下去就沒救了 朝田
466
00:31:14,536 --> 00:31:16,902
我們的病人是加維爾
467
00:31:26,814 --> 00:31:28,372
朝田 去吧
468
00:31:30,218 --> 00:31:31,617
這裡由我來執刀
469
00:31:31,619 --> 00:31:32,210
但是
470
00:31:32,220 --> 00:31:33,278
伊集院
471
00:31:33,555 --> 00:31:34,579
是
472
00:31:35,089 --> 00:31:38,024
我們做醫生的 絕不能對患者見死不救
473
00:31:43,331 --> 00:31:45,959
加藤 交給你了
474
00:31:47,669 --> 00:31:49,102
鬼頭 我現在就去
475
00:31:49,103 --> 00:31:50,161
伊集院
476
00:31:50,572 --> 00:31:54,167
你做第一助手 我來當第二助手
477
00:31:55,577 --> 00:31:56,601
是
478
00:31:58,079 --> 00:32:02,709
就算你去了也沒用 又不能正中切開
479
00:32:11,059 --> 00:32:12,458
莫西幹
480
00:32:13,394 --> 00:32:17,194
你到現在還不懂朝田這個男人的一分一毫啊
481
00:32:17,198 --> 00:32:17,698
什麼
482
00:32:17,699 --> 00:32:19,291
你站這兒也幫不上忙
483
00:32:19,801 --> 00:32:23,225
和他一起過去 好好看看朝田的手術
484
00:32:28,009 --> 00:32:29,601
ST段持續抬高
485
00:32:29,610 --> 00:32:31,373
心室早發性收縮嚴重
486
00:32:45,593 --> 00:32:46,992
朝田
487
00:33:05,213 --> 00:33:06,111
準備手術
488
00:33:06,113 --> 00:33:07,045
不行的
489
00:33:07,048 --> 00:33:10,245
胸口有感染性動脈周樣硬化 沒法正中切開
490
00:33:10,251 --> 00:33:11,718
不用正中切開
491
00:33:11,986 --> 00:33:13,453
那要怎麼弄
492
00:33:14,288 --> 00:33:15,312
MIDCAB
493
00:33:15,323 --> 00:33:16,187
什麼
494
00:33:16,190 --> 00:33:20,160
通過MIDCAB利用上層補片進行冠狀動脈成形術
495
00:33:21,963 --> 00:33:26,559
用MIDCAB治療冠狀動脈瘤 還要用補片
496
00:33:28,502 --> 00:33:31,994
由於冠狀動脈瘤狹窄處與擴張處相連
497
00:33:32,006 --> 00:33:35,498
切除腫瘤後 用胸廓內動脈覆蓋住
498
00:33:35,576 --> 00:33:37,635
像做修補工作一樣地進行再成形
499
00:33:37,678 --> 00:33:40,875
朝田選擇了補片成形術
500
00:33:40,881 --> 00:33:44,510
這個技術非超一流水準的外科醫生是做不到的
501
00:33:44,552 --> 00:33:45,985
而且 這個手術
502
00:33:46,053 --> 00:33:50,717
為了避開有感染性動脈周樣硬化的胸部 不使用正中切開
503
00:33:50,725 --> 00:33:53,353
而改用難度很高的MIDCAB
504
00:33:53,394 --> 00:33:54,759
這種手術
505
00:33:54,762 --> 00:33:59,392
能做到的 朝田的話
506
00:34:03,838 --> 00:34:05,829
說MIDCAB已老土
507
00:34:07,508 --> 00:34:12,775
才不是呢 只是沒有能做MIDCAB的外科醫生而已
508
00:34:19,320 --> 00:34:21,413
進行補片成形術 波茨動脈止血鑷倒過來給我
509
00:34:21,422 --> 00:34:22,446
是
510
00:34:25,993 --> 00:34:26,618
波茨動脈止血鑷
511
00:34:26,627 --> 00:34:27,651
是
512
00:34:31,165 --> 00:34:31,756
7號線
513
00:34:31,766 --> 00:34:32,255
是
514
00:34:32,266 --> 00:34:33,324
7-0 反手縫合線
515
00:34:33,333 --> 00:34:34,163
是
516
00:34:34,168 --> 00:34:35,226
吹霧管
517
00:34:37,605 --> 00:34:39,971
一針後拔掉冠脈內分流栓導管
518
00:34:39,974 --> 00:34:40,497
是
519
00:34:40,507 --> 00:34:41,769
要提高速率了
520
00:34:41,876 --> 00:34:43,832
7-0 反手縫合線
521
00:34:45,579 --> 00:34:46,978
體循環血壓
522
00:34:46,981 --> 00:34:48,039
是
523
00:34:50,284 --> 00:34:51,911
ST段恢復了
524
00:34:52,553 --> 00:34:56,250
好厲害 不愧是朝田龍太郎
525
00:34:57,491 --> 00:34:58,219
梅氏剪
526
00:34:58,225 --> 00:34:59,283
是
527
00:34:59,627 --> 00:35:00,616
流量監測儀
528
00:35:00,628 --> 00:35:01,652
是
529
00:35:09,837 --> 00:35:10,565
梅氏剪
530
00:35:10,571 --> 00:35:11,595
是
531
00:35:20,681 --> 00:35:21,409
梅氏剪
532
00:35:21,415 --> 00:35:22,404
是
533
00:35:26,720 --> 00:35:29,416
手術結束
534
00:36:27,281 --> 00:36:30,216
謝謝 真是幫我們大忙了
535
00:36:34,588 --> 00:36:36,317
不是為了你
536
00:36:37,925 --> 00:36:39,552
- 是為了病人
- 是為了病人
537
00:36:42,429 --> 00:36:44,590
你還是沒變啊
538
00:36:45,399 --> 00:36:49,631
速才是我認識的朝田龍太郎
539
00:36:51,238 --> 00:36:55,470
今後也希望你能拯救更多的病人
540
00:36:56,109 --> 00:36:59,237
對了 得向吉田大臣
541
00:36:59,680 --> 00:37:04,242
介紹一下你才行啊 畢竟是救命恩人
542
00:37:04,251 --> 00:37:09,917
就說全是木原處理的就好了
543
00:37:22,302 --> 00:37:25,533
{\an8}我們印度見
544
00:37:34,047 --> 00:37:37,175
{\an8}岡村先生 加維爾病人今天就能出院了
545
00:37:38,151 --> 00:37:42,520
怎麼樣 看了朝田的手術有收穫吧
546
00:37:42,723 --> 00:37:46,716
確實對吉田大臣來說 MIDCAB很必要
547
00:37:46,760 --> 00:37:50,355
技術很厲害 但是加維爾並不一樣
548
00:37:51,465 --> 00:37:54,161
只要問L&P借用下介入室就行了
549
00:37:54,267 --> 00:37:57,498
特地搬出過時的手術法 有什麼意義
550
00:37:58,238 --> 00:37:59,739
根本就是外科醫生的自負作祟吧
551
00:38:00,707 --> 00:38:05,076
你不明白為什麼不用介入治療而要用MIDCAB嗎
552
00:38:05,078 --> 00:38:09,139
不明白呢 怎麼想用介入都足夠了
553
00:38:09,649 --> 00:38:13,449
假設給加維爾用介入治療
554
00:38:13,453 --> 00:38:16,081
在體內植入支架會怎樣
555
00:38:17,324 --> 00:38:20,521
必須定期到醫院覆診
556
00:38:20,527 --> 00:38:21,824
那是當然的
557
00:38:22,729 --> 00:38:26,392
加維爾的家在非洲
558
00:38:27,100 --> 00:38:31,799
為了讓身體恢復到盡可能不用去醫院
559
00:38:32,405 --> 00:38:36,068
朝田才選擇了MIDCAB
560
00:38:37,978 --> 00:38:40,776
與過不過時無關
561
00:38:41,615 --> 00:38:47,247
而是對每一位病人來說都有最佳治療方案
562
00:38:55,929 --> 00:38:57,226
請收下這個
563
00:38:57,297 --> 00:39:02,530
因為時間不夠只做了一個 送給大家
564
00:39:04,804 --> 00:39:05,964
加藤
565
00:39:13,280 --> 00:39:18,912
這是送給重要的人的護身符 各位是我的救命恩人
566
00:39:19,519 --> 00:39:23,421
現在的我能做的也只有這個
567
00:39:25,292 --> 00:39:26,589
謝謝
568
00:39:42,442 --> 00:39:43,932
加藤醫生
569
00:39:45,879 --> 00:39:47,346
我會等你的
570
00:39:48,481 --> 00:39:49,448
什麼
571
00:39:50,116 --> 00:39:51,879
魔法心臟
572
00:40:15,308 --> 00:40:18,641
病人能得救真是太好了呢
573
00:40:27,086 --> 00:40:30,055
之前的話 您考慮過了嗎
574
00:40:33,760 --> 00:40:38,424
就算交給明真 人工心臟的實用化也不可能實現
575
00:40:40,600 --> 00:40:43,364
但是 那裡有長年累積的技術知識
576
00:40:44,304 --> 00:40:47,102
和瞭解人工心臟的醫療器械生產商
577
00:40:47,106 --> 00:40:48,505
也有合作
578
00:40:49,042 --> 00:40:52,000
你覺得沒有醫療器械生產商作為研究夥伴
579
00:40:52,145 --> 00:40:53,134
所以無法進行開發是嗎
580
00:40:53,146 --> 00:40:54,306
日本最大的
581
00:40:54,314 --> 00:40:56,942
綜合租賃公司L&P租賃
582
00:40:56,950 --> 00:41:00,681
收購了美國大型醫療器械生產商
583
00:41:00,687 --> 00:41:01,881
General Medic
584
00:41:02,388 --> 00:41:05,050
據知情者稱 L&P租賃
585
00:41:05,058 --> 00:41:07,014
General Medic
586
00:41:07,760 --> 00:41:10,285
那裡開發了成功攻克
587
00:41:10,563 --> 00:41:12,292
人工心臟持久性問題
588
00:41:12,298 --> 00:41:14,391
這一明真未解課題的技術
589
00:41:15,401 --> 00:41:15,924
什麼
590
00:41:15,935 --> 00:41:18,301
只要加藤醫生能以責任人加入
591
00:41:18,871 --> 00:41:21,635
人工心臟的開發一定會有飛躍性進展
592
00:41:26,212 --> 00:41:31,741
你說你要為拯救患者竭盡全力
593
00:41:31,951 --> 00:41:34,647
所以才來了櫻井醫皖
594
00:41:36,022 --> 00:41:39,014
一旦永久型兒童用人工心臟完成
595
00:41:40,326 --> 00:41:43,784
能拯救多少孩子的生命啊
596
00:41:46,332 --> 00:41:48,197
那是魔法心臟
597
00:41:48,601 --> 00:41:52,037
但願韶早日成功 用於簡戈的治療
598
00:41:53,239 --> 00:41:54,763
我會等你的
599
00:41:56,409 --> 00:41:59,606
全世界患有心臟病的孩子們都在等著
600
00:42:01,581 --> 00:42:03,640
等著你的魔法心臟
601
00:42:23,369 --> 00:42:28,102
兩年 兩年內我會把它送到
602
00:42:31,677 --> 00:42:35,306
無法接受移植的孩子們身邊
603
00:42:49,262 --> 00:42:50,820
那麼
604
00:42:51,264 --> 00:42:55,462
接下來 到我這裡來的
605
00:42:57,303 --> 00:42:59,635
會是誰呢
606
00:43:44,350 --> 00:43:47,808
我來了這裡以後 體重掉了3公斤
607
00:43:48,687 --> 00:43:51,178
不是說我 是你師父
608
00:45:55,547 --> 00:46:01,179
{\an8}在L&P醫院的手術 目標是荒瀨
609
00:45:55,714 --> 00:46:01,584
收到了希望荒瀨參加在L&P進行的手術的請求
610
00:46:01,186 --> 00:46:04,417
{\an8}主刀醫生是院長 外科醫生VS麻醉科醫生
611
00:46:01,587 --> 00:46:02,485
主刀醫生是
612
00:46:02,488 --> 00:46:03,750
區區麻醉科醫生
613
00:46:03,755 --> 00:46:04,779
開什麼玩笑
614
00:46:04,790 --> 00:46:07,088
就算做了瓣置換 心臟也不會治癒
615
00:46:04,823 --> 00:46:06,791
{\an8}無視患者的手術
616
00:46:08,260 --> 00:46:10,194
老師
617
00:46:10,195 --> 00:46:12,254
這次用開放支架
618
00:46:12,264 --> 00:46:14,960
醫生 請儘快接受檢查
619
00:46:14,967 --> 00:46:18,061
那個男人 還有別的秘密
620
00:46:18,070 --> 00:46:21,267
麻醉科醫生什麼的 不過是外科醫生的附屬品罷了
621
00:46:21,273 --> 00:46:24,436
荒瀨 能救病人的只有你
41068
