All language subtitles for [ドラマ][医龍4 第07話]「坂口憲二、稲森いずみ、小池徹平、阿部サダヲ」[720p x264 AAC].cht
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1
00:00:07,741 --> 00:00:09,943
切身體會到患者的感受了
2
00:00:09,943 --> 00:00:13,013
一直躺在床上真是很無聊啊
3
00:00:13,347 --> 00:00:15,215
您再堅持三天
4
00:00:15,382 --> 00:00:16,750
檢查結果怎麼樣
5
00:00:18,585 --> 00:00:20,387
是胸主動脈瘤
6
00:00:20,454 --> 00:00:21,588
在哪
7
00:00:22,322 --> 00:00:24,291
升主動脈到主動脈弓處
8
00:00:24,291 --> 00:00:26,326
發現了8公分的腫瘤
9
00:00:26,593 --> 00:00:29,296
我知道了 其他的呢
10
00:00:31,265 --> 00:00:32,266
顱內動脈瘤
11
00:00:32,266 --> 00:00:36,403
而且瘤長在手術難度最高的基底動脈頂端
12
00:00:38,171 --> 00:00:39,573
您不用擔心
13
00:00:40,540 --> 00:00:42,576
我們一定會治好您的
14
00:00:44,244 --> 00:00:46,413
那我就放心了
15
00:00:49,082 --> 00:00:52,252
櫻井醫生的腦尿鈉肽數值已經上升到220了
16
00:00:52,252 --> 00:00:55,389
這樣下去 血壓上升導致心臟腫瘤破裂的話
17
00:00:55,656 --> 00:00:57,658
腦內的腫瘤也非常有可能破裂
18
00:00:57,724 --> 00:00:59,259
必須得在破裂之前
19
00:00:59,259 --> 00:01:00,928
先摘除其中一個
20
00:01:01,028 --> 00:01:03,830
只能同時進行手術了 腦腫瘤手術誰來做
21
00:01:04,031 --> 00:01:05,599
不可能讓朝田同時做兩個手術
22
00:01:06,700 --> 00:01:09,970
必須馬上找到勝任的腦外科醫生
23
00:01:10,304 --> 00:01:14,174
這是唯一能救櫻井醫生的辦法了
24
00:01:23,550 --> 00:01:26,386
主動脈弓動脈瘤手術
25
00:01:26,386 --> 00:01:30,290
是心臟外科手術中最難的
26
00:01:30,457 --> 00:01:33,894
基底動脈頂端動脈瘤手術
27
00:01:33,894 --> 00:01:36,863
是腦外科手術中最難的
28
00:01:37,264 --> 00:01:43,136
也就是說 如果沒有和你同樣水平的腦外科醫生的話
29
00:01:43,637 --> 00:01:46,340
同時進行手術就是不可能的
30
00:01:47,474 --> 00:01:49,443
我會找到合適的腦外科醫生
31
00:01:50,477 --> 00:01:53,981
應該很難在國內找到吧
32
00:01:55,148 --> 00:02:00,554
在美國 只有頂級的醫生才能勝任腦外科醫生
33
00:02:00,721 --> 00:02:04,958
美國腦外科醫生的話是有可能的
34
00:02:12,532 --> 00:02:18,171
無論用什麼手段 都要救回櫻井醫生
35
00:02:32,786 --> 00:02:34,287
這個也不錯嘛
36
00:02:34,287 --> 00:02:36,990
您知道《麥琪的禮物》這個故事吧
37
00:02:37,090 --> 00:02:39,693
雖然貧窮但是深愛彼此的夫妻
38
00:02:40,594 --> 00:02:43,397
由於沒有買聖誕禮物的錢
39
00:02:43,397 --> 00:02:45,632
丈夫賣掉了最寶貝的懷表
40
00:02:45,632 --> 00:02:47,634
為妻子買了玳瑁的梳子
41
00:02:47,901 --> 00:02:50,203
而妻子賣掉了引以為傲的秀髮
42
00:02:50,203 --> 00:02:52,773
買了條懷表的表鏈送給丈夫
43
00:02:53,173 --> 00:02:55,642
以自己最珍貴的東西作為交換
44
00:02:55,709 --> 00:02:59,212
就為了贈送完全派不上用場的禮物
45
00:02:59,279 --> 00:03:01,281
真是愚蠢的夫婦啊
46
00:03:01,281 --> 00:03:02,482
您真的這麼認為嗎
47
00:03:06,019 --> 00:03:10,590
我需要你給我的不是懷表表鏈
48
00:03:11,425 --> 00:03:13,260
而是在印度取得的成功
49
00:03:14,127 --> 00:03:17,064
對醫龍成員的挖角工作在順利進行中
50
00:03:17,064 --> 00:03:18,832
目前為止是這樣呢
51
00:03:19,633 --> 00:03:23,070
但是對朝田用一般手段是對付不了的
52
00:03:23,070 --> 00:03:28,275
您說的是 畢竟野口醫生您親自證明了這一點嘛
53
00:03:30,610 --> 00:03:33,880
下一個目標不是朝田醫生
54
00:03:34,815 --> 00:03:36,583
是伊集院醫生
55
00:03:36,583 --> 00:03:39,486
伊集院 他能派上用場嗎
56
00:03:40,987 --> 00:03:45,292
我認為 伊集院醫生才是真正的王牌
57
00:03:46,560 --> 00:03:49,796
這次就包在我身上吧
58
00:04:03,777 --> 00:04:07,547
今天我去了明真
59
00:04:08,815 --> 00:04:13,286
然後就聽說你已經辭職了
60
00:04:16,456 --> 00:04:17,423
抱歉
61
00:04:18,425 --> 00:04:20,392
本來想告訴你的
62
00:04:21,761 --> 00:04:25,765
前陣子應我尊敬的醫生邀請
63
00:04:26,733 --> 00:04:31,771
我現在在櫻井綜合醫院工作
64
00:04:33,807 --> 00:04:37,911
雖然沒有龐大的規模 也沒有先進的設備
65
00:04:38,945 --> 00:04:41,414
但是有我所嚮往的行醫方式
66
00:04:42,249 --> 00:04:44,284
認真面對每一位患者
67
00:04:44,284 --> 00:04:45,051
為其找到最合適的治療方式
68
00:04:45,051 --> 00:04:47,020
為什麼辭職了
69
00:04:57,197 --> 00:05:02,002
明明現在是最需要你在明真的時候
70
00:05:25,292 --> 00:05:29,262
爸爸他被確診是肺癌了
71
00:05:29,863 --> 00:05:33,466
醫生說因為已經到了晚期 所以不能做手術
72
00:05:34,034 --> 00:05:37,304
但是爸爸他說不需要治療
73
00:05:44,077 --> 00:05:46,613
伊集院醫生 有客人找您
74
00:05:50,684 --> 00:05:51,918
伯父
75
00:05:54,020 --> 00:05:56,690
抱歉 美雪讓你為難了吧
76
00:05:57,257 --> 00:05:58,291
不會
77
00:05:58,558 --> 00:06:03,830
如果因為我讓你們倆的關係變差的話
78
00:06:03,830 --> 00:06:05,432
那可就不好了
79
00:06:05,632 --> 00:06:07,300
沒有那樣的事
80
00:06:08,134 --> 00:06:10,270
您的身體狀況如何
81
00:06:14,307 --> 00:06:20,180
奇怪的是 接受癌癥這個事實後還挺精神的
82
00:06:22,782 --> 00:06:25,018
美雪說您不想接受治療
83
00:06:26,553 --> 00:06:32,292
是啊 明真的醫生說
84
00:06:32,325 --> 00:06:36,763
不接受治療的話就不能入院
85
00:06:41,401 --> 00:06:44,471
我打算去找家臨終關懷醫院住
86
00:06:46,172 --> 00:06:50,343
美雪
87
00:06:52,512 --> 00:06:53,980
就交給你了
88
00:06:59,185 --> 00:07:00,520
伯父
89
00:07:02,322 --> 00:07:05,592
能不能不去臨終關懷醫院 而到我們醫院來呢
90
00:07:06,693 --> 00:07:09,963
我們一起來考慮今後的對策吧
91
00:08:10,990 --> 00:08:11,891
早川醫生
92
00:08:11,891 --> 00:08:14,361
我稍微出去一下 有什麼事的話就拜託你了哦
93
00:08:14,361 --> 00:08:16,730
可是 現在是午休時間啊
94
00:08:20,100 --> 00:08:24,070
面泡好啦
95
00:08:24,070 --> 00:08:25,338
早川醫生
96
00:08:25,338 --> 00:08:27,574
301室的青木先生 血壓有些偏高
97
00:08:27,574 --> 00:08:28,608
能麻煩您看一下嗎
98
00:08:28,608 --> 00:08:29,909
好
99
00:08:31,678 --> 00:08:32,278
早川醫生
100
00:08:32,278 --> 00:08:35,215
來了來了 馬上就來
101
00:08:46,559 --> 00:08:48,862
診斷稍微花了點時間 真是抱歉
102
00:08:48,862 --> 00:08:50,764
沒事 比起這個
103
00:08:50,764 --> 00:08:53,566
沒必要安排這麼大的屋子的
104
00:08:53,600 --> 00:08:55,635
請您不要客氣
105
00:08:55,702 --> 00:08:58,204
你也勸勸爸爸讓他接受化療吧
106
00:08:58,204 --> 00:09:00,173
這事不用再提了
107
00:09:00,173 --> 00:09:01,775
不要
108
00:09:02,075 --> 00:09:03,910
為什麼要放棄了
109
00:09:04,778 --> 00:09:06,479
都這麼大年紀了
110
00:09:06,746 --> 00:09:11,317
痛苦的多活那麼一陣子也沒意義
111
00:09:11,851 --> 00:09:16,089
化療的確會產生嘔吐和掉發等癥狀
112
00:09:16,156 --> 00:09:21,327
但是現在有一種分子層面的靶向治療方法
113
00:09:21,661 --> 00:09:24,664
副作用較小 對晚期癌癥也很有效
114
00:09:24,664 --> 00:09:27,500
怎麼樣啊 爸爸 一起努力治好吧
115
00:09:28,501 --> 00:09:30,069
我不接受治療
116
00:09:30,270 --> 00:09:31,638
爸爸
117
00:09:38,745 --> 00:09:40,647
86歲 女性
118
00:09:40,880 --> 00:09:44,517
左肺下葉的癌變已經浸潤到橫膈膜了
119
00:09:44,517 --> 00:09:48,021
此次手術要將切除範圍擴大到棋隔膜
120
00:09:48,021 --> 00:09:50,590
肺癌浸潤到橫隔膜就代表
121
00:09:50,590 --> 00:09:54,060
第三期a類 是剛好能夠勉強做手術的級別
122
00:09:54,060 --> 00:09:54,694
沒錯
123
00:09:54,694 --> 00:09:55,762
但是對高齡患者實施
124
00:09:55,762 --> 00:09:57,464
擴大範圍的手術是很魯莽的決定啊
125
00:09:57,664 --> 00:10:02,268
應該選擇化學療法和放射線治療
126
00:10:02,268 --> 00:10:03,937
大部分的醫生都這麼認為吧
127
00:10:03,937 --> 00:10:05,138
但是朝田醫生的話
128
00:10:05,138 --> 00:10:06,673
不管技術再怎麼高超
129
00:10:06,940 --> 00:10:08,875
強行做手術也不一定成功吧
130
00:10:08,875 --> 00:10:10,076
外科醫真是自私啊
131
00:10:10,076 --> 00:10:11,344
那可是患者本人的強烈願望
132
00:10:11,344 --> 00:10:12,011
什麼
133
00:10:12,011 --> 00:10:14,247
由於要照顧臥床不起的老伴
134
00:10:14,380 --> 00:10:16,816
患者說如果有治癒的可能性的話
135
00:10:16,816 --> 00:10:18,551
就希望做手術摘除癌變部分
136
00:10:37,537 --> 00:10:42,075
現在開始切除左肺下葉癌變部分的手術
137
00:10:42,075 --> 00:10:42,809
手術刀
138
00:10:42,809 --> 00:10:43,543
鑷子
139
00:10:43,543 --> 00:10:44,777
紗布
140
00:10:48,915 --> 00:10:49,516
電刀
141
00:10:49,516 --> 00:10:50,450
是
142
00:10:52,252 --> 00:10:53,720
切斷肺韌帶
143
00:10:53,720 --> 00:10:54,487
梅氏剪
144
00:10:54,487 --> 00:10:55,054
吸引器
145
00:10:55,054 --> 00:10:56,155
是
146
00:10:59,726 --> 00:11:00,293
直角鉗
147
00:11:00,293 --> 00:11:01,361
是
148
00:11:02,862 --> 00:11:03,997
3號線
149
00:11:11,804 --> 00:11:12,472
直角鉗
150
00:11:12,472 --> 00:11:13,373
是
151
00:11:14,841 --> 00:11:15,942
3號線
152
00:11:20,980 --> 00:11:21,481
梅氏剪
153
00:11:21,481 --> 00:11:22,415
是
154
00:11:30,323 --> 00:11:30,890
給
155
00:11:30,890 --> 00:11:31,391
是
156
00:11:31,391 --> 00:11:34,928
左肺下葉切除完畢 接下來縫合胸腔
157
00:11:34,928 --> 00:11:35,428
手術刀
158
00:11:35,428 --> 00:11:36,029
是
159
00:11:37,730 --> 00:11:38,565
長彎血管鉗
160
00:11:38,565 --> 00:11:39,566
是
161
00:11:39,866 --> 00:11:42,735
完美地將勉強能切除的部分切除了呢
162
00:11:42,735 --> 00:11:44,737
選擇做手術真是太好了
163
00:11:52,745 --> 00:11:56,449
朝田醫生 能佔用你一會時間嗎
164
00:11:59,052 --> 00:12:01,120
癌癥的原病灶位於肺部
165
00:12:01,120 --> 00:12:03,022
癌細胞已向左腎上腺轉移
166
00:12:03,156 --> 00:12:06,292
聽說被明真等醫院確診為晚期癌癥了
167
00:12:06,626 --> 00:12:09,629
好像一開始被告知能夠做手術的
168
00:12:10,563 --> 00:12:13,600
單看肺癌的話僅是第一期a類的早期癌癥
169
00:12:14,267 --> 00:12:18,571
但出現了向腎上腺轉移的情況 所以確診為第四期
170
00:12:20,974 --> 00:12:23,876
也就是晚期癌癥 無法進行手術
171
00:12:23,876 --> 00:12:25,211
剛才的患者
172
00:12:25,211 --> 00:12:27,580
不是肺癌都浸潤到橫膈膜了嗎
173
00:12:27,580 --> 00:12:29,882
但是通過手術成功摘除了癌變部份
174
00:12:29,882 --> 00:12:33,252
浸潤到橫膈膜和轉移到腎上腺的意義不同
175
00:12:33,252 --> 00:12:35,989
但是相比之下這位患者更年輕
176
00:12:35,989 --> 00:12:36,623
憑朝田醫生的水平
177
00:12:36,623 --> 00:12:37,523
伊集院
178
00:12:38,758 --> 00:12:40,994
這個階段癌癥 就算摘除病灶
179
00:12:41,160 --> 00:12:43,763
癌細胞也會再向別處轉移吧
180
00:12:44,464 --> 00:12:47,400
做手術只會增加患者的身體負擔
181
00:12:48,434 --> 00:12:50,203
你是讓我放棄病患嗎
182
00:13:07,220 --> 00:13:08,454
您感覺如何
183
00:13:11,891 --> 00:13:16,729
雖然不疼但是睡不著啊
184
00:13:28,975 --> 00:13:30,176
來一局嗎
185
00:13:33,179 --> 00:13:34,213
樂意奉陪
186
00:13:43,389 --> 00:13:44,524
您不要緊吧
187
00:13:51,798 --> 00:13:55,435
爸爸就這麼牴觸抗癌藥嗎
188
00:13:55,435 --> 00:13:57,503
能夠讓我住進這家醫院
189
00:13:58,204 --> 00:14:00,873
我真的覺得很難得
190
00:14:15,354 --> 00:14:17,957
又在陪爸爸下奧賽羅棋呢
191
00:14:18,157 --> 00:14:19,792
伯父很厲害的
192
00:14:19,792 --> 00:14:21,127
我知道
193
00:14:27,734 --> 00:14:29,602
我去把花換了
194
00:14:37,176 --> 00:14:40,480
美雪她還是希望
195
00:14:40,480 --> 00:14:43,282
您接受抗癌藥物治療
196
00:14:48,054 --> 00:14:50,556
美雪讀大學三年級的時候
197
00:14:50,556 --> 00:14:53,493
她媽就患癌去世了
198
00:14:54,761 --> 00:14:58,831
在2年的治療期間
199
00:14:58,831 --> 00:15:00,833
都是美雪在照顧旳
200
00:15:02,568 --> 00:15:04,804
沒什麼時間和朋友們玩
201
00:15:05,438 --> 00:15:09,375
也沒能好好找工作
202
00:15:09,909 --> 00:15:13,412
對於她媽媽的事情我不後悔
203
00:15:14,580 --> 00:15:15,548
不過
204
00:15:17,550 --> 00:15:21,654
我多活一天
205
00:15:23,422 --> 00:15:26,626
美雪就要多辛苦一天
206
00:15:28,694 --> 00:15:29,929
所以才不願治療嗎
207
00:15:31,531 --> 00:15:34,300
你站在醫生的立場上
208
00:15:34,300 --> 00:15:37,103
一定很奇怪我為什麼不接受抗癌劑治療
209
00:15:38,671 --> 00:15:44,644
原因很簡單 我不想再給美雪增加負擔了
210
00:16:13,940 --> 00:16:16,075
如果早點檢查出癌癥的話
211
00:16:17,076 --> 00:16:18,544
就能做手術了
212
00:16:21,914 --> 00:16:26,853
在這種關鍵的時刻卻救不了重要的人
213
00:16:33,359 --> 00:16:37,496
因為不能做手術就要放棄嗎
214
00:16:42,869 --> 00:16:48,274
醫生能為病人做的事可不止切除病灶
215
00:17:28,881 --> 00:17:30,616
對不起 到量體溫的時間了吧
216
00:17:30,616 --> 00:17:31,784
沒事的
217
00:17:33,486 --> 00:17:35,054
還痛嗎
218
00:17:35,054 --> 00:17:36,122
不了
219
00:17:39,659 --> 00:17:40,826
我幫你擦擦身子
220
00:17:40,826 --> 00:17:42,528
不用了 這種事我來就好了
221
00:17:42,528 --> 00:17:43,663
沒事的
222
00:17:48,067 --> 00:17:49,468
好舒服
223
00:17:50,770 --> 00:17:52,238
背也擦擦吧
224
00:17:54,073 --> 00:17:55,274
謝了
225
00:17:57,643 --> 00:17:58,511
我來幫你
226
00:17:58,511 --> 00:17:59,545
好
227
00:18:06,953 --> 00:18:09,388
這個傷是怎麼來的
228
00:18:09,655 --> 00:18:11,991
已經20幾年了吧
229
00:18:12,158 --> 00:18:13,793
有這麼久嗎
230
00:18:14,293 --> 00:18:17,863
鄰居家起火 蔓延到我家來
231
00:18:18,197 --> 00:18:20,599
我抱著美雪要跑出去的時候
232
00:18:20,599 --> 00:18:23,569
被倒下的柱子的碎片扎到了
233
00:18:25,404 --> 00:18:28,841
不過 因為一心只想逃出去 也不感到痛
234
00:18:29,709 --> 00:18:33,079
美雪沒受傷真是太好了
235
00:18:34,714 --> 00:18:36,949
我一點都不記得了
236
00:18:47,793 --> 00:18:48,594
請進
237
00:18:50,229 --> 00:18:51,364
打擾了
238
00:18:51,364 --> 00:18:53,265
伊集院醫生怎麼樣了
239
00:18:53,666 --> 00:18:56,469
未婚妻的父親住院接受緩和治療
240
00:18:56,936 --> 00:18:59,505
每天晚上診療結束後就去探望他
241
00:19:00,072 --> 00:19:01,173
這樣啊
242
00:19:01,173 --> 00:19:02,174
嗯
243
00:19:02,608 --> 00:19:04,610
明明什麼都做不了
244
00:19:05,144 --> 00:19:07,513
多虧了他我還要多值班
245
00:19:07,513 --> 00:19:09,215
護士們也被任意使喚
246
00:19:09,248 --> 00:19:11,350
通過值班和診斷及就送來的病人
247
00:19:11,350 --> 00:19:13,352
可以積累各種病癥經驗
248
00:19:13,452 --> 00:19:16,922
而且 因為在獨立的環境裏 成長也很快
249
00:19:17,523 --> 00:19:20,159
伊集院醫生也這麼說
250
00:19:20,426 --> 00:19:23,362
不過 在L&P就沒有必要做這些事了吧
251
00:19:23,362 --> 00:19:25,431
謝謝你的報告
252
00:19:29,835 --> 00:19:31,270
我先走了
253
00:19:35,741 --> 00:19:38,511
伊集院還真是喜歡做無用功啊
254
00:19:39,145 --> 00:19:42,381
果然還是適合櫻井醫院啊
255
00:19:44,083 --> 00:19:46,252
伊集院醫生通過努力
256
00:19:46,252 --> 00:19:48,754
獲得了和朝田醫生不相上下的技術
257
00:19:49,855 --> 00:19:52,591
天才無法教導凡人
258
00:19:52,858 --> 00:19:57,263
但是凡人學習到天才的技術 就能教導其他凡人
259
00:19:57,863 --> 00:20:00,399
為了讓L&P裏聚集更多優秀的實習醫生
260
00:20:00,399 --> 00:20:02,601
我需要他這樣的人才
261
00:20:03,202 --> 00:20:05,204
我想要的不是實習醫生
262
00:20:05,337 --> 00:20:08,174
而是能引發奇跡的超級巨星
263
00:20:08,174 --> 00:20:10,509
醫生的工作沒有奇跡
264
00:20:11,777 --> 00:20:13,712
就算出現了奇跡
265
00:20:13,779 --> 00:20:17,049
那也應該是在別人看不見的地方積累起來的
266
00:20:17,049 --> 00:20:19,385
努力和經驗的結果
267
00:20:19,752 --> 00:20:25,191
最近你說的話我都聽不太懂了呢
268
00:20:25,191 --> 00:20:26,292
您答應過
269
00:20:26,292 --> 00:20:28,694
伊集院醫生的事就交給我了
270
00:20:34,667 --> 00:20:36,302
Entlassen
271
00:20:42,908 --> 00:20:47,279
希望你不會讓我對你說出這句話
272
00:20:53,619 --> 00:20:56,455
如果是基底動脈頂端的腫瘤的話 我有經驗
273
00:20:56,489 --> 00:21:00,359
難度是挺大的 但也不是做不到
274
00:21:00,893 --> 00:21:02,394
能請您來做手術嗎
275
00:21:02,394 --> 00:21:03,362
好
276
00:21:04,530 --> 00:21:05,965
謝謝
277
00:21:08,000 --> 00:21:12,171
主動脈弓動脈瘤 你不會是想同時手術吧
278
00:21:12,204 --> 00:21:15,474
我們的團隊可以在最短時間內完成心臟手術
279
00:21:15,474 --> 00:21:16,008
所以
280
00:21:16,041 --> 00:21:17,109
不行
281
00:21:18,177 --> 00:21:23,649
很抱歉 我不能接受這個手術
282
00:21:31,790 --> 00:21:33,759
腦外科的醫生怎麼說
283
00:21:37,363 --> 00:21:38,664
你那邊呢
284
00:21:38,764 --> 00:21:41,200
現在遵照病人的意願
285
00:21:41,200 --> 00:21:43,235
我想協助緩和治療
286
00:21:43,536 --> 00:21:44,603
這樣
287
00:21:45,704 --> 00:21:46,705
這個是
288
00:21:49,909 --> 00:21:51,744
這是我在MSAP的時候
289
00:21:51,744 --> 00:21:53,746
手術過的病人送的
290
00:21:53,746 --> 00:21:55,314
他拿著什麼尼
291
00:21:55,681 --> 00:21:59,151
射進病人體內的子彈
292
00:22:01,086 --> 00:22:03,155
據說是捲入戰爭被擊中
293
00:22:03,656 --> 00:22:06,225
也沒有好好接受治療 就這樣放任不管了
294
00:22:06,992 --> 00:22:08,794
去年一打開胸腔
295
00:22:09,161 --> 00:22:12,097
就發現了這個已經石灰化了的彈塊
296
00:22:12,298 --> 00:22:14,433
這塊石頭中有子彈嗎
297
00:22:18,103 --> 00:22:20,206
射入體內的子彈想要成為身體的一部刀
298
00:22:20,206 --> 00:22:26,011
於是引發了炎癥性的纖維增生 包裹住了子彈
299
00:22:26,045 --> 00:22:30,082
多虧了如此 子彈並沒有傷害到周圍的血管
300
00:22:30,082 --> 00:22:33,419
長時間留在了體內
301
00:22:33,452 --> 00:22:35,554
也就是異物肉芽腫的一種
302
00:22:36,455 --> 00:22:38,424
和紗布瘤是一樣的形成原理啊
303
00:22:38,490 --> 00:22:39,558
嗯
304
00:22:40,626 --> 00:22:45,030
人類的身體有著不可思議的力量
305
00:22:46,932 --> 00:22:48,334
好神奇
306
00:22:54,673 --> 00:22:56,041
不會吧
307
00:22:56,175 --> 00:22:58,177
病人大概20年前
308
00:22:58,244 --> 00:23:01,714
腰部曾被倒下的木頭柱子刺傷過
309
00:23:01,747 --> 00:23:04,250
如果倒塌的柱子的碎片
310
00:23:04,250 --> 00:23:06,652
並沒有取乾淨 而是殘留在體內的話
311
00:23:06,652 --> 00:23:11,023
就有可能被自身的組織所包覆
312
00:23:11,023 --> 00:23:12,424
就像這樣
313
00:23:22,701 --> 00:23:26,739
如果是這樣的話 這就是異物肉芽腫 不是癌
314
00:23:26,739 --> 00:23:29,441
也就是說 肺癌並沒有轉移
315
00:23:29,441 --> 00:23:32,711
這樣的話 肺癌就不是第四期
316
00:23:32,711 --> 00:23:36,015
而是一開始診斷的第一期a類了
317
00:23:36,015 --> 00:23:37,950
癌癥初期的話是可以做手術的吧
318
00:23:37,950 --> 00:23:41,086
是的 可以做手術的話就可以摘除癌變部分
319
00:23:41,086 --> 00:23:43,389
不過腎上腺的陰影是癌的可能性還是很大啊
320
00:23:43,389 --> 00:23:44,690
但如果不是癌癥的話
321
00:23:44,690 --> 00:23:47,426
放任不管會導致第一期a類的肺癌惡化
322
00:23:47,426 --> 00:23:49,094
也就是說 不管做不做手術
323
00:23:49,094 --> 00:23:50,529
都有風險了
324
00:23:50,529 --> 00:23:52,865
病人說怕給家人添麻煩
325
00:23:52,865 --> 00:23:55,000
所以並不接受抗癌劑治療
326
00:23:55,100 --> 00:23:58,504
不過 如果能治好癌癥 恢復原來的生活的話
327
00:23:58,504 --> 00:23:59,471
也許就會接受手術了
328
00:23:59,471 --> 00:24:00,973
做選擇的是病人
329
00:24:03,709 --> 00:24:05,210
醫生並不是神
330
00:24:05,911 --> 00:24:11,884
只能告知全部情況 由病人來做選擇
331
00:24:18,524 --> 00:24:20,959
手術 也就是說能治好了
332
00:24:20,959 --> 00:24:22,027
不過
333
00:24:22,461 --> 00:24:26,465
也有可能檢查組織過後發現還是癌癥
334
00:24:26,899 --> 00:24:30,669
那樣的話 做手術只是增加身體負擔而已
335
00:24:32,304 --> 00:24:33,238
我們會盡量
336
00:24:33,238 --> 00:24:36,875
選擇負擔小的手術方式 但是因為手術部位特殊
337
00:24:37,209 --> 00:24:39,845
也有可能損傷到別的臟器
338
00:24:42,881 --> 00:24:47,152
不行 不做了 我不會讓你們做那麼危險的手術的
339
00:24:47,152 --> 00:24:50,055
不過 腎上腺的陰影位置
340
00:24:50,756 --> 00:24:54,226
和木頭刺中的背後的傷痕位置一致
341
00:24:54,326 --> 00:24:56,428
我不覺得這是偶然
342
00:24:58,764 --> 00:25:02,067
癌癥有可能會痊癒的
343
00:25:02,067 --> 00:25:04,636
可是 萬一失敗了呢
344
00:25:05,537 --> 00:25:09,575
我不能讓你們拿爸爸的生命做賭注
345
00:25:22,788 --> 00:25:24,022
我知道了
346
00:25:35,067 --> 00:25:36,635
這是第一次呢
347
00:25:39,972 --> 00:25:43,675
醫生跟我說可能能活下來
348
00:25:46,078 --> 00:25:51,049
伊集院每天晚上都來看我
349
00:25:53,285 --> 00:25:58,323
還發現了有可能不是癌癥
350
00:25:59,458 --> 00:26:01,126
其他的醫生
351
00:26:01,794 --> 00:26:05,464
都只會跟我說抗癌劑啦 緩和治療之類的
352
00:26:06,899 --> 00:26:08,066
可是
353
00:26:08,100 --> 00:26:09,201
美雪
354
00:26:12,137 --> 00:26:17,743
我想接受手術
355
00:26:22,214 --> 00:26:28,187
伊集院登醫生是第一個給我希望的醫生
356
00:26:31,623 --> 00:26:33,325
我願意相信他
357
00:26:48,774 --> 00:26:51,276
異物肉芽腫啊
358
00:26:51,276 --> 00:26:53,612
居然會有這種可能性
359
00:26:53,612 --> 00:26:56,114
這還真是光看數據看不出來呢
360
00:26:56,248 --> 00:26:58,317
這次先切開腎上腺
361
00:26:58,317 --> 00:27:00,385
如果是腫瘤的話就終止手術
362
00:27:00,385 --> 00:27:03,355
如果是異物肉芽腫就繼續手術
363
00:27:03,355 --> 00:27:04,490
切除肺部腫瘤
364
00:27:04,490 --> 00:27:06,358
需要進行快速病理診斷呢
365
00:27:06,358 --> 00:27:07,259
是的
366
00:27:07,259 --> 00:27:10,929
而且 病人因為肺氣腫呼吸機能低下
367
00:27:10,929 --> 00:27:14,299
需要進行對身體機能侵害小的胸腹腔鏡聯合手術
368
00:27:14,500 --> 00:27:17,836
櫻井醫院的設備做不了這樣的手術
369
00:27:17,836 --> 00:27:19,771
所以你來L&P找我們嗎
370
00:27:19,771 --> 00:27:22,741
是的 能讓我在這裏做手術嗎
371
00:27:23,542 --> 00:27:24,676
交給我吧
372
00:27:24,910 --> 00:27:26,879
我會用院長權限讓你做的
373
00:27:27,579 --> 00:27:29,248
謝謝
374
00:27:36,755 --> 00:27:38,190
NO
375
00:27:39,224 --> 00:27:41,793
你擅作主張我可會頭疼的
376
00:27:42,461 --> 00:27:43,662
野口
377
00:27:44,162 --> 00:27:48,333
竟然要給癌癥晚期患者開刀 太沒常識了
378
00:27:48,467 --> 00:27:54,006
而且還是讓別的醫院的人來做 不可能同意吧
379
00:27:54,239 --> 00:27:55,374
但是
380
00:27:56,675 --> 00:28:02,314
鶴的叫聲是什麼樣的呢
381
00:28:05,217 --> 00:28:06,785
雖然你是院長
382
00:28:07,586 --> 00:28:12,791
但是我說的NO可是一言九鼎的
383
00:28:26,805 --> 00:28:28,507
我來批准
384
00:28:32,511 --> 00:28:33,812
你說什麼呢
385
00:28:36,982 --> 00:28:41,186
說好這次交給我的吧
386
00:28:46,825 --> 00:28:48,393
真好呢
387
00:28:49,061 --> 00:28:52,965
小岡村是你們的救世主呀
388
00:30:02,367 --> 00:30:04,803
太好了呢 可以做手術了
389
00:30:06,772 --> 00:30:08,006
是的
390
00:30:22,687 --> 00:30:26,858
接下來 進行腹腔鏡下左腎上腺切除手術
391
00:30:26,858 --> 00:30:27,359
手術刀
392
00:30:27,359 --> 00:30:27,859
是
393
00:30:27,859 --> 00:30:28,860
鑷子 紗布
394
00:30:28,860 --> 00:30:29,928
是
395
00:30:32,130 --> 00:30:32,731
鑷子
396
00:30:32,731 --> 00:30:33,365
電刀
397
00:30:33,365 --> 00:30:34,599
是
398
00:30:38,837 --> 00:30:40,539
你擔心伊集院醫生嗎
399
00:30:42,574 --> 00:30:44,709
病人很信任伊集院
400
00:31:07,666 --> 00:31:10,502
切開融合筋膜 移動脾臟
401
00:31:10,569 --> 00:31:11,203
超聲刀
402
00:31:11,203 --> 00:31:12,204
是
403
00:31:17,576 --> 00:31:18,510
把粘液吸掉
404
00:31:18,510 --> 00:31:19,377
是
405
00:31:27,085 --> 00:31:28,220
就是這裏
406
00:31:30,122 --> 00:31:31,256
看到腎上腺了
407
00:31:32,324 --> 00:31:33,792
先進行血管處理
408
00:31:33,792 --> 00:31:35,327
血液動力學監測很穩定
409
00:31:37,129 --> 00:31:40,432
結紮切除腎上線靜脈 馬裏蘭分離鉗
410
00:31:40,432 --> 00:31:41,366
是
411
00:31:44,169 --> 00:31:47,439
這個叫伊集院的 可是我的小弟
412
00:31:47,772 --> 00:31:50,976
雖然技術還不太精湛 不過也算有在努力
413
00:31:52,811 --> 00:31:55,180
技術還是那麼精湛啊
414
00:31:57,015 --> 00:31:59,584
就是啊 您請坐
415
00:32:01,620 --> 00:32:03,054
讓開 快
416
00:32:08,126 --> 00:32:08,727
梅氏剪
417
00:32:08,727 --> 00:32:09,928
是
418
00:32:12,030 --> 00:32:12,998
結紮完畢
419
00:32:14,499 --> 00:32:15,767
這裏就是腫瘤
420
00:32:15,767 --> 00:32:17,402
腫瘤的粘連很嚴重啊
421
00:32:17,435 --> 00:32:19,804
血流好像很大 當心點
422
00:32:20,071 --> 00:32:23,708
是 現在開始切除周圍部分 超聲刀
423
00:32:45,363 --> 00:32:47,232
腫瘤血管破裂了嗎
424
00:32:49,901 --> 00:32:51,269
血壓低下 只有68
425
00:32:51,269 --> 00:32:52,504
把鏡頭伸進去
426
00:32:54,606 --> 00:32:55,140
吸引
427
00:32:55,140 --> 00:32:56,041
是
428
00:32:56,208 --> 00:32:57,175
要增加流量了
429
00:32:57,175 --> 00:32:58,276
加大腹腔內壓
430
00:32:58,276 --> 00:32:59,211
是
431
00:32:59,578 --> 00:33:01,012
出血點在這裏
432
00:33:01,346 --> 00:33:01,846
止血鉗
433
00:33:01,846 --> 00:33:02,714
是
434
00:33:11,089 --> 00:33:13,692
血止住了 停止輸血
435
00:33:13,692 --> 00:33:14,459
是
436
00:33:14,459 --> 00:33:16,595
血壓回到110了
437
00:33:18,797 --> 00:33:21,199
準備切除腎上腺 超聲刀
438
00:33:21,199 --> 00:33:22,300
是
439
00:33:26,171 --> 00:33:30,375
左腎上線被臟器包圍 在很深的地方
440
00:33:30,375 --> 00:33:32,944
如果傷到腎臟 就會少一個腎
441
00:33:33,011 --> 00:33:35,547
如果傷到胰臟 就是致命傷了
442
00:33:35,847 --> 00:33:37,649
雖然看上去很簡單
443
00:33:38,283 --> 00:33:41,720
沒有一定的經驗 是做不到的
444
00:33:42,754 --> 00:33:44,022
聽到沒
445
00:33:46,424 --> 00:33:47,425
腎上腺切除
446
00:33:52,964 --> 00:33:54,299
切開來看看
447
00:33:54,366 --> 00:33:55,500
好
448
00:33:56,401 --> 00:33:56,901
手術刀
449
00:33:56,935 --> 00:33:57,435
是
450
00:34:09,246 --> 00:34:10,047
這是
451
00:34:10,315 --> 00:34:14,552
不僅僅是鈣化 還有一部分實質性成分啊
452
00:34:14,686 --> 00:34:17,956
那就是說 是腫瘤嗎
453
00:34:25,864 --> 00:34:27,232
送去病理診斷
454
00:34:27,232 --> 00:34:28,266
是
455
00:34:45,984 --> 00:34:49,487
如果病理確定不是腫瘤
456
00:34:49,487 --> 00:34:52,357
肺癌就不是第四期 而是第一期a類
457
00:34:52,357 --> 00:34:56,027
這樣就等於是癌癥初期 可以切除
458
00:34:56,594 --> 00:34:57,929
手術繼續
459
00:34:58,697 --> 00:35:04,602
如果被確定為癌細胞 那麼手術就要中止
460
00:36:15,140 --> 00:36:16,541
喂 這裏是手術室
461
00:36:17,075 --> 00:36:18,309
這裏是病理實驗室
462
00:36:18,510 --> 00:36:22,580
提交的檢測樣本裏發現了炎癥細胞和纖維性變化
463
00:36:23,014 --> 00:36:25,550
找到了類似於木片的組織片
464
00:36:26,618 --> 00:36:28,486
沒有發現癌細胞
465
00:36:34,592 --> 00:36:36,127
跟你預計的一樣啊
466
00:36:37,328 --> 00:36:39,497
好了 手術要繼續了哦
467
00:36:39,964 --> 00:36:40,899
是
468
00:36:48,907 --> 00:36:50,842
幹得漂亮啊 伊集院
469
00:36:55,046 --> 00:36:59,217
接下來 針對肺癌進行左肺下葉切除手術
470
00:36:59,851 --> 00:37:00,485
手術刀
471
00:37:00,485 --> 00:37:01,186
是
472
00:37:01,186 --> 00:37:01,853
鑷子 紗布
473
00:37:01,853 --> 00:37:02,720
是
474
00:37:02,821 --> 00:37:04,322
奇跡發生了呢
475
00:37:08,059 --> 00:37:09,160
不是奇跡
476
00:37:12,497 --> 00:37:15,867
這是伊集院認真對待病人而得到的結果
477
00:37:45,830 --> 00:37:48,600
爸爸
478
00:37:49,434 --> 00:37:51,436
手術順利結束了
479
00:37:53,037 --> 00:37:54,772
病理診斷確認
480
00:37:54,772 --> 00:37:56,975
腎上腺上的腫瘤不是癌
481
00:37:57,442 --> 00:37:59,777
所以接著做了左肺的癌變切除手術
482
00:38:00,945 --> 00:38:02,113
那麼
483
00:38:02,914 --> 00:38:04,415
癌變部位切乾淨了
484
00:38:05,683 --> 00:38:10,822
雖然還要觀察一陣子 但肯定可以恢復原先的生活了
485
00:38:13,892 --> 00:38:17,629
謝謝 謝謝
486
00:38:19,364 --> 00:38:23,668
有你在真是太好了
487
00:39:01,873 --> 00:39:04,175
恭喜你 伊集院醫生
488
00:39:10,682 --> 00:39:14,519
還得請您遵守諾言啊
489
00:39:34,305 --> 00:39:36,274
您可以在這裏做手術
490
00:39:36,941 --> 00:39:41,713
但必須請您也成為L&P的醫生
491
00:39:42,614 --> 00:39:43,881
什麼
492
00:39:44,382 --> 00:39:47,885
除此之外 沒有能救病人的辦法
493
00:39:49,687 --> 00:39:54,525
我請伊集院醫生來L&P了
494
00:39:57,161 --> 00:39:59,664
對不起 朝田醫生
495
00:40:04,102 --> 00:40:05,336
為什麼要道歉
496
00:40:07,038 --> 00:40:08,640
病人得救了
497
00:40:11,442 --> 00:40:14,178
如果因為你的指導培養出優秀的實習醫生
498
00:40:15,213 --> 00:40:17,048
能夠獲救的生命也會增加
499
00:40:19,817 --> 00:40:21,052
放心去吧
500
00:40:26,724 --> 00:40:28,893
有什麼事 大家會聚起來的
501
00:40:32,897 --> 00:40:37,301
我們不管在哪裏都是一個團隊
502
00:40:43,274 --> 00:40:44,208
嗯
503
00:40:50,915 --> 00:40:53,451
小岡村 你該不會是以為
504
00:40:54,052 --> 00:40:55,987
自己搶在我前面
505
00:40:55,987 --> 00:40:58,322
從朝田那裏搶走了他的伊急院吧
506
00:40:58,923 --> 00:41:00,258
怎麼會
507
00:41:00,391 --> 00:41:05,096
還以為他們兩個丟棄了重要的東西
508
00:41:05,396 --> 00:41:09,834
結果反而讓他們的羈絆變深了 真是諷刺啊
509
00:41:10,568 --> 00:41:13,671
《麥琪的禮物》就是這麼一個故事呢
510
00:41:14,038 --> 00:41:16,074
你本來是想用那個故事教育我的吧
511
00:41:18,242 --> 00:41:21,512
這次的任務是得到伊集院醫生
512
00:41:25,083 --> 00:41:27,218
讓他去了印度之後
513
00:41:27,218 --> 00:41:30,088
也要在教育當地員工的工作上發光發熱
514
00:41:31,889 --> 00:41:35,426
要他們按照你想到行動才好啊
515
00:41:41,432 --> 00:41:46,671
看出來了嗎 光芒不一樣吧
516
00:41:47,905 --> 00:41:50,007
這是誰送的
517
00:41:50,408 --> 00:41:53,377
我自己買的 想要的東西
518
00:41:53,377 --> 00:41:59,050
不能指望別人 得自己動手 是吧
519
00:42:15,333 --> 00:42:16,701
老師
520
00:42:18,736 --> 00:42:21,973
還有顱內動脈瘤吧
521
00:42:23,541 --> 00:42:26,077
既然你沒說
522
00:42:26,511 --> 00:42:29,413
那說明情況相當嚴重啊
523
00:42:32,483 --> 00:42:35,086
腦基底動脈頂端動脈瘤
524
00:42:35,953 --> 00:42:37,555
和心臟同時手術
525
00:42:37,555 --> 00:42:40,258
就算是你們 也很困難吧
526
00:42:40,424 --> 00:42:42,827
我正在找能做這個手術的腦外科醫生
527
00:42:43,461 --> 00:42:46,164
等一找到 請讓我給您動手術
528
00:42:47,064 --> 00:42:49,167
在那之前 請您千萬不要逞強
529
00:42:49,167 --> 00:42:50,134
我知道
530
00:42:50,802 --> 00:42:55,072
但是 在作為病人之前我首先是醫生
531
00:42:56,507 --> 00:43:00,511
讓我把醫生做到底
532
00:43:13,391 --> 00:43:16,027
找到腦外科醫生了嗎
533
00:43:17,061 --> 00:43:19,897
國內頂級的腦外科醫生
534
00:43:19,964 --> 00:43:21,632
都拒絕手術
535
00:43:22,867 --> 00:43:24,235
我猜也是
536
00:43:25,236 --> 00:43:28,172
當知道是和切除主動脈引動脈瘤同時手術
537
00:43:28,940 --> 00:43:30,741
大家都舉手投降了
538
00:43:30,741 --> 00:43:34,445
要找到能和朝田進行同時手術的腦外科醫生
539
00:43:34,745 --> 00:43:39,417
並不容易就算是在美國也一樣
540
00:43:40,418 --> 00:43:41,519
沒錯
541
00:43:42,653 --> 00:43:43,955
但是
542
00:43:46,958 --> 00:43:49,327
也並不是沒有
543
00:43:50,094 --> 00:43:52,029
您有合適人選嗎
544
00:45:45,409 --> 00:45:48,045
找到能為櫻井醫生做手術的腦外科醫生了
545
00:45:48,045 --> 00:45:49,480
全美NO.1 的腦外科醫生
546
00:45:49,480 --> 00:45:51,349
從櫻井醫生現在的狀況來看
547
00:45:51,349 --> 00:45:52,650
只能2個月後再做手術
548
00:45:52,650 --> 00:45:55,252
你就是想說這孩子生病 都是我們父母的錯是吧
549
00:46:10,968 --> 00:46:12,636
一切都重新回到起點了是嗎
550
00:46:12,837 --> 00:46:14,872
怎麼辦 朝田醫生
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