All language subtitles for [ドラマ][医龍4 第09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
00:00:14,147 --> 00:00:15,782
究竟是有什麼話要說呢
2
00:00:16,183 --> 00:00:16,884
不知道
3
00:00:25,125 --> 00:00:29,062
請L&P引以為傲的各位名醫蒞臨
4
00:00:29,062 --> 00:00:30,297
真是不勝感激
5
00:00:31,164 --> 00:00:33,634
一周後的3月6日
6
00:00:33,634 --> 00:00:37,804
想把5歲男童的ASD手術交給諸位
7
00:00:39,139 --> 00:00:43,510
脅阪將ASD房間隔缺損癥
8
00:00:43,510 --> 00:00:47,514
一般治療房間隔缺損都選擇導管治療而非手術
9
00:00:47,614 --> 00:00:48,482
沒錯
10
00:00:49,216 --> 00:00:53,854
但是這個患者缺失部分超過了20毫米
11
00:00:53,987 --> 00:00:56,757
而且是下邊緣缺失
12
00:00:57,624 --> 00:01:00,160
沒有下邊緣 而且肥大
13
00:01:00,160 --> 00:01:04,798
憑諸位的水平 這決不是困難的手術
14
00:01:04,932 --> 00:01:09,703
但是希望諸位慎重再慎重
15
00:01:09,903 --> 00:01:11,972
相當重要的患者對吧
16
00:01:11,972 --> 00:01:15,509
不愧是小加籐 真懂我
17
00:01:16,109 --> 00:01:20,280
他是L&P的母公司L&P Lease
18
00:01:20,280 --> 00:01:22,983
脅阪副社長家的公子
19
00:01:23,517 --> 00:01:27,487
就算如此 插隊做手術實在不敢茍同
20
00:01:27,487 --> 00:01:32,159
脅阪副社長是L&P的次任社長
21
00:01:32,359 --> 00:01:34,928
決不允許失敗
22
00:01:35,729 --> 00:01:39,099
請好好備戰 務必做到完美
23
00:02:02,122 --> 00:02:05,659
術後回復很順利呢 沒有問題
24
00:02:05,659 --> 00:02:08,428
有什麼不舒服的請隨時叫我
25
00:02:08,428 --> 00:02:09,795
謝謝您
26
00:02:10,931 --> 00:02:12,933
大家都還好把
27
00:02:12,933 --> 00:02:13,700
是的
28
00:02:14,901 --> 00:02:16,436
您別太勉強了
29
00:02:16,470 --> 00:02:20,173
如你所言 我盡量讓自己心情平靜
30
00:02:20,273 --> 00:02:23,443
今早高壓180低壓62
31
00:02:23,443 --> 00:02:25,679
降壓藥也在好好吃
32
00:02:25,679 --> 00:02:26,413
那太好了
33
00:02:27,014 --> 00:02:30,283
能在心臟手術的同時做腦外手術的醫生
34
00:02:30,283 --> 00:02:32,185
不好找吧
35
00:02:33,053 --> 00:02:34,388
美國應該能找到
36
00:02:34,554 --> 00:02:35,889
美國啊
37
00:02:35,922 --> 00:02:40,360
但是美國的腦外科醫生的話
38
00:02:40,460 --> 00:02:42,763
既花錢又花時間啊
39
00:02:52,739 --> 00:02:55,642
聽說邁克醫生要等兩年才能做手術啊
40
00:02:59,012 --> 00:03:01,181
所以在找其他的腦外科醫生
41
00:03:01,181 --> 00:03:04,484
不存在能超越他的腦外科醫生
42
00:03:04,584 --> 00:03:09,723
櫻井醫生的病情等不了兩年
43
00:03:09,723 --> 00:03:13,360
一個月後 邁克醫生會親臨日本
44
00:03:16,363 --> 00:03:20,600
他會在L&P醫院為櫻井醫生做手術
45
00:03:22,502 --> 00:03:23,036
可是
46
00:03:23,036 --> 00:03:25,672
不為別的 就為了櫻井醫生
47
00:03:26,106 --> 00:03:28,742
軟磨硬泡才讓邁克醫生答應下來的
48
00:03:35,882 --> 00:03:39,619
我和他是美國醫院重建時期
49
00:03:39,619 --> 00:03:41,354
就認識的舊識了
50
00:03:43,290 --> 00:03:46,493
醫龍團隊和麥克醫生同時手術的話
51
00:03:47,360 --> 00:03:49,763
櫻井醫生一定會得救
52
00:03:51,064 --> 00:03:53,834
沒有日本醫生執照的邁克醫生
53
00:03:54,167 --> 00:03:58,004
在超級醫療特區的L&P也可以執刀
54
00:03:58,738 --> 00:04:00,941
手術費用也是我們出
55
00:04:01,141 --> 00:04:03,343
無需你們擔心
56
00:04:06,246 --> 00:04:07,347
這樣一來
57
00:04:09,015 --> 00:04:13,253
你們都如願了吧
58
00:04:17,057 --> 00:04:21,560
接下來請聽聽我的願望
59
00:04:24,831 --> 00:04:25,932
願望
60
00:04:26,967 --> 00:04:27,834
是的
61
00:04:31,338 --> 00:04:32,706
朝田醫生
62
00:04:38,111 --> 00:04:42,315
請成為L&P的醫生
63
00:04:46,953 --> 00:04:51,224
仰仗荒瀨醫生的改革和伊集院醫生的指導
64
00:04:51,491 --> 00:04:53,593
我們醫院已逐級高昇
65
00:04:56,263 --> 00:04:58,365
最好需要的
66
00:05:00,700 --> 00:05:03,403
是你那種神賜之技
67
00:05:14,848 --> 00:05:17,117
唯有你來L&P
68
00:05:19,986 --> 00:05:24,658
才能救櫻井醫生
69
00:06:12,772 --> 00:06:17,043
聽說有脅阪副社長公子的手術
70
00:06:17,143 --> 00:06:18,578
沒錯
71
00:06:19,112 --> 00:06:20,747
我沒聽您說過啊
72
00:06:20,814 --> 00:06:23,750
怎麼 我沒跟你說過嗎
73
00:06:24,584 --> 00:06:28,455
難道不是你忙忘了嗎
74
00:06:36,029 --> 00:06:38,164
聽說為了給櫻井做手術
75
00:06:38,164 --> 00:06:40,033
你打算花天價
76
00:06:40,233 --> 00:06:43,803
請美國的腦外科醫生啊
77
00:06:44,537 --> 00:06:47,407
是為了得到朝田醫生
78
00:06:53,847 --> 00:06:55,315
沒聽你說過啊
79
00:07:09,963 --> 00:07:13,933
惠美 你不要緊吧 惠美
80
00:07:14,434 --> 00:07:15,568
惠美
81
00:07:16,303 --> 00:07:18,104
惠美 振作一點
82
00:07:18,338 --> 00:07:19,673
惠美
83
00:07:21,074 --> 00:07:21,574
沒事吧
84
00:07:21,574 --> 00:07:22,342
39歲 女性
85
00:07:22,342 --> 00:07:22,876
振作一點
86
00:07:22,876 --> 00:07:24,477
發燒並伴有呼吸困難 救護車送來的
87
00:07:24,477 --> 00:07:28,581
惠美 惠美 惠美
88
00:07:42,028 --> 00:07:44,631
桐山女士 請屏住呼吸
89
00:07:45,765 --> 00:07:48,968
木原醫生 桐山惠美的檢查結果如何
90
00:07:49,736 --> 00:07:52,072
有圍生期心肌病的可能性
91
00:07:53,139 --> 00:07:54,641
圍生期心肌病
92
00:07:54,641 --> 00:07:58,378
是很難辦的病癥 很有可能長期住院
93
00:07:58,378 --> 00:08:00,613
等病情安定下來了 請她轉院
94
00:08:00,613 --> 00:08:01,848
接收
95
00:08:02,382 --> 00:08:05,752
但是 孕婦心臟病的訴訟風險太高
96
00:08:05,752 --> 00:08:06,886
應遵循L&P的經營方針
97
00:08:06,886 --> 00:08:12,325
這位患者由我院接收
98
00:08:23,837 --> 00:08:26,206
唯有你來L&P
99
00:08:26,740 --> 00:08:31,378
才能救櫻井醫生
100
00:09:09,716 --> 00:09:11,050
放到這裏了哦
101
00:09:11,384 --> 00:09:12,652
謝謝
102
00:09:14,387 --> 00:09:15,121
請進
103
00:09:20,693 --> 00:09:23,930
我是主治醫生 心外科的伊集院
104
00:09:24,063 --> 00:09:25,432
心外科
105
00:09:25,765 --> 00:09:29,903
桐山女士因懷孕而產生心臟機能低下狀況
106
00:09:29,903 --> 00:09:33,039
有可能患有圍生期心肌病
107
00:09:33,940 --> 00:09:37,143
今後 如心臟機能持續低下的話
108
00:09:37,210 --> 00:09:40,313
可能需要實施心臟輔助手術
109
00:09:40,747 --> 00:09:41,848
要做手術嗎
110
00:09:43,249 --> 00:09:44,484
那孩子呢
111
00:09:44,984 --> 00:09:49,189
一直接受不孕不育治療 好不容易懷上了孩子
112
00:09:49,189 --> 00:09:52,859
不要緊的吧 能生下來的吧
113
00:09:52,992 --> 00:09:53,793
是的
114
00:09:54,160 --> 00:09:58,731
桐山女士現在懷孕23周 是雙胞胎
115
00:09:58,832 --> 00:10:01,301
等到可以分娩的24周時
116
00:10:01,401 --> 00:10:03,336
即請內科診斷
117
00:10:03,336 --> 00:10:06,873
情況允許的話就進行剖腹產
118
00:10:07,173 --> 00:10:10,743
之後再商討關於母體心臟手術的問題
119
00:10:11,177 --> 00:10:15,682
醫生 如果我有個萬一
120
00:10:16,216 --> 00:10:19,185
請您一定要保住孩子的命
121
00:10:19,252 --> 00:10:21,120
別說這種話
122
00:10:23,289 --> 00:10:24,891
不要緊的
123
00:10:26,059 --> 00:10:29,696
為了能夠和孩子一起出院 一起努力吧
124
00:10:30,096 --> 00:10:30,897
好的
125
00:10:31,564 --> 00:10:34,367
恭候多時了 脅阪副社長
126
00:10:34,367 --> 00:10:38,037
這位是主刀醫加籐醫生
127
00:10:38,438 --> 00:10:41,741
專攻兒童心臟手術
128
00:10:41,941 --> 00:10:46,045
是國內首屈一指的優秀醫生
129
00:10:47,013 --> 00:10:49,616
拜託您了 加籐醫生
130
00:10:50,416 --> 00:10:55,188
檢查的結果顯示 屬繼發孔下緣缺失型
131
00:10:55,188 --> 00:10:57,624
雖無法通過介入治療使之閉合
132
00:10:57,624 --> 00:11:00,360
20公斤的體重已經達標
133
00:11:00,693 --> 00:11:03,496
是做手術的最佳時機
134
00:11:04,063 --> 00:11:04,964
這樣啊
135
00:11:04,964 --> 00:11:07,567
您無需任何擔心
136
00:11:09,536 --> 00:11:10,904
謝謝
137
00:11:14,774 --> 00:11:18,244
小將 不用擔心
138
00:11:18,878 --> 00:11:21,147
醒來以後一切就都結束了
139
00:11:26,986 --> 00:11:27,987
35歲男性
140
00:11:28,021 --> 00:11:31,024
午休後 高處作業時自約3米的高度跌落
141
00:11:31,024 --> 00:11:32,592
全身受衝擊 頭部也遭重度衝擊
142
00:11:32,592 --> 00:11:34,160
比剛才意識水平低了
143
00:11:34,160 --> 00:11:34,827
抓緊吧
144
00:11:34,827 --> 00:11:35,562
擔架進來了
145
00:11:35,562 --> 00:11:36,296
放下扶手
146
00:11:36,296 --> 00:11:37,030
好的
147
00:11:37,330 --> 00:11:37,830
移動了
148
00:11:37,830 --> 00:11:38,331
好的
149
00:11:38,331 --> 00:11:39,432
1 2 3
150
00:11:39,799 --> 00:11:42,168
乃木先生 能聽見嗎 到醫院了
151
00:11:44,270 --> 00:11:45,872
剪開您的衣服了
152
00:11:45,872 --> 00:11:47,373
E1 V1 M4
153
00:11:47,373 --> 00:11:49,042
進行插管 拿掉頸椎固定架
154
00:11:49,042 --> 00:11:49,776
是
155
00:11:50,977 --> 00:11:53,346
早川 患者胃內有食物
156
00:11:54,147 --> 00:11:54,714
是
157
00:11:54,714 --> 00:11:56,115
進行環狀軟骨壓迫法
158
00:11:56,115 --> 00:11:57,216
壓好了
159
00:12:02,655 --> 00:12:03,723
沒事吧
160
00:12:03,790 --> 00:12:05,325
沒事的
161
00:12:05,792 --> 00:12:08,795
大腿動脈損傷 準備血管縫合
162
00:12:08,795 --> 00:12:09,529
好的
163
00:12:14,467 --> 00:12:15,001
凱莉彎止血鉗
164
00:12:15,001 --> 00:12:15,635
是
165
00:12:15,768 --> 00:12:16,569
止血帶
166
00:12:16,569 --> 00:12:17,303
是
167
00:12:20,173 --> 00:12:21,341
5號線 脯氨酸
168
00:12:27,814 --> 00:12:29,015
固定胃管
169
00:12:29,015 --> 00:12:29,782
好的
170
00:12:34,821 --> 00:12:35,822
早川
171
00:12:35,888 --> 00:12:36,623
在
172
00:12:36,623 --> 00:12:40,460
鼻子也有出血的時候 胃管經口腔插入較好
173
00:12:40,526 --> 00:12:41,661
我知道了
174
00:12:41,894 --> 00:12:44,263
請通過CT確認未有頭蓋骨骨折的情況下
175
00:12:44,263 --> 00:12:46,699
那樣的話從鼻子插入也可以
176
00:12:47,066 --> 00:12:47,834
是
177
00:12:50,737 --> 00:12:52,105
伊集院現在回去嗎
178
00:12:52,105 --> 00:12:53,673
現在去櫻井醫院
179
00:12:53,706 --> 00:12:54,340
這樣啊
180
00:12:54,340 --> 00:12:55,108
這次的那個VIP
181
00:12:55,108 --> 00:12:56,242
好險
182
00:12:56,275 --> 00:12:57,443
有VIP的手術吧
183
00:12:57,443 --> 00:13:00,013
5歲男童 房間隔壁缺損手術
184
00:13:00,213 --> 00:13:02,782
加籐醫生主刀 所以不必擔心
185
00:13:02,782 --> 00:13:04,851
所以就沒有我出場的機會了唄
186
00:13:04,851 --> 00:13:07,120
是的 交給我們吧
187
00:13:07,153 --> 00:13:08,821
這有個圍生期的心肌病的患者吧
188
00:13:08,821 --> 00:13:09,756
有個萬一的時候我來
189
00:13:09,756 --> 00:13:13,059
岡村醫生把那位患者交給我了
190
00:13:20,566 --> 00:13:22,435
久違的中獎哦
191
00:13:22,435 --> 00:13:23,302
給
192
00:13:28,341 --> 00:13:29,575
伊集院
193
00:13:30,076 --> 00:13:31,678
消失了
194
00:13:32,679 --> 00:13:36,215
搞什麼嘛 傲嬌啊
195
00:13:39,852 --> 00:13:42,121
能好好地出生嗎
196
00:13:42,121 --> 00:13:43,956
沒問題的
197
00:13:44,223 --> 00:13:47,627
醫生不是也說了嘛 別擔心
198
00:14:05,678 --> 00:14:06,746
為什麼
199
00:14:09,749 --> 00:14:13,352
圍生期的治療 萬一發生了什麼
200
00:14:13,419 --> 00:14:15,455
醫療訴訟風險太高
201
00:14:16,589 --> 00:14:18,191
平常的你的話
202
00:14:18,324 --> 00:14:20,727
是不好接收這類患者的吧
203
00:14:23,896 --> 00:14:28,434
這個患者就是轉院也不能得救
204
00:14:31,104 --> 00:14:34,574
絕對在我院治好
205
00:14:53,593 --> 00:14:59,098
港村醫生 說自己和野口不同
206
00:14:59,732 --> 00:15:01,567
卻為什麼還和他聯手
207
00:15:03,669 --> 00:15:07,507
互相作為商業夥伴
208
00:15:07,607 --> 00:15:09,442
有利用價值吧
209
00:15:09,442 --> 00:15:12,345
只是為了生意嗎
210
00:15:13,946 --> 00:15:17,984
和醫龍不同 他們沒有共同的志向
211
00:15:18,918 --> 00:15:23,089
今後的目標也完全不同
212
00:15:24,624 --> 00:15:28,594
他的目標到底是什麼呢
213
00:15:33,833 --> 00:15:38,304
這就關係到岡村這個人的本來面目了
214
00:15:39,038 --> 00:15:39,806
什麼意思
215
00:15:40,773 --> 00:15:46,012
岡村和野口不同 能夠壓抑自己的感情
216
00:15:46,946 --> 00:15:49,048
不過一旦他卸下面具
217
00:15:49,248 --> 00:15:51,951
就能看到他的本來面目
218
00:16:11,971 --> 00:16:13,139
櫻井老師
219
00:16:13,840 --> 00:16:14,674
老師
220
00:16:14,674 --> 00:16:17,743
沒事沒事 是東西掉了
221
00:16:19,579 --> 00:16:20,580
我幫您拿著
222
00:16:20,580 --> 00:16:21,314
嗯
223
00:16:26,986 --> 00:16:31,457
有你在真是幫了大忙了
224
00:16:32,892 --> 00:16:35,595
就算我不行了
225
00:16:35,595 --> 00:16:40,166
有你們在 這間醫院就不會倒
226
00:16:41,834 --> 00:16:44,270
病人們也不用擔心了吧
227
00:16:52,545 --> 00:16:53,579
這個
228
00:16:53,579 --> 00:16:55,348
脅阪將小朋友 5歲
229
00:16:55,882 --> 00:16:59,285
針對下緣缺損型房間隔缺損的下緣成形手術
230
00:16:59,452 --> 00:17:01,120
關閉房間隔缺損
231
00:17:01,120 --> 00:17:04,624
因為繼發孔沒有下緣 所以判斷可以手術
232
00:17:04,624 --> 00:17:07,593
希望在小學入學前可以根治
233
00:17:07,593 --> 00:17:11,263
從手術痕跡最小的胸骨部分切開 做聯合切口吧
234
00:17:11,263 --> 00:17:12,131
好
235
00:17:12,131 --> 00:17:13,531
準備好5號線
236
00:17:13,531 --> 00:17:14,032
是
237
00:17:14,032 --> 00:17:16,435
爭取麻醉時間在90分鐘以內
238
00:17:16,669 --> 00:17:17,203
是
239
00:17:17,203 --> 00:17:19,171
主動脈阻斷時間是10分鐘
240
00:17:19,204 --> 00:17:21,007
各種做好模擬聯繫 為手術做好準備
241
00:17:21,007 --> 00:17:21,773
是
242
00:17:22,608 --> 00:17:23,843
拜託大家了
243
00:17:24,210 --> 00:17:25,377
請多關照
244
00:17:36,822 --> 00:17:37,390
給
245
00:17:37,390 --> 00:17:38,991
謝謝
246
00:17:39,625 --> 00:17:41,193
身體還好嗎
247
00:17:41,560 --> 00:17:43,296
嗯 現在已經好多了
248
00:17:45,898 --> 00:17:47,500
藥很有效呢
249
00:17:48,768 --> 00:17:51,904
這樣下去的話母子都會平安的
250
00:17:52,571 --> 00:17:53,873
是嗎
251
00:17:55,908 --> 00:17:57,343
太好了
252
00:17:59,979 --> 00:18:02,815
我們一直懷不上孩子
253
00:18:04,183 --> 00:18:06,552
不孕癥的治療也很不順利
254
00:18:07,820 --> 00:18:11,991
我老公也勸過我放棄吧
255
00:18:14,126 --> 00:18:18,531
可是當得知懷上了 而且還是雙胞胎的時候
256
00:18:18,531 --> 00:18:21,534
他看起來真的很高興
257
00:18:27,106 --> 00:18:28,441
還有一隻
258
00:18:28,474 --> 00:18:31,077
我想要織上水藍色的蝴蝶結送給他
259
00:18:31,644 --> 00:18:33,579
忘了準備了
260
00:18:35,114 --> 00:18:37,783
連小龍也要去L&P嗎
261
00:18:39,085 --> 00:18:41,020
還沒最終定下了
262
00:18:42,154 --> 00:18:42,955
是嗎
263
00:18:46,826 --> 00:18:50,997
不過 小龍去了的話就能給櫻井醫生做手術了
264
00:18:52,665 --> 00:18:53,466
是
265
00:19:00,139 --> 00:19:03,642
這種時候 比起醫院更應該考慮的是櫻井醫生啊
266
00:19:06,445 --> 00:19:09,582
為眼前的病人竭盡全力
267
00:19:11,283 --> 00:19:12,852
這是為了救院長
268
00:19:21,894 --> 00:19:23,596
將 加油啊
269
00:19:23,596 --> 00:19:25,164
將 要加油哦
270
00:19:25,164 --> 00:19:27,133
不要怕 知道嗎
271
00:19:27,266 --> 00:19:28,100
將 加油
272
00:19:28,100 --> 00:19:29,035
沒事的
273
00:19:31,103 --> 00:19:33,572
拜託了
274
00:19:33,572 --> 00:19:39,078
L&P醫院有最先進的設備和技術最好的醫生
275
00:19:39,078 --> 00:19:41,313
請安心等待吧
276
00:19:44,450 --> 00:19:45,484
站台
277
00:19:45,484 --> 00:19:46,252
是
278
00:19:50,923 --> 00:19:54,460
L&PVIP病人的手術好像開始了
279
00:19:55,194 --> 00:19:58,064
加籐醫生 伊集院醫生和荒瀨醫生總動員
280
00:19:58,064 --> 00:19:59,465
VIP嗎
281
00:19:59,932 --> 00:20:01,534
想不想去參觀學習
282
00:20:01,534 --> 00:20:04,470
想去就去吧 今天不需要出診
283
00:20:04,470 --> 00:20:06,405
我和朝田能應付
284
00:20:06,405 --> 00:20:08,641
我當然想去看看高水平的手術啦
285
00:20:09,141 --> 00:20:11,377
不過 402室的池野
286
00:20:12,745 --> 00:20:15,514
我不在她就吵吵嚷嚷的
287
00:20:22,455 --> 00:20:23,789
我去查病房
288
00:20:29,862 --> 00:20:32,665
胸部受到強烈打擊的急診病人 拜託了
289
00:20:34,266 --> 00:20:38,504
5
290
00:20:38,504 --> 00:20:39,638
6
291
00:20:40,506 --> 00:20:43,542
7
292
00:20:44,410 --> 00:20:45,444
好了 麻醉成功
293
00:20:45,845 --> 00:20:46,912
叫加籐和伊集院過來
294
00:20:46,912 --> 00:20:47,646
是
295
00:21:12,505 --> 00:21:16,275
接下來針對房間隔缺損進行閉合手術
296
00:21:16,575 --> 00:21:17,076
手術刀
297
00:21:17,076 --> 00:21:17,676
是
298
00:21:17,776 --> 00:21:18,310
鑷子
299
00:21:18,310 --> 00:21:18,811
是
300
00:21:18,811 --> 00:21:19,378
紗布
301
00:21:20,479 --> 00:21:21,013
電刀
302
00:21:21,013 --> 00:21:21,747
是
303
00:21:30,256 --> 00:21:30,990
喂
304
00:21:32,024 --> 00:21:32,758
什麼
305
00:21:37,863 --> 00:21:38,831
拜託了 急救推車
306
00:21:38,831 --> 00:21:39,331
惠美
307
00:21:39,331 --> 00:21:40,332
木原醫生
308
00:21:40,699 --> 00:21:43,969
出現了劇烈的主動脈瓣反流
309
00:21:43,969 --> 00:21:44,803
主動脈瓣反流
310
00:21:44,803 --> 00:21:47,373
因為妊娠所帶來的荷爾蒙變化和用量負荷
311
00:21:47,373 --> 00:21:49,675
導致主動脈瓣膜急劇擴張
312
00:21:49,675 --> 00:21:50,676
出現了主動脈瓣反流
313
00:21:50,676 --> 00:21:51,844
醫生
314
00:21:52,111 --> 00:21:53,345
醫生 惠美呢
315
00:21:53,345 --> 00:21:56,115
寶寶 寶寶 沒事吧
316
00:21:56,115 --> 00:21:57,516
這種情況
317
00:21:57,983 --> 00:21:59,151
求你了
318
00:22:04,523 --> 00:22:06,692
艾米麗 艾米麗
319
00:22:09,261 --> 00:22:10,196
惠美
320
00:22:10,496 --> 00:22:11,630
推到手術室
321
00:22:12,965 --> 00:22:13,899
快
322
00:22:17,403 --> 00:22:18,437
伊集院醫生
323
00:22:18,470 --> 00:22:20,706
桐山女士出現主動脈環擴張癥 導致主動脈瓣重度反流
324
00:22:20,706 --> 00:22:21,473
需要馬上手術
325
00:22:21,473 --> 00:22:22,641
你說什麼呢
326
00:22:22,641 --> 00:22:24,276
沒看到現在正在做手術呢嗎
327
00:22:24,276 --> 00:22:25,811
這位病人可是VIP
328
00:22:25,811 --> 00:22:26,512
伊集院醫生
329
00:22:26,512 --> 00:22:28,948
不可能讓伊集院醫生退出這場手術的
330
00:22:28,948 --> 00:22:32,184
現在主動脈阻斷中 騰不開手
331
00:22:32,585 --> 00:22:33,586
去叫其他醫生吧
332
00:22:33,586 --> 00:22:34,186
可是
333
00:22:34,186 --> 00:22:35,321
桐山女士 堅持住
334
00:22:35,321 --> 00:22:36,088
生命體征低下
335
00:22:36,088 --> 00:22:37,156
這樣下去不行
336
00:22:37,156 --> 00:22:38,824
進入手術室後連接監護儀
337
00:22:38,824 --> 00:22:39,458
快
338
00:22:39,491 --> 00:22:40,226
是
339
00:22:41,694 --> 00:22:42,428
抬上去了哦
340
00:22:42,428 --> 00:22:43,963
1 2 3
341
00:22:44,029 --> 00:22:44,763
好
342
00:22:44,897 --> 00:22:47,099
岡村先生 就算只有母體能存活也要救她
343
00:22:47,099 --> 00:22:48,400
我來做Bentall手術
344
00:22:48,400 --> 00:22:49,602
不行
345
00:22:52,204 --> 00:22:53,639
建立體外循環
346
00:22:53,639 --> 00:22:54,440
喂
347
00:22:55,407 --> 00:22:56,675
醫生 氧氣給多少
348
00:22:56,675 --> 00:22:57,343
5升
349
00:22:57,376 --> 00:22:57,943
是
350
00:22:57,977 --> 00:22:59,345
請朝田醫生接電話
351
00:22:59,345 --> 00:23:00,346
對不起
352
00:23:00,346 --> 00:23:02,348
現在朝田醫生正在做手術
353
00:23:17,730 --> 00:23:18,897
氧氣給到10升
354
00:23:18,897 --> 00:23:19,999
增加氧氣
355
00:23:22,101 --> 00:23:24,637
喂 要怎麼辦啊
356
00:23:33,212 --> 00:23:34,380
朝田醫生
357
00:23:38,617 --> 00:23:39,885
救救她吧
358
00:23:42,254 --> 00:23:44,923
這個病人只有你救得了她
359
00:23:46,925 --> 00:23:49,461
我不想讓她死
360
00:24:01,307 --> 00:24:02,608
求你了
361
00:24:14,620 --> 00:24:17,790
氧氣飽和度在不斷降低 是肺水腫
362
00:24:17,823 --> 00:24:20,492
這樣下去母子都不保了
363
00:24:22,761 --> 00:24:26,532
看來只能由我來做Bentall手術了
364
00:24:26,665 --> 00:24:29,268
叫原田醫生和遞器械的鹿島來
365
00:24:29,268 --> 00:24:30,035
是
366
00:24:54,893 --> 00:24:57,696
接下來進行低體溫體外循環
367
00:24:57,696 --> 00:25:01,133
以及循環停止狀態下的Bentall手術
368
00:25:01,767 --> 00:25:02,368
手術刀
369
00:25:02,368 --> 00:25:03,135
是
370
00:25:18,283 --> 00:25:19,385
朝田
371
00:25:21,220 --> 00:25:22,454
朝田
372
00:25:26,792 --> 00:25:28,360
做DAVID手術
373
00:25:30,095 --> 00:25:31,263
DAVID手術
374
00:25:31,296 --> 00:25:32,765
不是Bentall手術嗎
375
00:25:32,765 --> 00:25:35,000
建立人工心肺 然後將體溫降低 停止體外循環
376
00:25:35,000 --> 00:25:37,136
這樣的話就算母親救活了 胎兒也活不了
377
00:25:37,136 --> 00:25:37,803
可是
378
00:25:37,803 --> 00:25:42,708
而且做Bentall手術的話就需要服用抗凝劑
379
00:25:42,708 --> 00:25:44,209
就算心臟手術成功了
380
00:25:44,209 --> 00:25:46,645
將來生產時也有可能出現大出血
381
00:25:46,645 --> 00:25:47,679
生產
382
00:25:47,946 --> 00:25:51,016
現在這種狀態 怎麼可能做得了DAVID手術
383
00:25:51,150 --> 00:25:51,950
還是放棄胎兒
384
00:25:51,984 --> 00:25:53,252
不放棄
385
00:25:54,520 --> 00:25:59,091
在常溫下進行DAVID手術的話 母子都能救活
386
00:25:59,091 --> 00:26:01,627
常溫下 太亂來了
387
00:26:01,627 --> 00:26:03,629
腦部允許的缺血時間可是極短的
388
00:26:03,629 --> 00:26:06,231
這樣亂來 萬一將來被告上法庭
389
00:26:06,231 --> 00:26:07,966
誰來負這個責任
390
00:26:07,966 --> 00:26:11,403
朝田你一個人負得起這個責任嗎
391
00:26:30,689 --> 00:26:34,860
DAVID手術啊 好久沒認真做一場這種大手術啦
392
00:26:34,860 --> 00:26:38,397
媽媽和雙胞胎 我們都要救
393
00:26:41,767 --> 00:26:42,634
為什麼
394
00:26:42,634 --> 00:26:43,902
喂 等 等一下
395
00:26:44,169 --> 00:26:45,971
你們還有一個重要的手術呢
396
00:26:51,276 --> 00:26:51,810
梅氏剪
397
00:26:51,810 --> 00:26:52,544
是
398
00:26:53,145 --> 00:26:56,148
我當第一助手您不滿意嗎
399
00:26:56,148 --> 00:26:57,382
鬼頭女士
400
00:26:58,383 --> 00:27:00,986
荒瀨的全身管理簡直無懈可擊
401
00:27:00,986 --> 00:27:03,455
她完美接手了麻醉維持
402
00:27:03,455 --> 00:27:06,525
她可是荒瀨精心教導出來的優秀麻醉醫
403
00:27:06,725 --> 00:27:08,527
你們怎麼這麼亂來
404
00:27:12,231 --> 00:27:14,032
取下自體心包了哦
405
00:27:14,032 --> 00:27:15,167
接下來是補片閉合術
406
00:27:15,167 --> 00:27:17,169
我來做連續縫合 5號線
407
00:27:17,169 --> 00:27:17,903
是
408
00:27:24,977 --> 00:27:27,246
荒瀨醫生 你
409
00:27:27,246 --> 00:27:30,148
手術人員的人選應該是由我安排的
410
00:27:30,148 --> 00:27:31,250
請等一下
411
00:27:31,483 --> 00:27:34,019
孕婦在體外循環狀態下實施開心手術
412
00:27:34,019 --> 00:27:34,853
太亂來了 麻醉的管理
413
00:27:34,853 --> 00:27:36,588
所以說要我來啊
414
00:27:39,224 --> 00:27:40,659
去把胎心監護儀準備好
415
00:27:40,659 --> 00:27:41,894
站台
416
00:27:41,894 --> 00:27:42,628
是
417
00:27:49,434 --> 00:27:50,669
我來遲了
418
00:27:51,803 --> 00:27:53,672
請多關照
419
00:28:05,150 --> 00:28:09,087
接下來進行DAVID手術
420
00:28:09,755 --> 00:28:10,255
手術刀
421
00:28:10,255 --> 00:28:10,756
是
422
00:28:10,756 --> 00:28:11,390
鑷子
423
00:28:11,390 --> 00:28:12,124
紗布
424
00:28:16,328 --> 00:28:16,895
電刀
425
00:28:16,895 --> 00:28:17,529
是
426
00:28:19,131 --> 00:28:21,500
Bentall手術是用帶有人工瓣膜的人工血管
427
00:28:21,500 --> 00:28:24,703
置換掉主動脈根部的手術
428
00:28:24,903 --> 00:28:28,874
需要長期服用抗凝劑華法林
429
00:28:28,874 --> 00:28:31,143
增大了生產時的出血風險
430
00:28:31,143 --> 00:28:34,212
最糟糕的可能是母子都不保
431
00:28:34,446 --> 00:28:38,150
而DAVID手術則是把病人自體的主動脈瓣保留下來
432
00:28:38,150 --> 00:28:39,785
不需要華法林
433
00:28:39,918 --> 00:28:41,887
只不過要精確計算
434
00:28:41,887 --> 00:28:44,022
正確的瓣形成構圖並保證不發生逆流
435
00:28:44,022 --> 00:28:46,425
還要在有限的時間內完成
436
00:28:46,425 --> 00:28:49,494
這就需要技術非常之高的外科醫生
437
00:28:50,462 --> 00:28:51,396
但是
438
00:28:53,265 --> 00:28:55,667
如果是朝田醫生的話一定做得到
439
00:28:57,636 --> 00:28:59,204
救救她
440
00:29:09,314 --> 00:29:10,082
現在的狀態
441
00:29:10,082 --> 00:29:12,651
體外循環最多保持60分鐘
442
00:29:12,851 --> 00:29:14,252
60分鐘
443
00:29:14,286 --> 00:29:15,187
竟然要在那麼短的時間內
444
00:29:15,187 --> 00:29:17,889
做對準確率要求這麼高的手術
445
00:29:19,057 --> 00:29:20,025
要開始了
446
00:29:24,062 --> 00:29:25,030
開泵
447
00:29:25,197 --> 00:29:26,164
開泵
448
00:29:31,737 --> 00:29:32,938
開到最大了
449
00:29:33,739 --> 00:29:34,806
計時開始
450
00:29:34,806 --> 00:29:35,540
是
451
00:29:37,009 --> 00:29:38,877
體外循環計時開始
452
00:29:38,910 --> 00:29:41,880
好 胎兒心跳120和133
453
00:29:41,880 --> 00:29:42,681
主動脈鉗
454
00:29:42,681 --> 00:29:43,415
是
455
00:29:45,517 --> 00:29:46,485
回輸
456
00:29:46,618 --> 00:29:47,586
回輸
457
00:29:49,154 --> 00:29:51,923
準備復甦 恢復體溫
458
00:29:52,524 --> 00:29:54,292
輸入停搏液
459
00:30:00,198 --> 00:30:03,402
母體心停搏 胎兒心跳120和130
460
00:30:03,402 --> 00:30:04,269
穩定
461
00:30:04,736 --> 00:30:06,304
切斷主動脈 梅氏剪
462
00:30:06,304 --> 00:30:07,005
是
463
00:30:08,006 --> 00:30:08,507
haken錐
464
00:30:08,507 --> 00:30:09,174
是
465
00:30:09,307 --> 00:30:09,875
楊克氏吸引棒
466
00:30:09,875 --> 00:30:10,609
是
467
00:30:22,687 --> 00:30:24,723
體外循環過去5分鐘了
468
00:30:30,128 --> 00:30:31,763
切斷主動脈完成
469
00:30:44,176 --> 00:30:48,013
左冠動脈開口比一般的要低呢
470
00:30:48,013 --> 00:30:49,681
修剪很有難度哦
471
00:30:50,215 --> 00:30:54,119
左冠狀瓣很低 必須增做冠狀瓣成形
472
00:31:00,892 --> 00:31:02,527
我來做冠狀瓣成形
473
00:31:02,527 --> 00:31:06,798
ラバーシュ的修剪 伊集院 交給你了
474
00:31:06,798 --> 00:31:07,566
是
475
00:31:08,166 --> 00:31:10,102
我來做主動脈竇的修剪 梅氏剪
476
00:31:10,102 --> 00:31:10,735
是
477
00:31:10,735 --> 00:31:12,637
胎兒心跳在上升
478
00:31:13,105 --> 00:31:14,840
技師 輸血溫度多少
479
00:31:14,840 --> 00:31:15,841
35.1度
480
00:31:15,841 --> 00:31:16,441
輸血量呢
481
00:31:16,475 --> 00:31:17,275
3.2升
482
00:31:17,275 --> 00:31:19,077
給肚子周圍升溫 輸血溫度也提高2度
483
00:31:19,077 --> 00:31:20,979
然後輸血量也加到3.5升
484
00:31:20,979 --> 00:31:21,680
是
485
00:31:21,847 --> 00:31:23,048
開始輸鎂滴
486
00:31:23,048 --> 00:31:25,584
荒瀨醫生就這樣繼續下去沒問題嗎
487
00:31:25,584 --> 00:31:27,219
你們管好術野就可以了
488
00:31:27,219 --> 00:31:28,253
胎兒的管理就交給你了
489
00:31:28,253 --> 00:31:28,887
放心吧
490
00:31:28,887 --> 00:31:29,754
鹽酸利托君注射液IV
491
00:31:29,754 --> 00:31:30,522
是
492
00:31:30,555 --> 00:31:32,824
木原 給人工血管做記號
493
00:31:32,824 --> 00:31:33,358
是
494
00:31:33,358 --> 00:31:35,527
拿26毫米的支架過來
495
00:31:35,527 --> 00:31:36,261
是
496
00:31:38,163 --> 00:31:40,932
修剪完成 開始做左冠狀瓣成形
497
00:31:40,932 --> 00:31:41,433
5號線
498
00:31:41,433 --> 00:31:42,134
是
499
00:31:42,167 --> 00:31:42,901
梅氏剪
500
00:31:48,573 --> 00:31:50,375
關閉右心房 5號線
501
00:31:51,009 --> 00:31:51,877
鑷子
502
00:31:53,478 --> 00:31:54,079
夾剪
503
00:31:54,079 --> 00:31:54,813
是
504
00:32:05,257 --> 00:32:06,091
梅氏剪
505
00:32:08,226 --> 00:32:09,427
手術結束
506
00:32:09,895 --> 00:32:11,596
切口很小
507
00:32:11,763 --> 00:32:12,831
真厲害
508
00:32:13,565 --> 00:32:14,666
辛苦了
509
00:32:34,219 --> 00:32:36,521
體外循環過去45分鐘了
510
00:32:48,200 --> 00:32:48,700
梅氏剪
511
00:32:48,700 --> 00:32:49,401
是
512
00:32:53,038 --> 00:32:55,941
主動脈人工血管縫合結束
513
00:32:55,941 --> 00:32:57,275
冠狀動脈口部怎麼樣了
514
00:32:58,009 --> 00:32:59,945
修剪完了
515
00:33:00,278 --> 00:33:02,080
接下來進行冠動脈的再建
516
00:33:02,080 --> 00:33:02,614
5號線
517
00:33:02,614 --> 00:33:03,248
是
518
00:33:03,448 --> 00:33:04,382
吸引
519
00:33:04,382 --> 00:33:04,883
是
520
00:33:04,883 --> 00:33:06,284
流量維持現狀 開始除水
521
00:33:06,284 --> 00:33:06,985
是
522
00:33:12,857 --> 00:33:14,526
50分鐘過去了
523
00:33:22,567 --> 00:33:23,401
梅氏剪
524
00:33:24,736 --> 00:33:26,438
冠動脈再建完成
525
00:33:26,471 --> 00:33:28,306
接著進行人工血管末梢縫合
526
00:33:28,306 --> 00:33:28,840
4號線
527
00:33:28,840 --> 00:33:29,341
是
528
00:33:29,341 --> 00:33:29,841
鑷子
529
00:33:29,841 --> 00:33:30,342
是
530
00:33:33,912 --> 00:33:35,180
胎兒心跳下降了
531
00:33:35,180 --> 00:33:36,114
要加速了
532
00:33:36,181 --> 00:33:36,881
是
533
00:33:37,082 --> 00:33:38,183
要用升壓劑嗎
534
00:33:38,183 --> 00:33:40,585
升壓劑會造成子宮收縮
535
00:33:40,585 --> 00:33:42,220
把輸血量調高到3.9升
536
00:33:42,220 --> 00:33:44,322
血量過少 輸送不了
537
00:33:44,322 --> 00:33:45,557
用血液回收機
538
00:33:45,557 --> 00:33:46,224
是
539
00:33:47,025 --> 00:33:47,892
復溫
540
00:33:47,892 --> 00:33:48,593
是
541
00:34:17,789 --> 00:34:18,489
4號線
542
00:34:18,489 --> 00:34:19,224
是
543
00:34:19,456 --> 00:34:20,391
米庫利奇氏墊
544
00:34:20,391 --> 00:34:21,092
是
545
00:34:21,126 --> 00:34:21,993
復溫
546
00:34:21,993 --> 00:34:22,726
是
547
00:34:22,927 --> 00:34:23,728
吸引
548
00:34:23,728 --> 00:34:24,396
是
549
00:34:24,396 --> 00:34:25,330
纖維蛋白膠
550
00:34:25,330 --> 00:34:26,097
是
551
00:34:27,399 --> 00:34:28,433
好厲害
552
00:34:28,900 --> 00:34:31,469
竟然在保持體外循環的情況下
553
00:34:31,469 --> 00:34:33,304
用這種速度做DAVID手術
554
00:34:33,605 --> 00:34:35,106
不愧是朝田
555
00:34:40,045 --> 00:34:41,246
縫合完成
556
00:34:42,447 --> 00:34:43,447
準備回輸
557
00:34:43,882 --> 00:34:44,849
開始回輸
558
00:34:46,184 --> 00:34:47,518
阻斷主動脈
559
00:34:47,985 --> 00:34:48,485
準備復甦
560
00:34:48,485 --> 00:34:49,754
開始復甦
561
00:34:59,798 --> 00:35:00,999
心跳恢復了
562
00:35:00,999 --> 00:35:01,933
胎兒呢
563
00:35:09,941 --> 00:35:12,711
只有一個心音
564
00:35:12,911 --> 00:35:13,611
怎麼會
565
00:35:13,611 --> 00:35:15,714
心跳監視器也只出來一個數字
566
00:35:43,908 --> 00:35:47,879
剛才胎兒心跳下降的時候 是不是發生了什麼
567
00:35:48,446 --> 00:35:50,415
果然要同時救母親和孩子是不可能的
568
00:35:50,415 --> 00:35:51,282
閉嘴
569
00:36:03,061 --> 00:36:05,230
荒瀨 頭端放低
570
00:36:05,230 --> 00:36:06,331
向左轉30度
571
00:36:06,331 --> 00:36:07,132
好
572
00:36:16,040 --> 00:36:18,710
兩個孩子都有心音
573
00:36:19,077 --> 00:36:20,111
太好了
574
00:36:31,823 --> 00:36:32,757
關泵
575
00:36:33,158 --> 00:36:34,159
關泵
576
00:36:34,559 --> 00:36:36,294
人工心肺機停止了
577
00:36:36,494 --> 00:36:38,630
體外循環時長59分鐘
578
00:36:39,431 --> 00:36:40,965
準備拔管
579
00:36:40,965 --> 00:36:41,833
管夾
580
00:36:41,833 --> 00:36:42,600
是
581
00:36:43,001 --> 00:36:44,135
胸骨鋼絲
582
00:36:44,135 --> 00:36:44,869
是
583
00:36:45,003 --> 00:36:45,837
線夾
584
00:36:45,837 --> 00:36:46,571
是
585
00:36:46,905 --> 00:36:48,306
中心靜脈壓沒問題
586
00:36:48,306 --> 00:36:49,140
鋼絲鉗
587
00:36:49,140 --> 00:36:49,874
是
588
00:36:50,074 --> 00:36:51,309
胸骨鋼絲
589
00:37:04,722 --> 00:37:08,560
兩個寶寶都很健康呢
590
00:37:10,695 --> 00:37:14,966
為了同時救母親和孩子 進行了DAVID手術
591
00:37:14,966 --> 00:37:16,468
並且順利成功了
592
00:37:16,468 --> 00:37:19,170
是通常不會做的超難手術
593
00:37:19,170 --> 00:37:23,208
醫生 太謝謝了
594
00:37:25,677 --> 00:37:28,346
生產要加油哦
595
00:37:28,346 --> 00:37:29,113
是
596
00:37:29,647 --> 00:37:34,052
真的 真的太感謝了
597
00:37:43,127 --> 00:37:44,295
朝田醫生
598
00:37:45,730 --> 00:37:47,232
今天真的
599
00:37:51,402 --> 00:37:52,804
非常抱歉
600
00:37:57,208 --> 00:37:58,710
真不像你啊
601
00:38:05,116 --> 00:38:06,584
辛苦了
602
00:38:08,353 --> 00:38:10,288
另一邊的手術也順利結束了
603
00:38:10,288 --> 00:38:11,055
是嗎
604
00:38:12,490 --> 00:38:15,927
但是 為什麼他會那樣
605
00:38:17,495 --> 00:38:18,963
在美國的時候
606
00:38:19,430 --> 00:38:21,699
我有個朋友
607
00:38:23,401 --> 00:38:25,136
因為圍生期心肌病去世了
608
00:38:29,207 --> 00:38:32,210
懷孕進入第23周的那天
609
00:38:33,711 --> 00:38:36,748
突然發生心力衰竭
610
00:38:38,016 --> 00:38:39,851
通過迅速的診斷
611
00:38:40,351 --> 00:38:43,755
馬上就發現是圍生期心肌病
612
00:38:44,656 --> 00:38:49,994
母親和孩子都沒能得救
613
00:38:51,596 --> 00:38:56,067
她是岡村的未婚妻
614
00:39:10,148 --> 00:39:12,183
她被送去的醫院
615
00:39:13,418 --> 00:39:16,588
既有能治療圍生期心肌病的醫生
616
00:39:17,822 --> 00:39:22,126
病床和手術室也空著
617
00:39:23,861 --> 00:39:28,166
但是她加入的保險
618
00:39:31,135 --> 00:39:34,272
不能在那家醫院接受治療
619
00:39:37,842 --> 00:39:38,910
結果
620
00:39:42,447 --> 00:39:44,515
她在自己家裏嚥下了最後一口氣
621
00:39:49,654 --> 00:39:55,360
我同時失去了
622
00:39:59,597 --> 00:40:01,933
兩個非常重要的人
623
00:40:07,805 --> 00:40:12,677
那就是美國的醫療制度
624
00:40:15,546 --> 00:40:17,915
不管是多優秀的醫生
625
00:40:18,816 --> 00:40:20,885
都有救不了的病人
626
00:40:21,986 --> 00:40:24,455
因為此事絕望的岡村
627
00:40:24,989 --> 00:40:29,227
成為了醫療領域的商業顧問
628
00:40:29,727 --> 00:40:34,565
那就是他的本來面目
629
00:40:46,811 --> 00:40:51,315
日本的醫療制度下 也有許多被犧牲的病人
630
00:40:52,150 --> 00:40:55,753
我想要創造既非美國又非日本的
631
00:40:57,288 --> 00:41:01,559
新的醫療制度
632
00:41:08,633 --> 00:41:14,238
我欠了你很大一個人情呢
633
00:41:18,142 --> 00:41:20,411
醫生救人
634
00:41:23,014 --> 00:41:24,716
沒有所謂的借貸關係
635
00:41:33,291 --> 00:41:34,292
今天的你
636
00:41:37,829 --> 00:41:39,597
很像個醫生呢
637
00:42:02,053 --> 00:42:03,588
不叫朝田來了
638
00:42:03,588 --> 00:42:07,091
在櫻井醫生的手術完成並且作為醫生回歸之前
639
00:42:07,625 --> 00:42:10,228
我決定暫緩拉攏朝田醫生
640
00:42:10,661 --> 00:42:12,130
天真
641
00:42:13,064 --> 00:42:14,565
太天真了
642
00:42:15,199 --> 00:42:18,469
光聽著我都要笑掉大牙了
643
00:42:19,804 --> 00:42:21,239
我先出去了
644
00:42:55,072 --> 00:42:56,674
Entlassen
645
00:43:05,850 --> 00:43:07,251
那沒什麼好擔心的了呢
646
00:43:07,251 --> 00:43:11,088
如果有什麼不舒服 一定要馬上聯繫我哦
647
00:43:11,322 --> 00:43:12,056
什麼
648
00:43:14,325 --> 00:43:16,761
哎呀 我知道的
649
00:43:18,062 --> 00:43:18,830
什麼
650
00:43:19,263 --> 00:43:20,464
好的
651
00:43:22,366 --> 00:43:25,069
您反而被病人擔心了嗎
652
00:43:25,369 --> 00:43:29,540
不是 並不是擔心我的身體
653
00:43:29,707 --> 00:43:31,042
那是什麼
654
00:43:35,346 --> 00:43:38,616
一直以來謝謝你了
655
00:43:38,850 --> 00:43:39,550
怎麼了
656
00:43:39,984 --> 00:43:42,520
我被批評說
657
00:43:42,520 --> 00:43:45,923
感謝如果不好好說出來 是無法傳達給對方的
658
00:43:51,863 --> 00:43:52,997
是真的嗎
659
00:43:54,765 --> 00:43:56,567
邁克醫生要來日本了
660
00:43:56,567 --> 00:43:59,203
那就是說櫻井醫生的手術能做了嗎
661
00:43:59,203 --> 00:44:01,706
但是他應該沒有日本的醫師資格
662
00:44:01,706 --> 00:44:04,208
L&P是超級醫療特區
663
00:44:04,442 --> 00:44:06,677
邁克 鮑德溫可以主刀
664
00:44:07,178 --> 00:44:08,746
居然這麼順利
665
00:44:11,048 --> 00:44:12,984
是岡村幫忙安排的
666
00:44:16,587 --> 00:44:21,325
到時候就是同時進行腦部和心臟的最高難度手術
667
00:44:24,061 --> 00:44:25,863
幫我做好萬全的準備
668
00:44:25,863 --> 00:44:26,530
嗯
669
00:44:26,530 --> 00:44:27,298
是
670
00:44:56,928 --> 00:45:00,765
你們好像跟小岡村關係很好啊
671
00:45:06,604 --> 00:45:07,371
喂
672
00:45:11,842 --> 00:45:12,576
什麼
673
00:45:21,218 --> 00:45:23,721
櫻井是救不活的
674
00:45:45,509 --> 00:45:48,746
朝田醫生好像下決心去L&P了
675
00:45:48,746 --> 00:45:50,114
Entlassen
676
00:45:50,114 --> 00:45:52,450
這樣就能做櫻井醫生的手術
677
00:45:52,450 --> 00:45:53,617
一定要治好他
678
00:45:53,617 --> 00:45:56,187
46年沒見了呢
679
00:46:11,035 --> 00:46:13,504
將變成史無前例的同時手術
680
00:46:13,504 --> 00:46:14,972
我們的話 能行
41996
