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1
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我会死吗
2
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我们一定会救你的
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这是个机会哦
4
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那个孩子是前厚生劳动大臣 恩田哲三的女儿
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这次可别把除水量弄错了哦
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绪方小姐
7
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突然胸背部痛 伴随血压降低
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急性主动脉剥离
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这孩子
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哎
11
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RH阴性D抗体型
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00:00:24,890 --> 00:00:28,430
也就是说无法进行输血
13
00:00:28,430 --> 00:00:30,630
就算用自己的储血也来不及了
14
00:00:30,630 --> 00:00:32,360
再加上併发主动脉剥离
15
00:00:32,360 --> 00:00:34,890
该怎麼办 朝田大医生
16
00:00:35,630 --> 00:00:37,890
这不是很好嘛
17
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患者是按照自己的意愿离开明真去北洋的
18
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麻烦就丢给北洋了
19
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该怎麼办 朝田
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现在 进行紧急手术
21
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没有输血要怎麼弄啊
22
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联繫输血中心
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有多少算多少 总之要先找一找
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紧急手术 加入吧
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我们很需要你 野村
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我来保证血液
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知道了
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為什麼那孩子会在这裡
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来寻求朝田的帮助
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途中主动脉剥离发作
31
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那边都做了什麼 把那孩子逼到这样的地步
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到底是怎麼回事
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好像令爱在护士眼皮底下偷偷溜走了
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病情怎麼样 没事吧
35
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令爱恐怕是急性主动脉剥离
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现在不宜移动 只能留在北洋
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议员 我们深感遗憾
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够了
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赶紧去北洋
40
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那孩子没救了
41
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我们可不能和恩田反目成仇哦
42
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紧急手术啊 不能输血不可能完成的
43
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一想到要是最初到的是我们医院 我就冒冷汗啊
44
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你知道吗
45
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伊集院医生
46
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我…我做不到这麼难的手术
47
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万一因為我的失误让患者死了
48
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已经和东都输血中心取得了联繫
49
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怎麼样
50
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不行
51
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总之附近的输血中心是没了
52
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现在不管哪裡 能弄到就用上
53
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要去找那些没有在输血中心登记过的
54
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RH阴性D抗体型的人
55
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这麼一说…
56
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怎麼了
57
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在学术会上 有个进行过RH阴性D抗体型 VSD手术的医生
58
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哪裡的 是做什麼的医生
59
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山王大学的上田教授
60
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上田教授？
61
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我也在外科学术会上蒙她指导过
62
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伊集院 联络那个教授
63
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誒
64
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通过那个教授去联络患者 让他提供血液
65
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你来确保血液
66
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但是
67
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麻醉医不能离开 让外山做助手
68
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总之 这次以确保血液為优先
69
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我明白了
70
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小高医生 听说了吗
71
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紧急主动脉剥离手术
72
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请你协助朝田医生
73
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血液是不可能找到的 手术也做不成
74
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但是…
75
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那个患者死定了
76
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而且 万一和明真的医生扯上关系就麻烦了
77
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马上回来
78
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是
79
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和上田教授联繫上了吗
80
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嗯 从教授那裡取得了本人的联络方式
81
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总之 我会到对方那边去
82
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我也会继续和输血中心联繫 那就拜託了
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是
84
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伊集院
85
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对不起 现在有急事
86
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还没有找到血液吧
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嗯
88
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怎麼办
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停止血液循环
90
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停止血液循环？
91
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的确 如果这样的话 能把血液流失降到最低
92
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也许不需要输血
93
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不行 停止血液循环最多能维持40分鐘
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超过40分鐘 就会脑组织坏死
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40分鐘内完成手术
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40分鐘？
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主动脉剥离和Banthal都完成？
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只用40分鐘？
99
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主动脉剥离和Banthal
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主动脉剥离手术是将包括升主动脉
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和產生回流的主动脉瓣膜之主动脉根部切除
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用带瓣人工血管取而代之 还必须再建左右冠动脉
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用仅仅40分鐘做完这一切吗
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太乱来了 一般要两小时才能勉强够用
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又没有输血 根本不可能
106
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没有其他办法了
107
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如今不能输血 别无他法
108
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现在开始进行 升主动脉置换手术和Benthal手术
109
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手术刀
110
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是
111
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知道了 我会告诉伊集院
112
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40分鐘…
113
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人工心肺 安装完成
114
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在超低体温状态下进行
115
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膀胱温降至20度时 降温
116
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是
117
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没用的
118
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急性主动脉剥离的话 就算现在去也…
119
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但是没有输血就做手术…
120
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只有去相信了
121
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相信那家伙的技术
122
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心臟停止
123
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膀胱温度 20度
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flow down
125
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上腔静脉 插入分流器
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血液循环停止
127
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夹子
128
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是
129
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镊子 电刀
130
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镊子 抽吸管
131
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喂 是西东京输血中心吗 我这边是北洋医院…
132
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你那边怎麼样
133
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我已经到了RH阴性D抗体型血液保证者 门胁妙子的家
134
00:09:05,160 --> 00:09:07,090
但是她刚出门
135
00:09:07,090 --> 00:09:10,030
恐怕是在附近的购物中心
136
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我知道了 总之你去她那边
137
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听好了 时限是40分鐘
138
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剥离完成
139
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血管错综复杂的主动脉根部剥离 竟然只用了3分鐘
140
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但是…
141
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就算是朝田医生
142
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40分鐘完成升主动脉置换和Benthal手术…
143
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切开主动脉 尖头剪
144
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是
145
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这是什麼
146
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夹层一直裂开到升主动脉弓部
147
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术前诊断时…
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明明仅是升主动脉
149
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怎麼会这样
150
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从诊断到手术这段时间发生了病变
151
00:10:29,290 --> 00:10:34,090
如果要置换升主动脉弓部 就要多花成倍的时间
152
00:10:34,090 --> 00:10:38,430
通常 再建一根血管要缝合两个地方
153
00:10:38,430 --> 00:10:41,760
但是再建升主动脉弓部
154
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还要对向脑部输血的两根血管
155
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以及向左手输血的一根血管进行分支
156
00:10:48,030 --> 00:10:53,890
加上这三根重要血管的再建 需要缝合5个地方
157
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到此為止了
158
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没办法的事
159
00:11:01,360 --> 00:11:03,690
追加升主动脉弓部的置换手术
160
00:11:03,690 --> 00:11:04,630
誒
161
00:11:04,630 --> 00:11:05,960
还有时间
162
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但是…
163
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不管你有多快 在血液循环停止的时间内
164
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完成弓部置换已经不可能了 更何况Benthal
165
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我不会放弃
166
00:11:16,230 --> 00:11:21,160
不管发生什麼状况 不到最后我绝不放弃
167
00:11:22,630 --> 00:11:24,160
这才是我的团队
168
00:11:25,560 --> 00:11:27,760
準备3根24毫米的人工血管
169
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是
170
00:11:28,630 --> 00:11:29,830
还要继续啊
171
00:11:30,430 --> 00:11:33,830
升主动脉弓部的再建 要花上成倍的时间
172
00:11:34,290 --> 00:11:35,430
一切都完了
173
00:11:38,290 --> 00:11:39,230
人工血管呢
174
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準备就绪
175
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镊子
176
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是
177
00:11:47,030 --> 00:11:48,430
近心端缝合开始
178
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4/0 SURGILON非吸收性尼龙缝线
179
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是
180
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开始
181
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片冈小姐
182
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啊 美羽怎麼样
183
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令爱目前在血液循环停止状态下
184
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进行主动脉剥离和主动脉根部再建手术
185
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血呢
186
00:12:12,890 --> 00:12:14,490
血怎麼办
187
00:12:14,490 --> 00:12:18,230
正在全力寻找 还没找到…
188
00:12:19,690 --> 00:12:20,690
可恶
189
00:12:20,760 --> 00:12:23,630
议员 时间到了 党内会议…
190
00:12:24,560 --> 00:12:28,360
用我的 用我的血能救得了她吗
191
00:12:28,430 --> 00:12:29,630
请冷静
192
00:12:29,630 --> 00:12:34,490
美羽的血型 是名叫RH阴性D抗体型的 极其少见的血型
193
00:12:34,490 --> 00:12:36,490
就算是您的血…
194
00:12:43,290 --> 00:12:49,490
这样啊 就算是父女也不行
195
00:12:52,960 --> 00:13:03,090
眼看女儿就要死了 却又什麼也做不了
196
00:13:05,560 --> 00:13:06,560
又？
197
00:13:06,560 --> 00:13:09,830
美羽小姐小时候 曾受过重伤
198
00:13:16,430 --> 00:13:25,030
那个时候我 也是什麼都做不到
199
00:13:25,690 --> 00:13:28,290
议员 每日新闻的那群人好像听到风声
200
00:13:28,290 --> 00:13:29,690
朝这边来了
201
00:13:30,290 --> 00:13:31,290
再不早点走的话…
202
00:13:32,090 --> 00:13:35,760
议员 现在如果爆出丑闻 选举就赢不了了
203
00:13:36,090 --> 00:13:38,230
议员的支持者们怎麼办
204
00:13:41,030 --> 00:13:42,030
议员
205
00:13:45,690 --> 00:13:52,560
给美羽做手术的 是我们这裡最好的医生
206
00:13:55,890 --> 00:13:59,890
他能救美羽吗
207
00:14:09,090 --> 00:14:10,230
能
208
00:14:14,160 --> 00:14:19,230
拜託了 拜託了
209
00:14:28,090 --> 00:14:28,760
尖头剪
210
00:14:28,760 --> 00:14:29,690
是
211
00:14:32,290 --> 00:14:33,890
近心端缝合完成
212
00:14:33,890 --> 00:14:37,030
接下来是左锁骨下动脉的缝合
213
00:14:37,490 --> 00:14:38,090
4/0
214
00:14:38,090 --> 00:14:38,890
是
215
00:14:39,760 --> 00:14:41,890
有？RH阴性D抗体型吗
216
00:14:42,690 --> 00:14:46,560
嗯 我们输血中心冷藏保存了400cc
217
00:14:46,560 --> 00:14:48,090
400…
218
00:14:49,030 --> 00:14:51,160
不 太好了 再少也要
219
00:14:51,160 --> 00:14:52,760
能马上送来吗
220
00:14:59,160 --> 00:15:00,230
没找到？
221
00:15:00,230 --> 00:15:04,090
从刚才一直在打血液保证者门胁的手机
222
00:15:04,090 --> 00:15:05,630
但是打不通
223
00:15:05,630 --> 00:15:08,490
我们这边也只确保了400cc 还远远不够
224
00:15:08,490 --> 00:15:10,490
再接再厉 继续在购物中心找找
225
00:15:10,490 --> 00:15:11,490
我知道了
226
00:15:16,030 --> 00:15:16,890
伊集院
227
00:15:18,760 --> 00:15:19,630
木原医生
228
00:15:20,890 --> 00:15:24,430
我听说了 要找的话 多一个人算一个人
229
00:15:24,430 --> 00:15:25,560
但是…
230
00:15:42,760 --> 00:15:43,690
医生
231
00:15:44,890 --> 00:15:48,490
就算在明真 也有真正的医生
232
00:15:52,630 --> 00:15:53,560
找吧
233
00:15:55,690 --> 00:15:56,630
是
234
00:15:59,890 --> 00:16:01,560
这样做没问题吧
235
00:16:02,760 --> 00:16:03,290
尖头剪
236
00:16:03,290 --> 00:16:03,960
是
237
00:16:05,430 --> 00:16:07,360
左锁骨下动脉缝合完成
238
00:16:07,360 --> 00:16:07,890
4/0
239
00:16:07,890 --> 00:16:08,360
是
240
00:16:08,360 --> 00:16:10,490
吸引 快点
241
00:16:19,760 --> 00:16:21,560
接下来的会议马上要开始了
242
00:16:21,560 --> 00:16:22,560
我说
243
00:16:24,490 --> 00:16:26,160
你对患者见死不救吗
244
00:16:28,760 --> 00:16:31,960
那个患者是自己要去北洋的
245
00:16:32,090 --> 00:16:35,630
如果在这裡发作呢 会救吗
246
00:16:40,560 --> 00:16:43,090
不管在哪裡 以那个病例
247
00:16:43,090 --> 00:16:45,360
无输血手术是不可能的吧
248
00:16:48,430 --> 00:16:52,360
与其救眼前一人 更要救10年后的万人
249
00:16:53,360 --> 00:16:55,490
这是如今明真的使命
250
00:16:57,160 --> 00:16:58,360
如果是他
251
00:17:01,630 --> 00:17:05,230
如果是朝田 也许能做到两全哦
252
00:17:15,560 --> 00:17:16,030
4/0
253
00:17:16,090 --> 00:17:16,760
是
254
00:17:16,760 --> 00:17:19,360
左总颈动脉缝合完成 时间如何
255
00:17:19,360 --> 00:17:20,490
还有9分鐘
256
00:17:20,490 --> 00:17:21,630
好
257
00:17:24,960 --> 00:17:26,030
好厉害
258
00:17:26,290 --> 00:17:29,890
近心端缝合以及左锁骨下动脉 和左总颈动脉的再建
259
00:17:29,890 --> 00:17:31,960
居然这麼快全部都完成了
260
00:17:31,960 --> 00:17:36,690
只要完成头臂干的再建 升主动脉弓部的再建就完成了
261
00:17:36,690 --> 00:17:38,690
似乎能在停止血液循环的时间内
262
00:17:38,690 --> 00:17:41,690
完成升主动脉弓部的再建呢
263
00:17:42,430 --> 00:17:43,630
但是只能到这步了
264
00:17:43,960 --> 00:17:46,690
血液还没送到 Benthal怎麼办
265
00:18:00,890 --> 00:18:02,160
门胁小姐在吗
266
00:18:03,160 --> 00:18:04,490
认错人了 对不起
267
00:18:04,490 --> 00:18:06,090
哇 人也太多了吧
268
00:18:06,090 --> 00:18:07,360
是门胁小姐吗
269
00:18:07,830 --> 00:18:12,030
啊 门胁小姐 门胁小姐
270
00:18:13,360 --> 00:18:14,630
错了 明显认错了
271
00:18:24,690 --> 00:18:25,430
什麼事
272
00:18:27,090 --> 00:18:34,030
主动脉剥离的修复成功了
273
00:18:34,230 --> 00:18:38,030
问题是接下来的Benthal手术
274
00:18:40,230 --> 00:18:40,830
尖头剪
275
00:18:40,830 --> 00:18:41,630
是
276
00:18:43,290 --> 00:18:47,830
升主动脉弓部以及3分枝的再建完成
277
00:18:48,030 --> 00:18:49,030
完成了
278
00:18:49,360 --> 00:18:50,430
好厉害
279
00:18:52,760 --> 00:18:55,630
但是要完成Benthal就不可能了吧
280
00:18:56,030 --> 00:18:57,090
血液呢
281
00:19:01,290 --> 00:19:03,630
那就没戏了
282
00:19:04,030 --> 00:19:07,890
朝田从一开始就做了最坏的打算
283
00:19:19,290 --> 00:19:20,290
要做什麼
284
00:19:21,090 --> 00:19:22,030
已经不可能了吧
285
00:19:24,360 --> 00:19:28,960
啟动人工心肺 野村
286
00:19:32,230 --> 00:19:35,430
说什麼呢 血液还没来呢
287
00:19:35,430 --> 00:19:38,960
一旦啟动 就无法再脱离人工心肺了
288
00:19:39,030 --> 00:19:41,160
如果不能脱离就没有意义了
289
00:19:47,890 --> 00:19:48,760
稀释
290
00:19:49,490 --> 00:19:50,360
誒
291
00:19:52,230 --> 00:19:55,760
依靠最大限度稀释血液 使总量增加
292
00:19:55,760 --> 00:19:57,630
来保证血容量
293
00:19:57,760 --> 00:19:59,030
什麼
294
00:20:00,560 --> 00:20:02,560
最大限度稀释血液
295
00:20:02,760 --> 00:20:04,960
要稀释血液？
296
00:20:04,960 --> 00:20:09,230
以此来增加总量 啟动人工心肺
297
00:20:10,030 --> 00:20:15,560
那麼 出血和血球破损引起的血液流失量
298
00:20:15,560 --> 00:20:17,760
也会因為变稀而减少
299
00:20:18,490 --> 00:20:23,830
理论上就算不输血 也能维持人工心肺
300
00:20:23,830 --> 00:20:26,690
人工心肺的管理和稀释的调节非常困难
301
00:20:26,690 --> 00:20:30,890
一旦失手 脑内的氧就不够充分
302
00:20:31,690 --> 00:20:34,890
和临床工学技师联手 分析血液数据
303
00:20:34,890 --> 00:20:38,360
决定血液的稀释程度 这是麻醉医的职责
304
00:20:39,090 --> 00:20:43,630
而这样的术中管理 非你不可
305
00:20:46,160 --> 00:20:47,890
你太抬举我了
306
00:20:48,090 --> 00:20:51,830
你不进手术室 那孩子必死无疑
307
00:20:56,160 --> 00:21:00,630
她才17岁 你就眼睁睁看著她死在父亲面前吗
308
00:21:12,290 --> 00:21:14,030
那孩子是议员的女儿
309
00:21:15,490 --> 00:21:20,090
為了我的经营构想 绝不能让她死
310
00:21:28,490 --> 00:21:32,690
不行了 我真的做不下去了
311
00:21:33,430 --> 00:21:36,030
假如你不负责好人工心肺的管理
312
00:21:36,030 --> 00:21:37,560
她就没救了
313
00:21:37,630 --> 00:21:43,360
可是 我再做下去就会害死她
314
00:21:44,090 --> 00:21:45,430
这样不行 我做不到
315
00:21:45,430 --> 00:21:46,630
不单单是你
316
00:21:47,630 --> 00:21:49,160
害怕做手术的
317
00:21:51,290 --> 00:21:52,630
不单单是你
318
00:21:54,090 --> 00:21:59,090
面对别人的生命时 没有一个人是不害怕的
319
00:22:01,490 --> 00:22:02,760
可是…
320
00:22:06,160 --> 00:22:07,830
我们可是一支队伍
321
00:22:09,960 --> 00:22:11,430
即使凭你一个人的力量做不到
322
00:22:13,760 --> 00:22:15,890
在你的背后 还有支持著你的伙伴
323
00:22:20,230 --> 00:22:24,030
你不是孤身一人
324
00:23:01,290 --> 00:23:02,160
我来继续
325
00:23:05,960 --> 00:23:16,600
(林格氏液:一种血液的代用液 出血或脱水严重时用)
326
00:23:05,960 --> 00:23:07,360
给我林格氏液和白蛋白
327
00:23:07,360 --> 00:23:08,160
是
328
00:23:16,690 --> 00:23:17,830
準备好了
329
00:23:20,030 --> 00:23:20,830
开泵
330
00:23:31,490 --> 00:23:35,090
我也来稍稍插一脚吧
331
00:23:42,090 --> 00:23:44,760
现在经皮血管内药盒裡的血液量是多少
332
00:23:45,290 --> 00:23:49,290
红血球体积比例15％ 血红蛋白毎分升含量5毫克 共880毫升
333
00:23:49,290 --> 00:23:51,090
混合静脉血氧饱和度要低於60了
334
00:23:51,430 --> 00:23:53,760
暂时增加供氧量
335
00:23:54,090 --> 00:23:57,760
把总量调到3.9升
336
00:23:57,760 --> 00:23:58,760
啊 是
337
00:24:01,360 --> 00:24:04,690
现在开始进行大动脉根部置换手术
338
00:24:04,690 --> 00:24:05,290
尖头剪
339
00:24:05,290 --> 00:24:06,030
是
340
00:24:07,230 --> 00:24:10,630
外山 你来做人工复合血管移植
341
00:24:11,290 --> 00:24:12,360
知道了
342
00:24:13,630 --> 00:24:15,360
700毫升
343
00:24:16,630 --> 00:24:18,160
700？
344
00:24:18,830 --> 00:24:21,760
无论怎样最大稀释血液 以此运转人工心肺功能
345
00:24:21,760 --> 00:24:25,890
血量本身还要提供身体的 各个部位运转的消耗
346
00:24:25,890 --> 00:24:29,030
血液量一旦低於700毫升
347
00:24:29,030 --> 00:24:30,890
无论怎样进行人工心肺的管理
348
00:24:30,890 --> 00:24:33,290
术后就无法脱离人工心肺了
349
00:24:33,290 --> 00:24:35,360
假如无法脱离 那就死定了
350
00:24:42,230 --> 00:24:45,960
假如血量在低於700毫升前 补充的血液还不送来的话…
351
00:24:46,690 --> 00:24:47,830
患者就死定了
352
00:24:49,360 --> 00:24:50,830
这条线
353
00:24:51,690 --> 00:24:52,960
就是界线
354
00:25:00,630 --> 00:25:03,160
喂 这裡是东日本输血中心
355
00:25:03,160 --> 00:25:07,430
现在我这边交通堵塞 车子完全动不了
356
00:25:08,830 --> 00:25:12,960
刚才那400cc的血量 因為交通事故堵在路上了
357
00:25:20,560 --> 00:25:23,830
我是门胁 现在无法接听你的电话
358
00:25:24,030 --> 00:25:27,230
可恶 难得终於争取到了一点点的时间
359
00:25:27,760 --> 00:25:28,630
伊集院
360
00:25:30,360 --> 00:25:31,760
只知道她被叫出来了
361
00:25:34,030 --> 00:25:35,230
可是到底在哪裡呢
362
00:25:37,690 --> 00:25:38,890
真帅啊
363
00:25:39,160 --> 00:25:41,560
说来 门胁你最近怎样啦
364
00:25:41,560 --> 00:25:43,430
我们家最近完全没什麼新状况
365
00:25:43,430 --> 00:25:45,760
也不错啊 门胁你们家算好的啦
366
00:25:49,690 --> 00:25:51,360
那麼我们请他出场吧
367
00:25:51,360 --> 00:25:53,690
拜託您了 恩田议员
368
00:26:03,230 --> 00:26:04,960
血液还没送到吗
369
00:26:14,760 --> 00:26:16,960
血管末梢口 注意不要开得太大
370
00:26:16,960 --> 00:26:20,630
血液是稀释状态 因此封血管用的药量比平时更多
371
00:26:20,630 --> 00:26:23,230
為了减少氧气的损耗 把温度降到15度以下
372
00:26:23,230 --> 00:26:24,230
加冰块
373
00:26:25,760 --> 00:26:29,090
假如体温太低了 血液粘稠程度会亢增
374
00:26:29,090 --> 00:26:31,830
现在成功把目标活化 凝血酶时间保持在300秒
375
00:26:31,830 --> 00:26:32,890
混合静脉血氧饱和度保持在60
376
00:26:32,890 --> 00:26:35,360
那算什麼 那个麻醉医师和临床工学技师
377
00:26:35,430 --> 00:26:37,030
真的是我们这裡的医生吗
378
00:26:39,030 --> 00:26:40,760
大动脉瓣的切除结束
379
00:26:40,760 --> 00:26:43,090
根部的分解脱离 比想像中蔓延得快
380
00:26:43,090 --> 00:26:44,760
要快点了 尖头剪
381
00:26:44,760 --> 00:26:45,690
是
382
00:26:49,830 --> 00:26:51,230
尿液释出了
383
00:26:51,560 --> 00:26:53,430
白蛋白再多加一个单位针剂
384
00:26:53,430 --> 00:26:54,430
啊 是
385
00:26:58,430 --> 00:26:59,890
还没找到吗
386
00:27:00,560 --> 00:27:03,360
700毫升的水平 一下子就要到了
387
00:27:03,690 --> 00:27:07,090
伊集院 血库中心的血液恐怕是来不及了
388
00:27:07,090 --> 00:27:09,290
那麼 就拜託木原医生去找门胁
389
00:27:09,290 --> 00:27:10,360
我过去那边把血拿过来
390
00:27:10,960 --> 00:27:11,630
快点
391
00:27:11,630 --> 00:27:12,690
是
392
00:27:16,360 --> 00:27:17,690
尿液开始变红了
393
00:27:17,690 --> 00:27:20,160
是溶血尿液 準备结合珠蛋白
394
00:27:20,760 --> 00:27:23,360
好 冠状动脉旁路术自体血管移植完成
395
00:27:23,360 --> 00:27:25,030
开始分离冠动脉
396
00:27:25,690 --> 00:27:26,160
镊子
397
00:27:26,160 --> 00:27:27,160
是
398
00:27:29,490 --> 00:27:32,830
接下来缝连冠状动脉旁路术自体血管移植物 和再建冠动脉
399
00:27:33,160 --> 00:27:38,830
可经皮血管内药盒裡的血液量 已经少於800毫升了
400
00:27:44,360 --> 00:27:46,890
左冠动脉分离结束 接下来是右边的
401
00:27:53,160 --> 00:27:54,030
咦
402
00:27:55,430 --> 00:27:57,960
右边的冠动脉已经裂开了
403
00:27:57,960 --> 00:27:59,630
外山 快点从腿上截取静脉
404
00:27:59,630 --> 00:28:00,490
那冠状动脉旁路术自体血管移植物的缝连…
405
00:28:00,490 --> 00:28:01,160
我来做
406
00:28:01,160 --> 00:28:02,430
3-0附心臟弥补微粒非溶解缝合线
407
00:28:02,430 --> 00:28:03,290
是
408
00:28:03,760 --> 00:28:04,090
线剪
409
00:28:04,090 --> 00:28:04,760
是
410
00:28:07,630 --> 00:28:08,560
已经不行了
411
00:28:10,690 --> 00:28:11,960
血液要不够了…
412
00:28:13,960 --> 00:28:17,560
还没到吗 血液还没送到吗
413
00:28:40,360 --> 00:28:40,960
你是？
414
00:28:41,290 --> 00:28:44,290
我是北洋医院的伊集院 接下来请交给我
415
00:28:44,290 --> 00:28:46,090
已经听说了 拜託你了
416
00:31:04,890 --> 00:31:05,430
血液来了
417
00:31:05,430 --> 00:31:06,230
好的
418
00:31:21,830 --> 00:31:23,160
已经晚了吗
419
00:31:36,690 --> 00:31:39,690
大动脉根部置换手术 结束
420
00:31:44,690 --> 00:31:46,090
成功了呢
421
00:31:46,290 --> 00:31:47,290
成功了
422
00:31:49,290 --> 00:31:51,760
终於成功了
423
00:31:51,890 --> 00:31:53,430
终於都成功完成了
424
00:31:54,630 --> 00:31:55,960
成功了
425
00:31:56,160 --> 00:31:58,360
真是厉害的团队啊
426
00:32:10,430 --> 00:32:11,760
成功结束了
427
00:32:12,430 --> 00:32:13,560
真是奇蹟啊
428
00:32:24,030 --> 00:32:25,490
太好了
429
00:32:43,760 --> 00:32:44,490
这是血液
430
00:32:44,490 --> 00:32:46,830
是 开始补血
431
00:33:11,160 --> 00:33:12,960
血液输送开始
432
00:33:35,890 --> 00:33:37,090
是吗
433
00:33:40,490 --> 00:33:42,360
顺利成功了吗
434
00:33:44,360 --> 00:33:47,490
北洋那帮人…
435
00:33:47,830 --> 00:33:48,960
得救了？！
436
00:33:48,960 --> 00:33:49,890
是
437
00:33:50,030 --> 00:33:52,630
他成功完成了 不输血的手术？！
438
00:33:53,290 --> 00:33:54,960
难以置信
439
00:33:56,960 --> 00:34:02,690
野口医生 恐怕恩田议员要勃然大怒了
440
00:34:12,830 --> 00:34:13,760
我进来了
441
00:34:17,090 --> 00:34:20,830
真是对不起 不小心良心发现
442
00:34:20,830 --> 00:34:23,290
我去帮助他们确保了血液…
443
00:34:23,290 --> 00:34:25,830
可是结果还是没帮上任何忙
444
00:34:25,830 --> 00:34:28,230
明真和这个手术没有扯上任何关系
445
00:34:28,890 --> 00:34:31,490
总之 非常抱歉
446
00:34:36,830 --> 00:34:38,890
你干得很好
447
00:34:39,630 --> 00:34:40,760
什麼
448
00:34:51,830 --> 00:34:56,160
到这个医院来 真是选对了
449
00:35:07,560 --> 00:35:10,490
这个是回礼 我之前忘了给你的
450
00:35:12,830 --> 00:35:14,690
我这个人是有借有还的
451
00:35:15,490 --> 00:35:17,960
这是含可可70％的 成人口味哦
452
00:35:25,430 --> 00:35:26,760
谢谢你
453
00:35:49,360 --> 00:35:51,360
议员 这次…
454
00:35:51,360 --> 00:35:58,430
心臟移植认定设施的后盾这事 就当我没说过
455
00:35:59,230 --> 00:36:01,630
北洋裡帮我女儿做手术的那帮人
456
00:36:01,630 --> 00:36:03,960
不是本来应该在明真的医生吗
457
00:36:04,360 --> 00:36:10,760
把他们赶出去 作為高层的你 素质很有问题
458
00:36:14,090 --> 00:36:17,230
我没什麼话要和你说了
459
00:36:18,490 --> 00:36:19,430
议员
460
00:36:23,090 --> 00:36:26,690
您会不会太武断了
461
00:36:29,960 --> 00:36:31,230
你说什麼
462
00:36:32,030 --> 00:36:34,630
恩田议员 您不知道吗
463
00:36:35,490 --> 00:36:41,090
美羽小姐的手术 是我们明真的医生做的哦
464
00:36:42,230 --> 00:36:43,290
什麼
465
00:36:43,360 --> 00:36:44,890
我们这裡一位叫木原的医生
466
00:36:45,630 --> 00:36:47,890
在我的指示下 连忙赶去北洋
467
00:36:47,890 --> 00:36:52,090
借用了那裡的手术室 从而使手术成功的
468
00:36:54,430 --> 00:36:56,560
你胡说八道什麼
469
00:36:56,960 --> 00:36:59,560
对吧 片冈
470
00:37:10,290 --> 00:37:12,760
议员 这是事实
471
00:37:18,160 --> 00:37:20,290
我怎麼可能相信
472
00:37:20,830 --> 00:37:23,960
那个时候 是你告诉我说 北洋最好的医生在…
473
00:37:23,960 --> 00:37:27,160
不 这您可得相信啊
474
00:37:27,230 --> 00:37:32,830
否则我会以〝原厚生劳动省大臣有个私生女儿〞為题
475
00:37:32,830 --> 00:37:36,430
将其点缀在週刊杂誌的头版头条
476
00:37:36,960 --> 00:37:40,090
而且 还有麴钉的事务所挪用公费问题
477
00:37:40,090 --> 00:37:43,890
这个应该是 任何一方都还没曝光过的事吧
478
00:37:45,690 --> 00:37:46,630
你…
479
00:37:46,760 --> 00:37:50,360
美羽小姐的手术 是明真的医生做的
480
00:37:50,360 --> 00:37:52,430
议员你会按照原来的计划
481
00:37:52,430 --> 00:37:57,430
全力帮明真的心臟移植实施设施得到认证
482
00:37:57,430 --> 00:38:03,360
议员 这可是双赢哦
483
00:38:07,960 --> 00:38:12,230
你从什麼时候开始打这种主意
484
00:38:14,160 --> 00:38:18,430
因為依靠著官僚 政治家也被轻视了
485
00:38:18,430 --> 00:38:19,830
啊 这麼说也不成体统
486
00:38:19,830 --> 00:38:24,290
但是我并没有向他们索求过任何东西
487
00:38:24,290 --> 00:38:29,360
这只是一心為了国民 应该实行更好的政策…
488
00:38:29,430 --> 00:38:32,630
他一直都很忙啊
489
00:38:34,360 --> 00:38:35,760
不过也不关我的事
490
00:38:38,490 --> 00:38:40,230
假如為了自己的信念
491
00:38:41,830 --> 00:38:44,160
有时候不得不牺牲一些东西
492
00:38:46,090 --> 00:38:51,630
可是 议员对你的爱是没有任何虚假的
493
00:38:54,490 --> 00:38:55,830
怎麼可能
494
00:38:56,960 --> 00:38:58,030
有什麼证据呢
495
00:38:59,030 --> 00:39:01,690
难道说每个月给我钱就是爱吗
496
00:39:03,360 --> 00:39:08,560
你小时候 去旅行途中受了重伤被送到医院过吧
497
00:39:19,160 --> 00:39:22,690
那个时候送你去的
498
00:39:23,830 --> 00:39:25,160
并不是你妈妈
499
00:39:28,490 --> 00:39:30,290
是恩田议员
500
00:39:33,560 --> 00:39:34,630
不是吧
501
00:39:34,690 --> 00:39:41,030
恩田议员 冒著触发大丑闻的险 拼命帮你找医院
502
00:39:41,290 --> 00:39:46,030
议员秘书考虑到他的政治生涯 才隐瞒了事实
503
00:39:46,360 --> 00:39:50,760
这次他也為你操了不少心啊
504
00:39:52,960 --> 00:39:56,760
為了隐瞒此事 也吃了不少苦头
505
00:40:01,160 --> 00:40:02,160
片冈小姐
506
00:40:05,430 --> 00:40:07,430
当年送她去医院的是她妈妈
507
00:40:08,290 --> 00:40:09,630
為什麼说那样的谎呢
508
00:40:11,360 --> 00:40:15,560
假如那孩子发难了 被媒体探出秘密来的话
509
00:40:16,230 --> 00:40:17,890
恩田议员会很麻烦吧
510
00:40:20,560 --> 00:40:22,160
我也会有麻烦
511
00:40:34,490 --> 00:40:36,290
那我就失陪了
512
00:40:39,090 --> 00:40:46,430
先等等 可以帮我给那个人吗
513
00:40:47,830 --> 00:40:49,760
拜託了
514
00:40:50,360 --> 00:40:52,630
这是主治医生移交病人的事项
515
00:41:00,830 --> 00:41:03,290
真没想到你能干出这种事
516
00:41:05,160 --> 00:41:11,030
应该说 是和你一起做手术的麻醉医师非常优秀
517
00:41:15,030 --> 00:41:15,760
医生
518
00:41:23,760 --> 00:41:27,160
这都是拜你所赐
519
00:41:27,430 --> 00:41:28,290
什麼
520
00:41:28,830 --> 00:41:33,360
託您的福 我终於明白了
521
00:41:34,230 --> 00:41:35,830
明白了真正的队伍应该是怎样的
522
00:41:37,360 --> 00:41:38,560
你在说什麼
523
00:41:39,030 --> 00:41:40,630
非常感谢你
524
00:42:06,360 --> 00:42:07,560
审议员
525
00:42:07,560 --> 00:42:08,490
是
526
00:42:09,630 --> 00:42:10,760
可以问你一件事吗
527
00:42:10,760 --> 00:42:12,690
这真是少有呢
528
00:42:13,690 --> 00:42:14,490
什麼事
529
00:42:15,960 --> 00:42:19,030
这个简讯是怎麼发的
530
00:42:35,360 --> 00:42:36,090
美羽
531
00:42:37,160 --> 00:42:38,960
啊 早安
532
00:42:39,960 --> 00:42:40,760
早安
533
00:42:42,560 --> 00:42:43,690
有好好看书吗
534
00:42:43,690 --> 00:42:45,430
嗯 昨天想著要好好学习的说
535
00:42:45,430 --> 00:42:47,030
那应该和我差不多吧
536
00:42:49,430 --> 00:42:50,430
一起努力
537
00:42:51,230 --> 00:42:53,490
解雇？我吗
538
00:42:53,490 --> 00:42:54,490
当然啦
539
00:42:54,890 --> 00:42:57,360
你作為主治医师 不担起责任要谁来担
540
00:42:57,890 --> 00:42:59,690
好了 你可以下去了
541
00:43:05,560 --> 00:43:07,560
那我也先告辞了
542
00:43:08,890 --> 00:43:09,890
我说
543
00:43:12,230 --> 00:43:16,490
你是不是单纯希望救活那个女孩
544
00:43:18,160 --> 00:43:19,090
誒
545
00:43:21,690 --> 00:43:25,030
当然啊 因為她是恩田议员的女儿
546
00:43:25,560 --> 00:43:26,430
只是如此？
547
00:43:28,490 --> 00:43:29,630
对
548
00:43:29,890 --> 00:43:31,160
那就好
549
00:43:31,760 --> 00:43:37,630
我可不希望我的事业伙伴 跟我开那种天真过头的玩笑
550
00:43:38,030 --> 00:43:39,890
片冈小姐
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