All language subtitles for [ドラマ][医龍 3 第08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
00:00:00,634 --> 00:00:03,637
就是說在器官捐獻者出現之前只能等待嗎
2
00:00:03,770 --> 00:00:05,706
既使做了手術 不僅風險很大 效果也不明顯
3
00:00:05,839 --> 00:00:06,740
所以我沒有辦法給他做手術
4
00:00:06,807 --> 00:00:09,309
我能活到可以移植的時候嗎
5
00:00:09,409 --> 00:00:10,677
醫生能做到的
6
00:00:10,811 --> 00:00:13,881
只是向想要戰勝病魔的病人伸出援手而已
7
00:00:14,181 --> 00:00:17,351
真正戰勝病魔的是患者自己
8
00:00:23,657 --> 00:00:26,894
朝田醫生 為了救你不惜自己的生命
9
00:00:26,994 --> 00:00:28,729
你不能辜負他的這番心意
10
00:00:29,963 --> 00:00:34,835
朝田醫生 我會努力和病魔鬥爭
11
00:00:36,570 --> 00:00:39,540
朝田還能再做手術的吧
12
00:00:39,840 --> 00:00:40,541
當然了
13
00:00:40,641 --> 00:00:42,175
如果再也不能做手術的話
14
00:00:42,442 --> 00:00:44,211
他也只是個普通的患者而已
15
00:01:02,729 --> 00:01:03,697
朝田醫生
16
00:01:06,800 --> 00:01:08,435
您已經完全好了嗎
17
00:01:08,802 --> 00:01:14,141
是啊 你沒事吧 跑到這來
18
00:01:14,841 --> 00:01:17,244
我最近感覺很好
19
00:01:17,511 --> 00:01:18,712
是嗎
20
00:01:20,547 --> 00:01:22,783
您已經開始在做手術了嗎
21
00:01:25,052 --> 00:01:25,953
快了
22
00:01:28,989 --> 00:01:30,190
這個
23
00:01:32,292 --> 00:01:35,095
是新的魔方 籐吉醫生送給我的
24
00:01:36,830 --> 00:01:41,635
不過還是只能湊齊一面 討厭啊
25
00:01:44,438 --> 00:01:50,243
只要不放棄的話 一定做到的
26
00:01:51,945 --> 00:01:56,083
這樣啊 好
27
00:01:57,217 --> 00:02:00,487
紫色的在這邊啊
28
00:02:05,492 --> 00:02:08,862
確實是創傷後應激障礙呢
29
00:02:10,997 --> 00:02:12,966
腦部沒有功能上的問題
30
00:02:13,333 --> 00:02:16,503
右腕部也沒發現有神經損傷的部分
31
00:02:17,704 --> 00:02:22,576
所以只能考慮是因為創傷後應激障礙了
32
00:02:22,676 --> 00:02:24,678
由心臟的外傷引起的應激障礙
33
00:02:25,812 --> 00:02:27,347
創傷後應激障礙...
34
00:02:27,481 --> 00:02:31,585
因為這次受傷 使得過去的某種精神創傷復甦
35
00:02:31,752 --> 00:02:33,587
因此 右手才會顫抖吧
36
00:02:35,555 --> 00:02:37,224
你有什麼頭緒嗎
37
00:03:25,005 --> 00:03:29,609
創傷後應激障礙 由心臟的外傷引起的應激障礙
38
00:03:29,710 --> 00:03:30,577
治療方法呢
39
00:03:30,744 --> 00:03:34,214
創傷後應激障礙 沒有確切的治療方法
40
00:03:34,681 --> 00:03:39,453
只能將精神創傷作為過去的經歷重新認識
41
00:03:40,153 --> 00:03:43,990
能做到這步的話 右手也不會再顫抖了吧
42
00:04:10,250 --> 00:04:11,718
啊 不行了
43
00:04:12,352 --> 00:04:15,422
比我還要差 醫生
44
00:04:16,223 --> 00:04:17,257
給我看看
45
00:04:18,625 --> 00:04:19,926
你想要湊齊哪個顏色
46
00:04:20,026 --> 00:04:20,494
橙色
47
00:04:20,627 --> 00:04:23,363
小徹現在的病情稍有好轉
48
00:04:23,930 --> 00:04:27,801
但是 今後如果B型鈉尿肽(BNP)上升的話...
49
00:04:28,001 --> 00:04:30,670
小徹患有先天性腹直肌分離症
50
00:04:31,004 --> 00:04:34,307
無法使用VAD（心臟輔助器）
51
00:04:34,875 --> 00:04:38,044
果然只能等器官捐獻者出現 再進行心臟移植嗎
52
00:04:38,178 --> 00:04:39,012
是啊
53
00:04:39,379 --> 00:04:40,814
抱歉 我先回實驗室了
54
00:04:41,381 --> 00:04:43,316
再生醫療學會那邊催得急吧
55
00:04:43,650 --> 00:04:46,353
是啊 在那之前比需拿出點成果
56
00:04:46,620 --> 00:04:50,290
從長遠角度來看 那也可以治癒小徹
57
00:04:50,690 --> 00:04:52,058
這邊就交給我吧
58
00:04:52,159 --> 00:04:53,093
抱歉
59
00:04:57,764 --> 00:04:58,832
咦？
60
00:04:58,999 --> 00:05:01,067
醫生 這個時間你還有空嗎
61
00:05:01,201 --> 00:05:01,768
嗯？
62
00:05:01,902 --> 00:05:02,669
時間
63
00:05:02,803 --> 00:05:04,871
糟了 我要去查房了
64
00:05:06,072 --> 00:05:06,840
不好意思 我先告辭了
65
00:05:06,940 --> 00:05:07,607
不好意思
66
00:05:10,110 --> 00:05:13,847
這裡的醫生 都很平易近人呢
67
00:05:13,980 --> 00:05:16,449
嗯 所以我最近感覺挺好的
68
00:05:16,550 --> 00:05:17,017
嗯？
69
00:05:17,150 --> 00:05:18,952
體重都增加了2公斤
70
00:05:20,520 --> 00:05:22,022
媽媽真高興
71
00:05:22,422 --> 00:05:24,391
對了 我去買果汁吧
72
00:05:24,457 --> 00:05:25,358
嗯
73
00:05:44,678 --> 00:05:47,814
啊 真難得 在學習嗎
74
00:05:47,914 --> 00:05:50,584
沒 才不是呢 只是稍稍看看而已
75
00:05:59,926 --> 00:06:02,295
總感覺被她小看了呢
76
00:06:04,431 --> 00:06:06,867
心功能不全的發展
77
00:06:07,067 --> 00:06:09,870
由於心功能不全的症狀加重
78
00:06:09,970 --> 00:06:12,138
出現肺水腫導致的體重增加
79
00:06:12,272 --> 00:06:15,976
肺瘀血引起的咳嗽的症狀
80
00:06:51,311 --> 00:06:52,913
試一下改變血清的種類和含量
81
00:06:52,979 --> 00:06:55,048
進行心肌幹細胞的培養吧
82
00:06:57,183 --> 00:07:00,420
不行 這些細胞正在死亡了
83
00:07:02,789 --> 00:07:05,358
不要放棄 只差一步了
84
00:07:05,558 --> 00:07:07,127
試著用其他的血清
85
00:07:07,327 --> 00:07:08,328
是
86
00:07:13,166 --> 00:07:15,001
朝田恢復做手術了嗎
87
00:07:15,101 --> 00:07:16,036
快了
88
00:07:17,938 --> 00:07:21,741
我為了聽介入治療的講座 去了雙葉中央醫院
89
00:07:21,841 --> 00:07:24,911
在那的腦神經外科看到了朝田
90
00:07:26,513 --> 00:07:28,148
在腦外科？
91
00:07:29,082 --> 00:07:31,084
他受了那麼嚴重的傷
92
00:07:31,618 --> 00:07:33,820
留下了什麼後遺症也不奇怪
93
00:07:36,356 --> 00:07:41,261
看來他不想讓你們知道這些
94
00:07:45,131 --> 00:07:48,368
是因為不想讓同伴替自己擔心嗎
95
00:07:50,737 --> 00:07:53,106
你們真是一個優秀的團隊啊
96
00:08:13,426 --> 00:08:14,361
我回來了
97
00:08:16,162 --> 00:08:18,298
小徹 怎麼了
98
00:08:20,967 --> 00:08:24,571
沒 沒什麼
99
00:08:30,210 --> 00:08:32,011
小徹 小徹
100
00:08:32,679 --> 00:08:35,315
快來人啊 快點
101
00:09:03,109 --> 00:09:05,245
怎麼了 繼續啊
102
00:09:05,645 --> 00:09:06,413
不用了
103
00:09:09,983 --> 00:09:12,952
在試一次
104
00:09:16,923 --> 00:09:17,791
血氧飽和度？
105
00:09:17,891 --> 00:09:18,491
88
106
00:09:18,591 --> 00:09:19,626
將氧流量提升至10L
107
00:09:19,726 --> 00:09:20,627
伊集院 開通輸液通道
108
00:09:20,693 --> 00:09:21,327
是
109
00:09:21,995 --> 00:09:22,996
急救車推過來了
110
00:09:23,063 --> 00:09:23,797
請給我22個單位
111
00:09:23,897 --> 00:09:24,464
是
112
00:09:24,531 --> 00:09:27,000
準備便攜式超聲機 還有心臟彩超 趕快
113
00:09:28,701 --> 00:09:29,502
小徹
114
00:09:29,636 --> 00:09:30,603
要扎針了哦
115
00:09:33,673 --> 00:09:36,209
創傷後應激障礙
116
00:09:37,343 --> 00:09:39,112
你有什麼頭緒嗎
117
00:09:42,048 --> 00:09:46,052
8年前 我在MSAP受過重傷
118
00:09:47,821 --> 00:09:50,390
在救治踩到地雷的少年的過程中
119
00:09:51,057 --> 00:09:52,992
背部被嚴重燒傷
120
00:09:55,695 --> 00:09:59,132
把那個孩子送到了附近醫院
121
00:09:59,866 --> 00:10:02,769
是外傷性心臟損傷 需要手術
122
00:10:03,903 --> 00:10:05,105
但是...
123
00:10:08,041 --> 00:10:11,111
但是因為我受了傷 沒法做手術
124
00:10:19,953 --> 00:10:22,455
為什麼你不給他做手術
125
00:10:22,522 --> 00:10:25,024
為什麼不救救他
126
00:10:26,392 --> 00:10:29,529
那孩子死在了我眼前
127
00:10:33,867 --> 00:10:35,969
我什麼都做不了
128
00:10:38,204 --> 00:10:39,305
朝田醫生
129
00:10:59,993 --> 00:11:03,663
小徹 朝田醫生來了哦
130
00:11:15,241 --> 00:11:16,543
醫生
131
00:11:22,582 --> 00:11:27,287
朝田...醫生
132
00:12:10,230 --> 00:12:14,334
左心室的擴張再加重 二尖瓣的逆流變得非常嚴重
133
00:12:14,467 --> 00:12:17,737
B型鈉尿肽也超過3000 需要趕緊處理
134
00:12:18,438 --> 00:12:21,040
既不能植入心臟輔助裝置 也無法進行心臟移植
135
00:12:21,140 --> 00:12:22,542
現在只能進行手術
136
00:12:23,042 --> 00:12:23,876
手術？
137
00:12:24,010 --> 00:12:25,979
進行乳頭肌連接術
138
00:12:26,446 --> 00:12:28,381
乳頭肌接連術？
139
00:12:28,514 --> 00:12:32,652
由於左心室的擴張 導致二尖瓣的腱索被牽拉
140
00:12:32,785 --> 00:12:34,220
從而產生逆流
141
00:12:34,320 --> 00:12:35,555
為了阻止這種情況繼續
142
00:12:35,688 --> 00:12:38,992
將原本分開的乳頭肌用縫合線懸吊收攏
143
00:12:39,092 --> 00:12:41,160
使瓣膜恢復至正常的狀態
144
00:12:41,361 --> 00:12:44,597
但是 心功能如此低下 心臟能承受手術嗎
145
00:12:45,498 --> 00:12:47,100
現在只有這個方法了
146
00:12:47,800 --> 00:12:51,471
總之不阻止瓣膜的逆流的話 小徹會撐不下去的
147
00:12:51,971 --> 00:12:53,406
後天就進行手術
148
00:12:54,173 --> 00:12:56,509
朝田 你的情況如何
149
00:13:02,782 --> 00:13:03,950
我沒問題
150
00:13:07,253 --> 00:13:09,155
無論如何 都要救他
151
00:13:10,757 --> 00:13:12,759
聽說朝田要參加手術
152
00:13:13,693 --> 00:13:14,494
是的
153
00:13:14,694 --> 00:13:17,130
是嗎 太好了
154
00:13:18,264 --> 00:13:21,034
朝田的復活是個好消息呢
155
00:13:23,403 --> 00:13:27,740
請問 那個是怎麼回事
156
00:13:28,141 --> 00:13:29,342
誰知道呢
157
00:13:46,159 --> 00:13:48,294
血管支架2.5的20
158
00:13:48,428 --> 00:13:52,465
醫生 這個血管的直徑是2.5mm嗎
159
00:13:54,734 --> 00:13:56,803
啊 是3.0的
160
00:13:57,003 --> 00:13:57,437
是
161
00:13:57,437 --> 00:13:58,037
是
162
00:13:59,672 --> 00:14:02,542
最近 黑木醫生有點奇怪啊
163
00:14:02,675 --> 00:14:04,277
好像失誤有點多啊
164
00:14:04,410 --> 00:14:06,312
就算是他 也有點工作過度了吧
165
00:14:14,821 --> 00:14:15,722
醫生
166
00:14:16,122 --> 00:14:17,490
怎麼了
167
00:14:22,362 --> 00:14:28,201
那孩子現在被限制了鹽分和水分的攝入
168
00:14:28,334 --> 00:14:31,738
一天只能拿到少量的冰
169
00:14:32,405 --> 00:14:37,310
他為了能趕快把它變成水 在轉動杯子
170
00:14:39,512 --> 00:14:41,581
我實在看不下去了
171
00:15:07,940 --> 00:15:13,513
你要參加手術了嗎 放棄吧
172
00:15:15,848 --> 00:15:22,121
你會背叛信賴你的患者的
173
00:15:30,363 --> 00:15:32,298
你在說誰呢
174
00:15:36,569 --> 00:15:38,171
我和你可不一樣
175
00:15:54,754 --> 00:15:57,123
好好回憶最初受傷的情況
176
00:15:57,690 --> 00:16:00,493
再一次想像同樣的狀況 然後克服它
177
00:18:10,623 --> 00:18:12,024
把大家都叫過來
178
00:18:20,366 --> 00:18:21,233
怎麼了
179
00:18:21,334 --> 00:18:23,002
是要確認手術中的位置嗎
180
00:18:29,809 --> 00:18:30,843
明天的手術
181
00:18:34,614 --> 00:18:36,482
我沒法主刀
182
00:18:51,964 --> 00:18:54,066
創傷後應激障礙
183
00:18:58,070 --> 00:19:01,107
知道了 我來主刀
184
00:19:02,274 --> 00:19:05,745
改成伊集院做第一助手 朝田做第二助手
185
00:19:08,447 --> 00:19:10,082
给大家添麻烦了 抱歉
186
00:19:10,583 --> 00:19:11,550
朝田
187
00:19:12,818 --> 00:19:14,887
我們是一個團隊
188
00:19:16,689 --> 00:19:18,991
明天我們要齊心協力讓手術成功
189
00:19:25,698 --> 00:19:28,034
要告訴小徹嗎
190
00:19:28,167 --> 00:19:29,635
絕對不要說
191
00:19:32,838 --> 00:19:35,141
那孩子支撐到今天的原因
192
00:19:35,241 --> 00:19:36,709
就是因為你是主刀醫生
193
00:19:37,576 --> 00:19:41,380
知道真相之後 那孩子就會失去動力了
194
00:19:43,716 --> 00:19:45,151
是啊
195
00:20:09,241 --> 00:20:10,910
朝田醫生
196
00:20:17,616 --> 00:20:22,254
真是很難受呢
197
00:20:29,128 --> 00:20:40,906
因為躺著太難受 所以只能坐著睡覺
198
00:20:44,343 --> 00:20:49,115
竟然會變成這樣呢
199
00:20:54,453 --> 00:20:58,958
不過 終於...
200
00:21:03,562 --> 00:21:04,363
小徹
201
00:21:04,530 --> 00:21:14,006
終於 朝田醫生的手術...
202
00:21:17,276 --> 00:21:25,551
終於 等到了
203
00:21:31,257 --> 00:21:32,858
我會加油的
204
00:21:35,060 --> 00:21:43,469
我明天會努力和病魔鬥爭的
205
00:21:50,843 --> 00:21:51,410
小徹
206
00:21:51,710 --> 00:22:02,054
對了 終於把這個完成了
207
00:22:04,590 --> 00:22:21,373
接下去只要做手術就行了 醫生
208
00:22:24,710 --> 00:22:32,218
拜託您了 朝田...醫生
209
00:22:57,977 --> 00:23:05,451
我一定 一定會讓手術成功
210
00:23:08,354 --> 00:23:09,588
嗯
211
00:23:11,690 --> 00:23:17,162
所以 一起努力吧
212
00:23:22,601 --> 00:23:23,435
好
213
00:23:47,726 --> 00:23:49,662
已經15年了呢
214
00:24:05,210 --> 00:24:06,211
你這是什麼意思
215
00:24:06,345 --> 00:24:08,681
涼子那時是你的未婚妻
216
00:24:09,248 --> 00:24:14,186
也是我第一次獨自負責的病人
217
00:24:18,057 --> 00:24:24,930
也許是某種因果吧 我女兒的墓就在這附近
218
00:24:25,664 --> 00:24:26,498
你女兒？
219
00:24:26,799 --> 00:24:27,599
是啊
220
00:24:28,534 --> 00:24:31,170
是你從醫院辭職那年出生的孩子
221
00:24:31,737 --> 00:24:35,507
患了急性心肌炎 兩年前去世了
222
00:24:39,311 --> 00:24:43,916
如今的我的目標 只是儘可能多地拯救
223
00:24:44,083 --> 00:24:45,317
我女兒那樣的孩子
224
00:24:47,786 --> 00:24:53,125
為此我今後會拼盡一生去戰鬥
225
00:24:57,863 --> 00:25:00,766
失去了摯愛之人的並非只有你一個
226
00:25:03,635 --> 00:25:09,641
但是我並沒有因此活在過去
227
00:25:11,377 --> 00:25:14,279
為了去世的女兒 我也要活在當下
228
00:25:17,282 --> 00:25:20,586
而不是像你那樣被過去束縛
229
00:26:21,213 --> 00:26:23,348
加油 小徹
230
00:26:23,482 --> 00:26:24,183
嗯
231
00:26:25,517 --> 00:26:27,753
請您在這裡等候
232
00:26:29,154 --> 00:26:32,991
小徹 加油哦 一定沒問題的
233
00:26:48,407 --> 00:26:49,541
朝田醫生
234
00:26:50,175 --> 00:26:55,147
您曾因背上的燙傷而沒能救活病人
235
00:26:55,647 --> 00:26:57,950
我明白這件事讓您很痛苦
236
00:26:58,584 --> 00:27:05,457
但是那時您是孤軍奮戰 而現在不同了
237
00:27:06,992 --> 00:27:09,962
現在有加藤醫生在
238
00:27:11,430 --> 00:27:15,334
還有荒瀨醫生 響 籐吉醫生
239
00:27:17,469 --> 00:27:21,273
我們大家都在您的身邊
240
00:27:23,609 --> 00:27:27,012
請別忘了這件事
241
00:27:35,921 --> 00:27:40,559
我們的手術一定會超越你的水平
242
00:28:01,513 --> 00:28:22,367
1 2 3 4 5 6 7...
243
00:28:23,135 --> 00:28:24,269
麻醉完成
244
00:28:24,269 --> 00:28:24,436
麻醉完成
245
00:28:28,740 --> 00:28:30,375
由加籐醫生主刀嗎
246
00:28:32,444 --> 00:28:35,714
醫龍隊的力量要開始展現了哦
247
00:29:03,075 --> 00:29:06,912
現在開始進行乳頭肌接連手術
248
00:29:07,012 --> 00:29:07,679
手術刀
249
00:29:08,113 --> 00:29:09,314
鑷子 方紗
250
00:29:14,686 --> 00:29:15,420
電刀
251
00:29:30,302 --> 00:29:31,470
開啟體外循環
252
00:29:31,803 --> 00:29:32,904
主動脈鉗
253
00:29:35,274 --> 00:29:37,809
阻斷主動脈 開始灌注停博液
254
00:29:37,876 --> 00:29:39,811
是 停搏液灌注開始了
255
00:29:49,321 --> 00:29:53,625
患者左心功能低下 將阻斷時間縮至最小
256
00:29:53,725 --> 00:29:54,593
明白了
257
00:29:55,294 --> 00:29:57,562
伊集院 手術視野的展開就交給你了
258
00:29:58,797 --> 00:29:59,698
手術刀
259
00:30:00,532 --> 00:30:01,333
心房鉤
260
00:30:01,566 --> 00:30:02,467
吸引器
261
00:30:37,402 --> 00:30:37,703
繼續
262
00:30:37,769 --> 00:30:38,403
是
263
00:30:38,970 --> 00:30:40,038
蚊式血管鉗
264
00:31:15,073 --> 00:31:16,475
帶補片的CV-2線
265
00:31:20,245 --> 00:31:21,246
蚊式血管鉗
266
00:31:24,616 --> 00:31:25,984
消除酸中毒
267
00:31:26,051 --> 00:31:26,952
是
268
00:31:28,587 --> 00:31:28,987
繼續
269
00:31:29,054 --> 00:31:29,688
是
270
00:31:33,125 --> 00:31:34,393
進行瓣膜逆流試驗
271
00:31:40,298 --> 00:31:41,733
逆流停止了
272
00:31:42,701 --> 00:31:45,937
閉合左心房 4-0縫合線
273
00:31:46,138 --> 00:31:48,907
進行得很順利 不愧是加藤醫生
274
00:31:52,811 --> 00:31:54,513
開放主動脈
275
00:31:54,813 --> 00:31:56,281
開啟輔助循環
276
00:32:10,295 --> 00:32:12,464
真的做到了呢 不愧是加藤醫生
277
00:32:18,737 --> 00:32:21,106
實習生 時鐘到5的時候開始注入腎上腺素
278
00:32:21,873 --> 00:32:22,908
關閉體外循環
279
00:32:24,309 --> 00:32:26,044
拔除下腔靜脈插管
280
00:32:31,950 --> 00:32:32,584
回收血液
281
00:32:32,684 --> 00:32:33,819
開始打點滴
282
00:32:33,919 --> 00:32:34,853
把替換的點滴拿過來
283
00:32:34,986 --> 00:32:35,520
是
284
00:32:37,622 --> 00:32:38,790
啊 對不起
285
00:32:44,896 --> 00:32:48,867
情況很好 未見出血點 關閉新包膜
286
00:32:49,000 --> 00:32:49,935
4-0縫合線
287
00:32:54,573 --> 00:32:55,540
怎麼回事
288
00:32:56,374 --> 00:32:57,742
血壓低下
289
00:32:57,943 --> 00:32:59,778
是因為阻止了二尖瓣逆流
290
00:32:59,911 --> 00:33:01,246
所以增加了左心室的负荷吗
291
00:33:01,313 --> 00:33:02,781
但是為了防止這種情況 注入了腎上腺素
292
00:33:02,881 --> 00:33:03,782
應該沒問題的
293
00:33:07,886 --> 00:33:10,121
腎上腺素的接管脫落了
294
00:33:11,423 --> 00:33:12,657
真該死
295
00:33:12,958 --> 00:33:15,093
左心室功能在急速下降
296
00:33:15,193 --> 00:33:17,395
再次啟動體外循環
297
00:33:17,529 --> 00:33:20,398
不行 重組織器需要10分鐘
298
00:33:20,465 --> 00:33:20,999
那怎麼行
299
00:33:21,099 --> 00:33:22,033
別說了 立刻重組
300
00:33:22,100 --> 00:33:22,667
是
301
00:33:22,801 --> 00:33:23,969
拿一個單位的腎上腺素來
302
00:33:24,102 --> 00:33:24,803
是
303
00:33:25,136 --> 00:33:27,272
檢測不到血壓 心臟驟停了
304
00:33:27,873 --> 00:33:29,241
沒時間了
305
00:33:33,612 --> 00:33:35,247
我來進行心臟按摩
306
00:33:35,347 --> 00:33:39,017
加藤 伊集院 你們進行血管插管
307
00:33:42,120 --> 00:33:44,055
明白了 3-0縫合線
308
00:33:44,122 --> 00:33:45,123
止血帶
309
00:33:47,759 --> 00:33:52,230
就算再開啟體外循環 接下來也毫無辦法
310
00:34:11,850 --> 00:34:15,754
朝田 我們是一個團隊
311
00:34:16,021 --> 00:34:19,623
我們大家都在您的身邊
312
00:34:34,072 --> 00:34:34,839
開啟體外循環
313
00:34:34,940 --> 00:34:35,473
是
314
00:34:40,812 --> 00:34:42,147
情況如何
315
00:34:57,195 --> 00:35:00,031
心臟的博動很差 看來受了不少創傷
316
00:35:00,131 --> 00:35:01,766
加藤醫生 怎麼辦
317
00:35:03,635 --> 00:35:07,672
只能就這樣等待心臟機能的恢復了
318
00:35:09,040 --> 00:35:12,410
除此之外別無他法了
319
00:35:24,889 --> 00:35:30,528
我會努力的 用自己的雙腳站起來
320
00:35:30,729 --> 00:35:32,430
一定會戰勝病魔給你看
321
00:35:32,964 --> 00:35:36,468
接下去只要做手術就行了
322
00:35:37,702 --> 00:35:42,941
拜託您了 朝田...醫生
323
00:36:01,326 --> 00:36:02,260
顫動...
324
00:36:02,661 --> 00:36:03,862
停止了
325
00:36:09,934 --> 00:36:11,736
直接手術刀切開左心室
326
00:36:11,936 --> 00:36:14,673
通過重疊手術 來進行左心室成形術
327
00:36:14,773 --> 00:36:15,640
重疊手術？
328
00:36:15,740 --> 00:36:18,743
在這個狀態下切開左心室 風險太大了
329
00:36:18,877 --> 00:36:19,711
你在想什麼
330
00:36:19,811 --> 00:36:20,845
就算繼續這樣等待
331
00:36:20,912 --> 00:36:22,814
也無法保證左心室功能真的會恢復
332
00:36:23,114 --> 00:36:24,549
只能做眼前能做到的事
333
00:36:24,683 --> 00:36:25,250
但是...
334
00:36:25,316 --> 00:36:28,620
既使現在對心臟動刀 心功能也不會恢復
335
00:36:29,187 --> 00:36:30,855
不可能的
336
00:36:32,957 --> 00:36:39,731
我跟這孩子保證了 一定會讓手術成功
337
00:36:47,672 --> 00:36:53,278
我們的團隊能做到的
338
00:36:54,946 --> 00:36:56,414
真的能做到嗎
339
00:36:57,682 --> 00:36:59,517
你以為你在和誰說話
340
00:37:02,887 --> 00:37:07,926
我可是 朝田龍太郎
341
00:37:14,933 --> 00:37:15,800
明白了
342
00:37:23,274 --> 00:37:23,775
組織剪
343
00:37:28,546 --> 00:37:29,380
主動脈鉗
344
00:37:33,618 --> 00:37:35,720
進行輔助循環 注入停搏液
345
00:37:37,889 --> 00:37:40,091
現在開始以最快速度進行
346
00:37:40,792 --> 00:37:42,961
要趕在一個循環內把手術給做好
347
00:37:43,061 --> 00:37:43,695
是
348
00:37:44,062 --> 00:37:45,897
3-0縫合線 趕快
349
00:37:46,397 --> 00:37:49,467
實習生 別發呆 準備下一袋輸液
350
00:37:49,601 --> 00:37:50,502
是
351
00:37:50,969 --> 00:37:52,103
跟上我的速度
352
00:37:55,273 --> 00:37:56,174
朝田
353
00:38:10,789 --> 00:38:12,390
這也太快了吧
354
00:38:28,173 --> 00:38:29,641
左心室缝合完成
355
00:38:36,781 --> 00:38:37,949
開放主動脈
356
00:38:38,049 --> 00:38:39,350
開啟輔助循環
357
00:38:53,631 --> 00:38:54,833
成功了
358
00:39:01,706 --> 00:39:04,776
重疊手術 完成
359
00:39:22,227 --> 00:39:25,964
太好了 成功了
360
00:39:44,082 --> 00:39:50,255
小徹 小徹 太好了
361
00:39:50,922 --> 00:39:54,692
謝謝 太感謝你們了
362
00:39:55,393 --> 00:39:58,329
聽說真鍋徹的手術成功了
363
00:39:59,130 --> 00:40:00,698
是嗎
364
00:40:02,267 --> 00:40:03,501
你看看
365
00:40:06,771 --> 00:40:07,939
幹細胞的數量在增加
366
00:40:08,072 --> 00:40:08,673
是啊
367
00:40:09,073 --> 00:40:12,143
為了培養而給予了血清的細胞都死掉了
368
00:40:12,243 --> 00:40:16,915
反而是至於無血清環境中的幹細胞增加了
369
00:40:17,849 --> 00:40:22,487
它們也是靠著自己的力量增長了呢
370
00:40:37,201 --> 00:40:40,638
朝田醫生
371
00:40:50,848 --> 00:40:51,849
謝謝您
372
00:40:57,555 --> 00:40:58,923
你不用謝我
373
00:41:05,630 --> 00:41:13,838
我倒要謝你 謝謝你那麼努力
374
00:41:36,461 --> 00:41:37,295
這樣啊
375
00:41:37,395 --> 00:41:40,064
還要過幾個月才能應用於臨床吧
376
00:41:41,232 --> 00:41:43,868
不過這無疑已經是一大進步了
377
00:41:44,769 --> 00:41:47,338
如果能將此植入小徹的心肌
378
00:41:48,373 --> 00:41:50,975
總有一天一定可以實現根治
379
00:41:51,743 --> 00:41:52,944
是啊
380
00:41:53,945 --> 00:41:56,214
接下去就交給我吧
381
00:41:56,614 --> 00:41:58,182
就算現在無法移植
382
00:42:00,818 --> 00:42:06,324
我也一定會以我的治療方式治好他
383
00:42:12,563 --> 00:42:14,832
你不去雙葉中央醫院了嗎
384
00:42:17,068 --> 00:42:18,636
不是已經沒必要去了嗎
385
00:42:20,471 --> 00:42:23,875
黑木好像去了那裡的心臟內科
386
00:42:25,510 --> 00:42:27,045
那個醫院沒有介入治療科
387
00:42:30,281 --> 00:42:35,253
我為了聽介入治療的講座 去了雙葉中央醫院
388
00:42:35,820 --> 00:42:38,423
在那裡的腦神經外科看到了朝田
389
00:42:38,523 --> 00:42:39,824
那他為什麼去那裡
390
00:42:53,271 --> 00:42:55,940
你们介入科的病人减少了呢
391
00:42:55,940 --> 00:42:56,240
你們介入科的病人減少了呢
392
00:42:57,975 --> 00:43:00,144
看診次數應該還能增加吧
393
00:43:00,278 --> 00:43:01,179
是的
394
00:43:01,612 --> 00:43:04,615
朝田回歸了 外科有了活力
395
00:43:05,683 --> 00:43:07,051
拜託你了
396
00:43:11,856 --> 00:43:13,624
院長 院長
397
00:43:38,683 --> 00:43:40,751
我回來了
26042
