ChicagoMed《芝加哥急救》第九季第五集完整中英文对照剧本.docx

班和我正在办离婚BenandIaregettingadivorce.我真的只是想接受现实Ireallyjustwannamoveon.我会更频繁地出现在急症室llbearoundthe,E.D,"moreoften.要是我能帮上忙IfIcaneverhelpout.你今天还要飞吗？Areyouflyinganymoretoday?不用了，我刚下班No,shiftjustended.七号♥治疗室Treatmentseven.欢迎加入我们，庄臣医生Welcometotheteam,DoctorJohnson.爸爸有点不对劲Something'swrongwithDad.忘东忘西He,sforgettingthings.情况越来越糟It'sgettingworse.他不知道自己在哪Hedoesn,tknowwhereheis.可恶Damn.你已经在两家医院失败了You'vealreadyflamedoutattwohospitals你现在正努力在第三家医院搞砸andyou,redoingthebesttoflameoutatathird.所以说我没有被开除罗？So,mnotfired.医学伦理学课程Medicalethicscourse.如果我是你，我就会抄笔记IfIwereyou,dtakenotes.哇Wow.收到这个你有什么感觉？Howdoesthatmakeyoufeel?我不确定mnotsure.事情就是这样吧Itiswhatitis.早安，彼得Morning,Peter.早安，玛姬Morning,Maggie.亚曼医生DoctorAhmad.我们医院有公♥证♥人吗？Dowehaveanotaryinhouse?我需要签一些文件1havesomepaperstosign.有，爰德华Yeah.Edward.要下班的时候我会请他下去ll,uh,sendhimdownattheendoftheday.你需要帮忙吗？Youneedsomehelp?对，你是医生吗？Yes,areyouadoctor?我是，怎么了？Iam.Whathappened?我不知道Idon'tknow.我以前从没见过这个人veneverseenthismanbefore.他走过好几条街，一直说“帮帮贝蒂”Hewaswanderingacoupleblocksfromhere,keptsaying"HelpBetty.他摸起来好冰"He'sreallycold.好，先让他进来吧Okay,let,sgethiminside.贝蒂Betty.索伦森医生DoctorSorenson.不，我我是里普利医生Uh,no,m.mDoctorRipley.南茜，他体温过低Nancy,he'shypothermic.我需要毯子和温点滴Ineedblanketsandwarm',I.V."bags.马上来Onit.你去五号♥治疗室You'regoingtofive.好Okay.帮帮贝蒂HelpBetty.贝蒂？Betty?嘿，丹尼尔Hey,Daniel.早安Morning.早安Goodmorning.你上次见到伯特是什么时候？Uh,whenwasthelasttimeyousawBert?好一段时间了Notforawhile.这样说让我想起来我几周前有打电♥话♥给他Imean,cometothinkofit.Ididcallhimacoupleweeksago.他当时在赶时间.Andhewasinahurry.说他会再回电给我saidhe'dcallmeback.我现在才想起来，他根本没回拨Andmnowrealizing,heneverdid.好，那你有注意到他哪里不对劲吗？他的记忆力？Yeah,andisthatsomethingyou'venoticed?Hismemory?还好耶Notreally.我想任何人都会发生这种事吧Imean,thatcouldhappentoanyofus.毕竟我就常常这样Imean,Idothatstuffallthetime.怎么了？你担心他吗？Why?Areyouworriedabouthim?我不知道，但是塔拉很担心，他之前来过医院Idon'tknowbutTarais,andhewashere.他照顾以赛亚的时候跌倒了hefellwhenhewaswatchingIsaiah.他跌倒了？Hefell?对，伤势不严重，但他的膝盖扭伤了Yeah,nothingserious,buthedidtwisthisknee.只是他有点迷糊，我本来不担心，但是伯特Hejustseemedalittleconfused,andIwouldn'tbeconcerned,butBert.的确有认知障碍症的家族史doeshaveafamilyhistoryofdementia.我们也许该帮他检查一下Weshouldprobablyhavehimcheckedout.要伯特去看医生比登天还难TogetBerttoseeadoctorforanythingisanordeal.你很清楚Youknowthat.是啊，还用说吗？Right,tellmeaboutit.但是他今天因为膝盖的问题回来问诊But,he,scomingheretodayforafollow-uponhisknee好，那何不就让我顺势而为Oh,wellwhydon'tIjust,youknow,自然地经过？spontaneouslystopby?跟他闲聊一下Havealittlechat.那就太好了Thatwouldbegreat.谢谢你Thankyou.你好，亚力士Hi,Alex,-你好-我是亚曼医生-Hi.-mDoctorAhmad.我是艾蜜莉，这是我先生马克Emily,myhusbandMark.你好Hey.我看到你的心率很快SoIseethatyourheartrateisfast.我没感觉Idon'tfeelit.但是他的手表显示140Buthiswatchsaysit'satone-forty.大概没什么，但我们还是带他来医院It'sprobablynothing,butthat'swhywebroughthimin.好哦，你的手表没说谎Well,yourwatchisn,tlying.是140One-forty.你其他的生命体征都正常Therestofyourvitalsaregood.你有什么烦心事吗？Isthereanythingbotheringyou?不，我很好No.Ifeelfine.通常他食量大如牛Normallyhe"eatslikeahorse."但最近这几天他几乎没什么吃.butthelastcoupleofdays,he'shardlyhadanything.我只是不饿Justwasn'thungry.肺部听诊很正常1.ungssoundgood.淋巴结没有肿大1.ymphnodesaren'tswollen.压了会痛吗？Anytenderness?不会Uh-uh.这里呢？Howabouthere?这里会Yeah.有一点痛1.ittlebit.什么意思？Whatdoesthatmean?我不太确定mnotsure.但是我想安排电脑断层扫描检查一下Butdliketoordera"C.T."tofindout.哦，好Oh,okay.我们先去安排，我尽快回来We'llputtheorderin,I'llbebacktocheckonyousoon.-谢谢-别客气-Thankyou.-Yeah.谢谢Thankyou.罗兰？1.oren?玛姬，这位是凯特琳尼利，28岁，败血性休克Maggie,KaitlinNeeley,twenty-eight,septicshock.有白血球增多症和低血压1.eukocytosisandhypotensive.血压收缩压80,舒张压43,体温华氏103.5度"B.P."eightyoverforty-three,tempone-oh-three-point-five.她怀孕，15周时破水，小于可存活周数Shewaspregnant,waterbrokeatfifteenweeks,pre-viability.那是两周前的事Thatwastwoweeksago.已经没有了It'snotthere.已经没有了It,snotthere.不要说出来Don'tsayit.-不-亲爱的，一切都没事的-No,no!-Honey,everything'sokay.我们在医院，他们会照顾你We'reatthehospitalthey'regoingtotakecareofyou.听着，他们开车过来，但是她很不舒服，他们不得不停车1.ook,theyweredrivinghere,butshegotsosick,theyhadtopullover.乡村诊所没有能耐Ruralclinicdidn'thavethecapabilities处理她的问题，所以他们打给我tocareforhersotheycalledme.了解Okay.我可以帮忙吗？CanIhelp?不，可惜这是妇产科的病例，汉娜No,unfortunatelythisis"0.B."Hannah!怎么了？Yeah.凯特琳尼利，妊娠15周破水KaitlinNeeley.Fifteenweekswaterbroke.白血球计数偏高Whitebloodcountishigh.这位是她先生，艾力Thisisherhusband,Eric.好的，玛姬，再打一条点滴Allright,Maggie,startasecond,1.V."没问题，医生Yougotit,Doc.-他们有进行扩张清除术吗？-没有-Didtheyperforma"DandE?"-No.医生说他们得等她自己排出残留物Thedoctorsaidtheyhadtowaitforhertopasstheremainsonherown.好，全套血液检查，综合代谢检查、乳酸、血液培养Okay,"C.B.C.',C.M,P.",lactate,bloodcultures.哦，亲爱的Oh,honey!Honey!我需要马上帮你太太注射抗生素Ineedtostartyourwifeonantibioticsimmediately.你知道她有没有过敏史吗？Doyouknowifshe'sallergictoany?她没有Sheisn't.好，三种都上，氨莘西林、克林霉素、庆大霉素Okay,tripleupAmpicillin,Clindamycin,Gentamicin.收到Copythat你太太的状况很严重，但是我们会好好照料她的Yourwifeisverysick,butwe'regonnatakegoodcareofher.她怀着胎儿残留物两周了She'sbeencarryingfetalremainsfortwoweeks.天啊Oh,mygod.但是她不能进行扩张清除术吗？Andshecouldn'tgeta"DandE?"不行，她的医生不愿意No.Herdoctorwouldn'tdoit.为什么？Why?病人还好吗？How'sourpatient?好多了Better.体温上升到95度了Temp'scomeuptoninety-five.认知功能呢？How'shiscognition?先生？Sir?可以告诉我们你的名字吗？Canyoutellusyourname?土坐口不Jimmy.你有伤到自己吗？撞到头之类的？Um,didyouhurtyourself?Maybehityourhead?没有No.是贝蒂Betty.谁是贝蒂？WhoisBetty?我妹妹Mysister.没有身份证No"I.D.".但是他口袋里有一张便利贴buthehadthisPost-itinhispocket.有一个电♥话♥号♥码It,satelephonenumber.贝蒂怎么了？她在哪里？WhathappenedtoBetty?Whereisshe?家里Home.她生病了Shegotsick.去找索伦森医生GetDoctorSorenson.那是她的医生吗？还是你的医生？Is.isthatherdoctor?Yourdoctor?索伦森医生DoctorSorenson.他在这间医院工作吗？Doesheworkatthishospital?对Yes.这里Here.好，知道了Okay.Okay.去看看能不能找到这位索伦森医生Seeifyoucanfindthis,uh,DoctorSorenson.然后试着打这支号♥码看看Andtrythatnumber.好Yeah.我们会好好照顾你，吉米，好吗？We'regonnatakegoodcareofyou,Jimmy,okay?哦，感谢你Oh,thankyou.查理斯医生DoctorCharles,我有一位高龄病人，严重体温过低vegotanelderlypatient,um,severelyhypothermic.没有明显外伤，但是他讲话颠三倒四Novisibleinjuries,um,buthe'sprettyoutofit.没有身份证，只有一串电♥话♥号♥码No"I.D."otherthanaphonenumber.我猜他可能有认知障碍症，也许是在护养院游荡跑出来的mthinkinghe'sgotdementia,maybewanderedawayfromacarefacility.嗯Uh.你愿意给我一点意见吗？Youwanttogivemeyourtake?好哦Sure.他名叫吉米Hisname'sJimmy.给我他的病历，等我几分钟Shootmehischart,givemeacoupleofminutes.没问题Yeah.你好，亚力士Hi,Alex.科士打先生、太太MisterandMissesFoster.这位是马素医生，是我们的外科医生ThisisDoctorMarcel,he'soneofoursurgeons.我请他来会诊veaskedhimtoconsult.外科医生？为什么？Surgeon?Why?影像检查显示亚力士的，电脑断层扫描无法肯定Well,radiologysaidthatAlex's"C.T."wasequivocal,意思是无定论meaningitwasinconclusive.但是的确显示可能有阑尾炎Butwhatitdidshowisapossibleappendicitis.根据我的经验Andfrommyexperience,以及亚力士心率上升和丧失食欲andwith.withAlex,selevatedheartrateandlossofappetite,我认为这大概就是病因Ibelievethatisindeedthecase.所以我希望可以手术So,dliketooperate.等等，所以你不确定是不是阑尾炎？Wait.So,you.you,renotsureit'sappendicitis?不确定No.为什么我必须手术？WhydoIhavetohaveanoperation?因为如果是阑尾炎的话，等你的阑尾爆开Becauseifitisappendicitis,andyourappendixbursts,就会有腹部感染的风险thatwouldputyouatriskofaninfectioninthebelly那可能会致命andthatcouldbelife-threatening.哦Oh.但是我们可以避免Butwecanavoidthat透过微创的腹腔镜手术withaminimallyinvasive,laparoscopicsurgery透过摄影机，从几个小切口进入donewithacamerathroughseveralsmallincisions.我们称之为“药水胶布手术”Now,whatWecalla"Band-Aidsurgery."马素医生说得没错IagreewithDoctorMarcel.腹腔镜阑尾切除术是最恰当的做法Alaparoscopicappendectomyisthebestcourseofaction.很有可能半小时内就完成了Mostlikelyhe,dbedoneinhalfanhour.妈、爸，你们觉得呢？Mom?Dad?了解了Yeah.好吧Okay.好吧Okay.好的Allright,111射谢Thankyou.晚点见llseeyouafter.好的-谢谢-Allright.-Thankyou.111射谢Thankyou.你还好吗？Youokay?很好会没事的It'llbe.it,llbefine.好哦Uh-huh.她有好转吗？Isshedoinganybetter?没什么起色Aboutthesame.跟你说，我今天不用再飞了Youknow,Idon'thaveanymoreflightstoday.所以如果你不介意的话，我想待在这里SoIthinkI'llstickaroundifyoudon'tmind.嗯Hm.也许我可以给艾力一些精神支持MaybeIcangiveEricsomemoralsupport.好主意That'sagoodidea.你会动手术吗？Areyougonnadothatoperation?我建议我们试着引产，不要做扩张清除术Irecommendwetrytoinduceinsteadofa"D"and"E'她有败血症的话，手术的风险会高很多Surgerycanbemuchriskierifshe,sseptic.跟我说说怎公回事Tellmewhathappened.凯特琳破水了Kaitlin1Swaterbroke.大家都说15周的胎儿活不了Everybodysaidthefetuscouldn'tsurviveatfifteenweeks,不过它还是活体butitwasstillaliveso,医生很怕做扩张清除术doctorswereafraidtodothe"D"and"E."她不想被逮捕Shedidn'twanttogetarrested.在我们生活的地方，这有可能发生Wherewelive,thatcouldhappen.所以他们就叫我们回家Theysentushome.凯特琳的状况越来越糟KaitIingotsickerandsicker.我一直打电♥话♥AndIkeptcalling他们一直跟我说，那不是危及生命的紧急问题andtheykepttellingmeitwasn'talife-threateningemergency.最后我放弃了，开车来这里Finally,Ijustgaveupandstarteddrivinghere.凯特琳是芝加哥人Kaitlin,sfromChicago,我们结婚时，我们搬到，我长大的家族农场whenwegotmarried,wemovedtomyfamily'sfarmwhereIgrewup.凯特琳终于怀孕时我们很兴奋WeweresoexcitedwhenKaitlinfinallygotpregnant.她很担心她无法再怀孕She'sbeensoworriedshe,snotgonnabeabletoagain.艾力，我会全力以赴，但是我无法保证结果Eric,mgonnadothebestthatIcan,butIdon'tknow.我不确定办不办得到1don'tknow.好，缝线看起来很好，没有出血Okay,staplelinelooksgood,nobleeding.慢慢来，轻一点Niceandeasy.阑尾在取物袋里了Appendixisinthebag.轻轻转动取物袋，然后往上拉出来Gentlywigglethebagcircularlyandthenpullitupandout.等等Holdon.这感觉不太对Thisfeelsunusual.马上送去进行立即冰冻切片，麻烦了GoaheadandsendthatforaSTATfrozensection,please.肯定有一些认知障碍Definitelysomecognitiveimpairment.不过我不太确定原因Thoughmnotquitesurewhy.毒物检验结果是阴性，没有头部创伤的迹象Toxscreen,snegative,nosignofheadtrauma.像小孩一样的情感表现Thechildlikeaffec不是阿兹海默病，或血管性认知障碍症常见的表现it'snotwhatyounormallyseewithAlzheimer'sorvasculardementia.但还是不能排除可能性,Butyoucan'truleitout.我想也许是某种智能缺陷mthinkingsomekindofintellectualdeficit.所以我想我们应该，安排头部电脑断层扫描So,mthinkingweshouldgetahead"C.T."当然Definitely.我们对他没有更多资讯了吗？Wehavenomoreinformationontheguy?你联络芝加哥警署了吗？Youreachoutto,C.P.D."?有，但没有失踪人口符合他的描述Yeah.There'renomissingpersonsmatchinghisdescription.也没有人来找他Andnoone'scomelookingforhim.他一直提到他妹妹贝蒂，对吗？KeepsontalkingabouthissisterBetty,right?说他非常担心她How,he,sveryconcernedabouther.她生病了，她需要我们的帮忙She'ssick,sheneedsourhelp.对，但有监于他的心智状态，你觉得真的有这号♥人物吗？Yeah,butgivenhismentalstate,isthatevenarealperson?我是想，也许是他小时候认识的人Youknow,maybeit'ssomeonefromhischildhood或是他在电视上看到的剧集orashowhesawon,T.V,"是啊Yeah.我又拨了一次他身上那支电♥话♥号♥码，还是无人接听Itriedthenumberhehadagain,stillnoanswer.我又留了一条信息Ileftanothermessage.好Okay.先假设那真的是贝蒂的电♥话♥,好吗？1.et'ssaythatisactuallyBetty'snumber,right?也许她没有接听是因为她没办法Maybeshe,snotansweringbecauseshecan't.因为她事实上丧失行为能力Becausesheisinfact,incapacitated.不然我们请芝加哥警署做个反查？Howaboutweask"C.P.D."torunareversetrace?那样的话至少我们可以找到住址Thatwayatleastwe'llgetanaddress.好Okay.艾卓亚医生，有病人送达DoctorArcher,incoming.麻烦你去四号&hearts沧U伤室You'regoingtotraumafour.迪文亚当斯，28岁，呼吸短促，发汗DamonAdams,twenty-eight,shortnessofbreath,diaphoretic.收缩压130,舒张压90,心率125"B.P."one-thirtyoverninety,heartrateone-twenty-five.氧饱和度89Satseighty-nine.我需要帮忙Needhelp过去那边Rightthere.辛？Sean?他住在我工作的康复中心HelivesattheCenterwhereIwork.是我咨♥询♥辅♥导♥的个案vebeencounselinghim.好，在这里等Allright,waithere.好，听我数Allright,onmycount.各就各位，好了吗？一、二、三Ready,yougood?One,two,three好的，迪文，我是艾卓亚医生，你怎么了？Allright,DamOn,I'mDoctorArcher,what'sgoingon?很不舒服Realsick.是吗？什么时候开始的？Yeah?Whendidthisstart?几天前Coupledaysago.我喘不过气Ican'tcatchmybreath.我们可以帮你，过来这里，帮他坐起来Wecanhelpyou.Comeon,let'sgethimuphere.让他坐起来，给他吸百分之百的氧气1.et'slifthimup,starthimonahundredpercent"O"two.立即照前后位胸腔X光1,A.P."chestSTAT.我需要全套血液检查、基本代谢指数，和动脉血液气体分♥析♥Ineeda"C.B.C,",B.M.P,"andan"A.B.G."-X光照射远离-X-ray!-Clear!肺水肿Pulmonaryedema.肺部有液体Fluidinthelungs.呼叫心脏科，立即进行超声波检查CallCardiologyforaSTATecho.好，马上去Yeah.Gotit.好的Okay.有比较好吗？Better?我可以告诉辛你的病况吗？IsitokayifIsharesomethingswithSean?好，我等一下就回来Allright,llcheckbacksoon.你朋友的状况很严重So,yourfriend'sinprettybadshape.肺水肿意味着他心衰竭了Pulmonaryedemasuggeststhathe'sinheartfailure.像他那么年轻的人不应该出现这种问题Weshouldn'tbeseeingthatinsomebodysoyoung.天啊Oh,man.你说他住在康复中心Yousaidhe'slivingattherehabcenter.他是成瘾者吗？Isheanaddict?正在戒毒中Recovering.但我很肯定他现在没有毒瘾Butmprettysurehe'sclean.我们聊了很多Wetalkalot他真的很努力要戒毒He'sreallybeenworkingtheprogram.有可能是有东西流入他的心脏lt,spossiblewhatever,sgoingonwithhisheart也许跟点滴输注的药物有关mighthavesomethingtodowith,I.V,"druguse.好，你可以帮助他，对吗？Well,you'llbeabletohelphim,right?我会努力试试看lldowhatIcan,但你得明白，辛，他的情况真的很严重butyouneedtounderstand,Sean,hisconditionisserious.如果有谁可以帮他的话，就是你了，爸Ifanybodycanhelphim,youcan.Dad.我知道你可以的Iknowyoucan.亚力士还好吗？IsAlexallright?他很好Yes.手术非常顺利Hehandledthesurgerylikeachamp.还好你们有带他来医院Andit'sagoodthingyoubroughthimin.他的阑尾真的需要切除Hisappendixreallyneededtocomeout.是啊，病理学报告显示未扩散的阑尾癌Yeah,thepathologyreportshowedacontainedappendicealcancer.癌症？Cancer?癌症？等等，他才15岁Cancer?Wait,wait.He,sonlyfifteen.不用担心Noneedtoworry.肿瘤很小，才一厘米，我们已经全部切除了Itwassmall,justonecentimeter,andwegotitall.幸好他有戴手表Goodthinghewaswearingthatwatch.哇Wow.我们不需要跟肿瘤科医生谈吗？AndWedon'tneedtotalktoanoncologist?你们之后回诊的时候，我们可以再讨论这个Whenyoucomebackforafollow-up,wecantalkaboutthat.但是治疗方式就是切除阑尾，而我们已经切除了Butthetreatmentistoremovetheappendix,andwedidthat.好的Okay.我们什么时候可以看亚力士?WhencanweseeAlex?现在Now.亚曼医生会带你们去恢复室Uh,DoctorAhmadwilltakeyoutorecovery.*t4*A4、白4、白4-谢谢-谢谢-Thankyou.-Thankyou.不客气Yougotit不No,no,no,no.我只是来这里检杳我的膝盖m.mjustheretohavemykneelookedat.伯特，你上次身体♥检♥杳是什么时候？Whenwasthelasttimeyouhadaphysical,Bert?我不知道，我在医院的时候，他们有带我去扫描Idon'tknow.TheydidsomescanswhenIwashere.那不是身体♥检♥查Thatisnotaphysical.你人都在这里了，医生检查很快You'realreadyhere,thedoctor'llmakeitquick.丹尼尔会进来跟你打个招呼Danielwillcomeinandsayhello.这是你欠你孩子和孙子的，你答应会好好注意自己的健康Youoweittoyourchildrenandyourgrandsontolookafteryourhealth.好吧Allright.好啦Allright.谢谢你Thankyou.我看到心包膜积水mseeingpericardialeffusion.代表心脏周围的囊袋有体液堆积Thatmeansthatthere'sabuildingoffluidinthesacaroundtheheart,压♥迫♥心脏，所以心脏无法有效跳动andthatputspressureontheheart,sothatitdoesn'tpumpeffectively.主治医生来看的时候，可以跟我说一声吗？Uh,wouldyoupleaseletmeknowwhentheattending,slookedatthis?没问题Yougotit.好Okay.我不确定到底怎么了，好吗？So,mnotsurewhat,sgoingon,okay?我会先开始让你服用抗生素So,mgonnastartyouonantibiotics以防是细菌感染incaseit,sabacterialinfection.我们可以处理心包膜积水Andwecantreatthepericardialeffusion用类固醇和抗发炎药物withsteroidsandanti-inflammatories.他的氧饱和度是83Hissatsareateighty-three.血压IE在下降Andbloodpressure'sdropping.爸？Dad?好，我想我们需要帮你接上呼吸器，让机器替你呼吸Okay,Ithinkweneedtoputyouonamachinethatbreathesforyou.-好好的-Okay.-Allright为了要这么做，我们需要让你睡着Inordertodothat,weneedtoputyoutosleep.可以吗？Isthatallright?好Allright.呼叫呼吸系统科Callrespiratory.好的，20毫克依托咪酯，100毫克琥珀胆碱Allright,