Chicago Med《芝加哥急救》第八季第十三集完整中英文对照剧本.docx

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1、辛被假释了Seans being paroled.太棒了Thats great.我只希望他能有一次公平的机会I just want him to have a fair shot. 我这次想做对的事，爸爸I want to do it right this time, Dad. 我请到了嘉丽丝宋医生And Ive tasked Dr. Grace Song here 找出提高工作效率的方法with finding ways to make your jobs more efficient. 我们正在决定如何使用这项有自主能力的技术Were deciding how to use tech so

2、 that it*s empowering. 我想知道你能不能培训我使用这套新的电子病历程序I wonder if you might train me on that new EMR program. 我们越不跟彼此说话The longer we dont talk, 我们之间的鸿沟就越大 the bigger the divide between us becomes. 玛姬，你对我说谎Maggie, you lied to me.我不会放弃的Im not gonna give up on us.你好，这是班坎贝尔，请在哗声后留言Hi. Youve reached Ben Campbell

3、. Leave a message after the beep. 嗨Hey.我知道这是我留下的第三条信息了I know this is the third message that Im leaving.我真的很想尊重你要求的个人空间And I really want to respect the space that you ask for, 但如果你能传个短讯给我让我知道你没事but if you can text me and let me know that youre all right, 外面实在是不太安全，还有就这样ifs getting pretty brutal out t

4、here. And. OK.嗯，爰你，再见Uh, love you. Bye. 你受伤了 ？You hurt?但是你2月还在过圣诞节吗？but Christmas in February?我知道我有拖延症I know. Fm a little behind schedule.但我有点心神不宁Ive been a bit preoccupied.你的预产期是什么时候？When is your due date?再七周Not for another seven weeks.我希望他能待得够久I was hoping hed hold off long enough让我丈夫能来得及从奥克兰回来for

5、 my husband to get back from Auckland.你的宫缩可能只是假性宫缩Your contractions could just be Braxton-Hicks.所以没有什么好担心的So theres nothing to worry about.但是我看到你的血压有点高But I see that your blood pressure is slightly elevated.意思是？What does that mean?希望只是对疼痛的反应Hopefully, its just a response to the pain.但也有可能是子痫前症But we

6、 could be looking at preeclampsia.天啊Oh, God.好，继续观察，注意保暖Well, hang tight. Stay warm.在我们下结论之前Before anybody jumps to conclusions,我们先拿检体送检再让妇产科医生过来Im gonna have lab work done and OB weigh in.谢谢Thank you.妮娜西蒙兹的最新扫描Nina Simonds1 latest scans.如你所见，束腰对她的骨盆施加压力As you can see, binders holding pressure on her

7、 pelvis, 但她的左器动脉仍在出血but shes still leaking blood from the left iliac artery.所以她需要手术理想情况下，对-So she needs surgery. -Ideally, yes.但是一旦打开，就会释放压力But the second we open her up, wed release the pressure.她很可能会在手术台上失血过多而亡And shell bleed out and likely die on the table.我们带她去介入性放射科，栓住血管So we take her to IR, em

8、bolize the vessel.好，但即使我们能拴住动脉OK. But even if we can reach the artery.这已经是一个很大的如果了我们下一步不管做什么And thats a big if. The second we do,她都会进入低血压休克shed go into hypotensive shock.所以我们要输血和复苏啊So we give blood and resuscitate.那就要输大量的血Which would require continued use of massive blood products.会耗尽我们的库存Wed gut ou

9、r supply.在暴风雨过去之前，没有人知道Until the storm blows through, theres no telling我们要多久才能补足物资how long itll be until we get re-upped again.那你要不要直接说So how about we cut to the point你打算要怎么做？where youre recommending a course of action?听着，我不想说这么悲观的话，但是Look, I dont want to be a downer here, but.我输入了具有相似创伤特征的患者病例I ran

10、 an algorithmic simulation进行了算式模拟with inputs from patients with a similar trauma profile.妮娜的生存概率只有7%It puts Ninas odds of survival at 7%.那我们要怎么为,?So what are we gonna do?老实说，什么也做不了Honestly, nothing.我的建议是将她转移到重症监护室My recommendation would be to transfer her to ICU尽可能让她舒服一点and make her comfortable.你在开玩

11、笑吧Youre kidding.如果是其他任何日子，我会放手去做If it was any other day, Id say go for it,但我们有义务将血液库存but we have an obligation to prioritize blood products和其他宝贵的资源and other precious resources优先提供给最有生存希望的患者for patients who have the most favorable outcome.不幸的是，那不是她And unfortunately, that*s not her.那孩子在一场车祸中失去了双亲That

12、kid lost both his parents in a car accident.他现在只剩下他阿姨了His aunts all hes got left now.我懂I feel you.但这几件事与临床无关，对吗？But its not clinically relevant, is it?我只是想在我们让他再次成为孤儿之前提醒你一下I just thought you should know before we orphan him again.我要带她去介入性放射科Im taking her to IR.如果你不想帮忙，那也没关系And if you dont want to h

13、elp, thats fine.我会去找别人ril find somebody else.我一直在努力联♥系♥班Ive been trying to reach Ben.今晚是他的保龄球之夜Its his bowling night, and Im worried我担心他被困在暴风雨里that hes out there in the storm.我没想到他回心转意要花这么久I never thought that it would take him this long to come around.我开始觉得永远不可能了Im starting to think t

14、hat its never going to.嗯，你知道大家都说Well, you know what they say.距离创造美感Absence makes the heart grow fonder.再给它一点时间吧Just give it some time.菲历斯，脚趾还好吗？Felix, how are those frostnip toes?来Here.菲历斯？Felix?菲历斯？Felix?菲历斯？Felix?菲历斯？Felix?他被刺伤了Hes been stabbed.撑住，菲历斯Stay with me, Felix.好，我定位了右下象限三个干净的入口点OK, I got

15、 three clean points of entry to the lower right quadrant. 一帮他照腹部超音波我不明白-fm gonna fast him. -I donrt get it.为什么这个人会被移到入口 ？Why was this guy moved to the entryway?他正在治疗冻疮He was being treated for frostbite.是冻伤It was frostnip.我们需要病房♥And we needed the room.到底是怎么回事？What the helFs wrong with this thi

16、ng?-我去看看-不算了-fll take a look. -No, no, no, forget it.无论如何，我们得让他照电脑断层We gotta get him up to CT anyway.把他带到楼上好，我们走吧Lets get him upstairs. -All right, lefs go.动起来谢谢大家Let*s move. Lets move. Thank you.嘿，我听说菲历斯被刺伤了Hey. I heard Felix got stabbed.发生什么事了 ？What happened?芝加哥警署已收到通知但他们的整个部门都被困住了CPDs been notifi

17、ed, but their entire department is underwater. 所以他们至少要过好几个小时才能到达这里So its going to be a few hours before they can even get here.-积-嗯?-Jack. -Yeah?你还在这里做什么？What are you still doing here?我们的手术室2.0更新延迟了We got delayed finishing up the OR 2.0 sensory upgrades, 然后我又无法在暴风雨袭来之前and then I couldnt get the heli

18、copter launched启动直升机before the storm hit.所以我有人告诉我有刺伤事件So I, um. I was told there was a stabbing.但好像满平静的It seems awfully calm.因为我们很努力保持低调Well, we*re trying to keep it quiet.就目前而言，我们遇到了医疗紧急情况As far as anyone is concerned, we had a medical emergency.好，那现在要怎么做？OK. Then what happens now?我们说话的当下我的团队正在调取监视

19、器影像My team is pulling the surveillance footage as we speak.但如果这并非偶发事件But in the event this is an active situation,我觉得我们必须发布银色警报I think we have to call a code silver, 在其他人受伤之前撤离建筑物evacuate the building before anybody else gets hurt.我真的不想要走到那一步Id really prefer not to do that.银色警报会要求我们封锁医院A code silver

20、 would require us to lock down the hospital 并将所有人赶回街头去 and kick all of these people back out onto the streets.那我们该怎么办呢？Then what are we supposed to do?我们可以先悄悄地通知必要的工作人员Well, we can start by quietly notifying essential staff 这个威胁 of the threat.如果每个人都稍微了解现在的状况And if everyone could have just a little s

21、ituational awareness, 我们可以为马森队长和他的团队争取一些时间 wed give Chief Madsen and his team time 翻阅监视器影像，识别疑犯 to review the surveillance footage and ID a suspect.不好说，莎伦我们医院里可能有个疯子到处乱跑I dont know, Sharon. We might have a lunatic loose in our hospital. 我觉得我们应该启动警报I think we should call the code.积，这些人无处可去Jack, these

22、 people dont have anywhere to go.我知道，但我也不会眼睁睁I get it, but Fm not gonna have this whole thing 看着意外发生 blowing up in my face.准备封锁Shut it down.我不会让你把大家赶出去的I am not letting you send people out there. 没得讨论And thats it.嗯，我们还有几辆皮卡Yeah, weve got a couple more pickups, 路上一团乱所以我想大概要一个小时左右?and the roads are a

23、mess, so Id say about an hour or so?她的肝肾功能指数是多少？What are her liver and kidney function numbers? 肌酸酊1,尿蛋白比值为200Creatinine at 1. PC ratio of 200.轻度宫缩，她的血压Mild contractions, and her blood pressures持续高于140/90persistently higher than 140/90.好吧，她很可能是子痫前症OK, she could be preeclamptic,但如果我们要催生的话but were a b

24、it shy of where we*d want真的有点紧绷33周to induce right away. 33 weeks.不可否认，这有点超出我的能力范围但我对所有想法持开放态度Admittedly, Im a little out of my depth, but I am open to ideas.帮她打一针贝他每松来帮助婴儿的肺部成熟Give her a shot of betamethasone to help mature the babys lungs 再帮她注射镁剂以防止癫痫发作and magnesium to prevent seizures如果我们要处理子痫前症in

25、 case we are dealing with preeclampsia.我会尽快赶到PH be there as soon as I can.好，知道了OK. Got it.还有，汉娜，注意安全And, Hannah, be safe out there.我会在需要我之前抵达的Ill be there before you know it.我们拿到了克林特的扫描We got Clints imaging results,的确是眼眶骨折which confirmed an orbital fracture.我在等眼科医生下来做咨♥询♥Im just waitin

26、g until ophtho can get down and do a consult.好，那还有别的吗？OK, yeah. So is there anything else?嗯Yeah. Um.他的检验结果his lab results.嗯All right.嘿，跟我出来Hey, with me now.所以你到底要不要告诉我发生了什么事？So do you mind telling me whats really going on here?什么？我不知道克林特的检验结果-What? I dont know. -Clints lab work.苯♥丙♥胺&h

27、earts;类、苯并类、鸭片类药物Amphetamines, benzos, opioids.我的意思是，那家伙的血里I mean, that guys got an entire pharmacy有整家药局好啦-in his bloodstream. -OK. OK.听着，克林特打电♥话♥叫我接他Look, Clint called me for a ride是因为他又故技重施，遇到了一些麻烦because he relapsed and he got into some trouble.你也吸了吗？ 没有！-Are you using again? -No!不对

28、，告诉我真&hearts湘♥No, tell me the truth.你知道吗？这就是我一开始不打算告诉你You know, this is exactly why I didnt tell you the truth我们为什么来这里的原因about why we were here in the first place.你什么时候才能信任我？When are you ever gonna have some trust in me?当你不再做出错误的决定时就是那个时候When you stop making bad decisions. Thats when.我发誓我没有I

29、swear Im clean.你不信就来验我You dont believe me, give me a drug test.也许我真的会Maybe I will.推进导管Advancing the catheter.我很努力才维持住她的血压Im barely keeping her pressure up.我动作尽可能快了，有点问题Im working as fast as I can. Having some issues. 好吧，给一安甑的钙和碳酸氢盐All right, give an amp of calcium and bicarb.再继续输血And keep going with

30、 the blood products.没有脉搏，心跳停止了Lost pulse. Shes arresting.开始心肺复苏，注射一毫克肾上腺素Starting compressions. Push a milligram of epi.注射Push it.已注射Epis in.脉搏回来了，自主循环再现Pulse is back. I have ROSC.好，我们继续All right. Lets keep going.不行，我想我们到此为止了No. I think were done here.什么？ 我试过了-What? -I tried.骨盆上的束腰挡住了路，血肿太大了The pelv

31、ic binders in the way, and the hematoma is too big.扭曲了解剖结构，线过不去Its distorting the anatomy. I cant pass the wire.如果我们松开束腰呢？ 不行-What if we loosen the binder? -No way.一旦你松开了她就会在手术台上失血过多而亡As soon as you remove the pressure, shell bleed out on the table. 拜托，我们来想想别的办法Well, come on. We have to think of ano

32、ther way.我们尽力了，很遗憾，韦Gave it our best shot. Sorry, Will.保安部仍在调查中Securitys still investigating.与此同时，我们告诉大家In the meantime, were just telling people,要留意任何可疑的迹象you know, just keep an eye out for anything suspicious.哇，刺伤事件，好的Wow, a stabbing. OK, will do.查理斯医生你能确认一下这个剂量吗？Dr. Charles, can you confirm this

33、pharmacy dosage, please?谢谢Thank you.马素医生一嗯？-Dr. Marcel. -Yeah?所以？ 不好-So? -Not good.电脑断层扫描显示刀的一部分折断了A CT scan showed that part of the knife broke off卡在他肝脏中间的某个地方and is lodged somewhere in the middle of his liver.那他需要动手术吗？So hes gonna need surgery?嗯，但他的肝脏有三个部分Yeah, but he has three tracts in the liver

34、.从表面上看，很难知道From the surface, itll be challenging哪一部分里面有刀片to know which one has the retained blade.如果我们盲目开刀那他可能就会失血过多And, well, if we go in blindly, then he could bleed excessively.所以我我想升级到2.0So ImId like to go up to 2.0.我希望增强的成像Im hoping the enhanced imaging能为我们提供动手术will give us the roadmap we need所

35、需的现状扫描to, uh. to make the repair.好的OK.嗯，我会打电♥话♥到楼上让他们知道你正赶过去Um, Ill call upstairs and let them know that youre on your way.一再拿一杯咖啡吧嗯-You get another cup of coffee. -Yeah.肝损伤真的很危险Liver injuries are brutal.可怜的菲历斯Poor Felix.我知道今晚很混乱可是怎么会发生这种事呢？I know it*s chaotic tonight, but how does som

36、ething like this happen?朵莉丝，拜托Doris, please.受伤了？-呃-Injured? -Mm-mm.去那边坐着，休息一下Stay to the right and settle in.很快就会有人拿着毯子过来Someone will swing by with a blanket soon.嘿，目前多少了？-60 了-Hey. Whats our count? -Pushing 60.60?还不到10点60? And its not even 10:00.嘿，我们还要对民众开放多久？Hey. How long are we supposed to keep l

37、etting people in?最糟糕的暴风雨还在前方Well, the worst of the storm is still ahead of us.气象中心预计风速为每小时70英里The weather center is expecting 70-mile-an-hour winds 和至少十英寸厚的冰and at least ten inches of ice.如果我们不开放If we don*t open our doors,大多数人根本活不过这一夜most of these people wont survive the night.我明白，但是听着，不用多久I underst

38、and, but, look, pretty soon大家站的空间也没有了were just gonna be standing room only here.好吧，我们正在为涌入的人群架设行军床Well, were setting up cots and the entryway和净空通道for the overflow.我们的病人呢？What about our patients?医生短缺，目前在场的所有人Im short doctors, and everyone I do have就算一个应付两个，也远远看不到尽头is coming off a double with no end i

39、n sight.嗯，我刚从州长办公室得到消息Well, I just got word from the governors office.国民警卫队已经出动The National Guard will be making runs, 去找出交通受阻的必要医务人员说这种话没帮助This is not helpful.发生什么事？What happened?血压正在下降Pressure is falling.天啊Oh, man.撑住姬蒂Hang with me. Hang with me, Katie.好All right.反射几乎没有Reflexes close to absent.尿量减少

40、Diminished urine output.好，持续补充镁All right. Lets hold the magnesium.输500毫升乳酸林格液Give 500 cc fluid bolus of lactated ringers.再做一次检测，包含镁含量And lets repeat all her labs, including a mag level.收至IJCopy.汉娜到底在哪里？Where the hell is Hannah?状况实在不太好This doesnft look good.不行，我们得把他弄出来No, we gotta get him out of ther

41、e.嗯Yeah.哩-哩 八、八、-Hey. -Hey.你叫什么名字？ .保罗Whats your name? -Paul.保罗，帮我深呼吸Paul, take a few deep breaths for me.好，你还好吗？很痛吗？OK. Are you OK? Are you in pain?不痛不痛？-No. -No?真的吗？你觉得你可以走路吗，保罗？No? Do you think you can walk, Paul?应该可以好-I think so. -OK.很好，因为我们要带你离开这里Good, *cause were gonna get you out of here.抓住一只

42、手臂嗯-Grab an arm. -Yep.我数三，一二三On three. One, two, three.很好Here we go.-我们扶着你了 -抓住你了-We gotcha. -Gotcha.我好晕，我得停一下Im dizzy. I gotta stop for a sec.-好,把他放下来嗯-OK, lets put him down. -Yeah.我记得后座上有一条毯子I think theres a blanket in the back seat.待在他身边，让他侧着Stay with him. Keep him on his side.-注意他的脖子没问题-Watch hi

43、s neck. -Will do.交给我们We gotcha.嘿，保罗？Hey, Paul?嘿Hey.你被打中了吗？Did you get hit?应该没有I donrt think so.好，很好OK, good.撑一下，我马上回来Hang tight for a beat. Ill be right back.我好像中了流弹I think I took some shrapnel.哦，让我看看Oh, let me see.我们必须止血We got to stop the bleeding.我的背心里有止血带I have a tourniquet in my vest.保持血压，注意你的手H

44、old pressure. Watch your hand.应该可以了That should do.我会送你去医院Im gonna get you to the hospital.不行，不可以None in that, youre not.什么？What?你要带她去哪里?Where are you taking her?去重症监护室Up to the ICU.就像你说的戴维斯医生没办法疏通血管Dr. Davis couldnrt access the vessels, just like you said. 我很遗憾，韦Im sorry, Will.妮娜阿姨！Auntie N!哦，小心点，小朋

45、友Oh, easy, buddy.妮娜阿姨？她会好起来吗？Auntie N? Is she gonna get better?我们会尽力Were gonna do everything we can for her.这都是我的错Its my fault.卢卡斯，你为什么会这么说呢？Lucas, why would you say that?她是因为我才生火的She was lighting the stove cause of me.因为我很冷，所以她才会跌倒的I was cold. Thats why she fell.卢卡斯，你来了Lucas, there you are.我们回医生休息室，好吗？Lets go back to the doctors lounge, OK?我很抱歉，都是我的错Im so sorry. Its all my fault.韦，等一下Will, wait a sec.如果我们把她带回复合手术室呢？What if we take her back to the h