ER.第一季翻译,中英对照,手动整理.doc

第一集Dr. Greene?What is it?什么事?Patient for you, Dr. Greene.Cant the intern take it?No, its for you.What time is it?Five oclock.All right.Cant the intern take it?Its Dr. Ross.Dr. Ross.Ill be right there.Come on, Doug. Markie-boy! Did I wake you up?Yes, you did.You are a real friend, I want you to know that. Thats all right.Real friend.,Yeah.Do we have a room?Room 3 is free.Room three is free!Three is free. Free for three.Yeah.Here we go.Come on, Doug.All right, I gotcha.But come ye back.When summers in the meadow.I cant tell you.how much I appreciate this, Mark.Im a little under the weather.Yeah, here you go.D5, NS. I need the dextrose.Give him 600 of ASA.Aspirin. I almost forgot aspirin.So anyway.she says to me, she says.I didnt know that pediatricians could be so sexy. And I said, Honey, you aint seen nothing yet. All right. Give me the fast drip. I need the hydration.Dont worry, Doug. Just lie back.Hows your beautiful wife? Hows Jennifer?Shes fine, really.You two settle your problems?Yeah, yeah, everythings okay.Hate to lose you in the ER, you know.Lie back.I am.I cant tell you how much I appreciate this. Really do.Heres your aspirin.Give him 2000ccs in a fast drip.Keep an eye on it, dont let it run dry.Does he always do this?Only on his nights off.Im going to bed. Wake me at 6:30.Doctor Greene?Doctor Greene? Mark!What is it?Can I give Mrs. Williston more Demerol? Shes complaining of pain.50 milligrams, IM.Thanks, Mark.Dr. Greene!What is it?6:30, Dr. Greene.Hey, Timmy.Morning, Dr. Lewis.Oh, Dr. Lewis!Thank you.Good morning, Dr. Benton.Hey, Jerry.Morning, doctor.This was the scene at 6:15 this morning.in the Loop where a building collapsed during construction.You got any estimate on the injuries?How long before they arrive?At least 12 people injured and 2 dead.Oh, yeah? That soon?Whats up, Timmy?Hey, Dr. Benton.Notify trauma. They got an accident in the Loop.Twelve injuries, seven critical.Good day for us surgeons.Williston in Room 4 needs a CBC.The man in 5 is a rule-out MI，waiting for cardiac enzymes and another 12 leads in.Dr. Ross, hes in 3, sleeping it off.Why dont you wake him and get him out of there.Nine, I need a uric acid.You know what this is all about?Building collapsed in the Loop. Theyre sending us a dozen hot ones.Yeah, well, whos on?Just us.Okay, forget all that.Call Susan Lewis. Call the 7th and 8th floor.Tell them we need anybody they can spare.Why dont you do that now.Okay.Take him to Trauma Room 2.Whats your name, sir? Can you tell me your name?Next to 3. That way.Which way?That way!Surgical 1. Down to the end, on the right. Last door on the right.Whats your name, sir?Its Wilson.What is your address?Mr. Wilson?Get it later.Lets go. Lets bring him in.And on my count. On three. One, two, three!How you doing, sir?Dont worry. Everything will be fine.Sorry about the suit.So is it just your hand?Come on, lets have a look. Light?Light! Lets move.Have nice, pleasant thoughts. Everything will be fine.Lets have a CBC, type and cross-match.We got a pre-op here.Notify the O.R., get us a room.Call Vascular and call Orthopedic. Tell them to come down now.This is their lucky day.Mr. Wilson, your hand is still attached.Not by much, but its gonna be okay.Give me an EKG and X-ray of his chest, wrist and hand.Mr. Wilson, can you feel anything in your hand?No.We are gonna save your hand, dont worry about a thing, okay?Clear!Mr. Jackson, where does it hurt?Where does it hurt, Mr. Jackson?Does it hurt when you breathe in?Have you been coughing up any blood?Okay, let me take a listen.Dr. Lewis!Okay. Where are we taking him?Do you have any pain in your head?No.How about your neck? Any pain here?No.06:53.75,0:06:54.70,没有What I want you to do now.I want you to tell me if it hurts you when you breathe.No.I dont get a BP.Start two large bore IVs. Saline, wide open.用大口径针头开放两条静脉通路 生理盐水快速静滴Type and cross for 10 units,血型和交叉配血10个单位get me 4 units of O-negative down there, stat.给我四单位Rh阴性O型血 要快Drop an NG tube and get Dr. Benton in here.插鼻胃管 叫Benton医生过来This is no place for a pediatrician.No sensation: radial, median or ulnar.桡神经 正中神经和尺神经都没有知觉No pulses. Color and temperature as you see.没有脉搏 血色和体温正如你看到的Hes gotten 500ccs saline.生理盐水Crits 32-5, type and cross-match sent.血细胞比容32.5% 已送去做血型和交叉配血,X- rays waiting. And the O.R. says theyll have a room in 10 minutes.正等候X光片结果 手术室会在十分钟内准备好Okay, lets get him out of here.So.you think you can save the hand?It looks good. I think so.Good. I told him you could, so hes counting on you.Peter, youre a smart-ass.你真是个自以为是的家伙Youd love to do this case yourself, wouldnt you?Yeah.Im ready, Im strong.yeah, I could do it.Youre a resident, Peter.Youre years from a case like this.How many fingers?Three.Whats your name?Jeff Barr.,Where are you?Cook County General.库克县综合医院Whats today?,St. Patricks Day.圣帕特里克节Youre fine.Get a set of facial bones.给他拍一组面颅X光片Youre gonna be just fine, Mr. Barr.Youre beautiful, doc.Thank you.You married?No, Im a doctor.Then, listen.Take it easy, Mr. Barr.You wouldnt want to fall on your face twice in one day.免得一天连摔两次狗吃屎How much did she vomit?A couple hundred ccs all over Dr. Ross.好几百毫升 全吐在Ross医生身上了Okay, maam, would you please take a deep breath?Good. Now another. Any pain there?Okay, how about here?Okay, Okay. Its Okay.Call the O.R., get a room.What is her crit?她的血细胞比容是多少?23.Wait a minute. Here we go!No pulse. Shes coded. Code blue!医院急救代码分为多种颜色N其中蓝色代表病人呼吸或心跳骤停需要急救没有脉搏 她室颤了 蓝色代码!Call the time, it just happened.记一下时间 才刚发生的8:37.All right, paddles. Lets go, people.好 除颤仪 来吧各位Thats a shockable rhythm.,这个心率可以电了Lets move! Here we go.Nice and easy.Clear!No response.Get me an amp of epi and a hundred lidocaine.注入一安瓿肾上腺素 100毫克利多卡因Lets move it, now. Come on. Here we go.Okay, what have we got here? Where are the paramedics?什么情况? 救护人员在哪里?Get his clothes off.Come on, get his clothes off him.Give me something. I cant stand it!Well give you something for the pain. Just hold on.Notify the orthopods, we have an open fracture.Okay, Susan.Give him tetanus and 5 of morphine right away.马上给他打破伤风疫苗和五毫克吗啡Does it hurt anywhere else?My knee.Might need a help?Yeah, check his knee.Here we go.Dr. Benton, we got patients on surgical 2 and 3.One of them looks bad.Well thats fine, but this womans heart has stopped and she needs it pretty badly. Call the AR.Other reds are in surgery.其他住院医师都在动手术Well, get them out of surgery. Cant you see Im busy?Time?Two minutes.Come on, sweetheart. You make us a little nervous here.Okay, paddles. Lets go.,Clear.Is that a blip?是不是跳了一下?Recharging.There it is.Come on.Come on back to us.Keep it pumping. Keep it pumping. I think shes coming back.I think shes coming back, Taylor.Bring her back for me, baby.Come on back to us. Come on, baby. Yes!That one to Trauma 3.Thats down the hall and to the left.Call Pathology. We got a customer who isnt going to be charged for services.病理学家负责验尸确定病人死因通知病理科 有个不用付钱的顾客The names Canelli.Canelli? Looking for relatives of Robert Canelli.Right here.Im his son.Hi, Im Mark Greene.My father, hes.Your father was in an accident today, Mr. Caneili. You know that?Yeah.Come with me, please.No, just tell me. Hes here, right? Just tell me.Mr. Canelli, your father had a heart attack.and we were unable to revive him. Im sorry.You bastard! You bastards!你这混蛋! 你们这些混蛋!Youre sorry?Come over here.The morphine should make you feel a little better.And well have you in the O.R. in no time, okay?Any others?No, thats it.Thats it?Yeah. Last two were DOA.嗯 最后那两个是院前死亡Thats it.Yeah, for now.Orderly, please bring a wheelchair to Admitting.What happened to Ross?He went to change.Somebody threw up on him.That lady.The lady who arrested?Yeah.She make it?We got her going again.Shes got a junctional rhythm, but shes going.出现交接区性逸搏心律 但总算是恢复心跳了What about that guys hand?Theyre still in surgery.还在手术中Theyre gonna be working all day on that one.Hey, anybody want any coffee?Yeah, I do.How do you take it?Same as yesterday and the day before that.And they call me a smart-ass.You get any sleep last night?About an hour.damn it! The nurses have been in here raiding the coffee againWhy dont they just make their own?Im gonna tell their boss.Never mind.Okay. Never mind.Arent we supposed to be getting some new students today?Yeah, I think so.I hope theyre good. The last two were really hopeless.Something wrong?Oh, you bet there is.Were out of coffee again because the nurses have been taking it.Thats whats wrong.Make some more.Make some more?We work 36 hours on, 18 off.which is 90 hours a week, 52 weeks a year.For that we are paid $23,739 before taxes.And we also have to make the coffee?My heart is breaking.Where are the filters?In the refrigerator.Dr. Greene, your wife is waiting in the cafeteria.Damn it!Everythings fine.Morning, Dr. Greene.Hey, Mom! Look!Two more bites, baby. Please?Then youre done.Hi, Rachel.Hey, Dad, look!Oh, look!Grilled cheese sandwich for breakfast.早餐吃烤起司三明治,I gave in. What can I say?Youre late.Sorry, we had a big one. A building collapsed.Mommys reading about tarts.Torts.Are you getting any sleep? Im okay.You look tired.Yeah, Dad. You look tired.Oh, I do, do I?Are you gonna finish that?You mind if I eat it?Dr. Harris office called to confirm your meeting.Oh, jeez! That was today.You can still go, right?Yeah, yeah. I guess.Youre not gonna forget or get too busy?Ill go.Whats so funny?You know youre gonna hate it.Maybe not.At least there the patients dont throw up on you.Who threw up?Nobody threw up.Its just that between your hours and my studying.I feel like wed never get to see each other anymore.Ill go meet Harris today, okay?Okay.I just hope you like it.Oh no, would you look at this?Its the first tailored white coat Ive ever seen.我还是第一次看到量身定做的白大褂Isnt he lovely?Lovely.Think he knows anything?He knows how to dress.Well, hes my student. Ill find out.John Carter?Yes, sir.Peter BentonYou the surgical student.Yep, third year.Good. Were gonna be spending a lot of time together,so let me show you around so youll be oriented.This is the Admitting desk,if you need someone paged or a chart called up, you do it here.This is Timmy. Dont shake his hand. Hes afraid of disease.This is the way to the lab.We do crits, counts, spin-downs.血细胞比容 各种计数分析和液体分离都在这里做Chemistries are marked with these slips and left them at the front desk.化验申请单要写在这些纸条上 放在前台Mark everything stat whether you want it fast or not.不管急不急用 都标上特急The chem lab is 7022.The heme lab is 6944. Memorize it.Everybody gets an IV the minutes they walk through the door.每个进来的病人都要马上建立静脉通路Use an angiocath with a 16 needle.用16号针头的静脉留置针You need a large bore in case they are bleeding and you need to transfuse them.用大口径针头以便为失血的病人输血Do you know how to start an IV?Actually, no.I thought you were third year?I am, but all Ive done are dermatology and psychiatryThe well-dressed specialties, huh?Youll find that surgeons actually try to help people, not just bill them.Now the best way to do this is to pull the skin tight so the veins dont roll, and go in low.Once youre in, pull the gizmo out and hook it up to here.This is Carol Hathaway, the head nurse.John Carter.Shes terrific, isnt she?很漂亮是吧?She goes with an orthopod that used to be她的恋人是个矫形外科医生a Big Ten tackle and looks like King Kong.十大联盟: 美国中西部为主的14所大学组成的体育竞技联盟和分区联赛N截锋: 美式足球中负责保护四分卫的球员以前是十大联盟的截锋 长得像金刚Now, what you want to is you want to tape it,好 现在贴上胶布作固定Moderate flow, two or three drips per second.中等流量 每秒两到三滴Thats it. Thats all there is to it. Okay?Okay.All along here you have the medical examining rooms.Its where the pill-pushers kill their victims.But this.this is the surgical room.This is where the real action is.We use this phone to call the O.R., 6440.我们用这个电话打给手术室 号码是6440X- ray is around the corner. Theyre a bunch of idiots.X光室就在那里 他们都是一群白痴They scare the patients and make them wait too long.吓唬病人 又让病人等很久,So whenever you can, make sure you go with the patients to X-ray.Dont let them get scared. Dont let them get hurt.Heres Dr. Morgenstern. Hes the head of ER.Watch out, he eats students for lunch.小心 他会把学生当午餐吃掉David Morgenstern.John Carter.When did that severed hand go up?那个手断掉的是什么时候上去的?A vascular took it up an hour ago. I just hope they can do it right.血管外科一个小时前送他上去了 希望他们好好处理Dr. Benton is one of the best residents we have.You learn everything you can from him.Except attitude.He didnt mean that.Yes, he did.You room will be down here. Thats where youll sew people up.你的房间就在前面 是缝合病人的地方Do you know how to suture?你会缝合吗?No. Okay, Ill teach you.Do we have anyone to sew up?How would I know?I love this great spirit of camaraderie. Everyone wants to help我最喜欢这种同事爱了 人人都想帮忙Okay, heres the suture room. Lets see.这里就是缝合室了 我们来看看Good morning, maam. Im Dr. Benton. This is Dr. Carter.Good morning.Lets have a look.Howd you do this?Broke one of the breakfast dishes.Dont worry. Well have you fixed up right away.Now, can you feel this?Yes.Can you move your finger?Of course! Its just a cut!Dr. Benton, we have a policeman coming in with a gunshot wound to the lower extremity.Put him in Room 2, notify X-ray. Ill be right there.Now, heres all your stuff.Ask the patient if shes allergic to the locals or any drugs.This is lidocaine, but call it Novocaine. Theyve heard of that.这是利多卡因 但最好叫作奴佛卡因 他们都听过Maam, are you allergic to Novocaine?My teeth are okay.奴佛卡因: 口腔科常用的局部麻醉药物No reactions, rashes, anything?No, of course not.Now, you inject both sides of the wound, expelling as you go.And then you have to put on surgical gloves by yourself.然后自己戴上无菌手套You know how to do that, dont you?Great. Here we go.Here you go, Dr. Ross.Thank you, Nance.Dr. Ross.Hi, Tracy Young. Im your third-year student.Hello, Tracy Young. Its nice to meet you.Listen, for the next few days, were gonna be working very closely together.Well, not that closely, Dr. Ross, but Ill do my best to help you out.其实也没那么紧密 Ross医生 但我会尽力协助你So, if youll tell me what to do, Id like to get started.Just trying to be friendly.Ive got all the friends I need, thanks.Shall we get started?Yeah.Now, evert the wound edges and space them提起皮肤边缘 要留间隔because the tissues will be swelling over the next 48 hours.因为组织会在未来48小时内肿起来Space them the way that you see here.像这样留间隔Dr. Benton, the policemans here.Okay, Im coming. Here, you finish.Okay, this isnt going to hurt at all.Now, can you tell me what happened, Billy?The school sent him home. They said he vomited blood.19:59.11,0:20:02.36,学校让他回家 说他吐血了Can you tell me how it happened, Billy?Hes a very high-strung child, always has been, very tense, very nervous.他是个很神经质的孩子 一直都很紧绷很紧张Mrs. Logan, maybe you better wait outside while I examine your son.Why?Its just a procedure.只是例行检查而已Well I think I should be here.Im worried about Billy. He needs me.Please wait outside.Look, doctor, I dont know who you think you are,but this is my son and I want to be here when he needs me.Hes very high-strung!他很神经质的!Mrs. Logan, youre absolutely right.You love your son, and you want to see him treated as soon as possible.So its best.if you have a seat outside here. And well be right with you.Its okay.Hey, kiddo. All right.嘿 小子Did you vomit blood, Billy?Do you have any pain?Okay, can you point to the pain?Right in here.Have you vomited blood before?Many times?Okay.First eight-year-old ulcer patient Ive seen.You still here? You think youre doing a Sistine Chapel?西斯廷教堂: 位于梵蒂冈 始建于1445年 直到1481年才完工你还在这里啊? 你以为你在盖西斯廷教堂吗?Finish her up, start an IV in Room 2.,Bye, maam.Nurse, could you bandage this for me please?Thank you, doctor.Youre very welcome.When do I come to have my stitches out?Three weeks.When my son had stitches in his foot they said ten days.Really? Well, ten days, three weeks. Any time in there, okay?We need an anesthesiologist to ICU.Please report to the ICU, stat.请马上到重症监护病房报到250 mg Rocephin I.M. for the gentleman in Room 4给四号房那位男士肌注250毫克头孢曲松钠and remind him he has to come back in two days. Thank you.Right.Hey Carol, are we out of oral ampicillin?没有口服用的氨苄西林吗?Yeah, we ordered some yesterday. Call down again?没有了 昨天订了一些 再问问看?Hey Carol, Dr. Greene wants to know if we have any more Lasix.Carol Greene医生问还有没有速尿.We were out an hour ago.一个小时前就没有了Hey Carol, Dr. Ross wants to know if we have any PKU cards.苯丙酮尿症 Phenylketonuria (PKU) 是一种可遗传的氨基酸代谢缺陷 美国所有的初生婴儿都要接受PKU测试N方法是用针刺婴儿足根末梢 滴血在测试卡上 卡片颜色转变代表有该病症Tell him no. Hes gonna have to try and get a blue-top from the baby.告诉他没有了 他得试着从婴儿身上抽血He says he cant get it.另一个测试方法是从婴儿足根末梢抽取血液样本N放进蓝色盖子(blue-top)的试管 送到实验室作化验分析Carol, are you sure that you dont have a PKU card你确定你那堆特别的宝藏里tucked away in that special stash of yours?没有藏着任何PKU测试卡吗?Like this?I can always count on you. Even if you do prefer football players.You had your chance.I was young. I was a fool!Youre still a fool.You happen to know what is the worst paying medical specialty?Pediatrics?You were right the first time.Hey Carol, did that Lasix come up yet? Because we need it now!Good morning. Im Dr. Carter. What seems to be the problem?Whats it look like? I shot myself in the freaking leg.Oh.Well.well have you fixed up in no time.You guys keep saying that.But first, we have to start a little IV.Just hurry it up, okay?Yes, sir.Hey!Oh, excuse me. Sorry.Okay.I tell you, I wanted to belt her in the mouth. I really did.我真想抽她的嘴 真的Then I go and shoot myself in the leg.Well, these things happen.I bet you see a lot of stuff working in a place like this.你在这种地方工作 看过的肯定不少,Yeah.,Oh, yeah. All the time.Okay.Look, doc, you dont mind my asking, have you done this before?医生 我就问问.你之前有做过这个吗?Officer, Id hate to tell you how often Ive done this before.Okay, youre gonna feel a little needle.Come on, it wasnt that bad.But we missed the vein.We gonna have to try this one more time.My wifes not that bad.We dont argue that much. Just once in a while.I mean in this case its lucky I didn