[Music]
[音乐]
52-year-old Mark is arriving in recess
52 岁的马克正在抵达
at Aberdeen Royal infirmary Trauma
阿伯丁皇家医院创伤
Center After Rolling his van into a
中心休息，他的货车撞到田野后，
field
doctors are concerned he may have
医生担心
punctured his lung RTC just been
他的肺部可能被刺破了。RTC 只是
high-speed and it rolled he was trapped
高速行驶，它翻滚着，他被困在这里
here the pain worse at the moment mark
疼痛 目前更糟糕的是，标记
just that door
只是那扇门
all right reduce their entry on that
好吧减少他们的入口在
right hand side
右手边
all the way up to the chin
一直到下巴
to the neck and his blood pressure is
到脖子和他的血压是
stonkingly high it's got social claim
惊人的高它有社会要求
casino going up to neck
赌场去颈部
surgery is essentially air in the soft
手术基本上是空气在 软
tissues
组织
it does suggest it's traveled from an
确实表明它是从
air-containing part of the body
身体含气部位传播过来的，
the main reasons for surgical emphysema
in trauma would be what's called a
创伤性手术性肺气肿的主要原因是所谓的
pneumothorax so it's a collapsed lung
气胸，所以这是一种肺塌陷，
he's got air tracking up his neck so
他的脖子上有空气，所以
could this air be compressing his Airway
这些空气会压迫他的气道吗
are we going to have to intubate this
我们是否必须给这个
patient collapse long occurs where there
病人插管？长时间虚脱发生
is often a tear in the lung tissue
在肺组织本身经常撕裂的地方，
itself which allows the air to get out
这会导致空气
of the lung but not back in
从肺部排出，但不会回到
here then builds up between the lung and
这里，然后在肺部和肋骨之间积聚，
the rib cage creating a sort of pressure
从而造成 一种压力
effect that pressure can build to such
效应，压力会累积到一定
an extent that the heart can't function
程度，导致心脏无法正常运作，
and would eventually stop working
最终停止工作，
yeah if things are staying the same if
是的，如果情况保持不变，如果
this blood pressure is okay the priority
血压正常，
will be to go to CT
when a patient has a collapsed long time
当病人出现 塌陷很长一段时间
is of the essence are we getting ready
是至关重要的，我们准备好了吗，
to go are we yep scans ready
我们准备好了吗，扫描准备好了吗，
he's got a completely collapsed lung on
他的右侧肺部完全塌陷
the right side
and he's also good air surrounding his
，心脏周围也有良好的空气，
heart true that is concerning
这
certainly a life and death situation
当然是生死攸关的情况，
where if you leave it untreated
如果你 不治疗的
so this is something you need to deal
话，你需要
with it straight away
马上处理。
scans have revealed that the pressure
扫描显示
surrounding Mark's heart needs urgent
马克心脏周围的压力需要紧急
treatment
治疗。
inside the chest strain is an invasive
胸部拉伤是一种侵入性
procedure
手术，
but it can be life-saving
但它可以挽救生命。
without performing a chest strain the
如果不进行胸部拉伤，
risk is that that collapse lung gets
风险是 塌陷的肺会变得
bigger
更大，
pressure increases to such an extent
压力增加到一定程度，
that the patient eventually goes into
最终导致患者
cardiac arrest Mark what we need to do
心脏骤停。马克，我们需要做的
is pop a drain into your the right side
是将引流管插入你的右侧，
I should be able to feel a bit of
我应该能感觉到一点
pushing a bit sorry let me know okay
推力，对不起，让我 知道好吧，
when I found it Market if I'm so long
当我找到它市场如果我这么长时间
thought that was quite scary
认为这是相当可怕的
so I started looking up the big book
所以我开始查找大书
that I've got
我
you've got a big medical book I've had
你有一本很大的医学书，我已经有
it for years I thought oh look out this
它很多年了，我想哦，看看这个，
and see where it sees
看看它在哪里看到对的
right Mark yeah okay soon all right
马克是的好的很快好吧
I wish I hadn't
我希望我没有
sure other things it could go wrong
确定其他事情可能会出错
can you feel me touching in here yeah
你能感觉到吗 我在这里触摸是的
sharper door there
更锋利的门那里
no no
不不
all right I'm gonna make a week hot
好吧我要让一个星期的炎热
night
夜晚
it's upset me even more
这让我更加难过
just to think could happen to him well a
只是想到可能发生在他身上好吧
little bit of pushing Mark all right
有点推马克好吧
Mark has been given a local anesthetic
马克已经给了局部麻醉剂
to numb his side
麻醉他的身体一侧，
allowing doctors to cut into his chest
让医生切开他的胸腔
and insert the chest drain
，插入胸腔引流管
oh
哦
[Applause]
[掌声]
all right Mark you're all right
好的马克，你没事了，
okay Mark
好的马克
oh okay
哦好的，就
that's it that's almost done it's doing
这样，差不多完成了，一切都
really well yeah
很好，是的，就是
that's it it's all done okay
这样 一切就绪，
with the chest drain in place pressure
胸腔引流管就位，压力
will start to be released allowing
将开始释放，使
Mark's lung to re-inflate
马克的肺部重新充气，
there's quite a lot of air around the
心脏周围有很多空气，
heart and we're just chatting with some
我们只是在和一些
of the Specialists just to make sure
专家聊天，以确保
there's not any concern and so we'll
没有任何问题 因此我们将
update you on that
更新
Mark will be taken to the Intensive Care
马克将被送往重症监护
Unit where his condition will be closely
室，在那里他的病情将受到密切
monitored
监测。
it was just having my head out of time
我只是有点想不通，
I'm gonna be able to do anything until I
在找到你之前，我可以做任何事情，
find you if he's okay
如果他没事的
what happens if you cut him up
话，会发生什么 你把他切开了，
I was panicking if there was a brain
我很恐慌，想知道他是不是脑
damage or nothing he couldn't stay by
损伤了，或者其他什么原因，他不能独自呆着，
yourself but I was going to date
但我要去约会，
okay this is going to be short to
好吧，这会是短暂的
shopping
购物，
I just wish I could attend a pain from
我只希望我能忍受他的痛苦
him
lucky I'm still here
幸运的是我还在这里，
when I seen the barn as well on the
当我看到谷仓时，
scene on my shape was damaging out I
我的形状正在受到破坏，我的情况
could have been worse
可能会更糟，
it was definitely I wake up call
这绝对是我的警钟