1 00:00:28,000 --> 00:00:31,500 超级人类 2 00:00:32,665 --> 00:00:36,436 数千年来，我们想驯服大自然 For thousands of years we've tried to tame nature 3 00:00:36,436 --> 00:00:40,407 试图控制驱策生命的力量 to control the forces that drive life itself 4 00:00:40,407 --> 00:00:42,475 我们建造了强力的机器 we've built machines of great power 5 00:00:42,475 --> 00:00:46,446 和保护我们免受伤害的屏障 and created barriers to protect us from the elements 6 00:00:46,446 --> 00:00:50,439 我们因而改变了世界 and in doing so we've transformed the world 7 00:01:06,466 --> 00:01:09,269 我们今日几乎能去 任何想去的地方 Today we can go almost anywhere we want, 8 00:01:09,269 --> 00:01:13,262 我们以惊人的速度发现新事物 and we're making new discoveries at a breathtaking rate 9 00:01:13,339 --> 00:01:16,709 我们在工程与建设上的成就 Already our accomplishments in engineering and construction 10 00:01:16,709 --> 00:01:20,702 已早凌驾祖父母辈所能想像 have gone way beyond what our grandparents could ever have imagined 11 00:01:21,681 --> 00:01:25,685 有时候 我们似乎能创造任何事情 Sometimes it seems we can create anything 12 00:01:25,685 --> 00:01:28,455 但是地球上最惊人的工程 But the most stunning piece of engineering on the planet 13 00:01:28,455 --> 00:01:32,392 是遗传而来，而非经由制造 is something we've inherited, not something that we've made 14 00:01:32,392 --> 00:01:35,428 相对于所有的改变 And in contrast to all the changes that have occurred, 15 00:01:35,428 --> 00:01:38,498 几千年来 it's one thing that in the last few thousand years, 16 00:01:38,498 --> 00:01:40,834 它完全没有变化 hasn't really changed at all 17 00:01:40,834 --> 00:01:44,827 它就是我们的身体 It's our very own human body 18 00:01:45,805 --> 00:01:48,741 本系列节目将带我们 重新发现身体 In this series, we'll rediscover the body 19 00:01:48,741 --> 00:01:52,734 它未经诉说的治疗再生力 - its untold powers to heal and renew 20 00:02:12,365 --> 00:02:13,566 我们将认识潘妮 we'll meet Penny 21 00:02:13,566 --> 00:02:17,559 这家庭录影带 保有她最后一次走路 whose last steps were captured on this home Video 22 00:02:18,071 --> 00:02:22,064 她的降落伞失灵 她以时速120英里重跌地面 when her parachute failed, she hit the ground at 120 mph 23 00:02:30,116 --> 00:02:31,551 她跌断脊椎 Her spine was severed 24 00:02:31,551 --> 00:02:35,544 但在4年后的今天 她开始恢复部分感觉 but now after four years, she's started to regain some feeling 25 00:02:37,457 --> 00:02:39,726 医学上无法解释 Medically, there is no explanation 26 00:02:39,726 --> 00:02:43,719 为何意外发生后5年 才出现这情形 why this should start happening five years after my accident 27 00:02:45,265 --> 00:02:48,601 我们将介绍 研究组织再生的医师 we'll show you how doctors studying tissue regeneration 28 00:02:48,601 --> 00:02:52,594 如何观察蝾螈的再生能力 follow nature's example in the salamander, whose severed limb will re-grow 29 00:02:55,408 --> 00:02:59,401 但若不可能重新生长 新的移植技术帮得上忙 But when re-growth isn't possible, new transplanting techniques can help 30 00:02:59,479 --> 00:03:03,449 霍蓝 是全世界第一个手臂移植者 Clint Hallam had the world's first arm transplant 31 00:03:03,449 --> 00:03:07,442 我第一次看到我的手 觉得这太神奇了 My first thoughts when l- when I saw my hand was that it was a miracle 32 00:03:08,721 --> 00:03:12,714 我们跟随他 与陌生手臂的挣扎过程 we join him as he struggles with his new, unfamiliar limb 33 00:03:13,493 --> 00:03:16,229 不行 No, no, no 34 00:03:16,229 --> 00:03:20,222 以及与接受首创手术的人 做亲密访谈 we take intimate journeys with people having pioneering operations 35 00:03:21,367 --> 00:03:25,360 听听身体里有别人器官的感觉 Hear how it feels to have another person's body part in your own 36 00:03:26,239 --> 00:03:29,909 我后半生都会为那个人祈祷 I'll probably pray for that person for the rest of my life 37 00:03:29,909 --> 00:03:33,902 我觉得好像必须杀别人 自己才能活 I feel like I'm putting a gun- and I'm gonna shoot somebody just so I can live 38 00:03:35,648 --> 00:03:39,641 我们将发现 面对风险时的非凡勇气 we'll discover the extraordinary courage involved in facing risks 39 00:03:40,820 --> 00:03:43,456 如果这样继续下去 If it goes in, and it does happen, 40 00:03:43,456 --> 00:03:47,449 他会能听得见但不能微笑 he's gonna be able to hear but he's not gonna be able to smile 41 00:03:48,861 --> 00:03:51,264 我们将看到感染扩散过程 we'll watch infection as it spreads 42 00:03:51,264 --> 00:03:55,257 以及身体发展出来的防御机制 and discover the defences the body has evolved to fight back 43 00:04:05,578 --> 00:04:08,848 我们将认识 接受新癌症疗法的病患 we'll meet people trying new cancer treatments, 44 00:04:08,848 --> 00:04:12,841 包括帮助身体 自行对付癌病毒的疗法 including one designed to help the body fight its own battle 45 00:04:13,553 --> 00:04:17,546 我看了磁振造影扫瞄 结果让人兴奋 I've just seen the MRI scan and I have to say it's very exciting 46 00:04:22,262 --> 00:04:25,999 最后我将介绍我的领域 And finally I want to show you what's happening in my own area: 47 00:04:25,999 --> 00:04:29,992 生殖医学的最新动态 许多研究令人兴奋 Reproductive medicine, where some of the most exciting research is going on, 48 00:04:30,536 --> 00:04:34,529 但也同时进入 人类从未曾碰触的地方 but where we are also taking nature into strange uncharted territories 49 00:04:36,242 --> 00:04:40,235 我们在学习人体天生的力量 Here, too, we are learning how to tap into the innate powers that our bodies possess 50 00:04:44,684 --> 00:04:46,719 多亏了这些对我们自己的认识 Thanks to all that we're learning about ourselves, 51 00:04:46,719 --> 00:04:48,721 因而发生了值得注意的事情 something remarkable is happening 52 00:04:48,721 --> 00:04:51,224 人类史上第一次 For the first time in history, 53 00:04:51,224 --> 00:04:55,217 我们不再只能 对身体自愈力感到惊奇 we're able to do more than just wonder at the body's ability to heal itself 54 00:04:56,496 --> 00:05:00,489 我们还能改变 增进自然的力量 - we can actually change that ability and improve on nature itself, 55 00:05:01,467 --> 00:05:04,637 于此同时，我们也开始了解到 and in doing so we're beginning to understand 56 00:05:04,637 --> 00:05:08,630 人体的超人之处 just how superhuman the body really is 57 00:05:15,048 --> 00:05:19,041 第01集 创伤医疗 58 00:05:20,320 --> 00:05:23,289 最能显现出人体的超人之处 Nowhere is the superhuman nature of the body 59 00:05:23,289 --> 00:05:27,282 莫过于外伤医疗： 对受伤的治疗 more starkly revealed than in trauma medicine: The treatment of injury 60 00:05:32,565 --> 00:05:36,558 那一晚的事我全不记得 I don't remember anything that night 61 00:05:38,538 --> 00:05:41,741 我发现我的左手脱落 I realised my arm- my left arm had almost fallen off 62 00:05:41,741 --> 00:05:45,734 只剩皮与身体相连 and was hanging there by the skin 63 00:05:50,016 --> 00:05:53,086 他们必须止血 我内出血 They had to stop the bleeding - I was bleeding internally 64 00:05:53,086 --> 00:05:57,079 因为脾脏裂开，所以必须切除 - they had to remove my spleen 'cause it had ruptured in the accident 65 00:06:01,928 --> 00:06:05,921 有人问我撑得了吗 不可能 Somebody asked - would I make it? And it was - no way 66 00:06:18,678 --> 00:06:22,671 全球最大的大众健康议题是 受伤，外伤 The number one public health issue in the world is injury, is trauma 67 00:06:27,120 --> 00:06:31,113 出事地点是 西园旁的西南高路，收到 on the scene on the South west Freeway at west Park, acknowledge 68 00:06:34,727 --> 00:06:36,696 全世界每一天 Every day, all over the world, 69 00:06:36,696 --> 00:06:40,689 都有数千人因外伤送急诊 thousands of people will be rushed to hospital as a result of trauma 70 00:06:49,542 --> 00:06:51,711 外伤颇有趣 Trauma is kind of interesting: 71 00:06:51,711 --> 00:06:55,581 全世界每个人都怕得癌症 Everybody in the world is scared to death of having a cancer, 72 00:06:55,581 --> 00:06:59,051 随意看看周围 看很多人吃的东西 and I would make a point of the fact that if you look around the room 73 00:06:59,051 --> 00:07:01,687 就知道这些人该担心 a lot of folks ought to be scared of having a heart attack or a stroke, 74 00:07:01,687 --> 00:07:04,357 会得心脏病或中风 you can tell what they're eating 75 00:07:04,357 --> 00:07:06,492 大家更害怕会得爱滋病 People are hysterical about getting AIDS, 76 00:07:06,492 --> 00:07:08,461 但却没有人害怕受伤 but nobody thinks they're gonna get hurt 77 00:07:08,461 --> 00:07:12,454 外伤远胜于 心脏病，中风，癌症三者相加 Trauma outstrips heart disease, stroke and cancer combined 78 00:07:15,835 --> 00:07:19,828 这小男孩出了车祸 This little boy has been in a traffic accident 79 00:07:20,740 --> 00:07:22,375 这是4岁的狄米区 OK, this is four-year-old Dmitry 80 00:07:22,375 --> 00:07:25,645 他在西哥伦比亚骑脚踏车 He was down there in west Columbia riding his bicycle, 81 00:07:25,645 --> 00:07:29,638 被时速25英里的汽车撞倒 when he was struck by a motor vehicle travelling around 25 miles per hour 82 00:07:29,782 --> 00:07:33,019 他们会照顾你 狄米区，你的狮子在这里 They're gonna look after you, Dmitry, there's your lion, buddy 83 00:07:33,019 --> 00:07:34,654 狄米区，我们要对你做很多事 Dmitry, we're gonna be doing a lot of things to you 84 00:07:34,654 --> 00:07:36,088 帮你拍照 we're gonna be taking some pictures 85 00:07:36,088 --> 00:07:37,890 你要躺着不能动 - it's real important that you lie still while we do it, 86 00:07:37,890 --> 00:07:39,425 好吗？ 我们要把你移下来 OK? Then we'll get you off this board... 87 00:07:39,425 --> 00:07:43,418 急诊室里的外伤小组 面临无数的问题 In an emergency room, trauma teams are faced with endless questions 88 00:07:44,564 --> 00:07:48,557 狄米区，还不会开始 Dmitry, Dmitry, that's not gonna happen yet, Buddy 89 00:07:50,703 --> 00:07:53,706 可能有骨折或内出血 Bones may be broken, there may be internal bleeding 90 00:07:53,706 --> 00:07:54,607 这里呢 what about right here? 91 00:07:54,607 --> 00:07:57,009 他抱怨前面痛 He was complaining about pain in the? Area 92 00:07:57,009 --> 00:07:59,912 他的感觉功能颇正常 His sensation's pretty much intact 93 00:07:59,912 --> 00:08:03,483 在X光和超音波等科技协助下 with the help of technology like X-ray and ultrasound 94 00:08:03,483 --> 00:08:07,476 将可发现并处理每个潜在问题 最好还能将之去除 each potential problem can be discovered, addressed or, hopefully, ruled out 95 00:08:08,855 --> 00:08:10,523 我要找妈妈 I want my mum 96 00:08:10,523 --> 00:08:13,693 她一到，我们就会带她来找你 As soon as she gets here, we're gonna get here right at your side, OK? 97 00:08:13,693 --> 00:08:17,463 我要她来接我 Yeah, I want? 98 00:08:17,463 --> 00:08:21,456 你要她来接你？ You want? 99 00:08:22,568 --> 00:08:26,561 狄米区很幸运 意外没带来严重后果 Fortunately for Dmitry, he survived his trauma without serious consequences 100 00:08:35,481 --> 00:08:39,474 但是外伤是个严重问题 而且不会突然消失 But trauma is a massive problem, and it won't just go away 101 00:08:40,853 --> 00:08:44,624 我们这个国家 在否认一项失控的流行病 we are a nation in denial of an epidemic that's running wild 102 00:08:44,624 --> 00:08:48,617 但是否认不会有任何帮助， And denial ain't a river in Egypt! 103 00:08:49,462 --> 00:08:53,065 外伤的最大杀手是汽车 And the biggest killer In this epidemic of trauma is the car 104 00:08:53,065 --> 00:08:57,058 造成44岁以下的 最大死因是撞车 The Number One cause of death for people under the age of 44 is car crashes 105 00:09:03,175 --> 00:09:07,168 我们很难想像 车祸中强大的减速力 It's hard to imagine the massive deceleration forces of a car crash 106 00:09:08,581 --> 00:09:12,574 那么这个呢？ So how about this? 107 00:09:23,863 --> 00:09:27,856 这么强的撞击力 很难想像人能逃过车祸一劫 With collisions like these, it's amazing any of us survive car crashes at all 108 00:09:30,603 --> 00:09:32,705 在撞击时那一刹那 In the fraction of a second during impact 109 00:09:32,705 --> 00:09:34,740 地心引力的作用 the huge G-forces involved 110 00:09:34,740 --> 00:09:38,733 能使 人体重量增加到60倍之多 can mean that the human body weight can multiply up to 60 times 111 00:09:41,047 --> 00:09:44,150 这辆车的驾驶迎头撞上巴士 And these same huge deceleration forces are 112 00:09:44,150 --> 00:09:48,143 便感受到相同的减速力量 what the driver of this car experienced when he crashed headlong into a bus 113 00:09:51,857 --> 00:09:55,850 全世界 每年有数百万人因车祸受伤 Every year, millions of people around the world are injured in car crashes 114 00:10:03,903 --> 00:10:07,306 夏普在探望姐姐后 Michael Sharp had been driving home from seeing his sister 115 00:10:07,306 --> 00:10:10,543 回家路上与巴士相撞 when his car collided with a bus 116 00:10:10,543 --> 00:10:14,246 我不记得那晚任何事情 I don't remember anything that night 117 00:10:14,246 --> 00:10:16,582 我不知道他怎么走出车外 I don't know how he walked out of that car... 118 00:10:16,582 --> 00:10:20,575 但我很高兴他那样做 I don't know But I'm glad he did 119 00:10:21,087 --> 00:10:25,080 他说他没有背痛 He says he's got no back pain No back pain 120 00:10:25,925 --> 00:10:29,918 当夏普被移出撞烂的车时 他的情况很糟 when Michael was removed from his wrecked car, he was in a bad way 121 00:10:31,931 --> 00:10:35,924 他随即出现外伤休克典型症状 He soon began to show classic symptoms of traumatic shock 122 00:10:37,269 --> 00:10:39,805 他意识模糊，带攻击性 He's confused and aggressive 123 00:10:39,805 --> 00:10:43,798 不，别动.别那样 No, stay stay stay stay, No, don't do it, don't do it, Stay there, stay there 124 00:10:44,276 --> 00:10:48,269 他瞳孔扩张，开始出汗 His pupils dilate, and he starts to sweat 125 00:10:52,218 --> 00:10:56,211 他血压升高，心跳加速 His blood pressure rises and his heart beats faster 126 00:10:58,357 --> 00:11:00,793 他的血管接着会开始收缩 Soon his veins start to constrict 127 00:11:00,793 --> 00:11:04,786 将血液从皮肤转流到重要器官 and redirect the flow of blood away from his skin to his vital organs 128 00:11:08,868 --> 00:11:12,038 他的呼吸变得快速急促 His breathing becomes fast and short as his lungs 129 00:11:12,038 --> 00:11:15,207 因为他的肺部需要大量氧气 work to capture as much oxygen as possible 130 00:11:15,207 --> 00:11:19,200 大批白血球动员到受伤的区域 Armies of white blood cells are mobilised to the site of injury 131 00:11:20,780 --> 00:11:24,773 这是人体处理伤害的标准过程 This is the body's standard way of coping with its injuries 132 00:11:27,319 --> 00:11:31,290 外伤小组 也在执行他们的标准程序 The trauma team are also going through their standard response 133 00:11:31,290 --> 00:11:35,283 三项称为ABC的急救程序 - they're following three life-saving principles known as the ABCs 134 00:11:36,962 --> 00:11:40,299 A代表气道，他们检查 夏普的气道，确定畅通 Firstly, 'A', they check Michael's airways making sure 135 00:11:40,299 --> 00:11:44,292 不然他就无法呼吸，也就是B they're clear without which 'B' for breathing wouldn't be possible 136 00:11:44,370 --> 00:11:46,072 如果不能呼吸 And if you can't breathe 137 00:11:46,072 --> 00:11:49,975 就不能让生命赖以维持的氧气 进入体内 you can't get life-sustaining oxygen into the body, 138 00:11:49,975 --> 00:11:53,913 那么C，也就是循环 and without that there would be no oxygen for the circulation, 139 00:11:53,913 --> 00:11:57,906 就不能带氧气到全身 'C', to carry around the body 140 00:12:02,955 --> 00:12:06,948 大脑特别敏感 短暂时间没有氧气都不行 The brain in particular is very sensitive to even a short while without oxygen 141 00:12:07,993 --> 00:12:11,986 只要3分钟 就可能造成永久性大脑伤害 within as little as three minutes, you could suffer permanent brain damage 142 00:12:14,200 --> 00:12:17,369 夏普到医院后开始发作 when they got Michael into hospital he started to fit 143 00:12:17,369 --> 00:12:21,362 这令人苦恼 但是头部遭重击经常有此情形 It's distressing but quite common after a severe blow to the head 144 00:12:30,082 --> 00:12:34,075 帮我稳定他的脖子 OK, somebody stabilise his neck for me please 145 00:12:39,191 --> 00:12:43,184 他说胸腔和颈部不会疼痛 He says he's got no pain in his chest or neck 146 00:12:44,830 --> 00:12:48,100 我不知道自己是否该觉得幸运 I don't know if I'm supposed to feel lucky or anything, I just- y'know, 147 00:12:48,100 --> 00:12:52,037 因为它发生得很快 我一点也不记得 because it happened so quickly and I don't remember anything about it, 148 00:12:52,037 --> 00:12:56,030 所以我没有发生过事情的感觉 it doesn't feel like anything really happened 149 00:12:59,478 --> 00:13:02,148 我现在对生命的看法完全不同 I look at life totally different now 150 00:13:02,148 --> 00:13:03,315 给我看你的左脚 Show me your left foot 151 00:13:03,315 --> 00:13:06,752 以前我认为理所当然的 Things that I used to take for granted before, 152 00:13:06,752 --> 00:13:09,855 现在会付出关心 I mean I actually concentrate on it now 153 00:13:09,855 --> 00:13:13,159 我一直都爱科林，我大儿子 No, I mean always loved Corin: Corin's my big boy, 154 00:13:13,159 --> 00:13:16,128 但我现在给他更多注意力 but I am more focussed on Corin now 155 00:13:16,128 --> 00:13:18,731 左脚 Left foot, see that left foot... 156 00:13:18,731 --> 00:13:22,724 我很幸运还在 I'm lucky to be here 157 00:13:34,880 --> 00:13:38,873 治疗严重受伤患者 不只是与时间赛跑 Treating a seriously injured patient is not just a race against the clock 158 00:13:40,786 --> 00:13:44,779 有血，但看不到明显伤口 There's blood there, can't see an obvious laceration... 159 00:13:45,157 --> 00:13:46,425 叫麻醉科 Call Anaesthesia 160 00:13:46,425 --> 00:13:47,893 他有大血肿 He's got a big haemotoma, 161 00:13:47,893 --> 00:13:50,362 很难摸出下面是否有骨头 it's hard to feel if there's a bony thing under there or not... 162 00:13:50,362 --> 00:13:54,355 每一个面临外伤病患的医生 都需做出明确决定 Every doctor, faced with a trauma victim, has to make precise decisions, 163 00:13:54,834 --> 00:13:58,827 而且每个决定都可能带来后果 and each one of them can have consequences 164 00:14:03,108 --> 00:14:07,101 那是第二个，这是第一个 ...that was the second, this is the first... 165 00:14:07,513 --> 00:14:10,883 叫麻醉科，他的呼吸很怪 Yeah, let's get anaesthesia, this is awfully weird breathing... 166 00:14:10,883 --> 00:14:13,886 所以医师们 必须随时准备改变计划 So doctors have to be ready to vary their game-plan 167 00:14:13,886 --> 00:14:16,455 荷西，麻醉先等一下 Jose. Hold on anaesthesia for a second 168 00:14:16,455 --> 00:14:19,158 拿staple remover来，把他翻身 Get a staple remover - roll him back and get a staple remover 169 00:14:19,158 --> 00:14:23,151 不知道是什么，翻回去 It's like a? Don't know what that is - roll him back 170 00:14:25,097 --> 00:14:26,398 外面没东西 ...there's nothing on the outside... 171 00:14:26,398 --> 00:14:30,391 外伤医疗正经历革命性的改变 And trauma medicine is going through some quite revolutionary changes: 172 00:14:31,003 --> 00:14:34,996 这是因为我们对人体在受伤后 Changes driven by our increased understanding of the ways 173 00:14:35,274 --> 00:14:39,267 保护自己的能力 the human body tries to preserve itself after injury 174 00:14:39,478 --> 00:14:43,471 有了进一步的了解 身体最想保存的就是血液 And the thing the body tries to preserve above almost everything else is blood 175 00:14:45,885 --> 00:14:49,878 一滴血包含约5百万个红血球 One drop of blood contains about five million red blood cells 176 00:14:50,122 --> 00:14:54,115 红血球约占全部血液的一半 Red blood cells make up just under half the total volume of blood, 177 00:14:54,326 --> 00:14:58,319 主要功能是将氧气 从肺部带到身体其他地方 and their main function is to carry oxygen from the lungs to the rest of the body 178 00:14:59,932 --> 00:15:03,925 我们每天制造 2兆个新的红血球 we produce two hundred billion new red cells every day, 179 00:15:04,236 --> 00:15:08,107 而每24个小时，体内的血液 and in twenty four hours the blood in our bodies travels 180 00:15:08,107 --> 00:15:12,100 便走了1万9千公里 等于绕行美国四次 a total of 19,000 kilometres: That's four times across the USA 181 00:15:21,553 --> 00:15:24,223 我们将这珍贵的液体 视为理所当然 we tend to take this precious liquid for granted 182 00:15:24,223 --> 00:15:27,359 人体能应付大量失血 Our bodies cope pretty well with large blood losses, 183 00:15:27,359 --> 00:15:31,352 但我们没有无限制的血液供给 but we don't have an unlimited supply 184 00:15:33,232 --> 00:15:36,568 惊人的是在没有外出血下 what's surprising is how much can be lost in an accident 185 00:15:36,568 --> 00:15:39,405 一场意外也能失去大量的血 without there being any external bleeding 186 00:15:39,405 --> 00:15:41,373 譬如你脚断了 If you broke your leg for example, 187 00:15:41,373 --> 00:15:45,366 你可能失去 1/3到大腿的血液供给 you could lose a third of your blood supply into your thigh 188 00:15:49,248 --> 00:15:53,241 这种内出血 可导致血压大幅下降 These sorts of internal injuries can lead to a massive fall in blood pressure, 189 00:15:53,385 --> 00:15:57,323 而标准医疗反应一直以 and the standard medical response has always been to try 190 00:15:57,323 --> 00:16:01,316 迅速更换体液来尝试补救 and correct it by replacing the blood fluid as fast as possible 191 00:16:03,062 --> 00:16:05,597 但标准医疗反应有可能是错的 But standard medical responses can be wrong 192 00:16:05,597 --> 00:16:09,590 战争给了我们最好的教训 And nowhere has this lesson been better learned than in war 193 00:16:10,602 --> 00:16:12,338 (1969年 越南) 194 00:16:12,338 --> 00:16:16,331 好，100米 OK. One zero zero metres... 195 00:16:28,988 --> 00:16:32,981 好，把他带回来，别忘了止血 OK, bring him back, bring him back here Remember to stop the bleeding 196 00:16:34,493 --> 00:16:37,229 越战场上的伤极为恐怖 Injuries in the Vietnam war were horrendous, 197 00:16:37,229 --> 00:16:41,222 但特别的是 医疗救护抵达的速度 but what was unique was the speed at which medical help arrived: 198 00:16:41,333 --> 00:16:45,326 直升机能在数分钟内找到伤者 Helicopters were able to reach the injured within minutes 199 00:16:46,572 --> 00:16:50,565 当时标准的治疗 是替换失血 At that time, the standard treatment was to replace lost blood 200 00:16:50,709 --> 00:16:54,713 及尽速提高血压 and to raise the blood pressure as quickly as possible 201 00:16:54,713 --> 00:16:58,706 伤兵还没离开地面前 就已被灌入血液或其他流体 Blood or other fluids were poured in before soldiers even got off the ground 202 00:17:00,386 --> 00:17:03,622 许多伤者后来死亡 Many of the injured went on to die 203 00:17:03,622 --> 00:17:07,615 医生们开始怀疑这种治疗 可能造成的伤害比帮助多 Doctors have begun to wonder if sometimes this treatment did more harm than good 204 00:17:10,696 --> 00:17:14,689 我确定这世纪中 I am sure that a number of these people this century 205 00:17:15,768 --> 00:17:18,570 很多人是因为治疗而死 have actually probably been killed by their treatment 206 00:17:18,570 --> 00:17:20,506 有人提出 特别是有 Someone's come up - particularly in wars like Vietnam 207 00:17:20,506 --> 00:17:23,575 就近医疗的越战 插管， where they had medical support in close - put lines up, 208 00:17:23,575 --> 00:17:26,512 提高血压，穿刺不止 raised their blood pressure, didn't stop the tap, 209 00:17:26,512 --> 00:17:30,382 我相信那反而让伤者再流血 and I'm sure they've made them re-bleed 210 00:17:30,382 --> 00:17:34,375 身体应付流血是形成血凝块 The way the body responds to bleeding is by forming a clot 211 00:17:34,753 --> 00:17:37,756 血小板冲向伤口 Platelets in the blood rush to the injury site 212 00:17:37,756 --> 00:17:41,749 由纤维蛋白凝聚在一起 and are cemented together by fibrin 213 00:17:42,194 --> 00:17:45,764 刚开始的血凝块很脆弱 Initially, the clot is quite delicate and easily blown 214 00:17:45,764 --> 00:17:49,757 血压一变就容易被打碎 apart by a change in blood pressure 215 00:17:57,176 --> 00:18:01,169 血凝块是个水坝，堵住血流 A blood clot is a dam: It plugs the flow of blood 216 00:18:01,213 --> 00:18:04,817 血压低 血凝块承受的力量就低 If the blood pressure is low, there's less for the clot to hold back 217 00:18:04,817 --> 00:18:08,454 但若提高血压 水坝就会决堤 But increase the pressure, and the dam could burst, 218 00:18:08,454 --> 00:18:12,447 造成危险 and that could be disastrous 219 00:18:21,433 --> 00:18:25,426 这就是越战 很多军人遇到的情形 And that's exactly what happened to many of the soldiers in Vietnam 220 00:18:28,607 --> 00:18:30,576 他们突然被送上直升机 Suddenly, They're pulled into a helicopter 221 00:18:30,576 --> 00:18:34,569 被插管血压提高 造成再度流血 lines are put in, blood pressure's driven up - they bleed 222 00:18:37,683 --> 00:18:40,719 大自然建了 这个要照顾我们的机制 I think Mother Nature's built in a mechanism to take care of us 223 00:18:40,719 --> 00:18:43,489 没有几千年之久 也有几世纪之久 - it's centuries-old, if not millenia-old 224 00:18:43,489 --> 00:18:47,482 我们该小心，不要设计出 破坏这机制的疗法 - we've got to be damn careful that any treatment we devise does not upset that 225 00:18:48,694 --> 00:18:51,196 吉姆莱恩曾是 福克兰战役的外科医生 Jim Ryan was a surgeon in the Falklands, 226 00:18:51,196 --> 00:18:55,189 该役的医疗情况很不同 where medical circumstances were very different 227 00:18:59,571 --> 00:19:03,564 (1982年 福克兰群岛) 228 00:19:04,309 --> 00:19:07,846 与越战不同 夜间作战及恶劣天气 Unlike Vietnam, night battles and bad weather meant 229 00:19:07,846 --> 00:19:11,839 使得直升机救护任务 变得不可能 quick helicopter recovery was impossible 230 00:19:12,518 --> 00:19:15,621 伤兵常需独处数个钟头 Injured soldiers were often left alone for hours, 231 00:19:15,621 --> 00:19:19,458 给了大自然有机会工作 and Mother Nature was given a chance to work 232 00:19:19,458 --> 00:19:23,451 1982年 葛大卫隶属伞兵第二营队 In 1982, David Gray was in the 2nd Battalion of the Parachute Regiment 233 00:19:24,563 --> 00:19:26,365 当时他才18岁 He was just eighteen years old 234 00:19:26,365 --> 00:19:30,358 他在古斯葛蓝 遭受可怕的迫击炮轰炸 when he suffered appalling injuries in a mortar attackat Goose Green 235 00:19:33,405 --> 00:19:34,840 我们打过了山脊 we broke the brow of the hill, 236 00:19:34,840 --> 00:19:38,833 所以后面有部队 so of course you had your rear echelon at the back, 237 00:19:38,911 --> 00:19:41,413 前线弟兄进入古斯葛蓝 your front-line blokes going into Goose Green 238 00:19:41,413 --> 00:19:44,616 所以受伤的人下山坡 and then everybody that was injured on that slope going down, 239 00:19:44,616 --> 00:19:46,318 没有掩护 were exposed 240 00:19:46,318 --> 00:19:50,311 还被狙击攻击 - and under sniper fire as well 241 00:19:50,756 --> 00:19:54,293 我回头找中枪的汤尼 I went back for Tony Tye who'd been shot 242 00:19:54,293 --> 00:19:56,428 他右臂被枪打中 - he had a gunshot wound in his right arm, 243 00:19:56,428 --> 00:20:00,421 然后我被迫击炮打中 And then I got hit by a mortar round 244 00:20:04,236 --> 00:20:05,204 砰地一声 Thud 245 00:20:05,204 --> 00:20:07,306 我不知道怎么形容 I can't describe what it was like 246 00:20:07,306 --> 00:20:08,874 我心想，好险，转个身 I thought: That was very close 247 00:20:08,874 --> 00:20:12,867 低头看才发现我右脚不见了 I rolled over and when I looked down I realised that me right foot had gone 248 00:20:17,516 --> 00:20:20,252 我大概躺了3到4小时 I was probably laying there for three to four hours 249 00:20:20,252 --> 00:20:22,888 才有注射 before I actually was administered with any fluids 250 00:20:22,888 --> 00:20:26,881 整段时间我都在流血 And I was losing blood all the time I was doing it 251 00:20:28,560 --> 00:20:29,528 有人问我 when somebody asked: 252 00:20:29,528 --> 00:20:33,521 撑得过吗 不可能 Would I make it? It was: No way 253 00:20:34,266 --> 00:20:38,259 没人认为 和大卫一样重伤的军人会存活 Soldiers with injuries as bad as David's were not expected to survive, 254 00:20:39,471 --> 00:20:41,573 但许多人活了下来 yet many of them did 255 00:20:41,573 --> 00:20:45,566 我们很震惊，又高兴又震惊 we were shocked - pleased and shocked to see 256 00:20:45,644 --> 00:20:48,213 看到他们被严重截肢 多重伤害 people still alive having waited six, eight, 257 00:20:48,213 --> 00:20:51,316 在等了6，8，10小时后还活着 ten hours with dramatic amputations, multiple injuries - 258 00:20:51,316 --> 00:20:53,952 很多人应该死，但有些人没死 many of them should have died, but some of them didn't 259 00:20:53,952 --> 00:20:56,755 吉姆莱恩相信 在治疗前长久的等待 Jim Ryan believes that the long wait before fluids 260 00:20:56,755 --> 00:21:00,759 可能就是这些人得救的原因 were administered may actually have saved these men's lives 261 00:21:00,759 --> 00:21:04,752 他们可能倒下，安静躺卧 虽然大量流血 They probably fell down, lay very quiet, they will have bled out significantly, 262 00:21:05,464 --> 00:21:07,933 但还不致丧命 but not to the point of death 263 00:21:07,933 --> 00:21:10,202 他们形成很好的血凝块 They'd clot- they'd form a good clot, 264 00:21:10,202 --> 00:21:12,571 没有人注射提高血压 no one gives them fluids to raise their blood pressure 265 00:21:12,571 --> 00:21:14,673 他们坚持着 and they- they just hang in there 266 00:21:14,673 --> 00:21:18,510 重伤但是能撑住 血压低，脉搏快 really quite ill but hanging in there, low blood pressure, high pulse 267 00:21:18,510 --> 00:21:22,503 呼吸快，觉得冷 但安静躺着休息 breathing rapidly, getting cold, but lying quietly and resting 268 00:21:27,719 --> 00:21:29,821 由于这样的观察 As a result of observations like this, 269 00:21:29,821 --> 00:21:33,814 给予伤患流体的方式受到质疑 the routine giving of fluids to all trauma victims is being questioned 270 00:21:34,960 --> 00:21:38,953 现在急救人员 在提高血压前会观察，等待 Paramedics now watch and wait before trying to raise blood pressure 271 00:21:41,533 --> 00:21:45,526 福克兰战役还有另一项特点： 天寒 But there was another vital factor at work in the Falklands: The cold 272 00:21:50,709 --> 00:21:54,702 我最记得的是冷 手指和脸都僵硬 The cold I can remember probably more than anything: Numbness, fingers, face... 273 00:21:55,947 --> 00:21:58,283 极度寒冷 Profoundly cold. 274 00:21:58,283 --> 00:22:01,420 我们以前没有低温温度计 Y'know, un- we didn't have really low-reading thermometers, 275 00:22:01,420 --> 00:22:03,755 那儿的温度在温度计之下 but these were off the values of the thermometers that we had 276 00:22:03,755 --> 00:22:04,956 绝对低于华氏30度 - certainly below 30 277 00:22:04,956 --> 00:22:07,959 看起来和尸体一样 Almost looking like corpses 278 00:22:07,959 --> 00:22:10,462 寒冷非但没造成严重伤害 But rather than doing any serious harm, 279 00:22:10,462 --> 00:22:14,455 吉姆莱恩认为 寒冷可能有助生存 Jim Ryan feels the cold may actually have helped survival 280 00:22:15,634 --> 00:22:16,802 我认为在这个情况 I think in this situation - 281 00:22:16,802 --> 00:22:17,869 相信很多人同意我的说法 and many people would agree with me 282 00:22:17,869 --> 00:22:20,706 低体温，程度轻微的体温过低 - hypothermia, a mild degree of hypothermia, 283 00:22:20,706 --> 00:22:22,341 具正面保护作用 is positively protective 284 00:22:22,341 --> 00:22:26,334 低温让整个系统变慢 I think it just slows the whole thing down 285 00:22:26,445 --> 00:22:27,746 战争显示出 what war has revealed 286 00:22:27,746 --> 00:22:31,739 有时候寒冷可以救人命 about the human body is that sometimes cold can be a life-saver 287 00:22:32,384 --> 00:22:36,377 这个知识 现在被用来拯救意外伤患 And this knowledge is now being used to save accident victims 288 00:22:43,095 --> 00:22:44,796 一个寒冷的11月天 On a freezing November day, 289 00:22:44,796 --> 00:22:48,100 凯特自马上摔落 Kate Close was thrown from her horse 290 00:22:48,100 --> 00:22:51,036 急救人员2个小时后才抵达 Paramedics didn't reach her for nearly two hours, 291 00:22:51,036 --> 00:22:53,872 当时的她已非常冰冷 by which time she was extremely cold 292 00:22:53,872 --> 00:22:56,408 最主要的考量 是她严重的头部外伤 The main concern was her massive head injury, 293 00:22:56,408 --> 00:23:00,401 她被紧急送到皇家伦敦医院 and she was rushed to the Royal London Hospital 294 00:23:08,754 --> 00:23:12,747 主治医生威尔森 也十分担心她的头伤 Her doctor, Alastair wilson, was also extremely worried about her head injury 295 00:23:13,658 --> 00:23:17,651 他吩咐做紧急电脑断层扫瞄 而结果十分骇人 He ordered an urgent CT scan and the results were horrific 296 00:23:17,863 --> 00:23:19,965 嗳呀，老天， Oh, crikey, O'Reilly! 297 00:23:19,965 --> 00:23:22,634 看看那些空气 Look at that, look at all that air as well 298 00:23:22,634 --> 00:23:25,871 因为她的伤势非常严重 In view of the fairly gross nature of her injuries, 299 00:23:25,871 --> 00:23:29,864 当时我觉得她的存活率 只有5% I felt that probably her survival chances where in the region of perhaps 5%, 300 00:23:31,009 --> 00:23:35,002 我没抱太大希望 so I wasn't being very hopeful at that stage 301 00:23:35,080 --> 00:23:38,417 接着威尔森做了个特殊决定 Alastair wilson then made an extraordinary decision: 302 00:23:38,417 --> 00:23:41,353 他决定不要为她取暖 He decided not to warm her up 303 00:23:41,353 --> 00:23:43,355 她的体温很低 Her temperature was very low 304 00:23:43,355 --> 00:23:46,091 刚开始在34度以下 - it was just- initially I think just under 34 degrees, 305 00:23:46,091 --> 00:23:50,084 我们认为就一方面来说是好事 and then we felt well, this is probably a good thing on the one hand 306 00:23:50,595 --> 00:23:54,588 因为低温 会降低大脑的氧需求量 because it's going to reduce the oxygen requirements of the brain, 307 00:23:55,033 --> 00:23:59,004 比较不容易变成缺氧状态 which means that it's less likely to become hypoxic: 308 00:23:59,004 --> 00:24:02,674 大脑会对自己造成伤害 To get into a state where it's doing damage to itself 309 00:24:02,674 --> 00:24:05,644 当凯特落马，大脑受伤时 when Kate fell off her horse and injured her brain, 310 00:24:05,644 --> 00:24:09,637 开启了一个危险的连锁反应 it set off a dangerous chain reaction 311 00:24:10,115 --> 00:24:14,108 脑细胞受伤可能引起 有害化学物质的释放 Any injury to brain cells can trigger the release of destructive chemicals 312 00:24:14,920 --> 00:24:18,913 如果不被阻止，这些化学物质 将引起未受伤的细胞死亡 If they're not stopped, these chemicals cause other uninjured brain cells to die 313 00:24:23,528 --> 00:24:25,530 虽然我们不确知原因为何 Although we don't know precisely why, 314 00:24:25,530 --> 00:24:27,566 但我们知道将大脑降温几度 we do know that cooling the brain 315 00:24:27,566 --> 00:24:31,559 就能停止伤害扩散 by just a few degrees can stop further widespread damage happening 316 00:24:34,940 --> 00:24:37,809 还是冰冷的凯特被送进手术房 Still cold, Kate was rushed to surgery, 317 00:24:37,809 --> 00:24:41,746 移除她脑中的血块 where the blood clot that had formed on her brain was removed 318 00:24:41,746 --> 00:24:45,739 惊人的是，她的大脑没有受伤 Amazingly, she suffered no brain damage 319 00:24:46,985 --> 00:24:49,221 我一直很讨厌冷 I've always, always hated the cold 320 00:24:49,221 --> 00:24:53,158 但现在我知道了 But now I've been told that as a result of hypothermia, 321 00:24:53,158 --> 00:24:57,151 体温低帮助我活命 that's one of the things that helped to save me 322 00:24:57,195 --> 00:25:01,199 我还是不喜欢感觉冷 I still don't like feeling cold, I must admit 323 00:25:01,199 --> 00:25:03,702 我不喜欢冷 但这个情况 I don't like the cold, but on this occasion, 324 00:25:03,702 --> 00:25:07,695 老天，冷帮了我很多忙 my goodness me! It did me a lot of favour, it really, really did 325 00:25:16,114 --> 00:25:18,250 体温低的好处 Research into the benefits of being cold 326 00:25:18,250 --> 00:25:21,686 是现在外伤医疗的研究尖端 is now at the cutting edge of trauma medicine 327 00:25:21,686 --> 00:25:25,090 外伤不只是战争和车祸 Trauma isn't just war and car crashes 328 00:25:25,090 --> 00:25:29,083 它也可能是来到这世界的 第一刻：被出生 - it can be part of our first moments in this world: Being born 329 00:25:31,463 --> 00:25:35,456 对许多人来说 出生是一生中最危险的经历 For many of us, being born is the most dangerous event we'll ever experience 330 00:25:37,702 --> 00:25:41,695 滑下产道距离虽然不长 但可能非常惊险 The journey down the birth canal may be short but it can be very hazardous 331 00:25:46,111 --> 00:25:50,104 罗司沃克在出生时极度缺氧 During his delivery, Ross walker was starved of oxygen 332 00:25:50,515 --> 00:25:54,508 存活且没有大脑伤害的可能性 非常之小 The chance of surviving without severe brain damage was extremely low 333 00:25:55,520 --> 00:25:58,089 我第一个注意到的是他很安静 The first thing that struck me was the fact that he was quiet, 334 00:25:58,089 --> 00:26:02,082 他没有什么动作 and there was no particular movement from him 335 00:26:05,130 --> 00:26:08,266 心跳应该是每分钟140-145下 The heart-rate should have been around 140-145 beats per minute, 336 00:26:08,266 --> 00:26:12,259 但他只有80下 and he'd gone down to about 80 beats per minute 337 00:26:12,871 --> 00:26:14,773 他第二次痉挛时 Once he had fitted for the second time, 338 00:26:14,773 --> 00:26:18,766 医院才发现问题更严重 they realised that there was something worse than what they first thought 339 00:26:20,278 --> 00:26:21,246 他们告诉我们 They told us 340 00:26:21,246 --> 00:26:25,239 他严重大脑伤害的机率是94% that it was 94% chance that he could have severe brain damage 341 00:26:27,152 --> 00:26:31,145 缺氧已经开始 他脑中的化学反应 Lack of oxygen had begun the chemical chain reaction in his brain, 342 00:26:31,222 --> 00:26:35,215 现在他的脑细胞已经开始死亡 and now some of his brain cells were starting to die off 343 00:26:40,298 --> 00:26:43,001 罗司被送进 伦敦的汉默斯密医院 Ross was rushed to the Hammersmith Hospital in London 344 00:26:43,001 --> 00:26:45,770 尝试非常不同的疗法 where they were trying a radically different treatment 345 00:26:45,770 --> 00:26:49,763 要避免大脑伤害 像罗司这样的婴儿被降温 To prevent brain damage, babies like Ross were cooled down 346 00:26:51,643 --> 00:26:54,779 他在一个没有底也没有盖子的 圆形装置物 He was in a like a paddling pool without the bottom or the top, 347 00:26:54,779 --> 00:26:58,550 他在中间，有冷气吹向他 and he was in the centre and the cold air was blowing across him 348 00:26:58,550 --> 00:27:02,543 让他的体温降2度 So that was cooling him down by two degrees below the body temperature 349 00:27:04,689 --> 00:27:06,791 他摸起来很冷也干 And he was cold to touch, and dry as well, 350 00:27:06,791 --> 00:27:10,784 那是很奇怪的事情 and, yeah, it seemed an odd thing to do 351 00:27:11,296 --> 00:27:14,666 因为自然反应是抱他让他暖 And your natural reaction is to cuddle them and keep them warm- 352 00:27:14,666 --> 00:27:16,134 把他包起来 对，包住他 wrap him up- That's right, wrap him up, 353 00:27:16,134 --> 00:27:18,036 医院解释过 so once they'd explained 354 00:27:18,036 --> 00:27:21,006 为何那样做的原因后 why the reasons why they thought that would help, 355 00:27:21,006 --> 00:27:24,776 我们知道那可能是最好的方法 well obviously we knew it was probably for the best 356 00:27:24,776 --> 00:27:27,379 所以只好压住那些感觉 and y'know had to cope with those sort of feelings 357 00:27:27,379 --> 00:27:31,372 先等待，之后再好好抱他 until we could give him a proper cuddle later on 358 00:27:33,918 --> 00:27:36,287 我觉得无助 I felt helpless, 359 00:27:36,287 --> 00:27:37,989 因为什么都不能做 'cause I couldn't do anything, 360 00:27:37,989 --> 00:27:41,092 不能抱他，什么都帮不了 I couldn't hold him, I couldn't do anything to help him 361 00:27:41,092 --> 00:27:43,228 当罗司刚到医院时 when he first arrived at the Hammersmith, 362 00:27:43,228 --> 00:27:47,221 他的脑波等于是零 Ross's brain-wave output was virtually zero 363 00:27:47,265 --> 00:27:49,134 随着他变得越来越冷 As he became cooler and cooler, 364 00:27:49,134 --> 00:27:53,127 他的父母只能等待 his parents simply had to wait to see what might happen 365 00:27:53,738 --> 00:27:54,806 我们坐在床边 we just sat by the bedside, 366 00:27:54,806 --> 00:27:56,274 等着脑波机器 didn't we, just watching and willing this machine 367 00:27:56,274 --> 00:28:00,267 显示动作 to show us some brain waves that were showing signs of activity 368 00:28:11,423 --> 00:28:13,391 分秒时日的过去 As the hours- minutes, hours and days 369 00:28:13,391 --> 00:28:16,695 我们看到脑波开始有动作 went by we could see the brain waves picking up, 370 00:28:16,695 --> 00:28:20,688 我们看到有光芒，有了目标 we could see that there was a light coming on and we had something to aim for 371 00:28:26,104 --> 00:28:30,097 接下来的2年内 持续的脑部扫瞄显示 Over the following two years, successive brain scans revealed that 372 00:28:30,308 --> 00:28:34,301 罗司发育成正常健康的幼儿 Ross was developing into a normal, healthy toddler 373 00:28:50,995 --> 00:28:52,664 他是很开心的小孩 He's a very happy boy, 374 00:28:52,664 --> 00:28:56,657 很活泼，跳来跳去，喜欢玩 he's very lively, he's jumping around and he enjoys playing 375 00:28:58,269 --> 00:29:02,262 他很好玩 He's good fun 376 00:29:08,480 --> 00:29:12,473 没有那治疗 我不知道罗司会变成怎样 I don't know what kind of boy Ross would have been without this treatment 377 00:29:14,319 --> 00:29:17,422 他就像个正常的2岁小孩 He's right where he should be for a normal two year old 378 00:29:17,422 --> 00:29:18,723 这最好吃，对不对？ It's the best bit, isn't it? 379 00:29:18,723 --> 00:29:20,825 也许他是自己好起来的 We could say that he may have got better on his own- of his own accord, 380 00:29:20,825 --> 00:29:24,028 但是在心里面我觉得 but at the end of the day I feel that in our heart of hearts 381 00:29:24,028 --> 00:29:25,396 要是没有那治疗 that we can say that without the treatment 382 00:29:25,396 --> 00:29:29,389 他可能就会是大脑严重受伤 that he would have been severely brain-damaged 383 00:29:43,381 --> 00:29:47,374 虽然这听来很怪 但冷的确能对你有好处 Although it does seem rather odd, being cold can actually be good for you 384 00:29:49,087 --> 00:29:52,323 医生们现在尝试各种情境 Doctors are now trying it in a variety of circumstances, 385 00:29:52,323 --> 00:29:56,316 从心脏病到头部外伤 from heart attacks to head injuries 386 00:29:56,394 --> 00:30:00,098 身体在经历外伤后会自然变冷 After trauma, the body can become cold naturally 387 00:30:00,098 --> 00:30:04,091 事实上，冷却是我们 称为休克的最后阶段 In fact, cooling is often the end-point of the process we call shock 388 00:30:07,071 --> 00:30:11,064 人在休克时的怪反应 And the often strange ways people behave when they're in shock 389 00:30:11,109 --> 00:30:15,102 可追溯到我们的演化起源 can be traced back to our evolutionary origins 390 00:30:15,413 --> 00:30:17,816 就我们的身体来说 As far as our bodies are concerned, 391 00:30:17,816 --> 00:30:21,186 我们还只是挣扎存活的动物而已 we're still just animals fighting for survival, 392 00:30:21,186 --> 00:30:24,389 试图逃脱 寻找安全藏匿的处所 struggling to escape and find a safe place to hide 393 00:30:24,389 --> 00:30:28,382 这叫做抗争不了就脱逃 It's called 'Fight or Flight' 394 00:30:31,863 --> 00:30:35,856 身体充满了肾上腺素 The body is flooded with adrenaline 395 00:30:39,204 --> 00:30:43,197 肾上腺素使心跳加快 Adrenaline makes the heart beat faster; 396 00:30:48,479 --> 00:30:52,472 肺部更用力工作 The lungs work harder; 397 00:30:55,320 --> 00:30:59,313 身体在呐喊：逃，逃， The body is shouting: Escape! Escape! 398 00:31:03,928 --> 00:31:07,265 这也就是为何 患者通常会抗拒救护者的原因 It's why victims often struggle with people trying to save them 399 00:31:07,265 --> 00:31:11,258 别这样，凯特，不要打了 You can't, Kate, don't fight now Don't fight now... 400 00:31:14,105 --> 00:31:16,941 同时间，大脑释放出 At the same time, the brain releases a surge 401 00:31:16,941 --> 00:31:19,844 止痛贺尔蒙：脑内啡 of pain-killing hormones: Endorphines 402 00:31:19,844 --> 00:31:21,279 脑内啡的作用之强 These are so powerful 403 00:31:21,279 --> 00:31:25,283 让你的肢体被炸断了 你还没感觉 that you can have a limb blown off and feel nothing 404 00:31:25,283 --> 00:31:29,254 我从腰部以下完全没感觉 I'd literally gone numb from the waist downwards 405 00:31:29,254 --> 00:31:33,247 已经过了疼痛的极限 You'd just gone through your pain barrier 406 00:31:33,391 --> 00:31:37,384 但是不久之后，这些贺尔蒙的 作用力开始消失 After a while, however, the effects of these hormones start to wear off 407 00:31:39,564 --> 00:31:43,557 心跳渐缓，血压降低 The heart slows down, blood pressure drops 408 00:31:45,303 --> 00:31:49,296 血块开始形成 Clots form 409 00:31:50,008 --> 00:31:54,001 血液抽离，只存留在重要器官 Blood drains away from all but the most essential organs 410 00:31:55,580 --> 00:31:59,573 身体冷却 开始自我修复的漫长过程 The body cools and starts the long process of self-repair 411 00:32:08,493 --> 00:32:12,486 与身体和谐运作的概念 一点都不新 The idea of trying to work in harmony with the body is hardly a new one 412 00:32:14,599 --> 00:32:17,068 这里是希腊的科斯岛 This is the Greek island of Kos 413 00:32:17,068 --> 00:32:21,061 这里曾经是医学之父 希波克拉底的故乡 It was once home to the ancient world's most famous doctor, Hippocrates 414 00:32:22,573 --> 00:32:26,277 希波克拉底教导他的学生 Hippocrates taught his followers that it was vital to observe 415 00:32:26,277 --> 00:32:30,048 观察倾听身体想说什么 至关重要 and listen to what the body was trying to say 416 00:32:30,048 --> 00:32:34,041 这听来或许没什么 但现代医学即是从此开始 It may not look much, but this is where modern medicine really began 417 00:32:36,521 --> 00:32:38,256 2千5百年前 Two and a half thousand years ago, 418 00:32:38,256 --> 00:32:42,026 这些废墟即是早期的医院 these ruins form one of the earliest kind of hospital 419 00:32:42,026 --> 00:32:45,296 不是那种我们熟悉的医院 It wasn't the sort that you and I might recognise perhaps: 420 00:32:45,296 --> 00:32:48,166 这儿没有麻醉药，没有抗生素 There were no anaesthetics, no antibiotics, 421 00:32:48,166 --> 00:32:52,159 也没有任何 受过高度专业训练的医生 nor any doctors with highly specialised training, It was more a temple for healing 422 00:32:57,075 --> 00:32:59,544 这儿比较像是一座心灵庙堂 A place where pilgrims could simply come to rest 423 00:32:59,544 --> 00:33:03,537 朝觐者来此安宁孤绝之处修养 in these peaceful and isolated surroundings 424 00:33:07,218 --> 00:33:11,211 在洛杉矶 让身体自行痊愈的观念 In Los Angeles, this idea of leaving the body to heal itself 425 00:33:11,289 --> 00:33:15,282 发展到连 希波克拉底也无法想像的极端 has been taken to an extreme even Hippocrates could never have imagined 426 00:33:21,499 --> 00:33:24,402 1999年7月6号上午11点 11 am, July 6th 1999. 427 00:33:24,402 --> 00:33:28,406 洛杉矶市区一家工厂爆炸 A factory in downtown L.A. Exploded 428 00:33:28,406 --> 00:33:32,399 在此担架上的男子 吉摩严重受伤 The man on this stretcher Kiomo Vasques suffered horrendous injuries 429 00:33:33,111 --> 00:33:37,104 他被送到洛城郡医院 and was rushed to L.A. County Hospital 430 00:33:46,724 --> 00:33:48,693 当他抵达急诊室时 when he arrived in the emergency room, 431 00:33:48,693 --> 00:33:52,130 医生认为他的存活率很低 doctors had little hope that he would survive: 432 00:33:52,130 --> 00:33:56,123 吉摩脖子折断，头壳裂伤 腹部大量出血 Kiomo had a broken neck, a fractured skull and a huge bleed into his abdomen 433 00:34:04,042 --> 00:34:07,145 这么多的严重伤口 with so many terrible injuries, his surgeon, 434 00:34:07,145 --> 00:34:11,138 使得主治医师狄梅崔 必须做非常勇敢的决定 Dr. Demetriades, had to make a very brave decision 435 00:34:12,216 --> 00:34:14,986 因为病患伤势的严重性 Because of the severity of the patient, 436 00:34:14,986 --> 00:34:18,389 我们在几分钟内决定 we decided within a matter of minutes 437 00:34:18,389 --> 00:34:22,382 采用一种非传统的作法 that we should follow a different approach, an unconventional approach, 438 00:34:23,061 --> 00:34:27,054 所谓的伤害控制程序 the so-called 'Damage Control Procedure' Damage Control Procedure 439 00:34:27,665 --> 00:34:31,658 多重伤害下的身体 处于非常脆弱的状况 After multiple injury, the body is in an incredibly fragile state 440 00:34:34,772 --> 00:34:38,765 伤害控制法明白 病患随时可能丧命 Damage control recognises that in this state it takes very little to kill the patient 441 00:34:43,281 --> 00:34:46,184 人体有其特定的生理储备 The human body has certain physiological reserves 442 00:34:46,184 --> 00:34:49,220 如果生理储备耗竭了 If the physiological reserves become exhausted 443 00:34:49,220 --> 00:34:53,213 超过它极限时 就是病患生命的结束 and it tips over the cliff, this is the end of patient's life 444 00:34:54,392 --> 00:34:58,385 于是他们做了最少的动作 来让病患存活 So they did the bare minimum necessary to keep their patient alive 445 00:35:00,598 --> 00:35:02,300 先不顾其它的伤口 Ignoring his other injuries, 446 00:35:02,300 --> 00:35:06,293 医生将他的肝脏缝合缠上纱布 they glued his liver together and packed it with gauze 447 00:35:08,239 --> 00:35:10,842 接着，并不是将他的肚子缝合 And then, instead of sewing him back together, 448 00:35:10,842 --> 00:35:14,345 医生以塑胶布盖住他的内脏 they covered his guts with plastic and left him, 449 00:35:14,345 --> 00:35:18,338 希望他能自行痊愈 in the hope that he would heal himself 450 00:35:23,121 --> 00:35:27,114 吉摩被留在加护病房 稳定3天 Kiomo was left to stabilise for three days in intensive care 451 00:35:28,059 --> 00:35:32,052 然后狄梅崔医师 才开始进一步的手术 Only then did Dr. Demetriades attempt to perform further surgery 452 00:35:36,434 --> 00:35:40,427 医生移除外层塑胶套 They removed the outer plastic cover 453 00:35:55,386 --> 00:35:58,122 结果令人安心 他的肝脏在复原 To their relief, his liver was now healing 454 00:35:58,122 --> 00:36:02,115 而且内出血也停止 and his internal bleeding had stopped 455 00:36:02,160 --> 00:36:06,153 肠子看来很健康，好消息 The bowel looks nice... and healthy: It's good news. 456 00:36:06,797 --> 00:36:09,167 检查完肠子是否有受伤后 After checking his bowel for further injuries, 457 00:36:09,167 --> 00:36:13,160 医师以猪肠做的特殊薄膜 they reconstructed his abdominal wall with a special membrane 458 00:36:13,204 --> 00:36:15,573 重建他的腹壁 made out of pig's intestines 459 00:36:15,573 --> 00:36:19,566 最后再将他缝合 And then, at last, they sewed him up 460 00:36:22,113 --> 00:36:23,648 他的存活率 His chances of survival- 461 00:36:23,648 --> 00:36:26,851 你问世界上任何医生 you can ask any surgeon anywhere in the world 462 00:36:26,851 --> 00:36:30,388 都会说几乎是零 will tell you they are near zero 463 00:36:30,388 --> 00:36:34,392 我确定 如果没有这个伤害控制程序 I am certain that without this Damage Control Procedure 464 00:36:34,392 --> 00:36:38,385 他在第一次手术时 就会死在手术台上 he would have died on the table in the operating room during the first operation 465 00:36:47,939 --> 00:36:51,876 我们有了越来越多经验后发现 The more and more experience we get, you realise that 466 00:36:51,876 --> 00:36:55,869 有时候你做的少 反而会对病人比较好 the less you do the better will be for the patient, sometimes 467 00:36:57,682 --> 00:37:00,151 吉摩在经历这些后 But after everything that has happened to Kiomo, 468 00:37:00,151 --> 00:37:04,144 会使他致命的很可能是 接下来在加护病房的这几周 it is the next few weeks in intensive care that could well kill him 469 00:37:07,158 --> 00:37:09,827 这里是加护病房区 This is the Intensive Care Unit, 470 00:37:09,827 --> 00:37:13,820 1百个护士只照顾13个病人 where it takes around a hundred nurses to look after just thirteen people 471 00:37:14,498 --> 00:37:18,236 这是因为每一个病人 都给予生命维持机器 That's because every patient is given life-support: 472 00:37:18,236 --> 00:37:22,229 帮助病患呼吸，喂食及排泄 Machines breathe for them, feed them and remove waste products 473 00:37:22,773 --> 00:37:26,766 每个重要器官 都能全天候仔细监控 Every vital organ can be carefully monitored around the clock 474 00:37:27,478 --> 00:37:31,471 每个人都在等康复迹象 what everyone is hoping for is any sign of recovery 475 00:37:32,350 --> 00:37:35,987 而医师们明白 他们需要注意其他迹象 But the staff know that they need to look out for something else 476 00:37:35,987 --> 00:37:38,522 20%死于外伤的病患 20% of patients who die from injuries 477 00:37:38,522 --> 00:37:40,858 是受伤后2到3周 die in the intensive care unit 478 00:37:40,858 --> 00:37:44,851 死在加护病房里 approximately two to three weeks after their injury 479 00:37:45,263 --> 00:37:47,231 就在你认为病人好转时 Just when you think they're getting better, 480 00:37:47,231 --> 00:37:51,224 肝脏和肾脏开始衰竭 organs like the liver and kidneys start to fail 481 00:37:52,570 --> 00:37:56,563 病人死亡是因为 身体有时候对外伤过度反应 They die because sometimes the body over-reacts to trauma 482 00:37:56,707 --> 00:38:00,700 这叫做多重器官衰竭 It's called Multiple Organ Failure 483 00:38:02,513 --> 00:38:06,506 彼得和珍妮佛原本应该会如此 And it's what should have happened to Peter Blaud and Jennifer Vaughn, 484 00:38:06,784 --> 00:38:10,721 他们两人都有严重的多重伤害 both of whom suffered horrific multiple injuries 485 00:38:10,721 --> 00:38:14,714 我的车是驾驶座门被撞 My car was hit on the driver's side door... 486 00:38:14,792 --> 00:38:18,785 然后冲向马路对面的栅栏 which was then pushed... into a fence on the opposite side of the road 487 00:38:24,001 --> 00:38:27,994 我脊椎下半部大量出血 I was bleeding to death from the lower base of my spine 488 00:38:28,506 --> 00:38:31,676 医生切除我的脾脏 因为车祸时撞裂 They had to remove my spleen, 'cause it had ruptured in the accident, 489 00:38:31,676 --> 00:38:34,478 我的肝脏也有裂伤 my liver also had a tear in it, 490 00:38:34,478 --> 00:38:38,471 我的骨盆有6处裂伤 and my pelvic bone was broken in six places 491 00:38:40,284 --> 00:38:44,277 她因车祸受到大范围重伤 She had severe extensive injuries from a motor vehicle crash 492 00:38:45,556 --> 00:38:48,059 评估时发现 and at the time of evaluation, 493 00:38:48,059 --> 00:38:52,052 她的脾脏和肝脏都受伤流血 she had intra-abdominal injuries to her spleen and liver that were both bleeding, 494 00:38:52,663 --> 00:38:56,067 她的骨盆严重裂伤 she had a severe injury to her pelvis with fractures 495 00:38:56,067 --> 00:39:00,060 她的双肺也因胸腔重击而出血 and she had bleeding into both of her lungs from hitting her chest during the crash 496 00:39:05,076 --> 00:39:09,069 彼得也因机车撞车而伤势严重 Peter Blaud also suffered massive injuries during a motor-bike crash 497 00:39:10,781 --> 00:39:13,718 我骑摩托车转弯 I was riding my street-bike going round a corner, 498 00:39:13,718 --> 00:39:17,711 抬头一看 看到一辆车停在路中间 and as I looked up I saw a vehicle sitting right in the middle of the road 499 00:39:20,458 --> 00:39:22,326 我一只手腕断了几个地方 I had a broken wrist in a couple of spots, 500 00:39:22,326 --> 00:39:24,662 锁骨断裂，前后都是 broken collar-bone, both front and back, 501 00:39:24,662 --> 00:39:26,397 断了10根肋骨 ten broken ribs... 502 00:39:26,397 --> 00:39:29,967 几根肋骨刺到我的肺部 Couple of those ribs actually punctured my lung... 503 00:39:29,967 --> 00:39:32,737 底端肋骨刺破我的肺部 The bottom rib severed my lung... 504 00:39:32,737 --> 00:39:36,730 脾脏在撞击时裂开，撞伤肾脏 I ruptured my spleen upon impact, I bruised my kidneys... 505 00:39:37,341 --> 00:39:38,976 我发现左手臂 I realised my arm- my left arm 506 00:39:38,976 --> 00:39:42,680 只剩皮肤和身体相连 had almost fallen off and was hanging there by the skin 507 00:39:42,680 --> 00:39:46,050 他的伤势严重到 His injuries were so extensive that his probability of 508 00:39:46,050 --> 00:39:50,043 存活率可说在10%以下 surviving was probably less than 10% 509 00:39:51,722 --> 00:39:55,715 珍妮佛和彼得这样的多重伤口 在车祸中很常见 Multiple injuries like Jennifer's and Peter's are common in car accidents, 510 00:39:57,762 --> 00:40:00,431 因为车祸时 because in a car accident, several different 511 00:40:00,431 --> 00:40:04,424 有数种撞击同时发生 collisions happen at the same time 512 00:40:06,570 --> 00:40:09,907 金属撞击金属 Metal crashes into metal 513 00:40:09,907 --> 00:40:13,900 器官撞上骨骼或被移位 Organs crash into skeletons, or get ripped from their moorings 514 00:40:14,779 --> 00:40:18,772 皮肉绽开 Flesh is pierced and punctured 515 00:40:23,354 --> 00:40:27,347 人体就是还没演化到 能应付如此剧烈的伤害 The human body just hasn't evolved to cope with injuries as dreadful as these 516 00:40:30,961 --> 00:40:34,954 野生动物受伤到 无法自我修复的只有一死 In the wild, animals who are injured beyond the point of self-repair simply die 517 00:40:38,769 --> 00:40:42,762 没有医疗设施让它们活命 There are no medical systems to keep them alive 518 00:40:43,874 --> 00:40:47,867 死亡只是自然循环的一部份 Death is part of the natural order of things 519 00:40:52,750 --> 00:40:55,186 但是我们当然就不同了 But we, of course, are different 520 00:40:55,186 --> 00:40:57,988 基本上就是原本活不了的 These patients basically are surviving injuries that 521 00:40:57,988 --> 00:41:01,981 伤患逃过一劫 evolution did not plan on them surviving 522 00:41:09,900 --> 00:41:13,571 科技进步表示我们能让人活着 Technology means we now keep people alive, 523 00:41:13,571 --> 00:41:16,707 即使伤势早已超过 even when their injuries are well beyond the normal limits 524 00:41:16,707 --> 00:41:20,700 身体能痊愈的正常限度 of the body's ability to heal itself 525 00:41:23,747 --> 00:41:27,740 由机器维持生命 身体当然会混淆不清 Kept alive by machines, the body is understandably in a state of confusion, 526 00:41:29,954 --> 00:41:33,947 于是以过度补偿回应 and it responds by over-compensating 527 00:41:34,792 --> 00:41:38,796 重伤引起身体 Severe injuries trigger the release of huge numbers of white cells, 528 00:41:38,796 --> 00:41:42,500 释出大量中性白血球 called Nutrofils into the blood 529 00:41:42,500 --> 00:41:46,493 它们的工作是消灭细菌 但也可能令人致命 Their job is to kill bacteria, but they can end up killing you 530 00:41:49,640 --> 00:41:53,110 就像颠峰期的车辆 为了回应受伤 It's like cars in the rush hour: In response to injury, 531 00:41:53,110 --> 00:41:57,103 数百万个中性白血球 全都同时要赶去上工 millions of Nutrofils all trying to get to work at the same time 532 00:42:09,727 --> 00:42:12,863 它们同时前往受伤部位 They're all heading in the same direction towards the injury site 533 00:42:12,863 --> 00:42:16,856 要消灭入侵的细菌 where they're trying to kill any invading bacteria 534 00:42:20,004 --> 00:42:23,997 但是这庞大数量可能导致悲剧 But sheer weight of numbers can lead to disaster 535 00:42:27,177 --> 00:42:29,914 麻烦的是严重外伤时 The trouble is when there's been really serious trauma, 536 00:42:29,914 --> 00:42:31,615 会出现太多白血球 you get too many of them, 537 00:42:31,615 --> 00:42:34,585 然后它们全都黏在一起 这是它们的本性 and then they all stick together, which is what they're designed to do, 538 00:42:34,585 --> 00:42:38,578 然后就会出现塞车 最后就全面拥塞停滞 and then a jam starts and in the end you get gridlock 539 00:42:41,825 --> 00:42:45,818 白血球拥塞会阻碍正常血流 A gridlock of nutrofils will eventually block normal blood flow 540 00:42:47,631 --> 00:42:51,624 没有了血 氧气就不能传输到重要器官 without blood, the oxygen supply to vital organs is cut off 541 00:42:53,237 --> 00:42:57,230 于是器官便--关闭死亡 One by one they shut down and die 542 00:43:00,277 --> 00:43:04,270 应该是救命的血球 到后来造成致命 And the very cells which should be saving life actually end it 543 00:43:08,118 --> 00:43:10,521 有点像每下愈况 It's kind of an insidious process 544 00:43:10,521 --> 00:43:14,514 情况会随时间越来越恶化 that tends to get worse and worse over time, can affect 545 00:43:15,526 --> 00:43:17,695 身体任何器官系统都会受影响 any organ system of the body, 546 00:43:17,695 --> 00:43:21,688 每种器官系统--受到影响 and in general kind of goes from one organ system to the other, you know, 547 00:43:22,700 --> 00:43:25,302 身体像个精密协调的机制 the body works as a very fine-tuned mechanism 548 00:43:25,302 --> 00:43:27,705 当这很复杂的机制 and when part of that over- 549 00:43:27,705 --> 00:43:30,674 有部分系统失衡时 that very complex mechanism gets out of balance 550 00:43:30,674 --> 00:43:34,667 就会导致其他系统的失衡 it leads to imbalance in the other systems 551 00:43:37,915 --> 00:43:40,851 当彼得和珍妮佛抵达医院时 when Peter Blaud and Jennifer Vaughn arrrived at hospital, 552 00:43:40,851 --> 00:43:44,844 梅尔医师预测 这二人将在加护病房久住 Dr. Maier anticipated both would have a long stay in the ICU 553 00:43:45,022 --> 00:43:48,359 并可能发展出多重器官衰竭 and develop multiple organ failure 554 00:43:48,359 --> 00:43:51,328 虽然我们一开始能让她稳定 Even though we were able to stabilise her initially, 555 00:43:51,328 --> 00:43:54,698 她出现多重器官衰竭 her risk of developing multiple organ failure and 556 00:43:54,698 --> 00:43:58,691 或因此而死的机率非常地高 even having a high risk of dying from multiple organ failure was significant 557 00:44:01,171 --> 00:44:02,873 为避免这种情况的发生 To try to prevent this happening, 558 00:44:02,873 --> 00:44:05,042 珍妮佛与彼得服用一种 Jennifer and Peter were rapidly 559 00:44:05,042 --> 00:44:09,035 叫路可瑞思的实验药物 given an experimental drug called Lucarest 560 00:44:12,349 --> 00:44:15,352 有点像魔鬼沾 一面是小钩 Kind of like Velcro: There's little hooks on one side 561 00:44:15,352 --> 00:44:17,588 另一面是毛绒状 and the fuzzy stuff on the other side, 562 00:44:17,588 --> 00:44:20,924 白血球会因此黏合 and the white blood cell will - will stick as a result of this 563 00:44:20,924 --> 00:44:24,061 再加上抗生素 And a number of antibodies 564 00:44:24,061 --> 00:44:26,030 亦即路可瑞思 - which is what Lucarest is 565 00:44:26,030 --> 00:44:30,023 会黏住白血球 - have been developed that bind to these adhesion molecules, 566 00:44:30,401 --> 00:44:34,394 有点像是进一步包住魔鬼沾 让它不会再黏下去 it's kind of like coating the Velcro so that it doesn't stick any more 567 00:44:38,909 --> 00:44:42,246 使用抗生素能避免白血球黏合 By using these anti-bodies, we can prevent the white blood cell from sticking, 568 00:44:42,246 --> 00:44:44,815 白血球不黏合 and as a result of preventing it from sticking 569 00:44:44,815 --> 00:44:48,285 就不会造成伤害 can prevent it from causing injury 570 00:44:48,285 --> 00:44:51,722 白血球不黏合 血液就能自由流动 If they don't stick, free-flow of blood is possible, 571 00:44:51,722 --> 00:44:54,258 氧气就能抵达重要器官 so oxygen can reach vital organs, 572 00:44:54,258 --> 00:44:58,251 理论上就能避免多重器官衰竭 and in theory multiple organ failure can be avoided 573 00:45:02,733 --> 00:45:04,668 不管是不是这药物的作用 whether or not it was thanks to the drug, 574 00:45:04,668 --> 00:45:08,661 彼得与珍妮佛都有惊人的复原 both Peter and Jennifer made extraordinary rapid recoveries 575 00:45:09,640 --> 00:45:13,310 虽然我们无法证明是药的功劳 Although we cannot prove definitely that the drug is what did it, 576 00:45:13,310 --> 00:45:15,846 但复原情况良好 it was a remarkable recovery 577 00:45:15,846 --> 00:45:19,839 其他也服用这个药的病患 也有相同成效 and we've seen this in other patients that have received the drug also 578 00:45:21,652 --> 00:45:25,645 意外后才2个月 珍妮佛已返回工作岗位 Just two months after her accident, Jennifer was back at work 579 00:45:26,023 --> 00:45:27,858 我对人生的看法 有了很大的改变 It changed my outlook on life a lot, 580 00:45:27,858 --> 00:45:31,851 我对人生，对人，朋友 都有了不同看法 You know, it taught me a lot about life, and about people and about friends 581 00:45:32,196 --> 00:45:36,189 该好好把握人生 因为生命无常 and just to enjoy it while you're here, 'cause so quickly you can lose it 582 00:45:38,068 --> 00:45:39,670 生命中的机会 The opportunity and chances 583 00:45:39,670 --> 00:45:42,239 有时候很快就会消失 that we get sometimes are taken away from us really quickly, 584 00:45:42,239 --> 00:45:46,232 所以该好好掌握人生 努力过活 and so you need to take advantage of life and live it to your fullest 585 00:46:00,924 --> 00:46:03,260 伤害控制手术后3个月 Three months after his damage control surgery, 586 00:46:03,260 --> 00:46:07,253 吉摩离开加护病房 不再有危险 Kiomo was out of intensive care and out of danger 587 00:46:08,265 --> 00:46:10,934 早安，吉摩，你好 Good morning, Kiomo, how are you? 588 00:46:10,934 --> 00:46:12,136 你还好吗？ 还好 Are you all right? Si 589 00:46:12,136 --> 00:46:16,129 告诉他他会恢复健康 Tell him that he'll recover- well, he'll be stronger than before 590 00:46:20,644 --> 00:46:21,235 Gracias 591 00:46:21,245 --> 00:46:22,045 谢谢 I also want him 592 00:46:22,045 --> 00:46:22,980 我还要他 Once a year, at Christmas, during Christmas-time, 593 00:46:25,015 --> 00:46:27,506 每年写圣诞卡 给我报告近况 to send me a card and tell me how he is doing 594 00:46:41,498 --> 00:46:44,501 古代希腊人 首先强调 The ancient Greeks were the first to really emphasise 595 00:46:44,501 --> 00:46:48,305 聆听身体的重要性 有趣的是 the importance of listening to the body, and in a funny sort of way, 596 00:46:48,305 --> 00:46:52,209 人类在 几世纪取得科技的大进步后 after centuries of making huge technological strides, 597 00:46:52,209 --> 00:46:56,202 我们又回到最早的起点 we've managed to come full circle 598 00:46:58,248 --> 00:47:01,151 现代医学正经历一场革命 Modern medicine is undergoing a revolution 599 00:47:01,151 --> 00:47:05,155 这场革命回归到 But it's a revolution that harks back to the ideas 600 00:47:05,155 --> 00:47:09,148 这座庙建立人的理念 of the people that built this temple 601 00:47:09,193 --> 00:47:12,429 我们在学习，探索我们的力量 we're now learning that as well as exploiting our strengths, 602 00:47:12,429 --> 00:47:16,422 我们将能与我们的身体合作 克服身体的弱点 we can work with our body to overcome its weaknesses