The step is painful, gut wrenching and overwhelming for all of these patients.

这一步十分痛苦，压倒一切地令所有病人都痛彻心扉。

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It was this plea that moved the video from being just a game parody but a manifesto for freedom with gut wrenching emotional impact.

正是这一请求，使得这部视频不再仅仅是一部游戏恶搞作品，而是一个富有勇气的自由宣言，能够引发情感效应。

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Going to court can be an expensive, time-consuming, and gut-wrenching experience that is best avoided.

上法庭会是种费钱，费时间，并带来精神痛苦的经历，最好能加以避免。

《柯林斯英汉双解大词典》

The decisions had to be made. They were gut-wrenching, but absolutely necessary for Chrysler's survival,"

VOA: standard.2009.06.04

These meetings are the tonic needed after two bumpy flights or two days on a gut wrenching bus from Kathmandu.

BBC: Give me a home where the snow leopards roam

Volatility is always unsettling, but two factors make it even more gut wrenching.

FORBES: Making Volatility Work For You

Here though, is a moment that is both gut wrenching and head-scratching.

FORBES: Moulded By Pain: 'Injustice: Gods Among Us #4' Review