纯: pure, simple, unmixed, genuine...
惨痛: bitter, painful, deeply distressed...
车: war chariot (archaic), rook (in Chinese chess), rook (in chess)...
看护: to nurse, to look after, to watch over, (old) hospital nurse...
痛苦: pain, suffering, painful...
怪不得: no wonder!, so that's why!...
脏: dirty, filthy, to get (sth) dirty...
洗: to wash, to bathe,bathe, clean with water, to develop (photo)...
发挥: to display, to exhibit, to bring out implicit or innate qualities, to express (a thought or moral), to develop (an idea), to elaborate (on a theme)...
一鼓作气: in a spurt of energy...