新增科室录入界面区分以及接口

src/api/inspect/ inspectlisdata/index.ts

@@ -0,0 +1,49 @@
+import request from '@/config/axios'
+
+// lis抓取数据 VO
+export interface LisDataVO {
+  id: number // 主键
+  code: string // 体检编号
+  type: string // 类型
+  equipmentManufacturerModel: string // 设备厂商型号
+  item: string // 项目
+  personName: string // 检测者姓名
+  time: Date // 检测时间
+  data: string // 数据
+  remark: string // 备注
+  delFlag: number // 是否删除(0-未删除，1-已删除)
+  createId: string // 创建人
+}
+
+// lis抓取数据 API
+export const LisDataApi = {
+  // 查询lis抓取数据分页
+  getLisDataPage: async (params: any) => {
+    return await request.get({ url: `/inspect/lis-data/page`, params })
+  },
+
+  // 查询lis抓取数据详情
+  getLisData: async (id: number) => {
+    return await request.get({ url: `/inspect/lis-data/get?id=` + id })
+  },
+
+  // 新增lis抓取数据
+  createLisData: async (data: LisDataVO) => {
+    return await request.post({ url: `/inspect/lis-data/create`, data })
+  },
+
+  // 修改lis抓取数据
+  updateLisData: async (data: LisDataVO) => {
+    return await request.put({ url: `/inspect/lis-data/update`, data })
+  },
+
+  // 删除lis抓取数据
+  deleteLisData: async (id: number) => {
+    return await request.delete({ url: `/inspect/lis-data/delete?id=` + id })
+  },
+
+  // 导出lis抓取数据 Excel
+  exportLisData: async (params) => {
+    return await request.download({ url: `/inspect/lis-data/export-excel`, params })
+  },
+}

src/api/inspect/inspectpacsdata/index.ts

@@ -0,0 +1,50 @@
+import request from '@/config/axios'
+
+// pacs抓取数据 VO
+export interface PacsDataVO {
+  id: number // 主键
+  code: string // 体检编号
+  data: string // 数据
+  time: Date // 监测时间
+  equipmentManufacturerModel: string // 设备厂商型号
+  item: string // 项目
+  type: string // 类型
+  remark: string // 备注
+  delFlag: number // 是否删除(0-未删除，1-已删除)
+  createId: string // 创建人
+  createTime: Date // 创建时间
+  personName: string // 检测者姓名
+}
+
+// pacs抓取数据 API
+export const PacsDataApi = {
+  // 查询pacs抓取数据分页
+  getPacsDataPage: async (params: any) => {
+    return await request.get({ url: `/inspect/pacs-data/page`, params })
+  },
+
+  // 查询pacs抓取数据详情
+  getPacsData: async (id: number) => {
+    return await request.get({ url: `/inspect/pacs-data/get?id=` + id })
+  },
+
+  // 新增pacs抓取数据
+  createPacsData: async (data: PacsDataVO) => {
+    return await request.post({ url: `/inspect/pacs-data/create`, data })
+  },
+
+  // 修改pacs抓取数据
+  updatePacsData: async (data: PacsDataVO) => {
+    return await request.put({ url: `/inspect/pacs-data/update`, data })
+  },
+
+  // 删除pacs抓取数据
+  deletePacsData: async (id: number) => {
+    return await request.delete({ url: `/inspect/pacs-data/delete?id=` + id })
+  },
+
+  // 导出pacs抓取数据 Excel
+  exportPacsData: async (params) => {
+    return await request.download({ url: `/inspect/pacs-data/export-excel`, params })
+  },
+}

src/views/Charge/Charge.vue

@@ -447,22 +447,15 @@ const fetchPatientsByDate = async () => {
         `${formatDate(endDate)} 23:59:59`
       ],
       // 添加搜索关键词
-      pname: searchQuery.value || undefined
+      pname: searchQuery.value || undefined,
+      // 添加收费状态筛选参数
+      chargeStatus: chargeStatus.value === 'paid' ? '1' : '0'
     }
     
     const res = await PatientApi.getPatientPage(params)
     
-    // 在前端根据chargeType字段筛选
-    if (chargeStatus.value === 'unpaid') {
-      // 筛选未收费的患者（chargeType为null、undefined或空字符串）
-      patients.value = res.list.filter(patient => !patient.chargeType || patient.chargeType === '')
-    } else {
-      // 筛选已收费的患者（chargeType有值且不为空字符串）
-      patients.value = res.list.filter(patient => patient.chargeType && patient.chargeType !== '')
-    }
-    
-    // 更新总数
-    total.value = patients.value.length
+    patients.value = res.list || []
+    total.value = res.total || 0
     
     // 如果没有查询到患者，清除选中状态
     if (patients.value.length === 0) {
@@ -576,8 +569,10 @@ onMounted(() => {
   // 设置默认为今日
   const today = new Date()
   selectedPeriod.value = 'today'
-  const todayStart = new Date(today.setHours(0, 0, 0, 0))
-  const todayEnd = new Date(today.setHours(23, 59, 59, 999))
+  const todayStart = new Date(today)
+  todayStart.setHours(0, 0, 0, 0)
+  const todayEnd = new Date(today)
+  todayEnd.setHours(23, 59, 59, 999)
   customDateRange.value = [todayStart, todayEnd]
   
   // 获取今日数据

src/views/Department-entry/CT.vue

@@ -0,0 +1,710 @@
+<template>
+  <div class="ct-container">
+    <!-- 基本信息 -->
+    <div class="basic-info">
+      <div class="photo-box">
+        <img v-if="reportData.headPicUrl" :src="reportData.headPicUrl" alt="头像" class="photo"/>
+        <div v-else class="no-photo">个人照片</div>
+      </div>
+      <div class="info-grid">
+        <div class="info-row">
+          <div class="info-item">
+            <label>体检编号：</label>
+            <span>{{ reportData.medicalSn }}</span>
+          </div>
+          <div class="info-item">
+            <label>身份证号：</label>
+            <span>{{ reportData.cardId }}</span>
+          </div>
+          <div class="info-item">
+            <label>姓名：</label>
+            <span>{{ reportData.pname }}</span>
+          </div>
+        </div>
+        <div class="info-row">
+          <div class="info-item">
+            <label>性别：</label>
+            <span>{{ reportData.gender }}</span>
+          </div>
+          <div class="info-item">
+            <label>年龄：</label>
+            <span>{{ age }}岁</span>
+          </div>
+          <div class="info-item">
+            <label>电话：</label>
+            <span>{{ reportData.phoneNum }}</span>
+          </div>
+        </div>
+      </div>
+    </div>
+
+    <!-- 检查结果部分 -->
+    <div class="exam-results">
+      <!-- 检查项目标签 -->
+      <div class="exam-tabs">
+        <div 
+          v-for="tab in examTabs" 
+          :key="tab.id"
+          :class="['tab-item', { active: currentTab === tab.id }]"
+          @click="switchTab(tab.id)"
+        >
+          <div class="tab-indicator" :style="{ background: tab.color }"></div>
+          <span>{{ tab.name }}</span>
+        </div>
+      </div>
+
+      <!-- 影像检查结果 -->
+      <div class="image-results">
+        <!-- 影像图片展示区 -->
+        <div class="image-gallery">
+          <div class="gallery-title">影像图片</div>
+          <div class="image-container">
+            <div v-if="imageUrls.length > 0" class="image-grid">
+              <div v-for="(url, index) in imageUrls" :key="index" class="image-item">
+                <el-image 
+                  :src="url" 
+                  :preview-src-list="imageUrls"
+                  :initial-index="index"
+                  fit="contain"
+                  class="medical-image"
+                  @error="handleImageError"
+                  :preview-teleported="true"
+                >
+                  <template #error>
+                    <div class="image-error">
+                      <el-icon><Picture /></el-icon>
+                      <div class="error-text">加载失败</div>
+                    </div>
+                  </template>
+                </el-image>
+              </div>
+            </div>
+            <div v-else class="no-images">
+              <el-empty description="暂无影像资料" />
+            </div>
+          </div>
+        </div>
+
+        <!-- 检查所见和诊断 -->
+        <div class="findings-diagnosis-container">
+          <div class="findings-section">
+            <div class="section-title">检查所见</div>
+            <textarea 
+              v-model="imageFinding" 
+              placeholder="请输入检查所见"
+              class="findings-textarea"
+              :readonly="isReadOnly"
+            ></textarea>
+          </div>
+
+          <div class="diagnosis-section">
+            <div class="section-title">影像诊断</div>
+            <textarea 
+              v-model="imageDiagnosis" 
+              placeholder="请输入影像诊断"
+              class="diagnosis-textarea"
+              :readonly="isReadOnly"
+            ></textarea>
+          </div>
+        </div>
+      </div>
+    </div>
+
+    <!-- 底部操作栏 -->
+    <div class="action-footer">
+      <div class="footer-content">
+        <div class="doctor-info">
+          <span>检查医生：{{ user?.nickname || '暂无' }}</span>
+          <span>检查日期：{{ formattedMedicalDateTime }}</span>
+        </div>
+        <div class="action-buttons">
+          <button class="action-btn" @click="checkEditPermission">同步结果</button>
+          <button class="action-btn">报告预览</button>
+          <button class="action-btn" @click="checkEditPermission">弃检</button>
+          <button 
+            v-if="!isReadOnly"
+            class="action-btn primary" 
+            @click="handleSaveResults"
+          >
+            保存结果
+          </button>
+        </div>
+      </div>
+    </div>
+  </div>
+</template>
+
+<script setup>
+import { ref, computed, watch, onMounted } from 'vue'
+import { ElMessage, ElMessageBox, ElLoading } from 'element-plus'
+import { PatientApi } from '@/api/inspect/inspectpatient'
+import { PatientitemsApi } from '@/api/inspect/inspectpatientitems'
+import { getUserProfile } from '@/api/system/user/profile'
+import { PacsDataApi } from '@/api/inspect/inspectpacsdata'
+import { Picture } from '@element-plus/icons-vue'
+
+// 添加props定义
+const props = defineProps({
+  patient: {
+    type: Object,
+    required: true
+  }
+})
+
+// 添加响应式引用
+const reportData = ref({})
+const imageUrls = ref([])
+const imageFinding = ref('')
+const imageDiagnosis = ref('')
+const examConclusion = ref('')
+const user = ref(null)
+const patientDataCache = ref(new Map())
+const pacsData = ref([])
+const isImageDepartment = ref(false)
+
+// 添加检查类型标签
+const examTabs = ref([
+  { id: 'ct', name: 'CT检查', color: '#409EFF' },
+  { id: 'mri', name: 'MRI检查', color: '#67C23A' },
+  { id: 'xray', name: 'X光检查', color: '#E6A23C' },
+  { id: 'ultrasound', name: '超声检查', color: '#F56C6C' },
+  { id: 'ecg', name: '心电图检查', color: '#909399' }
+])
+
+// 当前选中的检查类型
+const currentTab = ref('ct')
+
+// 切换检查类型
+const switchTab = async (tabId) => {
+  console.log('切换到检查类型:', tabId)
+  currentTab.value = tabId
+  imageUrls.value = await getImageUrlsByType(tabId)
+  console.log('获取到的图片URLs:', imageUrls.value)
+}
+
+// 修改获取影像图片URL的方法
+const getImageUrlsByType = async (type) => {
+  try {
+    console.log('开始获取PACS数据, 参数:', {
+      code: reportData.value.medicalSn,
+      type: type.toUpperCase(),
+      pageNo: 1,
+      pageSize: 100
+    })
+    
+    // 检查必要参数
+    if (!reportData.value.medicalSn) {
+      console.warn('缺少体检编号(medicalSn)')
+      return []
+    }
+
+    // 简化请求参数，只传递必要的字段
+    const response = await PacsDataApi.getPacsDataPage({
+      code: reportData.value.medicalSn,
+      type: type.toUpperCase(),
+      pageNo: 1,
+      pageSize: 100
+    })
+    
+    if (!response?.list) {
+      console.warn('PACS数据列表为空')
+      return []
+    }
+
+    pacsData.value = response.list
+    // 直接使用data字段作为图片URL，过滤掉空值
+    const urls = response.list
+      .map(item => item.data)
+      .filter(url => url)
+    
+    return urls
+  } catch (error) {
+    console.error('获取PACS数据失败:', error)
+    ElMessage.error('获取影像数据失败，请联系管理员')
+    return []
+  }
+}
+
+// 处理图片加载错误
+const handleImageError = (e) => {
+  e.target.src = 'https://via.placeholder.com/500x400?text=Image+Not+Found'
+}
+
+// 年龄计算属性
+const age = computed(() => {
+  if (!reportData.value.birthday) return ''
+  
+  // 处理 YYYY-MM-DD 格式的生日
+  const birthDate = new Date(reportData.value.birthday)
+  if (isNaN(birthDate.getTime())) return '' // 日期无效时返回空字符串
+  
+  const today = new Date()
+  let age = today.getFullYear() - birthDate.getFullYear()
+  const monthDiff = today.getMonth() - birthDate.getMonth()
+  
+  // 如果还没到生日月份，或者是生日月但还没到具体日期，年龄减1
+  if (monthDiff < 0 || (monthDiff === 0 && today.getDate() < birthDate.getDate())) {
+    age--
+  }
+  
+  return age
+})
+
+// 格式化后的检查日期计算属性
+const formattedMedicalDateTime = computed(() => {
+  if (!reportData.value.medicalDateTime) return ''
+  const date = new Date(reportData.value.medicalDateTime)
+  return date.toLocaleDateString('zh-CN', {
+    year: 'numeric',
+    month: '2-digit',
+    day: '2-digit'
+  }).replace(/\//g, '-')
+})
+
+// 是否只读的计算属性
+const isReadOnly = computed(() => {
+  return props.patient?.status === 1
+})
+
+// 检查编辑权限的方法
+const checkEditPermission = () => {
+  if (isReadOnly.value) {
+    ElMessage.warning('检查结果已保存，不可进行编辑')
+    return false
+  }
+  return true
+}
+
+// 保存结果方法
+const handleSaveResults = async () => {
+  try {
+    const userProfile = await getUserProfile()
+    user.value = userProfile
+
+    // 获取当前时间戳
+    const currentTime = new Date().getTime()
+
+    // 更新检查项目结果
+    const updatedItems = [{
+      id: props.patient.id,
+      examDescription: imageFinding.value,
+      itemResult: imageDiagnosis.value,
+      analyse: examConclusion.value,
+      inspectdoctor: user.value?.nickname || '',
+      itemStatus: '1', // 已检查
+      inspecttime: currentTime
+    }]
+    
+    await PatientitemsApi.updatePatientitemsBatch(updatedItems)
+
+    // 更新患者状态为已检查
+    if (props.patient) {
+      const patientData = {
+        ...props.patient,
+        status: 1,
+        medicalDateTime: currentTime
+      }
+      await PatientApi.updatePatient(patientData)
+    }
+
+    ElMessage.success('保存成功')
+
+  } catch (error) {
+    console.error('保存失败:', error)
+    ElMessage.error(`保存失败: ${error.message}`)
+  }
+}
+
+// 加载患者数据
+const loadPatientData = async (patient) => {
+  if (!patient || !patient.id) {
+    console.log('没有有效的患者数据')
+    return
+  }
+
+  try {
+    console.log('开始加载患者数据:', patient.id)
+    const cacheKey = patient.id
+    if (patientDataCache.value.has(cacheKey)) {
+      console.log('使用缓存的患者数据')
+      const cachedData = patientDataCache.value.get(cacheKey)
+      reportData.value = cachedData.reportData
+      return
+    }
+
+    const loading = ElLoading.service({
+      lock: true,
+      text: '加载中...',
+      background: 'rgba(255, 255, 255, 0.7)'
+    })
+
+    try {
+      // 获取用户信息和患者数据
+      const [userProfile, patientData] = await Promise.all([
+        getUserProfile(),
+        PatientApi.getPatient(patient.id)
+      ])
+
+      user.value = userProfile
+      reportData.value = patientData
+
+      // 缓存数据
+      patientDataCache.value.set(cacheKey, {
+        reportData: { ...reportData.value }
+      })
+
+    } finally {
+      loading.close()
+    }
+
+  } catch (error) {
+    console.error('获取患者详细信息出错:', error)
+    ElMessage.error('获取患者详细信息失败')
+  }
+}
+
+// 监听患者变化
+watch(() => props.patient, (newPatient) => {
+  if (newPatient) {
+    loadPatientData(newPatient)
+  }
+}, { immediate: true })
+
+// 修改组件挂载时的逻辑
+onMounted(async () => {
+  if (props.patient) {
+    await loadPatientData(props.patient)
+    // 加载默认tab的影像数据
+    imageUrls.value = await getImageUrlsByType(currentTab.value)
+  }
+})
+</script>
+
+<style scoped>
+.ct-container {
+  flex: 1;
+  display: flex;
+  flex-direction: column;
+  position: relative;
+  background: #fff;
+  height: 100%;
+  padding: 20px;
+  box-shadow: 0 2px 12px 0 rgba(0, 0, 0, 0.1);
+  border-radius: 4px;
+}
+
+.basic-info {
+  flex-shrink: 0; /* 防止基本信息被压缩 */
+  display: flex;
+  gap: 20px;
+  padding: 15px; /* 减小内边距 */
+  background: #F8F9FA;
+  border-radius: 4px;
+  margin-bottom: 15px; /* 减小底部间距 */
+  box-shadow: 0 1px 4px rgba(0, 0, 0, 0.05);
+}
+
+.photo-box {
+  width: 120px;
+  height: 160px;
+  background: #fff;
+  border: 1px dashed #dcdfe6;
+  display: flex;
+  align-items: center;
+  justify-content: center;
+  overflow: hidden;
+}
+
+.no-photo {
+  color: #909399;
+  font-size: 14px;
+}
+
+.photo {
+  width: 100%;
+  height: 100%;
+  object-fit: cover;
+}
+
+.info-grid {
+  flex: 1;
+}
+
+.info-row {
+  display: flex;
+  margin-bottom: 15px;
+}
+
+.info-row:last-child {
+  margin-bottom: 0;
+}
+
+.info-item {
+  flex: 1;
+  display: flex;
+  align-items: center;
+  min-width: 0;
+}
+
+.info-item label {
+  color: #606266;
+  margin-right: 8px;
+  white-space: nowrap;
+  font-weight: 500;
+}
+
+.info-item span {
+  color: #333;
+  flex: 1;
+  overflow: hidden;
+  text-overflow: ellipsis;
+  white-space: nowrap;
+}
+
+.exam-results {
+  flex: 1;
+  display: flex;
+  flex-direction: column;
+  min-height: 0; /* 关键：允许内容收缩 */
+  overflow: hidden; /* 防止溢出 */
+}
+
+.exam-tabs {
+  flex-shrink: 0;
+  display: flex;
+  margin-bottom: 15px;
+  position: sticky;
+  top: 0;
+  z-index: 10;
+  background: #fff;
+  padding: 10px 0;
+}
+
+.tab-item {
+  position: relative;
+  padding: 8px 16px;
+  margin-right: 10px;
+  cursor: pointer;
+  display: flex;
+  align-items: center;
+  gap: 8px;
+  border-radius: 4px;
+  background: #fff;
+  color: #606266;
+  font-size: 14px;
+  border: 1px solid #dcdfe6;
+  transition: all 0.3s;
+  z-index: 1;
+}
+
+.tab-indicator {
+  width: 12px;
+  height: 12px;
+  border-radius: 2px;
+}
+
+.tab-item.active {
+  background: #f5f7fa;
+  border-color: #409EFF;
+  font-weight: 500;
+  transform: translateY(-2px);
+  box-shadow: 0 2px 6px rgba(0, 0, 0, 0.1);
+}
+
+.tab-item:hover:not(.active) {
+  border-color: #c0c4cc;
+  background: #f9f9f9;
+}
+
+.image-results {
+  flex: 1;
+  display: flex;
+  flex-direction: column;
+  min-height: 0; /* 关键：允许内容收缩 */
+  overflow: hidden;
+}
+
+.image-gallery {
+  flex: 1;
+  display: flex;
+  flex-direction: column;
+  margin-bottom: 20px;
+  border: 1px solid #ebeef5;
+  border-radius: 4px;
+  overflow: hidden;
+  box-shadow: 0 1px 4px rgba(0, 0, 0, 0.05);
+}
+
+.gallery-title {
+  padding: 12px 15px;
+  font-weight: 500;
+  background: #f5f7fa;
+  border-bottom: 1px solid #ebeef5;
+  color: #303133;
+}
+
+.image-container {
+  flex: 1;
+  padding: 15px;
+  min-height: 0; /* 允许容器收缩 */
+  overflow: auto; /* 如果内容过多，只在图片区域显示滚动条 */
+}
+
+.image-grid {
+  display: grid;
+  grid-template-columns: repeat(auto-fill, minmax(400px, 1fr));
+  gap: 20px;
+}
+
+.image-item {
+  border: 1px solid #ebeef5;
+  border-radius: 4px;
+  overflow: hidden;
+  transition: transform 0.3s;
+  box-shadow: 0 2px 12px 0 rgba(0, 0, 0, 0.05);
+  aspect-ratio: 4/3;
+}
+
+.medical-image {
+  width: 100%;
+  height: 100%;
+}
+
+.no-images {
+  display: flex;
+  justify-content: center;
+  align-items: center;
+  height: 300px;
+  color: #909399;
+}
+
+.findings-diagnosis-container {
+  flex-shrink: 0; /* 防止诊断区域被压缩 */
+  display: flex;
+  gap: 20px;
+  margin: 15px 0;
+}
+
+.findings-section,
+.diagnosis-section {
+  flex: 1;
+  padding: 15px;
+  background: #f8f9fa;
+  border-radius: 4px;
+  box-shadow: 0 1px 4px rgba(0, 0, 0, 0.05);
+}
+
+.section-title {
+  font-size: 16px;
+  font-weight: 500;
+  color: #303133;
+  margin-bottom: 15px;
+  padding-left: 10px;
+  border-left: 4px solid #409eff;
+}
+
+.findings-textarea,
+.diagnosis-textarea {
+  height: 100px; /* 减小文本框高度 */
+  width: 100%;
+  padding: 12px;
+  border: 1px solid #dcdfe6;
+  border-radius: 4px;
+  resize: none;
+  font-size: 14px;
+  line-height: 1.5;
+  background: #fff;
+  transition: border-color 0.3s;
+  margin-bottom: 15px;
+}
+
+.findings-textarea:focus,
+.diagnosis-textarea:focus {
+  outline: none;
+  border-color: #409EFF;
+  box-shadow: 0 0 0 2px rgba(64, 158, 255, 0.2);
+}
+
+.findings-textarea[readonly],
+.diagnosis-textarea[readonly] {
+  background-color: #f5f7fa;
+  cursor: not-allowed;
+}
+
+.action-footer {
+  flex-shrink: 0; /* 防止底部操作栏被压缩 */
+  margin-top: 15px;
+  background: #fff;
+  border-top: 1px solid #ebeef5;
+}
+
+.footer-content {
+  padding: 15px 20px;
+  display: flex;
+  justify-content: space-between;
+  align-items: center;
+}
+
+.doctor-info {
+  display: flex;
+  gap: 20px;
+  color: #606266;
+  font-size: 14px;
+}
+
+.action-buttons {
+  display: flex;
+  gap: 15px;
+}
+
+.action-btn {
+  padding: 8px 20px;
+  border: none;
+  border-radius: 4px;
+  background: #f0f2f5;
+  color: #606266;
+  cursor: pointer;
+  font-size: 14px;
+  transition: all 0.3s;
+  font-weight: 500;
+}
+
+.action-btn:hover {
+  background: #e6e8eb;
+}
+
+.action-btn.primary {
+  background: #409EFF;
+  color: white;
+}
+
+.action-btn.primary:hover {
+  background: #66b1ff;
+}
+
+/* 添加图片错误状态的样式 */
+.image-error {
+  display: flex;
+  flex-direction: column;
+  align-items: center;
+  justify-content: center;
+  height: 100%;
+  background: #f8f9fa;
+  color: #909399;
+}
+
+.error-text {
+  margin-top: 8px;
+  font-size: 14px;
+}
+
+/* 自定义 el-image 预览样式 */
+:deep(.el-image-viewer__wrapper) {
+  .el-image-viewer__btn {
+    background-color: rgba(0, 0, 0, 0.3);
+    &:hover {
+      background-color: rgba(0, 0, 0, 0.5);
+    }
+  }
+}
+</style>

src/views/Department-entry/Department-entryUI.vue

@@ -53,191 +53,203 @@
         </div>
       </div>
       <!-- 右侧检查结果 -->
-      <div class="report-content" v-if="selectedPatient">
-        <!-- 基本信息 -->
-        <div class="basic-info">
-          <div class="photo-box">
-            <img v-if="reportData.headPicUrl" :src="reportData.headPicUrl" alt="头像" class="photo"/>
-            <div v-else class="no-photo">个人照片</div>
-          </div>
-          <div class="info-grid">
-            <div class="info-row">
-              <div class="info-item">
-                <label>体检编号：</label>
-                <span>{{ reportData.medicalSn }}</span>
-              </div>
-              <div class="info-item">
-                <label>身份证号：</label>
-                <span>{{ reportData.cardId }}</span>
-              </div>
-              <div class="info-item">
-                <label>姓名：</label>
-                <span>{{ reportData.pname }}</span>
-              </div>
-
+      <template v-if="selectedPatient">
+        
+        <!-- 根据科室类型动态显示不同组件 -->
+        <CT v-if="isImageDepartment" :patient="selectedPatient" />
+        <blood-test 
+          v-else-if="isBloodTest" 
+          :patient="selectedPatient"
+          :user="user"
+        />
+        
+        <!-- 常规检查结果界面 -->
+        <div class="report-content" v-else>
+          <!-- 基本信息 -->
+          <div class="basic-info">
+            <div class="photo-box">
+              <img v-if="reportData.headPicUrl" :src="reportData.headPicUrl" alt="头像" class="photo"/>
+              <div v-else class="no-photo">个人照片</div>
             </div>
-            <div class="info-row">
-              <div class="info-item">
-                <label>性别：</label>
-                <span>{{ reportData.gender }}</span>
+            <div class="info-grid">
+              <div class="info-row">
+                <div class="info-item">
+                  <label>体检编号：</label>
+                  <span>{{ reportData.medicalSn }}</span>
+                </div>
+                <div class="info-item">
+                  <label>身份证号：</label>
+                  <span>{{ reportData.cardId }}</span>
+                </div>
+                <div class="info-item">
+                  <label>姓名：</label>
+                  <span>{{ reportData.pname }}</span>
+                </div>
+
               </div>
-              <div class="info-item">
-                <label>年龄：</label>
-                <span>{{ age }}岁</span>
-              </div>
-              <div class="info-item">
-                <label>电话：</label>
-                <span>{{ reportData.phoneNum }}</span>
+              <div class="info-row">
+                <div class="info-item">
+                  <label>性别：</label>
+                  <span>{{ reportData.gender }}</span>
+                </div>
+                <div class="info-item">
+                  <label>年龄：</label>
+                  <span>{{ age }}岁</span>
+                </div>
+                <div class="info-item">
+                  <label>电话：</label>
+                  <span>{{ reportData.phoneNum }}</span>
+                </div>
               </div>
             </div>
           </div>
-        </div>
 
-        <!-- 检查结果部分 -->
-        <div class="exam-results">
-          <!-- 检查项目标签 -->
-          <div class="exam-tabs">
-            <div 
-              v-for="tab in examTabs" 
-              :key="tab.id"
-              :class="['tab-item', { active: currentTab === tab.id }]"
-              @click="switchTab(tab.id)"
-            >
-              <div class="tab-indicator" :style="{ background: tab.color }"></div>
-              <span>{{ tab.name }}</span>
-            </div>
-          </div>
-
-          <!-- 检查结果表格 -->
-          <div class="result-table">
-            <!-- 表头部分 -->
-            <div class="table-header">
-              <div class="header-row">
-                <div class="header-cell" style="width: 5%">#</div>
-                <div class="header-cell" style="width: 15%">体检项目</div>
-                <div class="header-cell" style="width: 20%">明细结果</div>
-                <div class="header-cell" style="width: 10%">单位</div>
-                <div class="header-cell" style="width: 15%">参考值</div>
-                <div class="header-cell" style="width: 10%">提示</div>
-                <div class="header-cell" style="width: 15%">危险程度</div>
-                <div class="header-cell" style="width: 10%">是否阳性</div>
-                <div class="header-cell" style="width: 10%">操作</div>
-              </div>
-            </div>
-            
-            <!-- 表格内容部分 -->
-            <div class="table-body">
+          <!-- 检查结果部分 -->
+          <div class="exam-results">
+            <!-- 检查项目标签 -->
+            <div class="exam-tabs">
               <div 
-                v-for="(item, index) in sortedExamItems" 
-                :key="item.id"
-                class="table-row"
-                :class="{ 
-                  'warning-row': item.status === 'warning',
-                  'danger-row': item.status === 'danger'
-                }"
-                :data-item-status="item.itemStatus"
+                v-for="tab in examTabs" 
+                :key="tab.id"
+                :class="['tab-item', { active: currentTab === tab.id }]"
+                @click="switchTab(tab.id)"
               >
-                <div class="table-cell" style="width: 5%">{{ index + 1 }}</div>
-                <div class="table-cell" style="width: 15%">{{ item.name }}</div>
-                <div class="table-cell" style="width: 20%">
-                  <input 
-                    type="text" 
-                    v-model="item.value"
-                    @change="handleResultChange(item)"
-                    @click="checkEditPermission"
-                    class="cell-input"
-                    :readonly="isReadOnly"
-                  />
+                <div class="tab-indicator" :style="{ background: tab.color }"></div>
+                <span>{{ tab.name }}</span>
+              </div>
+            </div>
+
+            <!-- 检查结果表格 -->
+            <div class="result-table">
+              <!-- 表头部分 -->
+              <div class="table-header">
+                <div class="header-row">
+                  <div class="header-cell" style="width: 5%">#</div>
+                  <div class="header-cell" style="width: 15%">体检项目</div>
+                  <div class="header-cell" style="width: 20%">明细结果</div>
+                  <div class="header-cell" style="width: 10%">单位</div>
+                  <div class="header-cell" style="width: 15%">参考值</div>
+                  <div class="header-cell" style="width: 10%">提示</div>
+                  <div class="header-cell" style="width: 15%">危险程度</div>
+                  <div class="header-cell" style="width: 10%">是否阳性</div>
+                  <div class="header-cell" style="width: 10%">操作</div>
                 </div>
-                <div class="table-cell" style="width: 10%">{{ item.unit }}</div>
-                <div class="table-cell" style="width: 15%">
-                  {{ formatReference(item.reference) }}
-                </div>
-                <div class="table-cell" style="width: 10%">{{ item.note }}</div>
-                <div class="table-cell" style="width: 15%">{{ item.risk }}</div>
-                <div class="table-cell" style="width: 10%">
-                  <el-tag 
-                    v-if="item.positive === '阳性'"
-                    type="danger"
-                    size="small"
-                    effect="light"
-                    class="positive-indicator"  
-                  >
-                    阳性
-                  </el-tag>
-                  <span v-else class="negative-text">阴性</span>
-                </div>
-                <div class="table-cell" style="width: 10%">
-                  <el-dropdown @command="handleOperation">
-                    <el-button size="small" :class="{ 'view-only': isReadOnly }">
-                      更多操作
-                      <el-icon class="el-icon--right"><arrow-down /></el-icon>
-                    </el-button>
-                    <template #dropdown>
-                      <el-dropdown-menu>
-                        <el-dropdown-item 
-                          :command="{ type: 'positive', item: item }"
-                          :class="{ 'is-active': item.positive === '阳性' }"
-                        >
-                          阳性
-                        </el-dropdown-item>
-                        <el-dropdown-item 
-                          :command="{ type: 'negative', item: item }"
-                          :class="{ 'is-active': item.positive === '阴性' }"
-                        >
-                          阴性
-                        </el-dropdown-item>
-                        <el-dropdown-item 
-                          divided
-                          :command="{ type: 'abandon', item: item }"
-                          :class="{ 'is-danger': item.itemStatus !== '2' }"
-                          style="color: red;"
-                        >
-                          {{ item.itemStatus === '2' ? '恢复正常' : '弃检' }}
-                        </el-dropdown-item>
-                      </el-dropdown-menu>
-                    </template>
-                  </el-dropdown>
+              </div>
+              
+              <!-- 表格内容部分 -->
+              <div class="table-body">
+                <div 
+                  v-for="(item, index) in sortedExamItems" 
+                  :key="item.id"
+                  class="table-row"
+                  :class="{ 
+                    'warning-row': item.status === 'warning',
+                    'danger-row': item.status === 'danger'
+                  }"
+                  :data-item-status="item.itemStatus"
+                >
+                  <div class="table-cell" style="width: 5%">{{ index + 1 }}</div>
+                  <div class="table-cell" style="width: 15%">{{ item.name }}</div>
+                  <div class="table-cell" style="width: 20%">
+                    <input 
+                      type="text" 
+                      v-model="item.value"
+                      @change="handleResultChange(item)"
+                      @click="checkEditPermission"
+                      class="cell-input"
+                      :readonly="isReadOnly"
+                    />
+                  </div>
+                  <div class="table-cell" style="width: 10%">{{ item.unit }}</div>
+                  <div class="table-cell" style="width: 15%">
+                    {{ formatReference(item.reference) }}
+                  </div>
+                  <div class="table-cell" style="width: 10%">{{ item.note }}</div>
+                  <div class="table-cell" style="width: 15%">{{ item.risk }}</div>
+                  <div class="table-cell" style="width: 10%">
+                    <el-tag 
+                      v-if="item.positive === '阳性'"
+                      type="danger"
+                      size="small"
+                      effect="light"
+                      class="positive-indicator"  
+                    >
+                      阳性
+                    </el-tag>
+                    <span v-else class="negative-text">阴性</span>
+                  </div>
+                  <div class="table-cell" style="width: 10%">
+                    <el-dropdown @command="handleOperation">
+                      <el-button size="small" :class="{ 'view-only': isReadOnly }">
+                        更多操作
+                        <el-icon class="el-icon--right"><arrow-down /></el-icon>
+                      </el-button>
+                      <template #dropdown>
+                        <el-dropdown-menu>
+                          <el-dropdown-item 
+                            :command="{ type: 'positive', item: item }"
+                            :class="{ 'is-active': item.positive === '阳性' }"
+                          >
+                            阳性
+                          </el-dropdown-item>
+                          <el-dropdown-item 
+                            :command="{ type: 'negative', item: item }"
+                            :class="{ 'is-active': item.positive === '阴性' }"
+                          >
+                            阴性
+                          </el-dropdown-item>
+                          <el-dropdown-item 
+                            divided
+                            :command="{ type: 'abandon', item: item }"
+                            :class="{ 'is-danger': item.itemStatus !== '2' }"
+                            style="color: red;"
+                          >
+                            {{ item.itemStatus === '2' ? '恢复正常' : '弃检' }}
+                          </el-dropdown-item>
+                        </el-dropdown-menu>
+                      </template>
+                    </el-dropdown>
+                  </div>
                 </div>
               </div>
             </div>
+
+            <!-- 将体检小结移到这里，与表格同级 -->
+            <div class="summary-section">
+              <div class="section-title">体检小结</div>
+              <textarea 
+                v-model="examConclusion" 
+                placeholder="输入多个以分号隔开"
+                class="summary-textarea"
+                :readonly="isReadOnly"
+              ></textarea>
+            </div>
           </div>
 
-          <!-- 将体检小结移到这里，与表格同级 -->
-          <div class="summary-section">
-            <div class="section-title">体检小结</div>
-            <textarea 
-              v-model="examConclusion" 
-              placeholder="输入多个以分号隔开"
-              class="summary-textarea"
-              :readonly="isReadOnly"
-            ></textarea>
-          </div>
-        </div>
-
-        <!-- 底部操作栏 -->
-        <div class="action-footer">
-          <div class="left-section">
-            <span>检查医生：</span>
-            <span>{{ user?.nickname || '暂无' }}</span>
-            <span style="margin-left: 100px;">检查日期：{{ formattedMedicalDateTime }}</span>
-          </div>
-          <div class="right-section">
-            <div class="action-buttons">
-              <button class="action-btn" @click="checkEditPermission">同步结果</button>
-              <button class="action-btn">报告预览</button>
-              <button class="action-btn" @click="checkEditPermission">弃检</button>
-              <button 
-                v-if="!isReadOnly"
-                class="action-btn primary" 
-                @click="handleSaveResults"
-              >
-                保存结果
-              </button>
+          <!-- 底部操作栏 -->
+          <div class="action-footer">
+            <div class="left-section">
+              <span>检查医生：</span>
+              <span>{{ user?.nickname || '暂无' }}</span>
+              <span style="margin-left: 100px;">检查日期：{{ formattedMedicalDateTime }}</span>
+            </div>
+            <div class="right-section">
+              <div class="action-buttons">
+                <button class="action-btn" @click="checkEditPermission">同步结果</button>
+                <button class="action-btn">报告预览</button>
+                <button class="action-btn" @click="checkEditPermission">弃检</button>
+                <button 
+                  v-if="!isReadOnly"
+                  class="action-btn primary" 
+                  @click="handleSaveResults"
+                >
+                  保存结果
+                </button>
+              </div>
             </div>
           </div>
         </div>
-      </div>
+      </template>
 
       <!-- 添加未选择患者时的提示 -->
       <div class="empty-content" v-else>
@@ -281,7 +293,9 @@ import { PatientApi } from '@/api/inspect/inspectpatient'
 import { PatientitemsApi } from '@/api/inspect/inspectpatientitems'
 import { getUserProfile } from '@/api/system/user/profile'
 import ExamImages from './Exam_images.vue'
+import CT from './CT.vue'  // 导入CT组件
 import { ArrowDown } from '@element-plus/icons-vue'
+import BloodTest from './blood.vue'  // 导入血常规组件
 
 const dialogTitle = ref('体检报告')
 const { t } = useI18n() // 国际化
@@ -456,7 +470,6 @@ const getpatientitemData = async (medicalSn) => {
       try {
         const userProfile = await getUserProfile()
         user.value = userProfile
-        console.log('当前登录用户信息:', userProfile)
       } catch (userError) {
         console.error('获取用户信息失败:', userError)
       }
@@ -500,48 +513,53 @@ const loadPatientData = async (patient) => {
       ])
 
       user.value = userProfile
-      const userDeptId = userProfile // 获取用户部门ID
+      
+      // 检查用户是否属于影像科或血常规科室
+      isImageDepartment.value = checkIsImageDepartment(userProfile.deptId)
+      
       reportData.value = patientData
    
-      if (itemsRes.list && itemsRes.list.length > 0) {
-        examConclusion.value = itemsRes.list[0].analyse || ''
-        
-        const itemsBySection = {}
-        // 筛选属于当前用户部门的项目
-        const filteredItems = itemsRes.list.filter(item => item.sectionID == userProfile.deptId)
-        console.log('当前登录用户信息:',filteredItems )
-        filteredItems.forEach(item => {
-          const sectionType = '一般检查'
-          if (!itemsBySection[sectionType]) {
-            itemsBySection[sectionType] = []
-          }
+      // 如果不是特殊科室，继续加载常规检查数据
+      if (!isImageDepartment.value && !isBloodTest.value) {
+        if (itemsRes.list && itemsRes.list.length > 0) {
+          examConclusion.value = itemsRes.list[0].analyse || ''
           
-          const processedItem = {
-            id: item.id,
-            name: item.itemName,
-            value: item.itemResult,
-            unit: item.unit,
-            reference: `${item.lowValue}-${item.highValue}`,
-            note: getStatusNote(item),
-            risk: getRiskLevel(item),
-            status: getRowStatus(item),
-            positive: item.positive === '1' ? '阳性' : '阴性',
-            itemStatus: item.itemStatus
-          }
+          const itemsBySection = {}
+          // 筛选属于当前用户部门的项目
+          const filteredItems = itemsRes.list.filter(item => item.sectionID == userProfile.deptId)
+          filteredItems.forEach(item => {
+            const sectionType = '一般检查'
+            if (!itemsBySection[sectionType]) {
+              itemsBySection[sectionType] = []
+            }
+            
+            const processedItem = {
+              id: item.id,
+              name: item.itemName,
+              value: item.itemResult,
+              unit: item.unit,
+              reference: `${item.lowValue}-${item.highValue}`,
+              note: getStatusNote(item),
+              risk: getRiskLevel(item),
+              status: getRowStatus(item),
+              positive: item.positive === '1' ? '阳性' : '阴性',
+              itemStatus: item.itemStatus
+            }
+            
+            itemsBySection[sectionType].push(processedItem)
+          })
           
-          itemsBySection[sectionType].push(processedItem)
-        })
-        
-        examTabs.value = Object.keys(itemsBySection).map((sectionType, index) => ({
-          id: sectionType,
-          name: sectionType,
-          color: getTabColor(index)
-        }))
-        
-        examItems.value = itemsBySection
-        
-        if (examTabs.value.length > 0) {
-          currentTab.value = examTabs.value[0].id
+          examTabs.value = Object.keys(itemsBySection).map((sectionType, index) => ({
+            id: sectionType,
+            name: sectionType,
+            color: getTabColor(index)
+          }))
+          
+          examItems.value = itemsBySection
+          
+          if (examTabs.value.length > 0) {
+            currentTab.value = examTabs.value[0].id
+          }
         }
       }
 
@@ -562,6 +580,23 @@ const loadPatientData = async (patient) => {
   }
 }
 
+// 修改检查是否为影像科的函数
+const checkIsImageDepartment = (deptId) => {
+  
+  // 强制返回true用于测试
+  // return true;
+  
+  // 如果deptId是对象，尝试获取其id属性
+  const id = typeof deptId === 'object' ? deptId.id || deptId.deptId : deptId
+  
+  // 影像科的ID列表 - 根据实际情况调整
+  const imageDeptIds = ['7', '8', '9', '10', '11', '12', '13', 'CT室', 'DR室', '超声科', '放射科', '影像科', 'CT', 'MRI', '超声', '放射']
+  
+  // 检查ID是否在列表中
+  const result = imageDeptIds.includes(String(id))
+  return result
+}
+
 // 修改获取状态提示的函数
 const getStatusNote = (item) => {
   if (!item.reference || item.reference === 'null-null') {
@@ -673,10 +708,12 @@ const handlePatientSelect = async (patient) => {
   } catch (error) {
     console.error('切换患者失败:', error)
     message.error('切换患者失败')
+    // 出错时重置状态
+    isImageDepartment.value = false
   }
 }
 
-onMounted(() => {
+onMounted(async () => {
   // 清理页面状态
   patients.value = []
   selectedPatient.value = null
@@ -720,6 +757,16 @@ onMounted(() => {
     inspecttime: ''
   }
   customDateRange.value = []
+  
+  // 初始化科室类型
+  try {
+    const userProfile = await getUserProfile()
+    user.value = userProfile
+    isImageDepartment.value = checkIsImageDepartment(userProfile.deptId)
+  } catch (error) {
+    console.error('获取用户信息失败:', error)
+    isImageDepartment.value = false
+  }
 })
 
 // 当前选中的时间周期
@@ -928,7 +975,6 @@ const user = ref(null)
 // 加载数据
 const loadData = async () => {
   reportData.value = await PatientApi.getPatient(1)
-  console.log(reportData.value.birthday)
 }
 
 // 添加搜索处理函数
@@ -1190,6 +1236,30 @@ const formatReference = (reference) => {
   return `${low}-${high}`
 }
 
+// 添加isImageDepartment的响应式引用
+const isImageDepartment = ref(false)
+
+// 添加判断是否为血常规检查的计算属性
+const isBloodTest = computed(() => {
+  if (!selectedPatient.value) return false
+  
+  // 获取当前用户部门下的检查项目
+  const currentItems = Object.values(examItems.value)
+    .flat()
+    .filter(item => {
+      // 检查项目名称中包含血常规相关关键词
+      const itemName = (item.name || '').toLowerCase()
+      return itemName.includes('血常规') || 
+             itemName.includes('血细胞') || 
+             itemName.includes('血红蛋白') ||
+             itemName.includes('白细胞') ||
+             itemName.includes('红细胞') ||
+             itemName.includes('血小板')
+    })
+  
+  return currentItems.length > 0
+})
+
 </script>
 
 <style scoped>
@@ -1866,7 +1936,6 @@ const formatReference = (reference) => {
   background-color: #f5f7fa;
   cursor: not-allowed;
   color: #606266;
-  border: none;
 }
 
 /* 修改弃检行的样式判断 */

src/views/Department-entry/blood.vue

@@ -0,0 +1,284 @@
+<template>
+  <div class="blood-test-container">
+    <!-- 检查结果表格 -->
+    <div class="result-table">
+      <!-- 表头部分 -->
+      <div class="table-header">
+        <div class="header-row">
+          <div class="header-cell" style="width: 5%">#</div>
+          <div class="header-cell" style="width: 15%">体检项目</div>
+          <div class="header-cell" style="width: 20%">明细结果</div>
+          <div class="header-cell" style="width: 10%">单位</div>
+          <div class="header-cell" style="width: 15%">参考值</div>
+          <div class="header-cell" style="width: 10%">提示</div>
+          <div class="header-cell" style="width: 15%">危险程度</div>
+          <div class="header-cell" style="width: 10%">是否阳性</div>
+        </div>
+      </div>
+      
+      <!-- 表格内容部分 -->
+      <div class="table-body">
+        <div 
+          v-for="(item, index) in bloodTestItems" 
+          :key="item.id"
+          class="table-row"
+          :class="{ 
+            'warning-row': item.status === 'warning',
+            'danger-row': item.status === 'danger'
+          }"
+        >
+          <div class="table-cell" style="width: 5%">{{ index + 1 }}</div>
+          <div class="table-cell" style="width: 15%">{{ item.name }}</div>
+          <div class="table-cell" style="width: 20%">{{ item.value }}</div>
+          <div class="table-cell" style="width: 10%">{{ item.unit }}</div>
+          <div class="table-cell" style="width: 15%">{{ formatReference(item.reference) }}</div>
+          <div class="table-cell" style="width: 10%">{{ item.note }}</div>
+          <div class="table-cell" style="width: 15%">{{ item.risk }}</div>
+          <div class="table-cell" style="width: 10%">
+            <el-tag 
+              v-if="item.positive === '阳性'"
+              type="danger"
+              size="small"
+              effect="light"
+            >
+              阳性
+            </el-tag>
+            <span v-else>阴性</span>
+          </div>
+        </div>
+      </div>
+    </div>
+
+    <!-- 底部操作栏 -->
+    <div class="action-footer">
+      <div class="left-section">
+        <span>检查医生：{{ user?.nickname || '暂无' }}</span>
+        <span style="margin-left: 100px;">检查日期：{{ formattedMedicalDateTime }}</span>
+      </div>
+      <div class="right-section">
+        <div class="action-buttons">
+          <button class="action-btn" @click="handleSyncResults">同步结果</button>
+          <button class="action-btn">报告预览</button>
+          <button 
+            class="action-btn primary" 
+            @click="handleSaveResults"
+          >
+            保存结果
+          </button>
+        </div>
+      </div>
+    </div>
+  </div>
+</template>
+
+<script>
+import { ref, computed } from 'vue'
+import { ElMessage } from 'element-plus'
+import { PatientitemsApi } from '@/api/inspect/inspectpatientitems'
+
+export default {
+  name: 'BloodTest',
+  props: {
+    patient: {
+      type: Object,
+      required: true
+    },
+    user: {
+      type: Object,
+      required: true
+    }
+  },
+  setup(props) {
+    const bloodTestItems = ref([])
+    const formattedMedicalDateTime = computed(() => {
+      return new Date().toLocaleDateString('zh-CN')
+    })
+
+    // 格式化参考值显示
+    const formatReference = (reference) => {
+      if (!reference || reference === 'null-null') return '-'
+      const [low, high] = reference.split('-')
+      if (!low || !high || low === 'null' || high === 'null') return '-'
+      return `${low}-${high}`
+    }
+
+    // 同步结果处理函数
+    const handleSyncResults = async () => {
+      try {
+        const params = {
+          medicalSn: props.patient.medicalSn,
+          pageNo: 1,
+          pageSize: 100
+        }
+        const res = await PatientitemsApi.getPatientitemsPage(params)
+        if (res.list && res.list.length > 0) {
+          bloodTestItems.value = res.list.map(item => ({
+            id: item.id,
+            name: item.itemName,
+            value: item.itemResult,
+            unit: item.unit,
+            reference: `${item.lowValue}-${item.highValue}`,
+            note: getStatusNote(item),
+            risk: getRiskLevel(item),
+            status: getRowStatus(item),
+            positive: item.positive === '1' ? '阳性' : '阴性'
+          }))
+          ElMessage.success('同步结果成功')
+        }
+      } catch (error) {
+        console.error('同步结果失败:', error)
+        ElMessage.error('同步结果失败')
+      }
+    }
+
+    // 保存结果处理函数
+    const handleSaveResults = async () => {
+      try {
+        const updatedItems = bloodTestItems.value.map(item => ({
+          id: item.id,
+          itemResult: item.value,
+          positive: item.positive === '阳性' ? '1' : '0',
+          inspectdoctor: props.user?.nickname || '',
+          inspecttime: new Date().getTime()
+        }))
+        
+        await PatientitemsApi.updatePatientitemsBatch(updatedItems)
+        ElMessage.success('保存成功')
+      } catch (error) {
+        console.error('保存失败:', error)
+        ElMessage.error('保存失败')
+      }
+    }
+
+    // 辅助函数
+    const getStatusNote = (item) => {
+      if (!item.itemResult || !item.lowValue || !item.highValue) return ''
+      const value = parseFloat(item.itemResult)
+      const low = parseFloat(item.lowValue)
+      const high = parseFloat(item.highValue)
+      
+      if (value < low) return '↓'
+      if (value > high) return '↑'
+      return '-'
+    }
+
+    const getRiskLevel = (item) => {
+      if (!item.itemResult || !item.lowValue || !item.highValue) return ''
+      const value = parseFloat(item.itemResult)
+      const low = parseFloat(item.lowValue)
+      const high = parseFloat(item.highValue)
+      
+      if (value < low) return '低于正常值'
+      if (value > high) return '高于正常值'
+      return '正常'
+    }
+
+    const getRowStatus = (item) => {
+      if (!item.itemResult || !item.lowValue || !item.highValue) return ''
+      const value = parseFloat(item.itemResult)
+      const high = parseFloat(item.highValue)
+      
+      if (value > high) return 'danger'
+      return ''
+    }
+
+    return {
+      bloodTestItems,
+      formattedMedicalDateTime,
+      formatReference,
+      handleSyncResults,
+      handleSaveResults
+    }
+  }
+}
+</script>
+
+<style scoped>
+.blood-test-container {
+  flex: 1;
+  display: flex;
+  flex-direction: column;
+  position: relative;
+  background: #fff;
+  height: 100%;
+}
+
+.result-table {
+  margin: 20px;
+  border: 1px solid #ebeef5;
+  border-radius: 4px;
+  flex: 1;
+  display: flex;
+  flex-direction: column;
+}
+
+.table-header {
+  background: #f5f7fa;
+  border-bottom: 1px solid #ebeef5;
+}
+
+.header-row {
+  display: flex;
+  width: 100%;
+}
+
+.header-cell {
+  padding: 12px 8px;
+  font-weight: 500;
+  color: #606266;
+  text-align: left;
+  border-right: 1px solid #ebeef5;
+}
+
+.table-body {
+  flex: 1;
+  overflow-y: auto;
+}
+
+.table-row {
+  display: flex;
+  border-bottom: 1px solid #ebeef5;
+}
+
+.table-row.danger-row {
+  background: #fef0f0;
+}
+
+.table-cell {
+  padding: 12px 8px;
+  border-right: 1px solid #ebeef5;
+  display: flex;
+  align-items: center;
+}
+
+.action-footer {
+  padding: 16px 20px;
+  border-top: 1px solid #ebeef5;
+  display: flex;
+  justify-content: space-between;
+  align-items: center;
+}
+
+.action-buttons {
+  display: flex;
+  gap: 12px;
+}
+
+.action-btn {
+  padding: 8px 16px;
+  border: none;
+  border-radius: 4px;
+  background: #409EFF;
+  color: white;
+  cursor: pointer;
+  font-size: 14px;
+}
+
+.action-btn:hover {
+  opacity: 0.9;
+}
+
+.action-btn.primary {
+  background: #67C23A;
+}
+</style>

src/views/inspect/physicalEnroll/index.vue

@@ -1005,20 +1005,43 @@ const handlePersonInfoSave = async () => {
     if (result) {
       // 保存患者项目
       if (comboInfoTable1.value.length > 0) {
-        const saveItems: PatientitemsVO[] = comboInfoTable1.value.map(item => ({
+        // 先获取患者现有的项目列表
+        const existingItems = await PatientitemsApi.getPatientitemsPage({
           medicalSn: personParam.value.testNum,
-          itemName: item.name,
-          itemCode: item.itemCode,
-          price: item.price,
-          discountedPrice: item.discountPrice,
-          discounted: item.discount,
-          sectionID: item.sectionID,
-          itemStatus: '0',
-          createTime: new Date().getTime(), // 修改为时间戳
-          headimage: avatar
-        }))
+          pageNo: 1,
+          pageSize: 100
+        })
         
-        await PatientitemsApi.createPatientitemsBatch(saveItems)
+        // 创建现有项目的itemCode集合，用于快速查找
+        const existingItemCodes = new Set(
+          existingItems?.list?.map(item => item.itemCode) || []
+        )
+        
+        // 过滤出需要新增的项目（不在现有项目中的）
+        const newItems = comboInfoTable1.value.filter(
+          item => !existingItemCodes.has(item.itemCode)
+        )
+        
+        if (newItems.length > 0) {
+          // 直接使用项目中已有的字段值，不使用默认值
+          const saveItems: PatientitemsVO[] = newItems.map(item => ({
+            medicalSn: personParam.value.testNum,
+            itemName: item.name,
+            itemCode: item.itemCode,
+            price: item.price,
+            discountedPrice: item.discountPrice,
+            discounted: item.discount,
+            sectionID: item.sectionID,
+            itemStatus: '0',
+            createTime: new Date().getTime(),
+            headimage: avatar,
+            groupname: item.groupname,
+            groupcode: item.groupcode,
+            mealfrontorafter: item.mealfrontorafter
+          }))
+          
+          await PatientitemsApi.createPatientitemsBatch(saveItems)
+        }
       }
       
       message.success('保存成功')
@@ -1170,7 +1193,36 @@ watch(() => searchForm_extra.value.passStatus, () => {
 const selectedPatient = ref(null)
 const selectedPatientId = ref(null)
 
-// 修改加载患者项目的方法，减少不必要的API请求
+// 添加科室缓存，避免重复请求
+const departmentCache = ref(new Map())
+
+// 添加获取科室名称的方法
+const getSectionName = async (sectionID) => {
+  if (!sectionID) return '暂无科室'
+  
+  // 如果缓存中已有该科室，直接返回
+  if (departmentCache.value.has(sectionID)) {
+    return departmentCache.value.get(sectionID)
+  }
+  
+  try {
+    // 获取所有科室
+    const departments = await DepartmentApi.getListDepartment()
+    
+    // 将所有科室信息缓存
+    departments.forEach(dept => {
+      departmentCache.value.set(dept.departmentCode, dept.departmentName)
+    })
+    
+    // 返回对应的科室名称
+    return departmentCache.value.get(sectionID) || '暂无科室'
+  } catch (error) {
+    console.error('获取科室信息失败:', error)
+    return '暂无科室'
+  }
+}
+
+// 修改加载患者项目的方法，移除调试日志
 const loadPatientProjects = async (medicalSn) => {
   if (!medicalSn) {
     comboInfoTable1.value = []
@@ -1191,16 +1243,26 @@ const loadPatientProjects = async (medicalSn) => {
     }
 
     // 直接从API返回的数据构建项目列表，不再查询项目详情
-    const projectDetails: ProjectDetail[] = patientItemsRes.list.map(item => ({
-      name: item.itemName,
-      price: item.price || 0,
-      discount: item.discounted || 0,
-      discountPrice: item.discountedPrice || 0,
-      moduleName: item.moduleName || '',
-      section: item.section || '',
-      sectionID: item.sectionID || '',
-      itemCode: item.itemCode
-    }))
+    const projectDetails: ProjectDetail[] = []
+    
+    for (const item of patientItemsRes.list) {
+      // 获取科室名称
+      const sectionName = await getSectionName(item.sectionID)
+      
+      projectDetails.push({
+        name: item.itemName,
+        price: item.price || 0,
+        discount: item.discounted || 0,
+        discountPrice: item.discountedPrice || 0,
+        moduleName: item.moduleName || '',
+        section: sectionName,
+        sectionID: item.sectionID || '',
+        itemCode: item.itemCode,
+        groupname: item.groupname || '', // 添加模块名称
+        groupcode: item.groupcode || '', // 添加模块ID
+        mealfrontorafter: item.mealfrontorafter || '' // 添加餐前餐后
+      })
+    }
 
     // 强制更新视图
     comboInfoTable1.value = []
@@ -1391,7 +1453,7 @@ const handleCheckInfoSelection = (selection) => {
   checkInfoSelectedData.value = selection
 }
 
-// 修改确认选择项目的方法
+// 修改确认选择项目的方法，移除调试日志
 const confirmSelectedProjects = async () => {
   try {
     let selectedProjects: ProjectDetail[] = []
@@ -1424,16 +1486,23 @@ const confirmSelectedProjects = async () => {
               
               if (itemDetail?.list?.[0]) {
                 const item = itemDetail.list[0]
+                
+                // 获取科室名称
+                const sectionName = await getSectionName(item.sectionID)
+                
                 processedItemCodes.add(moduleItem.itemCode)
                 selectedProjects.push({
                   name: item.itemName,
-                  section: item.section, // 使用科室名称
-                  sectionID: item.sectionID, // 保存科室ID用于后端
+                  section: sectionName,
+                  sectionID: item.sectionID,
                   price: item.price || 0,
                   discount: item.discounted || 0,
                   discountPrice: item.discountedPrice || 0,
                   moduleName: item.moduleName || moduleItem.examModuleName,
-                  itemCode: moduleItem.itemCode
+                  itemCode: moduleItem.itemCode,
+                  groupname: item.groupname || '',
+                  groupcode: item.groupcode || '',
+                  mealfrontorafter: item.mealfrontorafter || ''
                 })
               }
             } catch (itemError) {
@@ -1450,16 +1519,22 @@ const confirmSelectedProjects = async () => {
           continue
         }
         
+        // 获取科室名称
+        const sectionName = await getSectionName(item.sectionID)
+        
         processedItemCodes.add(item.itemCode)
         selectedProjects.push({
           name: item.itemName,
-          section: item.section, // 使用科室名称
-          sectionID: item.sectionID, // 保存科室ID用于后端
+          section: sectionName,
+          sectionID: item.sectionID,
           price: item.price,
           discount: item.discounted,
           discountPrice: item.discountedPrice,
           moduleName: item.moduleName,
-          itemCode: item.itemCode
+          itemCode: item.itemCode,
+          groupname: item.groupname || '',
+          groupcode: item.groupcode || '',
+          mealfrontorafter: item.mealfrontorafter || ''
         })
       }
     }
@@ -1509,6 +1584,9 @@ interface ProjectDetail {
   discountPrice: number
   moduleName: string
   itemCode: string
+  groupname?: string // 添加模块名称
+  groupcode?: string // 添加模块ID
+  mealfrontorafter?: string // 添加餐前餐后
 }
 
 // 添加删除选中项目的方法