From c5ba087051c1e9793b73da9d9bcd8cddfc02852f Mon Sep 17 00:00:00 2001
From: Euni4U <958079825@qq.com>
Date: Mon, 10 Mar 2025 17:41:31 +0800
Subject: [PATCH] =?UTF-8?q?=E4=BD=93=E6=A3=80=E8=BD=A6=E5=BD=95=E5=85=A5?=
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---
 src/views/Department-entry/All.vue            |  550 ++++
 .../Medical-examination-vehicle.vue           | 2447 +++++++++++++++++
 src/views/inspect/physicalEnroll/index.vue    |    1 +
 3 files changed, 2998 insertions(+)
 create mode 100644 src/views/Department-entry/All.vue
 create mode 100644 src/views/Department-entry/Medical-examination-vehicle.vue

diff --git a/src/views/Department-entry/All.vue b/src/views/Department-entry/All.vue
new file mode 100644
index 0000000..9215cad
--- /dev/null
+++ b/src/views/Department-entry/All.vue
@@ -0,0 +1,550 @@
+<template>
+  <div class="all-container">
+    <!-- 检查结果部分 -->
+    <div class="exam-results">
+      <!-- 影像检查结果 -->
+      <div class="image-results">
+        <!-- 影像图片展示区 -->
+        <div class="image-gallery">
+          <div class="image-content">
+            <div
+              v-if="imageUrls.length > 0"
+              class="image-grid"
+              :class="{ 'single-image': imageUrls.length === 1 }"
+            >
+              <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>
+                      <span>加载失败</span>
+                    </div>
+                  </template>
+                </el-image>
+              </div>
+            </div>
+            <el-empty v-else description="暂无影像资料" />
+          </div>
+        </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
+  },
+  examType: {
+    type: String,
+    default: '' // 默认为空
+  }
+})
+
+// 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)
+
+// 添加一个变量来存储当前检查项目
+const currentItem = ref(null)
+
+// 修改获取影像图片URL的方法，根据检查类型过滤
+const getImageUrls = async () => {
+  try {
+
+
+    // 检查必要参数
+    if (!reportData.value.medicalSn) {
+      console.warn('缺少体检编号(medicalSn)')
+      return []
+    }
+
+    // 获取所有PACS数据
+    const response = await PacsDataApi.getPacsDataPage({
+      code: reportData.value.medicalSn,
+      pageNo: 1,
+      pageSize: 100
+    })
+
+    if (!response?.list) {
+      return []
+    }
+
+    pacsData.value = response.list
+
+    // 根据检查类型过滤图片
+    let filteredData = response.list
+
+    // 根据检查类型匹配type字段
+    if (props.examType) {
+      // 检查类型与API中type字段的映射关系 - 扩展匹配模式
+      const typePatterns = {
+        'ultrasound': ['ultrasound', 'us', '超声', '彩超', 'b超', 'doppler'],
+        'ecg': ['ecg', 'ekg', '心电图', 'electrocardiogram'],
+        'blood': ['blood', 'cbc', '血常规', '血液', 'bloodtest'],
+        'urine': ['urine', 'ua', '尿常规', '尿液', 'urinalysis']
+      }
+      
+      // 获取当前检查类型对应的匹配模式
+      const patterns = typePatterns[props.examType]
+      
+      if (patterns && patterns.length > 0) {
+        // 使用模式列表进行匹配
+        filteredData = response.list.filter(item => {
+          if (!item.type) return false
+          
+          const itemType = item.type.toLowerCase()
+          return patterns.some(pattern => itemType.includes(pattern.toLowerCase()))
+        })
+        
+      }
+    }
+
+    // 修改：如果过滤后没有数据，直接返回空数组，显示"暂无影像资料"
+    if (filteredData.length === 0) {
+      return []
+    }
+
+    // 直接使用data字段作为图片URL，过滤掉空值
+    const urls = filteredData.map((item) => item.data).filter((url) => url)
+
+    return urls
+  } catch (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(() => {
+  // 项目状态为0表示未检查，应该可以编辑
+  // 项目状态为1表示已检查，应该只读
+  return currentItem.value?.itemStatus === '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 {
+    if (!checkEditPermission()) {
+      return
+    }
+    const userProfile = await getUserProfile()
+    user.value = userProfile
+    // 获取当前时间戳
+    const currentTime = new Date().getTime()
+    // 检查当前项目
+    if (!currentItem.value || !currentItem.value.id) {
+      ElMessage.error('未找到当前检查项目信息')
+      return
+    }
+
+    // 更新检查项目结果
+    const updatedItems = [
+      {
+        id: currentItem.value.id, // 使用检查项目ID
+        examDescription: imageFinding.value, // 检查所见
+        itemResult: imageDiagnosis.value, // 检查结果
+        itemStatus: '1', // 已检查
+        inspectdoctor: user.value?.nickname || '',
+        inspecttime: currentTime
+      }
+    ]
+
+
+    const updateResult = await PatientitemsApi.updatePatientitemsBatch(updatedItems)
+
+    // 更新当前项目状态
+    currentItem.value.itemStatus = '1'
+    currentItem.value.examDescription = imageFinding.value
+    currentItem.value.itemResult = imageDiagnosis.value
+
+    ElMessage.success('保存成功')
+  } catch (error) {
+    console.error('保存失败:', error)
+    console.error('错误详情:', error.response || error)
+    ElMessage.error(`保存失败: ${error.message || '未知错误'}`)
+  }
+}
+
+// 加载患者数据和检查项目
+const loadPatientData = async (patient) => {
+  if (!patient || !patient.id) {
+    return
+  }
+
+  try {
+    const cacheKey = patient.id
+    if (patientDataCache.value.has(cacheKey)) {
+      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
+
+      // 获取患者检查项目数据
+      if (reportData.value.medicalSn) {
+        try {
+          const patientItemsResponse = await PatientitemsApi.getPatientitemsPage({
+            medicalSn: reportData.value.medicalSn,
+            pageNo: 1,
+            pageSize: 100
+          })
+
+          if (patientItemsResponse?.list && patientItemsResponse.list.length > 0) {
+            // 选择第一个检查项目作为当前项目
+            currentItem.value = patientItemsResponse.list[0]
+
+            console.log('找到的当前检查项目:', currentItem.value)
+
+            // 如果找到了检查项目，加载其检查所见和结果
+            if (currentItem.value) {
+              imageFinding.value = currentItem.value.examDescription || ''
+              imageDiagnosis.value = currentItem.value.itemResult || ''
+            }
+
+            // 加载所有影像数据，不再按类型过滤
+            imageUrls.value = await getImageUrls()
+          }
+        } catch (error) {
+          console.error('获取患者检查项目失败:', error)
+        }
+      }
+
+      // 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 }
+)
+
+// 监听检查类型变化
+watch(
+  () => props.examType,
+  async (newType) => {
+    if (newType && reportData.value.medicalSn) {
+      console.log('检查类型变更为:', newType)
+      imageUrls.value = await getImageUrls()
+    }
+  },
+  { immediate: true }
+)
+
+// 修改组件挂载时的逻辑
+onMounted(async () => {
+  if (props.patient) {
+    // 加载患者数据和检查项目
+    await loadPatientData(props.patient)
+  }
+})
+
+// 添加获取检查类型标题的方法
+const getExamTypeTitle = () => {
+  const typeMap = {
+    ultrasound: '超声',
+    ecg: '心电图',
+    blood: '血常规',
+    urine: '尿常规'
+  }
+  return typeMap[props.examType] || '检查'
+}
+</script>
+
+<style scoped>
+.all-container {
+  height: 520px;
+  padding: 10px;
+  background: #fff;
+  border-radius: 4px;
+  box-shadow: 0 2px 12px rgba(0, 0, 0, 0.1);
+  overflow: auto;
+}
+
+.exam-results {
+  flex: 1;
+  display: flex;
+  flex-direction: column;
+  height: 100%;
+}
+
+.image-results {
+  flex: 1;
+  display: flex;
+  flex-direction: column;
+  gap: 20px;
+  height: 100%;
+}
+
+.image-gallery {
+  height: 100%;
+  border-radius: 4px;
+}
+
+.image-content {
+  height: 100%;
+  padding: 8px;
+  overflow: auto;
+}
+
+.image-grid {
+  display: grid;
+  grid-template-columns: repeat(auto-fit, minmax(400px, 1fr));
+  gap: 10px;
+  height: 100%;
+  place-items: center;
+}
+
+.image-item {
+  width: 100%;
+  height: 100%;
+  max-width: 600px;
+  max-height: 450px;
+  aspect-ratio: 4/3;
+  border-radius: 4px;
+  overflow: hidden;
+  transition: transform 0.3s;
+}
+
+.image-item:hover {
+  transform: scale(1.02);
+}
+
+.single-image {
+  display: flex;
+  justify-content: center;
+}
+
+.single-image .image-item {
+  width: 90%;
+  height: 90%;
+}
+
+.medical-image {
+  width: 100%;
+  height: 100%;
+}
+
+.no-images {
+  display: flex;
+  justify-content: center;
+  align-items: center;
+  height: 100%;
+  color: #909399;
+}
+
+.findings-diagnosis-container {
+  display: flex;
+  gap: 20px;
+  margin-bottom: 20px;
+}
+
+.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: 120px;
+  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;
+}
+
+.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 {
+  background: #fff;
+  border-top: 1px solid #ebeef5;
+  margin-top: auto;
+}
+
+.footer-content {
+  padding: 15px 0;
+  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;
+}
+
+.image-error {
+  height: 100%;
+  display: flex;
+  flex-direction: column;
+  align-items: center;
+  justify-content: center;
+  gap: 8px;
+  background: #f8f9fa;
+  color: #909399;
+}
+</style>
diff --git a/src/views/Department-entry/Medical-examination-vehicle.vue b/src/views/Department-entry/Medical-examination-vehicle.vue
new file mode 100644
index 0000000..1959103
--- /dev/null
+++ b/src/views/Department-entry/Medical-examination-vehicle.vue
@@ -0,0 +1,2447 @@
+<template>      
+  <div class="medical-report">
+    <!-- 左侧人员列表 -->
+    <div class="patient-list">
+      <div class="list-header">
+        <div class="filter-options">
+          <div class="header-title">
+            人员列表
+            <el-button
+              class="refresh-btn"
+              :icon="Refresh"
+              circle
+              type="success"
+              @click="handleRefresh"
+              size="small"
+            />
+          </div>     
+        </div>
+
+        <!-- 添加时间筛选 -->
+        <div class="view-options">
+          <div class="view-buttons">
+            <button 
+              v-for="period in timePeriods" 
+              :key="period.value"
+              class="view-btn"
+              :class="{ active: selectedPeriod === period.value }"
+              @click="handlePeriodChange(period.value)"
+            >
+              {{ period.label }}
+            </button>
+          </div>
+          
+          <!-- 添加日期选择器 -->
+          <div v-if="showDatePicker" class="date-picker-container">
+            <div class="date-picker-wrapper">
+              <el-date-picker
+                v-model="customDateRange"
+                type="daterange"
+                unlink-panels
+                range-separator="至"
+                start-placeholder="开始日期"
+                end-placeholder="结束日期"
+                :shortcuts="shortcuts"
+                format="YYYY-MM-DD"
+                value-format="YYYY-MM-DD"
+              />
+            </div>
+            <el-button 
+              type="primary" 
+              @click="handleDateSearch"
+              class="search-button"
+            >搜索</el-button>
+          </div>
+        </div>
+
+        <!-- 简化体检编号搜索框 -->
+        <div class="search-box medical-sn-search">
+          <input
+            v-model="searchQuery"
+            placeholder="请输入姓名或体检编号"  
+            @input="handleLocalSearch"
+          />
+        </div>
+      </div>
+      <div class="list-content">
+        <div 
+          v-for="patient in filteredPatients" 
+          :key="patient.id" 
+          class="patient-item"
+          @click="handlePatientSelect(patient)"
+          :class="{ active: selectedPatient?.id === patient.id }"
+        >
+          <div class="patient-info">
+            <span class="name">{{ patient.pname }}</span>
+            <span class="medical-sn">{{ patient.medicalSn }}</span>
+            <el-tag 
+              :type="getStatusTagType(patient)"
+              size="small"
+              class="status-tag"
+            >
+              {{ getStatusText(patient) }}
+            </el-tag>
+          </div>
+        </div>
+        <!-- 将分页组件移到list-content外部底部 -->
+        <div class="pagination-container">
+          <el-pagination
+            v-model:current-page="pageNo"
+            :page-size="20"
+            small
+            :total="total"
+            :pager-count="3"
+            layout="total, prev, pager, next"
+            @current-change="handleCurrentChange"
+          >
+            <template #total>
+              <span>共 {{ total }} 条</span>
+            </template>
+          </el-pagination>
+        </div>
+      </div>
+    </div>
+    <!-- 右侧内容区域 -->
+    <div class="right-content">
+      <!-- 常规检查结果界面 -->
+      <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>
+
+            </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>
+
+          <!-- 检查结果表格 -->
+          <div class="result-table">
+            <!-- 特殊检查类型 -->
+            <All 
+              v-if="isSpecialExam" 
+              :patient="selectedPatient" 
+              :exam-type="currentTab"
+            />
+            
+            <!-- 常规检查项目表格 -->
+            <template v-else>
+              <div class="table-header">
+                <div class="header-row">
+                  <div class="header-cell" style="width: 5%">序号</div>
+                  <div class="header-cell" style="width: 15%">检查项目</div>
+                  <div class="header-cell" style="width: 20%">检查结果</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%">风险</div>
+                  <div class="header-cell" style="width: 10%">阳性/阴性</div>
+                  <div class="header-cell" style="width: 10%">操作</div>
+                </div>
+              </div>
+              <!-- 表格内容 -->
+              <div class="table-body">
+                <div v-if="sortedExamItems.length === 0" class="empty-content">
+                  <el-empty description="暂无检查项目" />
+                </div>
+                <div v-else>
+                  <div 
+                    v-for="(item, index) in sortedExamItems" 
+                    :key="item.id"
+                    class="table-row"
+                    :class="{ '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>
+            </template>
+          </div>
+
+          <!-- 修改体检小结部分 -->
+          <div v-if="['ultrasound', 'ecg'].includes(currentTab)" class="findings-diagnosis-container">
+            <div class="findings-section">
+              <div class="section-title">检查所见</div>
+              <textarea 
+                v-model="conclusionData[currentTab].finding" 
+                placeholder="请输入检查所见"
+                class="findings-textarea"
+                :readonly="isReadOnly"
+              ></textarea>
+            </div>
+
+            <div class="diagnosis-section">
+              <div class="section-title">检查结果</div>
+              <textarea 
+                v-model="conclusionData[currentTab].diagnosis" 
+                placeholder="请输入检查结果"
+                class="diagnosis-textarea"
+                :readonly="isReadOnly"
+              ></textarea>
+            </div>
+          </div>
+
+          <!-- 其他类型使用单栏小结 -->
+          <div v-else class="summary-section">
+            <div class="section-title">体检小结</div>
+            <textarea 
+              v-model="conclusionData[currentTab].summary" 
+              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="handleSaveAllResults"
+              >
+                保存所有结果
+              </button>
+            </div>
+          </div>
+        </div>
+      </div>
+    </div>
+  </div>
+</template>
+
+<script setup>
+import { ref, onMounted, computed, onBeforeUnmount } from 'vue'
+import { ElDialog, ElLoading, ElMessage, ElMessageBox } from 'element-plus'
+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, Refresh } from '@element-plus/icons-vue'
+import BloodTest from './blood.vue'  // 导入血常规组件
+import All from './All.vue'  // 导入All组件用于超声、心电图等
+
+const dialogTitle = ref('体检报告')
+const { t } = useI18n() // 国际化
+const message = useMessage() // 消息弹窗
+const status = ref('')
+const patients = ref([])
+// 患者基本信息数据
+const reportData = ref({
+medicalSn: '', // 体检编号
+cardId: '', // 证件ID
+pName: '', // 患者姓名
+gender: '', // 性别
+birthday: '', // 出生日期
+nationality: '', // 国籍
+nation: '', // 民族
+race: '', // 人种
+phoneNum: '', // 电话
+status: 0, // 状态
+reportType: '', // 报告类型
+medicalDateTime: '', // 体检日期
+chargeType: '', // 收费方式
+totalPrice: 0, // 实际收款金额
+headPicUrl: '', // 头像图片路径
+summaryResult: '', // 汇总分析结果
+auditor: '', // 审核人
+auditorTime: '', // 审核时间
+})
+// 患者体检项目数据
+const patientitemData = ref({
+medicalSn: '',   // 体检编号
+itemName: '', // 检查项目名称
+itemCode: '', // 项目代号
+price: 0, // 项目单价
+discountedPrice: 0, // 折扣价
+discounted: 0, // 折扣 百分比
+sectionID: '', // 科室ID
+examDescription: '', // 检查所见
+itemResult: '', // 检查结论
+unit: '', // 项目单位
+highValue: 0, // 取值上限
+lowValue: 0, // 取值下限
+itemStatus: '', // 0：未检  1：已检  2：放弃 3：挂起，择日检(待查)  
+createTime: '', // 创建时间
+positive: '', // 是否阳性  1：阳性
+inspectdoctor: '', // 检查医生
+inspecttime: '', // 检查时间
+})
+const doctorSignature = ref('')
+
+// 检查项目标签数据
+const examTabs = ref([
+  { id: 'general', name: '一般检查', color: '#006699' },
+  { id: 'ultrasound', name: '超声', color: '#0099CC' },
+  { id: 'ecg', name: '心电图', color: '#00CCFF' },
+  { id: 'blood', name: '血常规', color: '#66CCFF' },
+  { id: 'urine', name: '尿常规', color: '#99CCFF' }
+])
+
+const currentTab = ref('general')
+
+// 检查结果数据
+const examItems = ref({})
+
+// 当前显示的检查结果
+const currentExamItems = computed(() => {
+  return examItems.value[currentTab.value] || [];
+})
+
+// 添加排序后的计算属性
+const sortedExamItems = computed(() => {
+if (!currentExamItems.value) return [];
+
+// 对当前显示的检查项目进行排序
+return [...currentExamItems.value].sort((a, b) => {
+  // 首先按照 itemStatus 排序（未检的排在前面）
+  if (a.itemStatus !== b.itemStatus) {
+    // 优先级：未检(0) > 已检(1) > 待查(3) > 弃检(2)
+    const statusOrder = { '0': 0, '1': 1, '3': 2, '2': 3 };
+    return statusOrder[a.itemStatus] - statusOrder[b.itemStatus];
+  }
+  // 如果状态相同，则按照 id 排序
+  return a.id - b.id;
+});
+});
+
+// 修改切换标签页函数，添加小结切换逻辑
+const switchTab = (tabId) => {
+  currentTab.value = tabId
+  // 不再需要单独设置 activeConclusion
+}
+
+// 修改 conclusionData 的数据结构
+const conclusionData = ref({
+  general: { summary: '' },
+  ultrasound: { finding: '', diagnosis: '' },
+  ecg: { finding: '', diagnosis: '' },
+  blood: { summary: '' },
+  urine: { summary: '' }
+})
+
+// 其他数据
+const examConclusion = ref('')
+const examDate = ref('')
+
+// 添加时间周期选项
+const timePeriods = [
+  { label: '今日', value: 'today' },
+  { label: '本周', value: 'week' },
+  { label: '本月', value: 'month' },
+  { label: '自定义', value: 'custom' },
+  { label: '重置', value: 'reset' }
+]
+
+// 添加日期相关的响应式数据
+const selectedPeriod = ref('today')
+const showDatePicker = ref(false)
+const customDateRange = ref([])
+
+// 添加日期快捷选项
+const shortcuts = [
+  {
+    text: '最近一周',
+    value: () => {
+      const end = new Date()
+      const start = new Date()
+      start.setTime(start.getTime() - 3600 * 1000 * 24 * 7)
+      return [start, end]
+    },
+  },
+  {
+    text: '最近一个月',
+    value: () => {
+      const end = new Date()
+      const start = new Date()
+      start.setTime(start.getTime() - 3600 * 1000 * 24 * 30)
+      return [start, end]
+    },
+  },
+  {
+    text: '最近三个月',
+    value: () => {
+      const end = new Date()
+      const start = new Date()
+      start.setTime(start.getTime() - 3600 * 1000 * 24 * 90)
+      return [start, end]
+    },
+  },
+]
+
+const pageNo = ref(1)
+const pageSize = ref(100)
+const total = ref(0)
+
+// 添加搜索相关的状态
+const searchQuery = ref('')
+const originalPatients = ref([]) // 保存原始患者列表
+const filteredPatients = ref([]) // 添加过滤后的患者列表
+
+// 添加数据缓存
+const patientDataCache = ref(new Map())
+
+// 添加体检编号搜索相关
+const medicalSnQuery = ref('')
+
+// 添加本地搜索处理函数
+const handleLocalSearch = () => {
+  if (!searchQuery.value) {
+    filteredPatients.value = patients.value
+    return
+  }
+
+  const query = searchQuery.value.toLowerCase()
+  filteredPatients.value = patients.value.filter(patient => 
+    (patient.pname && patient.pname.toLowerCase().includes(query)) || 
+    (patient.medicalSn && patient.medicalSn.toLowerCase().includes(query))
+  )
+}
+
+// 修改获取患者列表数据的函数，确保状态更新
+const getPatientList = async () => {
+  try {
+    const loading = ElLoading.service({
+      lock: true,
+      text: '加载中...',
+      background: 'rgba(255, 255, 255, 0.7)'
+    })
+    
+    const params = {
+      pageNo: pageNo.value,
+      pageSize: pageSize.value
+    }
+    const res = await PatientApi.getPatientPage(params)
+    patients.value = res.list
+    originalPatients.value = res.list // 保存原始列表用于搜索
+    filteredPatients.value = res.list // 初始化过滤后的列表
+    total.value = res.total
+    
+    loading.close()
+    
+    // 如果当前有选中的患者，更新其状态
+    if (selectedPatient.value) {
+      const updatedPatient = res.list.find(p => p.id === selectedPatient.value.id)
+      if (updatedPatient) {
+        selectedPatient.value = updatedPatient
+      }
+    }
+  } catch (error) {
+    console.error('获取患者列表出错:', error)
+    message.error('获取患者列表出错')
+  }
+}
+
+// 修改获取患者体检项目数据的方法
+const getpatientitemData = async (medicalSn) => {
+try {
+  const params = {
+    medicalSn: medicalSn,
+    pageNo: 1,
+    pageSize: 100
+  }
+  const itemsRes = await PatientitemsApi.getPatientitemsPage(params)
+  
+  if (itemsRes.list && itemsRes.list.length > 0) {
+    patientitemData.value = itemsRes.list[0]
+    
+    // 获取用户信息
+    const userProfile = await getUserProfile()
+    user.value = userProfile
+    
+    // 检查当前部门的项目状态
+    const currentDeptItems = itemsRes.list.filter(item => 
+      item.sectionID === userProfile.deptId || item.sectionID == userProfile.deptId
+    )
+    // 如果有项目且都是已检查状态，更新患者状态
+    if (currentDeptItems.length > 0 && currentDeptItems.every(item => item.itemStatus === '1')) {
+      // 更新患者列表中的状态
+      const patientIndex = patients.value.findIndex(p => p.medicalSn === medicalSn)
+      if (patientIndex !== -1) {
+        patients.value[patientIndex] = {
+          ...patients.value[patientIndex],
+          examStatus: '1' // 添加检查状态属性
+        }
+      }
+    }
+  }
+} catch (error) {
+  console.error('获取患者体检项目数据出错:', error)
+  message.error('获取患者体检项目数据出错')
+}
+}
+
+// 修改加载患者数据方法
+const loadPatientData = async (patient) => {
+  try {
+    // 检查缓存中是否已有数据
+    const cacheKey = patient.id
+    if (patientDataCache.value.has(cacheKey)) {
+      const cachedData = patientDataCache.value.get(cacheKey)
+      reportData.value = cachedData.reportData
+      examItems.value = cachedData.examItems
+      currentTab.value = cachedData.currentTab
+      return
+    }
+
+    const loading = ElLoading.service({
+      lock: true,
+      text: '加载中...',
+      background: 'rgba(255, 255, 255, 0.7)'
+    })
+
+    try {
+      // 获取用户信息和部门ID
+      const [userProfile, patientData, itemsRes] = await Promise.all([
+        getUserProfile(),
+        PatientApi.getPatient(patient.id),
+        PatientitemsApi.getPatientitemsPage({
+          medicalSn: patient.medicalSn,
+          pageNo: 1,
+          pageSize: 100
+        })
+      ])
+
+      user.value = userProfile
+      
+      // 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
+   
+      // 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) {
+          const itemsByCategory = {
+            general: [],
+            ultrasound: [],
+            ecg: [],
+            blood: [],
+            urine: []
+          }
+          
+          // 从第一个项目获取体检小结
+          if (itemsRes.list.length > 0) {
+            examConclusion.value = itemsRes.list[0].analyse || ''
+          }
+          
+          // 根据项目名称分类
+          itemsRes.list.forEach(item => {
+            const itemName = (item.itemName || '').toLowerCase()
+            let category = 'general'  // 默认为一般检查
+            
+            if (itemName.includes('彩超') || itemName.includes('超声') || itemName.includes('b超')) {
+              category = 'ultrasound'
+            } else if (itemName.includes('心电图') || itemName.includes('ecg') || itemName.includes('ekg')) {
+              category = 'ecg'
+            } else if (itemName.includes('血常规') || itemName.includes('血细胞') || itemName.includes('血红蛋白')) {
+              category = 'blood'
+            } else if (itemName.includes('尿常规') || itemName.includes('尿液分析')) {
+              category = 'urine'
+            }
+            
+            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,
+              examDescription: item.examDescription || '',
+              analyse: item.analyse || '',
+              sectionID: item.sectionID
+            }
+            
+            itemsByCategory[category].push(processedItem)
+          })
+          
+          examItems.value = itemsByCategory
+          
+          // 默认选择"全部检查"标签
+          currentTab.value = 'all'
+        }
+      }
+
+      // 根据不同类型的检查项目，加载对应的小结
+      const conclusions = {
+        general: { summary: '' },
+        ultrasound: { finding: '', diagnosis: '' },
+        ecg: { finding: '', diagnosis: '' },
+        blood: { summary: '' },
+        urine: { summary: '' }
+      }
+      
+      itemsRes.list.forEach(item => {
+        const itemName = (item.itemName || '').toLowerCase()
+        let category = 'general'
+        
+        if (itemName.includes('彩超') || itemName.includes('超声')) {
+          category = 'ultrasound'
+        } else if (itemName.includes('心电图')) {
+          category = 'ecg'
+        } else if (itemName.includes('血常规')) {
+          category = 'blood'
+        } else if (itemName.includes('尿常规')) {
+          category = 'urine'
+        }
+        
+        if (item.analyse) {
+          if (['ultrasound', 'ecg'].includes(category)) {
+            // 只对超声和心电图解析检查所见和结果
+            const parts = item.analyse.split('\n')
+            parts.forEach(part => {
+              if (part.startsWith('检查所见：')) {
+                conclusions[category].finding = part.replace('检查所见：', '')
+              } else if (part.startsWith('检查结果：')) {
+                conclusions[category].diagnosis = part.replace('检查结果：', '')
+              }
+            })
+          } else {
+            conclusions[category].summary = item.analyse
+          }
+        }
+      })
+      
+      conclusionData.value = conclusions
+
+      patientDataCache.value.set(cacheKey, {
+        reportData: { ...reportData.value },
+        examItems: { ...examItems.value },
+        currentTab: currentTab.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')
+  }
+}
+
+// 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') {
+  return ''
+}
+
+const value = parseFloat(item.itemResult)
+const [low, high] = item.reference.split('-').map(val => val === 'null' ? null : Number(val))
+
+if (low === null || high === null) {
+  return ''
+}
+
+if (value < low) return '↓'
+if (value > high) return '↑'
+return '-'
+}
+
+// 修改获取风险等级的函数
+const getRiskLevel = (item) => {
+if (!item.reference || item.reference === 'null-null') {
+  return ''
+}
+
+const value = parseFloat(item.itemResult)
+const [low, high] = item.reference.split('-').map(val => val === 'null' ? null : Number(val))
+
+if (low === null || high === null) {
+  return ''
+}
+
+if (value < low) return '低于正常值'
+if (value > high) return '高于正常值'
+return '正常'
+}
+
+// 修改获取行状态的函数
+const getRowStatus = (item) => {
+if (!item.reference || item.reference === 'null-null') {
+  return ''
+}
+
+const value = parseFloat(item.itemResult)
+const [low, high] = item.reference.split('-').map(val => val === 'null' ? null : Number(val))
+
+if (low === null || high === null) {
+  return ''
+}
+
+if (value > high) {  
+  return 'danger'
+}
+return ''
+}
+
+// 修改科室名称映射函数
+const getSectionName = (sectionId) => {
+// 获取该科室下的所有检查项目
+const items = examItems.value[sectionId] || []
+
+// 检查是否包含特定检查项目
+const hasBloodTest = items.some(item => item.name.includes('血常规'))
+const hasUrineTest = items.some(item => item.name.includes('尿常规'))
+const hasImageTest = items.some(item => 
+  item.name.includes('CT') || 
+  item.name.includes('MRI') || 
+  item.name.includes('超声') || 
+  item.name.includes('X线') ||
+  item.name.includes('影像')
+)
+
+// 根据检查项目类型返回对应科室名称
+if (hasBloodTest) return '血液检查'
+if (hasUrineTest) return '尿液检查'
+if (hasImageTest) return '影像检查'
+return '一般检查'
+}
+
+// 标签颜色映射
+const tabColors = ['#003366', '#006699', '#0099CC', '#00CCFF']
+const getTabColor = (index) => {
+return tabColors[index % tabColors.length]
+}
+
+// 修改患者选择处理函数
+const handlePatientSelect = async (patient) => {
+try {
+  // 清理当前数据
+  examConclusion.value = ''
+  examItems.value = {}
+  currentTab.value = 'general'  // 设置默认选中一般检查
+  
+  // 清理该患者的缓存
+  if (patientDataCache.value.has(patient.id)) {
+    patientDataCache.value.delete(patient.id)
+  }
+  
+  // 设置选中患者
+  selectedPatient.value = patient
+  
+  // 重新加载患者数据
+  await loadPatientData(patient)
+  
+  // 如果有体检编号，获取体检项目数据
+  if (patient.medicalSn) {
+    await getpatientitemData(patient.medicalSn)
+  }
+
+  // 确保切换完数据后，标签页仍然是一般检查
+  currentTab.value = 'general'
+  
+} 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
+}
+}
+
+// 添加判断是否为特殊检查的计算属性
+const isSpecialExam = computed(() => {
+  if (!selectedPatient.value || !currentTab.value) return false
+  
+  // 检查当前标签是否为特殊检查类型
+  return ['ultrasound', 'ecg', 'blood', 'urine'].includes(currentTab.value)
+})
+
+onMounted(async () => {
+  // 清理页面状态
+  patients.value = []
+  filteredPatients.value = [] // 初始化过滤后的列表
+  selectedPatient.value = null
+  reportData.value = {
+    medicalSn: '',
+    cardId: '',
+    pName: '',
+    gender: '',
+    birthday: '',
+    nationality: '',
+    nation: '',
+    race: '',
+    phoneNum: '',
+    status: 0,
+    reportType: '',
+    medicalDateTime: '',
+    chargeType: '',
+    totalPrice: 0,
+    headPicUrl: '',
+    summaryResult: '',
+    auditor: '',
+    auditorTime: ''
+  }
+  patientitemData.value = {
+    medicalSn: '',
+    itemName: '',
+    itemCode: '',
+    price: 0,
+    discountedPrice: 0,
+    discounted: 0,
+    sectionID: '',
+    examDescription: '',
+    itemResult: '',
+    unit: '',
+    highValue: 0,
+    lowValue: 0,
+    itemStatus: '',
+    createTime: '',
+    positive: '',
+    inspectdoctor: '',
+    inspecttime: ''
+  }
+  customDateRange.value = []
+
+  // 初始化科室类型
+  try {
+    const userProfile = await getUserProfile()
+    user.value = userProfile
+    isImageDepartment.value = checkIsImageDepartment(userProfile.deptId)
+    
+    // 添加默认查询所有人员
+    await getPatientList()
+  } catch (error) {
+    console.error('获取用户信息失败:', error)
+    isImageDepartment.value = false
+  }
+
+  // 设置默认为今日
+  const today = new Date()
+  selectedPeriod.value = 'today'
+  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
+  await fetchPatientsByDate()
+})
+
+// 修改处理时间周期切换的函数
+const handlePeriodChange = (period) => {
+  selectedPeriod.value = period
+  
+  // 清除选中状态
+  selectedPatient.value = null
+  
+  const today = new Date()
+  let startDate, endDate
+  
+  switch (period) {
+    case 'today':
+      startDate = new Date(today.setHours(0, 0, 0, 0))
+      endDate = new Date(today.setHours(23, 59, 59, 999))
+      customDateRange.value = [startDate, endDate]
+      showDatePicker.value = false
+      fetchPatientsByDate()
+      break
+      
+    case 'week':
+      startDate = new Date(today)
+      startDate.setDate(today.getDate() - today.getDay())
+      endDate = new Date(today)
+      endDate.setDate(startDate.getDate() + 6)
+      customDateRange.value = [startDate, endDate]
+      showDatePicker.value = false
+      fetchPatientsByDate()
+      break
+      
+    case 'month':
+      startDate = new Date(today.getFullYear(), today.getMonth(), 1)
+      endDate = new Date(today.getFullYear(), today.getMonth() + 1, 0)
+      customDateRange.value = [startDate, endDate]
+      showDatePicker.value = false
+      fetchPatientsByDate()
+      break
+      
+    case 'custom':
+      showDatePicker.value = !showDatePicker.value
+      break
+      
+    case 'reset':
+      selectedPeriod.value = 'today'
+      const todayStart = new Date(today.setHours(0, 0, 0, 0))
+      const todayEnd = new Date(today.setHours(23, 59, 59, 999))
+      customDateRange.value = [todayStart, todayEnd]
+      showDatePicker.value = false
+      fetchPatientsByDate()
+      break
+  }
+}
+
+// 修改按日期获取患者列表方法
+const fetchPatientsByDate = async () => {
+  try {
+    if (!customDateRange.value || customDateRange.value.length !== 2) return
+    
+    const [startDate, endDate] = customDateRange.value
+    const params = {
+      pageNo: pageNo.value,
+      pageSize: pageSize.value,
+      medicalDateTime: [
+        `${formatDate(startDate)} 00:00:00`,
+        `${formatDate(endDate)} 23:59:59`
+      ]
+    }
+    
+    const res = await PatientApi.getPatientPage(params)
+    patients.value = res.list
+    originalPatients.value = res.list
+    filteredPatients.value = res.list
+    total.value = res.total
+
+    // 如果没有查询到患者，清除右侧详情
+    if (!res.list || res.list.length === 0) {
+      selectedPatient.value = null
+    }
+  } catch (error) {
+    console.error('按日期获取患者列表失败:', error)
+    message.error('获取患者列表失败')
+  }
+}
+
+// 修改日期搜索处理方法
+const handleDateSearch = () => {
+  if (customDateRange.value && customDateRange.value.length === 2) {
+    fetchPatientsByDate()
+  } else {
+    message.warning('请选择日期范围')
+  }
+}
+
+// 添加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, '-')
+})
+
+// 修改年龄计算属性
+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
+})
+
+// 添加选中患者的状态
+const selectedPatient = ref(null)
+
+// 添加用户信息的响应式引用
+const user = ref(null)
+
+// 加载数据
+const loadData = async () => {
+reportData.value = await PatientApi.getPatient(1)
+}
+
+// 添加计算属性检查是否所有项目都已完成
+const isAllItemsChecked = computed(() => {
+if (!sortedExamItems.value || sortedExamItems.value.length === 0) return false
+return sortedExamItems.value.every(item => item.itemStatus === '1')
+})
+
+// 修改检查编辑权限的方法
+const checkEditPermission = () => {
+if (isAllItemsChecked.value) {
+  ElMessage.warning('所有检查项目已完成，不可进行编辑')
+  return false
+}
+return true
+}
+
+// 修改结果变化处理函数
+const handleResultChange = (item) => {
+if (!checkEditPermission()) {
+  // 如果没有编辑权限，恢复原值
+  item.value = item.originalValue || ''
+  return
+}
+
+// 如果有输入值，设置为已检状态
+if (item.value) {
+  item.itemStatus = '1'
+} else {
+  item.itemStatus = '0'
+}
+
+item.originalValue = item.value
+
+if (item.reference && item.reference !== 'null-null') {
+  const value = parseFloat(item.value)
+  const [low, high] = item.reference.split('-').map(val => val === 'null' ? null : Number(val))
+  
+  if (low !== null && high !== null) {
+    item.note = getStatusNote({ itemResult: value, lowValue: low, highValue: high })
+    item.risk = getRiskLevel({ itemResult: value, lowValue: low, highValue: high })
+    item.status = getRowStatus({ itemResult: value, lowValue: low, highValue: high })
+  }
+}
+}
+
+// 修改操作处理函数
+const handleOperation = ({ type, item }) => {
+if (!checkEditPermission()) return
+
+switch (type) {
+  case 'positive':
+    item.positive = '阳性'
+    item.itemStatus = '1'
+    break
+  case 'negative':
+    item.positive = '阴性'
+    item.itemStatus = '1'
+    break
+  case 'abandon':
+    if (item.itemStatus === '2') {
+      item.itemStatus = '0'
+      ElMessage.success('已恢复正常状态')
+    } else {
+      ElMessageBox.confirm(
+        '确定要弃检该项目吗？弃检后将无法编辑该项目。',
+        '警告',
+        {
+          confirmButtonText: '确定',
+          cancelButtonText: '取消',
+          type: 'warning',
+        }
+      ).then(() => {
+        item.itemStatus = '2'
+        ElMessage.success('已设置为弃检')
+      }).catch(() => {
+        ElMessage.info('已取消弃检')
+      })
+    }
+    break
+}
+}
+
+// 添加禁用状态的计算属性，用于控制界面元素
+const isDisabled = computed(() => {
+return isAllItemsChecked.value
+})
+
+// 添加只读状态的计算属性
+const isReadOnly = computed(() => {
+return isAllItemsChecked.value
+})
+
+// 修改分页处理函数
+const handleCurrentChange = (val) => {
+  pageNo.value = val
+  getPatientList() // 使用通用查询函数替代特定日期查询
+}
+
+// 修改签名加载错误处理
+const handleSignatureError = (e) => {
+  e.target.style.display = 'none'
+}
+
+// 添加缓存清理函数
+const clearPatientCache = () => {
+patientDataCache.value.clear()
+}
+
+// 在组件卸载时清理缓存
+onBeforeUnmount(() => {
+clearPatientCache()
+})
+
+// 添加判断是否为影像类检查的计算属性
+const isImageExam = computed(() => {
+const items = currentExamItems.value || []
+return items.some(item => {
+  const itemName = (item.name || '').toLowerCase()
+  return (
+    itemName.includes('ct') ||
+    itemName.includes('mri') ||
+    itemName.includes('超声') ||
+    itemName.includes('x线') ||
+    itemName.includes('心电图') ||
+    itemName.includes('影像') ||
+    itemName.includes('胸片') ||
+    itemName.includes('内镜') ||
+    itemName.includes('放射') ||
+    itemName.includes('b超') ||
+    itemName.includes('彩超') ||
+    itemName.includes('心超')
+  )
+})
+})
+
+// 添加检查项目状态的计算属性
+const patientExamStatus = computed(() => {
+if (!selectedPatient.value?.medicalSn) return '0'
+
+const currentItems = Object.values(examItems.value)
+  .flat()
+  .filter(item => item.sectionID === user.value?.deptId)
+
+if (!currentItems.length) return '0'
+
+const allChecked = currentItems.every(item => item.itemStatus === '1')
+return allChecked ? '1' : '0'
+})
+
+// 修改获取状态文本的方法
+const getStatusText = (patient) => {
+if (patient.examStatus === '1') {
+  return '已检查'
+}
+
+if (selectedPatient.value?.id === patient.id) {
+  const currentDeptItems = Object.values(examItems.value)
+    .flat()
+    .filter(item => item.sectionID === user.value?.deptId)
+  
+  if (currentDeptItems.length > 0 && currentDeptItems.every(item => item.itemStatus === '1')) {
+    return '已检查'
+  }
+}
+
+return '待检查'
+}
+
+// 修改状态标签类型
+const getStatusTagType = (patient) => {
+return getStatusText(patient) === '已检查' ? 'success' : 'info'
+}
+
+// 添加参考值格式化函数
+const formatReference = (reference) => {
+if (!reference || reference === 'null-null') {
+  return '-'
+}
+const [low, high] = reference.split('-')
+if (!low || !high || low === 'null' || high === 'null') {
+  return '-'
+}
+return `${low}-${high}`
+}
+
+// 添加isImageDepartment的响应式引用
+const isImageDepartment = ref(false)
+
+// 添加判断是否为血常规检查的计算属性
+const isBloodTest = computed(() => {
+if (!selectedPatient.value) return false
+
+const currentItems = Object.values(examItems.value)
+  .flat()
+  .filter(item => {
+    const itemName = (item.name || '').toLowerCase()
+    return itemName.includes('血常规') || 
+           itemName.includes('血细胞') || 
+           itemName.includes('血红蛋白') ||
+           itemName.includes('白细胞') ||
+           itemName.includes('红细胞') ||
+           itemName.includes('血小板')
+  })
+
+return currentItems.length > 0
+})
+
+// 添加日期格式化函数
+const formatDate = (date) => {
+  if (!date) return ''
+  const d = new Date(date)
+  const year = d.getFullYear()
+  const month = String(d.getMonth() + 1).padStart(2, '0')
+  const day = String(d.getDate()).padStart(2, '0')
+  return `${year}-${month}-${day}`
+}
+
+// 修改刷新处理函数
+const handleRefresh = async () => {
+  try {
+    // 重置日期相关状态
+    selectedPeriod.value = 'reset'
+    showDatePicker.value = false
+    customDateRange.value = []
+    
+    // 重置搜索条件
+    searchQuery.value = ''
+    
+    // 重置选中状态
+    selectedPatient.value = null
+    
+    // 重置页码
+    pageNo.value = 1
+    
+    // 重新获取患者列表
+    await getPatientList()
+    ElMessage.success('刷新成功')
+  } catch (error) {
+    console.error('刷新失败:', error)
+    ElMessage.error('刷新失败')
+  }
+}
+
+// 修改验证方法，只验证四个标签页的内容
+const validateAllResults = () => {
+  const errors = []
+  
+  // 检查超声
+  if (conclusionData.value.ultrasound) {
+    if (!conclusionData.value.ultrasound.finding?.trim()) {
+      errors.push('超声检查所见不能为空')
+    }
+    if (!conclusionData.value.ultrasound.diagnosis?.trim()) {
+      errors.push('超声检查结果不能为空')
+    }
+  }
+
+  // 检查心电图
+  if (conclusionData.value.ecg) {
+    if (!conclusionData.value.ecg.finding?.trim()) {
+      errors.push('心电图检查所见不能为空')
+    }
+    if (!conclusionData.value.ecg.diagnosis?.trim()) {
+      errors.push('心电图检查结果不能为空')
+    }
+  }
+
+  // 检查血常规
+  if (conclusionData.value.blood) {
+    if (!conclusionData.value.blood.summary?.trim()) {
+      errors.push('血常规体检小结不能为空')
+    }
+  }
+
+  // 检查尿常规
+  if (conclusionData.value.urine) {
+    if (!conclusionData.value.urine.summary?.trim()) {
+      errors.push('尿常规体检小结不能为空')
+    }
+  }
+
+  if (errors.length > 0) {
+    ElMessage({
+      message: errors.join('\n'),
+      type: 'warning',
+      duration: 5000,
+      showClose: true,
+      grouping: true
+    })
+    return false
+  }
+
+  return true
+}
+
+// 修改统一保存方法
+const handleSaveAllResults = async () => {
+  if (!checkEditPermission()) return
+  
+  // 验证所有标签页的内容
+  if (!validateAllResults()) return
+  
+  try {
+    const userProfile = await getUserProfile()
+    user.value = userProfile
+    const currentTimestamp = Date.now()
+    
+    // 收集所有标签页的所有检查项目
+    let allUpdatedItems = []
+    
+    // 添加控制台输出，检查当前数据
+    console.log('当前标签页:', currentTab.value)
+    console.log('结论数据:', conclusionData.value)
+    console.log('当前检查项目:', currentExamItems.value)
+    
+    // 遍历所有检查项目
+    Object.keys(examItems.value).forEach(tabKey => {
+      const items = examItems.value[tabKey] || []
+      
+      items.forEach(item => {
+        const itemName = (item.name || '').toLowerCase()
+        console.log('处理项目:', item.name, '项目ID:', item.id, '标签页:', tabKey)
+        
+        // 基础字段
+        const baseFields = {
+          id: item.id,
+          medicalSn: selectedPatient.value?.medicalSn,
+          itemStatus: item.itemStatus || '1',
+          inspectdoctor: user.value?.nickname || '',
+          inspecttime: currentTimestamp,
+          sectionID: user.value?.deptId
+        }
+
+        // 根据项目类型处理不同的字段
+        if (itemName.includes('超声') || itemName.includes('彩超')) {
+          console.log('超声项目:', item.name, '所见:', conclusionData.value.ultrasound?.finding, '结果:', conclusionData.value.ultrasound?.diagnosis)
+          allUpdatedItems.push({
+            ...baseFields,
+            examDescription: conclusionData.value.ultrasound?.finding?.trim() || '',
+            itemResult: conclusionData.value.ultrasound?.diagnosis?.trim() || ''
+          })
+        } else if (itemName.includes('心电图')) {
+          console.log('心电图项目:', item.name, '所见:', conclusionData.value.ecg?.finding, '结果:', conclusionData.value.ecg?.diagnosis)
+          allUpdatedItems.push({
+            ...baseFields,
+            examDescription: conclusionData.value.ecg?.finding?.trim() || '',
+            itemResult: conclusionData.value.ecg?.diagnosis?.trim() || ''
+          })
+        } else if (itemName.includes('血常规')) {
+          console.log('血常规项目:', item.name, '小结:', conclusionData.value.blood?.summary)
+          allUpdatedItems.push({
+            ...baseFields,
+            itemResult: conclusionData.value.blood?.summary?.trim() || ''
+          })
+        } else if (itemName.includes('尿常规')) {
+          console.log('尿常规项目:', item.name, '小结:', conclusionData.value.urine?.summary)
+          allUpdatedItems.push({
+            ...baseFields,
+            itemResult: conclusionData.value.urine?.summary?.trim() || ''
+          })
+        }
+      })
+    })
+
+    console.log('最终要更新的项目:', allUpdatedItems)
+
+    if (allUpdatedItems.length === 0) {
+      ElMessage.warning('没有需要保存的检查项目')
+      return
+    }
+
+    // 批量更新所有检查项目
+    await PatientitemsApi.updatePatientitemsBatch(allUpdatedItems)
+    ElMessage.success('所有检查结果保存成功')
+
+    // 重新加载数据以更新界面
+    await refreshExamData()
+
+  } catch (error) {
+    console.error('保存失败:', error)
+    ElMessage.error(`保存失败: ${error.message || '请检查数据是否完整'}`)
+  }
+}
+
+// 添加刷新数据的方法
+const refreshExamData = async () => {
+  try {
+    const params = {
+      medicalSn: selectedPatient.value?.medicalSn,
+      pageNo: 1,
+      pageSize: 100
+    }
+    
+    const itemsRes = await PatientitemsApi.getPatientitemsPage(params)
+    
+    if (itemsRes.list && itemsRes.list.length > 0) {
+      // 更新检查项目数据
+      const currentDeptItems = itemsRes.list.filter(item => 
+        item.sectionID === user.value?.deptId
+      )
+      
+      // 更新结论数据
+      currentDeptItems.forEach(item => {
+        if (['ultrasound', 'ecg'].includes(currentTab.value)) {
+          conclusionData.value[currentTab.value] = {
+            finding: item.examDescription || '',
+            diagnosis: item.itemResult || ''
+          }
+        } else {
+          conclusionData.value[currentTab.value] = {
+            summary: item.itemResult || ''
+          }
+        }
+      })
+      
+      // 更新检查状态
+      if (selectedPatient.value) {
+        const allChecked = currentDeptItems.every(item => item.itemStatus === '1')
+        selectedPatient.value.examStatus = allChecked ? '1' : '0'
+      }
+    }
+  } catch (error) {
+    console.error('刷新数据失败:', error)
+  }
+}
+
+</script>
+
+<style scoped>
+.medical-report {
+display: flex;
+height: 83vh;
+min-height: 600px;
+overflow: hidden;
+}
+
+.patient-list {
+width: 280px;
+background: #fff;
+border-right: 1px solid #e6e6e6;
+}
+
+.list-header {
+padding: 0;
+}
+
+.header-title {
+font-size: 14px;
+background: #fff;
+border-bottom: 1px solid #fff;
+color: #333;
+display: flex;
+align-items: center;
+justify-content: space-between;
+}
+
+.filter-options {
+padding: 10px 15px;
+border-bottom: 1px solid #e6e6e6;
+}
+
+.radio-label {
+margin-right: 20px;
+cursor: pointer;
+font-size: 14px;
+color: #606266;
+}
+
+.radio-label input[type="radio"] {
+margin-right: 4px;
+vertical-align: middle;
+}
+
+.view-options {
+padding: 10px 15px;
+display: flex;
+flex-direction: column;
+border-bottom: 1px solid #e6e6e6;
+}
+
+.view-buttons {
+display: flex;
+gap: 8px;
+}
+
+.view-btn {
+padding: 5px 12px;
+border: none;
+background: none;
+cursor: pointer;
+font-size: 13px;
+color: #606266;
+border-radius: 3px;
+}
+
+.view-btn:hover {
+color: #409EFF;
+background: #ecf5ff;
+}
+
+.view-btn.active {
+color: #409EFF;
+background: #ecf5ff;
+}
+
+.search-box {
+padding: 10px 15px;
+position: relative;
+border-bottom: 1px solid #e6e6e6;
+}
+
+.search-box input {
+width: 100%;
+padding: 8px 30px 8px 10px;
+border: 1px solid #dcdfe6;
+border-radius: 4px;
+font-size: 13px;
+}
+
+.search-box input:focus {
+border-color: #409EFF;
+outline: none;
+}
+
+.search-icon {
+position: absolute;
+right: 25px;
+top: 50%;
+transform: translateY(-50%);
+color: #c0c4cc;
+}
+
+.patient-item {
+display: flex;
+justify-content: space-between;
+align-items: center;
+padding: 12px 15px;
+border-bottom: 1px solid #e6e6e6;
+}
+
+.report-content {
+flex: 1;
+display: flex;
+flex-direction: column;
+position: relative;
+background: #fff;
+}
+
+.main-content {
+flex: 1;
+overflow-y: auto;
+padding: 20px;
+padding-bottom: 60px;
+}
+
+.progress-nav {
+display: flex;
+margin-bottom: 20px;
+position: relative;
+}
+
+.nav-item {
+position: relative;
+padding: 8px 40px;
+background: #E4E7ED;
+color: #606266;
+font-size: 14px;
+cursor: pointer;
+display: flex;
+align-items: center;
+margin-right: 4px;
+}
+
+.nav-item:after {
+content: '';
+position: absolute;
+right: -20px;
+top: 0;
+border-left: 20px solid #E4E7ED;
+border-top: 18px solid transparent;
+border-bottom: 18px solid transparent;
+z-index: 1;
+}
+
+.nav-item.active {
+background: #409EFF;
+color: white;
+}
+
+.nav-item.active:after {
+border-left-color: #409EFF;
+}
+
+.basic-info {
+display: flex;
+gap: 20px;
+padding: 20px;
+background: #F8F9FA;
+border-radius: 4px;
+}
+
+.photo-box {
+width: 120px;
+height: 160px;
+background: #fff;
+border: 1px dashed #dcdfe6;
+display: flex;
+align-items: center;
+justify-content: center;
+}
+
+.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;
+}
+
+.info-item span {
+color: #333;
+flex: 1;
+overflow: hidden;
+text-overflow: ellipsis;
+white-space: nowrap;
+}
+
+.full-width {
+width: 100%;
+}
+
+.full-width .info-item {
+flex: none;
+width: 100%;
+}
+
+.full-width .info-item span {
+flex: 1;
+}
+
+.exam-tabs {
+  display: flex;
+  gap: 10px;  /* 添加间隔 */
+  margin-bottom: 15px;
+  padding: 10px 0;
+}
+
+.tab-item {
+  position: relative;
+  padding: 8px 16px;
+  cursor: pointer;
+  display: flex;
+  align-items: center;
+  gap: 6px;
+  border-radius: 4px;
+  background: #f5f7fa;  /* 添加底色 */
+  color: #606266;
+  font-size: 14px;
+  border: 1px solid #dcdfe6;  /* 添加边框 */
+  transition: all 0.3s;
+}
+
+.tab-indicator {
+  width: 10px;
+  height: 10px;
+  border-radius: 2px;
+}
+
+.tab-item:hover {
+  background: #ecf5ff;
+  border-color: #c6e2ff;
+}
+
+.tab-item.active {
+  background: #ecf5ff;
+  border-color: #409EFF;
+  color: #409EFF;
+  font-weight: 500;
+}
+
+.result-table {
+margin: 20px 0;
+border: 1px solid #ebeef5;
+border-radius: 4px;
+height: 520px; /* 固定高度，与Charge.vue保持一致 */
+display: flex;
+flex-direction: column;
+background: #fff;
+}
+
+/* 表头样式 */
+.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;
+}
+
+/* 表格主体样式 */
+.table-body {
+flex: 1;
+overflow-y: auto;
+overflow-x: hidden;
+}
+
+.table-row {
+display: flex;
+border-bottom: 1px solid #ebeef5;
+}
+
+.table-cell {
+padding: 12px 8px;
+border-right: 1px solid #ebeef5;
+display: flex;
+align-items: center;
+}
+
+/* 输入框和下拉框样式 */
+.cell-input,
+.cell-select {
+width: 100%;
+border: none;
+background: transparent;
+outline: none;
+padding: 0;
+}
+
+/* 警告和危险行样式 */
+.danger-row {
+background: #fc00262d;  
+}
+
+/* 美化滚动条 */
+.table-body::-webkit-scrollbar {
+width: 6px;
+height: 6px;
+}
+
+.table-body::-webkit-scrollbar-thumb {
+background: #c0c4cc;
+border-radius: 3px;
+}
+
+.table-body::-webkit-scrollbar-track {
+background: #f5f7fa;
+}
+
+/* 修改体检小结样式 */
+.summary-section {
+margin-top: 20px;
+padding: 20px;
+background: #f8f9fa;
+border-radius: 4px;
+}
+
+.section-title {
+font-size: 16px;
+font-weight: 500;
+color: #303133;
+margin-bottom: 15px;
+padding-left: 10px;
+border-left: 4px solid #409eff;
+}
+
+.summary-textarea {
+width: 100%;
+height: 120px;
+padding: 12px;
+border: 1px solid #dcdfe6;
+border-radius: 4px;
+resize: none;
+font-size: 14px;
+line-height: 1.5;
+background: #fff;
+}
+
+.summary-textarea:focus {
+outline: none;
+border-color: #409EFF;
+}
+
+.summary-textarea[readonly] {
+background-color: #f5f7fa;
+cursor: not-allowed;
+}
+
+.action-footer {
+position: absolute;
+bottom: 0;
+left: 0;
+right: 0;
+display: flex;
+justify-content: space-between;
+align-items: center;
+padding: 10px 20px;
+background: #fff;
+border-top: 1px solid #ebeef5;
+z-index: 10;
+}
+
+.left-section {
+display: flex;
+align-items: center;
+gap: 20px;
+}
+
+.signature {
+height: 30px;
+margin: 0 10px;
+object-fit: contain;
+}
+
+.right-section {
+display: flex;
+gap: 10px;
+}
+
+.action-btn {
+padding: 6px 16px;
+border: none;
+border-radius: 4px;
+background: #40B6FF;
+color: white;
+cursor: pointer;
+font-size: 14px;
+transition: all 0.3s;
+}
+
+.action-btn:hover {
+opacity: 0.9;
+}
+
+.action-btn.primary {
+background: #40B6FF;
+}
+
+.action-buttons {
+display: flex;
+gap: 15px;
+}
+
+.dialog-footer {
+display: flex;
+justify-content: flex-end;
+margin-top: 20px;
+gap: 10px;
+}
+
+.date-picker-container {
+margin-top: 10px;
+background: #fff;
+padding: 10px 0;
+width: 100%;
+}
+
+.date-picker-wrapper {
+display: flex;
+gap: 10px;
+align-items: center;
+margin-bottom: 10px;
+}
+
+.search-button {
+width: 100%;
+margin-top: 8px;
+height: 32px;
+}
+
+.patient-info {
+display: flex;
+align-items: center;
+gap: 8px;
+flex-wrap: wrap;
+}
+
+.name {
+  min-width: 64px; /* 预留四个汉字的宽度 */
+  max-width: 64px;
+  overflow: hidden;
+  text-overflow: ellipsis;
+  white-space: nowrap;
+  display: inline-block;
+}
+
+.medical-sn {
+  color: #909399;
+  font-size: 12px;
+  margin-right: 4px;
+  flex: 1;
+  overflow: hidden;
+  text-overflow: ellipsis;
+  white-space: nowrap;
+}
+
+.status-tag {
+  margin-left: auto; /* 将状态标签推到右侧 */
+  font-size: 12px;
+  flex-shrink: 0; /* 防止标签被压缩 */
+}
+
+.list-content {
+  height: calc(100% - 180px);
+  overflow-y: auto;
+  position: relative;
+  display: flex;
+  flex-direction: column;
+}
+
+/* 添加空状态样式 */
+.empty-content {
+flex: 1;
+display: flex;
+justify-content: center;
+align-items: center;
+background: #fff;
+border-radius: 4px;
+}
+
+/* 添加选中状态样式 */
+.patient-item.active {
+background-color: #ecf5ff;
+}
+
+.patient-item:hover {
+background-color: #f5f7fa;
+cursor: pointer;
+}
+
+.result-table td input {
+width: 100%;
+padding: 4px 8px;
+border: none;
+background: transparent;
+box-sizing: border-box;
+}
+
+.result-table td {
+padding: 8px;
+border: 1px solid #ebeef5;
+text-align: left;
+min-width: 100px; /* 设置最小宽度 */
+}
+
+/* 为明细结果列设置固定宽度 */
+.result-table th:nth-child(3),
+.result-table td:nth-child(3) {
+width: 200px; /* 可以根据需要调整宽度 */
+}
+
+/* 修改分页容器样式 */
+.pagination-container {
+  padding: 8px;
+  background: #fff;
+  border-top: 1px solid #e6e6e6;
+  margin-top: auto; /* 确保分页始终在底部 */
+  position: sticky; /* 添加粘性定位 */
+  bottom: 0; /* 固定在底部 */
+  z-index: 1; /* 确保在内容之上 */
+  width: 100%; /* 确保宽度填满容器 */
+}
+
+/* 自定义分页组件样式 */
+:deep(.el-pagination) {
+  font-size: 12px;
+  justify-content: flex-start;
+  width: 100%;
+  white-space: nowrap; /* 防止内容换行 */
+}
+
+:deep(.el-pagination .el-pagination__total) {
+  margin-right: 8px;
+}
+
+:deep(.el-pagination .el-pagination__jump) {
+  margin-left: 8px;
+}
+
+:deep(.el-pagination .el-input__inner) {
+  height: 24px;
+  line-height: 24px;
+}
+
+:deep(.el-pagination .el-pagination__editor.el-input) {
+  width: 50px;
+}
+
+.no-signature {
+color: #909399;
+font-size: 14px;
+}
+
+/* 添加图片展示区域样式 */
+.result-table {
+flex: 1;
+overflow: auto;
+background: #fff;
+}
+
+/* 确保图片展示组件能够正确填充空间 */
+:deep(.exam-images) {
+height: 100%;
+display: flex;
+flex-direction: column;
+}
+
+/* 美化滚动条样式 */
+.result-table::-webkit-scrollbar {
+width: 6px;
+height: 6px;
+}
+
+.result-table::-webkit-scrollbar-thumb {
+background: #c0c4cc;
+border-radius: 3px;
+}
+
+.result-table::-webkit-scrollbar-track {
+background: #f5f7fa;
+}
+
+/* 添加文字按钮样式 */
+.text-button {
+cursor: pointer;
+font-size: 15px;
+transition: all 0.3s;
+}
+
+.text-button.danger {
+color: #F56C6C;
+}
+
+.text-button.danger:hover {
+color: #f78989;
+}
+
+.positive-indicator {
+margin-left: 8px;
+font-size: 12px;
+}
+
+.table-cell {
+display: flex;
+align-items: center;
+gap: 4px;
+}
+
+/* 添加下拉菜单相关样式 */
+.el-dropdown-link {
+cursor: pointer;
+color: #409EFF;
+display: flex;
+align-items: center;
+font-size: 14px;
+}
+
+.el-dropdown-link:hover {
+color: #66b1ff;
+}
+
+:deep(.el-dropdown-menu__item.is-active) {
+color: #409EFF;
+background-color: #ecf5ff;
+}
+
+:deep(.el-dropdown-menu__item--divided) {
+margin-top: 6px;
+border-top: 1px solid #ebeef5;
+}
+
+:deep(.el-dropdown-menu__item--divided:before) {
+height: 1px;
+margin: 0 -20px;
+background-color: #ebeef5;
+}
+
+.negative-text {
+color: #333;
+font-size: 14px;
+}
+
+/* 修改下拉按钮样式以匹配 baseUI */
+:deep(.el-dropdown) {
+margin-right: 8px;
+}
+
+:deep(.el-button) {
+display: flex;
+align-items: center;
+justify-content: center;
+gap: 4px;
+}
+
+/* 添加禁用状态的样式 */
+.cell-input:disabled {
+background-color: #f5f7fa;
+cursor: not-allowed;
+color: #606266;
+}
+
+/* 修改弃检行的样式判断 */
+.table-row[data-item-status="2"] {
+background-color: #ebeef5;
+color: #606266;
+}
+
+/* 修改弃检状态下的下拉菜单样式判断 */
+.table-row[data-item-status="2"] .el-dropdown {
+opacity: 0.8;
+}
+
+/* 固定列样式 */
+.fixed-cell {
+position: sticky;
+background: #fff;
+z-index: 1;
+}
+
+.table-row .fixed-cell:nth-child(1) {
+left: 0;
+}
+
+.table-row .fixed-cell:nth-child(2) {
+left: 5%;
+}
+
+/* 更新搜索框样式 */
+.medical-sn-search {
+margin-top: 10px;
+}
+
+.medical-sn-search input {
+width: 100%;
+padding: 6px 12px;
+border: 1px solid #dcdfe6;
+border-radius: 4px;
+font-size: 13px;
+}
+
+.medical-sn-search input:focus {
+border-color: #409EFF;
+outline: none;
+}
+
+.status-tag {
+margin-left: 8px;
+font-size: 12px;
+}
+
+.patient-info {
+display: flex;
+align-items: center;
+gap: 8px;
+flex-wrap: wrap;
+}
+
+.medical-sn {
+color: #909399;
+font-size: 12px;
+margin-right: 4px;
+}
+
+.action-btn:disabled {
+background-color: #a0cfff;
+cursor: not-allowed;
+opacity: 0.7;
+}
+
+:deep(.el-dropdown.is-disabled) {
+opacity: 0.7;
+cursor: not-allowed;
+}
+
+:deep(.el-button.is-disabled) {
+background-color: #a0cfff;
+cursor: not-allowed;
+opacity: 0.7;
+}
+
+/* 修改只读输入框样式 */
+.cell-input[readonly] {
+background-color: transparent;
+cursor: not-allowed;
+}
+
+/* 保持按钮样式正常 */
+.action-btn {
+padding: 6px 16px;
+border: none;
+border-radius: 4px;
+background: #40B6FF;
+color: white;
+cursor: pointer;
+font-size: 14px;
+transition: all 0.3s;
+}
+
+.action-btn:hover {
+opacity: 0.9;
+}
+
+.action-btn.primary {
+background: #40B6FF;
+}
+
+/* 只读状态的输入框样式 */
+.cell-input[readonly] {
+background-color: transparent;
+cursor: not-allowed;
+}
+
+/* 只读状态的文本框样式 */
+.summary-textarea[readonly] {
+background-color: #f5f7fa;
+cursor: not-allowed;
+}
+
+/* 只读状态下的按钮样式 */
+.view-only {
+opacity: 0.7;
+cursor: not-allowed;
+}
+
+.right-content {
+  flex: 1;
+  display: flex;
+  flex-direction: column;
+  height: 100%;
+  overflow: hidden;
+}
+
+.tabs-container {
+  flex-shrink: 0;
+  padding: 10px 15px;
+  border-bottom: 1px solid #ebeef5;
+}
+
+.content-container {
+  flex: 1;
+  overflow: auto;
+  position: relative;
+}
+
+.footer-container {
+  flex-shrink: 0;
+  padding: 10px 15px;
+  border-top: 1px solid #ebeef5;
+  background: #f8f9fa;
+}
+
+.no-patient-selected {
+  display: flex;
+  justify-content: center;
+  align-items: center;
+  height: 100%;
+}
+
+.refresh-btn {
+  padding: 6px;
+  margin-left: 8px;
+}
+
+.refresh-btn:hover {
+  opacity: 0.8;
+}
+
+/* 添加双栏布局相关样式 */
+.findings-diagnosis-container {
+  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 {
+  width: 100%;
+  height: 120px;
+  padding: 12px;
+  border: 1px solid #dcdfe6;
+  border-radius: 4px;
+  resize: none;
+  font-size: 14px;
+  line-height: 1.5;
+  background: #fff;
+}
+
+.findings-textarea:focus,
+.diagnosis-textarea:focus {
+  outline: none;
+  border-color: #409EFF;
+}
+
+.findings-textarea[readonly],
+.diagnosis-textarea[readonly] {
+  background-color: #f5f7fa;
+  cursor: not-allowed;
+}
+</style>
\ No newline at end of file
diff --git a/src/views/inspect/physicalEnroll/index.vue b/src/views/inspect/physicalEnroll/index.vue
index ee2da8e..619f7b5 100644
--- a/src/views/inspect/physicalEnroll/index.vue
+++ b/src/views/inspect/physicalEnroll/index.vue
@@ -1133,6 +1133,7 @@ const handlePersonInfoPrintInspection = async () => {
   let ext = {
     callback: () => {
       console.log("浏览器打印窗口已打开");
+      console.log(templateRef.value)
     },
     styleHandler: () => {
       // 重写 文本 打印样式