From edeb37be35dd7670e9e666440f2a7161cc90937b Mon Sep 17 00:00:00 2001
From: Euni4U <958079825@qq.com>
Date: Mon, 14 Apr 2025 16:18:16 +0800
Subject: [PATCH] =?UTF-8?q?BMI=E6=8F=90=E7=A4=BA?=
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---
 .../Medical-examination-vehicle.vue           | 224 +++++++-----------
 1 file changed, 90 insertions(+), 134 deletions(-)

diff --git a/src/views/Department-entry/Medical-examination-vehicle.vue b/src/views/Department-entry/Medical-examination-vehicle.vue
index 1d26e28..c03d2b9 100644
--- a/src/views/Department-entry/Medical-examination-vehicle.vue
+++ b/src/views/Department-entry/Medical-examination-vehicle.vue
@@ -565,7 +565,7 @@ const switchTab = async (tabId) => {
 const conclusionData = ref({
   general: { summary: '未见异常' },
   ultrasound: { finding: '未见异常', diagnosis: '未见异常' },
-  ecg: { finding: '未见异常', diagnosis: '未见异常' },
+  ecg: { finding: '详见报告单', diagnosis: '详见报告单' },
   blood: { summary: '未见异常' },
   urine: { summary: '未见异常' },
   biochemical: { summary: '未见异常' },
@@ -754,148 +754,104 @@ const getpatientitemData = async (medicalSn) => {
 // 修改 loadPatientData 函数，确保正确加载已检查患者的医生和日期
 const loadPatientData = async (patient) => {
   try {
-    const loading = ElLoading.service({
-      lock: true,
-      text: '加载中...',
-      background: 'rgba(255, 255, 255, 0.7)'
+    // 清除缓存
+    patientDataCache.value.clear()
+    
+    // 获取患者基本信息
+    const patientInfo = await PatientApi.getPatient(patient.id)
+    reportData.value = patientInfo
+    
+    // 获取患者检查项目
+    const itemsRes = await PatientitemsApi.getPatientitemsPage({
+      medicalSn: patient.medicalSn,
+      pageNo: 1,
+      pageSize: 100
     })
-
-    try {
-      // 获取患者基本信息
-      const patientData = await PatientApi.getPatient(patient.id)
-      reportData.value = patientData
-
-      // 重置检查医生和日期
-      inspectDoctor.value = ''
-      inspectTime.value = ''
-
-      // 检查患者状态，如果已检查则设置检查完成状态为true
-      isExamCompleted.value = patient.status === '1' || patient.status === 1
-
-      // 获取检查项目
-      const itemsRes = await PatientitemsApi.getPatientitemsPage({
-        medicalSn: patient.medicalSn,
-        pageNo: 1,
-        pageSize: 100
+    
+    if (itemsRes.list && itemsRes.list.length > 0) {
+      // 按科室分类处理项目数据
+      const categorizedItems = {}
+      itemsRes.list.forEach(item => {
+        const category = getCategoryByItemName(item.itemName)
+        if (!categorizedItems[category]) {
+          categorizedItems[category] = []
+        }
+        categorizedItems[category].push(processItemData(item))
       })
-
-      // 处理检查项目数据
-      if (itemsRes.list && itemsRes.list.length > 0) {
-        // 按照类别分组
-        const groupedItems = {}
-
-        // 根据不同类型的检查项目，加载对应的小结
-        const conclusions = {
-          general: { summary: '未见异常' },
-          ultrasound: { finding: '未见异常', diagnosis: '未见异常' },
-          ecg: { finding: '未见异常', diagnosis: '未见异常' },
-          blood: { summary: '' },
-          urine: { summary: '' },
-          biochemical: { summary: '' }
-        }
-
-        // 查找已检查的项目，获取检查医生和日期
-        const checkedItems = itemsRes.list.filter((item) => item.itemStatus === '1')
-
-        if (checkedItems.length > 0) {
-          // 使用第一个已检查项目的检查医生和日期
-          const firstCheckedItem = checkedItems[0]
-
-          // 设置检查医生
-          if (firstCheckedItem.inspectdoctor) {
-            inspectDoctor.value = firstCheckedItem.inspectdoctor
-          }
-
-          // 格式化检查时间
-          if (firstCheckedItem.inspecttime) {
-            const inspectDate = new Date(Number(firstCheckedItem.inspecttime))
-            inspectTime.value = formatDate(inspectDate)
+      
+      // 更新检查项目数据
+      examItems.value = categorizedItems
+      
+      // 处理血压和BMI判断
+      const allItems = Object.values(examItems.value).flat()
+      
+      // 用于存储异常信息
+      let abnormalSummary = []
+      
+      // 处理BMI项目
+      const bmiItem = allItems.find(item => 
+        item.name && item.name.includes('体质指数') && item.name.includes('BMI') && 
+        item.value
+      )
+      
+      if (bmiItem) {
+        const bmiValue = parseFloat(bmiItem.value)
+        if (!isNaN(bmiValue)) {
+          if (bmiValue < 18.5) {
+            bmiItem.note = '↓'
+            bmiItem.risk = '偏瘦'
+            bmiItem.status = 'danger'
+            abnormalSummary.push('【BMI】' + bmiValue + '，偏瘦')
+          } else if (bmiValue >= 24) {
+            bmiItem.note = '↑'
+            bmiItem.risk = '超重'
+            bmiItem.status = 'danger'
+            abnormalSummary.push('【BMI】' + bmiValue + '，超重')
+          } else {
+            bmiItem.note = '-'
+            bmiItem.risk = '正常'
+            bmiItem.status = ''
           }
         }
-
-        itemsRes.list.forEach((item) => {
-          // 处理项目分类
-          const category = getCategoryByItemName(item.itemName || '')
-
-          if (!groupedItems[category]) {
-            groupedItems[category] = []
-          }
-
-          // 处理项目数据
-          const processedItem = processItemData(item)
-          groupedItems[category].push(processedItem)
-
-          // 处理小结数据
-          processConclusion(item, category, conclusions)
-        })
-
-        examItems.value = groupedItems
-        conclusionData.value = conclusions
       }
-
-      // 新增PACS数据获取
-      try {
-        // 直接获取所有PACS数据
-        const res = await PacsDataApi.getPacsDataDetail(patient.medicalSn)
-
-        if (res && res.length > 0) {
-          // 按type分组处理数据
-          const typeGroups = {}
-
-          // 遍历所有返回的数据，按type分组
-          res.forEach((item) => {
-            if (item.type && item.item) {
-              if (!typeGroups[item.type]) {
-                typeGroups[item.type] = []
-              }
-              typeGroups[item.type].push(item.item)
+      
+      // 处理血压项目
+      const bpItem = allItems.find(item => 
+        item.name && item.name.includes('血压') && 
+        item.value
+      )
+      
+      if (bpItem) {
+        const bpMatch = bpItem.value.match(/(\d+)\/(\d+)/)
+        if (bpMatch) {
+          const systolic = parseInt(bpMatch[1]) // 收缩压
+          const diastolic = parseInt(bpMatch[2]) // 舒张压
+          
+          if (!isNaN(systolic) && !isNaN(diastolic)) {
+            if (systolic >= 130 || diastolic >= 85) {
+              bpItem.note = '↑'
+              bpItem.risk = '血压偏高'
+              bpItem.status = 'danger'
+              abnormalSummary.push('【血压】' + bpItem.value + '，偏高')
+            } else {
+              bpItem.note = '-'
+              bpItem.risk = '正常'
+              bpItem.status = ''
             }
-          })
-          // 处理不同类型的数据到对应标签页
-          // 类型映射关系
-          const typeToTabMapping = {
-            cbc: 'blood', // 血常规
-            rt: 'urine', // 尿常规
-            bt: 'biochemical' // 生化
           }
-
-          // 遍历所有类型组
-          Object.entries(typeGroups).forEach(([type, items]) => {
-            // 转换为小写以便匹配
-            const lowerType = type.toLowerCase()
-            // 获取对应的标签页
-            const tabKey = typeToTabMapping[lowerType]
-
-            if (tabKey) {
-              // 将该类型的所有项目合并
-              const combinedData = items.join(';')
-              // 其他类型直接赋值到summary
-              conclusionData.value[tabKey].summary = combinedData
-              // 更新对应检查项目
-              if (examItems.value[tabKey]) {
-                examItems.value[tabKey].forEach((item) => {
-                  // 根据项目名称匹配
-                  if (item.name.toLowerCase().includes(tabKey)) {
-                    item.value = combinedData
-                    item.itemStatus = '1' // 设置为已检查状态
-                  }
-                })
-              }
-            }
-          })
         }
-      } catch (error) {
-        console.error('获取PACS数据失败:', error)
       }
-    } catch (error) {
-      console.error('加载患者数据失败:', error)
-      ElMessage.error('加载患者数据失败')
-    } finally {
-      loading.close()
+      
+      // 如果患者状态是待检查且当前小结是"未见异常"，则更新小结
+      if (patient.status !== '1' && patient.status !== 1 && 
+          conclusionData.value.general.summary === '未见异常' &&
+          abnormalSummary.length > 0) {
+        conclusionData.value.general.summary = abnormalSummary.join('；')
+      }
     }
   } catch (error) {
     console.error('加载患者数据失败:', error)
-    ElMessage.error('加载患者数据失败')
+    message.error('加载患者数据失败')
   }
 }
 
@@ -909,7 +865,7 @@ const handlePatientSelect = async (patient) => {
     conclusionData.value = {
       general: { summary: '未见异常' },
       ultrasound: { finding: '未见异常', diagnosis: '未见异常' },
-      ecg: { finding: '未见异常', diagnosis: '未见异常' },
+      ecg: { finding: '详见报告单', diagnosis: '详见报告单' },
       blood: { summary: '' },
       urine: { summary: '' },
       biochemical: { summary: '' },
@@ -1629,7 +1585,7 @@ const handleRefresh = async (e) => {
       // 重置小结数据
       general: { summary: '未见异常' },
       ultrasound: { finding: '未见异常', diagnosis: '未见异常' },
-      ecg: { finding: '未见异常', diagnosis: '未见异常' },
+      ecg: { finding: '详见报告单', diagnosis: '详见报告单' },
       blood: { summary: '' },
       urine: { summary: '' },
       biochemical: { summary: '' }
@@ -2174,7 +2130,7 @@ const handleSummarySave = async () => {
       if (conclusionData.value.ultrasound?.finding || conclusionData.value.ultrasound?.diagnosis) {
         summaryContent += '【超声】\n'
         if (conclusionData.value.ultrasound.finding) {
-          summaryContent += '检查所见：' + conclusionData.value.ultrasound.finding + '\n'
+          summaryContent += '检查所见：' +'\n'+ conclusionData.value.ultrasound.finding + '\n'
         }
         if (conclusionData.value.ultrasound.diagnosis) {
           summaryContent += '检查结果：' + conclusionData.value.ultrasound.diagnosis + '\n'