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BMI提示

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Euni4U 2025-04-14 16:18:16 +08:00
parent a0a6b15702
commit edeb37be35
1 changed files with 90 additions and 134 deletions
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224
src/views/Department-entry/Medical-examination-vehicle.vue
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@ -565,7 +565,7 @@ const switchTab = async (tabId) => {
const conclusionData = ref({ const conclusionData = ref({
general: { summary: '未见异常' }, general: { summary: '未见异常' },
ultrasound: { finding: '未见异常', diagnosis: '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' }, blood: { summary: '未见异常' },
urine: { summary: '未见异常' }, urine: { summary: '未见异常' },
biochemical: { 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 // 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) => { const loadPatientData = async (patient) => {
try { try {
const loading = ElLoading.service({ // 清除缓存
lock: true, patientDataCache.value.clear()
text: '加载中...',
background: 'rgba(255, 255, 255, 0.7)' // 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 { if (itemsRes.list && itemsRes.list.length > 0) {
// 获取患者基本信息 // 按科室分类处理项目数据
const patientData = await PatientApi.getPatient(patient.id) const categorizedItems = {}
reportData.value = patientData itemsRes.list.forEach(item => {
const category = getCategoryByItemName(item.itemName)
// 重置检查医生和日期 if (!categorizedItems[category]) {
inspectDoctor.value = '' categorizedItems[category] = []
inspectTime.value = '' }
categorizedItems[category].push(processItemData(item))
// 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
}) })
// 处理检查项目数据 // 更新检查项目数据
if (itemsRes.list && itemsRes.list.length > 0) { examItems.value = categorizedItems
// 按照类别分组
const groupedItems = {} // 处理血压和BMI判断
const allItems = Object.values(examItems.value).flat()
// 根据不同类型的检查项目，加载对应的小结
const conclusions = { // 用于存储异常信息
general: { summary: '未见异常' }, let abnormalSummary = []
ultrasound: { finding: '未见异常', diagnosis: '未见异常' },
ecg: { finding: '未见异常', diagnosis: '未见异常' }, // 处理BMI项目
blood: { summary: '' }, const bmiItem = allItems.find(item =>
urine: { summary: '' }, item.name && item.name.includes('体质指数') && item.name.includes('BMI') &&
biochemical: { summary: '' } item.value
} )
// 查找已检查的项目，获取检查医生和日期 if (bmiItem) {
const checkedItems = itemsRes.list.filter((item) => item.itemStatus === '1') const bmiValue = parseFloat(bmiItem.value)
if (!isNaN(bmiValue)) {
if (checkedItems.length > 0) { if (bmiValue < 18.5) {
// 使用第一个已检查项目的检查医生和日期 bmiItem.note = '↓'
const firstCheckedItem = checkedItems[0] bmiItem.risk = '偏瘦'
bmiItem.status = 'danger'
// 设置检查医生 abnormalSummary.push('【BMI】' + bmiValue + '，偏瘦')
if (firstCheckedItem.inspectdoctor) { } else if (bmiValue >= 24) {
inspectDoctor.value = firstCheckedItem.inspectdoctor bmiItem.note = '↑'
} bmiItem.risk = '超重'
bmiItem.status = 'danger'
// 格式化检查时间 abnormalSummary.push('【BMI】' + bmiValue + '，超重')
if (firstCheckedItem.inspecttime) { } else {
const inspectDate = new Date(Number(firstCheckedItem.inspecttime)) bmiItem.note = '-'
inspectTime.value = formatDate(inspectDate) 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 // 处理血压项目
try { const bpItem = allItems.find(item =>
// 直接获取所有PACS数据 item.name && item.name.includes('血压') &&
const res = await PacsDataApi.getPacsDataDetail(patient.medicalSn) item.value
)
if (res && res.length > 0) {
// 按type分组处理数据 if (bpItem) {
const typeGroups = {} const bpMatch = bpItem.value.match(/(\d+)\/(\d+)/)
if (bpMatch) {
// 遍历所有返回的数据，按type分组 const systolic = parseInt(bpMatch[1]) // 收缩压
res.forEach((item) => { const diastolic = parseInt(bpMatch[2]) // 舒张压
if (item.type && item.item) {
if (!typeGroups[item.type]) { if (!isNaN(systolic) && !isNaN(diastolic)) {
typeGroups[item.type] = [] if (systolic >= 130 || diastolic >= 85) {
} bpItem.note = '↑'
typeGroups[item.type].push(item.item) 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) // 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
ElMessage.error('加载患者数据失败') if (patient.status !== '1' && patient.status !== 1 &&
} finally { conclusionData.value.general.summary === '未见异常' &&
loading.close() abnormalSummary.length > 0) {
conclusionData.value.general.summary = abnormalSummary.join('；')
}
} }
} catch (error) { } catch (error) {
console.error('加载患者数据失败:', 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 = { conclusionData.value = {
general: { summary: '未见异常' }, general: { summary: '未见异常' },
ultrasound: { finding: '未见异常', diagnosis: '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: '' }, blood: { summary: '' },
urine: { summary: '' }, urine: { summary: '' },
biochemical: { summary: '' }, biochemical: { summary: '' },
@ -1629,7 +1585,7 @@ const handleRefresh = async (e) => {
// 重置小结数据 // 重置小结数据
general: { summary: '未见异常' }, general: { summary: '未见异常' },
ultrasound: { finding: '未见异常', diagnosis: '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: '' }, blood: { summary: '' },
urine: { summary: '' }, urine: { summary: '' },
biochemical: { summary: '' } biochemical: { summary: '' }
@ -2174,7 +2130,7 @@ const handleSummarySave = async () => {
if (conclusionData.value.ultrasound?.finding || conclusionData.value.ultrasound?.diagnosis) { if (conclusionData.value.ultrasound?.finding || conclusionData.value.ultrasound?.diagnosis) {
summaryContent += '【超声】\n' summaryContent += '【超声】\n'
if (conclusionData.value.ultrasound.finding) { 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) { if (conclusionData.value.ultrasound.diagnosis) {
summaryContent += '检查结果：' + conclusionData.value.ultrasound.diagnosis + '\n' summaryContent += '检查结果：' + conclusionData.value.ultrasound.diagnosis + '\n'