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910 lines
28 KiB
910 lines
28 KiB
<template> |
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<div class="app-container"> |
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<el-row :gutter="10" class="card-row"> |
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<!-- 左侧：影像文件 --> |
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<el-col :span="3"> |
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<el-card class="left-card"> |
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<div slot="header" class="card-header"> |
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<span>影像文件</span> |
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<el-button |
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type="text" |
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icon="el-icon-plus" |
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@click="handleOpenFile" |
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:disabled="caseStatus === 'submitted'" |
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> |
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新增 |
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</el-button> |
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</div> |
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<el-table |
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:data="imgList" |
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:show-header="false" |
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height="calc(100vh - 235px)" |
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> |
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<el-table-column align="center"> |
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<template slot-scope="scope"> |
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<el-image |
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:src="scope.row.url" |
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fit="cover" |
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:preview-src-list="[scope.row.url]" |
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style="width: 100px; height: 80px" |
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/> |
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<div class="img-status">上传完成</div> |
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<el-button |
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type="text" |
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icon="el-icon-delete" |
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@click="handleDeleteImg(scope.row)" |
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:disabled="caseStatus === 'submitted'" |
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> |
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删除 |
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</el-button> |
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</template> |
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</el-table-column> |
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</el-table> |
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<input |
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ref="fileInput" |
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type="file" |
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multiple |
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accept="image/*" |
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style="display: none" |
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@change="handleFileChange" |
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/> |
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</el-card> |
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</el-col> |
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|
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<!-- 中间：报告表单 --> |
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<el-col :span="17"> |
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<el-card class="center-card"> |
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<div slot="header" class="card-header"> |
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<span class="status-text" |
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>病例状态： |
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{{ caseStatus === "submitted" ? "已提交" : "暂存" }} |
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</span> |
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<div class="btn-group"> |
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<el-button |
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type="text" |
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icon="el-icon-check" |
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@click="handleSave" |
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v-if="caseStatus !== 'submitted'" |
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> |
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暂存 |
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</el-button> |
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<el-button |
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type="text" |
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icon="el-icon-check" |
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@click="handleSubmit" |
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v-if="caseStatus !== 'submitted'" |
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> |
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提交 |
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</el-button> |
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<el-button |
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type="text" |
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icon="el-icon-print" |
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@click="handlePrint" |
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v-if="caseStatus == 'submitted'" |
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> |
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打印 |
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</el-button> |
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<el-button type="text" icon="el-icon-close" @click="handleClose"> |
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关闭 |
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</el-button> |
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<el-button type="text" icon="el-icon-share" @click="handleShare"> |
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分享 |
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</el-button> |
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</div> |
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</div> |
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<el-divider>远程超声检查报告</el-divider> |
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<el-form class="report-form" :model="form" label-width="70px"> |
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<el-row :gutter="15"> |
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<el-col :span="6"> |
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<el-form-item label="患者姓名"> |
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<el-input v-model="form.patientName" readonly /> |
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</el-form-item> |
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</el-col> |
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<el-col :span="3"> |
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<el-form-item label="性别"> |
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<el-select v-model="form.gender" readonly> |
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<el-option |
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v-for="item in genderList" |
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:key="item.value" |
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:label="item.label" |
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:value="item.value" |
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/> |
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</el-select> |
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</el-form-item> |
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</el-col> |
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|
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<el-col :span="2"> |
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<el-form-item label-width="0"> |
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<el-input-number |
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v-model="form.age" |
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:min="0" |
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readonly |
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style="width: 100%" |
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/> |
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</el-form-item> |
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</el-col> |
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<el-col :span="1"> |
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<el-form-item label-width="0"> |
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<el-select v-model="form.ageUnit" readonly> |
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<el-option |
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v-for="item in ageUnitList" |
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:key="item.value" |
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:label="item.label" |
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:value="item.value" |
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/> |
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</el-select> |
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</el-form-item> |
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</el-col> |
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|
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<el-col :span="6"> |
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<el-form-item label="申请医师"> |
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<el-input v-model="form.doctor" readonly /> |
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</el-form-item> |
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</el-col> |
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|
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<el-col :span="6"> |
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<el-form-item label="病历号"> |
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<el-input v-model="form.medicalNo" readonly /> |
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</el-form-item> |
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</el-col> |
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<el-col :span="6"> |
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<el-form-item label="门诊号"> |
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<el-input v-model="form.outNo" readonly /> |
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</el-form-item> |
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</el-col> |
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<el-col :span="6"> |
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<el-form-item label="住院号"> |
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<el-input v-model="form.inNo" readonly /> |
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</el-form-item> |
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</el-col> |
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<el-col :span="6"> |
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<el-form-item label="病区号"> |
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<el-input v-model="form.wardNo" readonly /> |
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</el-form-item> |
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</el-col> |
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<el-col :span="6"> |
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<el-form-item label="床位号"> |
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<el-input v-model="form.bedNo" readonly /> |
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</el-form-item> |
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</el-col> |
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|
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<el-col :span="24"> |
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<el-form-item label="检查设备"> |
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<el-input |
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type="textarea" |
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autosize |
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v-model="form.device" |
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readonly |
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/> |
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</el-form-item> |
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</el-col> |
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<el-col :span="24"> |
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<el-form-item label="检查部位"> |
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<el-input |
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type="textarea" |
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autosize |
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v-model="form.part" |
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readonly |
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/> |
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</el-form-item> |
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</el-col> |
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<el-col :span="24"> |
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<el-form-item label="超声所见"> |
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<el-input |
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v-model="form.findings" |
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type="textarea" |
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:rows="8" |
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:disabled="caseStatus === 'submitted'" |
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/> |
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</el-form-item> |
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</el-col> |
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<el-col :span="24"> |
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<el-form-item label="检查结论"> |
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<el-input |
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v-model="form.conclusion" |
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type="textarea" |
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:rows="6" |
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:disabled="caseStatus === 'submitted'" |
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/> |
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</el-form-item> |
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</el-col> |
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<el-col :span="24"> |
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<el-form-item label="专家意见" /> |
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</el-col> |
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|
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<el-col |
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:span="24" |
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v-for="(item, idx) in expertList" |
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:key="idx" |
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class="expert-item" |
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> |
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<el-form-item :label="item.name"> |
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<el-input |
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v-model="item.content" |
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type="textarea" |
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:rows="4" |
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:disabled="caseStatus === 'submitted'" |
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/> |
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<div class="expert-btns"> |
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<el-button |
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type="text" |
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icon="el-icon-document-copy" |
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:disabled="caseStatus === 'submitted'" |
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> |
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全部复制 |
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</el-button> |
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<el-button |
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type="text" |
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icon="el-icon-check" |
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:disabled="caseStatus === 'submitted'" |
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> |
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一键同意 |
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</el-button> |
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<el-button |
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type="text" |
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icon="el-icon-warning" |
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:disabled="caseStatus === 'submitted'" |
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> |
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待确认 |
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</el-button> |
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</div> |
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</el-form-item> |
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</el-col> |
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|
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<el-col :span="18"> |
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<el-form-item label="报告人"> |
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{{ $store.state.user.nickName || "未登录" }} |
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</el-form-item> |
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</el-col> |
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<el-col :span="6"> |
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<el-form-item label="审核人"> |
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<el-select |
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v-model="form.auditUser" |
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clearable |
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filterable |
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style="width: 100%" |
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:disabled="caseStatus === 'submitted'" |
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> |
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<el-option label="请选择" value="" /> |
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</el-select> |
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</el-form-item> |
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</el-col> |
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<el-col :span="12"> |
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<el-form-item> |
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<el-checkbox |
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v-model="form.isPositive" |
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:disabled="caseStatus === 'submitted'" |
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> |
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阳性 |
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</el-checkbox> |
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</el-form-item> |
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</el-col> |
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</el-row> |
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</el-form> |
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</el-card> |
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</el-col> |
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|
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<!-- 右侧：部位模板 + 片语 --> |
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<el-col :span="4"> |
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<el-card class="right-card"> |
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<el-tabs v-model="activeTab"> |
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<el-tab-pane label="部位模板" name="template"> |
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<div class="template-buttons"> |
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<el-button |
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type="text" |
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icon="el-icon-plus" |
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@click="openTemplateDialog('add')" |
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:disabled="caseStatus === 'submitted'" |
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> |
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新增 |
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</el-button> |
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<el-button |
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type="text" |
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icon="el-icon-delete" |
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@click="deleteTemplate" |
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:disabled="caseStatus === 'submitted'" |
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> |
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删除 |
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</el-button> |
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<el-button |
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type="text" |
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icon="el-icon-edit" |
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@click="openTemplateDialog('edit')" |
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:disabled="caseStatus === 'submitted'" |
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> |
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编辑 |
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</el-button> |
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</div> |
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<el-form |
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label-position="top" |
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:model="templateForm" |
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class="template-form" |
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> |
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<el-form-item> |
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<el-select |
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v-model="templateForm.id" |
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style="width: 100%" |
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@change="changeTemplate" |
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> |
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<el-option |
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v-for="item in templateList" |
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:key="item.id" |
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:label="item.title" |
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:value="item.id" |
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/> |
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</el-select> |
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</el-form-item> |
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<el-form-item label="超声所见"> |
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<el-input |
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v-model="templateForm.findings" |
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type="textarea" |
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readonly |
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:rows="6" |
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/> |
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<el-button |
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:disabled="caseStatus === 'submitted'" |
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type="text" |
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icon="el-icon-check" |
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@click="applyFindings" |
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style="float: right; margin-top: 6px" |
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> |
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应用 |
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</el-button> |
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</el-form-item> |
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<el-form-item label="结论" style="margin-top: 20px"> |
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<el-input |
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v-model="templateForm.conclusion" |
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type="textarea" |
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readonly |
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:rows="6" |
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/> |
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<el-button |
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type="text" |
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icon="el-icon-check" |
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@click="applyConclusion" |
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style="float: right; margin-top: 6px" |
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:disabled="caseStatus === 'submitted'" |
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> |
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应用 |
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</el-button> |
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</el-form-item> |
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</el-form> |
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</el-tab-pane> |
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|
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<!-- ✅ 片语功能改造 --> |
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<el-tab-pane label="片语" name="phrase"> |
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<div class="phrase-buttons"> |
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<el-button |
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type="text" |
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icon="el-icon-plus" |
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@click="openPhraseDialog('add')" |
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:disabled="caseStatus === 'submitted'" |
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> |
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新增 |
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</el-button> |
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</div> |
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<el-table |
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:data="phraseList" |
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style="width: 100%" |
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:show-header="false" |
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height="calc(100vh - 265px)" |
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> |
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<el-table-column prop="content" label="内容" /> |
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<el-table-column label="操作" width="80"> |
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<template slot-scope="scope"> |
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<el-button |
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type="text" |
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icon="el-icon-edit" |
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@click="openPhraseDialog('edit', scope.row)" |
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:disabled="caseStatus === 'submitted'" |
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> |
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</el-button> |
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<el-button |
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type="text" |
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icon="el-icon-delete" |
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@click="deletePhrase(scope.row)" |
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:disabled="caseStatus === 'submitted'" |
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> |
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</el-button> |
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</template> |
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</el-table-column> |
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</el-table> |
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</el-tab-pane> |
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</el-tabs> |
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</el-card> |
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</el-col> |
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</el-row> |
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|
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<!-- 模板弹窗：新增 + 编辑 共用 --> |
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<el-dialog |
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:title="dialogTitle" |
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:visible.sync="templateDialogVisible" |
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width="33%" |
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> |
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<el-form :model="newTemplateForm" label-width="60px"> |
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<el-form-item label="部位"> |
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<el-select v-model="newTemplateForm.type" style="width: 100%"> |
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<el-option label="肝脏-腹部" value="abdomen-liver" /> |
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<el-option label="心脏" value="heart" /> |
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<el-option label="肾脏" value="kidney" /> |
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<el-option label="妇科" value="gynecology" /> |
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</el-select> |
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</el-form-item> |
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<el-form-item label="标题"> |
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<el-input |
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v-model="newTemplateForm.title" |
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placeholder="请输入模板标题" |
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/> |
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</el-form-item> |
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<el-form-item label="所见"> |
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<el-input |
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type="textarea" |
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:rows="6" |
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v-model="newTemplateForm.findings" |
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placeholder="请输入超声所见内容" |
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/> |
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</el-form-item> |
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<el-form-item label="结论"> |
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<el-input |
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type="textarea" |
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:rows="6" |
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v-model="newTemplateForm.conclusion" |
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placeholder="请输入检查结论内容" |
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/> |
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</el-form-item> |
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</el-form> |
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<div slot="footer" class="dialog-footer"> |
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<el-button @click="templateDialogVisible = false">取消</el-button> |
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<el-button type="primary" @click="saveTemplate">确认保存</el-button> |
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</div> |
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</el-dialog> |
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|
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<!-- ✅ 片语弹窗：创建 + 更新 共用 --> |
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<el-dialog |
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:title="phraseDialogTitle" |
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:visible.sync="phraseDialogVisible" |
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width="33%" |
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> |
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<el-form :model="newPhraseForm" label-width="60px"> |
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<el-form-item label="内容"> |
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<el-input |
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type="textarea" |
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:rows="10" |
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v-model="newPhraseForm.content" |
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placeholder="请输入片语内容" |
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/> |
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</el-form-item> |
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</el-form> |
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<div slot="footer" class="dialog-footer"> |
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<el-button @click="phraseDialogVisible = false">取消</el-button> |
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<el-button type="primary" @click="savePhrase"> |
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{{ phraseType === "add" ? "创建" : "更新" }} |
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</el-button> |
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</div> |
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</el-dialog> |
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</div> |
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</template> |
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|
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<script> |
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export default { |
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name: "UltrasoundReport", |
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data() { |
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return { |
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activeTab: "template", |
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// 病例状态: pending-暂存, submitted-已提交 |
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caseStatus: "submitted", |
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// 图片上传 |
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imgList: [ |
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{ |
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id: Date.now(), |
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url: "https://fuss10.elemecdn.com/e/5d/4a731a90594a4af544c0c25941171jpeg.jpeg", |
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}, |
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], |
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// 主报告表单 |
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form: { |
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patientName: "", |
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gender: "", |
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age: 0, |
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ageUnit: "1", |
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doctor: "", |
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medicalNo: "", |
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outNo: "", |
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inNo: "", |
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wardNo: "", |
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bedNo: "", |
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device: "", |
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part: "", |
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findings: "", |
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conclusion: "", |
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auditUser: "", |
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isPositive: false, |
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}, |
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// 字典 |
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genderList: [ |
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{ label: "未知", value: "0" }, |
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{ label: "男", value: "1" }, |
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{ label: "女", value: "2" }, |
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], |
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ageUnitList: [ |
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{ label: "岁", value: "1" }, |
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{ label: "月", value: "2" }, |
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{ label: "天", value: "3" }, |
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], |
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// Mock病例数据（与病例库页面保持一致） |
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caseMockList: [ |
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{ |
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id: 1, |
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patientName: "测试患者", |
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gender: "1", |
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age: 30, |
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ageUnit: "1", |
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checkType: "1", |
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outpatientNumber: "123456", |
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inpatientNumber: "IN789012", |
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wardNumber: "W01", |
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bedNumber: "05", |
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applyDoctor: "张医生", |
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expertDoctor: "李专家", |
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checkDevice: "GE-E8", |
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checkRoom: "1", |
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customPart: "肝脏", |
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reserveDate: "2023-01-01", |
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reserveTime: "13:30-14:00", |
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diagnosisDoctor: "", |
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auditDoctor: "", |
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reportStatus: "", |
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createTime: "2023-01-01 10:00:00", |
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updateTime: "2023-01-01 10:00:00", |
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}, |
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{ |
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id: 2, |
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patientName: "王小明", |
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gender: "1", |
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age: 45, |
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ageUnit: "1", |
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checkType: "2", |
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outpatientNumber: "654321", |
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inpatientNumber: "", |
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wardNumber: "", |
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bedNumber: "", |
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applyDoctor: "刘医生", |
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expertDoctor: "王专家", |
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checkDevice: "Philips-iU22", |
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checkRoom: "2", |
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customPart: "心脏", |
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reserveDate: "2023-01-02", |
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reserveTime: "09:00-09:30", |
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diagnosisDoctor: "", |
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auditDoctor: "", |
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reportStatus: "", |
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createTime: "2023-01-02 09:00:00", |
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updateTime: "2023-01-02 09:00:00", |
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}, |
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{ |
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id: 3, |
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patientName: "李小红", |
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gender: "2", |
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age: 28, |
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ageUnit: "1", |
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checkType: "3", |
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outpatientNumber: "", |
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inpatientNumber: "IN345678", |
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wardNumber: "W03", |
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bedNumber: "12", |
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applyDoctor: "赵医生", |
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expertDoctor: "孙专家", |
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checkDevice: "GE-E8", |
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checkRoom: "1", |
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customPart: "肾脏", |
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reserveDate: "2023-01-03", |
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reserveTime: "14:00-14:30", |
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diagnosisDoctor: "", |
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auditDoctor: "", |
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reportStatus: "", |
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createTime: "2023-01-03 14:00:00", |
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updateTime: "2023-01-03 14:00:00", |
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}, |
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], |
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// 专家列表 |
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expertList: [ |
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{ name: "韩主任", content: "" }, |
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{ name: "景静静", content: "" }, |
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{ name: "郑曙光", content: "" }, |
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], |
|
|
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// ====================== 部位模板核心 ====================== |
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templateType: "add", |
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dialogTitle: "模板创建", |
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templateDialogVisible: false, |
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templateList: [ |
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{ |
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id: 1, |
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type: "abdomen-liver", |
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title: "腹部（肝、胆、胰、脾）", |
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findings: `肝脏剑下cm，肋下cm，右肝斜径cm，包膜光滑，实质回声均匀，未见确切占位。肝静脉走行正常，门静脉不扩张。 |
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胆囊前后径cm，壁薄、光滑，囊内未见异常回声。 |
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胰腺形态规则，大小正常，边界清晰。胰腺实质回声未见异常，主胰管不扩张。 |
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脾脏肋间厚cm，轮廓清楚，脾门切迹清晰可见，实质回声未见异常，脾静脉不扩张。`, |
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conclusion: "肝脏、胆囊、胰腺、脾脏未见明显异常", |
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}, |
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], |
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templateForm: { |
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id: 1, |
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type: "abdomen-liver", |
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title: "腹部（肝、胆、胰、脾）", |
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findings: "", |
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conclusion: "", |
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}, |
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newTemplateForm: { |
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id: null, |
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type: "abdomen-liver", |
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title: "", |
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findings: "", |
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conclusion: "", |
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}, |
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|
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// ====================== ✅ 片语核心（新增） ====================== |
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phraseType: "add", // add / edit |
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phraseDialogTitle: "片语创建", |
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phraseDialogVisible: false, |
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phraseList: [{ id: 1, content: "片语示例：未见明显异常" }], |
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newPhraseForm: { |
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id: null, |
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content: "", |
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}, |
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}; |
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}, |
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created() { |
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this.getCaseData(); |
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}, |
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methods: { |
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// 根据路由参数获取病例数据 |
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getCaseData() { |
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const caseId = parseInt(this.$route.params.id); |
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if (caseId) { |
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const caseData = this.caseMockList.find((item) => item.id === caseId); |
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if (caseData) { |
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this.form = { |
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patientName: caseData.patientName, |
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gender: caseData.gender, |
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age: caseData.age, |
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ageUnit: caseData.ageUnit, |
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doctor: caseData.applyDoctor, |
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medicalNo: caseData.patientRecordNumber || "", |
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outNo: caseData.outpatientNumber || "", |
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inNo: caseData.inpatientNumber || "", |
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wardNo: caseData.wardNumber || "", |
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bedNo: caseData.bedNumber || "", |
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device: caseData.checkDevice || "", |
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part: caseData.customPart || "", |
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findings: "", |
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conclusion: "", |
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auditUser: "", |
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isPositive: false, |
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}; |
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// 设置动态标题为患者姓名 |
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this.$store.dispatch("settings/setTitle", caseData.patientName); |
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} |
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} |
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}, |
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// 打印 |
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handlePrint() { |
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window.print(); |
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}, |
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// 病例操作 |
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handleSave() { |
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this.$confirm("您确定暂存病例吗?").then(() => { |
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this.$message.success("暂存成功"); |
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}); |
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}, |
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handleSubmit() { |
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this.$confirm("提交后不可修改,确定提交?").then(() => { |
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this.$message.success("提交成功"); |
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this.caseStatus = "submitted"; |
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}); |
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}, |
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handleClose() { |
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this.$confirm("未保存内容将丢失,确定退出?").then(() => { |
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this.$router.back(); |
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}); |
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}, |
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handleShare() { |
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this.$message.success("分享成功"); |
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}, |
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|
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// 图片操作 |
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handleOpenFile() { |
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this.$refs.fileInput.click(); |
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}, |
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handleFileChange(e) { |
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const files = e.target.files || []; |
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for (let file of files) { |
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if (!file.type.startsWith("image/")) continue; |
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const url = URL.createObjectURL(file); |
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this.imgList.push({ id: Date.now(), url }); |
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} |
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e.target.value = ""; |
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}, |
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handleDeleteImg(row) { |
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this.$confirm("确定删除该影像?").then(() => { |
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this.imgList = this.imgList.filter((i) => i.id !== row.id); |
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this.$message.success("删除成功"); |
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}); |
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}, |
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|
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// ====================== 模板核心方法 ====================== |
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changeTemplate() { |
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const target = this.templateList.find( |
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(t) => t.id === this.templateForm.id |
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); |
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if (target) { |
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this.templateForm = { ...target }; |
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} |
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}, |
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openTemplateDialog(type) { |
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this.templateType = type; |
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this.dialogTitle = type === "add" ? "模板创建" : "模板编辑"; |
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if (type === "add") { |
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this.newTemplateForm = { |
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id: Date.now(), |
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type: "abdomen-liver", |
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title: "", |
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findings: "", |
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conclusion: "", |
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}; |
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} else { |
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this.newTemplateForm = { ...this.templateForm }; |
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} |
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this.templateDialogVisible = true; |
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}, |
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saveTemplate() { |
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if (!this.newTemplateForm.title) { |
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this.$message.warning("请输入模板标题"); |
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return; |
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} |
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if (this.templateType === "add") { |
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this.templateList.push({ ...this.newTemplateForm }); |
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this.templateForm = { ...this.newTemplateForm }; |
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} else { |
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const index = this.templateList.findIndex( |
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(t) => t.id === this.newTemplateForm.id |
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); |
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if (index > -1) { |
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this.templateList.splice(index, 1, { ...this.newTemplateForm }); |
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this.templateForm = { ...this.newTemplateForm }; |
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} |
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} |
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this.$message.success("保存成功"); |
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this.templateDialogVisible = false; |
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}, |
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deleteTemplate() { |
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if (this.templateList.length <= 1) { |
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this.$message.warning("至少保留一个模板"); |
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return; |
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} |
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this.$confirm("确定删除当前模板?").then(() => { |
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const index = this.templateList.findIndex( |
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(t) => t.id === this.templateForm.id |
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); |
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this.templateList.splice(index, 1); |
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this.templateForm = { ...this.templateList[0] }; |
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this.$message.success("删除成功"); |
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}); |
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}, |
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applyFindings() { |
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this.form.findings = this.templateForm.findings; |
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this.$message.success("已应用超声所见"); |
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}, |
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applyConclusion() { |
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this.form.conclusion = this.templateForm.conclusion; |
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this.$message.success("已应用检查结论"); |
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}, |
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|
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// ====================== ✅ 片语核心方法（新增） ====================== |
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// 打开片语弹窗：创建/更新 |
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openPhraseDialog(type, row) { |
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this.phraseType = type; |
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this.phraseDialogTitle = type === "add" ? "片语创建" : "片语更新"; |
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if (type === "add") { |
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this.newPhraseForm = { id: Date.now(), content: "" }; |
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} else { |
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this.newPhraseForm = { ...row }; |
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} |
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this.phraseDialogVisible = true; |
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}, |
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// 保存片语 |
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savePhrase() { |
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if (!this.newPhraseForm.content) { |
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this.$message.warning("请输入片语内容"); |
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return; |
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} |
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if (this.phraseType === "add") { |
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this.phraseList.push({ ...this.newPhraseForm }); |
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} else { |
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const index = this.phraseList.findIndex( |
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(p) => p.id === this.newPhraseForm.id |
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); |
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if (index > -1) { |
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this.phraseList.splice(index, 1, { ...this.newPhraseForm }); |
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} |
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} |
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this.$message.success( |
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this.phraseType === "add" ? "创建成功" : "更新成功" |
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); |
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this.phraseDialogVisible = false; |
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}, |
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// 删除片语 |
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deletePhrase(row) { |
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this.$confirm("确定删除该片语?").then(() => { |
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this.phraseList = this.phraseList.filter((p) => p.id !== row.id); |
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this.$message.success("删除成功"); |
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}); |
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}, |
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}, |
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}; |
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</script> |
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|
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<style lang="scss" scoped> |
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/* 内部滚动区域高度自适应 */ |
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.report-form { |
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height: calc(100vh - 285px); |
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overflow-y: auto; |
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overflow-x: hidden; |
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width: 100%; |
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box-sizing: border-box; |
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} |
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.template-form { |
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height: calc(100vh - 265px); |
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overflow-y: auto; |
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overflow-x: hidden; |
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} |
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|
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/* 原有样式 */ |
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.card-header { |
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display: flex; |
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justify-content: space-between; |
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align-items: center; |
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} |
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.status-text { |
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font-weight: 500; |
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color: #333; |
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} |
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.btn-group { |
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display: flex; |
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gap: 4px; |
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} |
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.expert-item { |
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margin-bottom: 10px; |
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} |
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.expert-btns { |
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text-align: right; |
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margin-top: 6px; |
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} |
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.img-status { |
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font-size: 12px; |
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color: #666; |
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margin: 4px 0; |
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} |
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.template-buttons, |
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.phrase-buttons { |
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display: flex; |
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gap: 6px; |
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margin-bottom: 10px; |
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} |
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.dialog-footer { |
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display: flex; |
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justify-content: flex-end; |
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gap: 8px; |
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} |
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</style> |