feat(surgery): 增加手术室确认信息和次要手术功能

- 添加手术室确认时间和确认人字段显示
- 实现次要手术的添加、编辑和删除功能
- 增加急诊标志和植入高值耗材开关选项
- 添加手术费用和麻醉费用计算功能
- 实现手术和麻醉项目的远程搜索功能
- 增加第一助手和第二助手选择功能
- 优化医生列表加载逻辑，支持多接口获取
- 添加按钮图标提升界面体验
- 修复encounterId为空时的接口调用问题

openhis-ui-vue3/src/views/doctorstation/components/surgery/surgeryApplication.vue

@@ -50,6 +50,16 @@
       <!-- 手术等级 -->
       <el-table-column label="手术等级" align="center" prop="surgeryLevel_dictText" width="100" />
       
+      <!-- 手术室确认时间 -->
+      <el-table-column label="手术室确认时间" align="center" prop="operatingRoomConfirmTime" width="180">
+        <template #default="scope">
+          {{ scope.row.operatingRoomConfirmTime ? parseTime(scope.row.operatingRoomConfirmTime, '{y}-{m}-{d} {h}:{i}:{s}') : '-' }}
+        </template>
+      </el-table-column>
+      
+      <!-- 手术室确认人 -->
+      <el-table-column label="手术室确认人" align="center" prop="operatingRoomConfirmUser" width="100" />
+      
       <!-- 状态 -->
       <el-table-column label="状态" align="center" prop="statusEnum_dictText" width="100">
         <template #default="scope">
@@ -63,13 +73,13 @@
       <el-table-column label="操作" align="center" width="200" fixed="right">
         <template #default="scope">
           <!-- 查看：显示手术申请详情（只读模式） -->
-          <el-button link type="primary" @click="handleView(scope.row)">查看</el-button>
+          <el-button link type="primary" icon="View" @click="handleView(scope.row)">查看</el-button>
           
           <!-- 编辑：修改手术申请信息（只有状态为新开的能修改） -->
-          <el-button link type="primary" @click="handleEdit(scope.row)" v-if="scope.row.statusEnum === 0">编辑</el-button>
+          <el-button link type="primary" icon="Edit" @click="handleEdit(scope.row)" v-if="scope.row.statusEnum === 0">编辑</el-button>
           
           <!-- 删除：取消手术申请（作废） -->
-          <el-button link type="danger" @click="handleDelete(scope.row)" v-if="scope.row.statusEnum === 0 || scope.row.statusEnum === 1">删除</el-button>
+          <el-button link type="danger" icon="Delete" @click="handleDelete(scope.row)" v-if="scope.row.statusEnum === 0 || scope.row.statusEnum === 1">删除</el-button>
         </template>
       </el-table-column>
     </el-table>
@@ -144,11 +154,27 @@
           </el-col>
           <el-col :span="12">
             <el-form-item label="手术名称" prop="surgeryName">
-              <el-input v-model="form.surgeryName" placeholder="请选择手术名称">
-                <template #append>
-                  <el-button icon="Search" @click="selectSurgeryName" />
-                </template>
-              </el-input>
+              <el-select
+                v-model="form.surgeryName"
+                filterable
+                remote
+                reserve-keyword
+                placeholder="请输入关键词搜索手术"
+                :remote-method="remoteSearchSurgery"
+                :loading="surgeryLoading"
+                style="width: 100%"
+                @change="handleSurgeryChange"
+                @focus="() => remoteSearchSurgery('')"
+              >
+                <el-option
+                  v-for="item in surgeryNameList"
+                  :key="item.id"
+                  :label="item.name"
+                  :value="item.name"
+                >
+                  <span>{{ item.retailPrice || item.retail_price || item.salePrice || item.price || 0 }}元 - {{ item.name }}</span>
+                </el-option>
+              </el-select>
             </el-form-item>
           </el-col>
         </el-row>
@@ -167,6 +193,97 @@
           </el-col>
         </el-row>
 
+        <el-row :gutter="20">
+          <el-col :span="24">
+            <el-form-item label="添加次要手术" prop="appendSurgery">
+              <el-button type="primary" plain icon="Plus" @click="addAppendSurgery" style="width: 100%">添加次要手术</el-button>
+            </el-form-item>
+          </el-col>
+        </el-row>
+
+        <!-- 次要手术表格 -->
+        <el-row v-if="form.secondarySurgeries && form.secondarySurgeries.length > 0">
+          <el-col :span="24" style="margin-bottom: 20px;">
+            <el-table :data="form.secondarySurgeries" border stripe size="small">
+              <el-table-column label="手术名称" min-width="200">
+                <template #default="scope">
+                  <el-select
+                    v-model="scope.row.surgeryName"
+                    filterable
+                    remote
+                    reserve-keyword
+                    placeholder="搜索次要手术"
+                    :remote-method="remoteSearchSurgery"
+                    :loading="surgeryLoading"
+                    style="width: 100%"
+                    @change="(val) => handleSecondarySurgeryChange(val, scope.row)"
+                    @focus="() => remoteSearchSurgery('')"
+                  >
+                    <el-option
+                      v-for="item in surgeryNameList"
+                      :key="item.id"
+                      :label="item.name"
+                      :value="item.name"
+                    >
+                      <span>{{ item.retailPrice || item.retail_price || item.salePrice || item.price || 0 }}元 - {{ item.name }}</span>
+                    </el-option>
+                  </el-select>
+                </template>
+              </el-table-column>
+              <el-table-column label="手术等级" width="130">
+                <template #default="scope">
+                  <el-select v-model="scope.row.surgeryLevel" placeholder="选择等级">
+                    <el-option label="一级手术" :value="1" />
+                    <el-option label="二级手术" :value="2" />
+                    <el-option label="三级手术" :value="3" />
+                    <el-option label="四级手术" :value="4" />
+                  </el-select>
+                </template>
+              </el-table-column>
+              <el-table-column label="切口类型" width="130">
+                <template #default="scope">
+                  <el-select v-model="scope.row.incisionLevel" placeholder="选择切口">
+                    <el-option label="I类切口" :value="1" />
+                    <el-option label="II类切口" :value="2" />
+                    <el-option label="III类切口" :value="3" />
+                    <el-option label="IV类切口" :value="4" />
+                  </el-select>
+                </template>
+              </el-table-column>
+              <el-table-column label="麻醉方式" width="180">
+                <template #default="scope">
+                  <el-select
+                    v-model="scope.row.anesthesiaName"
+                    filterable
+                    remote
+                    reserve-keyword
+                    placeholder="搜索麻醉"
+                    :remote-method="remoteSearchAnesthesia"
+                    :loading="anesthesiaLoading"
+                    style="width: 100%"
+                    @change="(val) => handleSecondaryAnesthesiaChange(val, scope.row)"
+                    @focus="() => remoteSearchAnesthesia('')"
+                  >
+                    <el-option
+                      v-for="item in anesthesiaNameList"
+                      :key="item.id"
+                      :label="item.name"
+                      :value="item.name"
+                    >
+                      <span>{{ item.retailPrice || item.retail_price || item.salePrice || item.price || 0 }}元 - {{ item.name }}</span>
+                    </el-option>
+                  </el-select>
+                </template>
+              </el-table-column>
+              <el-table-column label="操作" width="80" align="center">
+                <template #default="scope">
+                  <el-button link type="danger" icon="Delete" @click="removeSecondarySurgery(scope.$index)"></el-button>
+                </template>
+              </el-table-column>
+            </el-table>
+          </el-col>
+        </el-row>
+
         <!-- 医疗信息区 -->
         <el-divider content-position="left">医疗信息</el-divider>
 
@@ -195,10 +312,27 @@
 
         <el-row :gutter="20">
           <el-col :span="12">
-            <el-form-item label="麻醉方式" prop="anesthesiaTypeEnum">
-              <el-select v-model="form.anesthesiaTypeEnum" placeholder="请选择麻醉方式" style="width: 100%">
-                <el-option label="局麻" :value="1" />
-                <el-option label="全麻" :value="3" />
+            <el-form-item label="麻醉方式" prop="anesthesiaName">
+              <el-select
+                v-model="form.anesthesiaName"
+                filterable
+                remote
+                reserve-keyword
+                placeholder="搜索麻醉项目"
+                :remote-method="remoteSearchAnesthesia"
+                :loading="anesthesiaLoading"
+                style="width: 100%"
+                @change="handleAnesthesiaChange"
+                @focus="() => remoteSearchAnesthesia('')"
+              >
+                <el-option
+                  v-for="item in anesthesiaNameList"
+                  :key="item.id"
+                  :label="item.name"
+                  :value="item.name"
+                >
+                  <span>{{ item.retailPrice || item.retail_price || item.salePrice || item.price || 0 }}元 - {{ item.name }}</span>
+                </el-option>
               </el-select>
             </el-form-item>
           </el-col>
@@ -224,12 +358,22 @@
 
         <el-row :gutter="20">
           <el-col :span="12">
-            <el-form-item label="手术助手" prop="assistantId">
-              <el-select v-model="form.assistantId" filterable clearable placeholder="请选择手术助手" style="width: 100%">
+            <el-form-item label="第一助手" prop="assistant1Id">
+              <el-select v-model="form.assistant1Id" filterable clearable placeholder="请选择第一助手" style="width: 100%">
                 <el-option v-for="item in doctorList" :key="item.id" :label="item.name" :value="item.id" />
               </el-select>
             </el-form-item>
           </el-col>
+          <el-col :span="12">
+            <el-form-item label="第二助手" prop="assistant2Id">
+              <el-select v-model="form.assistant2Id" filterable clearable placeholder="请选择第二助手" style="width: 100%">
+                <el-option v-for="item in doctorList" :key="item.id" :label="item.name" :value="item.id" />
+              </el-select>
+            </el-form-item>
+          </el-col>
+        </el-row>
+
+        <el-row :gutter="20">
           <el-col :span="12">
             <el-form-item label="申请科室" prop="applyDeptName">
               <el-input v-model="form.applyDeptName" disabled placeholder="系统自动获取" />
@@ -240,6 +384,31 @@
         <!-- 其他信息区 -->
         <el-divider content-position="left">其他信息</el-divider>
 
+        <el-row :gutter="20">
+          <el-col :span="12">
+            <el-form-item label="急诊标志" prop="emergencyFlag">
+              <el-switch
+                v-model="form.emergencyFlag"
+                :active-value="1"
+                :inactive-value="0"
+                active-text="是"
+                inactive-text="否"
+              />
+            </el-form-item>
+          </el-col>
+          <el-col :span="12">
+            <el-form-item label="植入高值耗材" prop="implantFlag">
+              <el-switch
+                v-model="form.implantFlag"
+                :active-value="1"
+                :inactive-value="0"
+                active-text="是"
+                inactive-text="否"
+              />
+            </el-form-item>
+          </el-col>
+        </el-row>
+
         <el-form-item label="术前诊断" prop="preoperativeDiagnosis">
           <el-input v-model="form.preoperativeDiagnosis" disabled placeholder="自动获取门诊诊断的主要诊断名称" type="textarea" :rows="3" />
         </el-form-item>
@@ -247,12 +416,40 @@
         <el-form-item label="手术指征" prop="surgeryIndication">
           <el-input v-model="form.surgeryIndication" placeholder="请输入手术指征" type="textarea" :rows="3" />
         </el-form-item>
+
+        <!-- 费用信息区 -->
+        <el-divider content-position="left">费用信息</el-divider>
+        <el-row :gutter="20">
+          <el-col :span="12">
+            <el-form-item label="手术费用">
+              <el-input v-model="form.surgeryFee" disabled placeholder="0.00">
+                <template #append>元</template>
+              </el-input>
+            </el-form-item>
+          </el-col>
+          <el-col :span="12">
+            <el-form-item label="麻醉费用">
+              <el-input v-model="form.anesthesiaFee" disabled placeholder="0.00">
+                <template #append>元</template>
+              </el-input>
+            </el-form-item>
+          </el-col>
+        </el-row>
+        <el-row :gutter="20">
+          <el-col :span="12">
+            <el-form-item label="总计费用">
+              <el-input :value="totalCalculatedFee" disabled placeholder="0.00">
+                <template #append>元</template>
+              </el-input>
+            </el-form-item>
+          </el-col>
+        </el-row>
       </el-form>
 
       <template #footer>
         <div class="dialog-footer">
-          <el-button @click="cancel">取 消</el-button>
-          <el-button type="primary" @click="submitForm">提交申请</el-button>
+          <el-button icon="Close" @click="cancel">取 消</el-button>
+          <el-button type="primary" icon="Check" @click="submitForm">提交申请</el-button>
         </div>
       </template>
     </el-dialog>
@@ -278,15 +475,28 @@
         <el-descriptions-item label="申请科室">{{ viewData.applyDeptName }}</el-descriptions-item>
         <el-descriptions-item label="术前诊断" :span="2">{{ viewData.preoperativeDiagnosis }}</el-descriptions-item>
         <el-descriptions-item label="手术指征" :span="2">{{ viewData.surgeryIndication }}</el-descriptions-item>
+        
+        <!-- 次要手术详情展示 -->
+        <el-descriptions-item label="次要手术" :span="2" v-if="viewData.secondarySurgeries && viewData.secondarySurgeries.length > 0">
+          <el-table :data="viewData.secondarySurgeries" border size="small">
+            <el-table-column prop="surgeryName" label="手术名称" />
+            <el-table-column prop="surgeryCode" label="手术编码" width="120" />
+            <el-table-column label="等级" width="100">
+              <template #default="scope">
+                {{ scope.row.surgeryLevel === 1 ? '一级' : scope.row.surgeryLevel === 2 ? '二级' : scope.row.surgeryLevel === 3 ? '三级' : scope.row.surgeryLevel === 4 ? '四级' : '-' }}
+              </template>
+            </el-table-column>
+          </el-table>
+        </el-descriptions-item>
       </el-descriptions>
     </el-dialog>
   </div>
 </template>
 
 <script setup name="SurgeryApplication">
-import { getCurrentInstance, ref, computed, watch } from 'vue'
+import { getCurrentInstance, ref, computed, watch, onMounted } from 'vue'
 import { getSurgeryPage, addSurgery, updateSurgery, deleteSurgery, getSurgeryDetail, updateSurgeryStatus } from '@/api/surgerymanage'
-import { getEncounterDiagnosis } from '../api'
+import { getEncounterDiagnosis, getDiagnosisTreatmentList, queryParticipantList } from '../api'
 import { listUser } from '@/api/system/user'
 import useUserStore from '@/store/modules/user'
 
@@ -320,20 +530,55 @@ const form = ref({
   applyDeptName: undefined,
   surgeryNo: undefined,
   surgeryName: undefined,
+  surgeryCode: undefined,
   surgeryTypeEnum: undefined,
   surgeryLevel: undefined,
   plannedTime: undefined,
   mainSurgeonId: undefined,
-  assistantId: undefined,
+  assistant1Id: undefined,
+  assistant2Id: undefined,
   anesthesiaTypeEnum: undefined,
+  anesthesiaName: undefined,
+  anesthesiaFee: undefined,
+  surgeryFee: undefined,
+  totalFee: undefined,
   incisionLevel: undefined,
   preoperativeDiagnosis: undefined,
-  surgeryIndication: undefined
+  surgeryIndication: undefined,
+  emergencyFlag: 0, // 急诊标志，默认为否
+  implantFlag: 0,   // 植入高值耗材标志，默认为否
+  secondarySurgeries: [] // 次要手术列表
 })
 const surgeryRef = ref()
 const viewData = ref({})
 const title = ref('')
 const doctorList = ref([])
+const surgeryNameList = ref([])
+const anesthesiaNameList = ref([])
+const surgeryLoading = ref(false)
+const anesthesiaLoading = ref(false)
+
+// 计算总费用
+const totalCalculatedFee = computed(() => {
+  const surgeryFee = parseFloat(form.value.surgeryFee || 0)
+  const anesthesiaFee = parseFloat(form.value.anesthesiaFee || 0)
+  // 加上次要手术费用
+  let secondaryFee = 0
+  if (form.value.secondarySurgeries && form.value.secondarySurgeries.length > 0) {
+    secondaryFee = form.value.secondarySurgeries.reduce((acc, curr) => {
+      // 累加次要手术的手术费和麻醉费
+      const sFee = parseFloat(curr.retailPrice || curr.retail_price || curr.surgeryFee || 0)
+      const aFee = parseFloat(curr.anesthesiaFee || 0)
+      return acc + sFee + aFee
+    }, 0)
+  }
+  return (surgeryFee + anesthesiaFee + secondaryFee).toFixed(2)
+})
+
+// 监听总费用变化，同步到表单对象
+watch(totalCalculatedFee, (newVal) => {
+  form.value.totalFee = newVal
+})
 
 // 字典选项
 const surgeryStatusOptions = ref([
@@ -357,7 +602,9 @@ const rules = ref({
   surgeryLevel: [{ required: true, message: '请选择手术等级', trigger: 'change' }],
   plannedTime: [{ required: true, message: '请选择计划手术时间', trigger: 'change' }],
   mainSurgeonId: [{ required: true, message: '请选择主刀医生', trigger: 'change' }],
-  anesthesiaTypeEnum: [{ required: true, message: '请选择麻醉方式', trigger: 'change' }]
+  anesthesiaName: [{ required: true, message: '请选择麻醉方式', trigger: 'change' }],
+  applyDoctorName: [{ required: true, message: '申请医生不能为空', trigger: 'blur' }],
+  applyDeptName: [{ required: true, message: '申请科室不能为空', trigger: 'blur' }]
 })
 
 // 监听患者信息变化
@@ -369,6 +616,11 @@ watch(() => props.patientInfo, (newVal) => {
   }
 }, { immediate: true })
 
+// 挂载时加载医生列表
+onMounted(() => {
+  loadDoctorList()
+})
+
 // 获取手术申请列表
 function getList() {
   if (!props.patientInfo?.encounterId) {
@@ -412,18 +664,53 @@ function loadDiagnosisInfo() {
 
 // 加载医生列表
 function loadDoctorList() {
-  listUser({ pageNo: 1, pageSize: 1000 }).then(res => {
-    if (res.code === 200) {
-      doctorList.value = res.data.records || []
-      console.log('加载医生列表成功，数量:', doctorList.value.length)
-    } else {
-      proxy.$modal.msgError('获取医生列表失败')
-      doctorList.value = []
+  console.log('开始加载医生列表...')
+  // 同时尝试两个接口，确保能获取到数据
+  const p1 = queryParticipantList({ searchKey: '' }).catch(() => ({ code: 500 }))
+  const p2 = listUser({ pageNo: 1, pageSize: 1000 }).catch(() => ({ code: 500 }))
+
+  Promise.all([p1, p2]).then(([res1, res2]) => {
+    let list = []
+    
+    // 方案1：从参与者接口获取
+    if (res1.code === 200 && res1.data && Array.isArray(res1.data) && res1.data.length > 0) {
+      list = res1.data.map(item => ({
+        id: item.practitionerId || item.practitioner_id || item.id,
+        name: item.practitionerName || item.practitioner_name || item.nickName || item.name,
+        orgName: item.organizationName || item.organization_name || item.deptName
+      }))
+      console.log('从参与者接口获取到医生:', list.length)
+    } 
+    
+    // 方案2：如果方案1没数据，从用户接口获取
+    if (list.length === 0 && res2.code === 200) {
+      const data = res2.data?.records || res2.rows || res2.data || []
+      if (Array.isArray(data)) {
+        list = data.map(item => ({
+          id: item.practitionerId || item.id || item.userId,
+          name: item.nickName || item.name || item.userName,
+          orgName: item.deptName || item.organizationName || item.orgId_dictText
+        }))
+        console.log('从用户接口获取到医生:', list.length)
+      }
     }
-  }).catch(error => {
-    console.error('加载医生列表失败:', error)
-    proxy.$modal.msgError('获取医生列表失败')
-    doctorList.value = []
+
+    if (list.length > 0) {
+      // 去重处理 (根据ID)
+      const uniqueList = []
+      const idMap = new Set()
+      for (const item of list) {
+        if (item.id && !idMap.has(String(item.id))) {
+          idMap.add(String(item.id))
+          uniqueList.push(item)
+        }
+      }
+      doctorList.value = uniqueList
+    } else {
+      console.warn('两个医生接口均未返回有效数据')
+    }
+  }).catch(err => {
+    console.error('加载医生列表失败:', err)
   })
 }
 
@@ -446,7 +733,12 @@ function handleAdd() {
   form.value.patientGender = props.patientInfo.genderEnum_enumText
   form.value.patientAge = props.patientInfo.age
   form.value.applyDoctorName = userStore.nickName
-  form.value.applyDeptName = props.patientInfo.deptName || ''
+  form.value.applyDeptName = userStore.orgName || props.patientInfo.deptName || ''
+  
+  // 确保医生列表已加载
+  if (doctorList.value.length === 0) {
+    loadDoctorList()
+  }
   
   // 加载诊断信息
   loadDiagnosisInfo()
@@ -463,9 +755,39 @@ function handleEdit(row) {
   open.value = true
   isEditMode.value = true
   
+  // 确保医生列表已加载
+  if (doctorList.value.length === 0) {
+    loadDoctorList()
+  }
+  
   getSurgeryDetail(row.id).then(res => {
     if (res.code === 200) {
+      console.log('【编辑手术】完整返回数据:', res.data)
+      console.log('【编辑手术】手术指征字段值:', res.data.surgeryIndication)
+      
       Object.assign(form.value, res.data)
+      
+      console.log('【编辑手术】赋值后form.surgeryIndication:', form.value.surgeryIndication)
+      
+      // 处理麻醉名称回显
+      if (res.data.anesthesiaTypeEnum_dictText) {
+        form.value.anesthesiaName = res.data.anesthesiaTypeEnum_dictText
+        anesthesiaNameList.value = [{
+          name: res.data.anesthesiaTypeEnum_dictText,
+          id: 'default'
+        }]
+      }
+      // 处理回显
+      if (res.data.surgeryName) {
+        surgeryNameList.value = [{
+          name: res.data.surgeryName,
+          busNo: res.data.surgeryCode
+        }]
+      }
+      // 确保 secondarySurgeries 是数组
+      if (!form.value.secondarySurgeries) {
+        form.value.secondarySurgeries = []
+      }
     }
   }).catch(error => {
     console.error('获取手术信息失败:', error)
@@ -478,7 +800,18 @@ function handleView(row) {
   viewOpen.value = true
   getSurgeryDetail(row.id).then(res => {
     if (res.code === 200) {
+      console.log('【手术详情】完整返回数据:', res.data)
+      console.log('【手术详情】手术指征字段值:', res.data.surgeryIndication)
+      console.log('【手术详情】手术指征字段类型:', typeof res.data.surgeryIndication)
+      console.log('【手术详情】手术指征是否为空:', res.data.surgeryIndication === null || res.data.surgeryIndication === undefined || res.data.surgeryIndication === '')
+      
       viewData.value = res.data
+      if (!viewData.value.secondarySurgeries) {
+        viewData.value.secondarySurgeries = []
+      }
+      
+      console.log('【手术详情】赋值后viewData:', viewData.value)
+      console.log('【手术详情】赋值后viewData.surgeryIndication:', viewData.value.surgeryIndication)
     }
   }).catch(error => {
     console.error('获取手术信息失败:', error)
@@ -522,16 +855,158 @@ function handleRefresh() {
   proxy.$modal.msgSuccess('刷新成功')
 }
 
-// 选择手术名称
-function selectSurgeryName() {
-  proxy.$modal.msgInfo('请选择手术名称')
-  // TODO: 实现手术名称选择弹窗
+// 远程搜索手术项目
+function remoteSearchSurgery(query) {
+  surgeryLoading.value = true
+  getDiagnosisTreatmentList({
+    searchKey: query || '',
+    pageNo: 1,
+    pageSize: 100
+  }).then(res => {
+    // 处理不同的数据返回格式
+    let data = []
+    if (res.data && res.data.records) {
+      data = res.data.records
+    } else if (res.data && Array.isArray(res.data)) {
+      data = res.data
+    } else if (res.records && Array.isArray(res.records)) {
+      data = res.records
+    }
+    
+    // 在前端进行手术分类过滤 (categoryCode 为 '24' 是手术)
+    // 同时过滤掉停用的项 (statusEnum 为 2 是启用)
+    surgeryNameList.value = data.filter(item => 
+      (item.categoryCode === '24' || item.categoryCode_dictText === '手术') && 
+      (item.statusEnum === 2 || item.statusEnum_enumText === '启用' || !item.statusEnum)
+    )
+    
+    surgeryLoading.value = false
+  }).catch(error => {
+    console.error('搜索手术项目失败:', error)
+    surgeryLoading.value = false
+  })
+}
+
+// 远程搜索麻醉项目
+function remoteSearchAnesthesia(query) {
+  anesthesiaLoading.value = true
+  getDiagnosisTreatmentList({
+    searchKey: query || '',
+    pageNo: 1,
+    pageSize: 100
+  }).then(res => {
+    let data = []
+    if (res.data && res.data.records) {
+      data = res.data.records
+    } else if (res.data && Array.isArray(res.data)) {
+      data = res.data
+    } else if (res.records && Array.isArray(res.records)) {
+      data = res.records
+    }
+    
+    // 过滤麻醉项 (categoryCode 为 '25' 是麻醉)
+    anesthesiaNameList.value = data.filter(item => 
+      (item.categoryCode === '25' || item.categoryCode_dictText === '麻醉') && 
+      (item.statusEnum === 2 || item.statusEnum_enumText === '启用' || !item.statusEnum)
+    )
+    
+    anesthesiaLoading.value = false
+  }).catch(error => {
+    console.error('搜索麻醉项目失败:', error)
+    anesthesiaLoading.value = false
+  })
+}
+
+// 手术项目选择变更
+function handleSurgeryChange(val) {
+  const selected = surgeryNameList.value.find(item => item.name === val)
+  if (selected) {
+    form.value.surgeryCode = selected.busNo
+    // 设置手术费用 (增加对多种字段名和类型的兼容)
+    const price = selected.retailPrice ?? selected.retail_price ?? selected.price ?? selected.salePrice ?? 0
+    form.value.surgeryFee = parseFloat(price)
+    // 如果手术等级为空，可以尝试自动填充
+    if (!form.value.surgeryLevel && selected.level) {
+      form.value.surgeryLevel = selected.level
+    }
+  }
+}
+
+// 麻醉项目选择变更
+function handleAnesthesiaChange(val) {
+  const selected = anesthesiaNameList.value.find(item => item.name === val)
+  if (selected) {
+    // 设置麻醉费用 (增加对多种字段名和类型的兼容)
+    const price = selected.retailPrice ?? selected.retail_price ?? selected.price ?? selected.salePrice ?? 0
+    form.value.anesthesiaFee = parseFloat(price)
+    
+    // 尝试根据名称映射麻醉方式枚举
+    form.value.anesthesiaTypeEnum = mapAnesthesiaNameToEnum(selected.name)
+  }
+}
+
+// 次要手术麻醉项目选择变更
+function handleSecondaryAnesthesiaChange(val, row) {
+  const selected = anesthesiaNameList.value.find(item => item.name === val)
+  if (selected) {
+    // 设置该次要手术的麻醉费用
+    const price = selected.retailPrice ?? selected.retail_price ?? selected.price ?? selected.salePrice ?? 0
+    row.anesthesiaFee = parseFloat(price)
+    row.anesthesiaTypeEnum = mapAnesthesiaNameToEnum(selected.name)
+    row.anesthesiaName = selected.name
+  }
+}
+
+// 辅助方法：将麻醉名称映射为枚举值
+function mapAnesthesiaNameToEnum(name) {
+  if (!name) return undefined
+  if (name.includes('局部')) return 1
+  if (name.includes('区域')) return 2
+  if (name.includes('全身') || name.includes('全麻')) return 3
+  if (name.includes('脊椎')) return 4
+  if (name.includes('硬膜外')) return 5
+  if (name.includes('表面')) return 6
+  return undefined
+}
+
+// 次要手术项目选择变更
+function handleSecondarySurgeryChange(val, row) {
+  const selected = surgeryNameList.value.find(item => item.name === val)
+  if (selected) {
+    row.surgeryCode = selected.busNo
+    row.surgeryName = selected.name
+    // 设置次要手术费用
+    const price = selected.retailPrice ?? selected.retail_price ?? selected.price ?? selected.salePrice ?? 0
+    row.surgeryFee = parseFloat(price)
+    // 自动填充等级信息（如果后端返回了）
+    if (selected.level) row.surgeryLevel = selected.level
+  }
+}
+
+// 添加次要手术
+function addAppendSurgery() {
+  form.value.secondarySurgeries.push({
+    surgeryName: '',
+    surgeryCode: '',
+    surgeryLevel: undefined,
+    incisionLevel: undefined,
+    anesthesiaTypeEnum: undefined
+  })
+}
+
+// 移除次要手术
+function removeSecondarySurgery(index) {
+  form.value.secondarySurgeries.splice(index, 1)
 }
 
 // 提交表单
 function submitForm() {
   proxy.$refs['surgeryRef'].validate((valid) => {
     if (valid) {
+      console.log('【提交表单】完整表单数据:', JSON.parse(JSON.stringify(form.value)))
+      console.log('【提交表单】手术指征字段值:', form.value.surgeryIndication)
+      console.log('【提交表单】手术指征字段类型:', typeof form.value.surgeryIndication)
+      
       if (form.value.id == undefined) {
         // 新增手术
         addSurgery(form.value).then((res) => {
@@ -579,15 +1054,24 @@ function reset() {
     applyDeptName: undefined,
     surgeryNo: undefined,
     surgeryName: undefined,
+    surgeryCode: undefined,
     surgeryTypeEnum: undefined,
     surgeryLevel: undefined,
     plannedTime: undefined,
     mainSurgeonId: undefined,
-    assistantId: undefined,
+    assistant1Id: undefined,
+    assistant2Id: undefined,
     anesthesiaTypeEnum: undefined,
+    anesthesiaName: undefined,
+    anesthesiaFee: undefined,
+    surgeryFee: undefined,
+    totalFee: undefined,
     incisionLevel: undefined,
     preoperativeDiagnosis: undefined,
-    surgeryIndication: undefined
+    surgeryIndication: undefined,
+    emergencyFlag: 0,
+    implantFlag: 0,
+    secondarySurgeries: []
   }
   if (surgeryRef.value) {
     surgeryRef.value.resetFields()