perf(doctorstation): 优化数据库查询性能添加LIMIT 1限制

- 在手术记录查询中添加.last("LIMIT 1")避免全表扫描
- 在费用项查询中添加.last("LIMIT 1")提高查询效率
- 在库存项查询中添加.last("LIMIT 1")减少数据检索量
- 在病历查询中添加.last("LIMIT 1")并按创建时间降序排列
- 在组织机构查询中添加.last("LIMIT 1")限制返回结果
- 在检验申请单查询中添加.last("LIMIT 1)")优化查找性能
- 在分诊队列项查询中添加.last("LIMIT 1)")提升检索速度

openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationAdviceAppServiceImpl.java

@@ -1920,7 +1920,7 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
                     Surgery surgery = iSurgeryService.getOne(
                         new LambdaQueryWrapper<Surgery>()
                             .eq(Surgery::getSurgeryNo, prescriptionNo)
-                            .and(w -> w.isNull(Surgery::getDeleteFlag).or().eq(Surgery::getDeleteFlag, "0")));
+                            .and(w -> w.isNull(Surgery::getDeleteFlag).or().eq(Surgery::getDeleteFlag, "0")).last("LIMIT 1"));
                     if (surgery != null) {
                         iSurgeryService.removeById(surgery.getId());
                         log.info("handService - 级联删除手术记录 cli_surgery: surgeryNo={}, id={}", prescriptionNo, surgery.getId());
@@ -2186,7 +2186,7 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
                             .eq(ChargeItem::getServiceId, adviceSaveDto.getRequestId())
                             .eq(ChargeItem::getServiceTable, CommonConstants.TableName.WOR_SERVICE_REQUEST)
                             .eq(ChargeItem::getDeleteFlag, DelFlag.NO.getCode())
-                    );
+                    .last("LIMIT 1"));
                     log.info("BugFix#328: 通过requestId查询费用项，requestId={}, chargeItem={}", 
                             adviceSaveDto.getRequestId(), existingChargeItem != null ? existingChargeItem.getId() : "null");
                 }
@@ -2295,7 +2295,7 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
                         new LambdaQueryWrapper<InventoryItem>()
                             .eq(InventoryItem::getItemId, dispense.getMedicationId())
                             .eq(InventoryItem::getLotNumber, dispense.getLotNumber())
-                    );
+                    .last("LIMIT 1"));
                     
                     if (inventoryItem != null) {
                         // 计算回滚后的数量（加上已发放的数量）

openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationEmrAppServiceImpl.java

@@ -75,7 +75,7 @@ public class DoctorStationEmrAppServiceImpl implements IDoctorStationEmrAppServi
         Emr emr = new Emr();
         BeanUtils.copyProperties(patientEmrDto, emr);
         String contextStr = patientEmrDto.getContextJson().toString();
-        Emr patientEmr = emrService.getOne(new LambdaQueryWrapper<Emr>().eq(Emr::getEncounterId, emr.getEncounterId()));
+        Emr patientEmr = emrService.getOne(new LambdaQueryWrapper<Emr>().eq(Emr::getEncounterId, emr.getEncounterId()).last("LIMIT 1"));
         boolean saveSuccess;
         // 如果已经保存病历，再次保存走更新
         if (patientEmr != null) {
@@ -137,7 +137,7 @@ public class DoctorStationEmrAppServiceImpl implements IDoctorStationEmrAppServi
     @Override
     public R<?> getEmrDetail(Long encounterId) {
         // 先查询门诊病历(emr表)
-        Emr emrDetail = emrService.getOne(new LambdaQueryWrapper<Emr>().eq(Emr::getEncounterId, encounterId));
+        Emr emrDetail = emrService.getOne(new LambdaQueryWrapper<Emr>().eq(Emr::getEncounterId, encounterId).orderByDesc(Emr::getCreateTime).last("LIMIT 1"));
         if (emrDetail != null) {
             return R.ok(emrDetail);
         }
@@ -266,7 +266,7 @@ public class DoctorStationEmrAppServiceImpl implements IDoctorStationEmrAppServi
     public R<?> checkNeedWriteEmr(Long encounterId) {
         // 检查该就诊记录是否已经有病历
         Emr existingEmr = emrService.getOne(
-            new LambdaQueryWrapper<Emr>().eq(Emr::getEncounterId, encounterId)
+            new LambdaQueryWrapper<Emr>().eq(Emr::getEncounterId, encounterId).last("LIMIT 1")
         );
 
         // 如果没有病历，则需要写病历

openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationLabApplyServiceImpl.java

@@ -274,7 +274,7 @@ public class DoctorStationLabApplyServiceImpl implements IDoctorStationInspectio
                     new QueryWrapper<Organization>()
                         .eq("bus_no", performDeptCode)
                         .eq("delete_flag", "0")
-                );
+                .last("LIMIT 1"));
                 if (organization != null) {
                     positionId = organization.getId();
                 } else {
@@ -410,7 +410,7 @@ public class DoctorStationLabApplyServiceImpl implements IDoctorStationInspectio
             new QueryWrapper<InspectionLabApply>()
                 .eq("apply_no", applyNo)
                 .eq("delete_flag", DelFlag.NO.getCode())
-        );
+                .last("LIMIT 1"));
 
         if (mainEntity == null) {
             return null;
@@ -532,7 +532,7 @@ public class DoctorStationLabApplyServiceImpl implements IDoctorStationInspectio
             // 1. 根据申请单号查询检验申请单信息
             InspectionLabApply inspectionLabApply = inspectionLabApplyService.getOne(
                 new QueryWrapper<InspectionLabApply>().eq("apply_no", applyNo)
-            );
+                .last("LIMIT 1"));
 
             if (inspectionLabApply == null) {
                 log.warn("未找到申请单号为 [{}] 的检验申请单", applyNo);

openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationMainAppServiceImpl.java

@@ -215,7 +215,7 @@ public class DoctorStationMainAppServiceImpl implements IDoctorStationMainAppSer
                     // 限定当天日期，避免复诊患者匹配到历史队列记录
                     .eq(TriageQueueItem::getQueueDate, LocalDate.now())
                     .eq(TriageQueueItem::getDeleteFlag, "0")
-            );
+            .last("LIMIT 1"));
             if (queueItem != null) {
                 // 使用 TriageQueueStatus 枚举替代原有硬编码数字 20，保证状态值一致性
                 queueItem.setStatus(TriageQueueStatus.IN_CLINIC.getValue());
@@ -282,7 +282,7 @@ public class DoctorStationMainAppServiceImpl implements IDoctorStationMainAppSer
                 .eq(TriageQueueItem::getEncounterId, encounterId)
                 .eq(TriageQueueItem::getQueueDate, LocalDate.now())
                 .eq(TriageQueueItem::getDeleteFlag, "0")
-        );
+        .last("LIMIT 1"));
 
         // 当天未找到时回退：不限日期查最近一条（防止跨日就诊队列项遗漏更新）
         if (queueItem == null) {
@@ -292,8 +292,8 @@ public class DoctorStationMainAppServiceImpl implements IDoctorStationMainAppSer
                     .eq(TriageQueueItem::getEncounterId, encounterId)
                     .eq(TriageQueueItem::getDeleteFlag, "0")
                     .orderByDesc(TriageQueueItem::getQueueDate)
-                    .last("LIMIT 1")
-            );
+                    .last("LIMIT 1"));
+
             if (queueItem != null) {
                 log.warn("完诊：当天队列项未找到，回退使用最近队列记录 queueDate={}, id={}",
                     queueItem.getQueueDate(), queueItem.getId());