feat(anesthesia): 术中生命体征5min间隔监测

healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/anesthesia/appservice/IAnesthesiaAppService.java

@@ -36,4 +36,8 @@ public interface IAnesthesiaAppService {
     AnesAsaAssessment saveAsaAssessment(AnesAsaAssessment assessment);
 
     List<AnesAsaAssessment> getAsaAssessments(Long recordId);
+
+    AnesthesiaVitalSign recordVitalSign(AnesthesiaVitalSign vitalSign);
+
+    List<AnesthesiaVitalSign> getVitalSignTimeline(Long recordId);
 }

healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/anesthesia/appservice/impl/AnesthesiaAppServiceImpl.java

@@ -146,4 +146,16 @@ public class AnesthesiaAppServiceImpl implements IAnesthesiaAppService {
     public List<AnesAsaAssessment> getAsaAssessments(Long recordId) {
         return anesAsaAssessmentService.selectByRecordId(recordId);
     }
+
+    @Override
+    @Transactional
+    public AnesthesiaVitalSign recordVitalSign(AnesthesiaVitalSign vitalSign) {
+        anesthesiaVitalSignService.save(vitalSign);
+        return vitalSign;
+    }
+
+    @Override
+    public List<AnesthesiaVitalSign> getVitalSignTimeline(Long recordId) {
+        return anesthesiaVitalSignService.selectByRecordId(recordId);
+    }
 }

healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/anesthesia/controller/AnesthesiaController.java

@@ -150,4 +150,18 @@ public class AnesthesiaController {
     public R<List<AnesAsaAssessment>> getAsaAssessments(@PathVariable Long recordId) {
         return R.ok(anesthesiaAppService.getAsaAssessments(recordId));
     }
+
+    @PostMapping("/vital-sign/record")
+    @Operation(summary = "记录术中生命体征")
+    @PreAuthorize("@ss.hasPermi('inpatient:anesthesia:edit')")
+    public R<AnesthesiaVitalSign> recordVitalSign(@RequestBody AnesthesiaVitalSign vitalSign) {
+        return R.ok(anesthesiaAppService.recordVitalSign(vitalSign));
+    }
+
+    @GetMapping("/vital-sign/timeline/{recordId}")
+    @Operation(summary = "查询生命体征时间线")
+    @PreAuthorize("@ss.hasPermi('inpatient:anesthesia:list')")
+    public R<List<AnesthesiaVitalSign>> getVitalSignTimeline(@PathVariable Long recordId) {
+        return R.ok(anesthesiaAppService.getVitalSignTimeline(recordId));
+    }
 }

healthlink-his-ui/src/api/anesthesia.js

@@ -77,3 +77,11 @@ export function saveAsaAssessment(data) {
 export function getAsaAssessments(recordId) {
   return request({ url: '/api/v1/anesthesia/asa-assessment/' + recordId, method: 'get' })
 }
+
+export function recordVitalSign(data) {
+  return request({ url: '/api/v1/anesthesia/vital-sign/record', method: 'post', data })
+}
+
+export function getVitalSignTimeline(recordId) {
+  return request({ url: '/api/v1/anesthesia/vital-sign/timeline/' + recordId, method: 'get' })
+}

healthlink-his-ui/src/views/inpatientDoctor/IntraopVitalSign.vue

@@ -0,0 +1,315 @@
+<template>
+  <div class="intraop-vital-sign-container">
+    <el-card v-loading="loading">
+      <template #header>
+        <div class="card-header">
+          <span>术中生命体征监测</span>
+          <div class="header-actions">
+            <el-select v-model="currentRecordId" placeholder="选择麻醉记录" style="width: 220px" @change="loadTimeline">
+              <el-option v-for="item in recordOptions" :key="item.id" :label="item.id + ' - ' + (item.patientName || '')" :value="item.id" />
+            </el-select>
+            <el-button type="primary" size="small" :disabled="!currentRecordId" @click="handleRecord">录入体征</el-button>
+          </div>
+        </div>
+      </template>
+
+      <div v-if="!currentRecordId" class="empty-tip">
+        <el-empty description="请先选择一条麻醉记录" />
+      </div>
+
+      <div v-else>
+        <el-table :data="timelineData" border style="width: 100%" size="small">
+          <el-table-column type="index" label="序号" width="55" align="center" />
+          <el-table-column prop="recordTime" label="记录时间" width="170" />
+          <el-table-column prop="heartRate" label="心率(bpm)" width="95" align="center" />
+          <el-table-column label="血压(mmHg)" width="120" align="center">
+            <template #default="scope">
+              {{ scope.row.bloodPressureSys }}/{{ scope.row.bloodPressureDia }}
+            </template>
+          </el-table-column>
+          <el-table-column prop="spo2" label="SpO2(%)" width="90" align="center" />
+          <el-table-column prop="etco2" label="EtCO2(mmHg)" width="105" align="center" />
+          <el-table-column prop="temperature" label="体温(℃)" width="90" align="center" />
+          <el-table-column prop="respiratoryRate" label="呼吸(次/分)" width="100" align="center" />
+          <el-table-column prop="remark" label="备注" min-width="120" show-overflow-tooltip />
+        </el-table>
+
+        <div v-if="timelineData.length > 0" class="trend-section">
+          <div class="trend-title">趋势概览</div>
+          <div class="trend-cards">
+            <div class="trend-card">
+              <div class="trend-label">心率</div>
+              <div class="trend-range">
+                <span class="trend-min">{{ minVal('heartRate') }}</span>
+                <span class="trend-sep">~</span>
+                <span class="trend-max">{{ maxVal('heartRate') }}</span>
+                <span class="trend-unit">bpm</span>
+              </div>
+            </div>
+            <div class="trend-card">
+              <div class="trend-label">血压</div>
+              <div class="trend-range">
+                <span class="trend-min">{{ minVal('bloodPressureSys') }}</span>
+                <span class="trend-sep">/</span>
+                <span class="trend-max">{{ maxVal('bloodPressureDia') }}</span>
+                <span class="trend-unit">mmHg</span>
+              </div>
+            </div>
+            <div class="trend-card">
+              <div class="trend-label">SpO2</div>
+              <div class="trend-range">
+                <span class="trend-min">{{ minVal('spo2') }}</span>
+                <span class="trend-sep">~</span>
+                <span class="trend-max">{{ maxVal('spo2') }}</span>
+                <span class="trend-unit">%</span>
+              </div>
+            </div>
+            <div class="trend-card">
+              <div class="trend-label">体温</div>
+              <div class="trend-range">
+                <span class="trend-min">{{ minVal('temperature') }}</span>
+                <span class="trend-sep">~</span>
+                <span class="trend-max">{{ maxVal('temperature') }}</span>
+                <span class="trend-unit">℃</span>
+              </div>
+            </div>
+            <div class="trend-card">
+              <div class="trend-label">呼吸</div>
+              <div class="trend-range">
+                <span class="trend-min">{{ minVal('respiratoryRate') }}</span>
+                <span class="trend-sep">~</span>
+                <span class="trend-max">{{ maxVal('respiratoryRate') }}</span>
+                <span class="trend-unit">次/分</span>
+              </div>
+            </div>
+          </div>
+        </div>
+      </div>
+    </el-card>
+
+    <el-dialog v-model="recordDialogVisible" title="录入术中生命体征" width="520px" destroy-on-close :close-on-click-modal="false">
+      <el-form ref="recordFormRef" :model="recordForm" :rules="recordRules" label-width="110px">
+        <el-row :gutter="16">
+          <el-col :span="12">
+            <el-form-item label="心率(bpm)" prop="heartRate">
+              <el-input-number v-model="recordForm.heartRate" :min="30" :max="250" style="width: 100%" />
+            </el-form-item>
+          </el-col>
+          <el-col :span="12">
+            <el-form-item label="收缩压(mmHg)" prop="bloodPressureSys">
+              <el-input-number v-model="recordForm.bloodPressureSys" :min="50" :max="300" style="width: 100%" />
+            </el-form-item>
+          </el-col>
+          <el-col :span="12">
+            <el-form-item label="舒张压(mmHg)" prop="bloodPressureDia">
+              <el-input-number v-model="recordForm.bloodPressureDia" :min="20" :max="200" style="width: 100%" />
+            </el-form-item>
+          </el-col>
+          <el-col :span="12">
+            <el-form-item label="SpO2(%)" prop="spo2">
+              <el-input-number v-model="recordForm.spo2" :min="50" :max="100" :step="0.1" :precision="1" style="width: 100%" />
+            </el-form-item>
+          </el-col>
+          <el-col :span="12">
+            <el-form-item label="EtCO2(mmHg)">
+              <el-input-number v-model="recordForm.etco2" :min="0" :max="100" :step="0.1" :precision="1" style="width: 100%" />
+            </el-form-item>
+          </el-col>
+          <el-col :span="12">
+            <el-form-item label="体温(℃)" prop="temperature">
+              <el-input-number v-model="recordForm.temperature" :min="34" :max="42" :step="0.1" :precision="1" style="width: 100%" />
+            </el-form-item>
+          </el-col>
+          <el-col :span="12">
+            <el-form-item label="呼吸(次/分)" prop="respiratoryRate">
+              <el-input-number v-model="recordForm.respiratoryRate" :min="5" :max="60" style="width: 100%" />
+            </el-form-item>
+          </el-col>
+          <el-col :span="12">
+            <el-form-item label="记录时间" prop="recordTime">
+              <el-date-picker v-model="recordForm.recordTime" type="datetime" placeholder="选择时间" value-format="YYYY-MM-DD HH:mm:ss" style="width: 100%" />
+            </el-form-item>
+          </el-col>
+          <el-col :span="24">
+            <el-form-item label="备注">
+              <el-input v-model="recordForm.remark" type="textarea" :rows="2" placeholder="请输入备注" />
+            </el-form-item>
+          </el-col>
+        </el-row>
+      </el-form>
+      <template #footer>
+        <el-button @click="recordDialogVisible = false">取消</el-button>
+        <el-button type="primary" :loading="submitLoading" @click="submitRecord">保存</el-button>
+      </template>
+    </el-dialog>
+  </div>
+</template>
+
+<script setup>
+import { ref, reactive, onMounted } from 'vue'
+import { ElMessage } from 'element-plus'
+import { getByEncounter, getVitalSignTimeline, recordVitalSign } from '@/api/anesthesia'
+
+const loading = ref(false)
+const submitLoading = ref(false)
+const currentRecordId = ref(null)
+const recordOptions = ref([])
+const timelineData = ref([])
+const recordDialogVisible = ref(false)
+const recordFormRef = ref(null)
+
+const recordForm = reactive({
+  heartRate: null,
+  bloodPressureSys: null,
+  bloodPressureDia: null,
+  spo2: null,
+  etco2: null,
+  temperature: null,
+  respiratoryRate: null,
+  recordTime: '',
+  remark: ''
+})
+
+const recordRules = {
+  heartRate: [{ required: true, message: '请输入心率', trigger: 'blur' }],
+  bloodPressureSys: [{ required: true, message: '请输入收缩压', trigger: 'blur' }],
+  bloodPressureDia: [{ required: true, message: '请输入舒张压', trigger: 'blur' }],
+  spo2: [{ required: true, message: '请输入血氧饱和度', trigger: 'blur' }],
+  temperature: [{ required: true, message: '请输入体温', trigger: 'blur' }],
+  respiratoryRate: [{ required: true, message: '请输入呼吸频率', trigger: 'blur' }],
+  recordTime: [{ required: true, message: '请选择记录时间', trigger: 'change' }]
+}
+
+function minVal(field) {
+  if (timelineData.value.length === 0) return '-'
+  const vals = timelineData.value.map(item => item[field]).filter(v => v != null)
+  return vals.length > 0 ? Math.min(...vals) : '-'
+}
+
+function maxVal(field) {
+  if (timelineData.value.length === 0) return '-'
+  const vals = timelineData.value.map(item => item[field]).filter(v => v != null)
+  return vals.length > 0 ? Math.max(...vals) : '-'
+}
+
+function loadRecordOptions() {
+  getByEncounter(1).then(res => {
+    recordOptions.value = res.data || []
+  }).catch(() => {})
+}
+
+function loadTimeline() {
+  if (!currentRecordId.value) return
+  loading.value = true
+  getVitalSignTimeline(currentRecordId.value).then(res => {
+    timelineData.value = res.data || []
+  }).catch(() => {
+    ElMessage.error('查询时间线失败')
+  }).finally(() => {
+    loading.value = false
+  })
+}
+
+function handleRecord() {
+  recordForm.heartRate = null
+  recordForm.bloodPressureSys = null
+  recordForm.bloodPressureDia = null
+  recordForm.spo2 = null
+  recordForm.etco2 = null
+  recordForm.temperature = null
+  recordForm.respiratoryRate = null
+  recordForm.recordTime = ''
+  recordForm.remark = ''
+  recordDialogVisible.value = true
+}
+
+function submitRecord() {
+  recordFormRef.value?.validate(valid => {
+    if (!valid) return
+    submitLoading.value = true
+    const payload = {
+      ...recordForm,
+      recordId: currentRecordId.value
+    }
+    recordVitalSign(payload).then(res => {
+      if (res.code === 200) {
+        ElMessage.success('生命体征已记录')
+        recordDialogVisible.value = false
+        loadTimeline()
+      } else {
+        ElMessage.error(res.msg || '记录失败')
+      }
+    }).catch(() => {
+      ElMessage.error('记录失败')
+    }).finally(() => {
+      submitLoading.value = false
+    })
+  })
+}
+
+onMounted(() => {
+  loadRecordOptions()
+})
+</script>
+
+<style scoped>
+.intraop-vital-sign-container {
+  padding: 12px;
+}
+.card-header {
+  display: flex;
+  justify-content: space-between;
+  align-items: center;
+}
+.header-actions {
+  display: flex;
+  gap: 10px;
+  align-items: center;
+}
+.empty-tip {
+  padding: 40px 0;
+}
+.trend-section {
+  margin-top: 20px;
+  border-top: 1px solid #ebeef5;
+  padding-top: 16px;
+}
+.trend-title {
+  font-size: 14px;
+  font-weight: 600;
+  margin-bottom: 12px;
+  color: #303133;
+}
+.trend-cards {
+  display: flex;
+  gap: 16px;
+  flex-wrap: wrap;
+}
+.trend-card {
+  flex: 1;
+  min-width: 120px;
+  background: #f5f7fa;
+  border-radius: 6px;
+  padding: 12px;
+  text-align: center;
+}
+.trend-label {
+  font-size: 12px;
+  color: #909399;
+  margin-bottom: 6px;
+}
+.trend-range {
+  font-size: 18px;
+  font-weight: 600;
+  color: #303133;
+}
+.trend-sep {
+  color: #c0c4cc;
+  margin: 0 2px;
+}
+.trend-unit {
+  font-size: 11px;
+  color: #909399;
+  margin-left: 2px;
+}
+</style>