Merge remote-tracking branch 'origin/develop' into guanyu

2026-06-17 13:20:04 +08:00
parent e19d229a94 f0d20a8d79
commit cee0a2152a
21 changed files with 1750 additions and 0 deletions
--- a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/anesthesia/appservice/IAnesthesiaAppService.java
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/anesthesia/appservice/IAnesthesiaAppService.java
@@ -1,8 +1,11 @@
 package com.healthlink.his.web.anesthesia.appservice;

+import com.healthlink.his.anesthesia.domain.AnesAsaAssessment;
+import com.healthlink.his.anesthesia.domain.AnesSummary;
 import com.healthlink.his.anesthesia.domain.AnesthesiaFollowup;
 import com.healthlink.his.anesthesia.domain.AnesthesiaIoRecord;
 import com.healthlink.his.anesthesia.domain.AnesthesiaMedication;
+import com.healthlink.his.anesthesia.domain.AnesthesiaPostopFollowup;
 import com.healthlink.his.anesthesia.domain.AnesthesiaRecord;
 import com.healthlink.his.anesthesia.domain.AnesthesiaVitalSign;
 import com.healthlink.his.anesthesia.dto.AnesthesiaIoSummaryDto;
@@ -31,4 +34,20 @@ public interface IAnesthesiaAppService {
    AnesthesiaIoSummaryDto getIoSummary(Long recordId);

    void completeRecord(Long recordId);
+
+    AnesAsaAssessment saveAsaAssessment(AnesAsaAssessment assessment);
+
+    List<AnesAsaAssessment> getAsaAssessments(Long recordId);
+
+    AnesthesiaVitalSign recordVitalSign(AnesthesiaVitalSign vitalSign);
+
+    List<AnesthesiaVitalSign> getVitalSignTimeline(Long recordId);
+
+    AnesSummary saveSummary(AnesSummary summary);
+
+    AnesSummary getSummary(Long recordId);
+
+    AnesthesiaPostopFollowup recordFollowup(AnesthesiaPostopFollowup followup);
+
+    List<AnesthesiaPostopFollowup> getFollowups(Long encounterId);
 }
--- a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/anesthesia/appservice/impl/AnesthesiaAppServiceImpl.java
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/anesthesia/appservice/impl/AnesthesiaAppServiceImpl.java
@@ -1,18 +1,25 @@
 package com.healthlink.his.web.anesthesia.appservice.impl;

+import com.healthlink.his.anesthesia.domain.AnesAsaAssessment;
+import com.healthlink.his.anesthesia.domain.AnesSummary;
 import com.healthlink.his.anesthesia.domain.AnesthesiaFollowup;
 import com.healthlink.his.anesthesia.domain.AnesthesiaIoRecord;
 import com.healthlink.his.anesthesia.domain.AnesthesiaMedication;
+import com.healthlink.his.anesthesia.domain.AnesthesiaPostopFollowup;
 import com.healthlink.his.anesthesia.domain.AnesthesiaRecord;
 import com.healthlink.his.anesthesia.domain.AnesthesiaVitalSign;
 import com.healthlink.his.anesthesia.dto.AnesthesiaIoSummaryDto;
 import com.healthlink.his.anesthesia.dto.AnesthesiaRecordDetailDto;
+import com.healthlink.his.anesthesia.service.IAnesAsaAssessmentService;
+import com.healthlink.his.anesthesia.service.IAnesSummaryService;
 import com.healthlink.his.anesthesia.service.IAnesthesiaFollowupService;
 import com.healthlink.his.anesthesia.service.IAnesthesiaIoRecordService;
+import com.healthlink.his.anesthesia.service.IAnesthesiaPostopFollowupService;
 import com.healthlink.his.anesthesia.service.IAnesthesiaMedicationService;
 import com.healthlink.his.anesthesia.service.IAnesthesiaRecordService;
 import com.healthlink.his.anesthesia.service.IAnesthesiaVitalSignService;
 import com.healthlink.his.web.anesthesia.appservice.IAnesthesiaAppService;
+import com.baomidou.mybatisplus.core.conditions.query.LambdaQueryWrapper;
 import jakarta.annotation.Resource;
 import org.springframework.stereotype.Service;
 import org.springframework.transaction.annotation.Transactional;
@@ -39,6 +46,15 @@ public class AnesthesiaAppServiceImpl implements IAnesthesiaAppService {
    @Resource
    private IAnesthesiaFollowupService anesthesiaFollowupService;

+    @Resource
+    private IAnesAsaAssessmentService anesAsaAssessmentService;
+
+    @Resource
+    private IAnesSummaryService anesSummaryService;
+
+    @Resource
+    private IAnesthesiaPostopFollowupService anesthesiaPostopFollowupService;
+
    @Override
    @Transactional
    public AnesthesiaRecord createRecord(AnesthesiaRecord record) {
@@ -125,4 +141,74 @@ public class AnesthesiaAppServiceImpl implements IAnesthesiaAppService {
        record.setEndTime(new Date());
        anesthesiaRecordService.updateById(record);
    }
+
+    @Override
+    @Transactional
+    public AnesAsaAssessment saveAsaAssessment(AnesAsaAssessment assessment) {
+        if (assessment.getId() != null) {
+            anesAsaAssessmentService.updateById(assessment);
+        } else {
+            anesAsaAssessmentService.save(assessment);
+        }
+        return assessment;
+    }
+
+    @Override
+    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);
+    }
+
+    @Override
+    @Transactional
+    public AnesSummary saveSummary(AnesSummary summary) {
+        if (summary.getId() != null) {
+            anesSummaryService.updateById(summary);
+        } else {
+            AnesSummary existing = anesSummaryService.selectByRecordId(summary.getRecordId());
+            if (existing != null) {
+                summary.setId(existing.getId());
+                anesSummaryService.updateById(summary);
+            } else {
+                anesSummaryService.save(summary);
+            }
+        }
+        return summary;
+    }
+
+    @Override
+    public AnesSummary getSummary(Long recordId) {
+        return anesSummaryService.selectByRecordId(recordId);
+    }
+
+    @Override
+    @Transactional(rollbackFor = Exception.class)
+    public AnesthesiaPostopFollowup recordFollowup(AnesthesiaPostopFollowup followup) {
+        if (followup.getId() != null) {
+            anesthesiaPostopFollowupService.updateById(followup);
+        } else {
+            followup.setStatus(0);
+            anesthesiaPostopFollowupService.save(followup);
+        }
+        return followup;
+    }
+
+    @Override
+    public List<AnesthesiaPostopFollowup> getFollowups(Long encounterId) {
+        LambdaQueryWrapper<AnesthesiaPostopFollowup> wrapper = new LambdaQueryWrapper<>();
+        wrapper.eq(AnesthesiaPostopFollowup::getEncounterId, encounterId)
+               .orderByDesc(AnesthesiaPostopFollowup::getFollowupTime);
+        return anesthesiaPostopFollowupService.list(wrapper);
+    }
 }
--- a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/anesthesia/controller/AnesthesiaController.java
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/anesthesia/controller/AnesthesiaController.java
@@ -1,9 +1,12 @@
 package com.healthlink.his.web.anesthesia.controller;

 import com.core.common.core.domain.R;
+import com.healthlink.his.anesthesia.domain.AnesAsaAssessment;
+import com.healthlink.his.anesthesia.domain.AnesSummary;
 import com.healthlink.his.anesthesia.domain.AnesthesiaFollowup;
 import com.healthlink.his.anesthesia.domain.AnesthesiaIoRecord;
 import com.healthlink.his.anesthesia.domain.AnesthesiaMedication;
+import com.healthlink.his.anesthesia.domain.AnesthesiaPostopFollowup;
 import com.healthlink.his.anesthesia.domain.AnesthesiaRecord;
 import com.healthlink.his.anesthesia.domain.AnesthesiaVitalSign;
 import com.healthlink.his.anesthesia.dto.AnesthesiaIoSummaryDto;
@@ -17,6 +20,7 @@ import com.healthlink.his.web.anesthesia.appservice.IAnesthesiaAppService;
 import io.swagger.v3.oas.annotations.Operation;
 import io.swagger.v3.oas.annotations.tags.Tag;
 import jakarta.annotation.Resource;
+import org.springframework.security.access.prepost.PreAuthorize;
 import org.springframework.web.bind.annotation.*;

 import java.util.List;
@@ -134,4 +138,60 @@ public class AnesthesiaController {
        anesthesiaAppService.completeRecord(id);
        return R.ok();
    }
+
+    @PostMapping("/asa-assessment")
+    @Operation(summary = "保存ASA评估")
+    @PreAuthorize("@ss.hasPermi('inpatient:anesthesia:edit')")
+    public R<AnesAsaAssessment> saveAsaAssessment(@RequestBody AnesAsaAssessment assessment) {
+        return R.ok(anesthesiaAppService.saveAsaAssessment(assessment));
+    }
+
+    @GetMapping("/asa-assessment/{recordId}")
+    @Operation(summary = "查询ASA评估列表")
+    @PreAuthorize("@ss.hasPermi('inpatient:anesthesia:list')")
+    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));
+    }
+
+    @PostMapping("/summary")
+    @Operation(summary = "保存麻醉小结")
+    @PreAuthorize("@ss.hasPermi('inpatient:anesthesia:edit')")
+    public R<AnesSummary> saveSummary(@RequestBody AnesSummary summary) {
+        return R.ok(anesthesiaAppService.saveSummary(summary));
+    }
+
+    @GetMapping("/summary/{recordId}")
+    @Operation(summary = "获取麻醉小结")
+    @PreAuthorize("@ss.hasPermi('inpatient:anesthesia:list')")
+    public R<AnesSummary> getSummary(@PathVariable Long recordId) {
+        return R.ok(anesthesiaAppService.getSummary(recordId));
+    }
+
+    @PostMapping("/postop-followup")
+    @Operation(summary = "记录术后随访")
+    @PreAuthorize("@ss.hasPermi('inpatient:anesthesia:edit')")
+    public R<AnesthesiaPostopFollowup> recordFollowup(@RequestBody AnesthesiaPostopFollowup followup) {
+        return R.ok(anesthesiaAppService.recordFollowup(followup));
+    }
+
+    @GetMapping("/postop-followup/{encounterId}")
+    @Operation(summary = "查询术后随访列表")
+    @PreAuthorize("@ss.hasPermi('inpatient:anesthesia:list')")
+    public R<List<AnesthesiaPostopFollowup>> getPostopFollowups(@PathVariable Long encounterId) {
+        return R.ok(anesthesiaAppService.getFollowups(encounterId));
+    }
 }
--- a/healthlink-his-server/healthlink-his-application/src/main/resources/db/migration/V62__anes_asa_assessment.sql
+++ b/healthlink-his-server/healthlink-his-application/src/main/resources/db/migration/V62__anes_asa_assessment.sql
@@ -0,0 +1,26 @@
+CREATE TABLE anes_asa_assessment (
+  id BIGSERIAL PRIMARY KEY,
+  record_id BIGINT NOT NULL,
+  encounter_id BIGINT NOT NULL,
+  patient_id BIGINT NOT NULL,
+  asa_grade VARCHAR(5) NOT NULL,
+  assessment_time TIMESTAMP NOT NULL,
+  assessor_id BIGINT NOT NULL,
+  assessor_name VARCHAR(50),
+  airway_assessment TEXT,
+  mallampati_grade VARCHAR(5),
+  neck_mobility VARCHAR(50),
+  mouth_opening_cm DECIMAL(4,1),
+  weight_kg DECIMAL(6,2),
+  height_cm DECIMAL(5,1),
+  bmi DECIMAL(5,1),
+  npo_hours INTEGER,
+  asa_factors TEXT,
+  risk_level VARCHAR(20),
+  tenant_id BIGINT DEFAULT 0,
+  delete_flag CHAR(1) DEFAULT '0',
+  create_time TIMESTAMP DEFAULT CURRENT_TIMESTAMP,
+  create_by VARCHAR(64),
+  update_time TIMESTAMP,
+  update_by VARCHAR(64)
+);
--- a/healthlink-his-server/healthlink-his-application/src/main/resources/db/migration/V63__anes_summary.sql
+++ b/healthlink-his-server/healthlink-his-application/src/main/resources/db/migration/V63__anes_summary.sql
@@ -0,0 +1,29 @@
+CREATE TABLE anes_summary (
+  id BIGSERIAL PRIMARY KEY,
+  record_id BIGINT NOT NULL,
+  encounter_id BIGINT NOT NULL,
+  patient_id BIGINT NOT NULL,
+  anesthesia_type VARCHAR(32),
+  anesthesia_start_time TIMESTAMP,
+  anesthesia_end_time TIMESTAMP,
+  surgery_start_time TIMESTAMP,
+  surgery_end_time TIMESTAMP,
+  intraop_blood_loss_ml INTEGER,
+  intraop_urine_ml INTEGER,
+  intraop_fluid_ml INTEGER,
+  blood_transfusion_ml INTEGER,
+  complications TEXT,
+  has_complications BOOLEAN DEFAULT FALSE,
+  airway_management VARCHAR(50),
+  extubation_time TIMESTAMP,
+  patient_condition VARCHAR(50),
+  summary TEXT,
+  anesthetist_id BIGINT,
+  anesthetist_name VARCHAR(50),
+  tenant_id BIGINT DEFAULT 0,
+  delete_flag CHAR(1) DEFAULT '0',
+  create_time TIMESTAMP DEFAULT CURRENT_TIMESTAMP,
+  create_by VARCHAR(64),
+  update_time TIMESTAMP,
+  update_by VARCHAR(64)
+);
--- a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/anesthesia/domain/AnesAsaAssessment.java
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/anesthesia/domain/AnesAsaAssessment.java
@@ -0,0 +1,58 @@
+package com.healthlink.his.anesthesia.domain;
+
+import com.baomidou.mybatisplus.annotation.IdType;
+import com.baomidou.mybatisplus.annotation.TableId;
+import com.baomidou.mybatisplus.annotation.TableName;
+import com.core.common.core.domain.HisBaseEntity;
+import com.fasterxml.jackson.annotation.JsonFormat;
+import lombok.Data;
+import lombok.EqualsAndHashCode;
+import lombok.experimental.Accessors;
+
+import java.math.BigDecimal;
+import java.util.Date;
+
+@Data
+@TableName("anes_asa_assessment")
+@Accessors(chain = true)
+@EqualsAndHashCode(callSuper = false)
+public class AnesAsaAssessment extends HisBaseEntity {
+
+    @TableId(type = IdType.ASSIGN_ID)
+    private Long id;
+
+    private Long recordId;
+
+    private Long encounterId;
+
+    private Long patientId;
+
+    private String asaGrade;
+
+    @JsonFormat(pattern = "yyyy-MM-dd HH:mm:ss")
+    private Date assessmentTime;
+
+    private Long assessorId;
+
+    private String assessorName;
+
+    private String airwayAssessment;
+
+    private String mallampatiGrade;
+
+    private String neckMobility;
+
+    private BigDecimal mouthOpeningCm;
+
+    private BigDecimal weightKg;
+
+    private BigDecimal heightCm;
+
+    private BigDecimal bmi;
+
+    private Integer npoHours;
+
+    private String asaFactors;
+
+    private String riskLevel;
+}
--- a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/anesthesia/domain/AnesSummary.java
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/anesthesia/domain/AnesSummary.java
@@ -0,0 +1,67 @@
+package com.healthlink.his.anesthesia.domain;
+
+import com.baomidou.mybatisplus.annotation.IdType;
+import com.baomidou.mybatisplus.annotation.TableId;
+import com.baomidou.mybatisplus.annotation.TableName;
+import com.core.common.core.domain.HisBaseEntity;
+import com.fasterxml.jackson.annotation.JsonFormat;
+import lombok.Data;
+import lombok.EqualsAndHashCode;
+import lombok.experimental.Accessors;
+
+import java.util.Date;
+
+@Data
+@TableName("anes_summary")
+@Accessors(chain = true)
+@EqualsAndHashCode(callSuper = false)
+public class AnesSummary extends HisBaseEntity {
+
+    @TableId(type = IdType.ASSIGN_ID)
+    private Long id;
+
+    private Long recordId;
+
+    private Long encounterId;
+
+    private Long patientId;
+
+    private String anesthesiaType;
+
+    @JsonFormat(pattern = "yyyy-MM-dd HH:mm:ss")
+    private Date anesthesiaStartTime;
+
+    @JsonFormat(pattern = "yyyy-MM-dd HH:mm:ss")
+    private Date anesthesiaEndTime;
+
+    @JsonFormat(pattern = "yyyy-MM-dd HH:mm:ss")
+    private Date surgeryStartTime;
+
+    @JsonFormat(pattern = "yyyy-MM-dd HH:mm:ss")
+    private Date surgeryEndTime;
+
+    private Integer intraopBloodLossMl;
+
+    private Integer intraopUrineMl;
+
+    private Integer intraopFluidMl;
+
+    private Integer bloodTransfusionMl;
+
+    private String complications;
+
+    private Boolean hasComplications;
+
+    private String airwayManagement;
+
+    @JsonFormat(pattern = "yyyy-MM-dd HH:mm:ss")
+    private Date extubationTime;
+
+    private String patientCondition;
+
+    private String summary;
+
+    private Long anesthetistId;
+
+    private String anesthetistName;
+}
--- a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/anesthesia/mapper/AnesAsaAssessmentMapper.java
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/anesthesia/mapper/AnesAsaAssessmentMapper.java
@@ -0,0 +1,14 @@
+package com.healthlink.his.anesthesia.mapper;
+
+import com.baomidou.mybatisplus.core.mapper.BaseMapper;
+import com.healthlink.his.anesthesia.domain.AnesAsaAssessment;
+import org.apache.ibatis.annotations.Mapper;
+import org.apache.ibatis.annotations.Param;
+
+import java.util.List;
+
+@Mapper
+public interface AnesAsaAssessmentMapper extends BaseMapper<AnesAsaAssessment> {
+
+    List<AnesAsaAssessment> selectByRecordId(@Param("recordId") Long recordId);
+}
--- a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/anesthesia/mapper/AnesSummaryMapper.java
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/anesthesia/mapper/AnesSummaryMapper.java
@@ -0,0 +1,12 @@
+package com.healthlink.his.anesthesia.mapper;
+
+import com.baomidou.mybatisplus.core.mapper.BaseMapper;
+import com.healthlink.his.anesthesia.domain.AnesSummary;
+import org.apache.ibatis.annotations.Mapper;
+import org.apache.ibatis.annotations.Param;
+
+@Mapper
+public interface AnesSummaryMapper extends BaseMapper<AnesSummary> {
+
+    AnesSummary selectByRecordId(@Param("recordId") Long recordId);
+}
--- a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/anesthesia/service/IAnesAsaAssessmentService.java
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/anesthesia/service/IAnesAsaAssessmentService.java
@@ -0,0 +1,11 @@
+package com.healthlink.his.anesthesia.service;
+
+import com.baomidou.mybatisplus.extension.service.IService;
+import com.healthlink.his.anesthesia.domain.AnesAsaAssessment;
+
+import java.util.List;
+
+public interface IAnesAsaAssessmentService extends IService<AnesAsaAssessment> {
+
+    List<AnesAsaAssessment> selectByRecordId(Long recordId);
+}
--- a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/anesthesia/service/IAnesSummaryService.java
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/anesthesia/service/IAnesSummaryService.java
@@ -0,0 +1,9 @@
+package com.healthlink.his.anesthesia.service;
+
+import com.baomidou.mybatisplus.extension.service.IService;
+import com.healthlink.his.anesthesia.domain.AnesSummary;
+
+public interface IAnesSummaryService extends IService<AnesSummary> {
+
+    AnesSummary selectByRecordId(Long recordId);
+}
--- a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/anesthesia/service/impl/AnesAsaAssessmentServiceImpl.java
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/anesthesia/service/impl/AnesAsaAssessmentServiceImpl.java
@@ -0,0 +1,20 @@
+package com.healthlink.his.anesthesia.service.impl;
+
+import com.baomidou.mybatisplus.extension.service.impl.ServiceImpl;
+import com.healthlink.his.anesthesia.domain.AnesAsaAssessment;
+import com.healthlink.his.anesthesia.mapper.AnesAsaAssessmentMapper;
+import com.healthlink.his.anesthesia.service.IAnesAsaAssessmentService;
+import org.springframework.stereotype.Service;
+
+import java.util.List;
+
+@Service
+public class AnesAsaAssessmentServiceImpl
+        extends ServiceImpl<AnesAsaAssessmentMapper, AnesAsaAssessment>
+        implements IAnesAsaAssessmentService {
+
+    @Override
+    public List<AnesAsaAssessment> selectByRecordId(Long recordId) {
+        return baseMapper.selectByRecordId(recordId);
+    }
+}
--- a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/anesthesia/service/impl/AnesSummaryServiceImpl.java
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/anesthesia/service/impl/AnesSummaryServiceImpl.java
@@ -0,0 +1,18 @@
+package com.healthlink.his.anesthesia.service.impl;
+
+import com.baomidou.mybatisplus.extension.service.impl.ServiceImpl;
+import com.healthlink.his.anesthesia.domain.AnesSummary;
+import com.healthlink.his.anesthesia.mapper.AnesSummaryMapper;
+import com.healthlink.his.anesthesia.service.IAnesSummaryService;
+import org.springframework.stereotype.Service;
+
+@Service
+public class AnesSummaryServiceImpl
+        extends ServiceImpl<AnesSummaryMapper, AnesSummary>
+        implements IAnesSummaryService {
+
+    @Override
+    public AnesSummary selectByRecordId(Long recordId) {
+        return baseMapper.selectByRecordId(recordId);
+    }
+}
--- a/healthlink-his-server/healthlink-his-domain/src/main/resources/mapper/anesthesia/AnesAsaAssessmentMapper.xml
+++ b/healthlink-his-server/healthlink-his-domain/src/main/resources/mapper/anesthesia/AnesAsaAssessmentMapper.xml
@@ -0,0 +1,7 @@
+<?xml version="1.0" encoding="UTF-8" ?>
+<!DOCTYPE mapper PUBLIC "-//mybatis.org//DTD Mapper 3.0//EN" "http://mybatis.org/dtd/mybatis-3-mapper.dtd">
+<mapper namespace="com.healthlink.his.anesthesia.mapper.AnesAsaAssessmentMapper">
+    <select id="selectByRecordId" resultType="com.healthlink.his.anesthesia.domain.AnesAsaAssessment">
+        SELECT * FROM anes_asa_assessment WHERE record_id = #{recordId} AND delete_flag = '0' ORDER BY assessment_time DESC
+    </select>
+</mapper>
--- a/healthlink-his-server/healthlink-his-domain/src/main/resources/mapper/anesthesia/AnesSummaryMapper.xml
+++ b/healthlink-his-server/healthlink-his-domain/src/main/resources/mapper/anesthesia/AnesSummaryMapper.xml
@@ -0,0 +1,7 @@
+<?xml version="1.0" encoding="UTF-8" ?>
+<!DOCTYPE mapper PUBLIC "-//mybatis.org//DTD Mapper 3.0//EN" "http://mybatis.org/dtd/mybatis-3-mapper.dtd">
+<mapper namespace="com.healthlink.his.anesthesia.mapper.AnesSummaryMapper">
+    <select id="selectByRecordId" resultType="com.healthlink.his.anesthesia.domain.AnesSummary">
+        SELECT * FROM anes_summary WHERE record_id = #{recordId} AND delete_flag = '0' LIMIT 1
+    </select>
+</mapper>
--- a/healthlink-his-ui/src/api/anesthesia.js
+++ b/healthlink-his-ui/src/api/anesthesia.js
@@ -69,3 +69,27 @@ export function getFollowup(recordId) {
 export function addFollowup(data) {
  return request({ url: '/api/v1/anesthesia/followup', method: 'post', data })
 }
+
+export function saveAsaAssessment(data) {
+  return request({ url: '/api/v1/anesthesia/asa-assessment', method: 'post', 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' })
+}
+
+export function saveAnesSummary(data) {
+  return request({ url: '/api/v1/anesthesia/summary', method: 'post', data })
+}
+
+export function getAnesSummary(recordId) {
+  return request({ url: '/api/v1/anesthesia/summary/' + recordId, method: 'get' })
+}
--- a/healthlink-his-ui/src/api/anesthesia/index.js
+++ b/healthlink-his-ui/src/api/anesthesia/index.js
@@ -7,3 +7,5 @@ export function getVitalSigns(recordId) { return request({ url: '/api/v1/anesthe
 export function getMedications(recordId) { return request({ url: '/api/v1/anesthesia/medication/' + recordId, method: 'get' }) }
 export function getIoSummary(recordId) { return request({ url: '/api/v1/anesthesia/io-summary/' + recordId, method: 'get' }) }
 export function completeRecord(id) { return request({ url: '/api/v1/anesthesia/complete/' + id, method: 'put' }) }
+export function recordPostopFollowup(data) { return request({ url: '/api/v1/anesthesia/postop-followup', method: 'post', data }) }
+export function getPostopFollowups(encounterId) { return request({ url: '/api/v1/anesthesia/postop-followup/' + encounterId, method: 'get' }) }
--- a/healthlink-his-ui/src/views/inpatientDoctor/AnesthesiaAssessment.vue
+++ b/healthlink-his-ui/src/views/inpatientDoctor/AnesthesiaAssessment.vue
@@ -0,0 +1,349 @@
+<template>
+  <div class="asa-assessment-container">
+    <el-card v-loading="loading">
+      <template #header>
+        <div class="card-header">
+          <span>ASA麻醉评估</span>
+          <el-button type="primary" size="small" @click="handleNew">新建评估</el-button>
+        </div>
+      </template>
+
+      <el-table :data="tableData" border style="width: 100%">
+        <el-table-column type="index" label="序号" width="60" align="center" />
+        <el-table-column prop="asaGrade" label="ASA分级" width="100" align="center">
+          <template #default="scope">
+            <el-tag :type="getGradeType(scope.row.asaGrade)">{{ scope.row.asaGrade }}</el-tag>
+          </template>
+        </el-table-column>
+        <el-table-column prop="assessmentTime" label="评估时间" width="170" />
+        <el-table-column prop="assessorName" label="评估医师" width="120" />
+        <el-table-column prop="mallampatiGrade" label="Mallampati" width="100" align="center" />
+        <el-table-column prop="weightKg" label="体重(kg)" width="90" align="center" />
+        <el-table-column prop="heightCm" label="身高(cm)" width="90" align="center" />
+        <el-table-column prop="bmi" label="BMI" width="80" align="center" />
+        <el-table-column prop="npoHours" label="禁食(h)" width="90" align="center" />
+        <el-table-column prop="riskLevel" label="风险等级" width="100" align="center">
+          <template #default="scope">
+            <el-tag v-if="scope.row.riskLevel === 'LOW'" type="success">低风险</el-tag>
+            <el-tag v-else-if="scope.row.riskLevel === 'MEDIUM'" type="warning">中风险</el-tag>
+            <el-tag v-else-if="scope.row.riskLevel === 'HIGH'" type="danger">高风险</el-tag>
+            <el-tag v-else-if="scope.row.riskLevel === 'CRITICAL'" type="danger">极高风险</el-tag>
+            <el-tag v-else type="info">{{ scope.row.riskLevel || '-' }}</el-tag>
+          </template>
+        </el-table-column>
+        <el-table-column label="操作" width="120" align="center" fixed="right">
+          <template #default="scope">
+            <el-button link type="primary" @click="handleEdit(scope.row)">编辑</el-button>
+          </template>
+        </el-table-column>
+      </el-table>
+    </el-card>
+
+    <el-dialog v-model="dialogVisible" :title="isEdit ? '编辑ASA评估' : '新建ASA评估'" width="800px" destroy-on-close :close-on-click-modal="false">
+      <el-form ref="formRef" :model="form" :rules="rules" label-width="110px">
+        <el-divider content-position="left">基本信息</el-divider>
+        <el-row :gutter="20">
+          <el-col :span="12">
+            <el-form-item label="ASA分级" prop="asaGrade">
+              <el-select v-model="form.asaGrade" placeholder="请选择ASA分级" style="width: 100%">
+                <el-option label="Ⅰ级 - 健康患者" value="Ⅰ" />
+                <el-option label="Ⅱ级 - 轻度系统性疾病" value="Ⅱ" />
+                <el-option label="Ⅲ级 - 严重系统性疾病" value="Ⅲ" />
+                <el-option label="Ⅳ级 - 持续威胁生命的疾病" value="Ⅳ" />
+                <el-option label="Ⅴ级 - 不手术则无法存活" value="Ⅴ" />
+                <el-option label="Ⅵ级 - 脑死亡，器官捐献" value="Ⅵ" />
+              </el-select>
+            </el-form-item>
+          </el-col>
+          <el-col :span="12">
+            <el-form-item label="评估时间" prop="assessmentTime">
+              <el-date-picker v-model="form.assessmentTime" type="datetime" placeholder="选择评估时间" value-format="YYYY-MM-DD HH:mm:ss" style="width: 100%" />
+            </el-form-item>
+          </el-col>
+          <el-col :span="12">
+            <el-form-item label="评估医师ID" prop="assessorId">
+              <el-input-number v-model="form.assessorId" :min="1" style="width: 100%" />
+            </el-form-item>
+          </el-col>
+          <el-col :span="12">
+            <el-form-item label="评估医师姓名">
+              <el-input v-model="form.assessorName" placeholder="请输入评估医师姓名" />
+            </el-form-item>
+          </el-col>
+          <el-col :span="12">
+            <el-form-item label="就诊ID" prop="encounterId">
+              <el-input-number v-model="form.encounterId" :min="1" style="width: 100%" />
+            </el-form-item>
+          </el-col>
+          <el-col :span="12">
+            <el-form-item label="患者ID" prop="patientId">
+              <el-input-number v-model="form.patientId" :min="1" style="width: 100%" />
+            </el-form-item>
+          </el-col>
+          <el-col :span="12">
+            <el-form-item label="麻醉记录ID" prop="recordId">
+              <el-input-number v-model="form.recordId" :min="1" style="width: 100%" />
+            </el-form-item>
+          </el-col>
+        </el-row>
+
+        <el-divider content-position="left">气道评估</el-divider>
+        <el-row :gutter="20">
+          <el-col :span="12">
+            <el-form-item label="Mallampati分级">
+              <el-select v-model="form.mallampatiGrade" placeholder="请选择" style="width: 100%">
+                <el-option label="Ⅰ级 - 可见咽腭弓、软腭、悬雍垂" value="Ⅰ" />
+                <el-option label="Ⅱ级 - 可见咽腭弓、软腭" value="Ⅱ" />
+                <el-option label="Ⅲ级 - 只能见软腭" value="Ⅲ" />
+                <el-option label="Ⅳ级 - 只能见硬腭" value="Ⅳ" />
+              </el-select>
+            </el-form-item>
+          </el-col>
+          <el-col :span="12">
+            <el-form-item label="颈部活动度">
+              <el-select v-model="form.neckMobility" placeholder="请选择" style="width: 100%">
+                <el-option label="正常" value="正常" />
+                <el-option label="轻度受限" value="轻度受限" />
+                <el-option label="明显受限" value="明显受限" />
+                <el-option label="完全受限" value="完全受限" />
+              </el-select>
+            </el-form-item>
+          </el-col>
+          <el-col :span="12">
+            <el-form-item label="张口度(cm)">
+              <el-input-number v-model="form.mouthOpeningCm" :min="0" :max="10" :step="0.1" :precision="1" style="width: 100%" />
+            </el-form-item>
+          </el-col>
+          <el-col :span="24">
+            <el-form-item label="气道评估描述">
+              <el-input v-model="form.airwayAssessment" type="textarea" :rows="2" placeholder="请输入气道评估描述" />
+            </el-form-item>
+          </el-col>
+        </el-row>
+
+        <el-divider content-position="left">体格信息</el-divider>
+        <el-row :gutter="20">
+          <el-col :span="8">
+            <el-form-item label="体重(kg)">
+              <el-input-number v-model="form.weightKg" :min="0" :max="300" :step="0.1" :precision="2" style="width: 100%" @change="calcBmi" />
+            </el-form-item>
+          </el-col>
+          <el-col :span="8">
+            <el-form-item label="身高(cm)">
+              <el-input-number v-model="form.heightCm" :min="0" :max="300" :step="0.1" :precision="1" style="width: 100%" @change="calcBmi" />
+            </el-form-item>
+          </el-col>
+          <el-col :span="8">
+            <el-form-item label="BMI">
+              <el-input v-model="form.bmi" disabled placeholder="自动计算" />
+            </el-form-item>
+          </el-col>
+        </el-row>
+
+        <el-divider content-position="left">禁食与风险</el-divider>
+        <el-row :gutter="20">
+          <el-col :span="12">
+            <el-form-item label="禁食时间(h)">
+              <el-input-number v-model="form.npoHours" :min="0" :max="72" style="width: 100%" />
+            </el-form-item>
+          </el-col>
+          <el-col :span="12">
+            <el-form-item label="风险等级">
+              <el-select v-model="form.riskLevel" placeholder="请选择" style="width: 100%">
+                <el-option label="低风险" value="LOW" />
+                <el-option label="中风险" value="MEDIUM" />
+                <el-option label="高风险" value="HIGH" />
+                <el-option label="极高风险" value="CRITICAL" />
+              </el-select>
+            </el-form-item>
+          </el-col>
+          <el-col :span="24">
+            <el-form-item label="风险因素">
+              <el-checkbox-group v-model="selectedFactors">
+                <el-checkbox label="高血压" value="高血压" />
+                <el-checkbox label="糖尿病" value="糖尿病" />
+                <el-checkbox label="冠心病" value="冠心病" />
+                <el-checkbox label="COPD" value="COPD" />
+                <el-checkbox label="哮喘" value="哮喘" />
+                <el-checkbox label="肝硬化" value="肝硬化" />
+                <el-checkbox label="肾功能不全" value="肾功能不全" />
+                <el-checkbox label="凝血障碍" value="凝血障碍" />
+                <el-checkbox label="肥胖" value="肥胖" />
+                <el-checkbox label="困难气道" value="困难气道" />
+                <el-checkbox label="过敏史" value="过敏史" />
+                <el-checkbox label="吸烟" value="吸烟" />
+              </el-checkbox-group>
+            </el-form-item>
+          </el-col>
+          <el-col :span="24">
+            <el-form-item label="其他评估">
+              <el-input v-model="form.asaFactors" type="textarea" :rows="2" placeholder="请输入其他风险因素或补充说明" />
+            </el-form-item>
+          </el-col>
+        </el-row>
+      </el-form>
+      <template #footer>
+        <el-button @click="dialogVisible = false">取消</el-button>
+        <el-button type="primary" :loading="submitLoading" @click="handleSave">保存</el-button>
+      </template>
+    </el-dialog>
+  </div>
+</template>
+
+<script setup>
+import { ref, reactive, onMounted, watch } from 'vue'
+import { ElMessage } from 'element-plus'
+import { saveAsaAssessment, getAsaAssessments } from '@/api/anesthesia'
+
+const props = defineProps({
+  recordId: { type: [Number, String], default: null }
+})
+
+const loading = ref(false)
+const submitLoading = ref(false)
+const tableData = ref([])
+const dialogVisible = ref(false)
+const isEdit = ref(false)
+const formRef = ref(null)
+const selectedFactors = ref([])
+
+const form = reactive({
+  id: null,
+  recordId: null,
+  encounterId: null,
+  patientId: null,
+  asaGrade: '',
+  assessmentTime: '',
+  assessorId: null,
+  assessorName: '',
+  airwayAssessment: '',
+  mallampatiGrade: '',
+  neckMobility: '',
+  mouthOpeningCm: null,
+  weightKg: null,
+  heightCm: null,
+  bmi: null,
+  npoHours: null,
+  asaFactors: '',
+  riskLevel: ''
+})
+
+const rules = {
+  asaGrade: [{ required: true, message: '请选择ASA分级', trigger: 'change' }],
+  assessmentTime: [{ required: true, message: '请选择评估时间', trigger: 'change' }],
+  assessorId: [{ required: true, message: '请输入评估医师ID', trigger: 'blur' }],
+  encounterId: [{ required: true, message: '请输入就诊ID', trigger: 'blur' }],
+  patientId: [{ required: true, message: '请输入患者ID', trigger: 'blur' }],
+  recordId: [{ required: true, message: '请输入麻醉记录ID', trigger: 'blur' }]
+}
+
+function getGradeType(grade) {
+  const map = { 'Ⅰ': 'success', 'Ⅱ': 'success', 'Ⅲ': 'warning', 'Ⅳ': 'danger', 'Ⅴ': 'danger', 'Ⅵ': 'danger' }
+  return map[grade] || 'info'
+}
+
+function calcBmi() {
+  if (form.weightKg && form.heightCm && form.heightCm > 0) {
+    const heightM = form.heightCm / 100
+    form.bmi = Math.round((form.weightKg / (heightM * heightM)) * 10) / 10
+  } else {
+    form.bmi = null
+  }
+}
+
+function resetForm() {
+  form.id = null
+  form.recordId = null
+  form.encounterId = null
+  form.patientId = null
+  form.asaGrade = ''
+  form.assessmentTime = ''
+  form.assessorId = null
+  form.assessorName = ''
+  form.airwayAssessment = ''
+  form.mallampatiGrade = ''
+  form.neckMobility = ''
+  form.mouthOpeningCm = null
+  form.weightKg = null
+  form.heightCm = null
+  form.bmi = null
+  form.npoHours = null
+  form.asaFactors = ''
+  form.riskLevel = ''
+  selectedFactors.value = []
+}
+
+function handleNew() {
+  resetForm()
+  isEdit.value = false
+  dialogVisible.value = true
+}
+
+function handleEdit(row) {
+  Object.assign(form, row)
+  if (row.asaFactors) {
+    try {
+      selectedFactors.value = row.asaFactors.split(',').filter(Boolean)
+    } catch {
+      selectedFactors.value = []
+    }
+  } else {
+    selectedFactors.value = []
+  }
+  isEdit.value = true
+  dialogVisible.value = true
+}
+
+function handleSave() {
+  formRef.value?.validate(valid => {
+    if (!valid) return
+    submitLoading.value = true
+    const data = { ...form }
+    data.asaFactors = selectedFactors.value.join(',')
+    saveAsaAssessment(data).then(res => {
+      if (res.code === 200) {
+        ElMessage.success('保存成功')
+        dialogVisible.value = false
+        loadData()
+      } else {
+        ElMessage.error(res.msg || '保存失败')
+      }
+    }).catch(() => {
+      ElMessage.error('保存失败')
+    }).finally(() => {
+      submitLoading.value = false
+    })
+  })
+}
+
+function loadData() {
+  if (!props.recordId) return
+  loading.value = true
+  getAsaAssessments(props.recordId).then(res => {
+    tableData.value = res.data || []
+  }).catch(() => {
+    ElMessage.error('查询失败')
+  }).finally(() => {
+    loading.value = false
+  })
+}
+
+watch(() => props.recordId, () => {
+  loadData()
+})
+
+onMounted(() => {
+  loadData()
+})
+</script>
+
+<style scoped>
+.asa-assessment-container {
+  padding: 12px;
+}
+.card-header {
+  display: flex;
+  justify-content: space-between;
+  align-items: center;
+}
+</style>
--- a/healthlink-his-ui/src/views/inpatientDoctor/AnesthesiaSummary.vue
+++ b/healthlink-his-ui/src/views/inpatientDoctor/AnesthesiaSummary.vue
@@ -0,0 +1,336 @@
+<template>
+  <div class="anes-summary-container">
+    <el-card v-loading="loading">
+      <template #header>
+        <div class="card-header">
+          <span>麻醉小结</span>
+          <el-button type="primary" size="small" @click="handleNew">新建小结</el-button>
+        </div>
+      </template>
+
+      <div v-if="!summaryData" class="empty-tip">
+        <el-empty description="暂无麻醉小结" />
+      </div>
+
+      <div v-else class="summary-content">
+        <el-descriptions :column="2" border>
+          <el-descriptions-item label="麻醉类型">{{ summaryData.anesthesiaType || '-' }}</el-descriptions-item>
+          <el-descriptions-item label="麻醉医师">{{ summaryData.anesthetistName || '-' }}</el-descriptions-item>
+          <el-descriptions-item label="麻醉开始时间">{{ summaryData.anesthesiaStartTime || '-' }}</el-descriptions-item>
+          <el-descriptions-item label="麻醉结束时间">{{ summaryData.anesthesiaEndTime || '-' }}</el-descriptions-item>
+          <el-descriptions-item label="手术开始时间">{{ summaryData.surgeryStartTime || '-' }}</el-descriptions-item>
+          <el-descriptions-item label="手术结束时间">{{ summaryData.surgeryEndTime || '-' }}</el-descriptions-item>
+          <el-descriptions-item label="气道管理">{{ summaryData.airwayManagement || '-' }}</el-descriptions-item>
+          <el-descriptions-item label="拔管时间">{{ summaryData.extubationTime || '-' }}</el-descriptions-item>
+          <el-descriptions-item label="术中出血量(ml)">{{ summaryData.intraopBloodLossMl ?? '-' }}</el-descriptions-item>
+          <el-descriptions-item label="术中尿量(ml)">{{ summaryData.intraopUrineMl ?? '-' }}</el-descriptions-item>
+          <el-descriptions-item label="术中输液(ml)">{{ summaryData.intraopFluidMl ?? '-' }}</el-descriptions-item>
+          <el-descriptions-item label="输血量(ml)">{{ summaryData.bloodTransfusionMl ?? '-' }}</el-descriptions-item>
+          <el-descriptions-item label="有无并发症">
+            <el-tag v-if="summaryData.hasComplications" type="danger">有</el-tag>
+            <el-tag v-else type="success">无</el-tag>
+          </el-descriptions-item>
+          <el-descriptions-item label="患者情况">{{ summaryData.patientCondition || '-' }}</el-descriptions-item>
+          <el-descriptions-item label="并发症详情" :span="2">{{ summaryData.complications || '-' }}</el-descriptions-item>
+          <el-descriptions-item label="小结" :span="2">{{ summaryData.summary || '-' }}</el-descriptions-item>
+        </el-descriptions>
+
+        <div class="summary-actions">
+          <el-button type="primary" size="small" @click="handleEdit(summaryData)">编辑</el-button>
+        </div>
+      </div>
+    </el-card>
+
+    <el-dialog v-model="dialogVisible" title="麻醉小结" width="800px" destroy-on-close :close-on-click-modal="false">
+      <el-form ref="formRef" :model="form" :rules="rules" label-width="120px">
+        <el-divider content-position="left">基本信息</el-divider>
+        <el-row :gutter="20">
+          <el-col :span="12">
+            <el-form-item label="麻醉类型" prop="anesthesiaType">
+              <el-select v-model="form.anesthesiaType" placeholder="请选择麻醉类型" style="width: 100%">
+                <el-option label="全身麻醉" value="全身麻醉" />
+                <el-option label="椎管内麻醉" value="椎管内麻醉" />
+                <el-option label="神经阻滞" value="神经阻滞" />
+                <el-option label="局部麻醉" value="局部麻醉" />
+                <el-option label="复合麻醉" value="复合麻醉" />
+              </el-select>
+            </el-form-item>
+          </el-col>
+          <el-col :span="12">
+            <el-form-item label="麻醉医师ID" prop="anesthetistId">
+              <el-input-number v-model="form.anesthetistId" :min="1" style="width: 100%" />
+            </el-form-item>
+          </el-col>
+          <el-col :span="12">
+            <el-form-item label="麻醉医师姓名">
+              <el-input v-model="form.anesthetistName" placeholder="请输入麻醉医师姓名" />
+            </el-form-item>
+          </el-col>
+          <el-col :span="12">
+            <el-form-item label="就诊ID" prop="encounterId">
+              <el-input-number v-model="form.encounterId" :min="1" style="width: 100%" />
+            </el-form-item>
+          </el-col>
+          <el-col :span="12">
+            <el-form-item label="患者ID" prop="patientId">
+              <el-input-number v-model="form.patientId" :min="1" style="width: 100%" />
+            </el-form-item>
+          </el-col>
+          <el-col :span="12">
+            <el-form-item label="麻醉记录ID" prop="recordId">
+              <el-input-number v-model="form.recordId" :min="1" style="width: 100%" />
+            </el-form-item>
+          </el-col>
+        </el-row>
+
+        <el-divider content-position="left">时间记录</el-divider>
+        <el-row :gutter="20">
+          <el-col :span="12">
+            <el-form-item label="麻醉开始时间">
+              <el-date-picker v-model="form.anesthesiaStartTime" 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="12">
+            <el-form-item label="麻醉结束时间">
+              <el-date-picker v-model="form.anesthesiaEndTime" 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="12">
+            <el-form-item label="手术开始时间">
+              <el-date-picker v-model="form.surgeryStartTime" 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="12">
+            <el-form-item label="手术结束时间">
+              <el-date-picker v-model="form.surgeryEndTime" type="datetime" placeholder="选择时间" value-format="YYYY-MM-DD HH:mm:ss" style="width: 100%" />
+            </el-form-item>
+          </el-col>
+        </el-row>
+
+        <el-divider content-position="left">术中数据</el-divider>
+        <el-row :gutter="20">
+          <el-col :span="12">
+            <el-form-item label="术中出血量(ml)">
+              <el-input-number v-model="form.intraopBloodLossMl" :min="0" style="width: 100%" />
+            </el-form-item>
+          </el-col>
+          <el-col :span="12">
+            <el-form-item label="术中尿量(ml)">
+              <el-input-number v-model="form.intraopUrineMl" :min="0" style="width: 100%" />
+            </el-form-item>
+          </el-col>
+          <el-col :span="12">
+            <el-form-item label="术中输液(ml)">
+              <el-input-number v-model="form.intraopFluidMl" :min="0" style="width: 100%" />
+            </el-form-item>
+          </el-col>
+          <el-col :span="12">
+            <el-form-item label="输血量(ml)">
+              <el-input-number v-model="form.bloodTransfusionMl" :min="0" style="width: 100%" />
+            </el-form-item>
+          </el-col>
+        </el-row>
+
+        <el-divider content-position="left">气道与并发症</el-divider>
+        <el-row :gutter="20">
+          <el-col :span="12">
+            <el-form-item label="气道管理">
+              <el-select v-model="form.airwayManagement" placeholder="请选择" style="width: 100%">
+                <el-option label="气管插管" value="气管插管" />
+                <el-option label="喉罩" value="喉罩" />
+                <el-option label="面罩" value="面罩" />
+                <el-option label="其他" value="其他" />
+              </el-select>
+            </el-form-item>
+          </el-col>
+          <el-col :span="12">
+            <el-form-item label="拔管时间">
+              <el-date-picker v-model="form.extubationTime" 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="12">
+            <el-form-item label="患者情况">
+              <el-select v-model="form.patientCondition" placeholder="请选择" style="width: 100%">
+                <el-option label="良好" value="良好" />
+                <el-option label="一般" value="一般" />
+                <el-option label="较差" value="较差" />
+                <el-option label="危重" value="危重" />
+              </el-select>
+            </el-form-item>
+          </el-col>
+          <el-col :span="12">
+            <el-form-item label="有无并发症">
+              <el-select v-model="form.hasComplications" style="width: 100%">
+                <el-option label="无" :value="false" />
+                <el-option label="有" :value="true" />
+              </el-select>
+            </el-form-item>
+          </el-col>
+          <el-col :span="24">
+            <el-form-item v-if="form.hasComplications" label="并发症详情">
+              <el-input v-model="form.complications" type="textarea" :rows="3" placeholder="请描述并发症情况" />
+            </el-form-item>
+          </el-col>
+        </el-row>
+
+        <el-divider content-position="left">小结</el-divider>
+        <el-row :gutter="20">
+          <el-col :span="24">
+            <el-form-item label="麻醉小结">
+              <el-input v-model="form.summary" type="textarea" :rows="4" placeholder="请输入麻醉小结" />
+            </el-form-item>
+          </el-col>
+        </el-row>
+      </el-form>
+      <template #footer>
+        <el-button @click="dialogVisible = false">取消</el-button>
+        <el-button type="primary" :loading="submitLoading" @click="handleSave">保存</el-button>
+      </template>
+    </el-dialog>
+  </div>
+</template>
+
+<script setup>
+import { ref, reactive, onMounted, watch } from 'vue'
+import { ElMessage } from 'element-plus'
+import { saveAnesSummary, getAnesSummary } from '@/api/anesthesia'
+
+const props = defineProps({
+  recordId: { type: [Number, String], default: null }
+})
+
+const loading = ref(false)
+const submitLoading = ref(false)
+const summaryData = ref(null)
+const dialogVisible = ref(false)
+const formRef = ref(null)
+
+const form = reactive({
+  id: null,
+  recordId: null,
+  encounterId: null,
+  patientId: null,
+  anesthesiaType: '',
+  anesthesiaStartTime: '',
+  anesthesiaEndTime: '',
+  surgeryStartTime: '',
+  surgeryEndTime: '',
+  intraopBloodLossMl: null,
+  intraopUrineMl: null,
+  intraopFluidMl: null,
+  bloodTransfusionMl: null,
+  complications: '',
+  hasComplications: false,
+  airwayManagement: '',
+  extubationTime: '',
+  patientCondition: '',
+  summary: '',
+  anesthetistId: null,
+  anesthetistName: ''
+})
+
+const rules = {
+  anesthesiaType: [{ required: true, message: '请选择麻醉类型', trigger: 'change' }],
+  recordId: [{ required: true, message: '请输入麻醉记录ID', trigger: 'blur' }],
+  encounterId: [{ required: true, message: '请输入就诊ID', trigger: 'blur' }],
+  patientId: [{ required: true, message: '请输入患者ID', trigger: 'blur' }]
+}
+
+function resetForm() {
+  form.id = null
+  form.recordId = null
+  form.encounterId = null
+  form.patientId = null
+  form.anesthesiaType = ''
+  form.anesthesiaStartTime = ''
+  form.anesthesiaEndTime = ''
+  form.surgeryStartTime = ''
+  form.surgeryEndTime = ''
+  form.intraopBloodLossMl = null
+  form.intraopUrineMl = null
+  form.intraopFluidMl = null
+  form.bloodTransfusionMl = null
+  form.complications = ''
+  form.hasComplications = false
+  form.airwayManagement = ''
+  form.extubationTime = ''
+  form.patientCondition = ''
+  form.summary = ''
+  form.anesthetistId = null
+  form.anesthetistName = ''
+}
+
+function handleNew() {
+  resetForm()
+  if (props.recordId) {
+    form.recordId = Number(props.recordId)
+  }
+  dialogVisible.value = true
+}
+
+function handleEdit(row) {
+  Object.assign(form, row)
+  dialogVisible.value = true
+}
+
+function handleSave() {
+  formRef.value?.validate(valid => {
+    if (!valid) return
+    submitLoading.value = true
+    saveAnesSummary({ ...form }).then(res => {
+      if (res.code === 200) {
+        ElMessage.success('保存成功')
+        dialogVisible.value = false
+        loadData()
+      } else {
+        ElMessage.error(res.msg || '保存失败')
+      }
+    }).catch(() => {
+      ElMessage.error('保存失败')
+    }).finally(() => {
+      submitLoading.value = false
+    })
+  })
+}
+
+function loadData() {
+  if (!props.recordId) return
+  loading.value = true
+  getAnesSummary(props.recordId).then(res => {
+    summaryData.value = res.data || null
+  }).catch(() => {
+    ElMessage.error('查询失败')
+  }).finally(() => {
+    loading.value = false
+  })
+}
+
+watch(() => props.recordId, () => {
+  loadData()
+})
+
+onMounted(() => {
+  loadData()
+})
+</script>
+
+<style scoped>
+.anes-summary-container {
+  padding: 12px;
+}
+.card-header {
+  display: flex;
+  justify-content: space-between;
+  align-items: center;
+}
+.empty-tip {
+  padding: 40px 0;
+}
+.summary-content {
+  padding: 12px 0;
+}
+.summary-actions {
+  margin-top: 16px;
+  text-align: right;
+}
+</style>
--- a/healthlink-his-ui/src/views/inpatientDoctor/IntraopVitalSign.vue
+++ b/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>
--- a/healthlink-his-ui/src/views/inpatientDoctor/PostopFollowup.vue
+++ b/healthlink-his-ui/src/views/inpatientDoctor/PostopFollowup.vue
@@ -0,0 +1,281 @@
+<template>
+  <div class="postop-followup-container">
+    <el-card v-loading="loading">
+      <template #header>
+        <div class="card-header">
+          <span>术后随访记录</span>
+          <el-button type="primary" size="small" @click="handleNew">新建随访</el-button>
+        </div>
+      </template>
+
+      <el-table :data="tableData" border style="width: 100%">
+        <el-table-column type="index" label="序号" width="60" align="center" />
+        <el-table-column prop="followupType" label="随访类型" width="100" align="center">
+          <template #default="scope">
+            <el-tag :type="getTypeTag(scope.row.followupType)">{{ scope.row.followupType }}</el-tag>
+          </template>
+        </el-table-column>
+        <el-table-column prop="followupTime" label="随访时间" width="170" />
+        <el-table-column prop="painScore" label="疼痛评分" width="90" align="center">
+          <template #default="scope">
+            <el-tag :type="getPainType(scope.row.painScore)">{{ scope.row.painScore ?? '-' }}</el-tag>
+          </template>
+        </el-table-column>
+        <el-table-column prop="nauseaVomiting" label="恶心呕吐" width="90" align="center">
+          <template #default="scope">
+            <el-tag v-if="scope.row.nauseaVomiting" type="danger">有</el-tag>
+            <el-tag v-else type="success">无</el-tag>
+          </template>
+        </el-table-column>
+        <el-table-column prop="consciousnessStatus" label="意识状态" width="100" />
+        <el-table-column prop="vitalSigns" label="生命体征" min-width="140" show-overflow-tooltip />
+        <el-table-column prop="complications" label="并发症" min-width="140" show-overflow-tooltip />
+        <el-table-column prop="treatment" label="处理措施" min-width="140" show-overflow-tooltip />
+        <el-table-column prop="followupDoctorName" label="随访医师" width="100" />
+        <el-table-column label="操作" width="80" align="center" fixed="right">
+          <template #default="scope">
+            <el-button link type="primary" @click="handleEdit(scope.row)">编辑</el-button>
+          </template>
+        </el-table-column>
+      </el-table>
+    </el-card>
+
+    <el-dialog v-model="dialogVisible" :title="isEdit ? '编辑术后随访' : '新建术后随访'" width="750px" destroy-on-close :close-on-click-modal="false">
+      <el-form ref="formRef" :model="form" :rules="rules" label-width="110px">
+        <el-divider content-position="left">基本信息</el-divider>
+        <el-row :gutter="20">
+          <el-col :span="12">
+            <el-form-item label="随访类型" prop="followupType">
+              <el-select v-model="form.followupType" placeholder="请选择随访类型" style="width: 100%">
+                <el-option label="24h随访" value="24h" />
+                <el-option label="48h随访" value="48h" />
+                <el-option label="72h随访" value="72h" />
+              </el-select>
+            </el-form-item>
+          </el-col>
+          <el-col :span="12">
+            <el-form-item label="随访时间" prop="followupTime">
+              <el-date-picker v-model="form.followupTime" type="datetime" placeholder="选择随访时间" value-format="YYYY-MM-DD HH:mm:ss" style="width: 100%" />
+            </el-form-item>
+          </el-col>
+          <el-col :span="12">
+            <el-form-item label="就诊ID" prop="encounterId">
+              <el-input-number v-model="form.encounterId" :min="1" style="width: 100%" />
+            </el-form-item>
+          </el-col>
+          <el-col :span="12">
+            <el-form-item label="患者ID" prop="patientId">
+              <el-input-number v-model="form.patientId" :min="1" style="width: 100%" />
+            </el-form-item>
+          </el-col>
+          <el-col :span="12">
+            <el-form-item label="患者姓名">
+              <el-input v-model="form.patientName" placeholder="请输入患者姓名" />
+            </el-form-item>
+          </el-col>
+          <el-col :span="12">
+            <el-form-item label="手术ID">
+              <el-input-number v-model="form.surgeryId" :min="0" style="width: 100%" />
+            </el-form-item>
+          </el-col>
+        </el-row>
+
+        <el-divider content-position="left">疼痛评估</el-divider>
+        <el-row :gutter="20">
+          <el-col :span="12">
+            <el-form-item label="疼痛评分" prop="painScore">
+              <el-input-number v-model="form.painScore" :min="0" :max="10" style="width: 100%" />
+            </el-form-item>
+          </el-col>
+          <el-col :span="12">
+            <el-form-item label="恶心呕吐">
+              <el-select v-model="form.nauseaVomiting" style="width: 100%">
+                <el-option label="无" :value="false" />
+                <el-option label="有" :value="true" />
+              </el-select>
+            </el-form-item>
+          </el-col>
+        </el-row>
+
+        <el-divider content-position="left">术后评估</el-divider>
+        <el-row :gutter="20">
+          <el-col :span="12">
+            <el-form-item label="意识状态">
+              <el-select v-model="form.consciousnessStatus" placeholder="请选择" style="width: 100%">
+                <el-option label="清醒" value="清醒" />
+                <el-option label="嗜睡" value="嗜睡" />
+                <el-option label="模糊" value="模糊" />
+                <el-option label="昏迷" value="昏迷" />
+              </el-select>
+            </el-form-item>
+          </el-col>
+          <el-col :span="12">
+            <el-form-item label="随访医师ID">
+              <el-input-number v-model="form.followupDoctorId" :min="0" style="width: 100%" />
+            </el-form-item>
+          </el-col>
+          <el-col :span="12">
+            <el-form-item label="随访医师姓名">
+              <el-input v-model="form.followupDoctorName" placeholder="请输入医师姓名" />
+            </el-form-item>
+          </el-col>
+          <el-col :span="24">
+            <el-form-item label="生命体征">
+              <el-input v-model="form.vitalSigns" type="textarea" :rows="2" placeholder="请描述生命体征（如：T 36.5℃, P 78次/min, R 18次/min, BP 120/80mmHg）" />
+            </el-form-item>
+          </el-col>
+          <el-col :span="24">
+            <el-form-item label="并发症">
+              <el-input v-model="form.complications" type="textarea" :rows="2" placeholder="请描述并发症情况" />
+            </el-form-item>
+          </el-col>
+          <el-col :span="24">
+            <el-form-item label="处理措施">
+              <el-input v-model="form.treatment" type="textarea" :rows="2" placeholder="请输入处理措施" />
+            </el-form-item>
+          </el-col>
+        </el-row>
+      </el-form>
+      <template #footer>
+        <el-button @click="dialogVisible = false">取消</el-button>
+        <el-button type="primary" :loading="submitLoading" @click="handleSave">保存</el-button>
+      </template>
+    </el-dialog>
+  </div>
+</template>
+
+<script setup>
+import { ref, reactive, onMounted, watch } from 'vue'
+import { ElMessage } from 'element-plus'
+import { recordPostopFollowup, getPostopFollowups } from '@/api/anesthesia'
+
+const props = defineProps({
+  encounterId: { type: [Number, String], default: null }
+})
+
+const loading = ref(false)
+const submitLoading = ref(false)
+const tableData = ref([])
+const dialogVisible = ref(false)
+const isEdit = ref(false)
+const formRef = ref(null)
+
+const form = reactive({
+  id: null,
+  encounterId: null,
+  patientId: null,
+  patientName: '',
+  surgeryId: null,
+  followupType: '',
+  followupTime: '',
+  painScore: null,
+  nauseaVomiting: false,
+  consciousnessStatus: '',
+  vitalSigns: '',
+  complications: '',
+  treatment: '',
+  followupDoctorId: null,
+  followupDoctorName: ''
+})
+
+const rules = {
+  followupType: [{ required: true, message: '请选择随访类型', trigger: 'change' }],
+  followupTime: [{ required: true, message: '请选择随访时间', trigger: 'change' }],
+  encounterId: [{ required: true, message: '请输入就诊ID', trigger: 'blur' }],
+  patientId: [{ required: true, message: '请输入患者ID', trigger: 'blur' }],
+  painScore: [{ required: true, message: '请输入疼痛评分', trigger: 'blur' }]
+}
+
+function getTypeTag(type) {
+  const map = { '24h': 'success', '48h': 'warning', '72h': 'danger' }
+  return map[type] || 'info'
+}
+
+function getPainType(score) {
+  if (score == null) return 'info'
+  if (score <= 3) return 'success'
+  if (score <= 6) return 'warning'
+  return 'danger'
+}
+
+function resetForm() {
+  form.id = null
+  form.encounterId = null
+  form.patientId = null
+  form.patientName = ''
+  form.surgeryId = null
+  form.followupType = ''
+  form.followupTime = ''
+  form.painScore = null
+  form.nauseaVomiting = false
+  form.consciousnessStatus = ''
+  form.vitalSigns = ''
+  form.complications = ''
+  form.treatment = ''
+  form.followupDoctorId = null
+  form.followupDoctorName = ''
+}
+
+function handleNew() {
+  resetForm()
+  isEdit.value = false
+  dialogVisible.value = true
+}
+
+function handleEdit(row) {
+  Object.assign(form, row)
+  isEdit.value = true
+  dialogVisible.value = true
+}
+
+function handleSave() {
+  formRef.value?.validate(valid => {
+    if (!valid) return
+    submitLoading.value = true
+    recordPostopFollowup({ ...form }).then(res => {
+      if (res.code === 200) {
+        ElMessage.success('保存成功')
+        dialogVisible.value = false
+        loadData()
+      } else {
+        ElMessage.error(res.msg || '保存失败')
+      }
+    }).catch(() => {
+      ElMessage.error('保存失败')
+    }).finally(() => {
+      submitLoading.value = false
+    })
+  })
+}
+
+function loadData() {
+  if (!props.encounterId) return
+  loading.value = true
+  getPostopFollowups(props.encounterId).then(res => {
+    tableData.value = res.data || []
+  }).catch(() => {
+    ElMessage.error('查询失败')
+  }).finally(() => {
+    loading.value = false
+  })
+}
+
+watch(() => props.encounterId, () => {
+  loadData()
+})
+
+onMounted(() => {
+  loadData()
+})
+</script>
+
+<style scoped>
+.postop-followup-container {
+  padding: 12px;
+}
+.card-header {
+  display: flex;
+  justify-content: space-between;
+  align-items: center;
+}
+</style>