feat(anesthesia): ASA麻醉评估

2026-06-17 12:35:45 +08:00
parent 0ec77ab89c
commit f444584908
10 changed files with 519 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
@@ -1,5 +1,6 @@
 package com.healthlink.his.web.anesthesia.appservice;

+import com.healthlink.his.anesthesia.domain.AnesAsaAssessment;
 import com.healthlink.his.anesthesia.domain.AnesthesiaFollowup;
 import com.healthlink.his.anesthesia.domain.AnesthesiaIoRecord;
 import com.healthlink.his.anesthesia.domain.AnesthesiaMedication;
@@ -31,4 +32,8 @@ public interface IAnesthesiaAppService {
    AnesthesiaIoSummaryDto getIoSummary(Long recordId);

    void completeRecord(Long recordId);
+
+    AnesAsaAssessment saveAsaAssessment(AnesAsaAssessment assessment);
+
+    List<AnesAsaAssessment> getAsaAssessments(Long recordId);
 }
--- 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
@@ -1,5 +1,6 @@
 package com.healthlink.his.web.anesthesia.appservice.impl;

+import com.healthlink.his.anesthesia.domain.AnesAsaAssessment;
 import com.healthlink.his.anesthesia.domain.AnesthesiaFollowup;
 import com.healthlink.his.anesthesia.domain.AnesthesiaIoRecord;
 import com.healthlink.his.anesthesia.domain.AnesthesiaMedication;
@@ -7,6 +8,7 @@ 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.IAnesthesiaFollowupService;
 import com.healthlink.his.anesthesia.service.IAnesthesiaIoRecordService;
 import com.healthlink.his.anesthesia.service.IAnesthesiaMedicationService;
@@ -39,6 +41,9 @@ public class AnesthesiaAppServiceImpl implements IAnesthesiaAppService {
    @Resource
    private IAnesthesiaFollowupService anesthesiaFollowupService;

+    @Resource
+    private IAnesAsaAssessmentService anesAsaAssessmentService;
+
    @Override
    @Transactional
    public AnesthesiaRecord createRecord(AnesthesiaRecord record) {
@@ -125,4 +130,20 @@ 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);
+    }
 }
--- 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
@@ -1,6 +1,7 @@
 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.AnesthesiaFollowup;
 import com.healthlink.his.anesthesia.domain.AnesthesiaIoRecord;
 import com.healthlink.his.anesthesia.domain.AnesthesiaMedication;
@@ -17,6 +18,7 @@ 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 +136,18 @@ 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));
+    }
 }
--- 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-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/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/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/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-ui/src/api/anesthesia.js
+++ b/healthlink-his-ui/src/api/anesthesia.js
@@ -69,3 +69,11 @@ 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' })
+}
--- a/healthlink-his-ui/src/views/inpatientDoctor/AnesthesiaAssessment.vue
+++ b/healthlink-his-ui/src/views/inpatientDoctor/AnesthesiaAssessment.vue
@@ -0,0 +1,340 @@
+<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 } from 'vue'
+import { ElMessage } from 'element-plus'
+import { saveAsaAssessment, getAsaAssessments } from '@/api/anesthesia'
+
+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() {
+  loading.value = true
+  getAsaAssessments(1).then(res => {
+    tableData.value = res.data || []
+  }).catch(() => {
+    ElMessage.error('查询失败')
+  }).finally(() => {
+    loading.value = false
+  })
+}
+
+onMounted(() => {
+  loadData()
+})
+</script>
+
+<style scoped>
+.asa-assessment-container {
+  padding: 12px;
+}
+.card-header {
+  display: flex;
+  justify-content: space-between;
+  align-items: center;
+}
+</style>