chenqi
a47306825a
- 创建手术室维护界面PRD文档 - 定义页面概述、核心功能和用户价值 - 设计整体布局和页面区域详细描述 - 规范交互功能和数据结构说明 - 说明开发实现要点和注意事项 - 移除中医诊断主诊断功能实现说明文档 - 移除公告通知弹窗功能说明文档 - 移除手术人员字段不显示问题解决方案文档 - 移除手术和麻醉信息Redis缓存实现说明文档 - 移除手术室管理添加类型和所属科室字段说明文档
618 lines
20 KiB
Vue
618 lines
20 KiB
Vue
<template>
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<div class="medical-document">
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<!-- 标题区域 -->
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<div class="doc-header">
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<h1 class="doc-title">{{ hospitalName }} 住院手术记录单</h1>
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<div class="doc-subtitle">住院号: {{ formData.busNo || '待填写' }}</div>
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</div>
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<!-- 内容区域 -->
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<el-form
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ref="formRef"
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:model="formData"
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:rules="rules"
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label-width="120px"
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label-align="left"
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class="doc-content"
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style="height: 60vh; overflow: scroll"
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>
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<!-- 患者与手术基础信息 -->
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<section class="doc-section">
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<h2 class="section-title">一、患者与手术基本信息</h2>
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<div class="adaptive-grid">
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<el-form-item label="患者姓名" prop="patientName" class="grid-item required">
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<el-input v-model="formData.patientName" placeholder="请输入患者姓名" clearable />
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</el-form-item>
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<el-form-item label="性别" prop="gender" class="grid-item required">
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<el-select v-model="formData.gender" placeholder="请选择性别">
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<el-option label="男" value="男" />
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<el-option label="女" value="女" />
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</el-select>
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</el-form-item>
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<el-form-item label="年龄" prop="age" class="grid-item required">
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<div class="input-with-unit">
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<el-input v-model.number="formData.age" placeholder="请输入年龄" />
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<span class="unit">岁</span>
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</div>
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</el-form-item>
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<el-form-item label="科室" prop="department" class="grid-item required">
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<el-input v-model="formData.department" placeholder="如：普外科" clearable />
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</el-form-item>
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<el-form-item label="病房/床号" prop="bedNo" class="grid-item required">
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<el-input v-model="formData.bedNo" placeholder="如：502-03" clearable />
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</el-form-item>
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<el-form-item label="手术日期/时间" prop="operationDateTime" class="grid-item required">
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<el-date-picker
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v-model="formData.operationDateTime"
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type="datetime"
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placeholder="选择手术日期时间"
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value-format="YYYY-MM-DD HH:mm"
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/>
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</el-form-item>
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</div>
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</section>
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<!-- 手术团队信息 -->
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<section class="doc-section">
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<h2 class="section-title">二、手术团队信息</h2>
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<div class="adaptive-grid">
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<el-form-item label="手术者" prop="surgeon" class="grid-item required">
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<el-input v-model="formData.surgeon" placeholder="主刀医师姓名" clearable />
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</el-form-item>
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<el-form-item label="第一助手" prop="firstAssistant" class="grid-item required">
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<el-input v-model="formData.firstAssistant" placeholder="第一助手姓名" clearable />
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</el-form-item>
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<el-form-item label="第二助手" prop="secondAssistant" class="grid-item">
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<el-input v-model="formData.secondAssistant" placeholder="第二助手姓名" clearable />
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</el-form-item>
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<el-form-item label="麻醉医师" prop="anesthesiologist" class="grid-item required">
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<el-input v-model="formData.anesthesiologist" placeholder="麻醉医师姓名" clearable />
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</el-form-item>
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<el-form-item label="巡回护士" prop="circulatingNurse" class="grid-item required">
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<el-input v-model="formData.circulatingNurse" placeholder="巡回护士姓名" clearable />
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</el-form-item>
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<el-form-item label="器械护士" prop="scrubNurse" class="grid-item required">
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<el-input v-model="formData.scrubNurse" placeholder="器械护士姓名" clearable />
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</el-form-item>
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</div>
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</section>
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<!-- 手术详情 -->
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<section class="doc-section">
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<h2 class="section-title">三、手术详情</h2>
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<el-form-item label="手术名称" prop="operationName" class="full-width-item required">
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<el-input
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v-model="formData.operationName"
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placeholder="规范手术名称（如：腹腔镜下胆囊切除术）"
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clearable
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/>
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</el-form-item>
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<el-form-item label="手术方式" prop="operationMethod" class="full-width-item required">
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<el-select v-model="formData.operationMethod" placeholder="选择手术方式">
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<el-option label="开放手术" value="开放手术" />
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<el-option label="微创手术" value="微创手术" />
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<el-option label="介入手术" value="介入手术" />
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</el-select>
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</el-form-item>
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<el-form-item label="手术入路" prop="surgicalApproach" class="full-width-item required">
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<el-input
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v-model="formData.surgicalApproach"
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placeholder="如：右上腹经腹直肌切口"
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clearable
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/>
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</el-form-item>
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<el-form-item
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label="术中发现"
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prop="intraoperativeFindings"
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class="full-width-item required"
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>
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<el-input
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v-model="formData.intraoperativeFindings"
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type="textarea"
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placeholder="详细描述术中所见器官、病变情况"
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autosize
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maxlength="1000"
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show-word-limit
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/>
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</el-form-item>
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<el-form-item label="手术过程" prop="operationProcess" class="full-width-item required">
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<el-input
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v-model="formData.operationProcess"
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type="textarea"
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placeholder="按操作顺序描述手术步骤（如：游离胆囊三角→结扎胆囊管→切除胆囊...）"
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autosize
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maxlength="1500"
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show-word-limit
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/>
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</el-form-item>
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</section>
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<!-- 术后情况 -->
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<section class="doc-section">
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<h2 class="section-title">四、术后情况</h2>
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<div class="adaptive-grid">
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<el-form-item label="术中出血量" prop="bloodLoss" class="grid-item required">
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<div class="input-with-unit">
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<el-input
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v-model.number="formData.bloodLoss"
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type="number"
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placeholder="请输入出血量"
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/>
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<span class="unit">ml</span>
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</div>
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</el-form-item>
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<el-form-item label="输血情况" prop="bloodTransfusion" class="grid-item">
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<el-select v-model="formData.bloodTransfusion" placeholder="是否输血">
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<el-option label="是" value="是" />
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<el-option label="否" value="否" />
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</el-select>
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</el-form-item>
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<el-form-item label="引流管放置" prop="drainageTube" class="grid-item">
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<el-input v-model="formData.drainageTube" placeholder="如：腹腔引流管1根" clearable />
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</el-form-item>
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<el-form-item label="标本处理" prop="specimenDisposal" class="grid-item required">
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<el-input
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v-model="formData.specimenDisposal"
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placeholder="如：胆囊标本送病理检查"
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clearable
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/>
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</el-form-item>
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<el-form-item label="手术结束时间" prop="operationEndTime" class="grid-item required">
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<el-date-picker
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v-model="formData.operationEndTime"
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type="datetime"
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placeholder="选择手术结束时间"
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value-format="YYYY-MM-DD HH:mm"
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/>
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</el-form-item>
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<el-form-item label="患者去向" prop="patientDestination" class="grid-item required">
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<el-select v-model="formData.patientDestination" placeholder="选择去向">
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<el-option label="ICU" value="ICU" />
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<el-option label="普通病房" value="普通病房" />
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</el-select>
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</el-form-item>
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</div>
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</section>
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<!-- 签署区域 -->
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<section class="doc-section">
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<h2 class="section-title">五、签署确认</h2>
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<div
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class="adaptive-grid signature-area"
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style="grid-template-columns: repeat(auto-fit, minmax(240px, 1fr))"
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>
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<el-form-item label="手术者签名" prop="surgeonSignature" class="grid-item required">
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<el-input v-model="formData.surgeonSignature" placeholder="主刀医师签字" clearable />
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<div class="signature-tip">请手术者亲笔签名</div>
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</el-form-item>
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<el-form-item label="记录者签名" prop="recorderSignature" class="grid-item required">
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<el-input v-model="formData.recorderSignature" placeholder="记录者签字" clearable />
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<div class="signature-tip">请记录者（如第一助手）签字</div>
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</el-form-item>
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<el-form-item label="记录日期" prop="recordDate" class="grid-item required">
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<el-date-picker
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v-model="formData.recordDate"
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type="date"
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placeholder="选择记录日期"
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value-format="YYYY-MM-DD"
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style="width: 100%"
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/>
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</el-form-item>
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</div>
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</section>
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</el-form>
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<!-- 操作按钮 -->
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<div class="btn-group">
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<el-button type="primary" @click="submit">保存记录</el-button>
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<el-button type="success" @click="handlePrint">打印记录</el-button>
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<el-button type="warning" @click="handleReset">重置表单</el-button>
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</div>
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</div>
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<intOperRecordSheet v-if="isShowprintDom" ref="recordPrintRef"></intOperRecordSheet>
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</template>
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<script setup>
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import {onMounted, reactive, ref} from 'vue';
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import intOperRecordSheet from '../views/hospitalRecord/components/intOperRecordSheet.vue';
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import useUserStore from '@/store/modules/user';
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const userStore = useUserStore();
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const isShowprintDom = ref(false);
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const recordPrintRef = ref();
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// 医院名称
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const hospitalName = userStore.hospitalName;
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defineOptions({
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name: 'iInHospitalSurgicalRecord',
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});
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// 表单引用
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const formRef = ref(null);
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// 表单数据
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const formData = reactive({
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// 患者与手术基础信息
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busNo: '',
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patientName: '',
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gender: '',
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age: '',
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department: '',
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bedNo: '',
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operationDateTime: '', // 手术日期时间
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// 手术团队信息
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surgeon: '', // 主刀医师
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firstAssistant: '', // 第一助手
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secondAssistant: '', // 第二助手
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anesthesiologist: '', // 麻醉医师
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circulatingNurse: '', // 巡回护士
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scrubNurse: '', // 器械护士
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// 手术详情
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operationName: '', // 规范手术名称
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operationMethod: '', // 手术方式
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surgicalApproach: '', // 手术入路
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intraoperativeFindings: '', // 术中发现
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operationProcess: '', // 手术过程
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// 术后情况
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bloodLoss: '', // 术中出血量
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bloodTransfusion: '', // 输血情况
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drainageTube: '', // 引流管放置
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specimenDisposal: '', // 标本处理
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operationEndTime: '', // 手术结束时间
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patientDestination: '', // 患者去向
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// 签署信息
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surgeonSignature: '', // 手术者签名
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recorderSignature: '', // 记录者签名
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recordDate: '', // 记录日期
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});
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// Props与事件
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const props = defineProps({
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patientInfo: {
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type: Object,
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required: true,
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},
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});
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const patient = props.patientInfo;
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// 表单验证规则
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const rules = reactive({
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busNo: [{ required: true, message: '请填写住院号', trigger: ['blur', 'submit'] }],
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patientName: [{ required: true, message: '请填写患者姓名', trigger: ['blur', 'submit'] }],
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gender: [{ required: true, message: '请选择性别', trigger: ['change', 'submit'] }],
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age: [
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{ required: true, message: '请填写年龄', trigger: ['blur', 'submit'] },
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{ type: 'number', min: 0, max: 150, message: '年龄需在0-150之间', trigger: ['blur', 'submit'] },
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],
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department: [{ required: true, message: '请填写科室', trigger: ['blur', 'submit'] }],
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bedNo: [{ required: true, message: '请填写病房/床号', trigger: ['blur', 'submit'] }],
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operationDateTime: [
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{ required: true, message: '请选择手术日期时间', trigger: ['change', 'submit'] },
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],
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surgeon: [{ required: true, message: '请填写手术者姓名', trigger: ['blur', 'submit'] }],
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firstAssistant: [{ required: true, message: '请填写第一助手姓名', trigger: ['blur', 'submit'] }],
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anesthesiologist: [
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{ required: true, message: '请填写麻醉医师姓名', trigger: ['blur', 'submit'] },
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],
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circulatingNurse: [
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{ required: true, message: '请填写巡回护士姓名', trigger: ['blur', 'submit'] },
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],
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scrubNurse: [{ required: true, message: '请填写器械护士姓名', trigger: ['blur', 'submit'] }],
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operationName: [{ required: true, message: '请填写手术名称', trigger: ['blur', 'submit'] }],
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operationMethod: [{ required: true, message: '请选择手术方式', trigger: ['change', 'submit'] }],
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surgicalApproach: [{ required: true, message: '请填写手术入路', trigger: ['blur', 'submit'] }],
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intraoperativeFindings: [
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{ required: true, message: '请描述术中发现', trigger: ['blur', 'submit'] },
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],
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operationProcess: [{ required: true, message: '请描述手术过程', trigger: ['blur', 'submit'] }],
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bloodLoss: [
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{ required: true, message: '请填写术中出血量', trigger: ['blur', 'submit'] },
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{ type: 'number', min: 0, message: '出血量不能为负数', trigger: ['blur', 'submit'] },
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],
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specimenDisposal: [
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{ required: true, message: '请填写标本处理方式', trigger: ['blur', 'submit'] },
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],
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operationEndTime: [
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{ required: true, message: '请选择手术结束时间', trigger: ['change', 'submit'] },
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],
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patientDestination: [
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{ required: true, message: '请选择患者去向', trigger: ['change', 'submit'] },
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],
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surgeonSignature: [{ required: true, message: '请手术者签名', trigger: ['blur', 'submit'] }],
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recorderSignature: [{ required: true, message: '请记录者签名', trigger: ['blur', 'submit'] }],
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recordDate: [{ required: true, message: '请选择记录日期', trigger: ['change', 'submit'] }],
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});
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// 生命周期
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onMounted(() => {
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// 初始化日期为当前日期时间
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const today = new Date();
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formData.operationDateTime = formatDateTime(today);
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formData.operationEndTime = formatDateTime(today);
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formData.recordDate = formatDate(today);
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if (!formData.patientName) {
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formData.patientName = patient?.patientName || '';
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}
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if (!formData.gender) {
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formData.gender = patient?.genderEnum_enumText || '';
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}
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if (!formData.age) {
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formData.age = patient?.age || '';
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}
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if (!formData.department) {
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formData.department = patient?.inHospitalOrgName || '';
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}
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if (!formData.bedNo) {
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formData.bedNo = patient?.houseName + '-' + patient?.bedName;
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}
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if (!formData.busNo) {
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formData.busNo = patient?.busNo || '';
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}
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});
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const emits = defineEmits(['submitOk']);
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// 提交表单
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const submit = () => {
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formRef.value.validate((valid) => {
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if (valid) {
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ElMessage.success('手术记录保存成功');
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console.log('手术记录数据:', formData);
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emits('submitOk', formData);
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}
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});
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};
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// 表单数据赋值
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const setFormData = (data) => {
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if (data) {
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Object.assign(formData, data);
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if (!formData.busNo) {
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formData.busNo = patient?.busNo || '';
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}
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}
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};
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// 打印功能
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const handlePrint = () => {
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formRef.value.validate((valid) => {
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if (valid) {
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window.print();
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} else {
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ElMessageBox.warning('请先完善表单信息再打印');
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}
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});
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};
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// 重置表单
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const handleReset = () => {
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ElMessageBox.confirm('确定要重置表单吗？所有已填写内容将被清空', '确认重置', {
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confirmButtonText: '确定',
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cancelButtonText: '取消',
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type: 'warning',
|
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}).then(() => {
|
||
formRef.value.resetFields();
|
||
const today = new Date();
|
||
formData.operationDateTime = formatDateTime(today);
|
||
formData.operationEndTime = formatDateTime(today);
|
||
formData.recordDate = formatDate(today);
|
||
ElMessage.success('表单已重置');
|
||
});
|
||
};
|
||
|
||
// 日期格式化工具
|
||
const formatDate = (date) => {
|
||
const year = date.getFullYear();
|
||
const month = String(date.getMonth() + 1).padStart(2, '0');
|
||
const day = String(date.getDate()).padStart(2, '0');
|
||
return `${year}-${month}-${day}`;
|
||
};
|
||
|
||
const formatDateTime = (date) => {
|
||
const year = date.getFullYear();
|
||
const month = String(date.getMonth() + 1).padStart(2, '0');
|
||
const day = String(date.getDate()).padStart(2, '0');
|
||
const hour = String(date.getHours()).padStart(2, '0');
|
||
const minute = String(date.getMinutes()).padStart(2, '0');
|
||
return `${year}-${month}-${day} ${hour}:${minute}`;
|
||
};
|
||
const printFun = () => {
|
||
console.log('入院记录打印');
|
||
isShowprintDom.value = true;
|
||
nextTick(() => {
|
||
recordPrintRef?.value.setData(formData);
|
||
nextTick(() => {
|
||
previewPrint(recordPrintRef?.value.getDom());
|
||
isShowprintDom.value = false;
|
||
});
|
||
});
|
||
};
|
||
defineExpose({ submit, setFormData, printFun });
|
||
</script>
|
||
|
||
<style scoped>
|
||
/* 核心容器：PC端限制合理最大宽度，避免超宽屏内容过散 */
|
||
.medical-document {
|
||
max-width: 1440px; /* PC端最优宽度，兼顾大屏和常规屏 */
|
||
width: 98%; /* 占满父容器98%，保留少量边距 */
|
||
margin: 20px auto;
|
||
padding: 30px;
|
||
background: #fff;
|
||
box-shadow: 0 0 10px rgba(0, 0, 0, 0.1);
|
||
font-family: 'SimSun', '宋体', serif;
|
||
box-sizing: border-box; /* 确保内边距不撑大容器 */
|
||
}
|
||
|
||
.doc-header {
|
||
text-align: center;
|
||
margin-bottom: 30px;
|
||
}
|
||
|
||
.doc-title {
|
||
font-size: 22px;
|
||
margin: 0 0 10px;
|
||
font-weight: bold;
|
||
}
|
||
|
||
.doc-subtitle {
|
||
font-size: 16px;
|
||
color: #666;
|
||
margin-bottom: 20px;
|
||
padding-bottom: 10px;
|
||
border-bottom: 2px solid #333;
|
||
}
|
||
|
||
.doc-content {
|
||
width: 100%;
|
||
}
|
||
|
||
.doc-section {
|
||
margin-bottom: 25px;
|
||
padding-bottom: 15px;
|
||
border-bottom: 1px dashed #ccc;
|
||
}
|
||
|
||
.section-title {
|
||
font-size: 18px;
|
||
margin: 0 0 15px;
|
||
color: #333;
|
||
font-weight: bold;
|
||
}
|
||
|
||
/* 自适应网格：PC端优先展示多列，优化列宽比例 */
|
||
.adaptive-grid {
|
||
display: grid;
|
||
/* PC端最小列宽220px，保证每列内容不拥挤，自动适配列数 */
|
||
grid-template-columns: repeat(auto-fit, minmax(220px, 1fr));
|
||
gap: 15px 20px;
|
||
margin-bottom: 15px;
|
||
width: 100%;
|
||
}
|
||
|
||
.grid-item {
|
||
margin-bottom: 0;
|
||
display: flex;
|
||
flex-direction: column;
|
||
}
|
||
.grid-item .el-form-item__content {
|
||
flex: 1;
|
||
min-width: 0;
|
||
}
|
||
|
||
.full-width-item {
|
||
width: 100%;
|
||
margin-bottom: 15px;
|
||
}
|
||
|
||
.input-with-unit {
|
||
display: flex;
|
||
align-items: center;
|
||
gap: 8px;
|
||
}
|
||
|
||
.unit {
|
||
white-space: nowrap;
|
||
color: #666;
|
||
}
|
||
|
||
.signature-area {
|
||
grid-template-columns: repeat(auto-fit, minmax(240px, 1fr));
|
||
}
|
||
|
||
.signature-tip {
|
||
font-size: 12px;
|
||
color: #f56c6c;
|
||
margin-top: 4px;
|
||
}
|
||
|
||
.btn-group {
|
||
display: flex;
|
||
justify-content: center;
|
||
gap: 15px;
|
||
margin-top: 30px;
|
||
padding-top: 20px;
|
||
border-top: 2px solid #333;
|
||
}
|
||
|
||
.required .el-form-item__label::before {
|
||
content: '*';
|
||
color: #ff4d4f;
|
||
margin-right: 4px;
|
||
}
|
||
|
||
/* 仅针对小屏设备做基础适配，优先保证PC端体验 */
|
||
@media (max-width: 768px) {
|
||
.medical-document {
|
||
max-width: 100%;
|
||
padding: 15px;
|
||
}
|
||
|
||
.adaptive-grid {
|
||
grid-template-columns: 1fr; /* 移动端强制单列 */
|
||
}
|
||
|
||
.doc-title {
|
||
font-size: 18px;
|
||
}
|
||
|
||
.section-title {
|
||
font-size: 16px;
|
||
}
|
||
}
|
||
|
||
/* 超宽屏（≥1920px）优化：适度增大间距，提升视觉体验 */
|
||
@media (min-width: 1920px) {
|
||
.medical-document {
|
||
max-width: 1600px;
|
||
padding: 40px;
|
||
}
|
||
.adaptive-grid {
|
||
gap: 20px 25px;
|
||
}
|
||
}
|
||
|
||
/* 打印样式保留 */
|
||
@media print {
|
||
.btn-group {
|
||
display: none;
|
||
}
|
||
.medical-document {
|
||
box-shadow: none;
|
||
margin: 0;
|
||
padding: 0;
|
||
max-width: 100%;
|
||
}
|
||
|
||
.el-input__inner,
|
||
.el-select__input,
|
||
.el-textarea__inner {
|
||
border: none !important;
|
||
box-shadow: none !important;
|
||
background: transparent !important;
|
||
}
|
||
.el-form-item__label {
|
||
font-weight: bold !important;
|
||
}
|
||
}
|
||
</style>
|