2 lines
7.7 KiB
JavaScript
2 lines
7.7 KiB
JavaScript
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import{d as e,r as a,c as l,o as s,e as t,f as o,w as n,i,E as c,j as u,t as d,n as r,H as v,l as f,m as p,F as _,g as y,s as k,y as m,z as g,x as h,u as C,S as x}from"./index-CpNRQgjE.js";import{_ as b}from"./config-doctor.TgARj_nM.js";import{r as D}from"./cases.BlouN7SM.js";import{c as A,a as j,b as q}from"./navigation.CsipbD6y.js";import{_ as T}from"./_plugin-vue_export-helper.BCo6x5W8.js";const B=T(e({__name:"teaching",props:{caseItem:{}},emits:["open-settings","open-profile","go-home"],setup(e,{emit:T}){const B=e,O=T,S=A(O),w=j(O),I=q(O),E=[{id:"acs-ecg",question:"根据陈先生目前的临床表现(急性剧烈胸痛伴大汗),首选的初步辅助检查应该是哪一项?",options:[{key:"A",text:"胸部增强CT (CTA)"},{key:"B",text:"血清心肌酶学检查"},{key:"C",text:"心脏彩色多普勒超声"},{key:"D",text:"床边12导联心电图"}],correctOption:"D",defaultSelected:"B",analysis:"解析:对于疑似急性冠脉综合征(ACS)的患者,18导联或12导联心电图是首选且最快捷的辅助检查工具。",note:"心肌酶学检查虽然重要,但通常在症状发作2-4小时后才会升高,不能作为首诊即刻排除依据。你的选择偏慢了。正确选项应为 D。",videoTitle:"临床知识点:急性冠脉综合征的早期识别",videoDesc:"本视频将由王主任为您深入解析 ACS 的典型心电图表现与急诊处理流程。"},{id:"aortic-dissection",question:"若患者胸痛呈撕裂样并伴双上肢血压明显不对称,下一步最需要警惕的疾病是什么?",options:[{key:"A",text:"急性主动脉夹层"},{key:"B",text:"稳定型心绞痛"},{key:"C",text:"肋软骨炎"},{key:"D",text:"胃食管反流病"}],correctOption:"A",analysis:"解析:突发撕裂样胸背痛、血压或脉搏不对称、神经系统症状等均提示主动脉夹层风险,需要快速识别并优先排查。",note:"主动脉夹层是胸痛鉴别诊断中的高危疾病,漏诊风险极高。正确选项应为 A。",videoTitle:"临床知识点:主动脉夹层的危险信号",videoDesc:"本视频讲解主动脉夹层的典型表现、床旁识别线索与 CTA 检查时机。"},{id:"nitroglycerin",question:"疑似急性冠脉综合征患者使用硝酸甘油前,最应该先评估哪一项?",options:[{key:"A",text:"患者是否空腹"},{key:"B",text:"血压水平及禁忌证"},{key:"C",text:"白细胞计数"},{key:"D",text:"既往疫苗接种史"}],correctOption:"B",analysis:"解析:硝酸甘油可降低血压,使用前应评估收缩压、右室梗死风险、近期 PDE-5 抑制剂使用等禁忌证。",note:"急诊处理强调先评估风险再给药,避免因低血压或禁忌证导致病情恶化。正确选项应为 B。",videoTitle:"临床知识点:胸痛患者硝酸甘油使用要点",videoDesc:"本视频梳理硝酸甘油的适应证、禁忌证及急诊场景下的用药安全。"}],F=a(0),z=a(E[0].defaultSelected||""),H=a(!1),N=a(!1),P=a(null),G=l((()=>B.caseItem||P.value)),J=l((()=>{var e,a,l,s,t;return{name:(null==(e=G.value)?void 0:e.patientName)||"陈先生",gender:(null==(a=G.value)?void 0:a.gender)||"男",age:(null==(l=G.value)?void 0:l.age)||60,department:(null==(s=G.value)?void 0:s.department)||"心血管内科",chiefComplaint:(null==(t=G.value)?void 0:t.title)||"持续胸痛3小时"}})),K=l((()=>J.value.chiefComplaint.includes("胸痛")?"胸痛":J.value.chiefComplaint.slice(0,6))),L=l((()=>E[F.value]));function M(){H.value=!0,N.value=!1}function Q(){var e;const a=(F.value+1)%E.length;F.value=a,z.value=E[a].defaultSelected||"",H.value=!1,N.value=!1,k("clinical-thinking-teaching-question",{caseId:(null==(e=G.value)?void 0:e.id)||"",questionId:E[a].id,index:a})}function R(){N.value=!N.value}return s((()=>{P.value=D()})),(e,a)=>{const l=m,s=g,k=h,D=C,A=x;return t(),o(l,{class:"teaching-page"},{default:n((()=>[i(l,{class:"teaching-shell"},{default:n((()=>[i(l,{class:"top-nav"},{default:n((()=>[i(s,{class:"icon-button","aria-label":"设置",onClick:c(w)},{default:n((()=>[i(l,{class:"settings-icon"})])),_:1},8,["onClick"]),i(s,{class:"icon-but
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