From 287812fea5211450fc81d801d21317ac06943746 Mon Sep 17 00:00:00 2001
From: =?UTF-8?q?=E7=8E=8B=E5=A4=A9=E9=AA=84?= <5307576@qq.com>
Date: Wed, 3 Jun 2026 16:01:03 +0800
Subject: [PATCH] =?UTF-8?q?feat:=20=E6=96=B0=E5=A2=9E=E4=BD=93=E6=A0=BC?=
 =?UTF-8?q?=E6=A3=80=E6=9F=A5?=
MIME-Version: 1.0
Content-Type: text/plain; charset=UTF-8
Content-Transfer-Encoding: 8bit

---
 api/auth.ts         |   8 +-
 api/chat.ts         |   3 +-
 manifest.json       |   2 +-
 pages/chat/chat.vue | 479 +++++++++++++++++++++++++++++++++++++++++++-
 vite.config.ts      |   3 +-
 5 files changed, 488 insertions(+), 7 deletions(-)

diff --git a/api/auth.ts b/api/auth.ts
index 65920a5..de7012d 100644
--- a/api/auth.ts
+++ b/api/auth.ts
@@ -1,4 +1,8 @@
-const apiBaseUrl = 'http://127.0.0.1:8000/api'
+let apiBaseUrl = 'http://192.168.2.76:8000/api'
+
+// #ifdef H5
+apiBaseUrl = '/backend-api'
+// #endif
 
 export const API_BASE_URL = apiBaseUrl
 
@@ -14,6 +18,8 @@ export type SendCodeResponse = {
 export type LoginCodePayload = {
 	phone: string
 	code: string
+	institution_code: string
+	institution_name: string
 }
 
 export type BackendUser = {
diff --git a/api/chat.ts b/api/chat.ts
index a06733e..c9f5cbd 100644
--- a/api/chat.ts
+++ b/api/chat.ts
@@ -34,7 +34,8 @@ const defaultCase: ClinicalCase = {
 	department: '心血管内科',
 	scene: '住院部',
 	caseNo: '1006004',
-	tone: 'orange'
+	tone: 'orange',
+	mode: 'training'
 }
 
 export function createMockChatSession(caseItem?: ClinicalCase | null): Promise<ChatSession> {
diff --git a/manifest.json b/manifest.json
index bba0c34..4d1491d 100644
--- a/manifest.json
+++ b/manifest.json
@@ -72,7 +72,7 @@
         "devServer" : {
             "proxy" : {
                 "/backend-api" : {
-                    "target" : "http://127.0.0.1:8000",
+                    "target" : "http://192.168.2.76:8000",
                     "changeOrigin" : true,
                     "pathRewrite" : {
                         "^/backend-api" : "/api"
diff --git a/pages/chat/chat.vue b/pages/chat/chat.vue
index 4ca8952..cacc521 100644
--- a/pages/chat/chat.vue
+++ b/pages/chat/chat.vue
@@ -88,8 +88,8 @@
 			<view class="input-panel">
 				<scroll-view class="quick-actions" scroll-x>
 					<view class="quick-row">
-						<button class="quick-chip" @click="sendQuickAction('体格检查')">体格检查</button>
-						<button class="quick-chip" @click="sendQuickAction('辅助检查')">辅助检查</button>
+						<button class="quick-chip" @click="openPhysicalPanel">体格检查</button>
+						<button class="quick-chip" @click="openExamPanel">辅助检查</button>
 					</view>
 				</scroll-view>
 				<view class="input-row">
@@ -108,6 +108,85 @@
 			</view>
 		</view>
 
+		<view v-if="physicalPanelVisible" class="exam-mask" @click="physicalPanelVisible = false">
+			<view class="physical-panel" @click.stop>
+				<view class="exam-header">
+					<text class="exam-title">录入体格检查</text>
+					<button class="exam-close" aria-label="关闭" @click="physicalPanelVisible = false">
+						<view class="close-icon"></view>
+					</button>
+				</view>
+				<scroll-view class="physical-form" scroll-y>
+					<view class="vital-grid">
+						<view class="form-field">
+							<text class="field-label">体温</text>
+							<input class="field-input" v-model="physicalForm.temperature" type="digit" placeholder="36.8" placeholder-class="field-placeholder" />
+							<text class="field-unit">℃</text>
+						</view>
+						<view class="form-field">
+							<text class="field-label">心率</text>
+							<input class="field-input" v-model="physicalForm.pulse" type="number" placeholder="98" placeholder-class="field-placeholder" />
+							<text class="field-unit">次/分</text>
+						</view>
+						<view class="form-field">
+							<text class="field-label">呼吸</text>
+							<input class="field-input" v-model="physicalForm.respiration" type="number" placeholder="22" placeholder-class="field-placeholder" />
+							<text class="field-unit">次/分</text>
+						</view>
+						<view class="form-field">
+							<text class="field-label">血氧</text>
+							<input class="field-input" v-model="physicalForm.spo2" type="number" placeholder="96" placeholder-class="field-placeholder" />
+							<text class="field-unit">%</text>
+						</view>
+					</view>
+
+					<view class="form-field full">
+						<text class="field-label">血压</text>
+						<input class="field-input" v-model="physicalForm.bloodPressure" type="text" placeholder="138/86" placeholder-class="field-placeholder" />
+						<text class="field-unit">mmHg</text>
+					</view>
+					<view class="form-field full">
+						<text class="field-label">意识/面色</text>
+						<input class="field-input" v-model="physicalForm.complexion" type="text" placeholder="清醒，面色苍白，出汗" placeholder-class="field-placeholder" />
+					</view>
+					<view class="form-field textarea-field">
+						<text class="field-label">心肺/腹部查体</text>
+						<textarea class="field-textarea" v-model="physicalForm.examFinding" placeholder="心音、肺部啰音、腹部压痛等" placeholder-class="field-placeholder"></textarea>
+					</view>
+					<view class="form-field textarea-field">
+						<text class="field-label">其他发现</text>
+						<textarea class="field-textarea" v-model="physicalForm.otherFinding" placeholder="如双侧血压差、下肢水肿、神经系统体征等" placeholder-class="field-placeholder"></textarea>
+					</view>
+				</scroll-view>
+				<view class="physical-actions">
+					<button class="physical-cancel" @click="physicalPanelVisible = false">取消</button>
+					<button class="physical-submit" @click="submitPhysicalExam">提交检查结果</button>
+				</view>
+			</view>
+		</view>
+
+		<view v-if="examPanelVisible" class="exam-mask" @click="examPanelVisible = false">
+			<view class="exam-panel" @click.stop>
+				<view class="exam-header">
+					<text class="exam-title">选择辅助检查</text>
+					<button class="exam-close" aria-label="关闭" @click="examPanelVisible = false">
+						<view class="close-icon"></view>
+					</button>
+				</view>
+				<view class="exam-list">
+					<button
+						v-for="exam in auxiliaryExams"
+						:key="exam.name"
+						class="exam-item"
+						@click="selectAuxiliaryExam(exam)"
+					>
+						<text class="exam-name">{{ exam.name }}</text>
+						<view class="chevron-icon"></view>
+					</button>
+				</view>
+			</view>
+		</view>
+
 		<view class="toast" :class="{ visible: toastVisible }">{{ toastMessage }}</view>
 	</view>
 </template>
@@ -115,7 +194,7 @@
 <script setup lang="ts">
 import { computed, onMounted, onUnmounted, reactive, ref } from 'vue'
 import type { ClinicalCase } from '../../api/cases'
-import { createMockChatSession, sendMockChatMessage, type ChatSession } from '../../api/chat'
+import { createMockChatSession, sendMockChatMessage, type ChatMessage, type ChatSession } from '../../api/chat'
 import DiagnosisPage from '../diagnosis/diagnosis.vue'
 
 const props = defineProps<{
@@ -150,9 +229,46 @@ const scrollTop = ref(0)
 const toastMessage = ref('')
 const toastVisible = ref(false)
 const showDiagnosisPage = ref(false)
+const examPanelVisible = ref(false)
+const physicalPanelVisible = ref(false)
 
 let toastTimer: ReturnType<typeof setTimeout> | null = null
 
+type AuxiliaryExam = {
+	name: string
+	result: string
+}
+
+const auxiliaryExams: AuxiliaryExam[] = [
+	{
+		name: '心电图',
+		result: '检查结果：床边12导联心电图提示窦性心律，II、III、aVF 导联 ST 段抬高，提示下壁急性心肌梗死可能。'
+	},
+	{
+		name: '胸部X线',
+		result: '检查结果：胸部X线未见明显气胸或纵隔明显增宽，心影大小基本正常，不能排除急性冠脉综合征。'
+	},
+	{
+		name: '心脏超声',
+		result: '检查结果：心脏超声提示左室下壁节段性运动减低，未见大量心包积液，需结合心电图及心肌标志物判断。'
+	},
+	{
+		name: '冠脉CTA',
+		result: '检查结果：冠脉CTA提示右冠状动脉近段重度狭窄/闭塞可能，建议结合急诊介入评估。'
+	}
+]
+
+const physicalForm = reactive({
+	temperature: '',
+	pulse: '',
+	respiration: '',
+	bloodPressure: '',
+	spo2: '',
+	complexion: '',
+	examFinding: '',
+	otherFinding: ''
+})
+
 const complaintShort = computed(() => {
 	if (session.patient.chiefComplaint.includes('胸痛')) return '胸痛'
 	return session.patient.chiefComplaint.slice(0, 6)
@@ -172,6 +288,107 @@ function sendQuickAction(content: string) {
 	handleSend()
 }
 
+function openExamPanel() {
+	physicalPanelVisible.value = false
+	examPanelVisible.value = true
+}
+
+function openPhysicalPanel() {
+	examPanelVisible.value = false
+	physicalPanelVisible.value = true
+}
+
+function selectAuxiliaryExam(exam: AuxiliaryExam) {
+	examPanelVisible.value = false
+	const timestamp = Date.now()
+	const messages: ChatMessage[] = [
+		{
+			id: `doctor-exam-${timestamp}`,
+			role: 'doctor',
+			content: `选择辅助检查：${exam.name}`,
+			label: '我'
+		},
+		{
+			id: `mentor-exam-${timestamp + 1}`,
+			role: 'mentor',
+			content: exam.result,
+			label: 'AI助手'
+		}
+	]
+
+	session.messages.push(...messages)
+	scrollToBottom()
+}
+
+function submitPhysicalExam() {
+	const items = [
+		physicalForm.temperature.trim() ? `体温 ${physicalForm.temperature.trim()}℃` : '',
+		physicalForm.pulse.trim() ? `心率 ${physicalForm.pulse.trim()}次/分` : '',
+		physicalForm.respiration.trim() ? `呼吸 ${physicalForm.respiration.trim()}次/分` : '',
+		physicalForm.bloodPressure.trim() ? `血压 ${physicalForm.bloodPressure.trim()}mmHg` : '',
+		physicalForm.spo2.trim() ? `血氧 ${physicalForm.spo2.trim()}%` : '',
+		physicalForm.complexion.trim() ? `意识/面色：${physicalForm.complexion.trim()}` : '',
+		physicalForm.examFinding.trim() ? `心肺/腹部查体：${physicalForm.examFinding.trim()}` : '',
+		physicalForm.otherFinding.trim() ? `其他发现：${physicalForm.otherFinding.trim()}` : ''
+	].filter(Boolean)
+
+	if (items.length === 0) {
+		showToast('请至少录入一项体格检查')
+		return
+	}
+
+	const timestamp = Date.now()
+	const summary = items.join('；')
+	const messages: ChatMessage[] = [
+		{
+			id: `doctor-physical-${timestamp}`,
+			role: 'doctor',
+			content: `录入体格检查：${summary}`,
+			label: '我'
+		},
+		{
+			id: `mentor-physical-${timestamp + 1}`,
+			role: 'mentor',
+			content: buildPhysicalFeedback(),
+			label: 'AI助手'
+		}
+	]
+
+	session.messages.push(...messages)
+	physicalPanelVisible.value = false
+	resetPhysicalForm()
+	scrollToBottom()
+}
+
+function resetPhysicalForm() {
+	physicalForm.temperature = ''
+	physicalForm.pulse = ''
+	physicalForm.respiration = ''
+	physicalForm.bloodPressure = ''
+	physicalForm.spo2 = ''
+	physicalForm.complexion = ''
+	physicalForm.examFinding = ''
+	physicalForm.otherFinding = ''
+}
+
+function buildPhysicalFeedback() {
+	const pulse = Number(physicalForm.pulse)
+	const respiration = Number(physicalForm.respiration)
+	const spo2 = Number(physicalForm.spo2)
+	const temperature = Number(physicalForm.temperature)
+	const tips: string[] = []
+
+	if (pulse >= 100) tips.push('心率偏快')
+	if (respiration >= 22) tips.push('呼吸频率偏快')
+	if (spo2 > 0 && spo2 < 95) tips.push('血氧偏低')
+	if (temperature >= 37.3) tips.push('体温偏高')
+	if (physicalForm.complexion.includes('苍白') || physicalForm.complexion.includes('出汗')) tips.push('面色/出汗提示急性病容')
+	if (physicalForm.otherFinding.includes('血压差') || physicalForm.otherFinding.includes('双侧')) tips.push('双侧血压或脉搏差异需警惕主动脉夹层')
+
+	const prefix = tips.length ? `已记录体格检查。当前提示：${tips.join('、')}。` : '已记录体格检查，暂未见明确异常体征。'
+	return `${prefix}建议结合胸痛性质、心电图及心肌标志物进一步判断，并持续监测生命体征变化。`
+}
+
 function handleSend() {
 	const content = draft.value.trim()
 	if (!content || sending.value) return
@@ -774,6 +991,262 @@ page {
 	mask: url("data:image/svg+xml,%3Csvg%20viewBox='0%200%2024%2024'%20xmlns='http://www.w3.org/2000/svg'%3E%3Cpath%20d='M2%2021 23%2012 2%203v7l15%202-15%202v7z'/%3E%3C/svg%3E") center / contain no-repeat;
 }
 
+.exam-mask {
+	position: fixed;
+	left: 0;
+	right: 0;
+	top: 0;
+	bottom: 0;
+	z-index: 120;
+	background: rgba(25, 28, 33, 0.36);
+	display: flex;
+	align-items: flex-end;
+	justify-content: center;
+}
+
+.exam-panel {
+	width: 100%;
+	max-width: 448px;
+	max-height: 62vh;
+	border-radius: 20px 20px 0 0;
+	background: #ffffff;
+	box-shadow: 0 -12px 30px rgba(25, 28, 33, 0.18);
+	display: flex;
+	flex-direction: column;
+	overflow: hidden;
+}
+
+.physical-panel {
+	width: 100%;
+	max-width: 448px;
+	max-height: 78vh;
+	border-radius: 20px 20px 0 0;
+	background: #ffffff;
+	box-shadow: 0 -12px 30px rgba(25, 28, 33, 0.18);
+	display: flex;
+	flex-direction: column;
+	overflow: hidden;
+}
+
+.exam-header {
+	box-sizing: border-box;
+	flex: 0 0 auto;
+	height: 64px;
+	padding: 0 20px;
+	border-bottom: 1px solid #e7e8f0;
+	display: flex;
+	align-items: center;
+	justify-content: space-between;
+}
+
+.exam-title {
+	color: #191c21;
+	font-size: 20px;
+	line-height: 28px;
+	font-weight: 700;
+}
+
+.exam-close {
+	width: 40px;
+	height: 40px;
+	padding: 0;
+	border-radius: 50%;
+	background: transparent;
+	display: flex;
+	align-items: center;
+	justify-content: center;
+}
+
+.exam-close::after,
+.exam-item::after {
+	border: 0;
+}
+
+.close-icon {
+	position: relative;
+	width: 24px;
+	height: 24px;
+}
+
+.close-icon::before,
+.close-icon::after {
+	content: '';
+	position: absolute;
+	left: 3px;
+	top: 11px;
+	width: 20px;
+	height: 2px;
+	border-radius: 999px;
+	background: #2e3037;
+}
+
+.close-icon::before {
+	transform: rotate(45deg);
+}
+
+.close-icon::after {
+	transform: rotate(-45deg);
+}
+
+.exam-list {
+	flex: 1;
+	min-height: 0;
+	display: flex;
+	flex-direction: column;
+	overflow: hidden;
+}
+
+.exam-item {
+	box-sizing: border-box;
+	width: 100%;
+	height: 76px;
+	padding: 0 20px;
+	border-bottom: 1px solid #e7e8f0;
+	border-radius: 0;
+	background: #ffffff;
+	display: flex;
+	align-items: center;
+	justify-content: space-between;
+	text-align: left;
+}
+
+.exam-item:active {
+	background: #f2f3fb;
+}
+
+.exam-name {
+	color: #191c21;
+	font-size: 18px;
+	line-height: 26px;
+	font-weight: 500;
+}
+
+.chevron-icon {
+	width: 13px;
+	height: 13px;
+	border-top: 2px solid #191c21;
+	border-right: 2px solid #191c21;
+	transform: rotate(45deg);
+}
+
+.physical-form {
+	flex: 1;
+	min-height: 0;
+	padding: 16px 20px;
+	background: #f9f9ff;
+}
+
+.vital-grid {
+	display: grid;
+	grid-template-columns: repeat(2, minmax(0, 1fr));
+	gap: 12px;
+}
+
+.form-field {
+	position: relative;
+	box-sizing: border-box;
+	min-height: 72px;
+	padding: 10px 12px;
+	border: 1px solid #c2c6d4;
+	border-radius: 12px;
+	background: #ffffff;
+	display: flex;
+	align-items: flex-end;
+}
+
+.form-field.full,
+.form-field.textarea-field {
+	margin-top: 12px;
+}
+
+.field-label {
+	position: absolute;
+	left: 12px;
+	top: 8px;
+	color: #424752;
+	font-size: 12px;
+	line-height: 16px;
+	font-weight: 600;
+}
+
+.field-input {
+	flex: 1;
+	min-width: 0;
+	height: 32px;
+	padding: 12px 4px 0 0;
+	border: 0;
+	background: transparent;
+	color: #191c21;
+	font-size: 16px;
+	line-height: 24px;
+}
+
+.field-unit {
+	flex: 0 0 auto;
+	margin-left: 4px;
+	color: #727783;
+	font-size: 12px;
+	line-height: 24px;
+	font-weight: 600;
+}
+
+.field-placeholder {
+	color: rgba(114, 119, 131, 0.55);
+}
+
+.textarea-field {
+	min-height: 104px;
+	align-items: stretch;
+}
+
+.field-textarea {
+	width: 100%;
+	min-height: 76px;
+	margin-top: 18px;
+	padding: 0;
+	border: 0;
+	background: transparent;
+	color: #191c21;
+	font-size: 15px;
+	line-height: 22px;
+}
+
+.physical-actions {
+	flex: 0 0 auto;
+	padding: 12px 20px calc(12px + env(safe-area-inset-bottom));
+	border-top: 1px solid #e7e8f0;
+	background: #ffffff;
+	display: flex;
+	gap: 12px;
+}
+
+.physical-cancel,
+.physical-submit {
+	flex: 1;
+	height: 48px;
+	border-radius: 12px;
+	font-size: 16px;
+	line-height: 48px;
+	font-weight: 700;
+}
+
+.physical-cancel::after,
+.physical-submit::after {
+	border: 0;
+}
+
+.physical-cancel {
+	border: 1px solid rgba(0, 71, 141, 0.22);
+	background: #ffffff;
+	color: #00478d;
+}
+
+.physical-submit {
+	background: #00478d;
+	color: #ffffff;
+	box-shadow: 0 4px 12px rgba(0, 71, 141, 0.18);
+}
+
 .toast {
 	position: fixed;
 	left: 50%;
diff --git a/vite.config.ts b/vite.config.ts
index 29a6bdc..7d51f37 100644
--- a/vite.config.ts
+++ b/vite.config.ts
@@ -2,11 +2,12 @@ import { defineConfig } from 'vite'
 import uni from '@dcloudio/vite-plugin-uni'
 
 export default defineConfig({
+	base: './',
 	plugins: [uni()],
 	server: {
 		proxy: {
 			'/backend-api': {
-				target: 'http://127.0.0.1:8000',
+				target: 'http://192.168.2.76:8000',
 				changeOrigin: true,
 				rewrite: path => path.replace(/^\/backend-api/, '/api')
 			}