feat: 联调流式对话
This commit is contained in:
王天骄
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import { FASTAPI_BASE_URL, authHeaders, readError, type ApiEnvelope } from './session'
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export type ExamItem = {
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item_code: string
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item_name: string
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item_type: string
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}
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export type ExamResult = ExamItem & {
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result_text: string
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result_structured?: Record<string, unknown>
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is_key?: boolean
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is_abnormal?: boolean
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context_written?: boolean
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already_ordered?: boolean
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}
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type ExamListResponse = {
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items: ExamItem[]
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}
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type ExamKind = 'physical-exams' | 'auxiliary-exams'
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export function fetchPhysicalExamItems(sessionId: number) {
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return fetchExamItems(sessionId, 'physical-exams')
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}
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export function fetchAuxiliaryExamItems(sessionId: number) {
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return fetchExamItems(sessionId, 'auxiliary-exams')
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}
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export function orderPhysicalExamResult(sessionId: number, itemCode: string) {
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return orderExamResult(sessionId, 'physical-exams', itemCode)
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}
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export function orderAuxiliaryExamResult(sessionId: number, itemCode: string) {
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return orderExamResult(sessionId, 'auxiliary-exams', itemCode)
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}
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function assertSessionId(sessionId: number) {
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if (!Number.isInteger(sessionId) || sessionId <= 0) {
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throw new Error('未找到当前会话，请先生成模拟场景')
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}
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}
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async function fetchExamItems(sessionId: number, kind: ExamKind) {
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assertSessionId(sessionId)
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const response = await fetch(`${FASTAPI_BASE_URL}/sessions/${sessionId}/${kind}`, {
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method: 'GET',
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headers: authHeaders()
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})
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if (!response.ok) {
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throw new Error(await readError(response))
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}
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const result = (await response.json()) as ApiEnvelope<ExamListResponse>
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if (result.code !== 'OK' || !Array.isArray(result.data?.items)) {
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throw new Error(result.message || '检查列表加载失败')
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}
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return result.data.items
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}
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async function orderExamResult(sessionId: number, kind: ExamKind, itemCode: string) {
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assertSessionId(sessionId)
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const response = await fetch(`${FASTAPI_BASE_URL}/sessions/${sessionId}/${kind}/${encodeURIComponent(itemCode)}`, {
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method: 'POST',
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headers: authHeaders()
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})
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if (!response.ok) {
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throw new Error(await readError(response))
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}
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const result = (await response.json()) as ApiEnvelope<ExamResult>
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if (result.code !== 'OK' || !result.data?.item_code) {
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throw new Error(result.message || '检查结果获取失败')
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}
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return result.data
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}
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@@ -0,0 +1,148 @@
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import { FASTAPI_BASE_URL, authHeaders, readError, type ApiEnvelope } from './session'
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export type LearningAssistantSession = {
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assistant_session_id: number | string
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title?: string
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}
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type ChatStreamPayload = {
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question: string
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top_k?: number
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score_threshold?: number
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}
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type StreamCallbacks = {
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onDelta: (delta: string) => void
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onDone?: (meta: Record<string, unknown>) => void
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}
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export async function createLearningAssistantSession(title?: string) {
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const body = title?.trim()
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? {
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title: title.trim().slice(0, 100)
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}
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: {}
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const response = await fetch(`${FASTAPI_BASE_URL}/learning-assistant/sessions`, {
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method: 'POST',
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headers: authHeaders(),
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body: JSON.stringify(body)
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})
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if (!response.ok) {
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throw new Error(await readError(response))
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}
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const result = (await response.json()) as ApiEnvelope<Record<string, unknown>>
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if (result.code !== 'OK' || !result.data) {
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throw new Error(result.message || '新建会话失败')
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}
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const assistantSessionId = readAssistantSessionId(result.data)
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if (!assistantSessionId) {
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throw new Error('新建会话返回缺少 assistant_session_id')
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}
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return {
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...result.data,
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assistant_session_id: assistantSessionId
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} as LearningAssistantSession
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}
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export async function streamLearningAssistantChat(
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assistantSessionId: number | string,
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payload: ChatStreamPayload,
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callbacks: StreamCallbacks,
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signal?: AbortSignal
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) {
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const response = await fetch(`${FASTAPI_BASE_URL}/learning-assistant/sessions/${assistantSessionId}/chat/stream`, {
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method: 'POST',
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headers: authHeaders('text/event-stream'),
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body: JSON.stringify(payload),
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signal
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})
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if (!response.ok || !response.body) {
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throw new Error(await readError(response))
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}
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const reader = response.body.getReader()
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const decoder = new TextDecoder()
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let buffer = ''
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while (true) {
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const { value, done } = await reader.read()
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if (done) break
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buffer += decoder.decode(value, { stream: true })
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const blocks = buffer.split('\n\n')
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buffer = blocks.pop() || ''
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for (const block of blocks) {
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handleStreamBlock(block, callbacks)
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}
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}
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if (buffer.trim()) {
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handleStreamBlock(buffer, callbacks)
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}
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}
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function readAssistantSessionId(data: Record<string, unknown>) {
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const value = data.assistant_session_id || data.session_id || data.id
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if (typeof value === 'number' || typeof value === 'string') return value
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return ''
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}
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function handleStreamBlock(block: string, callbacks: StreamCallbacks) {
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const event = block.match(/^event:\s*(.+)$/m)?.[1] || ''
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const rawLines = block
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.split('\n')
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.filter(line => line.startsWith('data:'))
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.map(line => line.replace(/^data:\s?/, ''))
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if (rawLines.length === 0) return
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const rawData = rawLines.join('\n')
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if (rawData === '[DONE]') {
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callbacks.onDone?.({})
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return
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}
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let data: unknown = rawData
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try {
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data = JSON.parse(rawData)
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} catch {}
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if (event === 'error') {
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const message = typeof data === 'object' && data
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? (data as Record<string, unknown>).message
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: data
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throw new Error(typeof message === 'string' ? message : 'AI 学习助手回复失败')
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}
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const delta = readDelta(data)
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if (delta) callbacks.onDelta(delta)
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if (event === 'done' || event === 'message_done') {
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callbacks.onDone?.(typeof data === 'object' && data ? data as Record<string, unknown> : {})
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}
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}
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function readDelta(data: unknown) {
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if (typeof data === 'string') return data
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if (!data || typeof data !== 'object') return ''
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const payload = data as Record<string, unknown>
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const delta = payload.delta || payload.content || payload.answer || payload.text
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if (typeof delta === 'string') return delta
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const nestedData = payload.data
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if (nestedData && typeof nestedData === 'object') {
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const nested = nestedData as Record<string, unknown>
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const nestedDelta = nested.delta || nested.content || nested.answer || nested.text
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if (typeof nestedDelta === 'string') return nestedDelta
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}
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return ''
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}
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@@ -1 +1 @@
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import{C as e}from"./index-CoO0Bu96.js";function t(){return Promise.resolve([{id:"case-31190016",title:"间断四肢多关节肿痛5年，加重1个月",patientName:"郭爱和",gender:"男",age:43,department:"风湿免疫科",scene:"门诊部",caseNo:"31190016",tone:"blue",mode:"training"},{id:"case-31180002",title:"右膝关节疼痛8年，腰背部疼痛2年",patientName:"索航",gender:"男",age:51,department:"风湿免疫科",scene:"住院部",caseNo:"31180002",tone:"teal",mode:"training"},{id:"case-2238015",title:"阴道不规则流血4月。",patientName:"韩爱利",gender:"女",age:52,department:"妇科",scene:"住院部",caseNo:"2238015",tone:"pink",mode:"training"},{id:"case-1006004",title:"持续胸痛3小时",patientName:"陈先生",gender:"男",age:60,department:"心血管内科",scene:"住院部",caseNo:"1006004",tone:"orange",mode:"teaching"},{id:"case-31190042",title:"咳嗽、咳痰10余年，加重1周",patientName:"厉明",gender:"男",age:52,department:"呼吸内科",scene:"普通门诊",caseNo:"31190042",tone:"purple",mode:"training"},{id:"case-2238019",title:"尿频、尿急、尿痛3天",patientName:"刘晓元",gender:"女",age:25,department:"泌尿外科",scene:"急诊留观",caseNo:"2238019",tone:"green",mode:"training"}])}function n(){const t=e("clinical-thinking-selected-case");return t&&"object"==typeof t?t:null}export{t as f,n as r};
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import{C as e}from"./index-pnQqyMoS.js";function t(){return Promise.resolve([{id:"case-31190016",title:"间断四肢多关节肿痛5年，加重1个月",patientName:"郭爱和",gender:"男",age:43,department:"风湿免疫科",scene:"门诊部",caseNo:"31190016",tone:"blue",mode:"training"},{id:"case-31180002",title:"右膝关节疼痛8年，腰背部疼痛2年",patientName:"索航",gender:"男",age:51,department:"风湿免疫科",scene:"住院部",caseNo:"31180002",tone:"teal",mode:"training"},{id:"case-2238015",title:"阴道不规则流血4月。",patientName:"韩爱利",gender:"女",age:52,department:"妇科",scene:"住院部",caseNo:"2238015",tone:"pink",mode:"training"},{id:"case-1006004",title:"持续胸痛3小时",patientName:"陈先生",gender:"男",age:60,department:"心血管内科",scene:"住院部",caseNo:"1006004",tone:"orange",mode:"teaching"},{id:"case-31190042",title:"咳嗽、咳痰10余年，加重1周",patientName:"厉明",gender:"男",age:52,department:"呼吸内科",scene:"普通门诊",caseNo:"31190042",tone:"purple",mode:"training"},{id:"case-2238019",title:"尿频、尿急、尿痛3天",patientName:"刘晓元",gender:"女",age:25,department:"泌尿外科",scene:"急诊留观",caseNo:"2238019",tone:"green",mode:"training"}])}function n(){const t=e("clinical-thinking-selected-case");return t&&"object"==typeof t?t:null}export{t as f,n as r};
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import{G as o,D as n,L as e}from"./index-CoO0Bu96.js";function i(n){var i;const l=e(),r=Boolean(null==(i=null==l?void 0:l.vnode.props)?void 0:i.onOpenProfile);return function(){r?n("open-profile"):o({url:"/pages/profile/profile"})}}function l(n){var i;const l=e(),r=Boolean(null==(i=null==l?void 0:l.vnode.props)?void 0:i.onOpenSettings);return function(){r?n("open-settings"):o({url:"/pages/config/config"})}}function r(o){var i;const l=e(),r=Boolean(null==(i=null==l?void 0:l.vnode.props)?void 0:i.onGoHome);return function(){r?o("go-home"):n({url:"/pages/home/home"})}}export{l as a,r as b,i as c};
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import{G as o,D as n,L as e}from"./index-pnQqyMoS.js";function i(n){var i;const l=e(),r=Boolean(null==(i=null==l?void 0:l.vnode.props)?void 0:i.onOpenProfile);return function(){r?n("open-profile"):o({url:"/pages/profile/profile"})}}function l(n){var i;const l=e(),r=Boolean(null==(i=null==l?void 0:l.vnode.props)?void 0:i.onOpenSettings);return function(){r?n("open-settings"):o({url:"/pages/config/config"})}}function r(o){var i;const l=e(),r=Boolean(null==(i=null==l?void 0:l.vnode.props)?void 0:i.onGoHome);return function(){r?o("go-home"):n({url:"/pages/home/home"})}}export{l as a,r as b,i as c};
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import{J as a,K as e,L as s,O as l,d as t,r as c,c as o,o as n,b as i,e as u,f as d,w as r,i as m,E as f,l as _,m as p,F as g,j as h,g as v,t as b,n as k,y as C,z as j,I as x,x as y,S as N,s as w,G as $}from"./index-CoO0Bu96.js";import{f as L}from"./cases.DfX6IxCO.js";import{c as V,a as I,b as S}from"./navigation.C05E413Y.js";import{_ as z}from"./_plugin-vue_export-helper.BCo6x5W8.js";const E=((l,t=0)=>(t,c=s())=>{!a&&e(l,t,c)})(l,2),F=z(t({__name:"cases",emits:["open-settings","open-profile","go-home"],setup(a,{emit:e}){const s=e,l=V(s),t=I(s),z=S(s),F=c([]),G=c(""),J=c(""),K=c(!1),O=c(""),U=o((()=>{const a=G.value.trim().toLowerCase(),e=O.value?F.value.filter((a=>a.mode===O.value)):F.value;return a?e.filter((e=>[e.title,e.patientName,e.gender,String(e.age),e.department,e.scene,e.caseNo].some((e=>e.toLowerCase().includes(a))))):e}));return E((a=>{const e=null==a?void 0:a.mode;"teaching"!==e&&"training"!==e||(O.value=e)})),n((function(){L().then((a=>{F.value=a}))})),i((()=>{})),(a,e)=>{const s=C,c=j,o=x,n=y,i=N;return u(),d(s,{class:"cases-page"},{default:r((()=>[m(s,{class:"case-shell"},{default:r((()=>[m(s,{class:"case-header"},{default:r((()=>[m(c,{class:"icon-button","aria-label":"设置",onClick:f(t)},{default:r((()=>[m(s,{class:"settings-icon"})])),_:1},8,["onClick"]),m(c,{class:"icon-button home-button","aria-label":"首页",onClick:f(z)},{default:r((()=>[m(s,{class:"home-icon"})])),_:1},8,["onClick"]),m(s,{class:"header-spacer"}),m(c,{class:"icon-button","aria-label":"个人中心",onClick:f(l)},{default:r((()=>[m(s,{class:"account-icon"})])),_:1},8,["onClick"])])),_:1}),m(i,{class:"case-content","scroll-y":""},{default:r((()=>[m(s,{class:"search-row"},{default:r((()=>[m(s,{class:"search-box"},{default:r((()=>[m(s,{class:"search-icon"}),m(o,{class:"search-input",modelValue:G.value,"onUpdate:modelValue":e[0]||(e[0]=a=>G.value=a),type:"text",placeholder:"科室、主诉模糊搜索","placeholder-class":"search-placeholder"},null,8,["modelValue"])])),_:1})])),_:1}),m(s,{class:"case-list"},{default:r((()=>[(u(!0),_(g,null,p(U.value,(a=>(u(),d(s,{key:a.id,class:k(["case-card",`mode-${a.mode}`]),onClick:e=>function(a){w("clinical-thinking-selected-case",a),w("clinical-thinking-case-mode",a.mode),$({url:"teaching"===a.mode?"/pages/teaching/teaching":"/pages/scenario/scenario"})}(a)},{default:r((()=>[m(s,{class:"case-main"},{default:r((()=>[m(s,{class:k(["patient-avatar",`avatar-${a.tone}`])},{default:r((()=>[m(n,null,{default:r((()=>[h(b(a.patientName.slice(0,1)),1)])),_:2},1024)])),_:2},1032,["class"]),m(s,{class:"case-info"},{default:r((()=>[m(n,{class:"case-title"},{default:r((()=>[h(b(a.title),1)])),_:2},1024),m(n,{class:"case-meta"},{default:r((()=>[h(b(a.patientName)+"，"+b(a.gender)+"，"+b(a.age)+"岁，"+b(a.department)+"，"+b(a.scene),1)])),_:2},1024)])),_:2},1024)])),_:2},1024),m(s,{class:"case-footer"},{default:r((()=>[m(n,{class:"case-no"},{default:r((()=>[h("病例编号: "+b(a.caseNo),1)])),_:2},1024),m(s,{class:k(["mode-badge",`mode-badge-${a.mode}`])},{default:r((()=>[m(s,{class:k(["mode-icon",`mode-icon-${a.mode}`])},null,8,["class"]),m(n,null,{default:r((()=>{return[h(b((e=a.mode,"teaching"===e?"教学模式":"训练模式")),1)];var e})),_:2},1024)])),_:2},1032,["class"])])),_:2},1024)])),_:2},1032,["class","onClick"])))),128)),0===U.value.length?(u(),d(s,{key:0,class:"empty-state"},{default:r((()=>[m(n,null,{default:r((()=>[h("暂无匹配病例")])),_:1})])),_:1})):v("",!0)])),_:1})])),_:1})])),_:1}),m(s,{class:k(["toast",{visible:K.value}])},{default:r((()=>[h(b(J.value),1)])),_:1},8,["class"])])),_:1})}}}),[["__scopeId","data-v-64c7a872"]]);export{F as default};
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|
||||
import{C as e,s as t}from"./index-pnQqyMoS.js";const n="/fastapi/api/v1";function s(){const t=e("clinical-thinking-access-token");if("string"!=typeof t||!t.trim())throw new Error("登录已过期，请重新登录");return t}function o(e="application/json"){return{"Content-Type":"application/json",Accept:e,Authorization:`Bearer ${s()}`,"X-Entry-Scene":"vue_frontend"}}async function a(e){const t=await e.text().catch((()=>""));if(!t)return`请求失败（${e.status}）`;try{const e=JSON.parse(t),n=e.message||e.detail||e.error;if("string"==typeof n&&n.trim())return n}catch{}return t}function r(){const t=e("clinical-thinking-scenario");return t&&"object"==typeof t?t:null}function i(){var e,t;const n=null==(t=null==(e=r())?void 0:e.session)?void 0:t.session_id;if("number"==typeof n&&Number.isInteger(n)&&n>0)return n;throw new Error("未找到当前会话，请先生成模拟场景")}function c(e){const n=r();(null==n?void 0:n.session)&&t("clinical-thinking-scenario",{...n,session:{...n.session,status:e}})}async function f(e){var t;const n=await fetch("/fastapi/api/v1/sessions",{method:"POST",headers:o(),body:JSON.stringify(e)});if(!n.ok)throw new Error(await a(n));const s=await n.json();if("OK"!==s.code||!(null==(t=s.data)?void 0:t.session_id))throw new Error(s.message||"新建会话失败");return s.data}async function d(e){var t;const n=await fetch(`/fastapi/api/v1/sessions/${e}/complete-inquiry`,{method:"POST",headers:o()});if(!n.ok)throw new Error(await a(n));const s=await n.json();if("OK"!==s.code||!(null==(t=s.data)?void 0:t.session_id))throw new Error(s.message||"完成采集失败");return s.data}async function l(e,t,n,s){var r,i,c;const f=await fetch(`/fastapi/api/v1/sessions/${e}/chat/stream`,{method:"POST",headers:o("text/event-stream"),body:JSON.stringify({message:t}),signal:s});if(!f.ok||!f.body)throw new Error(await a(f));const d=f.body.getReader(),l=new TextDecoder;let u="",w=!1;for(;;){const{value:e,done:t}=await d.read();if(t)break;u+=l.decode(e,{stream:!0});const s=u.split("\n\n");u=s.pop()||"";for(const o of s){const e=null==(r=o.match(/^event:\s*(.+)$/m))?void 0:r[1],t=null==(i=o.match(/^data:\s*(.+)$/m))?void 0:i[1];if(!e||!t)continue;const s=JSON.parse(t);if("message_delta"===e){const e=s.delta;"string"==typeof e&&n.onDelta(e)}else if("message_done"===e)w=!0,null==(c=n.onDone)||c.call(n,s);else if("error"===e)throw new Error("string"==typeof s.message?s.message:"AI 流式回复异常")}}if(!w)throw new Error("AI 流式回复未正常结束，请重试")}async function u(e,t,n,s){var r,i,c;const f={last_user_message:t,scope:"current_conversation"},d=await fetch(`/fastapi/api/v1/sessions/${e}/hints/stream`,{method:"POST",headers:o("text/event-stream"),body:JSON.stringify(f),signal:s});if(!d.ok||!d.body)throw new Error(await a(d));const l=d.body.getReader(),u=new TextDecoder;let w="",h=!1;for(;;){const{value:e,done:t}=await l.read();if(t)break;w+=u.decode(e,{stream:!0});const s=w.split("\n\n");w=s.pop()||"";for(const o of s){const e=null==(r=o.match(/^event:\s*(.+)$/m))?void 0:r[1],t=null==(i=o.match(/^data:\s*(.+)$/m))?void 0:i[1];if(!e||!t)continue;const s=JSON.parse(t);if("hint_delta"===e){const e=s.delta;"string"==typeof e&&n.onDelta(e)}else if("hint_done"===e)h=!0,null==(c=n.onDone)||c.call(n,s);else if("error"===e)throw new Error("string"==typeof s.message?s.message:"练习提示生成失败，请稍后重试")}}if(!h)throw new Error("练习提示未正常结束，请重试")}export{n as F,o as a,r as b,f as c,d,u as e,i as f,a as r,l as s,c as u};
|
||||
Vendored
+1
-1
@@ -14,7 +14,7 @@
|
||||
<title>AI思维临床训练</title>
|
||||
<!--preload-links-->
|
||||
<!--app-context-->
|
||||
<script type="module" crossorigin src="./assets/index-CoO0Bu96.js"></script>
|
||||
<script type="module" crossorigin src="./assets/index-pnQqyMoS.js"></script>
|
||||
<link rel="stylesheet" crossorigin href="./assets/index-C7PPi8dw.css">
|
||||
</head>
|
||||
<body>
|
||||
|
||||
+140
-160
@@ -104,56 +104,30 @@
|
||||
<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>
|
||||
<text class="exam-title">选择体格检查</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 class="exam-list">
|
||||
<view v-if="physicalExamsLoading" class="exam-empty">
|
||||
<text>体格检查加载中...</text>
|
||||
</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 v-else-if="physicalExams.length === 0" class="exam-empty">
|
||||
<text>暂无可选体格检查</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>
|
||||
<block v-else>
|
||||
<button
|
||||
v-for="exam in physicalExams"
|
||||
:key="exam.item_code"
|
||||
class="exam-item"
|
||||
:disabled="examOrdering"
|
||||
@click="selectPhysicalExam(exam)"
|
||||
>
|
||||
<text class="exam-name">{{ exam.item_name }}</text>
|
||||
<view class="chevron-icon"></view>
|
||||
</button>
|
||||
</block>
|
||||
</view>
|
||||
</view>
|
||||
</view>
|
||||
@@ -167,15 +141,24 @@
|
||||
</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 v-if="auxiliaryExamsLoading" class="exam-empty">
|
||||
<text>辅助检查加载中...</text>
|
||||
</view>
|
||||
<view v-else-if="auxiliaryExams.length === 0" class="exam-empty">
|
||||
<text>暂无可选辅助检查</text>
|
||||
</view>
|
||||
<block v-else>
|
||||
<button
|
||||
v-for="exam in auxiliaryExams"
|
||||
:key="exam.item_code"
|
||||
class="exam-item"
|
||||
:disabled="examOrdering"
|
||||
@click="selectAuxiliaryExam(exam)"
|
||||
>
|
||||
<text class="exam-name">{{ exam.item_name }}</text>
|
||||
<view class="chevron-icon"></view>
|
||||
</button>
|
||||
</block>
|
||||
</view>
|
||||
</view>
|
||||
</view>
|
||||
@@ -188,6 +171,14 @@
|
||||
import { computed, onMounted, onUnmounted, reactive, ref } from 'vue'
|
||||
import { readStoredClinicalCase, type ClinicalCase } from '../../api/cases'
|
||||
import { createMockChatSession, sendMockChatMessage, type ChatMessage, type ChatSession } from '../../api/chat'
|
||||
import {
|
||||
fetchAuxiliaryExamItems,
|
||||
fetchPhysicalExamItems,
|
||||
orderAuxiliaryExamResult,
|
||||
orderPhysicalExamResult,
|
||||
type ExamItem,
|
||||
type ExamResult
|
||||
} from '../../api/exams'
|
||||
import { createHomeNavigator, createProfileOpener, createSettingsOpener } from '../../api/navigation'
|
||||
import {
|
||||
completeInquiry,
|
||||
@@ -238,46 +229,16 @@ const examPanelVisible = ref(false)
|
||||
const physicalPanelVisible = ref(false)
|
||||
const activeSessionId = ref<number | null>(null)
|
||||
const storedCase = ref<ClinicalCase | null>(null)
|
||||
const physicalExams = ref<ExamItem[]>([])
|
||||
const auxiliaryExams = ref<ExamItem[]>([])
|
||||
const physicalExamsLoading = ref(false)
|
||||
const auxiliaryExamsLoading = ref(false)
|
||||
const examOrdering = ref(false)
|
||||
|
||||
let toastTimer: ReturnType<typeof setTimeout> | null = null
|
||||
let activeStreamController: AbortController | null = null
|
||||
let activeHintController: AbortController | 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 activeCase = computed(() => props.caseItem || storedCase.value)
|
||||
|
||||
const complaintShort = computed(() => {
|
||||
@@ -342,30 +303,93 @@ async function handleCompleteInquiry() {
|
||||
}
|
||||
}
|
||||
|
||||
function openExamPanel() {
|
||||
async function openExamPanel() {
|
||||
const sessionId = activeSessionId.value
|
||||
if (!sessionId) {
|
||||
showToast('未找到当前会话，请先生成模拟场景')
|
||||
return
|
||||
}
|
||||
|
||||
physicalPanelVisible.value = false
|
||||
examPanelVisible.value = true
|
||||
if (auxiliaryExams.value.length > 0 || auxiliaryExamsLoading.value) return
|
||||
|
||||
auxiliaryExamsLoading.value = true
|
||||
try {
|
||||
auxiliaryExams.value = await fetchAuxiliaryExamItems(sessionId)
|
||||
} catch (error) {
|
||||
showToast(error instanceof Error ? error.message : '辅助检查列表加载失败')
|
||||
} finally {
|
||||
auxiliaryExamsLoading.value = false
|
||||
}
|
||||
}
|
||||
|
||||
function openPhysicalPanel() {
|
||||
async function openPhysicalPanel() {
|
||||
const sessionId = activeSessionId.value
|
||||
if (!sessionId) {
|
||||
showToast('未找到当前会话，请先生成模拟场景')
|
||||
return
|
||||
}
|
||||
|
||||
examPanelVisible.value = false
|
||||
physicalPanelVisible.value = true
|
||||
if (physicalExams.value.length > 0 || physicalExamsLoading.value) return
|
||||
|
||||
physicalExamsLoading.value = true
|
||||
try {
|
||||
physicalExams.value = await fetchPhysicalExamItems(sessionId)
|
||||
} catch (error) {
|
||||
showToast(error instanceof Error ? error.message : '体格检查列表加载失败')
|
||||
} finally {
|
||||
physicalExamsLoading.value = false
|
||||
}
|
||||
}
|
||||
|
||||
function selectAuxiliaryExam(exam: AuxiliaryExam) {
|
||||
examPanelVisible.value = false
|
||||
async function selectPhysicalExam(exam: ExamItem) {
|
||||
const sessionId = activeSessionId.value
|
||||
if (!sessionId || examOrdering.value) return
|
||||
|
||||
examOrdering.value = true
|
||||
try {
|
||||
const result = await orderPhysicalExamResult(sessionId, exam.item_code)
|
||||
physicalPanelVisible.value = false
|
||||
appendExamResultMessages('体格检查', result)
|
||||
} catch (error) {
|
||||
showToast(error instanceof Error ? error.message : '体格检查结果获取失败')
|
||||
} finally {
|
||||
examOrdering.value = false
|
||||
}
|
||||
}
|
||||
|
||||
async function selectAuxiliaryExam(exam: ExamItem) {
|
||||
const sessionId = activeSessionId.value
|
||||
if (!sessionId || examOrdering.value) return
|
||||
|
||||
examOrdering.value = true
|
||||
try {
|
||||
const result = await orderAuxiliaryExamResult(sessionId, exam.item_code)
|
||||
examPanelVisible.value = false
|
||||
appendExamResultMessages('辅助检查', result)
|
||||
} catch (error) {
|
||||
showToast(error instanceof Error ? error.message : '辅助检查结果获取失败')
|
||||
} finally {
|
||||
examOrdering.value = false
|
||||
}
|
||||
}
|
||||
|
||||
function appendExamResultMessages(kindLabel: string, result: ExamResult) {
|
||||
const timestamp = Date.now()
|
||||
const messages: ChatMessage[] = [
|
||||
{
|
||||
id: `doctor-exam-${timestamp}`,
|
||||
role: 'doctor',
|
||||
content: `选择辅助检查：${exam.name}`,
|
||||
content: `选择${kindLabel}：${result.item_name}`,
|
||||
label: '我'
|
||||
},
|
||||
{
|
||||
id: `mentor-exam-${timestamp + 1}`,
|
||||
role: 'mentor',
|
||||
content: exam.result,
|
||||
content: formatExamResult(result),
|
||||
label: 'AI助手'
|
||||
}
|
||||
]
|
||||
@@ -374,73 +398,14 @@ function selectAuxiliaryExam(exam: AuxiliaryExam) {
|
||||
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()}` : ''
|
||||
function formatExamResult(result: ExamResult) {
|
||||
const flags = [
|
||||
result.is_abnormal ? '异常' : '',
|
||||
result.is_key ? '关键检查' : '',
|
||||
result.already_ordered ? '已检查过' : ''
|
||||
].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 `${prefix}建议结合胸痛性质、心电图及心肌标志物进一步判断，并持续监测生命体征变化。`
|
||||
const suffix = flags.length ? `（${flags.join('，')}）` : ''
|
||||
return `${result.item_name}${suffix}：${result.result_text || '暂无结果。'}`
|
||||
}
|
||||
|
||||
function handleSend() {
|
||||
@@ -1283,6 +1248,21 @@ page {
|
||||
background: #f2f3fb;
|
||||
}
|
||||
|
||||
.exam-empty {
|
||||
min-height: 120px;
|
||||
padding: 24px;
|
||||
border: 1px dashed rgba(194, 198, 212, 0.7);
|
||||
border-radius: 12px;
|
||||
background: rgba(249, 249, 255, 0.75);
|
||||
color: rgba(66, 71, 82, 0.78);
|
||||
font-size: 14px;
|
||||
line-height: 22px;
|
||||
display: flex;
|
||||
align-items: center;
|
||||
justify-content: center;
|
||||
text-align: center;
|
||||
}
|
||||
|
||||
.exam-name {
|
||||
color: #191c21;
|
||||
font-size: 18px;
|
||||
|
||||
@@ -104,7 +104,7 @@
|
||||
class="message-input"
|
||||
v-model="draft"
|
||||
auto-height
|
||||
maxlength="500"
|
||||
maxlength="1000"
|
||||
placeholder="请输入您的问题..."
|
||||
placeholder-class="input-placeholder"
|
||||
@confirm="handleSend"
|
||||
@@ -113,7 +113,13 @@
|
||||
<button class="attach-button" aria-label="附件" @click="showToast('附件上传即将开放')">
|
||||
<view class="attach-icon"></view>
|
||||
</button>
|
||||
<button class="send-button" aria-label="发送" @click="handleSend">
|
||||
<button
|
||||
class="send-button"
|
||||
:class="{ disabled: sending }"
|
||||
:disabled="sending"
|
||||
aria-label="发送"
|
||||
@click="handleSend"
|
||||
>
|
||||
<view class="send-icon"></view>
|
||||
</button>
|
||||
</view>
|
||||
@@ -167,6 +173,11 @@
|
||||
|
||||
<script setup lang="ts">
|
||||
import { nextTick, onMounted, onUnmounted, ref } from 'vue'
|
||||
import {
|
||||
createLearningAssistantSession,
|
||||
streamLearningAssistantChat,
|
||||
type LearningAssistantSession
|
||||
} from '../../api/learning-assistant'
|
||||
import { createHomeNavigator } from '../../api/navigation'
|
||||
|
||||
type AssistantMessage = {
|
||||
@@ -192,19 +203,7 @@ const pathwaySteps = [
|
||||
{ index: '3', title: '再灌注策略', description: 'STEMI需紧急PCI。' }
|
||||
]
|
||||
|
||||
const messages = ref<AssistantMessage[]>([
|
||||
{
|
||||
id: 'sample-user',
|
||||
role: 'user',
|
||||
content: '你能解释一下急性冠脉综合征（ACS）的最新临床路径吗？'
|
||||
},
|
||||
{
|
||||
id: 'sample-ai',
|
||||
role: 'assistant',
|
||||
content: '',
|
||||
variant: 'acs-pathway'
|
||||
}
|
||||
])
|
||||
const messages = ref<AssistantMessage[]>([])
|
||||
|
||||
const draft = ref('')
|
||||
const modalVisible = ref(false)
|
||||
@@ -212,10 +211,11 @@ const typingVisible = ref(false)
|
||||
const toastMessage = ref('')
|
||||
const toastVisible = ref(false)
|
||||
const scrollTop = ref(0)
|
||||
const assistantSession = ref<LearningAssistantSession | null>(null)
|
||||
const sending = ref(false)
|
||||
|
||||
let typingTimer: ReturnType<typeof setTimeout> | null = null
|
||||
let pulseTimer: ReturnType<typeof setInterval> | null = null
|
||||
let toastTimer: ReturnType<typeof setTimeout> | null = null
|
||||
let streamAbortController: AbortController | null = null
|
||||
|
||||
function useQuickAction(action: string) {
|
||||
const prompts: Record<string, string> = {
|
||||
@@ -227,12 +227,13 @@ function useQuickAction(action: string) {
|
||||
draft.value = prompts[action] || action
|
||||
}
|
||||
|
||||
function handleSend() {
|
||||
async function handleSend() {
|
||||
const value = draft.value.trim()
|
||||
if (!value) {
|
||||
showToast('请输入问题')
|
||||
return
|
||||
}
|
||||
if (sending.value) return
|
||||
|
||||
messages.value.push({
|
||||
id: `user-${Date.now()}`,
|
||||
@@ -241,19 +242,65 @@ function handleSend() {
|
||||
})
|
||||
draft.value = ''
|
||||
typingVisible.value = true
|
||||
sending.value = true
|
||||
scrollToBottom()
|
||||
|
||||
if (typingTimer) clearTimeout(typingTimer)
|
||||
typingTimer = setTimeout(() => {
|
||||
const assistantMessageIndex = messages.value.length
|
||||
messages.value.push({
|
||||
id: `assistant-${Date.now()}`,
|
||||
role: 'assistant',
|
||||
variant: 'simple',
|
||||
content: ''
|
||||
})
|
||||
|
||||
try {
|
||||
const session = await ensureAssistantSession(value)
|
||||
streamAbortController?.abort()
|
||||
streamAbortController = new AbortController()
|
||||
await streamLearningAssistantChat(
|
||||
session.assistant_session_id,
|
||||
{ question: value },
|
||||
{
|
||||
onDelta: delta => {
|
||||
messages.value[assistantMessageIndex].content += delta
|
||||
scrollToBottom()
|
||||
}
|
||||
},
|
||||
streamAbortController.signal
|
||||
)
|
||||
if (!messages.value[assistantMessageIndex].content.trim()) {
|
||||
messages.value[assistantMessageIndex].content = '暂未生成回复，请稍后重试。'
|
||||
}
|
||||
} catch (error) {
|
||||
messages.value[assistantMessageIndex].content = error instanceof Error ? error.message : 'AI 学习助手回复失败'
|
||||
showToast(messages.value[assistantMessageIndex].content)
|
||||
} finally {
|
||||
typingVisible.value = false
|
||||
messages.value.push({
|
||||
id: `assistant-${Date.now()}`,
|
||||
role: 'assistant',
|
||||
variant: 'simple',
|
||||
content: '已收到。我会结合医院知识库、临床路径和指南证据，为你整理成可用于带教复盘的要点。'
|
||||
})
|
||||
sending.value = false
|
||||
scrollToBottom()
|
||||
}, 900)
|
||||
}
|
||||
}
|
||||
|
||||
async function ensureAssistantSession(title: string) {
|
||||
if (assistantSession.value) return assistantSession.value
|
||||
const session = await createLearningAssistantSession(title)
|
||||
assistantSession.value = session
|
||||
uni.setStorageSync('clinical-thinking-learning-assistant-session', session)
|
||||
return session
|
||||
}
|
||||
|
||||
async function initializeAssistantSession() {
|
||||
try {
|
||||
const storedSession = uni.getStorageSync('clinical-thinking-learning-assistant-session')
|
||||
if (storedSession && typeof storedSession === 'object') {
|
||||
assistantSession.value = storedSession as LearningAssistantSession
|
||||
return
|
||||
}
|
||||
assistantSession.value = await createLearningAssistantSession('AI 学习助手')
|
||||
uni.setStorageSync('clinical-thinking-learning-assistant-session', assistantSession.value)
|
||||
} catch (error) {
|
||||
showToast(error instanceof Error ? error.message : '新建会话失败')
|
||||
}
|
||||
}
|
||||
|
||||
function scrollToBottom() {
|
||||
@@ -272,18 +319,11 @@ function showToast(message: string) {
|
||||
}
|
||||
|
||||
onMounted(() => {
|
||||
pulseTimer = setInterval(() => {
|
||||
if (typingVisible.value) return
|
||||
typingVisible.value = true
|
||||
setTimeout(() => {
|
||||
typingVisible.value = false
|
||||
}, 2400)
|
||||
}, 12000)
|
||||
void initializeAssistantSession()
|
||||
})
|
||||
|
||||
onUnmounted(() => {
|
||||
if (typingTimer) clearTimeout(typingTimer)
|
||||
if (pulseTimer) clearInterval(pulseTimer)
|
||||
streamAbortController?.abort()
|
||||
if (toastTimer) clearTimeout(toastTimer)
|
||||
})
|
||||
</script>
|
||||
@@ -754,6 +794,10 @@ page {
|
||||
background: #00478d;
|
||||
}
|
||||
|
||||
.send-button.disabled {
|
||||
opacity: 0.5;
|
||||
}
|
||||
|
||||
.send-button:active {
|
||||
transform: scale(0.95);
|
||||
}
|
||||
|
||||
Reference in New Issue
Block a user