王天骄
2 lines
7.7 KiB
JavaScript
2 lines
7.7 KiB
JavaScript
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-button home-button","aria-label":"首页",onClick:c(I)},{default:n((()=>[i(l,{class:"home-icon"})])),_:1},8,["onClick"]),i(l,{class:"nav-spacer"}),i(s,{class:"icon-button","aria-label":"个人中心",onClick:c(S)},{default:n((()=>[i(l,{class:"account-icon"})])),_:1},8,["onClick"])])),_:1}),i(l,{class:"patient-header"},{default:n((()=>[i(k,{class:"case-heading"},{default:n((()=>[u("患者："+d(J.value.name)+" ("+d(K.value)+")",1)])),_:1}),i(l,{class:"patient-meta"},{default:n((()=>[i(k,null,{default:n((()=>[u("姓名："+d(J.value.name),1)])),_:1}),i(k,null,{default:n((()=>[u("性别："+d(J.value.gender),1)])),_:1}),i(k,null,{default:n((()=>[u("年龄："+d(J.value.age)+"岁",1)])),_:1}),i(k,null,{default:n((()=>[u("科室："+d(J.value.department),1)])),_:1})])),_:1})])),_:1}),i(A,{class:"teaching-body","scroll-y":""},{default:n((()=>[i(l,{class:"mentor-section"},{default:n((()=>[i(l,{class:"mentor-profile"},{default:n((()=>[i(l,{class:"mentor-avatar"},{default:n((()=>[i(D,{src:b,mode:"aspectFill"})])),_:1}),i(l,{class:"online-dot"}),i(k,{class:"mentor-name"},{default:n((()=>[u("王主任")])),_:1})])),_:1}),i(l,{class:"question-bubble"},{default:n((()=>[i(k,null,{default:n((()=>[u(d(L.value.question),1)])),_:1})])),_:1})])),_:1}),H.value?(t(),o(l,{key:0,class:"video-section"},{default:n((()=>[i(l,{class:"video-player",onClick:R},{default:n((()=>[i(l,{class:r(["video-poster",{playing:N.value}])},{default:n((()=>[i(l,{class:"heart-visual"},{default:n((()=>[i(l,{class:"heart-core"}),i(l,{class:"heart-pulse pulse-one"}),i(l,{class:"heart-pulse pulse-two"})])),_:1})])),_:1},8,["class"]),i(l,{class:"video-overlay"},{default:n((()=>[i(l,{class:r(["play-button",{playing:N.value}])},{default:n((()=>[i(l,{class:"play-icon"})])),_:1},8,["class"])])),_:1}),i(l,{class:"video-progress"},{default:n((()=>[i(l,{class:"video-progress-fill",style:v({width:N.value?"62%":"33%"})},null,8,["style"])])),_:1})])),_:1}),i(l,{class:"video-copy"},{default:n((()=>[i(k,{class:"video-title"},{default:n((()=>[u(d(L.value.videoTitle),1)])),_:1}),i(k,{class:"video-desc"},{default:n((()=>[u(d(L.value.videoDesc),1)])),_:1})])),_:1})])),_:1})):(t(),o(l,{key:1,class:"option-list"},{default:n((()=>[(t(!0),f(_,null,p(L.value.options,(e=>{return t(),o(s,{key:e.key,class:r(["option-card",(a=e.key,z.value!==a?"":a===L.value.correctOption?"selected-correct":"selected-wrong")]),onClick:a=>function(e){z.value=e}(e.key)},{default:n((()=>[i(k,{class:"option-key"},{default:n((()=>[u(d(e.key),1)])),_:2},1024),i(k,{class:"option-text"},{default:n((()=>[u(d(e.text),1)])),_:2},1024),z.value===e.key&&e.key!==L.value.correctOption?(t(),o(l,{key:0,class:"wrong-icon"})):y("",!0),z.value===e.key&&e.key===L.value.correctOption?(t(),o(l,{key:1,class:"right-icon"})):y("",!0)])),_:2},1032,["class","onClick"]);var a})),128))])),_:1})),!H.value&&z.value?(t(),o(l,{key:2,class:"analysis-card"},{default:n((()=>[i(l,{class:"analysis-title"},{default:n((()=>[i(l,{class:"bulb-icon"}),i(k,null,{default:n((()=>[u("答案解析")])),_:1})])),_:1}),i(l,{class:"analysis-content"},{default:n((()=>[i(k,{class:"analysis-main"},{default:n((()=>[u(d(L.value.analysis),1)])),_:1}),i(l,{class:"analysis-divider"}),i(k,{class:"analysis-note"},{default:n((()=>[u(d(L.value.note),1)])),_:1})])),_:1})])),_:1})):y("",!0),i(l,{class:"bottom-actions"},{default:n((()=>[H.value?y("",!0):(t(),o(s,{key:0,class:"video-button",onClick:M},{default:n((()=>[i(l,{class:"video-icon"}),i(k,null,{default:n((()=>[u("查看知识点视频")])),_:1})])),_:1})),i(s,{class:"next-button",onClick:Q},{default:n((()=>[i(k,null,{default:n((()=>[u("下一题")])),_:1}),i(l,{class:"next-icon"})])),_:1})])),_:1})])),_:1})])),_:1})])),_:1})}}}),[["__scopeId","data-v-1490e7d9"]]);export{B as default};
|