王天骄
107 lines
2.9 KiB
TypeScript
107 lines
2.9 KiB
TypeScript
import type { ClinicalCase } from './cases'
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export type ChatRole = 'patient' | 'mentor' | 'doctor'
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export type ChatMessage = {
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id: string
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role: ChatRole
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content: string
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label: string
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}
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export type ChatSession = {
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patient: {
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name: string
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gender: string
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age: number
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department: string
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chiefComplaint: string
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}
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stages: Array<{
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key: string
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label: string
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active: boolean
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}>
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messages: ChatMessage[]
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}
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const defaultCase: ClinicalCase = {
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id: 'case-1006004',
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title: '持续胸痛3小时',
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patientName: '陈先生',
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gender: '男',
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age: 60,
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department: '心血管内科',
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scene: '住院部',
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caseNo: '1006004',
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tone: 'orange'
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}
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export function createMockChatSession(caseItem?: ClinicalCase | null): Promise<ChatSession> {
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const currentCase = caseItem || defaultCase
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const patientName = currentCase.patientName === '毕波涛' ? '陈先生' : currentCase.patientName
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return Promise.resolve({
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patient: {
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name: patientName,
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gender: currentCase.gender,
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age: currentCase.age,
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department: currentCase.department,
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chiefComplaint: currentCase.title
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},
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stages: [
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{ key: 'history', label: '病史采集', active: true },
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{ key: 'diagnosis', label: '初步诊断', active: false },
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{ key: 'treatment', label: '治疗方案', active: false }
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],
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messages: [
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{
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id: 'patient-initial',
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role: 'patient',
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content: currentCase.department === '心血管内科'
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? '医生，我心口这儿针扎一样疼了两个小时了，现在感觉喘气都费劲。'
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: `医生，我这次主要是${currentCase.title}，有点担心。`,
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label: '患者'
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},
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{
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id: 'mentor-initial',
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role: 'mentor',
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content: '观察患者的面部表情和生命体征。你的第一个问题应该如何询问，以明确疼痛的性质？',
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label: '王主任'
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}
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]
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})
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}
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export function sendMockChatMessage(content: string): Promise<ChatMessage[]> {
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const normalized = content.trim()
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const patientReply = normalized.includes('出冷汗') || normalized.includes('恶心')
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? '有，刚才疼得厉害的时候出了一身冷汗，还有点恶心，但没有吐。'
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: normalized.includes('体格检查')
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? '患者面色苍白，额部出汗，心率偏快，血压较入院时略低。'
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: normalized.includes('辅助检查')
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? '心电图提示下壁导联 ST 段抬高，肌钙蛋白待回报。'
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: '疼痛主要在胸骨后，像压榨一样，休息后也没有明显缓解。'
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return Promise.resolve([
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{
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id: `doctor-${Date.now()}`,
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role: 'doctor',
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content: normalized,
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label: '我'
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},
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{
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id: `patient-${Date.now() + 1}`,
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role: 'patient',
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content: patientReply,
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label: '患者'
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},
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{
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id: `mentor-${Date.now() + 2}`,
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role: 'mentor',
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content: '很好，继续围绕 OPQRST 思路追问疼痛诱因、部位、性质、放射、持续时间和缓解因素，同时关注危险信号。',
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label: '王主任'
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}
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])
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}
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