From b24b232493dea3785d6100a9eef3018b4fc640d7 Mon Sep 17 00:00:00 2001
From: wyuu <czlis@wuyy>
Date: Mon, 24 Nov 2025 18:03:52 +0800
Subject: [PATCH] =?UTF-8?q?=E6=8A=97=E7=94=9F=E7=B4=A0?=
MIME-Version: 1.0
Content-Type: text/plain; charset=UTF-8
Content-Transfer-Encoding: 8bit

---
 src/api/liswork/micro/index.ts                |  48 +++
 src/assets/styles/btn.scss                    |  16 +
 src/assets/styles/ruoyi.scss                  |   5 -
 src/types/Object.d.ts                         |  23 ++
 src/views/liswork/micro/index.vue             |  51 ++-
 .../liswork/micro/labresult/cbReport.vue      | 272 ++++++++++++++-
 .../micro/labresult/components/kssMb.vue      | 159 +++++++++
 .../micro/labresult/components/meddict.vue    | 159 +++++++++
 src/views/liswork/micro/labresult/record.vue  |   4 +-
 .../liswork/micro/labresult/zbReport.vue      | 313 ++++++++++++++----
 10 files changed, 952 insertions(+), 98 deletions(-)
 create mode 100644 src/views/liswork/micro/labresult/components/kssMb.vue
 create mode 100644 src/views/liswork/micro/labresult/components/meddict.vue

diff --git a/src/api/liswork/micro/index.ts b/src/api/liswork/micro/index.ts
index cb1ca07..b2f4fe2 100644
--- a/src/api/liswork/micro/index.ts
+++ b/src/api/liswork/micro/index.ts
@@ -75,4 +75,52 @@ export function saveresult(data?: Object) {
     method: 'post',
     data
   })
+}
+//获取药敏字典
+export function getmeddictList(data?: Object) {
+  return request({
+    url: '/lisworkgerm/getmeddict',
+    method: 'get',
+    params: data
+  })
+}
+//获取药敏模板
+export function getmedgroupList(data?: Object) {
+  return request({
+    url: '/lisworkgerm/getmedgrouplist',
+    method: 'get',
+    params: data
+  })
+}
+//获取药敏模板明细
+export function getmedgroupMbList(data?: Object) {
+  return request({
+    url: '/lisworkgerm/getmedgroup',
+    method: 'get',
+    params: data
+  })
+}
+//保存药敏结果
+export function savemedresult(data?: Object) {
+  return request({
+    url: '/lisworkgerm/savemedresult',
+    method: 'post',
+    data
+  })
+}
+//保存所有药敏结果
+export function savemedresultall(data?: Object) {
+  return request({
+    url: '/lisworkgerm/savemedresultall',
+    method: 'post',
+    data
+  })
+}
+//删除药敏结果
+export function deletemedresult(data?: Object) {
+  return request({
+    url: '/lisworkgerm/deletemedresult',
+    method: 'post',
+    data
+  })
 }
\ No newline at end of file
diff --git a/src/assets/styles/btn.scss b/src/assets/styles/btn.scss
index 3590d8d..595ec48 100644
--- a/src/assets/styles/btn.scss
+++ b/src/assets/styles/btn.scss
@@ -97,3 +97,19 @@
   font-size: 14px;
   border-radius: 4px;
 }
+
+
+.btn_green {
+  background-color: #aef5ef !important;
+  color: #148A7F;
+  border-color: #aef5ef;
+}
+
+.btns_box {
+  padding: .3125rem .625rem !important;
+  font-size: .875rem;
+  height: 1.25rem !important;
+  margin: 5px 0;
+  margin-left: .625rem !important;
+  border-radius: 0 !important;
+}
\ No newline at end of file
diff --git a/src/assets/styles/ruoyi.scss b/src/assets/styles/ruoyi.scss
index 563193f..2fe9c33 100644
--- a/src/assets/styles/ruoyi.scss
+++ b/src/assets/styles/ruoyi.scss
@@ -337,11 +337,6 @@
    cursor: pointer;
  }
 
- .btn_green {
-   background-color: #aef5ef !important;
-   color: #148A7F;
-   border-color: #aef5ef;
- }
 
  // 表格input宽度,表格select宽度
  .full-width-input .el-input__inner .el-select__inner {
diff --git a/src/types/Object.d.ts b/src/types/Object.d.ts
index 25f3759..f026efd 100644
--- a/src/types/Object.d.ts
+++ b/src/types/Object.d.ts
@@ -126,4 +126,27 @@ export class XmInfoVs {
   ckxx?: number;
   dyckz?: string;
 
+}
+
+
+export class LabResultItem {
+  xmdh: string;
+  xmmc: string;
+  csjg: string;
+  qz: string;
+  [key: string]: any;
+}
+
+export class ymTableDataItem {
+  zhywdh: string;
+  ywdh: any;
+  ywmc: any;
+  mic: string;
+  rad: string;
+  csjg: string;
+  jgbz: string;
+  ckz: string;
+  bz: string;
+  txtresult: string;
+  cp_bz: string;
 }
\ No newline at end of file
diff --git a/src/views/liswork/micro/index.vue b/src/views/liswork/micro/index.vue
index 682311a..840da0c 100644
--- a/src/views/liswork/micro/index.vue
+++ b/src/views/liswork/micro/index.vue
@@ -52,11 +52,13 @@
               <el-tabs v-model="activeName" type="card" class="demo-tabs">
                 <el-tab-pane label="鉴定(终报)结果" name="first">
                   <ZbReport ref="labResultRef" v-model:labPat="labInfo" :labPatKey="queryParams" :dictData="dictData"
-                    :labResutsData="labResuts" @fetchLabResults="resultsHandle" @changeStatus="changeStatus"
+                    :labResutsData="zbLabResuts" @fetchLabResults="resultsHandle" @changeStatus="changeStatus"
                     @previewHandle="previewHandle" />
                 </el-tab-pane>
                 <el-tab-pane label="初级和二级报告" name="second">
-                  <CbReport :labResutsData="labResuts" :labPat="labInfo" />
+                  <CbReport v-model:labPat="labInfo" :labPatKey="queryParams" :dictData="dictData"
+                    :labResutsData="zbLabResuts" @fetchLabResults="resultsHandle" @changeStatus="changeStatus"
+                    @previewHandle="previewHandle" />
                 </el-tab-pane>
                 <el-tab-pane label="培养基接种" name="third">
                   <Byj />
@@ -95,15 +97,16 @@
                 </div>
               </div>
               <div class="radio_box">
-                <el-radio-group v-model="queryParams.days" @change="fetchlabPatList">
-                  <el-radio :value="0">所有</el-radio>
+                <el-radio-group v-model="queryParams.days" @change="fetchlabPatList" :size="aotuSize">
+                  <el-radio :value="-1">所有</el-radio>
                   <el-radio :value="30">近30天</el-radio>
                   <el-radio :value="60">近60天</el-radio>
                   <el-radio :value="90">近90天</el-radio>
                   <el-radio :value="7">近7天</el-radio>
-                  <el-radio :value="1">此日 -></el-radio>
+                  <el-radio :value="0">此日 -></el-radio>
                 </el-radio-group>
-                <el-date-picker v-model="queryParams.jyrq" type="date" :size="aotuSize" @change="fetchlabPatList" />
+                <el-date-picker v-model="queryParams.jyrq" type="date" :size="aotuSize" @change="fetchlabPatList"
+                  style="width: 9.375rem;" />
               </div>
               <LabPatList ref="labPatListRef" :labPatList="labPatList" :loading="loading" @select="selectJob"
                 :tableKey="queryParams" :dictData="dictData" @search="searchJobs" />
@@ -186,7 +189,7 @@ const queryParams = ref({
   ybh: '',
   instrGroup: '04',
   problemId: 0,
-  days: 90,
+  days: -1,
   pageSize: 600,
   pageNum: 1
 })
@@ -252,6 +255,11 @@ interface QueryParams {
 
 watch(() => labPat.value, (newValue) => {
   queryParams.value.ybh = newValue.ybh;
+  // if (newValue.jgbz == '2') {
+  //   activeName.value = 'first'
+  // } else if (newValue.jgbz == '0' || newValue.jgbz == '3' || newValue.jgbz == '4') {
+  //   activeName.value = 'second'
+  // }
 }, { deep: true });
 
 // 模糊查询
@@ -281,7 +289,8 @@ const searchQuery = () => {
   } else {
     labPat.value = {};
     labInfo.value = {};
-    labResuts.value = [];
+    zbLabResuts.value = [];
+    cbLabResuts.value = [];
     highlightRowIndex.value = -1;
   }
 };
@@ -321,7 +330,8 @@ const handleQueryResult = (params: QueryParams) => {
   } else {
     labPat.value = {};
     labInfo.value = {};
-    labResuts.value = [];
+    zbLabResuts.value = [];
+    cbLabResuts.value = [];
     highlightRowIndex.value = -1;
   }
 };
@@ -344,7 +354,8 @@ const handleinstrGroupChange = (val: any) => {
 }
 const mbStore = useCommonStore();
 const yqHandleChange = (val: any) => {
-  labResuts.value = []
+  zbLabResuts.value = [];
+  cbLabResuts.value = [];
   labPat.value = {}
   labInfo.value = {}
   mbStore.setLxsrList([]);
@@ -402,11 +413,20 @@ const selectJob = (job: any) => {
   fetchLabResults();
   highlightRowIndex.value = labPatList.value.findIndex((item: any) => item.ybh == labInfo.value.ybh);
 }
-const labResuts = ref([])
+const zbLabResuts = ref([])
+const cbLabResuts = ref([])
 //载入样本结果表单(中间labresult.vue组件)
 const fetchLabResults = async () => {
   sampleMedInfo({ jyrq: labInfo.value.jyrq ? labInfo.value.jyrq : queryParams.value.jyrq, yq: labInfo.value.yq, ybh: labInfo.value.ybh }).then((response: any) => {
-    labResuts.value = response.data;
+    zbLabResuts.value = response.data;
+    if (labPat.value.jgbz == '2') {
+    }
+    if (labPat.value.jgbz == '3') {
+      cbLabResuts.value = response.data;
+    }
+
+    console.log(' zbLabResuts.value==>', zbLabResuts.value);
+    console.log(' cbLabResuts.value==>', cbLabResuts.value);
   })
 }
 
@@ -466,7 +486,8 @@ const handleCreate = () => {
       labPat.value = response.data;
       labInfo.value = response.data;
       labPat.value.id = `temp_${Date.now()}_${Math.random().toString(36).substr(2, 8)}`;
-      labResuts.value = []
+      zbLabResuts.value = [];
+      cbLabResuts.value = [];
       labPatListRef.value?.clearCurrentRow();
       fetchLabResults()
     }
@@ -721,7 +742,7 @@ onMounted(async () => {
     GMC: toRaw(dictRefs.GMC.value) || [],
   };
   // 初始化Socket
-  initSocket()
+  // initSocket()
 });
 
 const initSocket = () => {
@@ -797,7 +818,7 @@ const sendMessage = () => {
   margin: .125rem 0;
 
   .el-radio {
-    margin-right: 15px;
+    margin-right: .3125rem;
   }
 }
 
diff --git a/src/views/liswork/micro/labresult/cbReport.vue b/src/views/liswork/micro/labresult/cbReport.vue
index cedd1fd..ba3782e 100644
--- a/src/views/liswork/micro/labresult/cbReport.vue
+++ b/src/views/liswork/micro/labresult/cbReport.vue
@@ -1,33 +1,154 @@
 <template>
   <div>
-    <CustomTable :data="labResutsData.labResultList" :columns="columns" :config="tableConfig" :enable-column-drag="true"
+    <div class="title"><span>初报人：</span>{{ labPat.confirmer }} &nbsp;&nbsp; <span>报告时间：</span>{{ labPat.confirmdt
+    }}&nbsp;&nbsp;</div>
+    <div>
+      <el-button class="btn_green btns_box" :size="autoSize" v-if="labPat.jgbz != 2"
+        @click="handleCheck(1)">初报审核</el-button>
+      <el-button class="btns_box" :size="autoSize" v-if="labPat.jgbz == 2" @click="handleCheck(3)">取消审核</el-button>
+      <el-button class="btns_box" type="primary" :size="autoSize" plain
+        :disabled="labPat.jgbz != null && labPat.jgbz != 0" @click="openItemDictDialog">新增</el-button>
+      <el-button class="btns_box" type="danger" :size="autoSize" :disabled="labPat.jgbz != null && labPat.jgbz != 0"
+        plain @click="handleBatchDelete">删除</el-button>
+      <el-button class="btn_green btns_box" :size="autoSize" @click="zhHandel">组合项目</el-button>
+    </div>
+    <CustomTable :data="tableData" :columns="columns" :config="tableConfig" :enable-column-drag="true"
       @column-drag-end="handleColumnDragEnd">
+      <template #xmdh="{ column }">
+        细菌/结果({{ tableData.length }})项
+      </template>
+      <template #od="{ row }">
+        <el-input v-model="row.od" v-if="labPat.jgbz == 0 || labPat.jgbz == null" size="small"
+          class="full-width-input foucs-input" @change="handleCsjgEnter(row)" />
+        <span v-else>{{ row.od }}</span>
+      </template>
+      <template #csjg="{ row }">
+        <el-input v-model="row.csjg" v-if="labPat.jgbz == 0 || labPat.jgbz == null" size="small"
+          class="full-width-input" @change="handleCsjgEnter(row)" @dblclick="handleInputFocus(row)" />
+        <span v-else>{{ row.csjg }}</span>
+      </template>
+      <template #jgbz="{ row }">
+        <el-select v-model="row.jgbz" class="full-width-input" v-if="labPat.jgbz == 0 || labPat.jgbz == null"
+          placeholder="" @change="handleCsjgEnter(row)">
+          <el-option label="阳性" value="P" />
+          <el-option label="阴性" value="N" />
+        </el-select>
+        <span v-else> {{ formatJgbz(row.jgbz) }}</span>
+      </template>
+      <template #cutoff="{ row }">
+        <el-input v-model="row.cutoff" v-if="labPat.jgbz == 0 || labPat.jgbz == null" size="small"
+          class="full-width-input" @change="handleCsjgEnter(row)" />
+        <span v-else>{{ row.cutoff }}</span>
+      </template>
+      <template #alarm_flag="{ row }">
+        <el-select v-model="row.alarm_flag" class="full-width-input" v-if="labPat.jgbz == 0 || labPat.jgbz == null"
+          placeholder="" @change="handleCsjgEnter(row)">
+          <el-option label="危急值" value="H" />
+          <el-option label="无" value="" />
+        </el-select>
+        <span v-else> {{ row.alarm_flag == 'H' ? '危急值' : '' }}</span>
+      </template>
+      <template #germclass="{ row }">
+        {{ formatDict(row.germclass, 'germclass') }}
+      </template>
     </CustomTable>
   </div>
 </template>
 
 <script setup lang="ts">
 import CustomTable from '@/components/elTable/index.vue'
+import { LabResultItem, ymTableDataItem } from '@/types/index';
+import { getresultmedList, savetestResult, changeresult, saveresult, newresult, getmeddictList, savemedresult, savemedresultall, deletemedresult } from '@/api/liswork/micro/index';
 
+import {
+  check1, check2, uncheck2, unconfirmlog, checkuser, reglimit, deleteresult, allPatquery, emrquery, datalink, changeLinkList,
+  viewBackup, queryXmVal, printListwork, getresultchangelog, setinputmdl, lockSample, unLockSample, clearnotComplete, clearPrintflag,
+  noiteMresult, queryXmInfo, setitemInter
+} from "@/api/liswork/work/LisWork";
+import emitter from '@/utils/mitt';
+import { ElMessage } from 'element-plus';
+import { useCommonStore } from "@/store/modules/commonStore";
+import { classCom } from '@/utils/classCom';
+const autoSize = classCom.useAutoSize();
 const props = defineProps({
-  labResutsData: {
-    type: Object,
-    required: true
-  },
-  //结果主键
   labPat: {
     type: Object,
     required: true
   },
+  //结果主键
+  labPatKey: {
+    type: Object,
+    default: () => { }
+  },
+  labResutsData: {
+    type: Array as PropType<LabResultItem[]>,
+    default: () => []
+  },
+  dictData: {
+    type: Object,
+    default: () => { }
+  }
+})
+
+const { labPat, labPatKey, labResutsData, dictData } = toRefs(props);
+
+const mbStore = useCommonStore();
+watch(labResutsData, (newVal: any) => {
+  if (newVal.length) {
+    tableData.value = newVal.map((item: any) => {
+      return {
+        ...item,
+        zhxmdh: item.xmdh + ' ' + item.xmmc,
+      }
+    })
+    console.log('tableData==>', tableData.value);
+  } else {
+    tableData.value = []
+  }
+
+  if (props.labPat.jgbz != null && props.labPat.jgbz != 0 && props.labPat.jgbz != 'C') return;
+  // console.log('mbStore==>', mbStore.lxsrs);
+  if (mbStore.lxsrs.length > 0) {
+    mbStore.lxsrs.forEach((mbmc) => {
+      const data = {
+        ...labPatKey.value,
+        mbmc: mbmc,
+      }
+      setinputmdl(data).then((res: any) => {
+        if (res.code == 0) {
+          const existingNames = new Set(tableData.value.map((item: any) => item.xmdh))
+          res.data?.forEach((item: any) => {
+            if (!existingNames.has(item.xmdh)) {
+              tableData.value.push({ ...item, jyrq: labPat.value.jyrq, zhxmdh: item.xmdh + ' ' + item.xmmc })
+              existingNames.add(item.xmdh)
+            }
+          })
+          emitter.emit('clearLxsrList')
+        }
+      });
+    });
+  }
 })
 
 
+// 事件定义
+const emits = defineEmits([
+  'fetchLabResults',
+  'changeStatus',
+  'previewHandle'
+]);
+
+const tableData = ref<LabResultItem[]>([])
+
 const columns = ref([
-  { label: "细菌/结果", prop: "xmdh", align: 'center', visible: true, slot: 'xmdh', width: 150 },
+  { label: "细菌/结果", prop: "zhxmdh", align: 'center', visible: true, headerSlot: 'xmdh', width: 150 },
+  { label: "菌落计数", prop: "od", align: 'center', visible: true, slot: 'od' },
   { label: "检验结果", prop: "csjg", align: 'center', visible: true, slot: 'csjg' },
-  { label: "阴阳性", prop: "jgbz", align: 'center', visible: true, slot: 'jgbz' },
-  { label: "危急值", prop: "alarm_flag", align: 'center', visible: true, slot: 'alarm_flag' },
-  { label: "菌属", prop: "xmmc", align: 'center', visible: true },
+  { label: "阴阳性", prop: "jgbz", align: 'center', visible: true, slot: 'jgbz', showOverflowTooltip: false },
+  { label: "危急值", prop: "alarm_flag", align: 'center', visible: true, slot: 'alarm_flag', showOverflowTooltip: false },
+  { label: "菌属", prop: "germclass", align: 'center', visible: true, slot: 'germclass' },
+  { label: "鉴定率", prop: "cutoff", align: 'center', visible: true, slot: 'cutoff' },
+  { label: "抗生素组", prop: "bz1", align: 'center', visible: true, width: 120 },
 ])
 
 const CellStyleHd = ({ row, column, rowIndex, columnIndex }: {
@@ -82,6 +203,135 @@ const handleColumnDragEnd = (data: any) => {
   columns.value = data.columns;
 }
 
+const handleCheck = (checkType: number) => {
+  // yhdh = checkuserid.value
+  switch (checkType) {
+    case 1: // 初审
+      check1({ ...labPatKey.value, jyrq: labPat.value.jyrq, yhdh: props.labPat.yhdh }).then((res: any) => {
+        emits("changeStatus", props.labPat);
+      })
+      break;
+    case 2: // 审核
+      labPatKey.value.problemId = 0
+      // shHandleCheck()
+      break;
+    case 3: // 取消审核
+      labPatKey.value.problemId = 0
+      // unShHandle()
+      break;
+    default:
+      break;
+  }
+};
+
+const openItemDictDialog = () => {
+
+};
+
+const handleBatchDelete = () => { }
+
+// 项目结果保存
+const handleCsjgEnter = async (row: any) => {
+  // 判断数据中包含模板新增的数据 flag
+  if (tableData.value.length == 0) return
+  const flag = tableData.value.some((item: any) => item.changeflag == 2)
+  if (flag) {
+    saveresult(tableData.value).then((res: any) => {
+      if (res.code == 0) {
+        emitter.emit('wswSaveResult');
+      }
+    })
+  } else {
+    if (!row) return
+    if (row && row.id) {
+      emitter.emit('wswSaveResult');
+      newresult({ ...row, ybh: labPat.value.ybh, jyrq: labPat.value.jyrq, yq: labPat.value.yq }).then((response: any) => {
+        ElMessage.success("结果保存成功");
+        emits('fetchLabResults');
+      }).catch((error: any) => {
+        emits('fetchLabResults');
+      });
+    } else {
+      changeresult(row).then((response: any) => {
+        ElMessage.success("结果保存成功");
+        emits('fetchLabResults');
+      }).catch((error: any) => {
+        emits('fetchLabResults');
+      });
+    }
+
+    // nextTick(() => {
+    //   const input = document.activeElement;
+    //   if (input?.tagName === "INPUT") input?.blur();
+    // });
+  }
+
+};
+const csjgRef = ref()
+const csjgTableData = ref([])
+const handleInputFocus = (row: any) => {
+  // dbRow.value = row
+  queryXmVal({ yq: labPatKey.value.yq, xmdh: row.xmdh }).then((res: any) => {
+    if (res.code == 0) {
+      csjgTableData.value = res.data
+    }
+    nextTick(() => {
+      csjgRef.value.open()
+    })
+  })
+};
+
+const selectItem = (row: any) => {
+  // 查找修改行
+  const index = tableData.value.findIndex((item: any) => item.xmdh == row.xmdh)
+  tableData.value[index].csjg = row.qz
+  handleCsjgEnter(tableData.value[index])
+};
+
+
+
+// 组合项目
+const combinedRef = ref()
+
+const zhHandel = () => {
+  combinedRef.value.open()
+};
+
+const combinedHandel = (row: any) => {
+  if (props.labPat.jgbz != null && props.labPat.jgbz != 0 && props.labPat.jgbz != 'C') return ElMessage.warning('已审核结果不可添加模板项目');
+  const data = {
+    ...labPatKey.value,
+    mbmc: row.mbmc,
+  }
+  setinputmdl(data).then((res: any) => {
+    if (res.code == 0) {
+      const existingNames = new Set(tableData.value.map((item: any) => item.xmdh))
+      res.data?.forEach((item: any) => {
+        if (!existingNames.has(item.xmdh)) {
+          tableData.value.push({ ...item, jyrq: labPat.value.jyrq, zhxmdh: item.xmdh + ' ' + item.xmmc })
+          existingNames.add(item.xmdh)
+        }
+      })
+      handleCsjgEnter(null)
+      emitter.emit('clearLxsrList')
+    }
+  });
+};
+
+const formatDict = (v: string, dictType: string) => {
+  return props.dictData[dictType]?.find((item: any) => item.value == v)?.label || v;
+}
+
+const formatJgbz = (v: string) => {
+  return v == 'H' ? '高' : v == 'L' ? '低' : v == 'N' ? '阴性' : v == 'P' ? '阳性' : v == 'Q' ? '弱阳性' : v == 'M' ? '正常' : ''
+}
 </script>
 
-<style scoped></style>
\ No newline at end of file
+<style scoped lang="scss">
+.title {
+
+  span {
+    color: #00ff64;
+  }
+}
+</style>
\ No newline at end of file
diff --git a/src/views/liswork/micro/labresult/components/kssMb.vue b/src/views/liswork/micro/labresult/components/kssMb.vue
new file mode 100644
index 0000000..97d90f9
--- /dev/null
+++ b/src/views/liswork/micro/labresult/components/kssMb.vue
@@ -0,0 +1,159 @@
+<template>
+  <div class="dict-input-wrapper">
+    <!-- 字典选择弹窗 -->
+    <el-dialog v-model="dialogVisible" :title="dialogTitle" width="30vw" :close-on-click-modal="false" :draggable="true"
+      @close="handleDialogClose">
+      <el-input ref="inputRef" v-model="searchKey" placeholder="搜索（支持名称、编码、简拼）..." class="mb10" clearable
+        @clear="filterDictData" @input="filterDictData" />
+
+      <el-table :data="filteredDictData" height="300px" border @row-dblclick="selectItem" highlight-current-row>
+        <!-- <el-table-column prop="value" label="抗生素组" align="center" width="150" /> -->
+        <el-table-column prop="label" label="抗生素组" align="center" show-overflow-tooltip />
+        <el-table-column prop="pinyin" label="简拼" align="center" width="150" /> <!-- 显示简拼便于调试 -->
+      </el-table>
+    </el-dialog>
+  </div>
+</template>
+
+<script setup>
+import { ref, computed, watch, onMounted } from 'vue';
+import { getmedgroupList } from '@/api/liswork/micro/index';
+import { getFirstLetter } from '@/utils/pinyin.js'; // 引入拼音处理工具
+// 组件参数
+const props = defineProps({
+  modelValue: { type: [String, Number], default: '' },
+  dictType: { type: String },
+  placeholder: { type: String, default: '请输入或双击选择' },
+  clearable: { type: Boolean, default: true },
+  disabled: { type: Boolean, default: false },
+  dialogTitle: { type: String, default: '选择字典项' },
+  tableKey: { type: Object, default: () => { } },
+});
+
+// 组件事件
+const emit = defineEmits(['select']);
+
+
+const dictData = ref([]); // 存储带简拼的字典数据
+const filteredDictData = ref([]);
+const isDictLoading = ref(false);
+const dialogVisible = ref(false);
+const searchKey = ref('');
+
+
+
+
+
+// 加载字典数据（并添加简拼字段）
+const loadDictData = async () => {
+  try {
+    isDictLoading.value = true;
+
+    const response = await getmedgroupList();
+
+    const rawData = response.data.map((item, index) => {
+      return {
+        value: item.ywzmc || `未知编码_${index}`, // 确保value存在
+        label: item.ywzmc || `未知名称_${index}`, // 确保label存在
+      };
+    });
+    // 为每个字典项添加简拼字段
+    dictData.value = (rawData || []).map(item => ({
+      ...item,
+      pinyin: getFirstLetter(item.label) // 新增pinyin字段存储简拼
+    }));
+
+    filteredDictData.value = [...dictData.value];
+  } catch (error) {
+    console.error(`加载${props.dictType}字典失败:`, error);
+    dictData.value = [];
+    filteredDictData.value = [];
+  } finally {
+    isDictLoading.value = false;
+  }
+};
+
+// 核心搜索逻辑（支持模糊搜索+简拼搜索）
+const filterDictData = () => {
+  const key = searchKey.value.trim().toLowerCase();
+  if (!key) {
+    filteredDictData.value = [...dictData.value];
+    return;
+  }
+
+  filteredDictData.value = dictData.value.filter(item => {
+    // 1. 模糊搜索：匹配label（名称）或value（编码）
+    const matchLabel = item.label.toLowerCase().includes(key);
+    const matchValue = String(item.value).toLowerCase().includes(key);
+
+    // 2. 简拼搜索：匹配首字母简拼
+    const matchPinyin = item.pinyin.toLowerCase().includes(key);
+
+    // 满足任一条件即匹配
+    return matchLabel || matchValue || matchPinyin;
+  });
+};
+
+const inputRef = ref()
+// 关键修改：打开弹窗时重新加载数据
+const openDictSelector = async () => {
+  if (props.disabled || isDictLoading.value) {
+    return;
+  }
+
+  // 打开弹窗前先加载数据（确保每次打开都是最新的）
+  await loadDictData();
+
+  // 数据加载完成后再显示弹窗
+  dialogVisible.value = true;
+  searchKey.value = '';
+  nextTick(() => {
+    setTimeout(() => {
+      inputRef.value.focus();
+    }, 100);
+  });
+  filterDictData();
+};
+
+
+// 选择字典项
+const selectItem = (item) => {
+  emit('select', item);
+  dialogVisible.value = false;
+};
+
+
+const handleDialogClose = () => {
+  dialogVisible.value = false;
+};
+
+
+
+
+defineExpose({
+  openDictSelector, // 暴露打开弹窗的方法
+  // 可选：暴露其他可能需要的方法（如刷新字典数据）
+  loadDictData
+});
+</script>
+
+<style scoped>
+/* 样式保持不变 */
+.dict-input-wrapper {
+  position: relative;
+}
+
+.select-icon {
+  cursor: pointer;
+  color: #666;
+  margin-left: 5px;
+}
+
+.select-icon:hover {
+  color: #409eff;
+}
+
+:deep(.el-input__suffix) {
+  gap: 4px;
+}
+</style>
\ No newline at end of file
diff --git a/src/views/liswork/micro/labresult/components/meddict.vue b/src/views/liswork/micro/labresult/components/meddict.vue
new file mode 100644
index 0000000..7cc0085
--- /dev/null
+++ b/src/views/liswork/micro/labresult/components/meddict.vue
@@ -0,0 +1,159 @@
+<template>
+  <div class="dict-input-wrapper">
+    <!-- 字典选择弹窗 -->
+    <el-dialog v-model="dialogVisible" :title="dialogTitle" width="30vw" :close-on-click-modal="false" :draggable="true"
+      @close="handleDialogClose">
+      <el-input ref="inputRef" v-model="searchKey" placeholder="搜索（支持名称、编码、简拼）..." class="mb10" clearable
+        @clear="filterDictData" @input="filterDictData" />
+
+      <el-table :data="filteredDictData" height="300px" border @row-dblclick="selectItem" highlight-current-row>
+        <el-table-column prop="value" label="编码" align="center" width="150" />
+        <el-table-column prop="label" label="名称" align="center" show-overflow-tooltip />
+        <el-table-column prop="pinyin" label="简拼" align="center" width="150" /> <!-- 显示简拼便于调试 -->
+      </el-table>
+    </el-dialog>
+  </div>
+</template>
+
+<script setup>
+import { ref, computed, watch, onMounted } from 'vue';
+import { getmeddictList } from '@/api/liswork/micro/index';
+import { getFirstLetter } from '@/utils/pinyin.js'; // 引入拼音处理工具
+// 组件参数
+const props = defineProps({
+  modelValue: { type: [String, Number], default: '' },
+  dictType: { type: String },
+  placeholder: { type: String, default: '请输入或双击选择' },
+  clearable: { type: Boolean, default: true },
+  disabled: { type: Boolean, default: false },
+  dialogTitle: { type: String, default: '选择字典项' },
+  tableKey: { type: Object, default: () => { } },
+});
+
+// 组件事件
+const emit = defineEmits(['select']);
+
+
+const dictData = ref([]); // 存储带简拼的字典数据
+const filteredDictData = ref([]);
+const isDictLoading = ref(false);
+const dialogVisible = ref(false);
+const searchKey = ref('');
+
+
+
+
+
+// 加载字典数据（并添加简拼字段）
+const loadDictData = async () => {
+  try {
+    isDictLoading.value = true;
+
+    const response = await getmeddictList();
+
+    const rawData = response.data.map((item, index) => {
+      return {
+        value: item.ywdh || `未知编码_${index}`, // 确保value存在
+        label: item.ywmc || `未知名称_${index}`, // 确保label存在
+      };
+    });
+    // 为每个字典项添加简拼字段
+    dictData.value = (rawData || []).map(item => ({
+      ...item,
+      pinyin: getFirstLetter(item.label) // 新增pinyin字段存储简拼
+    }));
+
+    filteredDictData.value = [...dictData.value];
+  } catch (error) {
+    console.error(`加载${props.dictType}字典失败:`, error);
+    dictData.value = [];
+    filteredDictData.value = [];
+  } finally {
+    isDictLoading.value = false;
+  }
+};
+
+// 核心搜索逻辑（支持模糊搜索+简拼搜索）
+const filterDictData = () => {
+  const key = searchKey.value.trim().toLowerCase();
+  if (!key) {
+    filteredDictData.value = [...dictData.value];
+    return;
+  }
+
+  filteredDictData.value = dictData.value.filter(item => {
+    // 1. 模糊搜索：匹配label（名称）或value（编码）
+    const matchLabel = item.label.toLowerCase().includes(key);
+    const matchValue = String(item.value).toLowerCase().includes(key);
+
+    // 2. 简拼搜索：匹配首字母简拼
+    const matchPinyin = item.pinyin.toLowerCase().includes(key);
+
+    // 满足任一条件即匹配
+    return matchLabel || matchValue || matchPinyin;
+  });
+};
+
+const inputRef = ref()
+// 关键修改：打开弹窗时重新加载数据
+const openDictSelector = async () => {
+  if (props.disabled || isDictLoading.value) {
+    return;
+  }
+
+  // 打开弹窗前先加载数据（确保每次打开都是最新的）
+  await loadDictData();
+
+  // 数据加载完成后再显示弹窗
+  dialogVisible.value = true;
+  searchKey.value = '';
+  nextTick(() => {
+    setTimeout(() => {
+      inputRef.value.focus();
+    }, 100);
+  });
+  filterDictData();
+};
+
+
+// 选择字典项
+const selectItem = (item) => {
+  emit('select', item);
+  dialogVisible.value = false;
+};
+
+
+const handleDialogClose = () => {
+  dialogVisible.value = false;
+};
+
+
+
+
+defineExpose({
+  openDictSelector, // 暴露打开弹窗的方法
+  // 可选：暴露其他可能需要的方法（如刷新字典数据）
+  loadDictData
+});
+</script>
+
+<style scoped>
+/* 样式保持不变 */
+.dict-input-wrapper {
+  position: relative;
+}
+
+.select-icon {
+  cursor: pointer;
+  color: #666;
+  margin-left: 5px;
+}
+
+.select-icon:hover {
+  color: #409eff;
+}
+
+:deep(.el-input__suffix) {
+  gap: 4px;
+}
+</style>
\ No newline at end of file
diff --git a/src/views/liswork/micro/labresult/record.vue b/src/views/liswork/micro/labresult/record.vue
index a107b19..692c266 100644
--- a/src/views/liswork/micro/labresult/record.vue
+++ b/src/views/liswork/micro/labresult/record.vue
@@ -51,7 +51,9 @@ const getRecordList = () => {
 }
 
 watch(() => props.labPat, (newValue) => {
-  getRecordList()
+  if (newValue.jyrq && newValue.ybh && newValue.yq) {
+    getRecordList()
+  }
 })
 
 </script>
diff --git a/src/views/liswork/micro/labresult/zbReport.vue b/src/views/liswork/micro/labresult/zbReport.vue
index bf72e15..f408cd5 100644
--- a/src/views/liswork/micro/labresult/zbReport.vue
+++ b/src/views/liswork/micro/labresult/zbReport.vue
@@ -1,14 +1,14 @@
 <template>
   <div>
     <div>
-      <el-button class="btn_green btns_box" :size="aotuSize" v-if="labPat.jgbz != 2"
+      <el-button class="btn_green btns_box" :size="autoSize" v-if="labPat.jgbz != 2"
         @click="handleCheck(2)">审核</el-button>
-      <el-button class="btns_box" :size="aotuSize" v-if="labPat.jgbz == 2" @click="handleCheck(3)">取消审核</el-button>
-      <el-button class="btns_box" type="primary" :size="aotuSize" plain
+      <el-button class="btns_box" :size="autoSize" v-if="labPat.jgbz == 2" @click="handleCheck(3)">取消审核</el-button>
+      <el-button class="btns_box" type="primary" :size="autoSize" plain
         :disabled="labPat.jgbz != null && labPat.jgbz != 0" @click="openItemDictDialog">新增</el-button>
-      <el-button class="btns_box" type="danger" :size="aotuSize" :disabled="labPat.jgbz != null && labPat.jgbz != 0"
+      <el-button class="btns_box" type="danger" :size="autoSize" :disabled="labPat.jgbz != null && labPat.jgbz != 0"
         plain @click="handleBatchDelete">删除</el-button>
-      <el-button class="btn_green btns_box" :size="aotuSize" @click="zhHandel">组合项目</el-button>
+      <el-button class="btn_green btns_box" :size="autoSize" @click="zhHandel">组合项目</el-button>
     </div>
     <CustomTable ref="tableRef" :data="tableData" :columns="columns" :config="tableConfig" :enable-column-drag="true"
       @column-drag-end="handleColumnDragEnd" @row-click="rowHandle">
@@ -27,7 +27,7 @@
       </template>
       <template #jgbz="{ row }">
         <el-select v-model="row.jgbz" class="full-width-input" v-if="labPat.jgbz == 0 || labPat.jgbz == null"
-          @change="handleCsjgEnter(row)">
+          placeholder="" @change="handleCsjgEnter(row)">
           <el-option label="阳性" value="P" />
           <el-option label="阴性" value="N" />
         </el-select>
@@ -51,16 +51,32 @@
       </template>
     </CustomTable>
     <div class="tabs_btns">
-      <el-tabs v-model="activeName2" type="card" class="demo-tabs" :size="aotuSize">
+      <el-tabs v-model="activeName2" type="card" class="demo-tabs" :size="autoSize">
         <el-tab-pane label="药敏结果" name="first">
-          <CustomTable :data="ymTableData" :columns="ymColumns" :config="ymTableConfig" :enable-column-drag="true"
-            @column-drag-end="ymHandleColumnDragEnd">
+          <CustomTable ref="ymTableRef" :data="ymTableData" :columns="ymColumns" :config="ymTableConfig"
+            :enable-column-drag="true" @row-click="ymRowHandle" @column-drag-end="ymHandleColumnDragEnd">
             <template #ywdhHead="{ column }">
               抗生素({{ ymTableData.length }})项
             </template>
+            <template #mic="{ row }">
+              <el-input v-model="row.mic" v-if="labPat.jgbz == 0 || labPat.jgbz == null" size="small"
+                class="ymFoucs full-width-input" @change="ymHandleEnter(row)" />
+              <span v-else>{{ row.mic }}</span>
+            </template>
+            <template #rad="{ row }">
+              <el-input v-model="row.rad" v-if="labPat.jgbz == 0 || labPat.jgbz == null" size="small"
+                class="full-width-input" @change="ymHandleEnter(row)" />
+              <span v-else>{{ row.rad }}</span>
+            </template>
+            <template #csjg="{ row }">
+              <el-input v-model="row.csjg" v-if="labPat.jgbz == 0 || labPat.jgbz == null" size="small"
+                class="full-width-input" @change="ymHandleEnter(row)" />
+              <span v-else>{{ row.csjg }}</span>
+            </template>
 
             <template #jgbz="{ row }">
-              <el-radio-group v-model="row.jgbz">
+              <el-radio-group v-model="row.jgbz" :disabled="labPat.jgbz == 0 || labPat.jgbz == null ? false : true"
+                @change="(val: string) => { jgbzHandle(val, row) }">
                 <el-radio value="R">R</el-radio>
                 <el-radio value="I">I</el-radio>
                 <el-radio value="S">S</el-radio>
@@ -68,6 +84,24 @@
                 <el-radio value="SDD">SDD</el-radio>
               </el-radio-group>
             </template>
+
+            <template #bz="{ row }">
+              <el-input v-model="row.bz" v-if="labPat.jgbz == 0 || labPat.jgbz == null" size="small"
+                class="full-width-input" @change="ymHandleEnter(row)" />
+              <span v-else>{{ row.bz }}</span>
+            </template>
+
+            <template #txtresult="{ row }">
+              <el-input v-model="row.txtresult" v-if="labPat.jgbz == 0 || labPat.jgbz == null" size="small"
+                class="full-width-input" @change="ymHandleEnter(row)" />
+              <span v-else>{{ row.txtresult }}</span>
+            </template>
+
+            <template #cp_bz="{ row }">
+              <el-input v-model="row.cp_bz" v-if="labPat.jgbz == 0 || labPat.jgbz == null" size="small"
+                class="full-width-input" @change="ymHandleEnter(row)" />
+              <span v-else>{{ row.cp_bz }}</span>
+            </template>
           </CustomTable>
 
         </el-tab-pane>
@@ -77,12 +111,12 @@
       </el-tabs>
       <div class="btns anchor">
         <template v-if="activeName2 == 'first'">
-          <el-button class="btns_box" type="primary" :size="aotuSize" plain
-            :disabled="labPat.jgbz != null && labPat.jgbz != 0">新增</el-button>
-          <el-button class="btns_box" type="danger" :size="aotuSize" :disabled="labPat.jgbz != null && labPat.jgbz != 0"
-            plain>删除</el-button>
-          <el-button type="primary" class="btns_box" plain :size="autoSize">更换抗生素组</el-button>
-          <el-button type="primary" class="btns_box" plain :size="autoSize">添加抗生素组</el-button>
+          <el-button class="btns_box" type="primary" :size="autoSize" plain
+            :disabled="labPat.jgbz != null && labPat.jgbz != 0" @click="addMed">新增</el-button>
+          <el-button class="btns_box" type="danger" :size="autoSize" :disabled="labPat.jgbz != null && labPat.jgbz != 0"
+            plain @click="delMed">删除</el-button>
+          <el-button type="primary" class="btns_box" plain :size="autoSize" @click="changeKss">更换抗生素组</el-button>
+          <el-button type="primary" class="btns_box" plain :size="autoSize" @click="addKss">添加抗生素组</el-button>
         </template>
 
         <template v-if="activeName2 == 'second'">
@@ -104,6 +138,12 @@
     <!-- 组合项目 -->
     <Combined ref="combinedRef" :queryParams="labPatKey" @dbMbHandle="combinedHandel" />
 
+    <!-- 药敏字典 -->
+    <Meddict ref="medDictRef" :dialog-title="'抗生素选择'" :tableKey="labPatKey" @select="medSelect" />
+
+    <!-- 抗生素组模板 -->
+    <kssMb ref="kssMbRef" :dialog-title="'抗生素组选择'" :tableKey="labPatKey" @select="kssSelect" />
+
     <!-- 操作原因 -->
     <el-dialog v-model="unCheckshow" title="操作原因" width="500" :close-on-click-modal="false" :draggable="true"
       @close="unconfirmlogCancel">
@@ -138,29 +178,27 @@
 <script setup lang="ts">
 import CustomTable from "@/components/elTable/index.vue";
 import { classCom } from "@/utils/classCom";
-
-import { getresultmedList, savetestResult, changeresult, saveresult, newresult, } from '@/api/liswork/micro/index';
+import { getresultmedList, savetestResult, changeresult, saveresult, newresult, getmeddictList, savemedresult, savemedresultall, deletemedresult, getmedgroupMbList } from '@/api/liswork/micro/index';
 import {
-  check1, check2, uncheck2, unconfirmlog, checkuser, reglimit, deleteresult, allPatquery, emrquery, datalink, changeLinkList,
+  check1, check2, uncheck2, unconfirmlog, checkuser, reglimit, deleteresult, allPatquery, emrquery,
   viewBackup, queryXmVal, printListwork, getresultchangelog, setinputmdl, lockSample, unLockSample, clearnotComplete, clearPrintflag,
   noiteMresult, queryXmInfo, setitemInter
 } from "@/api/liswork/work/LisWork";
 import { useCommonStore } from "@/store/modules/commonStore";
 // @ts-ignore
 import ProjectDetails from "@/components/projectDetails/index.vue";
-import projectsJg from "@/components/projectsjg/index.vue"
+import projectsJg from "@/components/projectsjg/index.vue";
+// @ts-ignore
+import kssMb from "./components/kssMb.vue";
 import Combined from "./components/combinedDialog.vue";
+// @ts-ignore
+import Meddict from "./components/meddict.vue";
 import { ElMessage, ElMessageBox } from "element-plus";
 import emitter from "@/utils/mitt";
-const aotuSize = classCom.useAutoSize();
+const autoSize = classCom.useAutoSize();
+import { LabResultItem, ymTableDataItem } from '@/types/index';
+
 
-interface LabResultItem {
-  xmdh: string;
-  xmmc: string;
-  csjg: string;
-  qz: string;
-  [key: string]: any;
-}
 const props = defineProps({
   labPat: {
     type: Object,
@@ -189,10 +227,6 @@ const emits = defineEmits([
   'previewHandle'
 ]);
 
-
-
-
-const autoSize = classCom.useAutoSize();
 const activeName2 = ref('first')
 const textarea = ref('')
 
@@ -414,7 +448,7 @@ const addRowFromDict = async (rowData: any) => {
     cutoff: '',
   };
   tableData.value.push(newRow);
-
+  newresult({ ...newRow, ybh: labPat.value.ybh, jyrq: labPat.value.jyrq, yq: labPat.value.yq })
   // 5. 自动聚焦
   nextTick(() => {
     selectedRows.value = [newRow];
@@ -457,6 +491,7 @@ const handleBatchDelete = () => {
   }).catch(() => {
   });
 };
+
 const mbStore = useCommonStore();
 const tableData: any = ref([])
 
@@ -474,6 +509,9 @@ watch(labResutsData, (newVal: any) => {
     textarea.value = ''
     rowInfo.value = {}
     tableData.value = []
+    selectedRows.value = []
+    ymTableData.value = []
+    ymselectedRows.value = []
   }
 
   if (props.labPat.jgbz != null && props.labPat.jgbz != 0 && props.labPat.jgbz != 'C') return;
@@ -531,30 +569,7 @@ const rowHandle = (row: any) => {
   })
 }
 
-const ymTableData = ref([]);
-
-const ymColumns = ref([
-  { label: "抗生素", prop: "zhywdh", visible: true, width: 120, headerSlot: 'ywdhHead' },
-  { label: "Mic", prop: "mic", align: 'center', visible: true, width: 60 },
-  { label: "KB", prop: "rad", align: 'center', visible: true, width: 40 },
-  { label: "结果", prop: "csjg", align: 'center', visible: true, width: 50 },
-  { label: "结果标志", prop: "jgbz", align: 'center', visible: true, slot: 'jgbz', width: 180, showOverflowTooltip: false },
-  { label: "折点", prop: "ckz", align: 'center', visible: true },
-  { label: "分组", prop: "bz", align: 'center', visible: true },
-  { label: "专家值", prop: "txtresult", align: 'center', visible: true },
-  { label: "引用说明", prop: "cp_bz", align: 'center', visible: true },
-])
-
-const ymTableConfig = ref({
-  height: '48vh',
-  border: true,
-  highlightCurrentRow: true,
-});
-
-const ymHandleColumnDragEnd = (data: any) => {
-  ymColumns.value = data.columns;
-}
-
+// 项目结果保存
 const handleCsjgEnter = async (row: any) => {
   // 判断数据中包含模板新增的数据 flag
   if (tableData.value.length == 0) return
@@ -622,7 +637,6 @@ const zhHandel = () => {
 };
 
 const combinedHandel = (row: any) => {
-  console.log('data==>', row);
   if (props.labPat.jgbz != null && props.labPat.jgbz != 0 && props.labPat.jgbz != 'C') return ElMessage.warning('已审核结果不可添加模板项目');
   const data = {
     ...labPatKey.value,
@@ -643,6 +657,180 @@ const combinedHandel = (row: any) => {
   });
 };
 
+const ymTableRef = ref()
+const ymTableData = ref<ymTableDataItem[]>([]);
+
+const ymColumns = ref([
+  { label: "抗生素", prop: "zhywdh", visible: true, width: 120, headerSlot: 'ywdhHead' },
+  { label: "Mic", prop: "mic", align: 'center', visible: true, width: 60, slot: 'mic' },
+  { label: "KB", prop: "rad", align: 'center', visible: true, width: 40, slot: 'rad' },
+  { label: "结果", prop: "csjg", align: 'center', visible: true, width: 50, slot: 'csjg' },
+  { label: "结果标志", prop: "jgbz", align: 'center', visible: true, slot: 'jgbz', width: 200, showOverflowTooltip: false },
+  { label: "折点", prop: "ckz", align: 'center', visible: true, },
+  { label: "分组", prop: "bz", align: 'center', visible: true, slot: 'bz' },
+  { label: "专家值", prop: "txtresult", align: 'center', visible: true, slot: 'txtresult' },
+  { label: "引用说明", prop: "cp_bz", align: 'center', visible: true, slot: 'cp_bz' },
+])
+const ymCellStyleHd = ({ row, column, rowIndex, columnIndex }: {
+  row: any;
+  column: any;
+  rowIndex: number;
+  columnIndex: number;
+}) => {
+  if (column.label == "结果" && row.jgbz == "R") {
+    return { background: '#ffc0c0 !important', color: '#606266' };
+  }
+  if (column.label == "结果" && row.jgbz == "I") {
+    return { background: '#ffff80 !important', color: '#606266' };
+  }
+}
+const ymTableConfig = ref({
+  height: '48vh',
+  border: true,
+  highlightCurrentRow: true,
+  cellStyle: ymCellStyleHd,
+});
+
+const ymHandleColumnDragEnd = (data: any) => {
+  ymColumns.value = data.columns;
+}
+const ymselectedRows = ref<ymTableDataItem[]>([]);
+
+const ymRowHandle = (row: any) => {
+  ymselectedRows.value = [row];
+}
+
+const medDictRef = ref()
+const kssMbRef = ref()
+
+const kssType = ref('')
+// 更换抗生素组
+const changeKss = () => {
+  kssMbRef.value.openDictSelector();
+  kssType.value = '1'
+}
+// 添加抗生素组
+const addKss = () => {
+  kssMbRef.value.openDictSelector();
+  kssType.value = '2'
+}
+
+const kssSelect = (row: any) => {
+  getmedgroupMbList({ mbmc: row.value }).then((res: any) => {
+    if (res.code == 0) {
+      if (kssType.value == '1') {
+        ymTableData.value = []
+        res.data?.forEach((item: any, index: number) => {
+          ymTableData.value.push({ ...item, zhywdh: item.ywdh + ' ' + item.ywmc, xh: index + 1 })
+        })
+      } else {
+        const existingNames = new Set(ymTableData.value.map((item: any) => item.ywdh))
+        res.data?.forEach((item: any) => {
+          if (!existingNames.has(item.ywdh)) {
+            ymTableData.value.push({ ...item, zhywdh: item.ywdh + ' ' + item.ywmc, xh: ymTableData.value.length + 1 })
+            existingNames.add(item.ywdh)
+          }
+        })
+      }
+      ymTableData.value.forEach((item: any) => {
+        item.ybh = labPatKey.value.ybh
+        item.yq = labPatKey.value.yq
+        item.jyrq = labPat.value.jyrq
+        item.xmdh = selectedRows.value[0].xmdh
+      })
+      savemedresultall(ymTableData.value).then((res: any) => {
+        if (res.code == 0) {
+          rowHandle(selectedRows.value[0])
+        }
+      })
+    }
+  })
+}
+const addMed = () => {
+  medDictRef.value.openDictSelector();
+}
+const delMed = () => {
+  if (ymselectedRows.value.length === 0) return ElMessage.warning("请先选择要删除的记录");
+  const arr = ymselectedRows.value.filter((row: any) => !row.id);
+  if (arr.length) {
+    deletemedresult(ymselectedRows.value[0]).then((res: any) => {
+      if (res.code == 0) {
+        ElMessage.success('删除成功');
+        rowHandle(selectedRows.value[0])
+      }
+    })
+  } else {
+    const index = ymTableData.value.findIndex((item: any) => item.ywdh === ymselectedRows.value[0].ywdh);
+    if (index > -1) ymTableData.value.splice(index, 1);
+  }
+
+  ymselectedRows.value = [];
+}
+const medSelect = (row: any) => {
+  console.log('row==>', row);
+  const ymFlag = tableData.value.some((item: any) => item.ywdh === row.value);
+  if (ymFlag) return ElMessage.warning(`抗生素【${row.label}】已存在`);
+  // 1. 构造新增行数据
+  const newRow = {
+    id: `temp_${Date.now()}_${Math.random().toString(36).substr(2, 8)}`,
+    zhywdh: row.value + ' ' + row.label,
+    ywdh: row.value,
+    ywmc: row.label,
+    mic: '',
+    rad: '',
+    csjg: '',
+    jgbz: '',
+    ckz: '',
+    bz: '',
+    txtresult: '',
+    cp_bz: '',
+    xh: ymTableData.value.length + 1,
+    ...labPatKey.value,
+    jyrq: labPat.value.jyrq,
+    xmdh: selectedRows.value[0].xmdh
+  };
+  ymTableData.value.push(newRow);
+  savemedresult(newRow)
+  nextTick(() => {
+    ymselectedRows.value = [newRow];
+    ymTableRef.value.setCurrentRow(newRow);
+    ymTableRef.value.setScrollTo(ymTableData.value.length - 1)
+    // 聚焦到新行的输入框
+    const inputs = Array.from(document.querySelectorAll('.ymFoucs .el-input__inner'))
+      .filter(el => el instanceof HTMLElement) as HTMLElement[];
+    if (inputs.length > 0) {
+      inputs[inputs.length - 1].focus();
+    }
+  });
+};
+
+// 药敏结果保存
+const ymHandleEnter = async (row: any) => {
+  if (!row) return
+  savemedresult({ ...row, ybh: labPat.value.ybh, jyrq: labPat.value.jyrq, yq: labPat.value.yq, xmdh: selectedRows.value[0].xmdh }).then((res: any) => {
+    if (res.code == 0) {
+      ElMessage.success('保存成功');
+      rowHandle(selectedRows.value[0])
+    }
+  });
+
+};
+
+const jgbzHandle = (val: string, row: any) => {
+  const obj: any = {
+    R: '耐药',
+    I: '中介',
+    S: '敏感',
+    N: '非敏感',
+    SDD: '剂量依赖性敏感'
+  }
+  row.csjg = obj[val]
+
+  ymHandleEnter(row)
+};
+
+
+
 onMounted(() => {
   // 获取模板项目
   emitter.on('dbMbHandle', (info: any) => {
@@ -678,14 +866,7 @@ const formatJgbz = (v: string) => {
   }
 }
 
-.btns_box {
-  padding: .3125rem .625rem !important;
-  font-size: .875rem;
-  height: 1.25rem !important;
-  margin: 5px 0;
-  margin-left: .625rem !important;
-  border-radius: 0 !important;
-}
+
 
 .tabs_btns {
   position: relative;