896 lines
42 KiB
C#
896 lines
42 KiB
C#
using DevExpress.XtraEditors;
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using HL_FristAidPlatform_DTO;
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using HL_FristAidPlatform_Public;
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using System;
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using System.Collections.Generic;
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using System.Data;
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using System.Drawing;
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using System.Windows.Forms;
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namespace HL_FristAidPlatform_ChestPain.Part
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{
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public partial class UC_TreatmentPCI : XtraForm, ISave
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{
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#region 变量
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/// <summary>
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/// 当前病人编号(GUID)
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/// </summary>
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private string Cur_PatientGuid;
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/// <summary>
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/// 当前病人所属院区编号(GUID)
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/// </summary>
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private string Cur_HospitalGuid;
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/// <summary>
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/// 导管室 V2.1
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/// </summary>
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private DataTable Cur_TreatmentPCIInfoDT = new DataTable();
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/// <summary>
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/// 冠状动脉造影 V2.1
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/// </summary>
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private DataTable Cur_CoronaryAngiographieDT = new DataTable();
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/// <summary>
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/// 时间源
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/// </summary>
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private DataTable Cur_TimeAxisDT = new DataTable();
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/// <summary>
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/// 当前患者所属院区信息及配置
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/// </summary>
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private DataTable Cur_HospitalDT = new DataTable();
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/// <summary>
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/// 当前患者诊断
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/// </summary>
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private string CP_Diagnosis_Code = string.Empty;
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/// <summary>
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/// 等待窗体
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/// </summary>
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private Loading loading = new Loading();
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#endregion 变量
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/// <summary>
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/// 导管室
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/// </summary>
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/// <param name="_hospitalGuid">所属院区编号(GUID)</param>
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/// <param name="_patientGuid">患者编号(GUID)</param>
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public UC_TreatmentPCI(string _hospitalGuid, string _patientGuid)
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{
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InitializeComponent();
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Cur_HospitalGuid = _hospitalGuid;
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Cur_PatientGuid = _patientGuid;
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}
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/// <summary>
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/// 加载
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/// </summary>
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/// <param name="sender"></param>
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/// <param name="e"></param>
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private void UC_TreatmentPCI_Load(object sender, EventArgs e)
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{
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//减小tableLayoutPanel绘制时闪烁的情况
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//table_TreatmentPCI.GetType().GetProperty("DoubleBuffered", System.Reflection.BindingFlags.Instance | System.Reflection.BindingFlags.NonPublic).SetValue(table_TreatmentPCI, true, null);
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BindInfo(Cur_PatientGuid, Cur_HospitalGuid);
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}
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#region 绑定
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/// <summary>
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/// 绑定业务数据
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/// </summary>
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/// <param name="_patientGuid">患者编号(GUID)</param>
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/// <param name="_hospitalGuid">所属院区编号(GUID)</param>
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private void BindInfo(string patientGuid, string hospitalGuid)
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{
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//绑定时间源
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BindTimeAxisDT(patientGuid);
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//获取当前患者所属院区的配置信息
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GetHospital(hospitalGuid);
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//绑定胸痛诊疗
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BindTreatmentInfo(patientGuid);
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//绑定导管室信息
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Bind_TreatmentPCIInfo(patientGuid, 1);
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}
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/// <summary>
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/// 绑定时间源
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/// </summary>
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/// <param name="_patientGuid">患者编号(GUID)</param>
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private void BindTimeAxisDT(string _patientGuid)
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{
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try
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{
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string Url = string.Format("api/service/T_Service_ChestPain_PatientsTimeAxis/GetPatientTime?patientGuid={0}", Cur_PatientGuid);
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Cur_TimeAxisDT = DBHelpClass.GetJsonText(Url);
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}
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catch (Exception ex)
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{
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PublicClass.WriteErrorLog(this.Text, "绑定时间源：\r\n" + ex);
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}
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}
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/// <summary>
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/// 获取当前患者所属院区的配置信息
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/// 调取自定义的D2B参考时长
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/// </summary>
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/// <param name="hospitalGuid">当前患者的医院编号</param>
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private void GetHospital(string hospitalGuid)
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{
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try
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{
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Cur_HospitalDT = DBHelpClass.Get(string.Format("api/base/T_Base_Hospital/GetByGuid?guid={0}", hospitalGuid));
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}
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catch (Exception ex)
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{
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PublicClass.WriteErrorLog(this.Text, "获取当前患者所属院区的配置信息：\r\n" + ex);
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}
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}
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/// <summary>
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/// 根据病人编号绑定胸痛病人 胸痛诊疗 信息
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/// </summary>
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/// <param name="_patientGuid">病人编号</param>
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private void BindTreatmentInfo(string _patientGuid)
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{
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try
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{
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#region 胸痛诊疗信息
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if (!string.IsNullOrEmpty(_patientGuid))
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{
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DataTable TreatmentInfoDT = DBHelpClass.Get(string.Format("api/service/T_Service_ChestPain_TreatmentInfo/GetByPatientGuid?patientGuid={0}", _patientGuid));
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if (TreatmentInfoDT != null && TreatmentInfoDT.Rows.Count > 0)
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{
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#region 诊断
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//初步诊断1:STEMI 2:NSTEMI 3:UA 4:主动脉夹层 5:肺动脉栓塞 6:非ACS心源性胸痛 7:其它非心源性胸痛 8:待查
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CP_Diagnosis_Code = PublicClass.ToString(TreatmentInfoDT.Rows[0]["CP_Diagnosis_Code"], "");
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#endregion
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}
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}
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#endregion
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}
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catch (Exception ex)
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{
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PublicClass.WriteErrorLog(this.Text, "根据病人编号绑定胸痛病人 胸痛诊疗 信息：\r\n" + ex);
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}
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}
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/// <summary>
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/// 绑定导管室信息
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/// </summary>
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/// <param name="type">
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/// 1:直接PCI:基本信息需要：panel_DGS_JBXX_JBXX
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/// 2:转运PCI接收患者+溶栓后介入:不需要基本信息
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/// 3:紧急介入治疗:不需要D2W时间
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/// </param>
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/// <returns></returns>
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private void Bind_TreatmentPCIInfo(string patientGuid, int type)
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{
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try
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{
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string Url = string.Format("api/service/T_Service_ChestPain_TreatmentPCIInfo/GetByPatientGuid?patientGuid={0}", patientGuid);
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Cur_TreatmentPCIInfoDT = DBHelpClass.Get(Url);
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if (Cur_TreatmentPCIInfoDT != null && Cur_TreatmentPCIInfoDT.Rows.Count > 0)
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{
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if (type == 1 || type == 3)
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{
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//导管室激活时间
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time_Activate_Conduit_Time.TimeValue = Cur_TreatmentPCIInfoDT.Rows[0]["Activate_Conduit_Time"].ToString();
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//患者到达导管室
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time_Patient_Arrived_Conduit_Time.TimeValue = Cur_TreatmentPCIInfoDT.Rows[0]["Patient_Arrived_Conduit_Time"].ToString();
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//介入医师
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txt_Intervention_Person.Text = Cur_TreatmentPCIInfoDT.Rows[0]["Intervention_Person"].ToString();
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//开始穿刺时间
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time_Start_Puncture_Time.TimeValue = Cur_TreatmentPCIInfoDT.Rows[0]["Start_Puncture_Time"].ToString();
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//造影开始时间
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time_Start_Radiography_Time.TimeValue = Cur_TreatmentPCIInfoDT.Rows[0]["Start_Radiography_Time"].ToString();
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radioGroup_DGS_PREOPERATIVE_TIMI_LEVEL.EditValue = Cur_TreatmentPCIInfoDT.Rows[0]["PREOPERATIVE_TIMI_LEVEL"].ToString();
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//术中抗凝给药时间
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time_Anticoagulation_Time.TimeValue = Cur_TreatmentPCIInfoDT.Rows[0]["Anticoagulation_Time"].ToString();
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//抗凝药物 1：普通肝素 2：低分子肝素 3：比伐卢定 4：磺达肝癸钠
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comboBox_Anticoagulation_Drug.SelectedIndex = PublicClass.ToInt32(Cur_TreatmentPCIInfoDT.Rows[0]["Anticoagulation_Drug"], 0);
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//抗凝药物(剂量)
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txt_Anticoagulation_Dose.Text = Cur_TreatmentPCIInfoDT.Rows[0]["Anticoagulation_Dose"].ToString();
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//术中抗凝药物(单位)
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txt_Anticoagulation_Unit.Text = Cur_TreatmentPCIInfoDT.Rows[0]["Anticoagulation_Unit"].ToString();
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//手术结束时间
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time_End_Operation_Time.TimeValue = Cur_TreatmentPCIInfoDT.Rows[0]["End_Operation_Time"].ToString();
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if (type == 1)
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{
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//D2W时间
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txt_DTwoB_Time.Text = Cur_TreatmentPCIInfoDT.Rows[0]["DTwoB_Time"].ToString();
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//是否延误 1: 是 0：否
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string Is_Delay = PublicClass.ToString(Cur_TreatmentPCIInfoDT.Rows[0]["Is_Delay"], "");
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radioGroup_Is_Delay.EditValue = Is_Delay;
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if (Is_Delay == "1")
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{
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//延误原因 多选用竖线隔开。如"1|2|3"
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PublicClass.SetItemChecked(checkedListBox_Delay_Reason, PublicClass.ToString(Cur_TreatmentPCIInfoDT.Rows[0]["Delay_Reason"], ""), '|');
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}
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}
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}
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//入路
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radioGroup_Route.EditValue = PublicClass.ToString(Cur_TreatmentPCIInfoDT.Rows[0]["Route"], "");
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//冠脉造影表记录
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Bind_CoronaryAngiographie();
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//腔内影像1:IVUS 2:OCT 3:其他 4:未做
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radioGroup_Intracavity_Image.EditValue = PublicClass.ToString(Cur_TreatmentPCIInfoDT.Rows[0]["Intracavity_Image"], "");
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//功能检测1:FFR 2:其他 3:未做 4:iFR 5:IMR
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string Function_Test = PublicClass.ToString(Cur_TreatmentPCIInfoDT.Rows[0]["Function_Test"], "");
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radioGroup_Function_Test.EditValue = Function_Test;
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if (Function_Test == "1" || Function_Test == "4" || Function_Test == "5")
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{
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//功能检测(数值)
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txt_Function_Test_Value.Text = Cur_TreatmentPCIInfoDT.Rows[0]["Function_Test_Value"].ToString(); ;
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}
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//IABP 0：否 1：是
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radioGroup_IABP.EditValue = PublicClass.ToString(Cur_TreatmentPCIInfoDT.Rows[0]["IABP"], "");
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//临时起搏器 0：否 1：是
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radioGroup_Pacemaker.EditValue = PublicClass.ToString(Cur_TreatmentPCIInfoDT.Rows[0]["Pacemaker"], "");
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//ECMO 0：否 1：是
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radioGroup_ECMO.EditValue = PublicClass.ToString(Cur_TreatmentPCIInfoDT.Rows[0]["ECMO"], "");
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//左心室辅助装置 0：否 1：是
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radioGroup_Auxiliary_Device.EditValue = PublicClass.ToString(Cur_TreatmentPCIInfoDT.Rows[0]["Auxiliary_Device"], "");
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//术中并发症 多选用竖线隔开。如"1|2|3"
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PublicClass.SetItemChecked(checkedListBox_Complication, PublicClass.ToString(Cur_TreatmentPCIInfoDT.Rows[0]["Complication"], ""), '|');
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}
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}
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catch (Exception ex)
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{
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PublicClass.WriteErrorLog(this.Text, "绑定导管室信息：\r\n" + ex);
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}
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}
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#endregion
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#region 冠状动脉造影
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/// <summary>
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/// 绑定冠状动脉造影
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/// </summary>
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private void Bind_CoronaryAngiographie()
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{
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try
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{
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string Url = string.Format("api/service/T_Service_ChestPain_CoronaryAngiographie/GetByPatientGuid?patientGuid={0}", Cur_PatientGuid);
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Cur_CoronaryAngiographieDT = DBHelpClass.Get(Url);
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if (Cur_CoronaryAngiographieDT != null && Cur_CoronaryAngiographieDT.Rows.Count > 0)
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{
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//禁用保存第一个冠状动脉造影记录按钮
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btn_Save_Position.Enabled = false;
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//部位
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radioGroup_Position.EditValue = PublicClass.ToString(Cur_CoronaryAngiographieDT.Rows[0]["Position"], "");
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//狭窄程度 1:<50% 2:50~69% 3:70~89% 4:90~99% 5:100%
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radioGroup_Narrow_Level.EditValue = PublicClass.ToString(Cur_CoronaryAngiographieDT.Rows[0]["Narrow_Level"], "");
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//造影时TIMI血流 0:0级 1:1级 2:2级 3:3级
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radioGroup_Preoperative_TIMI_Level.EditValue = PublicClass.ToString(Cur_CoronaryAngiographieDT.Rows[0]["Preoperative_TIMI_Level"], "");
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//支架内血栓 1:阳性 2:阴性
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radioGroup_Bracket_Thrombus.EditValue = PublicClass.ToString(Cur_CoronaryAngiographieDT.Rows[0]["Bracket_Thrombus"], "");
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//是否分叉病变 0:否 1:是
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radioGroup_Branching_Sick.EditValue = PublicClass.ToString(Cur_CoronaryAngiographieDT.Rows[0]["Branching_Sick"], "");
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//是否CTO 0:否 1:是
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radioGroup_CTO.EditValue = PublicClass.ToString(Cur_CoronaryAngiographieDT.Rows[0]["CTO"], "");
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//钙化病变 0:否 1:是
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radioGroup_CA_Sick.EditValue = PublicClass.ToString(Cur_CoronaryAngiographieDT.Rows[0]["CA_Sick"], "");
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//罪犯病变 0:否 1:是
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radioGroup_Criminal_Sick.EditValue = PublicClass.ToString(Cur_CoronaryAngiographieDT.Rows[0]["Criminal_Sick"], "");
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//PCI 0:否 1:是
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string PCI = PublicClass.ToString(Cur_CoronaryAngiographieDT.Rows[0]["PCI"], "");
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radioGroup_PCI.EditValue = PCI;
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if (PCI == "1")
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{
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//术中处理 多选用竖线隔开。如"1|2|3"
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PublicClass.SetItemChecked(checkedListBox_Intraoperative_Handle, PublicClass.ToString(Cur_CoronaryAngiographieDT.Rows[0]["Intraoperative_Handle"], ""), '|');
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//导丝通过时间
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time_Balloon_Expansion_Time.TimeValue = Cur_CoronaryAngiographieDT.Rows[0]["Balloon_expansion_Time"].ToString();
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//术后TIMI血流
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radioGroup_TIMI.EditValue = PublicClass.ToString(Cur_CoronaryAngiographieDT.Rows[0]["TIMI"], "");
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//植入支架个数 1:0枚 2:1枚 3:2枚 4:>=3枚
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string Bracket_Num = PublicClass.ToString(Cur_CoronaryAngiographieDT.Rows[0]["Bracket_Num"], "");
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radioGroup_Bracket_Num.EditValue = Bracket_Num;
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if (Bracket_Num != "" && Bracket_Num != "0")
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{
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//支架种类 1:BMS 2:DES 3:可降解支架 4:其他
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radioGroup_Braket_Type.EditValue = PublicClass.ToString(Cur_CoronaryAngiographieDT.Rows[0]["Braket_Type"], "");
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}
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}
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}
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else
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{
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//启用保存第一个冠状动脉造影记录按钮
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btn_Save_Position.Enabled = true;
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}
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}
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catch (Exception ex)
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{
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PublicClass.WriteErrorLog(this.Text, "绑定冠状动脉造影：\r\n" + ex);
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}
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}
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/// <summary>
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/// 保存冠状动脉造影
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/// </summary>
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/// <returns></returns>
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private bool Save_CoronaryAngiographie()
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{
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try
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{
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string Url = string.Empty;
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#region 保存冠状动脉造影
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List<T_Service_ChestPain_CoronaryAngiographieDTO> list_Model = new List<T_Service_ChestPain_CoronaryAngiographieDTO>();
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T_Service_ChestPain_CoronaryAngiographieDTO model = new T_Service_ChestPain_CoronaryAngiographieDTO();
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//存在则修改 否则新增
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if (Cur_CoronaryAngiographieDT != null && Cur_CoronaryAngiographieDT.Rows.Count > 0)
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{
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Url = "api/service/T_Service_ChestPain_CoronaryAngiographie/Update";
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model.ID = PublicClass.ToInt64(Cur_CoronaryAngiographieDT.Rows[0]["ID"], -1);
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model.GUID = Cur_CoronaryAngiographieDT.Rows[0]["GUID"].ToString();
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model.DeleteFlag = PublicClass.ToInt32(Cur_CoronaryAngiographieDT.Rows[0]["DeleteFlag"], -1);
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model.CreatorID = PublicClass.ToInt64(Cur_CoronaryAngiographieDT.Rows[0]["CreatorID"], 0);
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model.Creator = Cur_CoronaryAngiographieDT.Rows[0]["Creator"].ToString();
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model.CreationDate = Cur_CoronaryAngiographieDT.Rows[0]["CreationDate"].ToString();
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model.EditorID = Information.User.ID;
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model.Editor = Information.User.FullName;
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model.EditTime = PublicClass.DateTimeNow();
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}
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else
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{
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Url = "api/service/T_Service_ChestPain_CoronaryAngiographie";
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model.GUID = Guid.NewGuid().ToString();
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model.DeleteFlag = 0;
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model.CreatorID = Information.User.ID;
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model.Creator = Information.User.FullName;
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model.CreationDate = PublicClass.DateTimeNow();
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}
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model.PatientGuid = Cur_PatientGuid;
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//部位
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model.Position = PublicClass.ToString(radioGroup_Position.EditValue, "");
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//狭窄程度 1:<50% 2:50~69% 3:70~89% 4:90~99% 5:100%
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model.Narrow_Level = PublicClass.ToString(radioGroup_Narrow_Level.EditValue, "");
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//造影时TIMI血流 0:0级 1:1级 2:2级 3:3级
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model.Preoperative_TIMI_Level = PublicClass.ToString(radioGroup_Preoperative_TIMI_Level.EditValue, "");
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//支架内血栓 1:阳性 2:阴性
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model.Bracket_Thrombus = PublicClass.ToString(radioGroup_Bracket_Thrombus.EditValue, "");
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//是否分叉病变 0:否 1:是
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model.Branching_Sick = PublicClass.ToString(radioGroup_Branching_Sick.EditValue, "");
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//是否CTO 0:否 1:是
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model.CTO = PublicClass.ToString(radioGroup_CTO.EditValue, "");
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//钙化病变 0:否 1:是
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model.CA_Sick = PublicClass.ToString(radioGroup_CA_Sick.EditValue, "");
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//罪犯病变 0:否 1:是
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model.Criminal_Sick = PublicClass.ToString(radioGroup_Criminal_Sick.EditValue, "");
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//PCI 0:否 1:是
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string PCI = PublicClass.ToString(radioGroup_PCI.EditValue, "");
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model.PCI = PCI;
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if (PCI == "1")
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{
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//术中处理 多选用竖线隔开。如"1|2|3"
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string Intraoperative_Handle = string.Empty;
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string Intraoperative_HandleText = string.Empty;
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PublicClass.GetCheckedListBoxItemValues(checkedListBox_Intraoperative_Handle, "|", out Intraoperative_Handle, out Intraoperative_HandleText);
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model.Intraoperative_Handle = Intraoperative_Handle;
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//导丝通过时间
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model.Balloon_expansion_Time = time_Balloon_Expansion_Time.TimeValue;
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PublicClassForDataBase.UpdateTime_ChestPain(Cur_PatientGuid, time_Balloon_Expansion_Time.TimeValue, PublicClassForDataBase.Config1027);
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||
|
||
//术后TIMI血流
|
||
model.TIMI = PublicClass.ToString(radioGroup_TIMI.EditValue, "");
|
||
|
||
//植入支架个数 1:0枚 2:1枚 3:2枚 4:>=3枚
|
||
string Bracket_Num = PublicClass.ToString(radioGroup_Bracket_Num.EditValue, "");
|
||
model.Bracket_Num = Bracket_Num;
|
||
if (Bracket_Num != "" && Bracket_Num != "0")
|
||
{
|
||
//支架种类 1:BMS 2:DES 3:可降解支架 4:其他
|
||
model.Braket_Type = PublicClass.ToString(radioGroup_Braket_Type.EditValue, "");
|
||
}
|
||
}
|
||
list_Model.Add(model);
|
||
|
||
//初始化两个工厂
|
||
ClientFactory<T_Service_ChestPain_CoronaryAngiographieDTO> httpClient = new HttpClientFactory<T_Service_ChestPain_CoronaryAngiographieDTO>();
|
||
Client<T_Service_ChestPain_CoronaryAngiographieDTO> client = httpClient.VisitFactory();
|
||
#endregion
|
||
|
||
//访问
|
||
return client.Post(Url, list_Model).Success;
|
||
}
|
||
catch (Exception ex)
|
||
{
|
||
PublicClass.WriteErrorLog(this.Text, "保存 冠状动脉造影：\r\n" + ex);
|
||
return false;
|
||
}
|
||
}
|
||
#endregion
|
||
|
||
#region 保存
|
||
/// <summary>
|
||
/// 实现统一保存接口
|
||
/// </summary>
|
||
/// <summary>
|
||
/// 实现统一保存接口
|
||
/// </summary>
|
||
public void Save()
|
||
{
|
||
if (!string.IsNullOrEmpty(Cur_PatientGuid))
|
||
{
|
||
//统一验证
|
||
if (!CheckingDataAvailability())
|
||
return;
|
||
|
||
loading.ShowMessage("请稍后", "正在保存数据...");
|
||
if (!Save_TreatmentPCIInfo(1))
|
||
{
|
||
loading.HideMessage();
|
||
XtraMessageBox.Show("保存导管室患者信息失败，请重试！", "提示", MessageBoxButtons.OK, MessageBoxIcon.Error);
|
||
return;
|
||
}
|
||
|
||
loading.HideMessage();
|
||
XtraMessageBox.Show("保存所填写的信息成功！", "提示", MessageBoxButtons.OK, MessageBoxIcon.Information);
|
||
|
||
//保存成功后重新加载 以便更新操作标记
|
||
BindInfo(Cur_PatientGuid, Cur_HospitalGuid);
|
||
}
|
||
}
|
||
|
||
/// <summary>
|
||
/// 检查数据有效性
|
||
/// </summary>
|
||
/// <returns></returns>
|
||
private bool CheckingDataAvailability()
|
||
{
|
||
//是延误，必须勾选延误原因
|
||
if (PublicClass.ToString(radioGroup_Is_Delay.EditValue, "") == "1")
|
||
{
|
||
//延误原因选项值,分割 多选
|
||
string Reason_For_Delay = string.Empty;
|
||
string Reason_For_DelayText = string.Empty;
|
||
PublicClass.GetCheckedListBoxItemValues(checkedListBox_Delay_Reason, ",", out Reason_For_Delay, out Reason_For_DelayText);
|
||
|
||
if (string.IsNullOrEmpty(Reason_For_Delay))
|
||
{
|
||
XtraMessageBox.Show("请选择延误原因！", "提示", MessageBoxButtons.OK, MessageBoxIcon.Error);
|
||
return false;
|
||
}
|
||
}
|
||
return true;
|
||
}
|
||
|
||
/// <summary>
|
||
/// 保存导管室信息
|
||
/// </summary>
|
||
/// <param name="type">
|
||
/// 1:直接PCI:基本信息需要：panel_DGS_JBXX_JBXX
|
||
/// 2:转运PCI接收患者+溶栓后介入:不需要基本信息
|
||
/// 3:紧急介入治疗:不需要D2W时间
|
||
/// </param>
|
||
/// <returns></returns>
|
||
private bool Save_TreatmentPCIInfo(int type)
|
||
{
|
||
try
|
||
{
|
||
string Url = string.Empty;
|
||
|
||
#region 保存导管室信息
|
||
List<T_Service_ChestPain_TreatmentPCIInfoDTO> list_Model = new List<T_Service_ChestPain_TreatmentPCIInfoDTO>();
|
||
T_Service_ChestPain_TreatmentPCIInfoDTO model = new T_Service_ChestPain_TreatmentPCIInfoDTO();
|
||
|
||
//存在则修改 否则新增
|
||
if (Cur_TreatmentPCIInfoDT != null && Cur_TreatmentPCIInfoDT.Rows.Count > 0)
|
||
{
|
||
Url = "api/service/T_Service_ChestPain_TreatmentPCIInfo/Update";
|
||
model.ID = PublicClass.ToInt64(Cur_TreatmentPCIInfoDT.Rows[0]["ID"], -1);
|
||
model.GUID = Cur_TreatmentPCIInfoDT.Rows[0]["GUID"].ToString();
|
||
model.DeleteFlag = PublicClass.ToInt32(Cur_TreatmentPCIInfoDT.Rows[0]["DeleteFlag"], -1);
|
||
|
||
model.CreatorID = PublicClass.ToInt64(Cur_TreatmentPCIInfoDT.Rows[0]["CreatorID"], 0);
|
||
model.Creator = Cur_TreatmentPCIInfoDT.Rows[0]["Creator"].ToString();
|
||
model.CreationDate = Cur_TreatmentPCIInfoDT.Rows[0]["CreationDate"].ToString();
|
||
model.EditorID = Information.User.ID;
|
||
model.Editor = Information.User.FullName;
|
||
model.EditTime = PublicClass.DateTimeNow();
|
||
}
|
||
else
|
||
{
|
||
Url = "api/service/T_Service_ChestPain_TreatmentPCIInfo";
|
||
model.GUID = Guid.NewGuid().ToString();
|
||
model.DeleteFlag = 0;
|
||
|
||
model.CreatorID = Information.User.ID;
|
||
model.Creator = Information.User.FullName;
|
||
model.CreationDate = PublicClass.DateTimeNow();
|
||
}
|
||
|
||
model.PatientGuid = Cur_PatientGuid;
|
||
//TIMI 血流等级(仅造影时)
|
||
model.PREOPERATIVE_TIMI_LEVEL = radioGroup_DGS_PREOPERATIVE_TIMI_LEVEL.EditValue + "";
|
||
if (type == 1 || type == 3)
|
||
{
|
||
//导管室激活时间
|
||
model.Activate_Conduit_Time = time_Activate_Conduit_Time.TimeValue;
|
||
PublicClassForDataBase.UpdateTime_ChestPain(Cur_PatientGuid, time_Activate_Conduit_Time.TimeValue, PublicClassForDataBase.Config1022);
|
||
|
||
//患者到达导管室
|
||
model.Patient_Arrived_Conduit_Time = time_Patient_Arrived_Conduit_Time.TimeValue;
|
||
PublicClassForDataBase.UpdateTime_ChestPain(Cur_PatientGuid, time_Patient_Arrived_Conduit_Time.TimeValue, PublicClassForDataBase.Config1023);
|
||
|
||
//介入医师
|
||
model.Intervention_Person = txt_Intervention_Person.Text;
|
||
|
||
//开始穿刺时间
|
||
model.Start_Puncture_Time = time_Start_Puncture_Time.TimeValue;
|
||
PublicClassForDataBase.UpdateTime_ChestPain(Cur_PatientGuid, time_Start_Puncture_Time.TimeValue, PublicClassForDataBase.Config1024);
|
||
|
||
//造影开始时间
|
||
model.Start_Radiography_Time = time_Start_Radiography_Time.TimeValue;
|
||
PublicClassForDataBase.UpdateTime_ChestPain(Cur_PatientGuid, time_Start_Radiography_Time.TimeValue, PublicClassForDataBase.Config1020);
|
||
|
||
//术中抗凝给药时间
|
||
model.Anticoagulation_Time = time_Anticoagulation_Time.TimeValue;
|
||
PublicClassForDataBase.UpdateTime_ChestPain(Cur_PatientGuid, time_Anticoagulation_Time.TimeValue, PublicClassForDataBase.Config1026);
|
||
|
||
//抗凝药物 1：普通肝素 2：低分子肝素 3：比伐卢定 4：磺达肝癸钠
|
||
model.Anticoagulation_Drug = comboBox_Anticoagulation_Drug.SelectedIndex == 0 ? "" : comboBox_Anticoagulation_Drug.SelectedIndex.ToString();
|
||
//抗凝药物(剂量)
|
||
model.Anticoagulation_Dose = txt_Anticoagulation_Dose.Text;
|
||
//术中抗凝药物(单位)
|
||
model.Anticoagulation_Unit = txt_Anticoagulation_Unit.Text;
|
||
|
||
//手术结束时间
|
||
model.End_Operation_Time = time_End_Operation_Time.TimeValue;
|
||
PublicClassForDataBase.UpdateTime_ChestPain(Cur_PatientGuid, time_End_Operation_Time.TimeValue, PublicClassForDataBase.Config1028);
|
||
|
||
if (type == 1)
|
||
{
|
||
//D2W时间
|
||
model.DTwoB_Time = txt_DTwoB_Time.Text;
|
||
//是否延误 1: 是 0：否
|
||
string Is_Delay = PublicClass.ToString(radioGroup_Is_Delay.EditValue, "");
|
||
model.Is_Delay = Is_Delay;
|
||
if (Is_Delay == "1")
|
||
{
|
||
//延误原因 多选用竖线隔开。如"1|2|3"
|
||
string Delay_Reason = string.Empty;
|
||
string Delay_ReasonText = string.Empty;
|
||
PublicClass.GetCheckedListBoxItemValues(checkedListBox_Delay_Reason, "|", out Delay_Reason, out Delay_ReasonText);
|
||
model.Delay_Reason = Delay_Reason;
|
||
}
|
||
}
|
||
}
|
||
|
||
//入路
|
||
model.Route = PublicClass.ToString(radioGroup_Route.EditValue, "");
|
||
//冠脉造影表记录新增
|
||
string Position = PublicClass.ToString(radioGroup_Position.EditValue, "");
|
||
//部位
|
||
model.Position = Position;
|
||
if (!string.IsNullOrEmpty(Position))
|
||
{
|
||
Save_CoronaryAngiographie();
|
||
}
|
||
|
||
//腔内影像1:IVUS 2:OCT 3:其他 4:未做
|
||
model.Intracavity_Image = PublicClass.ToString(radioGroup_Intracavity_Image.EditValue, "");
|
||
//功能检测1:FFR 2:其他 3:未做 4:iFR 5:IMR
|
||
string Function_Test = PublicClass.ToString(radioGroup_Function_Test.EditValue, "");
|
||
model.Function_Test = Function_Test;
|
||
if (Function_Test == "1" || Function_Test == "4" || Function_Test == "5")
|
||
{
|
||
//功能检测(数值)
|
||
model.Function_Test_Value = txt_Function_Test_Value.Text;
|
||
}
|
||
//IABP 0：否 1：是
|
||
model.IABP = PublicClass.ToString(radioGroup_IABP.EditValue, "");
|
||
//临时起搏器 0：否 1：是
|
||
model.Pacemaker = PublicClass.ToString(radioGroup_Pacemaker.EditValue, "");
|
||
//ECMO 0：否 1：是
|
||
model.ECMO = PublicClass.ToString(radioGroup_ECMO.EditValue, "");
|
||
//左心室辅助装置 0：否 1：是
|
||
model.Auxiliary_Device = PublicClass.ToString(radioGroup_Auxiliary_Device.EditValue, "");
|
||
|
||
//术中并发症 多选用竖线隔开。如"1|2|3"
|
||
string Complication = string.Empty;
|
||
string ComplicationText = string.Empty;
|
||
PublicClass.GetCheckedListBoxItemValues(checkedListBox_Complication, "|", out Complication, out ComplicationText);
|
||
model.Complication = Complication;
|
||
|
||
list_Model.Add(model);
|
||
|
||
//初始化两个工厂
|
||
ClientFactory<T_Service_ChestPain_TreatmentPCIInfoDTO> httpClient = new HttpClientFactory<T_Service_ChestPain_TreatmentPCIInfoDTO>();
|
||
Client<T_Service_ChestPain_TreatmentPCIInfoDTO> client = httpClient.VisitFactory();
|
||
#endregion
|
||
|
||
//访问
|
||
return client.Post(Url, list_Model).Success;
|
||
}
|
||
catch (Exception ex)
|
||
{
|
||
PublicClass.WriteErrorLog(this.Text, "保存 胸痛诊疗：\r\n" + ex);
|
||
return false;
|
||
}
|
||
}
|
||
#endregion 保存
|
||
|
||
#region 计算D2B时间+计算进入医院大门到造影开始时间
|
||
/// <summary>
|
||
/// 计算D2B时间
|
||
/// </summary>
|
||
/// <param name="sender"></param>
|
||
/// <param name="e"></param>
|
||
private void time_Balloon_Expansion_Time_TimeValueChanged(object sender, EventArgs e)
|
||
{
|
||
CalculateD2B();
|
||
}
|
||
|
||
/// <summary>
|
||
/// 计算D2B时间
|
||
/// </summary>
|
||
//private double CalculateD2B()
|
||
//{
|
||
// double TotalMinutes = 0;
|
||
// try
|
||
// {
|
||
// //导丝通过时间
|
||
// DateTime Balloon_Expansion_Time = PublicClass.ToDateTime(time_Balloon_Expansion_Time.TimeValue, PublicClass.DefaultTime);
|
||
// if (Balloon_Expansion_Time != PublicClass.DefaultTime)
|
||
// {
|
||
// if (Cur_TimeAxisDT != null && Cur_TimeAxisDT.Rows.Count > 0)
|
||
// {
|
||
// //D2B时间：患者进入本院大门到球囊扩张之间的时间差，系统自动计算
|
||
// DataRow[] DataRow_Config = Cur_TimeAxisDT.Select("ID='" + PublicClassForDataBase.Config1007 + "'");
|
||
// if (DataRow_Config.Length > 0)
|
||
// {
|
||
// //到达医院大门时间
|
||
// DateTime Arrived_Hospital_Time = PublicClass.ToDateTime(DataRow_Config[0]["RecordingTime"], PublicClass.DefaultTime);
|
||
// //都不为默认时间则开始计算
|
||
// if (Arrived_Hospital_Time != PublicClass.DefaultTime)
|
||
// {
|
||
// TotalMinutes = PublicClass.DiffMinutes(Arrived_Hospital_Time, Balloon_Expansion_Time).TotalMinutes;
|
||
// txt_DTwoB_Time.Text = PublicClass.Round(Convert.ToDecimal(TotalMinutes), 2).ToString();
|
||
|
||
// //是否延误
|
||
// bool Is_Delay = CalculateIsDelay(TotalMinutes);
|
||
// if (Is_Delay)
|
||
// {
|
||
// radioGroup_Is_Delay.SelectedIndex = 1;
|
||
// radioGroup_Is_Delay.ForeColor = Color.Red;
|
||
// }
|
||
// else
|
||
// {
|
||
// radioGroup_Is_Delay.SelectedIndex = 0;
|
||
// radioGroup_Is_Delay.ForeColor = Color.Black;
|
||
// }
|
||
// }
|
||
// else
|
||
// {
|
||
// TotalMinutes = 0;
|
||
// txt_DTwoB_Time.Text = "";
|
||
// }
|
||
// }
|
||
// }
|
||
// }
|
||
// }
|
||
// catch (Exception ex)
|
||
// {
|
||
// PublicClass.WriteErrorLog(this.Text, "计算D2B时间：\r\n" + ex);
|
||
// }
|
||
// return TotalMinutes;
|
||
//}
|
||
|
||
/// <summary>
|
||
/// 计算D2B时间
|
||
/// </summary>
|
||
private double CalculateD2B()
|
||
{
|
||
double TotalMinutes = 0;
|
||
try
|
||
{
|
||
//导丝通过时间
|
||
DateTime Balloon_Expansion_Time = PublicClass.ToDateTime(time_Balloon_Expansion_Time.TimeValue, PublicClass.DefaultTime);
|
||
if (Balloon_Expansion_Time != PublicClass.DefaultTime)
|
||
{
|
||
if (Cur_TimeAxisDT != null && Cur_TimeAxisDT.Rows.Count > 0)
|
||
{
|
||
//院内发病患者 D-W计算方式： 导丝通过时间 - 首次医疗接触
|
||
string url = string.Format("api/service/T_Service_ChestPain_FirstAIDInfo/GetByPatientGuidForApp?patientGuid={0}", Cur_PatientGuid);
|
||
DataTable dt = DBHelpClass.Get(url);
|
||
if (dt != null && dt.Rows.Count > 0 && dt.Rows[0]["CW_Coming_Way_Code"].ToString() == "4")
|
||
{
|
||
DateTime CW_YNFB_First_MC_Time = PublicClass.ToDateTime(dt.Rows[0]["CW_YNFB_First_MC_Time"], PublicClass.DefaultTime);
|
||
TotalMinutes = PublicClass.DiffMinutes(CW_YNFB_First_MC_Time, Balloon_Expansion_Time).TotalMinutes;
|
||
txt_DTwoB_Time.Text = PublicClass.Round(Convert.ToDecimal(TotalMinutes), 2).ToString();
|
||
|
||
}
|
||
else
|
||
{
|
||
|
||
//D2B时间：患者进入本院大门到球囊扩张之间的时间差，系统自动计算
|
||
DataRow[] DataRow_Config = Cur_TimeAxisDT.Select("ID='" + PublicClassForDataBase.Config1007 + "'");
|
||
if (DataRow_Config.Length > 0)
|
||
{
|
||
//到达医院大门时间
|
||
DateTime Arrived_Hospital_Time = PublicClass.ToDateTime(DataRow_Config[0]["RecordingTime"], PublicClass.DefaultTime);
|
||
//都不为默认时间则开始计算
|
||
if (Arrived_Hospital_Time != PublicClass.DefaultTime)
|
||
{
|
||
TotalMinutes = PublicClass.DiffMinutes(Arrived_Hospital_Time, Balloon_Expansion_Time).TotalMinutes;
|
||
txt_DTwoB_Time.Text = PublicClass.Round(Convert.ToDecimal(TotalMinutes), 2).ToString();
|
||
|
||
//是否延误
|
||
bool Is_Delay = CalculateIsDelay(TotalMinutes);
|
||
//string CP_Diagnosis_Code = PublicClass.ToString(radioGroup_CP_Diagnosis_Code.EditValue, "");
|
||
//if (Is_Delay && CP_Diagnosis_Code == "1") //STEMI
|
||
if (Is_Delay)
|
||
{
|
||
radioGroup_Is_Delay.SelectedIndex = 1;
|
||
radioGroup_Is_Delay.ForeColor = Color.Red;
|
||
}
|
||
else
|
||
{
|
||
radioGroup_Is_Delay.SelectedIndex = 0;
|
||
radioGroup_Is_Delay.ForeColor = Color.Black;
|
||
}
|
||
}
|
||
else
|
||
{
|
||
TotalMinutes = 0;
|
||
txt_DTwoB_Time.Text = "";
|
||
}
|
||
}
|
||
}
|
||
|
||
}
|
||
}
|
||
|
||
}
|
||
catch (Exception ex)
|
||
{
|
||
PublicClass.WriteErrorLog(this.Text, "计算D2B时间：\r\n" + ex);
|
||
}
|
||
return TotalMinutes;
|
||
}
|
||
|
||
/// <summary>
|
||
/// 计算是否延迟
|
||
/// </summary>
|
||
/// <param name="totalMinutes">间隔总数</param>
|
||
private bool CalculateIsDelay(double totalMinutes)
|
||
{
|
||
bool IsDelay = false;
|
||
double STEMI_D2B_DelayTime_ReferenceValue = 90;
|
||
double NSTEMI_D2B_DelayTime_ReferenceValue = 120;
|
||
//设置的参考值
|
||
double STEMI_D2B_DelayTime_ReferenceValue_Config = 0;
|
||
double NSTEMI_D2B_DelayTime_ReferenceValueCofig = 0;
|
||
|
||
if (Cur_HospitalDT != null && Cur_HospitalDT.Rows.Count > 0)
|
||
{
|
||
#region 获取数据库配置
|
||
STEMI_D2B_DelayTime_ReferenceValue_Config = PublicClass.ToDouble(Cur_HospitalDT.Rows[0]["STEMI_D2B_DelayTime_ReferenceValue"], 0);
|
||
NSTEMI_D2B_DelayTime_ReferenceValueCofig = PublicClass.ToDouble(Cur_HospitalDT.Rows[0]["NSTEMI_D2B_DelayTime_ReferenceValue"], 0);
|
||
#endregion
|
||
}
|
||
|
||
#region 判断
|
||
//STEMI 对STEMI急诊PCI患者，D2B时间>本院当前的目标值即为延误；
|
||
if (CP_Diagnosis_Code == "1")
|
||
{
|
||
if (totalMinutes > STEMI_D2B_DelayTime_ReferenceValue)
|
||
{
|
||
//延误
|
||
IsDelay = true;
|
||
}
|
||
//设置值<实际值<90
|
||
else if (STEMI_D2B_DelayTime_ReferenceValue_Config > 0 && (STEMI_D2B_DelayTime_ReferenceValue_Config < totalMinutes && totalMinutes < STEMI_D2B_DelayTime_ReferenceValue))
|
||
{
|
||
//未延误
|
||
IsDelay = false;
|
||
}
|
||
else
|
||
{
|
||
//未延误
|
||
IsDelay = false;
|
||
}
|
||
}
|
||
//NSTEMI 对紧急介入治疗的极高危NSTEMI患者，D2B时间>120分钟即为延误；
|
||
else if (CP_Diagnosis_Code == "2")
|
||
{
|
||
if (totalMinutes > NSTEMI_D2B_DelayTime_ReferenceValue)
|
||
{
|
||
//延误
|
||
IsDelay = true;
|
||
}
|
||
//设置值<实际值<120
|
||
else if (NSTEMI_D2B_DelayTime_ReferenceValueCofig > 0 && (NSTEMI_D2B_DelayTime_ReferenceValueCofig < totalMinutes && totalMinutes < NSTEMI_D2B_DelayTime_ReferenceValue))
|
||
{
|
||
//未延误
|
||
IsDelay = false;
|
||
}
|
||
else
|
||
{
|
||
//未延误
|
||
IsDelay = false;
|
||
}
|
||
}
|
||
#endregion
|
||
|
||
return IsDelay;
|
||
}
|
||
#endregion
|
||
|
||
#region 控件显示隐藏
|
||
/// <summary>
|
||
/// 是否延误
|
||
/// </summary>
|
||
/// <param name="sender"></param>
|
||
/// <param name="e"></param>
|
||
private void radioGroup_Is_Delay_SelectedIndexChanged(object sender, EventArgs e)
|
||
{
|
||
string EditValue = PublicClass.ToString(radioGroup_Is_Delay.EditValue, "");
|
||
if (EditValue == "1")
|
||
{
|
||
checkedListBox_Delay_Reason.Enabled = true;
|
||
}
|
||
else
|
||
{
|
||
checkedListBox_Delay_Reason.Enabled = false;
|
||
}
|
||
}
|
||
|
||
/// <summary>
|
||
/// 术中并发症选择项
|
||
/// </summary>
|
||
/// <param name="sender"></param>
|
||
/// <param name="e"></param>
|
||
private void checkedListBox_Complication_ItemCheck(object sender, DevExpress.XtraEditors.Controls.ItemCheckEventArgs e)
|
||
{
|
||
string Type = string.Empty;
|
||
string TypeText = string.Empty;
|
||
PublicClass.GetCheckedListBoxItemValues(checkedListBox_Complication, "|", out Type, out TypeText);
|
||
|
||
if (!string.IsNullOrEmpty(Type))
|
||
{
|
||
string[] List = Type.Split('|');
|
||
foreach (string str in List)
|
||
{
|
||
//发病后曾出现心脏骤停
|
||
if (str == "00")
|
||
{
|
||
PublicClass.SetItemNotChecked(checkedListBox_Complication);
|
||
PublicClass.SetItemChecked(checkedListBox_Complication, "00", '|');
|
||
break;
|
||
}
|
||
}
|
||
}
|
||
}
|
||
#endregion 控件显示隐藏
|
||
|
||
private void simpleButton1_Click(object sender, EventArgs e)
|
||
{
|
||
Save();
|
||
}
|
||
|
||
|
||
private void btn_Add_MorePosition_Click(object sender, EventArgs e)
|
||
{
|
||
//弹出新的界面
|
||
Form_ChestPain_CoronaryAngiographie frm = new Form_ChestPain_CoronaryAngiographie(Cur_PatientGuid);
|
||
frm.ShowDialog();
|
||
}
|
||
}
|
||
}
|