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<!DOCTYPE html>
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<html>
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<head>
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<meta charset="UTF-8">
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<title>健康体检表</title>
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<meta name="author" content="yihu.com" />
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<meta name="format-detection" content="telephone=no" />
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<meta name="viewport" content="width=device-width, initial-scale=1.0, minimum-scale=1.0, maximum-scale=1.0, user-scalable=0" />
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<meta name="apple-mobile-web-app-capable" content="yes" />
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<meta name="apple-mobile-web-app-status-bar-style" content="black" />
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<link rel="shortcut icon" href="../../../favicon.ico">
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<link rel="stylesheet" type="text/css" href="../../../css/element-ui.css"/>
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<link rel="stylesheet" type="text/css" href="../../../css/bootstrap.min.css" />
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<link rel="stylesheet" type="text/css" href="../../../css/cross.css"/>
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<link href="../../../plugins/toastr/toastr.min.css" rel="stylesheet">
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<link href="../css/fangshi-detail.css" rel="stylesheet">
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<style>
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.p8 {padding: 8px;}
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.col-w60 {width: 60px;}
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.col-w120 {width: 130px;}
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.mb0 {margin-bottom: 0;}
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.setinput .el-input--suffix .el-input__inner {
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padding: 0;
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border-bottom: 1px solid #e1e1e1;
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}
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.el-checkbox, .el-radio {
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margin-left: 30px;
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}
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.el-radio__label {display: inline-block;}
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</style>
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</head>
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<body>
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<div id="app">
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<table class="table table-bordered mb0">
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<tr>
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<td class="col-w120 c-t-center">体检日期</td>
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<td>
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<el-date-picker
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:readonly="!editable"
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v-model="data1"
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type="date"
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placeholder="选择日期">
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</el-date-picker>
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</td>
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<td class="col-w120 c-t-center">责任医生</td>
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<td>
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<el-input :readonly="!editable" v-model="input" placeholder="" clearable></el-input>
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</td>
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</tr>
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</table>
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<div class="ui-grid">
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<div class="ui-col-0 p8 c-border-l col-w60 c-t-center">内 容</div>
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<div class="ui-col-1 p8 c-border-l c-border-r c-t-center">检 查 项 目</div>
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</div>
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<table class="table table-bordered mb0">
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<tr>
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<td class="col-w60 c-t-center">症<br>状</td>
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<td colspan="4">
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<el-checkbox-group v-model="checkList">
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<el-checkbox label="1 无症状"key=""></el-checkbox>
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<el-checkbox label="2 头痛"></el-checkbox>
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<el-checkbox label="3 头晕"></el-checkbox>
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<el-checkbox label="4 心悸"></el-checkbox>
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<el-checkbox label="5 胸闷"></el-checkbox>
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<el-checkbox label="6 胸痛"></el-checkbox>
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<el-checkbox label="7 慢性咳嗽"></el-checkbox>
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<el-checkbox label="8 咳痰"></el-checkbox>
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<el-checkbox label="9 呼吸困难"></el-checkbox>
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<el-checkbox label="10 多饮"></el-checkbox>
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<el-checkbox label="11 多尿"></el-checkbox>
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<el-checkbox label="12 体重下降"></el-checkbox>
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<el-checkbox label="13 乏力"></el-checkbox>
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<el-checkbox label="14 关节肿痛"></el-checkbox>
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<el-checkbox label="15 视力模糊"></el-checkbox>
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<el-checkbox label="16 手脚麻木"></el-checkbox>
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<el-checkbox label="17 尿急"></el-checkbox>
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<el-checkbox label="18 尿痛"></el-checkbox>
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<el-checkbox label="19 便秘 "></el-checkbox>
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<el-checkbox label="20 腹泻"></el-checkbox>
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<el-checkbox label="21 恶心呕吐"></el-checkbox>
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<el-checkbox label="22 眼花"></el-checkbox>
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<el-checkbox label="23 耳鸣 "></el-checkbox>
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<el-checkbox label="24 乳房胀痛"></el-checkbox>
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<el-checkbox class="setinput" label="25">
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<el-input :readonly="!editable" v-model="input" placeholder="其他" clearable></el-input>
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</el-checkbox>
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</el-checkbox-group>
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</td>
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</tr>
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<!--一般状况-->
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<tr>
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<td rowspan="9" class="col-w60 c-t-center">一<br>般<br>状<br>况</td>
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<td class="col-w120 c-t-center">体  温</td>
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<td class="ui-grid">
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<div class="ui-col-1"><el-input :readonly="!editable" v-model="input" placeholder="" clearable></el-input></div>
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<div class="ui-col-0">°C</div>
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</td>
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<td class="col-w120 c-t-center">脉  率</td>
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<td class="ui-grid">
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<div class="ui-col-1"><el-input :readonly="!editable" v-model="input" placeholder="" clearable></el-input></div>
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<div class="ui-col-0">次/分钟</div>
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</td>
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</tr>
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<tr>
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<td rowspan="2" class="col-w120 c-t-center">呼吸频率</td>
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<td rowspan="2">
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<div class="ui-grid">
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<div class="ui-col-1"><el-input :readonly="!editable" v-model="input" placeholder="" clearable></el-input></div>
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<div class="ui-col-0">次/分钟</div>
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</div>
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</td>
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<td rowspan="2" class="col-w120 c-t-center">血 压</td>
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<td class="ui-grid">
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<div class="ui-ciol-0 col-w60 c-border-r">左 侧</div>
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<div class="ui-col-1"><el-input :readonly="!editable" v-model="input" placeholder="" clearable></el-input></div>
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<div class="ui-col-0">mmHg</div>
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</td>
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</tr>
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<tr>
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<td class="ui-grid">
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<div class="ui-ciol-0 col-w60 c-border-r">右 侧</div>
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<div class="ui-col-1"><el-input :readonly="!editable" v-model="input" placeholder="" clearable></el-input></div>
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<div class="ui-col-0">mmHg</div>
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</td>
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</tr>
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<tr>
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<td class="col-w120 c-t-center">身  高</td>
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<td class="ui-grid">
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<div class="ui-col-1"><el-input :readonly="!editable" v-model="input" placeholder="" clearable></el-input></div>
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<div class="ui-col-0">cm</div>
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</td>
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<td class="col-w120 c-t-center">体  重</td>
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<td class="ui-grid">
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<div class="ui-col-1"><el-input :readonly="!editable" v-model="input" placeholder="" clearable></el-input></div>
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<div class="ui-col-0">kg</div>
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</td>
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</tr>
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<tr>
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<td class="col-w120 c-t-center">腰  围</td>
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<td>
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<div class="ui-grid">
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<div class="ui-col-1"><el-input :readonly="!editable" v-model="input" placeholder="" clearable></el-input></div>
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<div class="ui-col-0">cm</div>
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</div>
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</td>
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<td class="col-w120 c-t-center">体质指数（BMI）</td>
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<td>
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<div class="ui-grid">
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<div class="ui-col-1"><el-input :readonly="!editable" v-model="input" placeholder="" clearable></el-input></div>
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<div class="ui-col-0">kg/m²</div>
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</div>
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</td>
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</tr>
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<tr>
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<td class="col-w120 c-t-center">老年人健康状态自我评估*</td>
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<td colspan="3">
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<el-radio-group v-model="radio">
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<el-radio :label="1">1 满意</el-radio>
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<el-radio :label="2">2 基本满意</el-radio>
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<el-radio :label="3">3 说不清楚</el-radio>
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<el-radio :label="4">4 不太满意</el-radio>
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<el-radio :label="5">5 胸闷</el-radio>
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</el-radio-group>
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</td>
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</tr>
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<tr>
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<td class="col-w120 c-t-center">老年人生活自理自我评估*</td>
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<td colspan="3">
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<el-radio-group v-model="radio">
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<el-radio :label="1">1 可自理（0 ～ 3 分）</el-radio>
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<el-radio :label="2">2 轻度依赖（4 ～ 8 分）</el-radio>
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<el-radio :label="3">3 中度依赖（9 ～ 18 分）</el-radio>
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<el-radio :label="4">4 不能自理（≥19 分）</el-radio>
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</el-radio-group>
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</td>
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</tr>
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<tr>
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<td class="col-w120 c-t-center">老年人认知功能*</td>
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<td colspan="3">
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<el-radio-group v-model="radio">
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<el-radio :label="1">1 粗筛阴性</el-radio>
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<el-radio :label="2">2 粗筛阳性， 简易智力状态检查，总分</el-radio>
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</el-radio-group>
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</td>
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</tr>
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<tr>
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<td class="col-w120 c-t-center">老年人情感状态*</td>
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<td colspan="3">
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<el-radio-group v-model="radio">
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<el-radio :label="1">1 粗筛阴性</el-radio>
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<el-radio :label="2">2 粗筛阳性， 简易智力状态检查，总分</el-radio>
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</el-radio-group>
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</td>
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</tr>
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<!--生活方式-->
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</table>
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<table class="table table-bordered">
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<tr>
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<td rowspan="13" class="col-w60 c-t-center">生<br>活<br>方<br>式</td>
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<td rowspan="3" class="col-w120 c-t-center">体育锻炼</td>
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<td class="col-w120 c-t-center">锻炼频率</td>
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<td colspan="3">
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<el-radio-group v-model="radio">
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<el-radio :label="1">1 每天</el-radio>
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<el-radio :label="2">2 每周一次以上</el-radio>
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<el-radio :label="3">3 偶尔</el-radio>
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<el-radio :label="4">4 不锻炼</el-radio>
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</el-radio-group>
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</td>
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</tr>
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<tr>
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<td class="col-w120 c-t-center">每次锻炼时间</td>
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<td class="ui-grid">
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<div class="ui-col-1"><el-input :readonly="!editable" v-model="input" placeholder="" clearable></el-input></div>
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<div class="ui-col-0">分钟</div>
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</td>
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<td class="col-w120 c-t-center">坚持锻炼时间</td>
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<td class="ui-grid">
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<div class="ui-col-1"><el-input :readonly="!editable" v-model="input" placeholder="" clearable></el-input></div>
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<div class="ui-col-0">年</div>
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</td>
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</tr>
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<tr>
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<td class="col-w120 c-t-center">锻炼方式</td>
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<td colspan="3">
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<div class="ui-grid">
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<div class="ui-col-1"><el-input :readonly="!editable" v-model="input" placeholder="" clearable></el-input></div>
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<div class="ui-col-0">年</div>
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</div>
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</td>
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</tr>
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<tr>
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<td class="col-w120 c-t-center">饮食习惯</td>
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<td colspan="4">
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<el-radio-group v-model="radio">
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<el-radio :label="1">1 荤素均衡</el-radio>
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<el-radio :label="2">2 荤食为主</el-radio>
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<el-radio :label="3">3 素食为主</el-radio>
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<el-radio :label="4">4 嗜盐</el-radio>
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<el-radio :label="5">5 嗜油</el-radio>
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<el-radio :label="6">6 嗜糖</el-radio>
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</el-radio-group>
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</td>
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</tr>
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<tr>
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<td rowspan="3" class="col-w120 c-t-center">吸烟情况</td>
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<td class="col-w120 c-t-center">吸烟状况</td>
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<td colspan="3">
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<el-radio-group v-model="radio">
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<el-radio :label="1">1 从不吸烟</el-radio>
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<el-radio :label="2">2 已戒烟</el-radio>
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<el-radio :label="3">3 吸烟</el-radio>
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</el-radio-group>
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</td>
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</tr>
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<tr>
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<td class="col-w120 c-t-center">日吸烟量</td>
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<td colspan="3">
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<div class="ui-grid">
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<div class="ui-col-0">平均</div>
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<div class="ui-col-1"><el-input :readonly="!editable" v-model="input" placeholder="" clearable></el-input></div>
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<div class="ui-col-0">次</div>
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</div>
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</td>
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</tr>
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<tr>
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<td class="col-w120 c-t-center">平均吸烟年龄</td>
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<td class="ui-grid">
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<div class="ui-col-1"><el-input :readonly="!editable" v-model="input" placeholder="" clearable></el-input></div>
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<div class="ui-col-0">岁</div>
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</td>
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<td class="col-w120 c-t-center">戒烟年龄</td>
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<td class="ui-grid">
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<div class="ui-col-1"><el-input :readonly="!editable" v-model="input" placeholder="" clearable></el-input></div>
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<div class="ui-col-0">岁</div>
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</td>
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</tr>
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<tr>
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<td rowspan="5" class="col-w120 c-t-center">饮酒情况</td>
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<td class="col-w120 c-t-center">饮酒频率</td>
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<td colspan="3">
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<el-radio-group v-model="radio">
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<el-radio :label="1">1 从不</el-radio>
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<el-radio :label="2">2 偶尔</el-radio>
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<el-radio :label="3">3 经常</el-radio>
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<el-radio :label="4">4 每天</el-radio>
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</el-radio-group>
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</td>
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</tr>
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<tr>
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<td class="col-w120 c-t-center">日饮酒量</td>
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<td colspan="3">
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<div class="ui-grid">
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<div class="ui-col-0">平均</div>
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<div class="ui-col-1"><el-input :readonly="!editable" v-model="input" placeholder="" clearable></el-input></div>
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<div class="ui-col-0">两</div>
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</div>
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</td>
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</tr>
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<tr>
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<td class="col-w120 c-t-center">是否戒酒</td>
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<td colspan="3">
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<el-radio-group v-model="radio">
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<el-radio :label="1">1 未戒酒</el-radio>
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<el-radio :label="2">
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<div class="ui-grid">
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<div class="ui-col-0">2 已借酒，戒酒年龄：</div>
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<div class="ui-col-1"><el-input :readonly="!editable" v-model="input" placeholder="" clearable></el-input></div>
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<div class="ui-col-0">岁</div>
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</div>
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</el-radio>
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</el-radio-group>
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</td>
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</tr>
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<tr>
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<td class="col-w120 c-t-center">平均饮酒年龄</td>
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<td class="ui-grid">
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<div class="ui-col-1"><el-input :readonly="!editable" v-model="input" placeholder="" clearable></el-input></div>
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<div class="ui-col-0">岁</div>
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</td>
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<td class="col-w120 c-t-center">近一年是否曾醉酒</td>
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<td>
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<el-radio-group v-model="radio">
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<el-radio :label="1">1 是</el-radio>
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<el-radio :label="2">2 否</el-radio>
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</el-radio-group>
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</td>
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</tr>
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<tr>
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<td class="col-w120 c-t-center">饮酒种类</td>
|
|
|
<td colspan="3">
|
|
|
<el-radio-group v-model="radio">
|
|
|
<el-radio :label="1">1 白酒</el-radio>
|
|
|
<el-radio :label="2">2 啤酒</el-radio>
|
|
|
<el-radio :label="3">3 红酒</el-radio>
|
|
|
<el-radio :label="4">4 黄酒</el-radio>
|
|
|
<el-checkbox class="setinput" label="5">
|
|
|
<el-input :readonly="!editable" v-model="input" placeholder="其他" clearable></el-input>
|
|
|
</el-checkbox>
|
|
|
</el-radio-group>
|
|
|
</td>
|
|
|
</tr>
|
|
|
<tr>
|
|
|
<td class="col-w120 c-t-center">职业病危害因素接触史</td>
|
|
|
<td colspan="4">
|
|
|
<div>
|
|
|
<el-radio :label="1">1 无</el-radio>
|
|
|
<el-radio :label="2">
|
|
|
<div class="ui-grid">
|
|
|
<div class="ui-col-0">2 有 （工种</div>
|
|
|
<div class="ui-col-0"><el-input :readonly="!editable" v-model="input" placeholder="" clearable></el-input></div>
|
|
|
<div class="ui-col-0">从业时间</div>
|
|
|
<div class="ui-col-0"><el-input :readonly="!editable" v-model="input" placeholder="" clearable></el-input></div>
|
|
|
<div class="ui-col-0">年）</div>
|
|
|
</div>
|
|
|
</el-radio>
|
|
|
</div>
|
|
|
<div class="ui-grid">
|
|
|
<div class="ui-col-0 mr10">毒物种类</div>
|
|
|
<div class="ui-col-1">
|
|
|
<div class="ui-grid">
|
|
|
<div class="ui-col-0">粉尘防范措施</div>
|
|
|
<div class="ui-col-1">
|
|
|
<el-radio-group v-model="radio">
|
|
|
<el-radio :label="1">1 无</el-radio>
|
|
|
<el-radio :label="2">2 有</el-radio>
|
|
|
</el-radio-group>
|
|
|
</div>
|
|
|
</div>
|
|
|
<div class="ui-grid">
|
|
|
<div class="ui-col-0">放射物质防范措施</div>
|
|
|
<div class="ui-col-1">
|
|
|
<el-radio-group v-model="radio">
|
|
|
<el-radio :label="1">1 无</el-radio>
|
|
|
<el-radio :label="2">2 有</el-radio>
|
|
|
</el-radio-group>
|
|
|
</div>
|
|
|
</div>
|
|
|
<div class="ui-grid">
|
|
|
<div class="ui-col-0">物理因素防范措施</div>
|
|
|
<div class="ui-col-1">
|
|
|
<el-radio-group v-model="radio">
|
|
|
<el-radio :label="1">1 无</el-radio>
|
|
|
<el-radio :label="2">2 有</el-radio>
|
|
|
</el-radio-group>
|
|
|
</div>
|
|
|
</div>
|
|
|
<div class="ui-grid">
|
|
|
<div class="ui-col-0">化学物质防范措施</div>
|
|
|
<div class="ui-col-1">
|
|
|
<el-radio-group v-model="radio">
|
|
|
<el-radio :label="1">1 无</el-radio>
|
|
|
<el-radio :label="2">2 有</el-radio>
|
|
|
</el-radio-group>
|
|
|
</div>
|
|
|
</div>
|
|
|
<div class="ui-grid">
|
|
|
<div class="ui-col-0">其他防范措施</div>
|
|
|
<div class="ui-col-1">
|
|
|
<el-radio-group v-model="radio">
|
|
|
<el-radio :label="1">1 无</el-radio>
|
|
|
<el-radio :label="2">2 有</el-radio>
|
|
|
</el-radio-group>
|
|
|
</div>
|
|
|
</div>
|
|
|
</div>
|
|
|
</div>
|
|
|
</td>
|
|
|
</tr>
|
|
|
<!-- <tr>
|
|
|
<td class="col-w120 c-t-center">体 温（℃）</td>
|
|
|
<td colspan="3">
|
|
|
<el-input :readonly="!editable" v-model="input" placeholder="" clearable></el-input>
|
|
|
</td>
|
|
|
</tr>
|
|
|
<tr>
|
|
|
<td class="col-w120 c-t-center">一般健康情况</td>
|
|
|
<td colspan="3">
|
|
|
<el-input type="textarea" :readonly="!editable" v-model="input" placeholder="" clearable></el-input>
|
|
|
</td>
|
|
|
</tr>
|
|
|
<tr>
|
|
|
<td class="col-w120 c-t-center">一般心理状况</td>
|
|
|
<td colspan="3">
|
|
|
<el-input :readonly="!editable" v-model="input" placeholder="" clearable></el-input>
|
|
|
</td>
|
|
|
</tr>
|
|
|
<tr>
|
|
|
<td class="col-w120 c-t-center">血 压(mmHg)</td>
|
|
|
<td colspan="3">
|
|
|
<el-input :readonly="!editable" v-model="input" placeholder="" clearable></el-input>
|
|
|
</td>
|
|
|
</tr>
|
|
|
<tr>
|
|
|
<td class="col-w120 c-t-center">乳 房</td>
|
|
|
<td colspan="3">
|
|
|
<el-radio :disabled="!editable" v-model="radio" label="1">未见异常</el-radio>
|
|
|
<el-radio :disabled="!editable" v-model="radio" label="2">异常</el-radio>
|
|
|
</td>
|
|
|
</tr>-->
|
|
|
</table>
|
|
|
</div>
|
|
|
<script src="../../../js/vue.js" type="text/javascript" charset="utf-8"></script>
|
|
|
<script src="../../../js/jquery-2.2.4.js" type="text/javascript" charset="utf-8"></script>
|
|
|
<script src="../../../plugins/toastr/toastr.min.js"></script>
|
|
|
<script src="../../../js/es6-promise.js" type="text/javascript" charset="utf-8"></script>
|
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<script src="../../../js/underscore.js" type="text/javascript" charset="utf-8"></script>
|
|
|
<script src="../../../js/element-ui.js" type="text/javascript" charset="utf-8"></script>
|
|
|
<!--<script src="../../../api/http-request.js" type="text/javascript" charset="utf-8"></script>-->
|
|
|
<script>
|
|
|
new Vue({
|
|
|
el: "#app",
|
|
|
data: function() {
|
|
|
return {
|
|
|
editable: true,
|
|
|
data1: "",
|
|
|
radio: ""
|
|
|
}
|
|
|
}
|
|
|
})
|
|
|
</script>
|
|
|
</body>
|
|
|
</html>
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