fangshi-detail-9.html 14 KB

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  1. <!DOCTYPE html>
  2. <html>
  3. <head>
  4. <meta charset="UTF-8">
  5. <title>肺结核患者第一次入户随访记录表</title>
  6. <meta name="author" content="yihu.com" />
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  10. <meta name="apple-mobile-web-app-capable" content="yes" />
  11. <meta name="apple-mobile-web-app-status-bar-style" content="black" />
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  16. <link href="../../../../plugins/toastr/toastr.min.css" rel="stylesheet">
  17. </head>
  18. <body>
  19. <div id="app">
  20. <table class="table table-bordered">
  21. <tr>
  22. <td class="col-w300 c-t-center">随访时间</td>
  23. <td colspan="3">
  24. <el-date-picker :readonly="!editable" v-model="data2" type="date" placeholder="选择日期">
  25. </el-date-picker>
  26. </td>
  27. </tr>
  28. <tr>
  29. <td class="col-w300 c-t-center">随访方式</td>
  30. <td colspan="3">
  31. <el-radio :disabled="!editable" v-model="radio" label="1">门诊</el-radio>
  32. <el-radio :disabled="!editable" v-model="radio" label="2">家庭</el-radio>
  33. </td>
  34. </tr>
  35. <tr>
  36. <td class="col-w300 c-t-center">患者类型</td>
  37. <td colspan="3">
  38. <el-radio :disabled="!editable" v-model="radio" label="1">初治</el-radio>
  39. <el-radio :disabled="!editable" v-model="radio" label="2">复治</el-radio>
  40. </td>
  41. </tr>
  42. <tr>
  43. <td class="col-w300 c-t-center">痰菌情况</td>
  44. <td colspan="3">
  45. <el-radio :disabled="!editable" v-model="radio" label="1">阳性</el-radio>
  46. <el-radio :disabled="!editable" v-model="radio" label="2">阴性</el-radio>
  47. <el-radio :disabled="!editable" v-model="radio" label="3">未查痰</el-radio>
  48. </td>
  49. </tr>
  50. <tr>
  51. <td class="col-w300 c-t-center">耐药情况</td>
  52. <td colspan="3">
  53. <el-radio :disabled="!editable" v-model="radio" label="1">耐药</el-radio>
  54. <el-radio :disabled="!editable" v-model="radio" label="2">非耐药</el-radio>
  55. <el-radio :disabled="!editable" v-model="radio" label="2">未检测</el-radio>
  56. </td>
  57. </tr>
  58. <tr>
  59. <td class="col-w300">症状及体征:
  60. <el-checkbox-group v-model="check" :disabled="!editable">
  61. <el-checkbox label="1" style="margin-left:30px;">没有盗汗</el-checkbox>
  62. <el-checkbox label="1">咳嗽咳痰</el-checkbox>
  63. <el-checkbox label="1">低热盗汗</el-checkbox>
  64. <el-checkbox label="1">咳血或血痰</el-checkbox>
  65. <el-checkbox label="1">胸痛消瘦</el-checkbox>
  66. <el-checkbox label="1">恶心纳差</el-checkbox>
  67. <el-checkbox label="1">头痛失眠</el-checkbox>
  68. <el-checkbox label="1">视物模糊</el-checkbox>
  69. <el-checkbox label="1">皮肤瘙痒、皮疹</el-checkbox>
  70. <el-checkbox label="1">耳鸣、听力下降</el-checkbox>
  71. </el-checkbox-group>
  72. </td>
  73. <td colspan="3" style="vertical-align: initial;">
  74. 其他:
  75. <el-input type="textarea" :readonly="!editable" v-model="input" placeholder="" clearable></el-input>
  76. </td>
  77. </tr>
  78. <tr>
  79. <td class="table2Td" colspan="3">
  80. <table class="table2">
  81. <tr>
  82. <td class="c-t-center" rowspan="3" style="border-bottom: 0;width: 100px;">用药</td>
  83. <td class="c-t-center" style="width: 200px;">
  84. 化疗方案
  85. </td>
  86. <td class="c-t-center">
  87. <el-input :readonly="!editable" v-model="input" placeholder="" clearable></el-input>
  88. </td>
  89. </tr>
  90. <tr>
  91. <td class="c-t-center">用法</td>
  92. <td>
  93. <el-input :readonly="!editable" v-model="input" placeholder="" clearable></el-input>
  94. </td>
  95. </tr>
  96. <tr>
  97. <td class="c-t-center">药品剂型</td>
  98. <td>
  99. <el-input :readonly="!editable" v-model="input" placeholder="" clearable></el-input>
  100. </td>
  101. </tr>
  102. </table>
  103. </td>
  104. </tr>
  105. <tr>
  106. <td class="col-w300 c-t-center">督导人员选择</td>
  107. <td colspan="2">
  108. <el-radio :disabled="!editable" v-model="radio" label="1">医生</el-radio>
  109. <el-radio :disabled="!editable" v-model="radio" label="2">家属</el-radio>
  110. <el-radio :disabled="!editable" v-model="radio" label="2">自服药</el-radio>
  111. <el-radio :disabled="!editable" v-model="radio" label="2">其他</el-radio>
  112. </td>
  113. </tr>
  114. <tr>
  115. <td class="table2Td" colspan="3">
  116. <table class="table2">
  117. <tr>
  118. <td class="c-t-center" rowspan="2" style="border-bottom: 0;width: 100px;">家庭居住环境评估</td>
  119. <td class="c-t-center" style="width: 200px;">
  120. 单独的居室
  121. </td>
  122. <td>
  123. <el-radio :disabled="!editable" v-model="radio" label="2">有</el-radio>
  124. <el-radio :disabled="!editable" v-model="radio" label="2">无</el-radio>
  125. </td>
  126. </tr>
  127. <tr>
  128. <td class="c-t-center">通风情况</td>
  129. <td>
  130. <el-radio :disabled="!editable" v-model="radio" label="2">良好</el-radio>
  131. <el-radio :disabled="!editable" v-model="radio" label="2">一般</el-radio>
  132. <el-radio :disabled="!editable" v-model="radio" label="2">差</el-radio>
  133. </td>
  134. </tr>
  135. <tr>
  136. <td class="c-t-center" rowspan="2" style="border-bottom: 0;width: 100px;">生活方式评估</td>
  137. <td class="c-t-center" style="width: 200px;">
  138. 吸烟
  139. </td>
  140. <td>
  141. <input type="text"> 支/天
  142. </td>
  143. </tr>
  144. <tr>
  145. <td class="c-t-center">喝酒</td>
  146. <td>
  147. <input type="text"> 两/天
  148. </td>
  149. </tr>
  150. </table>
  151. </td>
  152. </tr>
  153. <tr>
  154. <td class="table2Td" colspan="3">
  155. <table class="table2">
  156. <tr>
  157. <td class="col-w300 c-t-center" rowspan="10" style="width:50px;">健康教育及培训</td>
  158. <td style="width:250px;">
  159. 取药地点、时间
  160. </td>
  161. <td>
  162. 地点:
  163. <el-input type="textarea" :readonly="!editable" v-model="input" placeholder="" clearable></el-input>
  164. <br> 时间:
  165. <el-date-picker :readonly="!editable" v-model="data2" type="date" placeholder="选择日期">
  166. </el-date-picker>
  167. </td>
  168. </tr>
  169. <tr>
  170. <td>服药记录卡的填写</td>
  171. <td>
  172. <el-radio :disabled="!editable" v-model="radio" label="2">掌握</el-radio>
  173. <el-radio :disabled="!editable" v-model="radio" label="2">未掌握</el-radio>
  174. </td>
  175. </tr>
  176. <tr>
  177. <td>服药方法及药品存放</td>
  178. <td>
  179. <el-radio :disabled="!editable" v-model="radio" label="2">掌握</el-radio>
  180. <el-radio :disabled="!editable" v-model="radio" label="2">未掌握</el-radio>
  181. </td>
  182. </tr>
  183. <tr>
  184. <td>肺结核治疗疗程</td>
  185. <td>
  186. <el-radio :disabled="!editable" v-model="radio" label="2">掌握</el-radio>
  187. <el-radio :disabled="!editable" v-model="radio" label="2">未掌握</el-radio>
  188. </td>
  189. </tr>
  190. <tr>
  191. <td>不规律服药危害</td>
  192. <td>
  193. <el-radio :disabled="!editable" v-model="radio" label="2">掌握</el-radio>
  194. <el-radio :disabled="!editable" v-model="radio" label="2">未掌握</el-radio>
  195. </td>
  196. </tr>
  197. <tr>
  198. <td>服药后不良反应及处理</td>
  199. <td>
  200. <el-radio :disabled="!editable" v-model="radio" label="2">掌握</el-radio>
  201. <el-radio :disabled="!editable" v-model="radio" label="2">未掌握</el-radio>
  202. </td>
  203. </tr>
  204. <tr>
  205. <td>治疗期间复诊查痰</td>
  206. <td>
  207. <el-radio :disabled="!editable" v-model="radio" label="2">掌握</el-radio>
  208. <el-radio :disabled="!editable" v-model="radio" label="2">未掌握</el-radio>
  209. </td>
  210. </tr>
  211. <tr>
  212. <td>外出期间如何坚持服药</td>
  213. <td>
  214. <el-radio :disabled="!editable" v-model="radio" label="2">掌握</el-radio>
  215. <el-radio :disabled="!editable" v-model="radio" label="2">未掌握</el-radio>
  216. </td>
  217. </tr>
  218. <tr>
  219. <td>生活习惯及注意事项</td>
  220. <td>
  221. <el-radio :disabled="!editable" v-model="radio" label="2">掌握</el-radio>
  222. <el-radio :disabled="!editable" v-model="radio" label="2">未掌握</el-radio>
  223. </td>
  224. </tr>
  225. <tr>
  226. <td>密切接触者检查</td>
  227. <td>
  228. <el-radio :disabled="!editable" v-model="radio" label="2">掌握</el-radio>
  229. <el-radio :disabled="!editable" v-model="radio" label="2">未掌握</el-radio>
  230. </td>
  231. </tr>
  232. </table>
  233. </td>
  234. </tr>
  235. <tr>
  236. <td class="col-w300 c-t-center">下次随访时间</td>
  237. <td>
  238. <el-date-picker :readonly="!editable" v-model="data2" type="date" placeholder="选择日期">
  239. </el-date-picker>
  240. </td>
  241. </tr>
  242. <tr>
  243. <td class="col-w300 c-t-center">评估医生签名</td>
  244. <td>
  245. <el-radio :disabled="!editable" v-model="radio" label="1">耐药</el-radio>
  246. <el-radio :disabled="!editable" v-model="radio" label="2">非耐药</el-radio>
  247. <el-radio :disabled="!editable" v-model="radio" label="2">未检测</el-radio>
  248. </td>
  249. </tr>
  250. </table>
  251. </div>
  252. <script src="../../../../js/vue.js" type="text/javascript" charset="utf-8"></script>
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  257. <script src="../../../../js/element-ui.js" type="text/javascript" charset="utf-8"></script>
  258. <script src="../../../../api/http-request.js" type="text/javascript" charset="utf-8"></script>
  259. <script src="../../../../api/fangshi-api.js"></script>
  260. <script>
  261. new Vue({
  262. el: "#app",
  263. data: function () {
  264. return {
  265. editable: true,
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