jiangjiazhi / regional-platform

Commit d608a5701206936c32dbccbf4d0c029c98389969

Authored by shiyang over 3 years ago

Exists in master and in 6 other branches

隆化-妇女健康管理-孕前优生-结果建议-异常项及异常推荐接口。跑历史数据接口

Showing 4 changed files with 350 additions and 34 deletions

platform-operate-api/src/main/java/com/lyms/platform/operate/web/controller/PreEugenicsBaseController.java
platform-operate-api/src/main/java/com/lyms/platform/operate/web/result/PreEugenicsBaseListResult.java
platform-operate-api/src/main/java/com/lyms/platform/operate/web/service/IPreEugenicsService.java
platform-operate-api/src/main/java/com/lyms/platform/operate/web/service/impl/PreEugebicsServiceImpl.java

...	...	@@ -328,7 +328,7 @@
328	328
329	329	/**
330	330	* 隆化-男女临床检查项目填写是否完整 0:不完整 1：完整，历史数据添加字段clinicalCheckYn
331		- *
	331	+ *跑历史数据
332	332	* @return
333	333	*/
334	334	@RequestMapping(method = RequestMethod.GET, value = "/pastPreeugenicsBaseAdd")
...	...	@@ -338,7 +338,7 @@
338	338	}
339	339
340	340	/**
341		- * 结果建议-异常项及异常推荐
	341	+ * 隆化-结果建议-异常项及异常推荐
342	342	*
343	343	* @param id
344	344	* @Author: sy
...	...	@@ -350,5 +350,17 @@
350	350	public BaseObjectResponse getAbnormityProposal(String id) {
351	351	return iPreEugenicsService.getAbnormityProposal(id);
352	352	}
	353	+
	354	+ /**
	355	+ * 隆化-结果建议-异常项及异常推荐，历史数据添加字段，abnormity、abnormityProposal
	356	+ * 跑历史数据
	357	+ * @return
	358	+ */
	359	+ @RequestMapping(method = RequestMethod.GET, value = "/pastAbnormityProposalAdd")
	360	+ @ResponseBody
	361	+ public BaseResponse pastAbnormityProposalAdd() {
	362	+ return iPreEugenicsService.pastAbnormityProposalAdd();
	363	+ }
	364	+
353	365	}

...	...	@@ -2,7 +2,9 @@
2	2
3	3	import com.lyms.platform.pojo.PreEugenicsBaseModel;
4	4
	5	+import java.util.List;
5	6
	7	+
6	8	public class PreEugenicsBaseListResult extends PreEugenicsBaseModel {
7	9
8	10	/**
...	...	@@ -93,6 +95,32 @@
93	95
94	96	//隆化-男女临床检查项目填写是否完整 0:不完整 1：完整
95	97	private Integer clinicalCheckYn;
	98	+
	99	+ //隆化-结果建议，评估异常项
	100	+ List<String> abnormity;
	101	+
	102	+ //隆化-结果建议，异常项建议
	103	+ List<String> abnormityProposal;
	104	+
	105	+ @Override
	106	+ public List<String> getAbnormity() {
	107	+ return abnormity;
	108	+ }
	109	+
	110	+ @Override
	111	+ public void setAbnormity(List<String> abnormity) {
	112	+ this.abnormity = abnormity;
	113	+ }
	114	+
	115	+ @Override
	116	+ public List<String> getAbnormityProposal() {
	117	+ return abnormityProposal;
	118	+ }
	119	+
	120	+ @Override
	121	+ public void setAbnormityProposal(List<String> abnormityProposal) {
	122	+ this.abnormityProposal = abnormityProposal;
	123	+ }
96	124
97	125	public Integer getClinicalCheckYn() {
98	126	return clinicalCheckYn;

...	...	@@ -41,5 +41,7 @@
41	41	BaseResponse pastPreeugenicsBaseAdd();
42	42
43	43	BaseObjectResponse getAbnormityProposal(String id);
	44	+
	45	+ BaseResponse pastAbnormityProposalAdd();
44	46	}

...	...	@@ -1471,7 +1471,7 @@
1471	1471	}
1472	1472	return new BaseObjectResponse().setErrorcode(ErrorCodeConstants.SUCCESS).setErrormsg("成功").setData(map);
1473	1473	}
1474		- //结果建议-异常处理数据
	1474	+ //隆华-妇女健康管理-结果建议-异常，异常推荐，数据整理
1475	1475	public Map<String,List<String>> getAbnormityRoProposal(PreEugenicsBaseModel model){
1476	1476	Map<String,List<String>> map=new HashMap();
1477	1477	List<String> abnormityList=new ArrayList<>();
1478	1478
1479	1479
...	...	@@ -1482,18 +1482,19 @@
1482	1482	//女方bmi(身高体重)
1483	1483	String bmi=null!=model.getWifePhysiqueCheck().get("bmi")?model.getWifePhysiqueCheck().get("bmi").toString():null;
1484	1484	if(StringUtils.isNotEmpty(bmi)){
1485		- if(Double.parseDouble(bmi)>25\|\|Double.parseDouble(bmi)<19){
1486		- abnormityList.add("体重指数:女方: "+bmi);
	1485	+ double bm=Double.parseDouble(bmi);
	1486	+ if(bm>25\|\|bm<19){
	1487	+ abnormityList.add("体重指数:女方: "+bm);
1487	1488	abnormityProposal.add("体重超重或肥胖对女性内分泌系统、胎儿发育、分娩过程等会产生不良影响，" +
1488	1489	"建议合理饮食，将控制体重在正常范围内。");
1489	1490	}
1490	1491	}
1491		- //女方血压
1492		- int gaoya=null!=model.getWifePhysiqueCheck().get("ssy")?(int)model.getWifePhysiqueCheck().get("ssy"):0;//高压
1493		- int diya=null!=model.getWifePhysiqueCheck().get("szy")?(int)model.getWifePhysiqueCheck().get("szy"):0;//低压
1494		- if(0!=gaoya&&0!=diya){
	1492	+ //女方血压偏高/偏低
	1493	+ Integer gaoya=null!=model.getWifePhysiqueCheck().get("ssy")?(Integer)model.getWifePhysiqueCheck().get("ssy"):null;//高压
	1494	+ Integer diya=null!=model.getWifePhysiqueCheck().get("szy")?(Integer)model.getWifePhysiqueCheck().get("szy"):null;//低压
	1495	+ if(null!=gaoya&&null!=diya){
1495	1496	if(gaoya>140\|\|diya>90\|\|gaoya<90\|\|diya<50){
1496		- abnormityList.add("血压偏高/偏低:女方: "+gaoya+"/"+diya+"mmHg");
	1497	+ abnormityList.add("血压:女方: "+gaoya+"/"+diya+"mmHg");
1497	1498	abnormityProposal.add("慢性高血压是妊娠的高危因素,应请内科会诊，全面检查，明确疾病程度、是否有合并症，评价是否适宜妊娠。" +
1498	1499	"适宜妊娠者要积极治疗，待血压控制稳定后在医生的指导下怀孕。有严重合并症、血压控制不好者不宜怀孕。");
1499	1500	}
1500	1501
1501	1502
1502	1503
1503	1504
1504	1505
1505	1506
1506	1507
1507	1508
1508	1509
1509	1510
1510	1511
1511	1512
...	...	@@ -1502,55 +1503,328 @@
1502	1503	//女方，高龄
1503	1504	String age=model.getWifeAge();
1504	1505	if(StringUtils.isNotEmpty(age) && Integer.parseInt(age)>35){
1505		- abnormityList.add("高龄:女方: "+age);
	1506	+ abnormityList.add("年龄:女方: "+age+" 岁");
1506	1507	abnormityProposal.add("妊娠16-23周应进行产前诊断（细胞遗传学诊断）");
1507	1508	}
1508	1509	//女方临床检查
1509	1510	if(MapUtils.isNotEmpty(model.getWifeClinicalCheck())){
1510		- //血细胞分析（女方淋巴细胞比例偏高 L ，女方血小板偏高 PLT ）
1511		- List<String> xxbfx= null!=model.getWifePhysiqueCheck().get("xxbfx")? (List<String>) model.getWifePhysiqueCheck().get("xxbfx") :null;
1512		- if(CollectionUtils.isNotEmpty(xxbfx) && xxbfx.size()>=5
1513		- && StringUtils.isNotEmpty(xxbfx.get(5).toString())
1514		- && StringUtils.isNotEmpty(xxbfx.get(2).toString())){
1515		- int l=Integer.parseInt(xxbfx.get(5));
1516		- int plt=Integer.parseInt(xxbfx.get(2));
1517		- if(l<20 \|\| l>40){
1518		- abnormityList.add("淋巴细胞比例偏高/偏低 L:女方: "+l);
	1511	+ //血细胞分析（贫血 HB, 淋巴细胞比例偏高 L ，血小板偏高 PLT ）
	1512	+ List<String> xxbfx= null!=model.getWifeClinicalCheck().get("xxbfx")? (List<String>) model.getWifeClinicalCheck().get("xxbfx") :null;
	1513	+ if(CollectionUtils.isNotEmpty(xxbfx)){
	1514	+ Integer hb=StringUtils.isNotEmpty(xxbfx.get(0))?Integer.valueOf(xxbfx.get(0)):null;
	1515	+ Integer l=StringUtils.isNotEmpty(xxbfx.get(5))?Integer.valueOf(xxbfx.get(5)):null;
	1516	+ Integer plt=StringUtils.isNotEmpty(xxbfx.get(2))?Integer.valueOf(xxbfx.get(2)):null;
	1517	+ if(null!=hb&&(hb<120 \|\| hb>160)){
	1518	+ abnormityList.add("血细胞 HB:女方: "+hb+" g/L");
	1519	+ abnormityProposal.add("建议复查，经内科大夫治疗恢复正常后再考虑怀孕。");
	1520	+ }
	1521	+ if(null!=l&&(l<20 \|\| l>40)){
	1522	+ abnormityList.add("血细胞 L:女方: "+l+"%");
1519	1523	abnormityProposal.add("常见于传染性单核细胞增多症，淋巴细胞性白血病，结核等。明确诊断后再考虑怀孕。");
1520	1524	}
1521		- if(plt<100 \|\| plt>300){
1522		- abnormityList.add("血小板偏高/偏低 PLT:女方: "+plt);
	1525	+ if(null!=plt&&(plt<100 \|\| plt>300)){
	1526	+ abnormityList.add("血细胞 PLT:女方: "+plt+" ×10\u2079/L");
1523	1527	abnormityProposal.add("常见于原发性增多：慢性粒细胞性白血病，真性红细胞增多症，原发性血小板增多症等，" +
1524	1528	"反应性增多：急性感染，急性溶血等。明确诊断后并及时治疗，根据病情评估是否适宜怀孕。");
1525	1529	}
1526	1530	}
1527	1531	//女方肌酐偏低
1528		- String jigan=null!=model.getWifePhysiqueCheck().get("jigan")?model.getWifePhysiqueCheck().get("jigan").toString():null;
	1532	+ String jigan=null!=model.getWifeClinicalCheck().get("jigan")?model.getWifeClinicalCheck().get("jigan").toString():null;
1529	1533	if(StringUtils.isNotEmpty(jigan)){
1530		- int jg=Integer.parseInt(jigan);
	1534	+ Integer jg=Integer.valueOf(jigan);
1531	1535	if(jg<41\|\|jg>73){
1532		- abnormityList.add("肌酐偏高/偏低 PLT:女方: "+jg);
	1536	+ abnormityList.add("肌酐 PLT:女方: "+jg+" u mol/L");
1533	1537	abnormityProposal.add("建议复查，请肾科明确诊断。");
1534	1538	}
1535	1539	}
1536	1540	//女方乙肝
1537		- //女转氨酶升高
1538		- //女方梅毒螺旋体阳性
	1541	+ List<Integer> yigan=null!=model.getWifeClinicalCheck().get("yigan")?(List<Integer>) model.getWifeClinicalCheck().get("yigan"):null;
	1542	+ if(CollectionUtils.isNotEmpty(yigan) && Arrays.asList(yigan.toArray()).contains(1)){
	1543	+ StringBuffer sb=new StringBuffer();
	1544	+ for (int i=0;i<yigan.size();i++) {
	1545	+ if(yigan.get(i)==1){
	1546	+ switch (i){
	1547	+ case 0:
	1548	+ if (i != yigan.size() - 1) {
	1549	+ sb.append("HBs-Ag、");
	1550	+ } else {
	1551	+ sb.append("HBs-Ag");
	1552	+ }
	1553	+ break;
	1554	+ case 1:
	1555	+ if (i != yigan.size() - 1) {
	1556	+ sb.append("HBs-Ab、");
	1557	+ } else {
	1558	+ sb.append("HBs-Ab");
	1559	+ }
	1560	+ break;
	1561	+ case 2:
	1562	+ if (i != yigan.size() - 1) {
	1563	+ sb.append("HBe-Ag、");
	1564	+ } else {
	1565	+ sb.append("HBe-Ag");
	1566	+ }
	1567	+ break;
	1568	+ case 3:
	1569	+ if (i != yigan.size() - 1) {
	1570	+ sb.append("HBe-Ab、");
	1571	+ } else {
	1572	+ sb.append("HBe-Ab");
	1573	+ }
	1574	+ break;
	1575	+ case 4:
	1576	+ if (i != yigan.size() - 1) {
	1577	+ sb.append("HBc-Ab、");
	1578	+ } else {
	1579	+ sb.append("HBc-Ab");
	1580	+ }
	1581	+ break;
	1582	+ }
	1583	+ }
	1584	+ }
	1585	+ abnormityList.add("乙肝血清学检查:女方: "+sb.toString()+" ：以上结果阳性");
	1586	+ abnormityProposal.add("女方为乙肝病毒携带者或者乙肝患者，建议暂不生育，综合医院肝病专科门诊咨询、治疗后可以生育。");
	1587	+ }
	1588	+ //女谷丙转转氨酶升高
	1589	+ String gbzam=null!=model.getWifeClinicalCheck().get("gbzam")?model.getWifeClinicalCheck().get("gbzam").toString():null;
	1590	+ if(StringUtils.isNotEmpty(gbzam)){
	1591	+ int zam=Integer.parseInt(gbzam);
	1592	+ if(zam>31){
	1593	+ abnormityList.add("谷丙转氨酶(ALT):女方: "+zam+" U/L");
	1594	+ abnormityProposal.add("转氨酶升高，提示有肝细胞损伤，建议到综合医院肝病专科进一步诊治，建议治愈并停药3个月以上再生育。");
	1595	+ }
	1596	+ }
	1597	+ //女方梅毒螺旋体筛查阳性
	1598	+ String meidu=null!=model.getWifeClinicalCheck().get("meidu")?model.getWifeClinicalCheck().get("meidu").toString():null;
	1599	+ if(StringUtils.isNotEmpty(meidu)){
	1600	+ int md=Integer.parseInt(meidu);
	1601	+ if(md==1){
	1602	+ abnormityList.add("梅毒螺旋体:女方: 阳性");
	1603	+ abnormityProposal.add("为梅毒血清学初筛试验异常，阳性者需进一步做确证试验，若确诊为梅毒，建议治疗痊愈后生育。");
	1604	+ }
	1605	+ }
1539	1606	//女方巨细胞（IGM）阳性
1540		- //女方贫贫血范围HB
1541		- //女方促甲状腺激素偏高
1542		- //女方促甲状腺激素偏低
	1607	+ String jxbbdIgM=null!=model.getWifeClinicalCheck().get("jxbbdIgM")?model.getWifeClinicalCheck().get("jxbbdIgM").toString():null;
	1608	+ if(StringUtils.isNotEmpty(jxbbdIgM)){
	1609	+ int igm=Integer.parseInt(jxbbdIgM);
	1610	+ if(igm==1){
	1611	+ abnormityList.add("巨细胞病毒（IGM）:女方: 阳性");
	1612	+ abnormityProposal.add("建议复查，治疗转阴后三个月再复查正常后考虑怀孕。");
	1613	+ }
	1614	+ }
	1615	+ //女方促甲状腺激素(偏高、偏低)
	1616	+ String cjzxjs=null!=model.getWifeClinicalCheck().get("cjzxjs")?model.getWifeClinicalCheck().get("cjzxjs").toString():null;
	1617	+ if(StringUtils.isNotEmpty(cjzxjs)){
	1618	+ int js=Integer.parseInt(cjzxjs);
	1619	+ if(js>50){//偏高
	1620	+ abnormityList.add("促甲状腺激素(TSH):女方: "+js+" u IU/ml");
	1621	+ abnormityProposal.add("常见于原发性甲减，亚临床甲减，地方性甲状腺肿，亚急性甲状腺炎或慢性淋巴细胞性甲状腺炎。" +
	1622	+ "建议明确诊断，由产科医生和内分泌科医生评估是否适合妊娠。");
	1623	+ }else if(js<30){//偏低
	1624	+ abnormityList.add("促甲状腺激素(TSH):女方: "+js+" u IU/ml");
	1625	+ abnormityProposal.add("常见于甲亢，亚临床甲亢。建议明确诊断，由产科医生和内分泌科医生评估是否适合妊娠。");
	1626	+ }
	1627	+ }
1543	1628	//女方血糖偏高
1544		- //女方妇科B超检查异常
	1629	+ String xuetang=null!=model.getWifeClinicalCheck().get("xuetang")?model.getWifeClinicalCheck().get("xuetang").toString():null;
	1630	+ if(StringUtils.isNotEmpty(xuetang)){
	1631	+ double xt=Double.parseDouble(xuetang);
	1632	+ if(xt<3.33\|\|xt>6.11){
	1633	+ abnormityList.add("血糖:女方: "+xt+" mmol/L");
	1634	+ abnormityProposal.add("为糖尿病初筛检测异常，建议由产科和内分泌科医生提供专业咨询指导。确诊糖尿病者由专科医生评价病情程度、" +
	1635	+ "是否适合妊娠以及妊娠的最佳时机，并在整个孕期严密监测病情发展变化。");
	1636	+ }
	1637	+ }
1545	1638	}
	1639	+ //女方妇科B超检查异常
	1640	+ if(MapUtils.isNotEmpty(model.getWifeBCheck())){
	1641	+ List<Object> bcjc= null!=model.getWifeBCheck().get("bcjc")? (List<Object>) model.getWifeBCheck().get("bcjc") :null;
	1642	+ if(CollectionUtils.isNotEmpty(bcjc)){
	1643	+ int bc=(int)bcjc.get(0);
	1644	+ if(bc==1){
	1645	+ abnormityList.add("妇科B超检查:女方: 异常");
	1646	+ abnormityProposal.add("建议您根据B超检查结果提示的具体异常类型前往正规医院妇产科门诊就医，明确诊断后在妇产科医生治疗和指导下怀孕。");
	1647	+ }
	1648	+ }
	1649	+ }
	1650	+ /*男/
	1651	+ //男体格检查
	1652	+ if(MapUtils.isNotEmpty(model.getHusbandPhysiqueCheck())){
	1653	+ //bmi(身高体重)
	1654	+ String bmi=null!=model.getHusbandPhysiqueCheck().get("bmi")?model.getHusbandPhysiqueCheck().get("bmi").toString():null;
	1655	+ if(StringUtils.isNotEmpty(bmi)){
	1656	+ double bm=Double.parseDouble(bmi);
	1657	+ if(bm>25\|\|bm<19){
	1658	+ abnormityList.add("体重指数:男方: "+bm);
	1659	+ abnormityProposal.add("提示营养过度或者肥胖，可以生育，建议由男科和内分泌科医生提供咨询指导。");
	1660	+ }
	1661	+ }
	1662	+ //男血压偏高/偏低
	1663	+ Integer gaoya=null!=model.getHusbandPhysiqueCheck().get("ssy")?(Integer)model.getHusbandPhysiqueCheck().get("ssy"):null;//高压
	1664	+ Integer diya=null!=model.getHusbandPhysiqueCheck().get("szy")?(Integer)model.getHusbandPhysiqueCheck().get("szy"):null;//低压
	1665	+ if(null!=gaoya&&null!=diya){
	1666	+ if(gaoya>140\|\|diya>90\|\|gaoya<90\|\|diya<50){
	1667	+ abnormityList.add("血压:男方: "+gaoya+"/"+diya+" mmHg");
	1668	+ abnormityProposal.add("改善生活行为，如减轻体重、减少钠盐摄入、补充钙和钾盐、减少脂肪摄入、戒烟和限制饮酒、增加运动等；使用降压药物；" +
	1669	+ "血压控制目标值至少＜140/90mmHg；协同控制多重心血管危险因素。可以生育，建议由心内科医生提供咨询指导。");
	1670	+ }
	1671	+ }
	1672	+ //甲状腺疾病
	1673	+ List<Integer> jzx= null!=model.getHusbandPhysiqueCheck().get("jzx")? (List<Integer>) model.getHusbandPhysiqueCheck().get("jzx") :null;
	1674	+ if(CollectionUtils.isNotEmpty(jzx)){
	1675	+ if(null!=jzx.get(0)&&1==jzx.get(0)){
	1676	+ abnormityList.add("甲状腺:男方: 异常");
	1677	+ abnormityProposal.add("针对功能亢进者，采用手术切除导致功能亢进的肿瘤或增生组织，或者放射治疗毁坏肿瘤或增生组织，或者药物治疗抑制激素的合成和释放；" +
	1678	+ "针对功能减退者，采用有关缺乏激素的替代治疗或补充治疗，或者内分泌腺组织移植、提供身体的需要；建议暂不生育，由内分泌科、外科医生提供咨询指导、治疗后可以生育。");
	1679	+ }
	1680	+ }
1546	1681
	1682	+ }
	1683	+ //男一般情况
	1684	+ if(MapUtils.isNotEmpty(model.getHusbandBaseInfo())){
	1685	+ //男是否吸烟
	1686	+ List<Object> ysyy= null!=model.getHusbandBaseInfo().get("ysyy")? (List<Object>) model.getHusbandBaseInfo().get("ysyy") :null;
	1687	+ if(CollectionUtils.isNotEmpty(ysyy)){
	1688	+ Integer xiyan=null!=ysyy.get(3)?Integer.valueOf(ysyy.get(3).toString()):null;
	1689	+ Integer hejiu=null!=ysyy.get(5)?Integer.valueOf(ysyy.get(5).toString()):null;
	1690	+ if(null!=xiyan&&1==xiyan){
	1691	+ abnormityList.add("是否吸烟:男方: 吸烟");
	1692	+ abnormityProposal.add("吸烟是明确的导致胎儿先天畸形的危险因素，烟草中的有害物质可以致癌，对心脑血管、呼吸和消化等多个系统和器官产生影响；" +
	1693	+ "可以导致精液质量下降；建议暂不生育，至少戒烟3个月后再行生育，由男科或泌尿外科等专科医生提供咨询指导。");
	1694	+ }
	1695	+ if(null!=hejiu&&(1==hejiu\|\|2==hejiu)){
	1696	+ abnormityList.add("是否饮酒:男方: 饮酒");
	1697	+ abnormityProposal.add("酒精可以对消化道、肝脏、神经等系统、器官产生危害；可以导致精液质量下降；建议暂不生育，至少戒酒3个月后再行生育，" +
	1698	+ "由男科或泌尿外科等专科医生提供咨询指导。");
	1699	+ }
	1700	+ }
	1701	+ }
	1702	+ //男临床检查
	1703	+ if(MapUtils.isNotEmpty(model.getHusbandClinicalCheck())){
	1704	+ //男肌酐偏低
	1705	+ String jigan=null!=model.getHusbandClinicalCheck().get("jigan")?model.getHusbandClinicalCheck().get("jigan").toString():null;
	1706	+ if(StringUtils.isNotEmpty(jigan)){
	1707	+ Integer jg=Integer.valueOf(jigan);
	1708	+ if(jg<41\|\|jg>73){
	1709	+ abnormityList.add("肌酐 PLT:男方: "+jg+" u mol/L");
	1710	+ abnormityProposal.add("肌酐值降低，可见于肌肉消瘦者，建议暂不生育，到综合医院由泌尿外科或肾病专科医生提供咨询指导、治疗后可以生育。");
	1711	+ }
	1712	+ }
	1713	+ //男方乙肝
	1714	+ List<Integer> yigan=null!=model.getHusbandClinicalCheck().get("yigan")?(List<Integer>) model.getHusbandClinicalCheck().get("yigan"):null;
	1715	+ if(CollectionUtils.isNotEmpty(yigan) && Arrays.asList(yigan.toArray()).contains(1)){
	1716	+ StringBuffer sb=new StringBuffer();
	1717	+ for (int i=0;i<yigan.size();i++) {
	1718	+ if(yigan.get(i)==1){
	1719	+ switch (i){
	1720	+ case 0:
	1721	+ if (i != yigan.size() - 1) {
	1722	+ sb.append("HBs-Ag、");
	1723	+ } else {
	1724	+ sb.append("HBs-Ag");
	1725	+ }
	1726	+ break;
	1727	+ case 1:
	1728	+ if (i != yigan.size() - 1) {
	1729	+ sb.append("HBs-Ab、");
	1730	+ } else {
	1731	+ sb.append("HBs-Ab");
	1732	+ }
	1733	+ break;
	1734	+ case 2:
	1735	+ if (i != yigan.size() - 1) {
	1736	+ sb.append("HBe-Ag、");
	1737	+ } else {
	1738	+ sb.append("HBe-Ag");
	1739	+ }
	1740	+ break;
	1741	+ case 3:
	1742	+ if (i != yigan.size() - 1) {
	1743	+ sb.append("HBe-Ab、");
	1744	+ } else {
	1745	+ sb.append("HBe-Ab");
	1746	+ }
	1747	+ break;
	1748	+ case 4:
	1749	+ if (i != yigan.size() - 1) {
	1750	+ sb.append("HBc-Ab、");
	1751	+ } else {
	1752	+ sb.append("HBc-Ab");
	1753	+ }
	1754	+ break;
	1755	+ }
	1756	+ }
	1757	+ }
	1758	+ abnormityList.add("乙肝血清学检查:男方: "+sb.toString()+" ：以上结果阳性");
	1759	+ abnormityProposal.add("男方为乙肝病毒携带者或者乙肝患者，建议暂不生育，综合医院肝病专科门诊咨询、治疗后可以生育。");
	1760	+ }
	1761	+ //男谷丙转转氨酶升高
	1762	+ String gbzam=null!=model.getHusbandClinicalCheck().get("gbzam")?model.getHusbandClinicalCheck().get("gbzam").toString():null;
	1763	+ if(StringUtils.isNotEmpty(gbzam)){
	1764	+ int zam=Integer.parseInt(gbzam);
	1765	+ if(zam>31){
	1766	+ abnormityList.add("谷丙转氨酶(ALT):男方: "+zam+" U/L");
	1767	+ abnormityProposal.add("转氨酶升高，提示有肝细胞损伤，建议到综合医院肝病专科进一步诊治，建议治愈并停药3个月以上再生育。");
	1768	+ }
	1769	+ }
	1770	+ //男方梅毒螺旋体筛查阳性
	1771	+ String meidu=null!=model.getHusbandClinicalCheck().get("meidu")?model.getHusbandClinicalCheck().get("meidu").toString():null;
	1772	+ if(StringUtils.isNotEmpty(meidu)){
	1773	+ int md=Integer.parseInt(meidu);
	1774	+ if(md==1){
	1775	+ abnormityList.add("梅毒螺旋体:男方: 阳性");
	1776	+ abnormityProposal.add("为梅毒血清学初筛试验异常，阳性者需进一步做确证试验，若确诊为梅毒，建议治疗痊愈后生育。");
	1777	+ }
	1778	+ }
	1779	+ }
1547	1780
1548		-
1549		-
1550		-
1551	1781	map.put("abnormity",abnormityList);
1552	1782	map.put("abnormityProposal",abnormityProposal);
1553	1783	return map;
	1784	+ }
	1785	+
	1786	+ @Override
	1787	+ public BaseResponse pastAbnormityProposalAdd() {
	1788	+ Query query=new Query();
	1789	+ query.addCriteria(Criteria.where("hospitalId").is("2100001605"));
	1790	+ List <PreEugenicsBaseModel> preEugenicsBaseModels = mongoTemplate.find(query, PreEugenicsBaseModel.class);
	1791	+ if (CollectionUtils.isNotEmpty(preEugenicsBaseModels)) {
	1792	+ int batchSize = 20;
	1793	+ int end = 0;
	1794	+ List <Future> listFuture = new ArrayList <>();
	1795	+ for (int i = 0; i < preEugenicsBaseModels.size(); i += batchSize) {
	1796	+ end = (end + batchSize);
	1797	+ if (end > preEugenicsBaseModels.size()) {
	1798	+ end = preEugenicsBaseModels.size();
	1799	+ }
	1800	+ final List<PreEugenicsBaseModel> risks = preEugenicsBaseModels.subList(i, end);
	1801	+ listFuture.add(commonThreadPool.submit(new Callable() {
	1802	+ @Override
	1803	+ public Object call() throws Exception {
	1804	+ if (CollectionUtils.isNotEmpty(risks)) {
	1805	+ for (PreEugenicsBaseModel model : risks) {
	1806	+ try {
	1807	+ Map<String,List<String>> map = getAbnormityRoProposal(model);
	1808	+ if(MapUtils.isNotEmpty(map)){
	1809	+ model.setAbnormity(map.get("abnormity"));
	1810	+ model.setAbnormityProposal(map.get("abnormityProposal"));
	1811	+ Query query = Query.query(Criteria.where("id").is(model.getId()));
	1812	+ Update update = MongoConvertHelper
	1813	+ .convertToNativeUpdate(ReflectionUtils.getUpdateField(model));
	1814	+ mongoTemplate.updateFirst(query, update, PreEugenicsBaseModel.class);
	1815	+ }
	1816	+ } catch (Exception e) {
	1817	+ e.printStackTrace();
	1818	+ }
	1819	+ }
	1820	+ }
	1821	+ return null;
	1822	+ }
	1823	+ }));
	1824	+ }
	1825	+
	1826	+ }
	1827	+ return new BaseObjectResponse().setErrorcode(ErrorCodeConstants.SUCCESS).setErrormsg("成功");
1554	1828	}
1555	1829
1556	1830	public static final String AREA_URL = PropertiesUtils.getPropertyValue("area_url");