From b926519424590c3d19e0def3f96e75d9b3d1eb19 Mon Sep 17 00:00:00 2001
From: he <10978375@qq.com>
Date: Tue, 17 Oct 2023 14:11:38 +0800
Subject: [PATCH] =?UTF-8?q?=E4=BB=A3=E7=A0=81=E4=BF=AE=E6=94=B9?=
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---
 .../LuganoCalculateService.cs                 | 86 ++++++++++++++++++-
 1 file changed, 83 insertions(+), 3 deletions(-)

diff --git a/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs b/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs
index 95b9ad554..a94df81aa 100644
--- a/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs
+++ b/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs
@@ -1707,6 +1707,83 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
         }
         #endregion
 
+        #region 获取脾脏状态
+
+        /// <summary>
+        /// 获取脾脏状态
+        /// </summary>
+        /// <param name="visitTaskId"></param>
+        /// <param name="spleenLength"></param>
+        /// <returns></returns>
+        [HttpPost]
+        public async Task<string> GetSplenicState(Guid visitTaskId,decimal spleenLength)
+        {
+
+            ReadingCalculateDto inDto = await _generalCalculateService.GetReadingCalculateDto(visitTaskId);
+
+            if (inDto.IsBaseLine)
+            {
+                return SpleenAssessment.Stabilization.GetEnumInt();
+            }
+
+            var result = SpleenAssessment.Stabilization;
+
+
+            var presentSpd = spleenLength;
+            var baseLineSpleenLength = await GetBaseLineSpleenLength(inDto);
+
+            var baseLineTaskId = await GetBaseLineTaskId(inDto);
+            var baseLineState = await _readingTaskQuestionAnswerRepository.Where(x => x.VisitTaskId == baseLineTaskId && x.ReadingQuestionTrial.QuestionType == QuestionType.SplenicStatus).Select(x => x.Answer).FirstOrDefaultAsync();
+
+
+            var differenceValue = presentSpd - baseLineSpleenLength;
+            decimal percentage = 0;
+            if (baseLineSpleenLength != 0)
+            {
+                percentage = differenceValue * 100 / baseLineSpleenLength;
+            }
+
+            //  1、基线 垂直径> 130 mm
+            //2、与基线相比脾垂直径变化值≥10 mm
+            //与基线相比脾肿大增加的百分比 > 50％
+            if (baseLineSpleenLength > 130 && differenceValue >= 10 && percentage > 50)
+            {
+                result = SpleenAssessment.Increase;
+            }
+            //1、基线垂直径≤130mm
+            //2、与基线相比脾垂直径变化值≥20 mm
+            //当前垂直径 > 130 mm
+            else if (baseLineSpleenLength <= 130 && differenceValue >= 20 && presentSpd > 130)
+            {
+                result = SpleenAssessment.Increase;
+            }
+            //1、基线 垂直径> 130 mm
+            //2、当前访视的前面访视中 存在垂直径≤130mm
+            //3、与最低点相比脾脏垂直径的增加值≥20 mm
+            //4、当前垂直径 > 130 mm
+            else if (baseLineSpleenLength > 130 && presentSpd <= 130 && differenceValue >= 20 && presentSpd > 130)
+            {
+                result = SpleenAssessment.Increase;
+            }
+            // 基线垂直径≤130mm
+            else if (baseLineSpleenLength <= 130)
+            {
+                result = SpleenAssessment.Normal;
+            }
+            //1、基线期 状态为“肿大”
+            //与基线相比脾肿大增加的百分比 > 50％
+            else if (baseLineState.EqEnum(SpleenState.Swelling) && percentage > 50)
+            {
+                result = SpleenAssessment.Remission;
+            }
+            else
+            {
+                result = SpleenAssessment.Remission;
+            }
+            return result.GetEnumInt();
+        }
+        #endregion
+
         #region 获取脾脏评估
 
         /// <summary>
@@ -1717,7 +1794,7 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
         public async Task<string> GetSplenicEvaluation(ReadingCalculateDto inDto)
         {
 
-            return inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.SplenicStatus).Select(x => x.Answer).FirstIsNullReturnEmpty();
+             return inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.SplenicStatus).Select(x => x.Answer).FirstIsNullReturnEmpty();
 
             //if (inDto.IsBaseLine)
             //{
@@ -1731,14 +1808,14 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
             //var baseLineSpleenLength = await GetBaseLineSpleenLength(inDto);
 
             //var baseLineTaskId = await GetBaseLineTaskId(inDto);
-            //var baseLineState= await _readingTaskQuestionAnswerRepository.Where(x => x.VisitTaskId == baseLineTaskId && x.ReadingQuestionTrial.QuestionType == QuestionType.SplenicStatus).Select(x => x.Answer).FirstOrDefaultAsync();
+            //var baseLineState = await _readingTaskQuestionAnswerRepository.Where(x => x.VisitTaskId == baseLineTaskId && x.ReadingQuestionTrial.QuestionType == QuestionType.SplenicStatus).Select(x => x.Answer).FirstOrDefaultAsync();
 
 
             //var differenceValue = presentSpd - baseLineSpleenLength;
             //decimal percentage = 0;
             //if (baseLineSpleenLength != 0)
             //{
-            //    percentage = differenceValue*100 / baseLineSpleenLength;
+            //    percentage = differenceValue * 100 / baseLineSpleenLength;
             //}
 
             ////  1、基线 垂直径> 130 mm
@@ -1779,9 +1856,12 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
             //    result = SpleenAssessment.Remission;
             //}
             //return result.GetEnumInt();
+
+
         }
         #endregion
 
+
         #region PET 5PS
 
         /// <summary>