public string GetDiagnosis(VisitData vData)
{
//原发性头痛
string result = "";
VisitData vd = vdataoperation.DataPreprocess(vData);
localhost.InputData InputDataValue = new localhost.InputData();
if (vd.PHeadacheOverview.OnsetDate != null)
{
DateTime Startdate = vd.PHeadacheOverview.OnsetDate;
int month = (DateTime.Now.Date.Year - Startdate.Year) * 12 + (DateTime.Now.Date.Month - Startdate.Month);
InputDataValue.m_nHeadache_Duration = month;
}
if (vd.PHeadacheOverview.FirstOnsetContinue == "是")
{
InputDataValue.m_bDaily_Headache = true;
}
else if (vd.PHeadacheOverview.FirstOnsetContinue == "否")
{
InputDataValue.m_bDaily_Headache = false;
}
if (vd.PHeadacheOverview.OnsetFixedPeriod == "否")
{
InputDataValue.m_bPeriodism = false;
}
else
{
InputDataValue.m_bPeriodism = true;
}
int number = int.Parse(vd.PHeadacheOverview.HeadacheDegree);
if (number <= 4)
{
InputDataValue.m_nHeadacheDegree = localhost.HeadacheDegree.Mild;
}
if (number > 4 && number < 8)
{
InputDataValue.m_nHeadacheDegree = localhost.HeadacheDegree.Middle;
}
if (number >= 8)
{
InputDataValue.m_nHeadacheDegree = localhost.HeadacheDegree.Heavy;
}
if (vd.PHeadacheOverview.DailyAggravation.Contains("无"))
{
InputDataValue.m_bWorsen_By_Physicial_Activity = false;
}
else
{
InputDataValue.m_bWorsen_By_Physicial_Activity = true;
}
if (vd.PHeadacheOverview.HeadacheType == "搏动性痛" || vd.PHeadacheOverview.HeadacheType == "胀痛")
{
InputDataValue.m_nHeadahceProperty = localhost.HeadacheProperty.Pulse_Pain;
}
if (vd.PHeadacheOverview.HeadacheType.Contains("压迫") || vd.PHeadacheOverview.HeadacheType == "紧箍性痛")
{
InputDataValue.m_nHeadahceProperty = localhost.HeadacheProperty.Pressure_Pain;
}
if (vd.PHeadacheOverview.HeadacheType.Contains("过电样"))
{
InputDataValue.m_nHeadahceProperty = localhost.HeadacheProperty.Electric_Shock_Like_Pain;
}
if (vd.PHeadacheOverview.HeadacheType == "其他" || vd.PHeadacheOverview.HeadacheType.Contains("炸裂样"))
{
InputDataValue.m_nHeadahceProperty = localhost.HeadacheProperty.Other;
}
if (vd.PHeadacheOverview.HeadcheTime != "")
{
InputDataValue.m_nHeadache_Duration_PerTime = int.Parse(vd.PHeadacheOverview.HeadcheTime);
}
if (vd.PHeadacheOverview.HeacheTimeUnit != "")
{
InputDataValue.m_nHeadache_Duration_PerTime_Unit = vd.PHeadacheOverview.HeacheTimeUnit;
}
string total = vd.PHeadacheOverview.OnsetAmount;
if (total.Contains("5"))
{
InputDataValue.m_nHeadache_TotalNumber = 1;
}
if (total.Contains("9"))
{
InputDataValue.m_nHeadache_TotalNumber = 7;
}
if (total.Contains("10"))
{
InputDataValue.m_nHeadache_TotalNumber = 15;
}
if (total.Contains("持续头痛"))
{
InputDataValue.m_nHeadache_TotalNumber = 25;
}
string frequency = vd.PHeadacheOverview.FrequencyPerMonth;
if (frequency == "<1")
{
InputDataValue.m_nHeadache_Monthly_Duration = 0;
}
if (frequency == "1-15")
{
InputDataValue.m_nHeadache_Monthly_Duration = 8;
}
if (frequency == ">15")
{
InputDataValue.m_nHeadache_Monthly_Duration = 16;
}
foreach (HeadachePlace hp in vd.PHeadacheOverview.HeadachePlace)
{
if (hp.Position == "双侧" || hp.Position == "全头痛")
{
InputDataValue.m_HeadacheLocation = localhost.HeadacheLocation.Bi_Pain;
break;
}
if (hp.Position.Contains("左侧") || hp.Position.Contains("右侧"))
{
InputDataValue.m_HeadacheLocation = localhost.HeadacheLocation.Uni_Pain;
break;
}
}
List <localhost.HeadacheAssociatedSymptoms> HeadacheAssociatedSymptonList = new List <localhost.HeadacheAssociatedSymptoms>();
foreach (HeadacheAccompany ha in vd.PHeadacheOverview.HeadacheAccompany)
{
if (ha.Symptom == "恶心")
{
HeadacheAssociatedSymptonList.Add(localhost.HeadacheAssociatedSymptoms.Nausea);
}
if (ha.Symptom == "呕吐")
{
HeadacheAssociatedSymptonList.Add(localhost.HeadacheAssociatedSymptoms.Vomit);
}
if (ha.Symptom == "怕吵")
{
HeadacheAssociatedSymptonList.Add(localhost.HeadacheAssociatedSymptoms.Fair_Of_Sound);
}
if (ha.Symptom == "畏光")
{
HeadacheAssociatedSymptonList.Add(localhost.HeadacheAssociatedSymptoms.Fire_Of_Light);
}
if (ha.Symptom == "同侧鼻塞/流涕")
{
HeadacheAssociatedSymptonList.Add(localhost.HeadacheAssociatedSymptoms.Blocked_or_Watery_Nose);
}
if (ha.Symptom == "同侧结膜充血/流泪")
{
HeadacheAssociatedSymptonList.Add(localhost.HeadacheAssociatedSymptoms.Conjunctival_congestion_or_Tears);
}
if (ha.Symptom == "感觉不安或躁动")
{
HeadacheAssociatedSymptonList.Add(localhost.HeadacheAssociatedSymptoms.Dysphoria);
}
if (ha.Symptom == "同侧前额/面部出汗")
{
HeadacheAssociatedSymptonList.Add(localhost.HeadacheAssociatedSymptoms.Frontal_facial_Sweating);
}
if (ha.Symptom == "同侧眼睑水肿")
{
HeadacheAssociatedSymptonList.Add(localhost.HeadacheAssociatedSymptoms.Ipsilateral_Heyelids_Swelling);
}
if (!HeadacheAssociatedSymptonList.Contains(localhost.HeadacheAssociatedSymptoms.Miosis_or_Blepharoptosis))
{
if (ha.Symptom == "同侧眼睑下垂" || ha.Symptom == "同侧瞳孔缩小")
{
HeadacheAssociatedSymptonList.Add(localhost.HeadacheAssociatedSymptoms.Miosis_or_Blepharoptosis);
}
}
}
List <localhost.HeadacheAura> HeadacheAuraList = new List <localhost.HeadacheAura>();
foreach (HeadacheProdrome headacheP in vd.PHeadacheOverview.HeadacheProdrome)
{
if (headacheP.Prodrome.Contains("单侧视觉"))
{
HeadacheAuraList.Add(localhost.HeadacheAura.Hemi_Visual_Aura);
}
if (headacheP.Prodrome.Contains("双侧视觉"))
{
HeadacheAuraList.Add(localhost.HeadacheAura.Bilateral_Visual_Aura);
}
if (headacheP.Prodrome.Contains("感觉"))
{
HeadacheAuraList.Add(localhost.HeadacheAura.Feeling_Aura);
}
if (headacheP.Prodrome == "语言障碍")
{
HeadacheAuraList.Add(localhost.HeadacheAura.Allolalia);
}
if (headacheP.Prodrome == "运动障碍")
{
HeadacheAuraList.Add(localhost.HeadacheAura.Dyscinesia);
}
}
InputDataValue.m_HeadacheAuraList = HeadacheAuraList.ToArray();
foreach (PreviousDrug pdrug in vd.PDrug)
{
if (pdrug.DrugApplication == "止痛" && pdrug.DayAmoutnPerM != "" && pdrug.MonthTotalAmount != "")
{
int day = int.Parse(pdrug.DayAmoutnPerM);
int month = int.Parse(pdrug.MonthTotalAmount);
if (pdrug.DrugCategory == "阿司匹林" || pdrug.DrugCategory == "扑热息痛" || pdrug.DrugCategory == "非甾体类抗炎药")
{
if (day >= 15 && month >= 3)
{
InputDataValue.m_nNon_Triptan_Drugin_Monthly = day;
InputDataValue.m_nNon_Triptan_Total_Drugin_Duration = month;
}
}
else
{
if (day >= 10 && month >= 3)
{
InputDataValue.m_nTriptan_Drugin_Monthly = day;
InputDataValue.m_nTriptan_Total_Drugin_Duration = month;
}
}
}
}
InputDataValue.m_HeadacheAssociatedSymptonList = HeadacheAssociatedSymptonList.ToArray();
localhost.InferenceService test = new localhost.InferenceService();
string strReslut = null;
test.DoInference(InputDataValue, ref strReslut);
result = strReslut;
return(result);
}
public string GetDiagnosis(VisitData vData)
{
string result = "";
VisitData vd = vdataoperation.DataPreprocess(vData);
if (vd.visitrecord.SecondaryHeadacheSymptom.Count != 0)
{
//继发性头痛
string[] Disease1 = { "蛛网膜下腔出血", "脑出血", "瘤卒中", "脑外伤", "颅内占位病变" };
string[] Disease2 = { "颅内占位病变", "硬膜下血肿", "过度使用药物" };
string[] Disease3 = { "颅内感染", "系统性感染", "结缔组织疾病", "血管炎" };
string[] Disease4 = { "颅内占位", "动静脉畸形", "结缔组织疾病", "颅内感染", "脑卒中" };
string[] Disease5 = { "颅内占位病变", "假性脑瘤综合怔", "颅内感染" };
string[] Disease6 = { "蛛网膜下腔出血", "颅内占位病变" };
string[] Disease7 = { "皮层静脉/静脉窦血栓形成", "垂体卒中" };
string[] Disease8 = { "转移癌", "机会性感染" };
string[] Disease9 = { "颅内占位病变", "颞动脉炎" };
List <string[]> StrDisease = new List <string[]>();
StrDisease.Add(Disease1);
StrDisease.Add(Disease2);
StrDisease.Add(Disease3);
StrDisease.Add(Disease4);
StrDisease.Add(Disease5);
StrDisease.Add(Disease6);
StrDisease.Add(Disease7);
StrDisease.Add(Disease8);
StrDisease.Add(Disease9);
List <string> advice = new List <string>();
List <string> disease = new List <string>();
string conclusion = "需要做以下检查：";
for (int n = 0; n < vd.visitrecord.SecondaryHeadacheSymptom.Count; n++)
{
int num = n + 1;
string number = num.ToString();
adddisease(disease, StrDisease[n]);
advice.Add(number);
}
if (advice.Count != 0)
{
conclusion = conclusion + "神经影像学检查";
if (advice.Contains("1") || advice.Contains("3") || advice.Contains("4"))
{
conclusion = conclusion + "、腰穿";
}
else
{
if (advice.Contains("5") || advice.Contains("6") || advice.Contains("8"))
{
conclusion = conclusion + "、腰穿";
}
}
}
string last = "可能患有以下疾病：";
foreach (string d in disease)
{
last = last + d + "、";
}
string DiseaseLast = last.Substring(0, last.Length - 1);
result = DiseaseLast + "," + conclusion;
}
else
{ //原发性头痛
localhost.InputData InputDataValue = new localhost.InputData();
List <string> errorinfor = new List <string>();
if (vd.PHeadacheOverview.OnsetDate != null)
{
DateTime Startdate = vd.PHeadacheOverview.OnsetDate;
string sd = Startdate.Date.ToShortDateString();
int month = (DateTime.Now.Date.Year - Startdate.Year) * 12 + (DateTime.Now.Date.Month - Startdate.Month);
InputDataValue.m_nHeadache_Duration = month;
if (sd == "1753/1/1")
{
errorinfor.Add("最近起病年月");
}
}
if (vd.PHeadacheOverview.FirstOnsetContinue != "")
{
if (vd.PHeadacheOverview.FirstOnsetContinue == "是")
{
InputDataValue.m_bDaily_Headache = true;
}
else if (vd.PHeadacheOverview.FirstOnsetContinue == "否")
{
InputDataValue.m_bDaily_Headache = false;
}
}
else
{
errorinfor.Add("是否每日头痛");
}
if (vd.PHeadacheOverview.OnsetFixedPeriod == "")
{
errorinfor.Add("头痛是否固定时间发生");
}
else
{
if (vd.PHeadacheOverview.OnsetFixedPeriod == "否")
{
InputDataValue.m_bPeriodism = false;
}
else
{
InputDataValue.m_bPeriodism = true;
}
}
if (vd.PHeadacheOverview.HeadacheDegree != "")
{
int number = int.Parse(vd.PHeadacheOverview.HeadacheDegree);
if (number <= 4)
{
InputDataValue.m_nHeadacheDegree = localhost.HeadacheDegree.Mild;
}
if (number > 4 && number < 8)
{
InputDataValue.m_nHeadacheDegree = localhost.HeadacheDegree.Middle;
}
if (number >= 8)
{
InputDataValue.m_nHeadacheDegree = localhost.HeadacheDegree.Heavy;
}
}
else
{
errorinfor.Add("头痛程度");
}
if (vd.PHeadacheOverview.DailyAggravation != "")
{
if (vd.PHeadacheOverview.DailyAggravation.Contains("无"))
{
InputDataValue.m_bWorsen_By_Physicial_Activity = false;
}
else
{
InputDataValue.m_bWorsen_By_Physicial_Activity = true;
}
}
else
{
errorinfor.Add("头痛是否因为日常生活加重");
}
if (vd.PHeadacheOverview.HeadacheType != "")
{
if (vd.PHeadacheOverview.HeadacheType == "搏动性痛" || vd.PHeadacheOverview.HeadacheType == "胀痛")
{
InputDataValue.m_nHeadahceProperty = localhost.HeadacheProperty.Pulse_Pain;
}
if (vd.PHeadacheOverview.HeadacheType.Contains("压迫") || vd.PHeadacheOverview.HeadacheType == "紧箍性痛")
{
InputDataValue.m_nHeadahceProperty = localhost.HeadacheProperty.Pressure_Pain;
}
if (vd.PHeadacheOverview.HeadacheType.Contains("过电样"))
{
InputDataValue.m_nHeadahceProperty = localhost.HeadacheProperty.Electric_Shock_Like_Pain;
}
if (vd.PHeadacheOverview.HeadacheType == "其它" || vd.PHeadacheOverview.HeadacheType.Contains("炸裂样"))
{
InputDataValue.m_nHeadahceProperty = localhost.HeadacheProperty.Other;
}
}
else
{
errorinfor.Add("头痛性质");
}
if (vd.PHeadacheOverview.HeadcheTime != "")
{
InputDataValue.m_nHeadache_Duration_PerTime = int.Parse(vd.PHeadacheOverview.HeadcheTime);
}
else
{
errorinfor.Add("每次头痛持续时间");
}
if (vd.PHeadacheOverview.HeacheTimeUnit != "")
{
InputDataValue.m_nHeadache_Duration_PerTime_Unit = vd.PHeadacheOverview.HeacheTimeUnit;
}
else
{
errorinfor.Add("每次头痛持续时间单位");
}
if (vd.PHeadacheOverview.OnsetAmount != "")
{
string total = vd.PHeadacheOverview.OnsetAmount;
if (total.Contains("5"))
{
InputDataValue.m_nHeadache_TotalNumber = 3;
}
if (total.Contains("9"))
{
InputDataValue.m_nHeadache_TotalNumber = 7;
}
if (total.Contains("10") || total.Contains("持续头痛"))
{
InputDataValue.m_nHeadache_TotalNumber = 12;
}
}
else
{
errorinfor.Add("头痛发作总次数");
}
if (vd.PHeadacheOverview.FrequencyPerMonth != "")
{
string frequency = vd.PHeadacheOverview.FrequencyPerMonth;
if (frequency == "<1")
{
InputDataValue.m_nHeadache_Monthly_Duration = 0;
}
if (frequency == "1-15")
{
InputDataValue.m_nHeadache_Monthly_Duration = 8;
}
if (frequency == ">15")
{
InputDataValue.m_nHeadache_Monthly_Duration = 16;
}
}
else
{
errorinfor.Add("头痛每月发生天数");
}
foreach (HeadachePlace hp in vd.PHeadacheOverview.HeadachePlace)
{
if (hp.Position == "双侧" || hp.Position == "全头痛")
{
InputDataValue.m_HeadacheLocation = localhost.HeadacheLocation.Bi_Pain;
break;
}
if (hp.Position.Contains("左侧") || hp.Position.Contains("右侧"))
{
InputDataValue.m_HeadacheLocation = localhost.HeadacheLocation.Uni_Pain;
break;
}
}
if (vd.PHeadacheOverview.HeadachePlace.Count == 0)
{
errorinfor.Add("头痛部位");
}
List <localhost.HeadacheAssociatedSymptoms> HeadacheAssociatedSymptonList = new List <localhost.HeadacheAssociatedSymptoms>();
foreach (HeadacheAccompany ha in vd.PHeadacheOverview.HeadacheAccompany)
{
if (ha.Symptom == "恶心")
{
HeadacheAssociatedSymptonList.Add(localhost.HeadacheAssociatedSymptoms.Nausea);
}
if (ha.Symptom == "呕吐")
{
HeadacheAssociatedSymptonList.Add(localhost.HeadacheAssociatedSymptoms.Vomit);
}
if (ha.Symptom == "怕吵")
{
HeadacheAssociatedSymptonList.Add(localhost.HeadacheAssociatedSymptoms.Fair_Of_Sound);
}
if (ha.Symptom == "畏光")
{
HeadacheAssociatedSymptonList.Add(localhost.HeadacheAssociatedSymptoms.Fire_Of_Light);
}
if (ha.Symptom == "同侧鼻塞/流涕")
{
HeadacheAssociatedSymptonList.Add(localhost.HeadacheAssociatedSymptoms.Blocked_or_Watery_Nose);
}
if (ha.Symptom == "同侧结膜充血/流泪")
{
HeadacheAssociatedSymptonList.Add(localhost.HeadacheAssociatedSymptoms.Conjunctival_congestion_or_Tears);
}
if (ha.Symptom == "感觉不安或躁动")
{
HeadacheAssociatedSymptonList.Add(localhost.HeadacheAssociatedSymptoms.Dysphoria);
}
if (ha.Symptom == "同侧前额/面部出汗")
{
HeadacheAssociatedSymptonList.Add(localhost.HeadacheAssociatedSymptoms.Frontal_facial_Sweating);
}
if (ha.Symptom == "同侧眼睑水肿")
{
HeadacheAssociatedSymptonList.Add(localhost.HeadacheAssociatedSymptoms.Ipsilateral_Heyelids_Swelling);
}
if (!HeadacheAssociatedSymptonList.Contains(localhost.HeadacheAssociatedSymptoms.Miosis_or_Blepharoptosis))
{
if (ha.Symptom == "同侧眼睑下垂" || ha.Symptom == "同侧瞳孔缩小")
{
HeadacheAssociatedSymptonList.Add(localhost.HeadacheAssociatedSymptoms.Miosis_or_Blepharoptosis);
}
}
}
List <localhost.HeadacheAura> HeadacheAuraList = new List <localhost.HeadacheAura>();
foreach (HeadacheProdrome headacheP in vd.PHeadacheOverview.HeadacheProdrome)
{
if (headacheP.Prodrome.Contains("单侧视觉"))
{
HeadacheAuraList.Add(localhost.HeadacheAura.Hemi_Visual_Aura);
}
if (headacheP.Prodrome.Contains("双侧视觉"))
{
HeadacheAuraList.Add(localhost.HeadacheAura.Bilateral_Visual_Aura);
}
if (headacheP.Prodrome.Contains("感觉"))
{
HeadacheAuraList.Add(localhost.HeadacheAura.Feeling_Aura);
}
if (headacheP.Prodrome == "语言障碍")
{
HeadacheAuraList.Add(localhost.HeadacheAura.Allolalia);
}
if (headacheP.Prodrome == "运动障碍")
{
HeadacheAuraList.Add(localhost.HeadacheAura.Dyscinesia);
}
}
InputDataValue.m_HeadacheAuraList = HeadacheAuraList.ToArray();
foreach (PreviousDrug pdrug in vd.PDrug)
{
if (pdrug.DrugApplication == "止痛" && pdrug.DayAmoutnPerM != "" && pdrug.MonthTotalAmount != "")
{
int day = int.Parse(pdrug.DayAmoutnPerM);
int month = int.Parse(pdrug.MonthTotalAmount);
if (pdrug.DrugCategory == "曲普坦")
{
if (day > 10 && month >= 3)
{
InputDataValue.m_nTriptan_Drugin_Monthly = day;
InputDataValue.m_nTriptan_Total_Drugin_Duration = month;
}
}
if (pdrug.DrugCategory != "曲普坦")
{
if (day > 15 && month > 3)
{
InputDataValue.m_nNon_Triptan_Drugin_Monthly = day;
InputDataValue.m_nNon_Triptan_Total_Drugin_Duration = month;
}
}
}
}
if (errorinfor.Count == 0)
{
InputDataValue.m_HeadacheAssociatedSymptonList = HeadacheAssociatedSymptonList.ToArray();
localhost.InferenceService test = new localhost.InferenceService();
string strReslut = null;
test.DoInference(InputDataValue, ref strReslut);
result = strReslut;
}
else
{
for (int i = 0; i < errorinfor.Count; i++)
{
string err = errorinfor[i];
if (i != errorinfor.Count - 1)
{
err = err + ",";
}
result = result + err;
}
result = "注意：" + result + "为必填项，请填写";
}
}
return(result);
}