feat: 手术视频消耗、待确认与持久化改造

- 新增 Alembic 初始迁移、领域明细模型及归档持久化与重试链路\n- 拆分视频会话注册表、分类处理、推理时间窗聚合与流处理\n- 消耗日志：TSV/Markdown 含 top2/top3；item_id 优先产品编码；待确认记「待确认」行，语音确认后落正式行并更新汇总\n- 待确认时内存/DB 明细为占位行，确认后替换；拒绝时移除占位\n- 分类 probs 先 detach/cpu 再转 NumPy，修复 MPS/CUDA 上推理被静默跳过\n- 补充集成测试、归档与设备张量等单测

Made-with: Cursor

app/repositories/surgery_results.py

@@ -6,7 +6,7 @@ from sqlalchemy import delete, select
 from sqlalchemy.ext.asyncio import AsyncSession
 
 from app.db.models import SurgeryFinalResult, SurgeryResultDetailRow
-from app.schemas import SurgeryConsumptionDetail, SurgeryConsumptionStored
+from app.domain.consumption import SurgeryConsumptionStored
 
 
 class SurgeryResultRepository:
@@ -47,7 +47,8 @@ class SurgeryResultRepository:
 
     async def load_final_details(
         self, session: AsyncSession, surgery_id: str
-    ) -> list[SurgeryConsumptionDetail] | None:
+    ) -> list[SurgeryConsumptionStored] | None:
+        """返回领域对象列表（含 source）；HTTP 层的转换由 pipeline 负责。"""
         res = await session.execute(
             select(SurgeryFinalResult).where(SurgeryFinalResult.surgery_id == surgery_id)
         )
@@ -60,13 +61,21 @@ class SurgeryResultRepository:
             .order_by(SurgeryResultDetailRow.id)
         )
         rows = q.scalars().all()
-        return [
-            SurgeryConsumptionDetail(
-                item_id=r.item_id,
-                item_name=r.item_name,
-                qty=r.quantity,
-                doctor_id=r.doctor_id,
-                timestamp=r.recorded_at,
+        out: list[SurgeryConsumptionStored] = []
+        for r in rows:
+            pend: str | None = None
+            iid = r.item_id
+            if iid.startswith("pending:"):
+                pend = iid.removeprefix("pending:")
+            out.append(
+                SurgeryConsumptionStored(
+                    item_id=r.item_id,
+                    item_name=r.item_name,
+                    qty=r.quantity,
+                    doctor_id=r.doctor_id,
+                    timestamp=r.recorded_at,
+                    source=r.source,
+                    pending_confirmation_id=pend,
+                )
             )
-            for r in rows
-        ]
+        return out