feat: 消费停录汇总与查结果同口径，并更新分类与 TSV

- 停录时由 details 经 build_consumption_summary 写 TSV/终端汇总，移除 consumption_log_totals 与时间窗累加
- 更新 consumable_classifier 权重、YAML 标签与 consumable_vision_algorithm
- 扩展 consumption TSV 相关测试与配置注释

Made-with: Cursor

tests/test_consumption_tsv_log.py

@@ -13,6 +13,7 @@ from app.services.consumption_tsv_log import (
     build_consumption_markdown,
     build_tsv_line,
     init_consumption_log_file,
+    replace_pending_line_with_voice_resolution,
     resolve_consumption_item_id,
     short_camera_label,
 )
@@ -84,6 +85,43 @@ def test_header_columns() -> None:
     ]
 
 
+def test_replace_pending_line_with_voice_resolution_rewrites_one_row(
+    tmp_path: object,
+    monkeypatch: pytest.MonkeyPatch,
+) -> None:
+    """语音确认后应替换 pending 行，而不是再多一行。"""
+    monkeypatch.setattr(settings, "consumption_tsv_log_enabled", True)
+    monkeypatch.setattr(settings, "consumption_log_timezone", "UTC")
+    monkeypatch.setattr(
+        settings,
+        "consumption_tsv_log_path",
+        str(tmp_path / "{surgery_id}.txt"),
+    )
+    init_consumption_log_file("SURG01")
+    pending = (
+        "pending:abc-123\t待确认\t1\tvision\t"
+        "cam01@2024-01-01T00:00:00.000+00:00"
+        f"{_RANGE_SEP}2024-01-01T00:00:45.000+00:00\tx\t0.1\ty\t0.2\n"
+    )
+    append_consumption_tsv_line("SURG01", pending)
+    replace_pending_line_with_voice_resolution(
+        surgery_id="SURG01",
+        confirmation_id="abc-123",
+        name_to_code={"纱布": "G1"},
+        chosen_label="纱布",
+        doctor_id="voice",
+        wall_epoch=1704067200.0,
+    )
+    text = (tmp_path / "SURG01.txt").read_text(encoding="utf-8")
+    assert "待确认" not in text
+    assert "pending:abc-123" not in text
+    assert "纱布" in text
+    assert "G1" in text
+    # HEADER + 恰好一行数据
+    data_lines = [ln for ln in text.splitlines() if ln and not ln.startswith("item_id\t")]
+    assert len(data_lines) == 1
+
+
 def test_per_surgery_file_init_and_append(
     tmp_path,
     monkeypatch: pytest.MonkeyPatch,