diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/chargemanage/appservice/impl/OutpatientRegistrationAppServiceImpl.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/chargemanage/appservice/impl/OutpatientRegistrationAppServiceImpl.java
index 5fbd84ed..4579fd36 100644
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/chargemanage/appservice/impl/OutpatientRegistrationAppServiceImpl.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/chargemanage/appservice/impl/OutpatientRegistrationAppServiceImpl.java
@@ -272,7 +272,13 @@ public class OutpatientRegistrationAppServiceImpl implements IOutpatientRegistra
         if (statusEnumParam != null && !statusEnumParam.isEmpty()) {
             try {
                 Integer statusEnum = Integer.parseInt(statusEnumParam);
-                queryWrapper.eq("status_enum", statusEnum);
+                if (statusEnum == -1) {
+                    // -1 表示排除退号记录（正常挂号）
+                    queryWrapper.ne("status_enum", 6);
+                } else {
+                    // 其他值表示精确匹配
+                    queryWrapper.eq("status_enum", statusEnum);
+                }
             } catch (NumberFormatException e) {
                 // 忽略无效的参数值
             }
diff --git a/openhis-ui-vue3/src/views/charge/outpatientregistration/index.vue b/openhis-ui-vue3/src/views/charge/outpatientregistration/index.vue
index 2e018b02..ef940879 100644
--- a/openhis-ui-vue3/src/views/charge/outpatientregistration/index.vue
+++ b/openhis-ui-vue3/src/views/charge/outpatientregistration/index.vue
@@ -1156,8 +1156,7 @@ function handleQueryTypeChange() {
     queryParams.value.statusEnum = 6;
   } else if (queryType.value === 'normal') {
     // 查询正常挂号（排除退号状态）
-    queryParams.value.statusEnum = undefined; // 或者设置为非6的状态
-    // 如果需要排除退号，可以在后端处理，这里先不设置
+    queryParams.value.statusEnum = -1; // 使用特殊值表示排除退号记录
   } else {
     // 查询全部
     queryParams.value.statusEnum = undefined;
@@ -1174,8 +1173,8 @@ function handleQuery() {
   if (queryType.value === 'returned') {
     queryParams.value.statusEnum = 6; // 退号状态
   } else if (queryType.value === 'normal') {
-    // 正常挂号，不设置statusEnum或排除6
-    queryParams.value.statusEnum = undefined;
+    // 正常挂号，排除退号记录
+    queryParams.value.statusEnum = -1; // 使用特殊值表示排除退号记录
   } else {
     // 全部
     queryParams.value.statusEnum = undefined;