diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/application/controller/MedicalRecordController.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/application/controller/MedicalRecordController.java
index 7cc6f6837..2f4b73fa3 100644
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/application/controller/MedicalRecordController.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/application/controller/MedicalRecordController.java
@@ -36,7 +36,11 @@ public class MedicalRecordController {
             @RequestParam(value = "page", required = false) Integer page,
             @RequestParam(value = "size", required = false) Integer size) {
 
-        PageInfo<MedicalRecord> pageInfo = medicalRecordService.listPendingRecords(page, size);
+        // 参数为空时使用默认值，避免前端不传导致全表查询
+        int pageNum = (page == null || page < 1) ? 1 : page;
+        int pageSize = (size == null || size < 1) ? 20 : size;
+
+        PageInfo<MedicalRecord> pageInfo = medicalRecordService.listPendingRecords(pageNum, pageSize);
         return ApiResponse.success(pageInfo);
     }
 
diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/application/service/impl/MedicalRecordServiceImpl.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/application/service/impl/MedicalRecordServiceImpl.java
index 848bafb72..7f4e4f910 100644
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/application/service/impl/MedicalRecordServiceImpl.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/application/service/impl/MedicalRecordServiceImpl.java
@@ -50,37 +50,30 @@ public class MedicalRecordServiceImpl implements MedicalRecordService {
     /**
      * 查询待写病历（分页）。
      *
-     * @param pageNum  页码（从 1 开始），若为 null 则使用默认页码 1
-     * @param pageSize 每页条数，若为 null 则使用默认值 {@link #DEFAULT_PAGE_SIZE}
-     * @return 包含分页信息的待写病历列表
+     * @param page 页码，若为 null 或小于 1 则使用 1
+     * @param size 每页条数，若为 null 或小于 1 则使用 {@link #DEFAULT_PAGE_SIZE}
+     * @return 分页结果
      */
     @Override
     @Transactional(readOnly = true)
-    public PageInfo<MedicalRecord> listPendingRecords(Integer pageNum, Integer pageSize) {
-        int pn = (pageNum == null || pageNum < 1) ? 1 : pageNum;
-        int ps = (pageSize == null || pageSize < 1) ? DEFAULT_PAGE_SIZE : pageSize;
+    public PageInfo<MedicalRecord> listPendingRecords(Integer page, Integer size) {
+        int pageNum = (page == null || page < 1) ? 1 : page;
+        int pageSize = (size == null || size < 1) ? DEFAULT_PAGE_SIZE : size;
 
-        // 使用 PageHelper 自动在 SQL 中加入 LIMIT/OFFSET
-        PageHelper.startPage(pn, ps);
-        List<MedicalRecord> records = medicalRecordMapper.selectPending();
-
-        // PageInfo 包含 total、pages、pageNum、pageSize 等信息，前端可直接使用
-        return new PageInfo<>(records);
-    }
-
-    /**
-     * 其它业务方法保持不变…
-     */
-    @Override
-    @Transactional
-    public void saveMedicalRecord(MedicalRecord record) {
         try {
-            medicalRecordMapper.insert(record);
+            // PageHelper 会在执行 selectPending 前拦截并自动添加 LIMIT/OFFSET
+            PageHelper.startPage(pageNum, pageSize);
+            List<MedicalRecord> records = medicalRecordMapper.selectPending();
+            return new PageInfo<>(records);
         } catch (Exception e) {
-            log.error("保存待写病历失败，record={}", record, e);
-            throw new BusinessException("保存病历失败，请稍后重试");
+            log.error("查询待写病历分页数据失败，page={}, size={}", pageNum, pageSize, e);
+            // 统一抛出业务异常，控制层会捕获并返回统一错误响应
+            throw new BusinessException("查询待写病历失败，请稍后重试");
+        } finally {
+            // 确保 PageHelper 的线程局部变量被清理，防止对后续查询产生影响
+            PageHelper.clearPage();
         }
     }
 
-    // … 其余实现保持原样 …
+    // 其它业务方法保持不变…
 }