diff --git a/healthlink-his-server/healthlink-his-application/src/main/resources/mapper/pharmacymanage/WesternMedicineDispenseMapper.xml b/healthlink-his-server/healthlink-his-application/src/main/resources/mapper/pharmacymanage/WesternMedicineDispenseMapper.xml
index 35237c4e6..8a1235e8b 100755
--- a/healthlink-his-server/healthlink-his-application/src/main/resources/mapper/pharmacymanage/WesternMedicineDispenseMapper.xml
+++ b/healthlink-his-server/healthlink-his-application/src/main/resources/mapper/pharmacymanage/WesternMedicineDispenseMapper.xml
@@ -124,7 +124,7 @@
                  ii.reception_time,
                  ii.start_time,
                  ii.status_enum
-        ORDER BY ii.reception_time,
+        ORDER BY ii.reception_time DESC,
                  ii.start_time DESC
     </select>
     <select id="selectMedicineDispenseOrderPage" resultMap="medicineDispenseOrderMap">
diff --git a/healthlink-his-ui/src/views/charge/cliniccharge/index.vue b/healthlink-his-ui/src/views/charge/cliniccharge/index.vue
index 70617fa8b..d4ff5d3f2 100755
--- a/healthlink-his-ui/src/views/charge/cliniccharge/index.vue
+++ b/healthlink-his-ui/src/views/charge/cliniccharge/index.vue
@@ -1,123 +1,169 @@
 <template>
-  <div
+  <el-container
     v-loading="readCardLoading"
-    style="display: flex; justify-content: space-between"
     class="app-container"
     :element-loading-text="loadingText"
   >
-    <el-card style="width: 30%">
-      <template #header>
-        <span style="vertical-align: middle">患者列表</span>
-      </template>
-      <div style="width: 100%">
-        <el-input
-          v-model="queryParams.searchKey"
-          placeholder="请输入患者名/病历号"
-          clearable
-          style="width: 48%; margin-bottom: 10px; margin-right: 10px"
-          @keyup.enter="getPatientList"
-        >
-          <template #append>
-            <el-button
-              icon="Search"
-              @click="getPatientList"
-            />
-          </template>
-        </el-input>
-        <el-select
-          v-model="queryParams.statusEnum"
-          style="width: 48%; margin-bottom: 10px; margin-right: 10px"
-          placeholder="收费状态"
-          @change="getPatientList"
-        >
-          <el-option
-            v-for="item in chargeStatusOptions"
-            :key="item.value"
-            :label="item.label"
-            :value="item.value"
-          />
-        </el-select>
-        <div style="width: 100%">
-          <el-date-picker
-            v-model="receptionTime"
-            type="daterange"
-            range-separator="~"
-            start-placeholder="开始时间"
-            end-placeholder="结束时间"
-            placement="bottom"
-            value-format="YYYY-MM-DD"
-            style="width: 84%; margin-bottom: 10px; margin-right: 10px"
-            @change="getPatientList"
-          />
-          <el-button
-            type="primary"
-            style="margin-bottom: 10px"
-            @click="getPatientList"
-          >
-            搜索
-          </el-button>
-        </div>
+    <el-aside width="30%" style="min-width: 280px">
+      <el-card>
+        <template #header>
+          <el-row justify="space-between" align="middle">
+            <span style="font-weight: 600">患者列表</span>
+            <span style="font-size: 12px; color: #909399">
+              共 {{ patientList.length }} 条
+            </span>
+          </el-row>
+        </template>
+        <!-- 检索区域 -->
+        <el-form>
+          <el-row style="margin-bottom: 8px">
+            <el-col :span="24">
+              <el-input
+                v-model="queryParams.searchKey"
+                placeholder="患者名 / 病历号"
+                clearable
+                @keyup.enter="getPatientList"
+              >
+                <template #append>
+                  <el-button icon="Search" @click="getPatientList" />
+                </template>
+              </el-input>
+            </el-col>
+          </el-row>
+          <el-row :gutter="8" style="margin-bottom: 8px">
+            <el-col :span="10">
+              <el-select
+                v-model="queryParams.statusEnum"
+                style="width: 100%"
+                placeholder="收费状态"
+                clearable
+                @change="getPatientList"
+              >
+                <el-option
+                  v-for="item in chargeStatusOptions"
+                  :key="item.value"
+                  :label="item.label"
+                  :value="item.value"
+                />
+              </el-select>
+            </el-col>
+            <el-col :span="14">
+              <el-date-picker
+                v-model="receptionTime"
+                type="daterange"
+                range-separator="~"
+                start-placeholder="开始"
+                end-placeholder="结束"
+                placement="bottom"
+                value-format="YYYY-MM-DD"
+                style="width: 100%"
+                @change="getPatientList"
+              />
+            </el-col>
+          </el-row>
+          <el-row :gutter="8" style="margin-bottom: 8px">
+            <el-col :span="12">
+              <el-button type="primary" style="width: 100%" @click="getPatientList">
+                <el-icon><Search /></el-icon>
+                搜索
+              </el-button>
+            </el-col>
+            <el-col :span="12">
+              <el-button style="width: 100%" @click="resetQuery">
+                <el-icon><Refresh /></el-icon>
+                重置
+              </el-button>
+            </el-col>
+          </el-row>
+        </el-form>
+        <!-- 患者列表表格 -->
         <vxe-table
           ref="patientListRef"
-          height="620"
+          :height="tableHeight"
           :data="patientList"
-          :row-config="{ keyField: 'encounterId' }"
+          :row-config="{ keyField: 'encounterId', isCurrent: true }"
+          :radio-config="{ trigger: 'row' }"
+          highlight-current-row
           @cell-click="clickRow"
         >
           <vxe-column
             title="病历号"
             align="center"
             field="encounterBusNo"
+            width="100"
           />
           <vxe-column
             title="姓名"
             align="center"
             field="patientName"
+            width="70"
           />
-          <!-- <vxe-column title="时间" align="center" field="receptionTime" width="160">
+          <vxe-column
+            title="就诊时间"
+            align="center"
+            field="receptionTime"
+            width="140"
+          >
             <template #default="scope">
-              {{ formatDate(scope.row.receptionTime) }}
+              {{ formatDateStr(scope.row.receptionTime, 'MM-DD HH:mm') }}
             </template>
-          </vxe-column> -->
+          </vxe-column>
           <vxe-column
             title="收费状态"
             align="center"
             field="statusEnum_enumText"
-          />
+            min-width="80"
+          >
+            <template #default="scope">
+              <el-tag
+                :type="scope.row.statusEnum === 1 ? '' : scope.row.statusEnum === 5 ? 'success' : scope.row.statusEnum === 8 ? 'danger' : 'warning'"
+                size="small"
+                disable-transitions
+              >
+                {{ scope.row.statusEnum_enumText }}
+              </el-tag>
+            </template>
+          </vxe-column>
         </vxe-table>
-      </div>
-    </el-card>
-    <div style="width: 69%">
-      <el-card style="margin-bottom: 20px">
+      </el-card>
+    </el-aside>
+    <el-main style="margin-left: 16px">
+      <el-card style="margin-bottom: 16px">
         <template #header>
-          <span style="vertical-align: middle">基本信息</span>
+          <span style="font-weight: 600">基本信息</span>
         </template>
-        <el-descriptions :column="5">
-          <el-descriptions-item label="姓名:">
-            {{ patientInfo.patientName }}
+        <el-descriptions :column="5" border size="small">
+          <el-descriptions-item label="姓名" min-width="80">
+            {{ patientInfo.patientName || '-' }}
           </el-descriptions-item>
-          <el-descriptions-item label="性别:">
-            {{ patientInfo.genderEnum_enumText }}
+          <el-descriptions-item label="性别" min-width="60">
+            {{ patientInfo.genderEnum_enumText || '-' }}
           </el-descriptions-item>
-          <el-descriptions-item label="年龄:">
-            {{ patientInfo.age }}
+          <el-descriptions-item label="年龄" min-width="50">
+            {{ patientInfo.age || '-' }}
           </el-descriptions-item>
-          <el-descriptions-item label="科室:">
-            {{ patientInfo.organizationName }}
+          <el-descriptions-item label="科室" min-width="100">
+            {{ patientInfo.organizationName || '-' }}
           </el-descriptions-item>
-          <el-descriptions-item label="就诊时间:">
-            {{ formatDateStr(patientInfo.receptionTime, 'YYYY-MM-DD HH:mm:ss') }}
+          <el-descriptions-item label="就诊时间" min-width="140">
+            {{ formatDateStr(patientInfo.receptionTime, 'YYYY-MM-DD HH:mm:ss') || '-' }}
           </el-descriptions-item>
-          <!-- <el-descriptions-item label="身份证号:">{{ patientInfo.idCard }}</el-descriptions-item> -->
-          <!-- <el-descriptions-item label="手机号">{{ patientInfo.name }}</el-descriptions-item>
-          <el-descriptions-item label="出生日期">{{ patientInfo.name }}</el-descriptions-item> -->
         </el-descriptions>
       </el-card>
-      <el-card style="min-width: 1100px">
+      <el-card>
         <template #header>
-          <span style="vertical-align: middle">收费项目</span>
+          <el-row justify="space-between" align="middle">
+            <span style="font-weight: 600">收费项目</span>
+            <span style="font-size: 15px; color: #e6a23c">
+              合计金额：
+              <strong style="font-size: 18px">
+                ¥{{ totalAmounts ? totalAmounts.toFixed(2) : '0.00' }}
+              </strong>
+            </span>
+          </el-row>
         </template>
-        <div style="margin-bottom: 10px">
+        <!-- 操作按钮区 -->
+        <el-row align="middle" style="margin-bottom: 12px; flex-wrap: wrap">
           <el-button
             type="primary"
             :disabled="buttonDisabled"
@@ -125,71 +171,69 @@
           >
             确认收费
           </el-button>
+          <el-divider direction="vertical" />
+          <el-button-group>
+            <el-button
+              type="primary"
+              plain
+              @click="handleReadCard('01')"
+            >
+              电子凭证
+            </el-button>
+            <el-button
+              type="primary"
+              plain
+              :disabled="true"
+              @click="handleReadCard('02')"
+            >
+              身份证
+            </el-button>
+            <el-button
+              type="primary"
+              plain
+              @click="handleReadCard('03')"
+            >
+              医保卡
+            </el-button>
+          </el-button-group>
+          <el-divider direction="vertical" />
           <el-button
-            type="primary"
+            type="warning"
             plain
-            style="width: 65px"
-            @click="handleReadCard('01')"
-          >
-            电子凭证
-          </el-button>
-          <el-button
-            type="primary"
-            plain
-            style="width: 65px"
-            :disabled="true"
-            @click="handleReadCard('02')"
-          >
-            身份证
-          </el-button>
-          <el-button
-            type="primary"
-            plain
-            style="width: 65px"
-            @click="handleReadCard('03')"
-          >
-            医保卡
-          </el-button>
-          <el-button
-            type="primary"
-            style="margin-left: 20px"
             :disabled="buttonDisabled"
             @click="payToSelt()"
           >
             医保转自费
           </el-button>
           <el-button
-            type="primary"
-            style="margin-left: 20px"
+            type="success"
+            plain
             :disabled="buttonDisabled"
             @click="patToMedicalInsurance()"
           >
             自费转医保
           </el-button>
           <el-button
-            type="primary"
-            style="margin-left: 20px"
+            type="warning"
+            plain
             :disabled="buttonDisabled"
             @click="studentPayTosStudentSelf()"
           >
             学生医保转学生自费
           </el-button>
           <el-button
-            type="primary"
-            style="margin-left: 20px"
+            type="success"
+            plain
             :disabled="buttonDisabled"
             @click="studentSelfToStudentPay()"
           >
             学生自费转学生医保
           </el-button>
-        </div>
-        <div style="text-align: right; padding-right: 20px; margin-bottom: 10px;">
-          <span style="font-weight: bold; font-size: 14px;">合计金额：{{ totalAmounts ? totalAmounts.toFixed(2) : 0 }}元</span>
-        </div>
+        </el-row>
         <vxe-table
           ref="chargeListRef"
           v-loading="chargeLoading"
-          height="530"
+          :height="tableHeight"
           :data="chargeList"
           :span-method="objectSpanMethod"
           border
@@ -304,7 +348,7 @@
           </vxe-column>
         </vxe-table>
       </el-card>
-    </div>
+    </el-main>
 
     <ChargeDialog
       ref="chargeDialogRef"
@@ -324,7 +368,7 @@
       @close="handleClose"
       @refresh="getPatientList"
     />
-  </div>
+  </el-container>
 </template>
 
 <script setup name="ClinicCharge">
@@ -340,6 +384,7 @@ import {
   precharge,
 } from './components/api';
 import {invokeYbPlugin5000, invokeYbPlugin5001} from '@/api/public';
+import { Search, Refresh } from '@element-plus/icons-vue';
 import ChargeDialog from './components/chargeDialog.vue';
 import {formatDateStr} from '@/utils';
 import useUserStore from '@/store/modules/user';
@@ -378,6 +423,21 @@ const buttonDisabled = computed(() => {
 });
 const chargedItems = ref([]);
 
+// 动态计算患者列表表格高度（减去检索区域大概高度）
+const tableHeight = ref(window.innerHeight - 420);
+
+function onWindowResize() {
+  tableHeight.value = window.innerHeight - 420;
+}
+
+onMounted(() => {
+  window.addEventListener('resize', onWindowResize);
+});
+
+onUnmounted(() => {
+  window.removeEventListener('resize', onWindowResize);
+});
+
 watch(
   () => selectedRows.value,
   (newVlaue) => {
@@ -433,6 +493,17 @@ function getPatientList() {
   });
 }
 
+/** 重置查询条件 */
+function resetQuery() {
+  queryParams.value.searchKey = undefined;
+  queryParams.value.statusEnum = 1;
+  receptionTime.value = [
+    formatDateStr(new Date(), 'YYYY-MM-DD'),
+    formatDateStr(new Date(), 'YYYY-MM-DD'),
+  ];
+  getPatientList();
+}
+
 function initOption() {
   init().then((res) => {
     chargeStatusOptions.value = res.data.chargeItemStatusOptions;
@@ -485,7 +556,7 @@ function handleClose(value, msg) {
 const consumablesIdList = ref([]);
 // 确认收费
 function confirmCharge() {
-  let selectRows = chargeListRef.value.getSelectionRows();
+  let selectRows = chargeListRef.value.getCheckboxRecords();
   if (selectRows.length == 0) {
     proxy.$modal.msgWarning('请选择一条收费项目');
     return;
@@ -649,7 +720,7 @@ async function handleReadCard(value) {
     }
     readCardLoading.value = false;
     if (userMessage.certNo) {
-      let selectRows = chargeListRef.value.getSelectionRows();
+      let selectRows = chargeListRef.value.getCheckboxRecords();
       if (selectRows.length == 0) {
         proxy.$modal.msgWarning('请选择一条收费项目');
         return;
@@ -838,4 +909,14 @@ function printCharge(row) {
 :deep(.vxe-table--body) tr:hover td.no-hover-column {
   background-color: inherit !important;
 }
+
+/* 覆盖 el-main 默认 padding */
+:deep(.el-main) {
+  padding: 0;
+}
+
+/* 覆盖 el-aside 默认 overflow */
+:deep(.el-aside) {
+  overflow: visible;
+}
 </style>
diff --git a/healthlink-his-ui/src/views/pharmacymanagement/westernmedicine/index.vue b/healthlink-his-ui/src/views/pharmacymanagement/westernmedicine/index.vue
index 1dae778ce..e6e3da950 100755
--- a/healthlink-his-ui/src/views/pharmacymanagement/westernmedicine/index.vue
+++ b/healthlink-his-ui/src/views/pharmacymanagement/westernmedicine/index.vue
@@ -1,6 +1,9 @@
 <template>
   <div class="app-container">
-    <div class="left">
+    <el-card class="left" shadow="hover">
+      <template #header>
+        <span style="font-weight: 600">患者列表</span>
+      </template>
       <div class="form">
         <el-form
           v-show="showSearch"
@@ -52,22 +55,6 @@
               @change="handleQuery"
             />
           </el-form-item>
-          <!-- <el-form-item label="科室" prop="departmentId">
-            <el-select
-              v-model="queryParams.departmentId"
-              placeholder="请选择科室"
-              clearable
-              style="width: 160px"
-              @change="handleQuery"
-            >
-              <el-option
-                v-for="item in departmentList"
-                :key="item.value"
-                :label="item.label"
-                :value="item.value"
-              />
-            </el-select>
-          </el-form-item> -->
           <el-form-item style="margin-left: 15px">
             <el-button
               type="primary"
@@ -82,103 +69,70 @@
         </el-form>
       </div>
 
-      <vxe-table
-        :row-config="{ isCurrent: true }"
-        :data="patientList"
-        border
-        style="width: 100%; flex: 1; min-height: 0"
-        @cell-click="handleCurrentChange"
-      >
-        <vxe-column
-          field="patientName"
-          title="姓名"
-          width="130"
-          align="center"
-        />
-        <vxe-column
-          field="genderEnum_enumText"
-          title="性别"
-          width="80"
-          align="center"
-        />
-        <vxe-column
-          field="age"
-          title="年龄"
-          width="80"
-          align="center"
-        />
-        <vxe-column
-          field="phone"
-          title="电话"
-          width="80"
-          align="center"
-        />
-        <vxe-column
-          field="receptionTime"
-          title="就诊日期"
-          align="center"
+      <div class="table-wrapper">
+        <vxe-table
+          :row-config="{ isCurrent: true, keyField: 'encounterId' }"
+          :data="patientList"
+          border
+          highlight-current-row
+          :auto-resize="true"
+          @cell-click="handleCurrentChange"
         >
-          <template #default="scope">
-            {{ scope.row.receptionTime ? formatDate(scope.row.receptionTime) : "-" }}
-          </template>
-        </vxe-column>
-      </vxe-table>
-      <pagination
-        v-show="total > 0"
-        v-model:page="queryParams.pageNo"
-        v-model:limit="queryParams.pageSize"
-        :total="total"
-        @pagination="getList"
-      />
-    </div>
-
-    <div class="right">
-      <!-- <div class="select_wrapper_div">
-        <p style="margin-right: 60px; font-size: 19px">患者基本信息</p> -->
-
-      <!-- <el-button type="success" plain @click="print" icon="Printer" style="margin-left: 30px;">打印</el-button> -->
-      <!-- </div> -->
-      <div class="top">
-        <!-- <el-descriptions :column="4" title="患者基本信息">
-          <el-descriptions-item label="姓名：">{{ personInfo.patientName }}</el-descriptions-item>
-          <el-descriptions-item label="性别：">
-            {{ personInfo.genderEnum_enumText }}
-          </el-descriptions-item>
-          <el-descriptions-item label="年龄：">{{ personInfo.age }}</el-descriptions-item>
-          <el-descriptions-item label="合同类型：">
-            {{ personInfo.categoryEnum_enumText }}
-          </el-descriptions-item>
-          <el-descriptions-item label="就诊科室：">
-            {{ personInfo.organizationName }}
-          </el-descriptions-item>
-          <el-descriptions-item label="就诊日期：">
-            {{ personInfo.encounterDate }}
-          </el-descriptions-item>
-          <el-descriptions-item label="证件号：">{{ personInfo.idCard }}</el-descriptions-item>
-          <el-descriptions-item label="总金额：">
-            {{ personInfo.totalPrice ? personInfo.totalPrice.toFixed(2) : '0.00' }}元
-          </el-descriptions-item>
-        </el-descriptions> -->
-        <!-- <el-row>
-          <el-col :span="4">姓名：{{ personInfo.patientName }}</el-col>
-          <el-col :span="3">性别：{{ personInfo.genderEnum_enumText }}</el-col>
-          <el-col :span="3">年龄：{{ personInfo.age }}</el-col>
-          <el-col :span="5">合同类型：{{ personInfo.categoryEnum_enumText }}</el-col> </el-row
-        ><br />
-        <el-row>
-          <el-col :span="5">就诊科室：{{ personInfo.organizationName }}</el-col>
-          <el-col :span="5">就诊日期：{{ personInfo.encounterDate }}</el-col>
-          <el-col :span="7">证件号：{{ personInfo.idCard }}</el-col>
-
-           </el-row
-        ><br />
-        <el-row>
-          <el-col :span="4"
-            >总金额：{{
-              personInfo.totalPrice ? personInfo.totalPrice.toFixed(2) : '0.00'
-            }}元</el-col
+          <vxe-column
+            field="patientName"
+            title="姓名"
+            min-width="55"
+            align="center"
+          />
+          <vxe-column
+            field="genderEnum_enumText"
+            title="性别"
+            width="56"
+            align="center"
+          />
+          <vxe-column
+            field="age"
+            title="年龄"
+            width="56"
+            align="center"
+          />
+          <vxe-column
+            field="phone"
+            title="电话"
+            min-width="55"
+            align="center"
+          />
+          <vxe-column
+            field="receptionTime"
+            title="就诊日期"
+            min-width="100"
+            align="center"
           >
-        </el-row> -->
+            <template #default="scope">
+              {{ scope.row.receptionTime ? formatDate(scope.row.receptionTime) : "-" }}
+            </template>
+          </vxe-column>
+        </vxe-table>
+        <pagination
+          v-show="total > 0"
+          v-model:page="queryParams.pageNo"
+          v-model:limit="queryParams.pageSize"
+          :total="total"
+          @pagination="getList"
+        />
+      </div>
+    </el-card>
+
+    <el-card class="right" shadow="hover">
+      <template #header>
+        <el-row justify="space-between" align="middle">
+          <span style="font-weight: 600">发药明细</span>
+          <span style="font-size: 14px; color: #e6a23c">
+            总金额：<strong>¥{{ medicineTotalPrice ? medicineTotalPrice.toFixed(2) : '0.00' }}</strong>
+          </span>
+        </el-row>
+      </template>
+      <div class="top">
         <span
           style="color: #606266; font-size: 14px; font-weight: 700; margin-right: 15px"
         >
@@ -274,16 +228,13 @@
         >
           处方打印
         </el-button>
-        <div style="position: absolute; top: 30px; right: 25px">
-          总金额：{{ medicineTotalPrice ? medicineTotalPrice.toFixed(2) : "0.00" }}元
-        </div>
       </div>
       <vxe-table
         ref="tableRef"
         v-loading="loading"
         :data="medicineInfoList"
         border
-        style="width: 100%; flex: 1; min-height: 0; margin-top: 10px"
+        :auto-resize="true"
         :span-method="spanMethod"
         :cell-class-name="cellClassName"
         @select="handleSelectionChange"
@@ -549,7 +500,8 @@
           header-align="center"
         /> -->
       </vxe-table>
-    </div>
+    </el-card>
+
     <el-dialog
       v-model="showDialog"
       title="选择作废原因"
@@ -722,12 +674,16 @@ function getList() {
   queryParams.value.receptionTimeETime = dateRange.value[1] + ' 23:59:59';
   if (projectTypeCode.value == 2) {
     listPatient(queryParams.value).then((response) => {
-      patientList.value = response.data.records;
+      patientList.value = (response.data.records || []).sort((a, b) => {
+        return new Date(b.receptionTime) - new Date(a.receptionTime);
+      });
       total.value = response.data.total;
     });
   } else if (projectTypeCode.value == 3) {
     devicePatientList(queryParams.value).then((response) => {
-      patientList.value = response.data.records;
+      patientList.value = (response.data.records || []).sort((a, b) => {
+        return new Date(b.receptionTime) - new Date(a.receptionTime);
+      });
       total.value = response.data.total;
     });
   } else {
@@ -742,6 +698,10 @@ function getList() {
               (item, index, self) =>
                   index === self.findIndex((record) => record.encounterId === item.encounterId)
           );
+          // 按就诊时间倒序
+          uniqueRecords.sort((a, b) => {
+            return new Date(b.receptionTime) - new Date(a.receptionTime);
+          });
           patientList.value = uniqueRecords;
           // 合并总数量（如果需要精确数量，可能需要后端支持）
           total.value = uniqueRecords.length;
@@ -1069,11 +1029,14 @@ function tagType(statusEnum) {
   }
 }
 
-function handleCurrentChange(row) {
+function handleCurrentChange(params) {
+  // vxe-table v4 cell-click 事件传递 { row, column, ... } 包装对象
+  const row = params.row || params;
   loading.value = true;
+  // 切换患者时先清空旧数据，避免显示上一个患者的内容
+  medicineInfoList.value = [];
+  medicineTotalPrice.value = 0;
   currentRow.value = row; // 更新当前选中行的数据
-  currentRow.value.statusEnum = undefined;
-  currentRow.value.dispenseStatus = queryParams.value.statusEnum;
   getAdjustPriceSwitchState().then((res) => {
     adjustPriceSwitchState.value = res.data;
     if (adjustPriceSwitchState.value) {
@@ -1081,6 +1044,8 @@ function handleCurrentChange(row) {
           .then((res) => {
             if (res.code == 200) {
               getMedicineList(row.encounterId);
+            } else {
+              loading.value = false;
             }
           })
           .catch(() => {
@@ -1089,11 +1054,14 @@ function handleCurrentChange(row) {
     } else {
       getMedicineList(row.encounterId);
     }
+  }).catch(() => {
+    loading.value = false;
   });
 }
 
 function getMedicineList(encounterId) {
   // 根据projectTypeCode的值决定调用哪些接口
+  const requestedEncounterId = encounterId; // 记录本次请求的encounterId，防止竞态
   if (projectTypeCode.value == 1) {
     // 同时调用两个接口并将数据合并显示
     Promise.all([
@@ -1126,11 +1094,16 @@ function getMedicineList(encounterId) {
           medicineInfoList.value = [...westernData, ...reportData];
 
           // 处理合并后的数据
-          processMedicineListData();
-          loading.value = false;
+          // 竞态保护：仅当当前选中患者未变化时才更新数据
+          if (currentRow.value && currentRow.value.encounterId === requestedEncounterId) {
+            processMedicineListData();
+          }
         })
-        .catch((error) => {
-          proxy.$modal.msgError('获取数据失败');
+        .catch(() => {
+          proxy.$modal.msgError('获取发药明细失败');
+        })
+        .finally(() => {
+          loading.value = false;
         });
   } else if (projectTypeCode.value == 2) {
     // 只调用listWesternmedicine接口
@@ -1146,8 +1119,13 @@ function getMedicineList(encounterId) {
           ? response.data.records
           : [response.data.records];
 
-      // 处理数据
-      processMedicineListData();
+      // 🔧 竞态保护：仅当当前选中患者未变化时才更新数据
+      if (currentRow.value && currentRow.value.encounterId === requestedEncounterId) {
+        processMedicineListData();
+      }
+    }).catch(() => {
+      proxy.$modal.msgError('获取发药明细失败');
+    }).finally(() => {
       loading.value = false;
     });
   } else if (projectTypeCode.value == 3) {
@@ -1161,8 +1139,13 @@ function getMedicineList(encounterId) {
           ? response.data.records
           : [response.data.records];
 
-      // 处理数据
-      processMedicineListData();
+      // 🔧 竞态保护
+      if (currentRow.value && currentRow.value.encounterId === requestedEncounterId) {
+        processMedicineListData();
+      }
+    }).catch(() => {
+      proxy.$modal.msgError('获取耗材明细失败');
+    }).finally(() => {
       loading.value = false;
     });
   }
@@ -1486,32 +1469,64 @@ function validate() {
   padding: 20px;
   display: flex;
   height: calc(100vh - 84px);
+  min-width: 1024px;
   overflow: hidden;
 }
 
 .left {
-  width: 25%;
-  min-width: 0;
+  width: 35%;
+  min-width: 420px;
   flex-shrink: 0;
   display: flex;
   flex-direction: column;
-  overflow: hidden;
+  overflow: auto;
+
+  :deep(.el-card__body) {
+    flex: 1;
+    display: flex;
+    flex-direction: column;
+  }
 
   .form {
     width: 100%;
-    display: flex;
-    justify-content: space-between;
     flex-shrink: 0;
     flex-wrap: wrap;
     gap: 8px;
   }
+
+  .table-wrapper {
+    display: flex;
+    flex-direction: column;
+  }
 }
 
 .right {
   margin-left: 12px;
   flex: 1;
   min-width: 0;
-  overflow: auto;
+  display: flex;
+  flex-direction: column;
+  overflow: hidden;
+
+  :deep(.el-card__body) {
+    flex: 1;
+    display: flex;
+    flex-direction: column;
+    overflow: hidden;
+    min-height: 0;
+  }
+
+  .top {
+    flex-shrink: 0;
+    margin-bottom: 10px;
+    padding: 5px 0;
+    position: relative;
+  }
+
+  .vxe-table {
+    flex: 1;
+    min-height: 0;
+  }
 }
 
 /* 表格文字颜色改为纯黑色 */
@@ -1602,4 +1617,8 @@ function validate() {
 :deep(.vxe-table--border th.gutter:last-of-type) {
   border-color: #dddde0;
 }
+
+:deep(.vxe-header--column .vxe-cell) {
+  white-space: nowrap;
+}
 </style>