diff --git a/openhis-ui-vue3/src/views/doctorstation/components/prescription/prescriptionlist.vue b/openhis-ui-vue3/src/views/doctorstation/components/prescription/prescriptionlist.vue
index cd137662c..95945dbb9 100755
--- a/openhis-ui-vue3/src/views/doctorstation/components/prescription/prescriptionlist.vue
+++ b/openhis-ui-vue3/src/views/doctorstation/components/prescription/prescriptionlist.vue
@@ -1026,7 +1026,7 @@ const mapAdviceTypeLabel = (type, adviceTableName) => {
     return found.label;
   }
 
-  // 🔧 Bug #458 Fix: 诊疗/手术类型字典缺失时的兜底，避免保存后"医嘱类型"列显示为空
+  // 🔧 Bug #458 Fix: 诊疗/手术类型字典缺失或标签为空时的兜底
   if (adviceTableName === 'wor_activity_definition' || adviceTableName === 'wor_service_request') {
     if (type === 6) return '手术';
     if (type === 4) return '手术';
@@ -1036,6 +1036,15 @@ const mapAdviceTypeLabel = (type, adviceTableName) => {
     return '诊疗';
   }
 
+  // 🔧 Bug #458 Fix: 兜底映射，确保所有有效 adviceType 都有显示标签
+  // 不依赖字典数据和表名，直接返回标准类型名称
+  if (type === 3) return '诊疗';
+  if (type === 6) return '手术';
+  if (type === 4) return '耗材';
+  if (type === 1) return '西药';
+  if (type === 2) return '中成药';
+  if (type === 5) return '会诊';
+
   return '';
 };
 
@@ -1658,12 +1667,16 @@ function getListInfo(addNewRow) {
                               contentJson?.consultationRequestId;
         
         let adviceType = item.adviceType;
-        
+
         // 🔧 Bug Fix: 后端保存时将耗材(4)转换为中成药(2)，显示时需要转换回来
         // 检查 adviceTableName，如果是耗材表则应该是耗材类型
         const adviceTableName = contentJson?.adviceTableName || item.adviceTableName;
-        
-        let adviceType_dictText = item.adviceType_dictText || mapAdviceTypeLabel(adviceType, adviceTableName);
+
+        // 🔧 Bug #458 Fix: 后端可能返回空字符串的 adviceType_dictText，需重新计算
+        const backendDictText = item.adviceType_dictText;
+        let adviceType_dictText = (backendDictText && backendDictText.trim())
+          ? backendDictText
+          : mapAdviceTypeLabel(adviceType, adviceTableName);
         
         // 如果是会诊类型，设置为会诊类型
         if (isConsultation) {