diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/inhospitalnursestation/appservice/impl/ATDManageAppServiceImpl.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/inhospitalnursestation/appservice/impl/ATDManageAppServiceImpl.java
index 0e78b07f..41c5b3fe 100644
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/inhospitalnursestation/appservice/impl/ATDManageAppServiceImpl.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/inhospitalnursestation/appservice/impl/ATDManageAppServiceImpl.java
@@ -780,19 +780,32 @@ public class ATDManageAppServiceImpl implements IATDManageAppService {
                     map.put(e.getStatisticDefinitionCode(), e.getValue());
                 }
             });
-            // 入院体征赋值
+            // 入院体征赋值 - 带fallback处理，兼容heartRate/hertRate等历史数据
             dto.setHeight(map.get(TemperatureChartEnum.HEIGHT.getTypeCode()));
             dto.setWeight(map.get(TemperatureChartEnum.WEIGHT.getTypeCode()));
             dto.setTemperature(map.get(TemperatureChartEnum.TEMPERATURE.getTypeCode()));
             dto.setPulse(map.get(TemperatureChartEnum.PULSE.getTypeCode()));
-            dto.setHertRate(map.get(TemperatureChartEnum.HEART_RATE.getTypeCode()));
+            // 心率字段兼容性处理：尝试heartRate，如果不存在尝试hertRate
+            String heartRateValue = map.get(TemperatureChartEnum.HEART_RATE.getTypeCode());
+            if (heartRateValue == null) {
+                heartRateValue = map.get("hertRate"); // 兼容历史数据中的拼写错误
+            }
+            dto.setHertRate(heartRateValue);
             String bloodPressure = map.get(TemperatureChartEnum.BLOOD_PRESSURE.getTypeCode());
-            if (!StringUtils.isEmpty(bloodPressure)) {
+            if (!StringUtils.isEmpty(bloodPressure) && bloodPressure.contains("/")) {
                 String[] split = bloodPressure.split("/");
-                String endBloodPressure = split[0].strip();
-                String highBloodPressure = split[1].strip();
-                dto.setEndBloodPressure(endBloodPressure);
-                dto.setHighBloodPressure(highBloodPressure);
+                // 安全检查：确保分割后有2个元素
+                if (split.length >= 2) {
+                    String endBloodPressure = split[0].strip();
+                    String highBloodPressure = split[1].strip();
+                    // 进一步检查值不为空
+                    if (!endBloodPressure.isEmpty()) {
+                        dto.setEndBloodPressure(endBloodPressure);
+                    }
+                    if (!highBloodPressure.isEmpty()) {
+                        dto.setHighBloodPressure(highBloodPressure);
+                    }
+                }
             }
 
         }
@@ -847,6 +860,19 @@ public class ATDManageAppServiceImpl implements IATDManageAppService {
             // 只保存非空值
             if (value != null && !value.isEmpty() && !" ".equals(value)) {
                 DocStatisticsDefinitionDto docStatisticsDefinitionDto = definitionDtoHashMap.get(key);
+                // 如果找不到定义，尝试使用code作为fallback（兼容历史数据）
+                if (docStatisticsDefinitionDto == null) {
+                    log.warn("DocStatisticsDefinition not found for key: {}, trying fallback lookup", key);
+                    // 尝试查找任意匹配的定义（兼容heartRate/hertRate等差异）
+                    docStatisticsDefinitionDto = definitionList.stream()
+                            .filter(d -> key.equalsIgnoreCase(d.getCode()) || key.equalsIgnoreCase(d.getTypeCode()))
+                            .findFirst()
+                            .orElse(null);
+                }
+                if (docStatisticsDefinitionDto == null) {
+                    log.error("无法找到DocStatisticsDefinition，跳过保存 - key: {}, value: {}", key, value);
+                    return; // 跳过这个字段
+                }
                 DocStatisticsDto statistics = new DocStatisticsDto();
                 statistics.setStatisticDefinitionCode(key);
                 statistics.setValue(value);