diff --git a/openhis-ui-vue3/src/views/surgicalschedule/index.vue b/openhis-ui-vue3/src/views/surgicalschedule/index.vue
index 1ab934c24..fa9e59e7a 100755
--- a/openhis-ui-vue3/src/views/surgicalschedule/index.vue
+++ b/openhis-ui-vue3/src/views/surgicalschedule/index.vue
@@ -1140,6 +1140,29 @@ const {
   method_code
 } = useDict('surgical_site', 'anesthesia_type', 'incision_level', 'isolation_type', 'surgery_type', 'surgery_level', 'surgery_nature', 'method_code')
 
+// Bug #433: 存储待转换的数据，等待字典加载后再设置类型
+const pendingAnesData = ref(null)
+
+// 监听麻醉字典加载，完成后立即设置表单值
+let anesDataUnwatch = null
+function setupAnesDataWatch() {
+  if (anesDataUnwatch) return // 防止重复设置
+  anesDataUnwatch = watch(
+    anesthesiaList,
+    (newList) => {
+      if (newList && newList.length > 0 && pendingAnesData.value) {
+        const data = pendingAnesData.value
+        if (data.anesMethod != null) form.anesMethod = Number(data.anesMethod)
+        if (data.incisionLevel != null) form.incisionType = Number(data.incisionLevel)
+        if (data.isExternalExpert != null) form.isExternalExpert = Number(data.isExternalExpert)
+        pendingAnesData.value = null
+        if (anesDataUnwatch) { anesDataUnwatch(); anesDataUnwatch = null }
+      }
+    },
+    { immediate: true }
+  )
+}
+
 // 加载数据
 onMounted(() => {
   const anesthesiaType = sessionStorage.getItem('anesthesiaType')
@@ -1325,13 +1348,16 @@ function handleEdit(row) {
     if (res.code === 200) {
       const data = res.data
       Object.assign(form, data)
-      // 使用nextTick确保在Vue响应式更新后再赋值，避免el-select无法匹配选项
-      nextTick(() => {
+      // Bug #433: 如果字典已加载则立即转换，否则存入pending等待字典加载完成
+      if (anesthesiaList.value && anesthesiaList.value.length > 0) {
         if (data.anesMethod != null) form.anesMethod = Number(data.anesMethod)
         if (data.incisionLevel != null) form.incisionType = Number(data.incisionLevel)
         if (data.feeType != null) form.feeType = data.feeType
         if (data.isExternalExpert != null) form.isExternalExpert = Number(data.isExternalExpert)
-      })
+      } else {
+        pendingAnesData.value = data
+        setupAnesDataWatch()
+      }
     } else {
       proxy.$modal.msgError('获取手术安排详情失败')
     }
@@ -1351,13 +1377,16 @@ function handleView(row) {
     if (res.code === 200) {
       const data = res.data
       Object.assign(form, data)
-      // 使用nextTick确保在Vue响应式更新后再赋值，避免el-select无法匹配选项
-      nextTick(() => {
+      // Bug #433: 如果字典已加载则立即转换，否则存入pending等待字典加载完成
+      if (anesthesiaList.value && anesthesiaList.value.length > 0) {
         if (data.anesMethod != null) form.anesMethod = Number(data.anesMethod)
         if (data.incisionLevel != null) form.incisionType = Number(data.incisionLevel)
         if (data.feeType != null) form.feeType = data.feeType
         if (data.isExternalExpert != null) form.isExternalExpert = Number(data.isExternalExpert)
-      })
+      } else {
+        pendingAnesData.value = data
+        setupAnesDataWatch()
+      }
     } else {
       proxy.$modal.msgError('获取手术安排详情失败')
     }