diff --git a/healthlink-his-ui/src/views/criticalvalue/components/CriticalValueNotify.vue b/healthlink-his-ui/src/views/criticalvalue/components/CriticalValueNotify.vue
new file mode 100644
index 000000000..da5c07320
--- /dev/null
+++ b/healthlink-his-ui/src/views/criticalvalue/components/CriticalValueNotify.vue
@@ -0,0 +1,129 @@
+<template>
+  <div class="critical-value-notify">
+    <el-badge :value="pendingCount" :hidden="pendingCount === 0" :max="99">
+      <el-button @click="showDrawer = true" type="danger" plain>
+        ⚠️ 危急值 ({{ pendingCount }})
+      </el-button>
+    </el-badge>
+
+    <el-drawer v-model="showDrawer" title="危急值处理" size="450px">
+      <div v-if="pendingList.length === 0" style="text-align:center;padding:40px;color:#999">
+        暂无待处理危急值
+      </div>
+      <div v-for="item in pendingList" :key="item.id" class="notify-item">
+        <el-alert
+          :title="item.patientName + ' - ' + item.itemName"
+          type="error"
+          show-icon
+          :closable="false"
+        >
+          <div style="margin: 8px 0">
+            <div><strong>结果:</strong> <span style="color:#F56C6C;font-weight:bold">{{ item.resultValue }}</span></div>
+            <div><strong>参考范围:</strong> {{ item.referenceRange }}</div>
+            <div><strong>报告时间:</strong> {{ item.reportTime }}</div>
+          </div>
+          <el-button-group style="margin-top: 8px">
+            <el-button size="small" type="primary" @click="quickConfirm(item)">
+              确认接收
+            </el-button>
+            <el-button size="small" type="warning" @click="quickProcess(item)">
+              处理
+            </el-button>
+          </el-button-group>
+        </el-alert>
+      </div>
+    </el-drawer>
+  </div>
+</template>
+
+<script setup>
+import { ref, onMounted, onUnmounted } from 'vue'
+import { ElMessage, ElMessageBox } from 'element-plus'
+import { getPendingList, confirmCriticalValue, processCriticalValue } from '../api'
+
+const pendingCount = ref(0)
+const pendingList = ref([])
+const showDrawer = ref(false)
+let ws = null
+let audio = null
+
+const loadPending = async () => {
+  const res = await getPendingList()
+  pendingList.value = res.data || []
+  pendingCount.value = pendingList.value.length
+}
+
+const quickConfirm = async (row) => {
+  await ElMessageBox.confirm('确认接收此危急值？', '确认', { type: 'warning' })
+  await confirmCriticalValue(row.id, { receiverId: 1, receiverName: '当前用户' })
+  ElMessage.success('已确认接收')
+  loadPending()
+}
+
+const quickProcess = async (row) => {
+  await ElMessageBox.prompt('请输入处理结果', '处理危急值', { type: 'info' })
+    .then(async ({ value }) => {
+      await processCriticalValue(row.id, { handlerId: 1, handlerName: '当前用户', result: value || '已处理' })
+      ElMessage.success('处理完成')
+      loadPending()
+    })
+}
+
+const playAlertSound = () => {
+  try {
+    if (!audio) {
+      audio = new Audio('data:audio/wav;base64,UklGRnoGAABXQVZFZm10IBAAAAABAAEAQB8AAEAfAAABAAgAZGF0YQoGAACBhYqFbF1fdJivrJBhNjVggoKIeGBGPoKQmJhyaTg3ZIKJi3ldREB/kJyaamA0NGOCi418W0ZAf4+YnmpgMzRjgoqNfFtGQH+QmJ5qYDM0Y4KKjXxbRkB/kJyeamAzNGOCio18W0ZAf5CcnmphMzRjgoqNfFtGQH+QnJ5qYTM0Y4KKjXxbRkB/kJyeamEzNGOCio18W0ZAf5CcnmphMzRjgoqNfFtGQH+QnJ5qYTM0Y4KKjXxbRkB/kJyeamEzNGOCio18W0ZAf5CcnmphMzRjgA==')
+      audio.loop = false
+    }
+    audio.play().catch(() => {})
+  } catch (e) {}
+}
+
+const initWebSocket = () => {
+  try {
+    const wsUrl = `ws://${window.location.hostname}:18082/ws/critical-value`
+    ws = new WebSocket(wsUrl)
+
+    ws.onmessage = (event) => {
+      const data = JSON.parse(event.data)
+      if (data.type === 'CRITICAL_VALUE') {
+        pendingCount.value++
+        pendingList.value.unshift(data)
+        playAlertSound()
+        ElMessage.error(`新危急值: ${data.patientName} - ${data.itemName}`)
+
+        if (Notification.permission === 'granted') {
+          new Notification('危急值提醒', {
+            body: `${data.patientName} - ${data.itemName}: ${data.resultValue}`,
+            icon: '/favicon.ico'
+          })
+        }
+      }
+    }
+
+    ws.onclose = () => {
+      setTimeout(initWebSocket, 5000)
+    }
+  } catch (e) {
+    console.error('WebSocket连接失败:', e)
+  }
+}
+
+onMounted(() => {
+  loadPending()
+  initWebSocket()
+  if (Notification.permission === 'default') {
+    Notification.requestPermission()
+  }
+})
+
+onUnmounted(() => {
+  if (ws) ws.close()
+})
+</script>
+
+<style scoped>
+.notify-item {
+  margin-bottom: 12px;
+}
+</style>
diff --git a/healthlink-his-ui/src/views/criticalvalue/pending/index.vue b/healthlink-his-ui/src/views/criticalvalue/pending/index.vue
index b87bd86bd..7108af372 100644
--- a/healthlink-his-ui/src/views/criticalvalue/pending/index.vue
+++ b/healthlink-his-ui/src/views/criticalvalue/pending/index.vue
@@ -1,5 +1,8 @@
 <template>
   <div class="app-container">
+    <div style="position:fixed;top:60px;right:20px;z-index:1000">
+      <CriticalValueNotify />
+    </div>
     <el-row
       :gutter="20"
       class="mb8"
@@ -178,6 +181,7 @@
 <script setup>
 import { ref, onMounted } from 'vue'
 import { getPendingList, getOverdueList, confirmCriticalValue, processCriticalValue, closeCriticalValue, getStatistics } from '../api'
+import CriticalValueNotify from '../components/CriticalValueNotify.vue'
 import { ElMessage, ElMessageBox } from 'element-plus'
 
 const activeTab = ref('pending')