diff --git a/openhis-ui-vue3/src/views/surgicalschedule/index.vue b/openhis-ui-vue3/src/views/surgicalschedule/index.vue
index fcd0e3384..d72f0d3c3 100755
--- a/openhis-ui-vue3/src/views/surgicalschedule/index.vue
+++ b/openhis-ui-vue3/src/views/surgicalschedule/index.vue
@@ -1144,13 +1144,17 @@ const {
 const pendingAnesData = ref(null)
 
 // 监听麻醉字典加载，完成后立即设置表单值
+// Bug #433: watch 回调中优先判断字典是否已加载，未加载时跳过（不处理也不清理）
+// 确保字典加载完成时 watch 仍然活跃并能处理 pendingAnesData
 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) {
+      // Bug #433: 字典未加载时跳过，不清理 watch，等待下次触发
+      if (!newList || newList.length === 0) return
+      if (pendingAnesData.value) {
         const data = pendingAnesData.value
         if (data.anesMethod != null) form.anesMethod = Number(data.anesMethod)
         if (data.incisionLevel != null) form.incisionType = Number(data.incisionLevel)
@@ -1349,7 +1353,8 @@ function handleEdit(row) {
     if (res.code === 200) {
       const data = res.data
       Object.assign(form, data)
-      // 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
+      // Bug #433: 先存 pending 再调 watch 函数，确保 watch immediate 回调能看到 pendingAnesData
+      // 修复时序问题：watch({ immediate: true }) 同步触发时 pendingAnesData.value 已被设置
       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)
@@ -1359,6 +1364,8 @@ function handleEdit(row) {
         pendingAnesData.value = data
         setupAnesDataWatch()
       }
+      // Bug #433: 显式赋值确保响应式更新
+      if (data.externalExpertName != null) form.externalExpertName = data.externalExpertName
     } else {
       proxy.$modal.msgError('获取手术安排详情失败')
     }
@@ -1378,7 +1385,8 @@ function handleView(row) {
     if (res.code === 200) {
       const data = res.data
       Object.assign(form, data)
-      // Bug #433: 如果字典已加载则立即转换，否则存入pending等待字典加载完成
+      // Bug #433: 先存 pending 再调 watch 函数，确保 watch immediate 回调能看到 pendingAnesData
+      // 修复时序问题：watch({ immediate: true }) 同步触发时 pendingAnesData.value 已被设置
       if (anesthesiaList.value && anesthesiaList.value.length > 0) {
         if (data.anesMethod != null) form.anesMethod = Number(data.anesMethod)
         if (data.incisionLevel != null) form.incisionType = Number(data.incisionLevel)
@@ -1388,6 +1396,8 @@ function handleView(row) {
         pendingAnesData.value = data
         setupAnesDataWatch()
       }
+      // Bug #433: 显式赋值确保响应式更新
+      if (data.externalExpertName != null) form.externalExpertName = data.externalExpertName
     } else {
       proxy.$modal.msgError('获取手术安排详情失败')
     }