diff --git a/openhis-ui-vue3/src/views/doctorstation/components/surgery/surgeryApplication.vue b/openhis-ui-vue3/src/views/doctorstation/components/surgery/surgeryApplication.vue
index a3a434af..259a5093 100755
--- a/openhis-ui-vue3/src/views/doctorstation/components/surgery/surgeryApplication.vue
+++ b/openhis-ui-vue3/src/views/doctorstation/components/surgery/surgeryApplication.vue
@@ -166,14 +166,11 @@
               <el-select
                 v-model="form.surgeryName"
                 filterable
-                remote
                 reserve-keyword
                 placeholder="请输入关键词搜索手术"
-                :remote-method="remoteSearchSurgery"
-                :loading="surgeryLoading"
+                :filter-method="filterSurgery"
                 style="width: 100%"
                 @change="handleSurgeryChange"
-                @focus="() => remoteSearchSurgery('')"
               >
                 <el-option
                   v-for="item in surgeryNameList"
@@ -219,14 +216,11 @@
                   <el-select
                     v-model="scope.row.surgeryName"
                     filterable
-                    remote
                     reserve-keyword
                     placeholder="搜索次要手术"
-                    :remote-method="remoteSearchSurgery"
-                    :loading="surgeryLoading"
+                    :filter-method="filterSurgery"
                     style="width: 100%"
                     @change="(val) => handleSecondarySurgeryChange(val, scope.row)"
-                    @focus="() => remoteSearchSurgery('')"
                   >
                     <el-option
                       v-for="item in surgeryNameList"
@@ -264,14 +258,11 @@
                   <el-select
                     v-model="scope.row.anesthesiaName"
                     filterable
-                    remote
                     reserve-keyword
                     placeholder="搜索麻醉"
-                    :remote-method="remoteSearchAnesthesia"
-                    :loading="anesthesiaLoading"
+                    :filter-method="filterAnesthesia"
                     style="width: 100%"
                     @change="(val) => handleSecondaryAnesthesiaChange(val, scope.row)"
-                    @focus="() => remoteSearchAnesthesia('')"
                   >
                     <el-option
                       v-for="item in anesthesiaNameList"
@@ -560,12 +551,8 @@ const title = ref('')
 const doctorList = ref([])
 const surgeryNameList = ref([])
 const anesthesiaNameList = ref([])
-const surgeryLoading = ref(false)
-const anesthesiaLoading = ref(false)
-
-// 防抖定时器
-let surgerySearchTimer = null
-let anesthesiaSearchTimer = null
+const allSurgeryItems = ref([])
+const allAnesthesiaItems = ref([])
 
 // 计算总费用
 const totalCalculatedFee = computed(() => {
@@ -624,6 +611,7 @@ watch(() => props.patientInfo, (newVal) => {
 // 挂载时加载医生列表
 onMounted(() => {
   loadDoctorList()
+  loadSurgeryAndAnesthesiaOptions()
 })
 
 // 获取手术申请列表
@@ -967,6 +955,60 @@ function doSearchAnesthesia(query) {
   })
 }
 
+// 本地过滤手术项目
+function filterSurgery(query) {
+  if (!query) {
+    surgeryNameList.value = allSurgeryItems.value
+  } else {
+    surgeryNameList.value = allSurgeryItems.value.filter(item =>
+      (item.name && item.name.toLowerCase().includes(query.toLowerCase())) ||
+      (item.busNo && item.busNo.toLowerCase().includes(query.toLowerCase()))
+    )
+  }
+}
+
+// 本地过滤麻醉项目
+function filterAnesthesia(query) {
+  if (!query) {
+    anesthesiaNameList.value = allAnesthesiaItems.value
+  } else {
+    anesthesiaNameList.value = allAnesthesiaItems.value.filter(item =>
+      (item.name && item.name.toLowerCase().includes(query.toLowerCase())) ||
+      (item.busNo && item.busNo.toLowerCase().includes(query.toLowerCase()))
+    )
+  }
+}
+
+// 加载手术和麻醉全量数据供本地过滤
+function loadSurgeryAndAnesthesiaOptions() {
+  getDiagnosisTreatmentList({
+    searchKey: '',
+    pageNo: 1,
+    pageSize: 1000
+  }).then(res => {
+    let data = []
+    if (res.data && res.data.records) {
+      data = res.data.records
+    } else if (res.data && Array.isArray(res.data)) {
+      data = res.data
+    } else if (res.records && Array.isArray(res.records)) {
+      data = res.records
+    }
+    allSurgeryItems.value = data.filter(item =>
+      (item.categoryCode === '24' || item.categoryCode_dictText === '手术') &&
+      (item.statusEnum === 2 || item.statusEnum_enumText === '启用' || !item.statusEnum)
+    )
+    allAnesthesiaItems.value = data.filter(item =>
+      (item.categoryCode === '25' || item.categoryCode_dictText === '麻醉') &&
+      (item.statusEnum === 2 || item.statusEnum_enumText === '启用' || !item.statusEnum)
+    )
+    surgeryNameList.value = allSurgeryItems.value
+    anesthesiaNameList.value = allAnesthesiaItems.value
+  }).catch(error => {
+    console.error('加载手术/麻醉选项失败:', error)
+  })
+}
+
 // 手术项目选择变更
 function handleSurgeryChange(val) {
   // 🔧 BugFix#318: 确保 surgeryName 被正确设置