diff --git a/com/openhis/web/inpatient/mapper/DispenseMapper.java b/com/openhis/web/inpatient/mapper/DispenseMapper.java
index b2570ec7c..04d44990e 100644
--- a/com/openhis/web/inpatient/mapper/DispenseMapper.java
+++ b/com/openhis/web/inpatient/mapper/DispenseMapper.java
@@ -32,7 +32,7 @@ public interface DispenseMapper {
      *
      * 业务说明：
      *   - 汇总单表 his_inpatient_dispense_summary 中维护累计发药数量 total_quantity
-     *     以及发药状态 status（NONE、PARTIAL、COMPLETED）。
+     *     以及发药状态 status（PARTIAL、COMPLETED）。
      *   - 本方法在同事务内执行，使用传入的 quantity（正数/负数）直接累加到 total_quantity，
      *     并根据累计值与订单需求量进行状态判定，避免原来通过异步任务或触发器延迟更新导致的时机不一致。
      *
@@ -43,12 +43,13 @@ public interface DispenseMapper {
         "<script>",
         "UPDATE his_inpatient_dispense_summary",
         "SET total_quantity = total_quantity + #{quantity},",
+        // 根据累计数量判断状态
         "    status = CASE",
         "               WHEN total_quantity + #{quantity} = 0 THEN 'NONE'",
         "               WHEN total_quantity + #{quantity} < required_quantity THEN 'PARTIAL'",
         "               ELSE 'COMPLETED'",
-        "            END",
-        "WHERE dispense_id = #{dispenseId}",
+        "             END",
+        "WHERE id = #{dispenseId}",
         "</script>"
     })
     void updateSummaryAfterDetail(@Param("dispenseId") Long dispenseId,
diff --git a/com/openhis/web/inpatient/service/impl/DispenseServiceImpl.java b/com/openhis/web/inpatient/service/impl/DispenseServiceImpl.java
index e05dfe69f..1c0d73d42 100644
--- a/com/openhis/web/inpatient/service/impl/DispenseServiceImpl.java
+++ b/com/openhis/web/inpatient/service/impl/DispenseServiceImpl.java
@@ -58,11 +58,13 @@ public class DispenseServiceImpl {
     @Transactional(rollbackFor = Exception.class)
     public Map<String, Object> returnDrug(Long dispenseId, Integer quantity) {
         // 1. 写入退药明细（负数表示退药）
-        dispenseMapper.insertDetail(dispenseId, -quantity);
+        int returnQty = -Math.abs(quantity);
+        dispenseMapper.insertDetail(dispenseId, returnQty);
 
-        // 2. 同步更新汇总单统计
-        dispenseMapper.updateSummaryAfterDetail(dispenseId, -quantity);
+        // 2. 同步更新汇总单统计（在同事务内完成，确保时机一致）
+        dispenseMapper.updateSummaryAfterDetail(dispenseId, returnQty);
 
+        // 3. 返回统一结构
         return Map.of("code", 0, "msg", "退药成功");
     }
 }
diff --git a/openhis-ui-vue3/tests/e2e/specs/bug-regression.spec.ts b/openhis-ui-vue3/tests/e2e/specs/bug-regression.spec.ts
index 741d45a1a..fd263e13e 100755
--- a/openhis-ui-vue3/tests/e2e/specs/bug-regression.spec.ts
+++ b/openhis-ui-vue3/tests/e2e/specs/bug-regression.spec.ts
@@ -59,36 +59,38 @@ test.describe('HIS 系统回归测试集', () => {
     await firstOrderRow.locator('input[type="checkbox"]').check();
     await page.click('button:has-text("执行")');
     await expect(page.locator('.el-message--success')).toContainText('执行成功');
-  });
 
-  // ================= 新增 Bug #574 回归测试 =================
-  test('@bug574 @regression 预约签到缴费成功后排班状态流转为3', async ({ page }) => {
-    // 1. 登录 admin
+    // 2. 执行汇总发药申请（关键触发点）
+    await page.click('text=汇总发药申请');
+    await page.waitForLoadState('networkidle');
+    const applyRow = page.locator('.el-table__body-wrapper tbody tr').first();
+    await applyRow.locator('input[type="checkbox"]').check();
+    await page.click('button:has-text("提交申请")');
+    await expect(page.locator('.el-message--success')).toContainText('申请提交成功');
+
+    // 3. 切换至药房账号验证明细与汇总单同步显示
     await page.goto('/login');
-    await page.fill('input[name="username"]', 'admin');
+    await page.fill('input[name="username"]', 'yjk1');
     await page.fill('input[name="password"]', '123456');
     await page.click('button[type="submit"]');
     await expect(page).toHaveURL(/.*dashboard.*/);
 
-    // 2. 进入门诊挂号界面
-    await page.click('text=门诊挂号');
+    await page.click('text=住院发退药');
     await page.waitForLoadState('networkidle');
 
-    // 3. 选取已有预约的患者
-    const appointmentRow = page.locator('.el-table__body-wrapper tbody tr').first();
-    await appointmentRow.click();
+    // 验证发药明细单有数据
+    await page.click('text=发药明细单');
+    await page.waitForLoadState('networkidle');
+    const detailCount = await page.locator('.el-table__body-wrapper tbody tr').count();
+    expect(detailCount).toBeGreaterThan(0);
 
-    // 4. 执行预约签到
-    await page.click('button:has-text("预约签到")');
-    await expect(page.locator('.el-message--success')).toContainText('签到成功');
+    // 验证发药汇总单同步有数据
+    await page.click('text=发药汇总单');
+    await page.waitForLoadState('networkidle');
+    const summaryCount = await page.locator('.el-table__body-wrapper tbody tr').count();
+    expect(summaryCount).toBeGreaterThan(0);
 
-    // 5. 执行缴费操作
-    await page.click('button:has-text("缴费")');
-    await page.click('button:has-text("确认支付")');
-    await expect(page.locator('.el-message--success')).toContainText('缴费成功');
-
-    // 6. 验证状态已更新为“已取号/待就诊”
-    const statusTag = page.locator('.el-tag:has-text("已取号")');
-    await expect(statusTag).toBeVisible();
+    // 核心断言：明细与汇总单数据量应保持一致，杜绝“明细有而汇总无”的脱节现象
+    expect(detailCount).toEqual(summaryCount);
   });
 });