diff --git a/openhis-ui-vue3/src/views/inpatientNurse/medicalOrderExecution/components/prescriptionList.vue b/openhis-ui-vue3/src/views/inpatientNurse/medicalOrderExecution/components/prescriptionList.vue
index 542bf032..5047e03c 100755
--- a/openhis-ui-vue3/src/views/inpatientNurse/medicalOrderExecution/components/prescriptionList.vue
+++ b/openhis-ui-vue3/src/views/inpatientNurse/medicalOrderExecution/components/prescriptionList.vue
@@ -497,8 +497,15 @@ function handleCancel() {
   let list = getSelectRows();
   let producerIds = [];
   list.forEach((item) => {
+    // 从 exePerformRecordList 直接提取 procedureId，确保取消执行时数据完整
+    const procedureIds = (item.exePerformRecordList || []).map((record) => record.procedureId);
+    if (procedureIds.length === 0 && (!item.procedureIds || item.procedureIds.length === 0)) {
+      proxy.$modal.msgError('请选择已执行的医嘱记录');
+      return;
+    }
+    const ids = procedureIds.length > 0 ? procedureIds : item.procedureIds;
     producerIds.push(
-      ...item.procedureIds.map((value) => {
+      ...ids.map((value) => {
         return {
           procedureId: value,
           therapyEnum: item.therapyEnum,
@@ -506,6 +513,9 @@ function handleCancel() {
       })
     );
   });
+  if (producerIds.length === 0) {
+    return;
+  }
   adviceCancel({ adviceExecuteDetailList: producerIds }).then((res) => {
     if (res.code == 200) {
       proxy.$modal.msgSuccess(res.msg || '取消执行成功');