diff --git a/openhis-ui-vue3/src/views/maintainSystem/Inspection/index.vue b/openhis-ui-vue3/src/views/maintainSystem/Inspection/index.vue
index 7396f3cb..daace2f4 100644
--- a/openhis-ui-vue3/src/views/maintainSystem/Inspection/index.vue
+++ b/openhis-ui-vue3/src/views/maintainSystem/Inspection/index.vue
@@ -242,21 +242,25 @@
                 </template>
               </template>
             </el-table-column>
-            <el-table-column label="检验类型" min-width="120" align="center">
+            <el-table-column  label="检验类型" min-width="120" align="center">
               <template #default="{ row }">
                 <template v-if="editingRowId === row.id">
-                  <el-select v-model="row.inspectionTypeId" placeholder="选择检验类型" size="small" style="width: 100%;" @change="(val) => { const selected = testTypes.find(t => t.id === val); row.testType = selected ? selected.label : ''; }">
+                  <el-select v-model="row.inspectionTypeId" placeholder="选择检验类型" size="small" style="width: 100%;"   filterable
+                             clearable
+                             @change="(val) => handleParentChange(val, row)">
                     <el-option label="选择检验类型" value="" />
+                    <!-- 使用 name 作为显示，id 作为值 -->
                     <el-option
-                      v-for="type in testTypes"
-                      :key="type.id"
-                      :label="type.label"
-                      :value="type.id"
+                        v-for="item in parentTypeOptions"
+                        :key="item.id"
+                        :label="item.name"
+                        :value="item.id"
                     />
+
                   </el-select>
                 </template>
                 <template v-else>
-                  {{ row.testType }}
+                  {{ row.testType || '-' }}
                 </template>
               </template>
             </el-table-column>
@@ -331,13 +335,32 @@
             <el-table-column label="下级医技类型" min-width="100" align="center">
               <template #default="{ row }">
                 <template v-if="editingRowId === row.id">
-                  <el-input v-model="row.subType" size="small" />
+                  <el-select
+                      v-model="row.subItemId"
+                      placeholder="请先选大类"
+                      size="small"
+                      style="width: 100%"
+                      filterable
+                      clearable
+                      :disabled="!row.inspectionTypeId"
+                      :loading="row.loadingSubItems"
+                      @change="handleEditRow"
+                  >
+                    <!-- 数据源来自行内动态加载的 subItemOptions -->
+                    <el-option
+                        v-for="item in (row.subItemOptions || [])"
+                        :key="item.id"
+                        :label="item.name"
+                        :value="item.id"
+                    />
+                  </el-select>
                 </template>
                 <template v-else>
-                  {{ row.sub医技Type || '-' }}
+                  {{ row.subItemName || '-' }}
                 </template>
               </template>
             </el-table-column>
+
             <el-table-column label="备注" min-width="100" align="center">
               <template #default="{ row }">
                 <template v-if="editingRowId === row.id">
@@ -1041,6 +1064,121 @@ onMounted(() => {
 });
 
 
+// ==============================
+// 【修复】级联下拉框逻辑 (包含直接请求代码)
+// ==============================
+
+// 1. 定义响应式数据
+const parentTypeOptions = ref([]);
+
+// 2. 【核心】直接发送请求的方法
+// 这里直接使用 request 工具，不依赖外部 api 文件
+const fetchInspectionTypesRequest = (params) => {
+  return request({
+    url: '/system/inspection-type/list', // 你的后端接口地址
+    method: 'get',
+    params: params
+  });
+};
+
+// 3. 加载所有顶级大类
+const loadParentTypes = async () => {
+  try {
+    // 【发送请求】不传参数，获取所有数据
+    const res = await fetchInspectionTypesRequest({});
+
+    let allData = [];
+    // 兼容多种返回格式
+    if (res.code === 200) {
+      if(res.data && Array.isArray(res.data)) allData = res.data;
+      else if(res.data && res.data.rows) allData = res.data.rows;
+      else if(res.data && res.data.data && Array.isArray(res.data.data)) allData = res.data.data;
+    }
+
+    // 过滤：只保留 parentId 为 null/undefined 的记录作为“大类”
+    parentTypeOptions.value = allData.filter(item =>
+        item.parentId === null || item.parentId === undefined || item.parentId === ''
+    );
+  } catch (error) {
+    ElMessage.error('网络异常，加载大类失败');
+  }
+};
+
+// 4. 处理大类改变，联动加载子类
+const handleParentChange = async (selectedId, row) => {
+  // A. 更新当前行的显示名称
+  const selected = parentTypeOptions.value.find(t => t.id === selectedId);
+  row.inspectionTypeName = selected ? selected.name : '';
+
+  // B. 【重要】重置下级数据
+  row.subItemId = '';
+  row.subItemName = '';
+  row.subItemOptions = [];
+
+  if (!selectedId) return;
+
+  // C. 设置加载状态
+  row.loadingSubItems = true;
+
+  try {
+    // 【发送请求】传入 parentId 参数获取子类
+    const res = await fetchInspectionTypesRequest({ parentId: selectedId });
+
+    let subData = [];
+    if (res.code === 200) {
+      if(res.data && Array.isArray(res.data)) subData = res.data;
+      else if(res.data && res.data.rows) subData = res.data.rows;
+      else if(res.data && res.data.data && Array.isArray(res.data.data)) subData = res.data.data;
+
+      row.subItemOptions = subData;
+
+      // 可选优化：如果子类只有一个，自动选中
+      if (subData.length === 1) {
+        row.subItemId = subData[0].id;
+        row.subItemName = subData[0].name;
+      }
+    } else {
+      ElMessage.info('该分类下暂无子项目');
+    }
+  } catch (error) {
+    ElMessage.error('加载子项目失败');
+  } finally {
+    row.loadingSubItems = false;
+  }
+};
+
+// 5. 点击编辑按钮时触发
+const handleEditRow = (row) => {
+  if (editingRowId.value && editingRowId.value !== row.id) {
+    ElMessage.warning('请先保存或取消当前正在编辑的行');
+    return;
+  }
+
+  editingRowId.value = row.id;
+
+  // 初始化行内属性
+  if (!row.subItemOptions) row.subItemOptions = [];
+  row.loadingSubItems = false;
+
+  // 回显名称
+  if (row.inspectionTypeId && !row.inspectionTypeName) {
+    const p = parentTypeOptions.value.find(i => i.id === row.inspectionTypeId);
+    if (p) row.inspectionTypeName = p.name;
+  }
+
+  if (row.subItemId && row.subItemOptions.length > 0) {
+    const s = row.subItemOptions.find(i => i.id === row.subItemId);
+    if (s) row.subItemName = s.name;
+  }
+};
+
+onMounted(() => {
+  // ... 其他初始化代码
+  loadParentTypes(); // <--- 确保这一行存在
+  // ...
+});
+
+
 // 样本类型数据
 const sampleTypes = ref([
   { value: '血液', label: '血液' },
@@ -1154,7 +1292,7 @@ const loadObservationItems = async (resetPage = false) => {
           testType: item.inspectionTypeId_dictText || item.testType || '', // 优先使用字典翻译字段
           inspectionTypeId: item.inspectionTypeId || null, // 检验类型ID
           package: '',
-          sampleType: item.specimenCode_dictText || '',
+          sampleType: item.specimenCode || '',
           amount: parseFloat(item.retailPrice || 0),
           sortOrder: item.sortOrder || null,
           serviceRange: item.serviceRange || '全部',
@@ -1782,7 +1920,7 @@ const saveItem = async (item) => {
     return;
   }
   
-  if (!item.testType) {
+  if (!item.inspectionTypeId) {
     ElMessage.error('检验类型不能为空');
     return;
   }