diff --git a/openhis-ui-vue3/src/views/doctorstation/components/examination/examinationApplication.vue b/openhis-ui-vue3/src/views/doctorstation/components/examination/examinationApplication.vue
index d0e52ccc3..aff0cd2c0 100755
--- a/openhis-ui-vue3/src/views/doctorstation/components/examination/examinationApplication.vue
+++ b/openhis-ui-vue3/src/views/doctorstation/components/examination/examinationApplication.vue
@@ -1136,17 +1136,19 @@ function handleRowClick(row) {
   selectedItems.value = [];
   activeDetailTab.value = 'applyForm';
   request({ url: `/exam/apply/${row.applyNo}`, method: 'get' }).then(async res => {
-    const resp = res.data || res;
-    // Bug #408修复: items 在 AjaxResult 顶层(res.items / resp.items)，不在 ExamApply 对象内
-    // 防御性提取：优先取顶层 items，兼容嵌套在 resp.data.items 的情况
-    let rawItems = res.items || resp.items;
-    if (!rawItems && resp.data && typeof resp.data === 'object') {
-      rawItems = resp.data.items;
-    }
-    rawItems = rawItems || [];
-    const d = resp.data || resp;
-    if (d) Object.assign(form, d);
-    if (Array.isArray(rawItems) && rawItems.length > 0) {
+    // 响应结构判定：Axios拦截器对 code===200 返回 res.data（AjaxResult体），
+    // 但某些情况下可能返回完整 Axios 响应 {data: AjaxResult}。
+    // 用 res.code 判定是否已是 AjaxResult 体，避免二次解包导致 items 丢失。
+    const isAjaxResult = res && typeof res === 'object' && res.code !== undefined;
+    const ajaxBody = isAjaxResult ? res : (res.data || res);
+
+    // items 在 AjaxResult 顶层，data 字段是 ExamApply 实体
+    const rawItems = Array.isArray(ajaxBody.items) ? ajaxBody.items : [];
+    const detailData = ajaxBody.data || {};
+
+    if (detailData && typeof detailData === 'object') Object.assign(form, detailData);
+
+    if (rawItems.length > 0) {
       try {
         // 为每个项目加载检查方法
         const itemsWithMethods = await Promise.all(rawItems.map(async m => {