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 eb46516bd..646a03252 100755
--- a/openhis-ui-vue3/src/views/inpatientNurse/medicalOrderExecution/components/prescriptionList.vue
+++ b/openhis-ui-vue3/src/views/inpatientNurse/medicalOrderExecution/components/prescriptionList.vue
@@ -459,10 +459,15 @@ function handleGetPrescription(skipAutoSelectAll = false) {
 // 执行
 function handleExecute() {
   let list = getSelectRows();
+  if (list.length === 0) {
+    proxy.$modal.msgWarning('请选择需要执行的医嘱');
+    return;
+  }
   let encounterIds = patientInfoList.value.map((i) => i.encounterId).join(',');
   list = list.map((item) => {
     return {
       requestId: item.requestId,
+      encounterId: item.encounterId,
       accountId: item.accountId,
       adviceTable: item.adviceTable,
       executeTimes: item.executeTimes,
@@ -473,14 +478,23 @@ function handleExecute() {
     if (res.code == 200) {
       // 仅当选中医嘱中包含诊疗类医嘱（可能绑定耗材）时，才调用耗材批号匹配
       // adviceTable 取值为 med_medication_request（药品）或 wor_service_request（诊疗/耗材）
-      // 原代码用 includes('device') 判断有误，两个表名均不含 "device" 字符串
       const hasServiceRequest = list.some((item) =>
         String(item.adviceTable || '') === 'wor_service_request',
       );
       if (hasServiceRequest) {
-        lotNumberMatch({ encounterIdList: encounterIds }, { skipErrorMsg: true }).catch((error) => {
-          console.warn('lotNumberMatch failed after adviceExecute:', error);
-        });
+        // 仅传入选中医嘱对应的 encounterId，避免其他患者的耗材记录干扰
+        const selectedEncounterIds = [...new Set(list.map((item) => item.encounterId).filter(Boolean))];
+        if (selectedEncounterIds.length > 0) {
+          lotNumberMatch({ encounterIdList: selectedEncounterIds }, { skipErrorMsg: true })
+            .then((matchRes) => {
+              if (matchRes && matchRes.code !== 200) {
+                console.warn('lotNumberMatch returned error:', matchRes.msg);
+              }
+            })
+            .catch((error) => {
+              console.warn('lotNumberMatch failed after adviceExecute:', error);
+            });
+        }
       }
       // 刷新列表（不自动全选，保持用户操作前的选择状态）
       handleGetPrescription(true);
@@ -488,6 +502,9 @@ function handleExecute() {
     } else {
       proxy.$modal.msgError(res.msg || '医嘱执行失败');
     }
+  }).catch((error) => {
+    console.error('医嘱执行接口调用失败:', error);
+    proxy.$modal.msgError('医嘱执行失败，请稍后重试');
   });
 }