diff --git a/openhis-ui-vue3/src/views/surgicalschedule/index.vue b/openhis-ui-vue3/src/views/surgicalschedule/index.vue
index 80ca7e8d..2108a7a6 100755
--- a/openhis-ui-vue3/src/views/surgicalschedule/index.vue
+++ b/openhis-ui-vue3/src/views/surgicalschedule/index.vue
@@ -1665,8 +1665,17 @@ function handleTemporaryMedicalSubmit(data) {
       }
     })
     
-    // 同步更新计费药品列表，保持数据一致性
-    temporaryBillingMedicines.value = data.billingMedicines || []
+    // 同步更新计费药品列表：移除已生成医嘱的项目，避免数据重复显示
+    const submittedIds = new Set(
+      (data.temporaryAdvices || []).map(a => a.originalMedicine?.requestId || a.originalMedicine?.chargeItemId).filter(Boolean)
+    )
+    if (submittedIds.size > 0) {
+      temporaryBillingMedicines.value = (data.billingMedicines || []).filter(
+        m => !submittedIds.has(m.requestId || m.chargeItemId)
+      )
+    } else {
+      temporaryBillingMedicines.value = []
+    }
     
     console.log('=== 使用用户修改后的临时医嘱数据 ===', temporaryAdvices.value)
     console.log('=== temporaryAdvices.value[1]?.dosage ===', temporaryAdvices.value[1]?.dosage)