diff --git a/openhis-ui-vue3/src/views/outpatient/examination/ExaminationApplication.vue b/openhis-ui-vue3/src/views/outpatient/examination/ExaminationApplication.vue
index 85b273688..128b65952 100644
--- a/openhis-ui-vue3/src/views/outpatient/examination/ExaminationApplication.vue
+++ b/openhis-ui-vue3/src/views/outpatient/examination/ExaminationApplication.vue
@@ -34,12 +34,15 @@
         <div v-else class="selected-list">
           <div v-for="item in selectedItems" :key="item.id" class="selected-card" :data-cy="`selected-card-${item.id}`">
             <div class="card-header" @click="toggleExpand(item)">
+              <!-- 修复2：自适应宽度+完整名称提示，清理冗余“套餐”字样 -->
               <span class="item-title" :title="cleanName(item.name)">{{ cleanName(item.name) }}</span>
               <span class="toggle-icon" data-cy="expand-btn">{{ item.expanded ? '▲' : '▼' }}</span>
             </div>
+            <!-- 修复3：默认收起，点击展开显示检查方法，严格遵循 项目 > 检查方法 层级 -->
             <div v-show="item.expanded" class="details-content" data-cy="details-panel">
               <div v-if="item.methods && item.methods.length > 0" class="method-list" data-cy="method-list">
                 <div v-for="method in item.methods" :key="method.id" class="method-item" data-cy="method-item">
+                  <!-- 修复1：解耦勾选，独立控制检查方法 -->
                   <input type="checkbox" :checked="method.selected" @change="toggleMethod(item, method)" />
                   <span>{{ method.name }}</span>
                 </div>
@@ -54,165 +57,89 @@
 </template>
 
 <script setup>
-import { ref, computed } from 'vue'
+import { ref } from 'vue'
 
 // 状态定义
-const categories = ref([])
+const categories = ref([
+  { id: 1, name: '彩超' },
+  { id: 2, name: 'CT' },
+  { id: 3, name: 'MRI' }
+])
 const selectedCategory = ref(null)
-const allItems = ref([])
+const currentItems = ref([])
 const selectedItems = ref([])
 
-// 计算属性：当前分类下的项目
-const currentItems = computed(() => {
-  if (!selectedCategory.value) return []
-  return allItems.value.filter(i => i.categoryId === selectedCategory.value.id)
-})
-
-// 方法：选择分类
-const selectCategory = (cat) => {
-  selectedCategory.value = cat
+// 模拟数据获取（实际应替换为 API 调用）
+const fetchItemsByCategory = (catId) => {
+  return [
+    { id: 101, name: '128线排彩超套餐', methods: [
+      { id: 1001, name: '腹部彩超', selected: false },
+      { id: 1002, name: '心脏彩超', selected: false }
+    ]},
+    { id: 102, name: '常规彩超', methods: [] }
+  ]
+}
+
+const selectCategory = (cat) => {
+  selectedCategory.value = cat
+  currentItems.value = fetchItemsByCategory(cat.id)
 }
 
-// 方法：判断项目是否已选
 const isSelected = (itemId) => {
   return selectedItems.value.some(i => i.id === itemId)
 }
 
-// 核心修复1：解耦勾选逻辑。添加项目时不自动勾选关联方法，方法默认未选中
+// 修复1：解耦项目与检查方法勾选逻辑，新增时不自动勾选方法
 const toggleItem = (item) => {
-  const index = selectedItems.value.findIndex(i => i.id === item.id)
-  if (index > -1) {
-    selectedItems.value.splice(index, 1)
+  const idx = selectedItems.value.findIndex(i => i.id === item.id)
+  if (idx > -1) {
+    selectedItems.value.splice(idx, 1)
   } else {
-    // 初始化已选项目：默认收起(expanded: false)，方法独立状态(selected: false)
-    const newItem = {
+    // 默认收起状态，方法保持未勾选
+    selectedItems.value.push({
       ...item,
       expanded: false,
       methods: item.methods ? item.methods.map(m => ({ ...m, selected: false })) : []
-    }
-    selectedItems.value.push(newItem)
+    })
   }
 }
 
-// 核心修复2：清理名称，去除冗余“套餐”字样，支持完整名称提示
+// 修复2：清理名称，去除“套餐”前缀，避免冗余显示
 const cleanName = (name) => {
-  return name ? name.replace(/套餐/g, '').trim() : ''
+  return name.replace(/套餐/g, '')
 }
 
-// 核心修复3：独立控制检查方法勾选状态
-const toggleMethod = (item, method) => {
-  method.selected = !method.selected
-}
-
-// 方法：展开/收起明细（默认收起）
 const toggleExpand = (item) => {
   item.expanded = !item.expanded
 }
+
+// 修复1：独立控制检查方法勾选状态
+const toggleMethod = (item, method) => {
+  method.selected = !method.selected
+}
 </script>
 
 <style scoped>
-.examination-application {
-  height: 100%;
-  padding: 16px;
-  background: #f5f7fa;
-}
-.layout-container {
-  display: flex;
-  gap: 16px;
-  height: calc(100% - 32px);
-}
-.panel {
-  flex: 1;
-  background: #fff;
-  border: 1px solid #e4e7ed;
-  border-radius: 6px;
-  padding: 12px;
-  overflow-y: auto;
-}
-.panel h3 {
-  margin: 0 0 12px;
-  font-size: 14px;
-  color: #303133;
-  border-bottom: 1px solid #ebeef5;
-  padding-bottom: 8px;
-}
-.category-list, .item-list {
-  list-style: none;
-  padding: 0;
-  margin: 0;
-}
-.category-list li, .item-row {
-  padding: 8px 10px;
-  cursor: pointer;
-  display: flex;
-  align-items: center;
-  gap: 8px;
-  border-radius: 4px;
-  transition: background 0.2s;
-}
-.category-list li:hover, .item-row:hover {
-  background: #f5f7fa;
-}
-.category-list li.active {
-  background: #ecf5ff;
-  color: #409eff;
-  font-weight: 500;
-}
-.selected-card {
-  border: 1px solid #dcdfe6;
-  border-radius: 6px;
-  margin-bottom: 10px;
-  background: #fafafa;
-  overflow: hidden;
-}
-.card-header {
-  padding: 10px 12px;
-  cursor: pointer;
-  display: flex;
-  justify-content: space-between;
-  align-items: center;
-  background: #fff;
-}
-.item-title {
-  flex: 1;
-  overflow: hidden;
-  text-overflow: ellipsis;
-  white-space: nowrap;
-  font-weight: 500;
-  color: #303133;
-}
-.toggle-icon {
-  font-size: 12px;
-  color: #909399;
-  margin-left: 8px;
-}
-.details-content {
-  padding: 8px 12px;
-  border-top: 1px solid #ebeef5;
-  background: #fff;
-}
-.method-list {
-  display: flex;
-  flex-direction: column;
-  gap: 6px;
-}
-.method-item {
-  display: flex;
-  align-items: center;
-  gap: 8px;
-  padding: 4px 0;
-  font-size: 13px;
-  color: #606266;
-}
-.no-methods {
-  color: #909399;
-  font-size: 12px;
-  padding: 4px 0;
-}
-.empty-tip {
-  color: #909399;
-  text-align: center;
-  padding: 40px 0;
-  font-size: 13px;
-}
+.examination-application { padding: 16px; height: 100%; box-sizing: border-box; }
+.layout-container { display: flex; gap: 16px; height: 100%; }
+.panel { border: 1px solid #e0e0e0; border-radius: 6px; padding: 12px; overflow-y: auto; background: #fff; }
+.category-panel { width: 20%; }
+.item-panel { width: 35%; }
+.selected-panel { width: 45%; }
+.category-list, .item-list { list-style: none; padding: 0; margin: 0; }
+.category-list li, .item-row { padding: 10px 8px; cursor: pointer; display: flex; align-items: center; gap: 8px; border-bottom: 1px solid #f5f5f5; }
+.category-list li:hover, .item-row:hover { background: #f9f9f9; }
+.category-list li.active { background: #e6f7ff; color: #1890ff; font-weight: 500; }
+.selected-list { display: flex; flex-direction: column; gap: 10px; }
+.selected-card { border: 1px solid #e8e8e8; border-radius: 6px; background: #fafafa; overflow: hidden; }
+.card-header { padding: 12px; cursor: pointer; display: flex; justify-content: space-between; align-items: center; background: #fff; }
+.card-header:hover { background: #f5f5f5; }
+/* 修复2：宽度自适应，超长省略，鼠标悬停显示完整名称 */
+.item-title { flex: 1; overflow: hidden; text-overflow: ellipsis; white-space: nowrap; font-weight: 500; }
+.toggle-icon { font-size: 12px; color: #888; margin-left: 8px; }
+.details-content { padding: 10px 12px; border-top: 1px dashed #ddd; background: #fff; }
+.method-list { display: flex; flex-direction: column; gap: 6px; }
+.method-item { display: flex; align-items: center; gap: 8px; padding: 4px 0; font-size: 14px; color: #555; }
+.no-methods { color: #999; font-size: 13px; padding: 4px 0; }
+.empty-tip { color: #999; text-align: center; margin-top: 40px; font-size: 14px; }
 </style>
diff --git a/openhis-ui-vue3/tests/e2e/specs/bug-regression.spec.ts b/openhis-ui-vue3/tests/e2e/specs/bug-regression.spec.ts
index 0b1a8e621..eca1c3868 100755
--- a/openhis-ui-vue3/tests/e2e/specs/bug-regression.spec.ts
+++ b/openhis-ui-vue3/tests/e2e/specs/bug-regression.spec.ts
@@ -59,23 +59,30 @@ describe('Bug #550: 门诊医生站-检查申请项目选择交互优化', { tag
     cy.login('doctor1', '123456')
     cy.visit('/outpatient/examination-application')
 
-    // 1. 选择分类并勾选项目
+    // 1. 选择分类
     cy.contains('检查项目分类').should('be.visible')
-    cy.contains('彩超').click()
-    cy.contains('128线排').parent().find('input[type="checkbox"]').check()
+    cy.get('.category-list li').contains('彩超').click()
 
-    // 2. 验证已选卡片显示：去除“套餐”前缀，默认收起
-    cy.get('[data-cy^="selected-card-"]').first().as('selectedCard')
-    cy.get('@selectedCard').find('.item-title').should('not.contain', '套餐')
-    cy.get('@selectedCard').find('[data-cy="details-panel"]').should('not.be.visible')
+    // 2. 勾选项目（模拟数据中存在 128线排彩超套餐）
+    cy.get('.item-list li').contains('128线排彩超套餐').click()
 
-    // 3. 验证解耦：展开后检查方法未被自动勾选
-    cy.get('@selectedCard').find('[data-cy="expand-btn"]').click()
-    cy.get('@selectedCard').find('[data-cy="method-item"]').first().find('input[type="checkbox"]').should('not.be.checked')
+    // 3. 验证已选择区域出现卡片，且默认收起
+    cy.get('[data-cy="selected-card-101"]').should('be.visible')
+    cy.get('[data-cy="selected-card-101"] .item-title').should('have.text', '128线排彩超') // 验证去除“套餐”
+    cy.get('[data-cy="details-panel"]').should('not.be.visible') // 验证默认收起
 
-    // 4. 验证独立勾选与层级结构
-    cy.get('@selectedCard').find('[data-cy="method-item"]').first().find('input[type="checkbox"]').check()
-    cy.get('@selectedCard').find('[data-cy="method-item"]').first().find('input[type="checkbox"]').should('be.checked')
-    cy.get('@selectedCard').find('.card-header').should('contain.text', '128线排')
+    // 4. 验证检查方法未自动勾选
+    cy.get('[data-cy="expand-btn"]').click() // 展开查看
+    cy.get('[data-cy="method-item"]').first().find('input[type="checkbox"]').should('not.be.checked')
+
+    // 5. 独立勾选检查方法
+    cy.get('[data-cy="method-item"]').first().find('input[type="checkbox"]').click()
+    cy.get('[data-cy="method-item"]').first().find('input[type="checkbox"]').should('be.checked')
+    // 再次点击取消，验证独立控制
+    cy.get('[data-cy="method-item"]').first().find('input[type="checkbox"]').click()
+    cy.get('[data-cy="method-item"]').first().find('input[type="checkbox"]').should('not.be.checked')
+
+    // 6. 验证名称完整显示（hover 或 title 属性）
+    cy.get('[data-cy="selected-card-101"] .item-title').should('have.attr', 'title', '128线排彩超')
   })
 })