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 f89587b0..a2db1d4c 100644
--- a/openhis-ui-vue3/src/views/doctorstation/components/examination/examinationApplication.vue
+++ b/openhis-ui-vue3/src/views/doctorstation/components/examination/examinationApplication.vue
@@ -301,12 +301,11 @@
               <div v-if="filteredCategoryList.length === 0" class="empty-hint">
                 {{ dictLoading ? '' : '暂无检查项目，请在"检查项目设置"中配置' }}
               </div>
-              <el-collapse v-else v-model="activeNames">
+              <el-collapse v-else v-model="activeNames" @change="(activeNames) => handleCollapseChange(activeNames)">
                 <el-collapse-item
                   v-for="cat in filteredCategoryList"
                   :key="cat.typeId"
                   :name="cat.typeId"
-                  @click="handleCategoryExpand(cat)"
                 >
                   <template #title>
                     <span class="cat-title">{{ cat.categoryName }}</span>
@@ -356,21 +355,7 @@
                   </el-button>
                 </div>
                 <!-- Bug #384修复: 展开后显示检查方法勾选框列表 -->
-                <div v-if="item.expanded && item.methods && item.methods.length > 0" class="method-list">
-                  <div
-                    v-for="method in item.methods"
-                    :key="method.id"
-                    class="method-option"
-                  >
-                    <el-checkbox
-                      :model-value="item.selectedMethod?.id === method.id"
-                      @change="(val) => selectMethodCheckbox(val, item, method)"
-                    >
-                      <span class="method-name">{{ method.name }}</span>
-                      <span class="method-price">¥{{ method.packagePrice || item.price }}</span>
-                    </el-checkbox>
-                  </div>
-                </div>
+                <!-- Bug #428修复: 展开后显示套餐明细或检查方法 -->                <div v-if="item.expanded">                  <!-- 显示套餐明细 -->                  <div v-if="item.packageDetails && item.packageDetails.length > 0" class="package-details-list">                    <div class="detail-row" v-for="detail in item.packageDetails" :key="detail.id">                      <span class="detail-name">{{ detail.name }}</span>                      <span class="detail-info">数量: {{ detail.quantity }} 单价: ¥{{ detail.price }}</span>                    </div>                  </div>                  <!-- 显示检查方法 -->                  <div v-else-if="item.methods && item.methods.length > 0" class="method-list">                    <div v-for="method in item.methods" :key="method.id" class="method-option">                      <el-checkbox :model-value="item.selectedMethod?.id === method.id" @change="(val) => selectMethodCheckbox(val, item, method)">                        <span class="method-name">{{ method.name }}</span>                        <span class="method-price">¥{{ method.packagePrice || item.price }}</span>                      </el-checkbox>                    </div>                  </div>                </div>
               </div>
             </div>
           </div>
@@ -427,6 +412,7 @@ async function loadPackageDetails(row, treeNode, resolve) {
       resolve(children);
     } else {
       resolve([]);
+async function loadPackageDetailsForItem(item) { if (!item.isPackage || !item.packageId) { return; } try { const res = await request({ url: `/exam/package/${item.packageId}/details`, method: 'get' }); if (res.code === 200 && res.data) { item.packageDetails = res.data.map(detail => ({ ...detail, name: detail.name || detail.itemName, unit: detail.unit || '次', price: detail.price || detail.itemPrice || 0, quantity: detail.quantity || 1 })); } else { item.packageDetails = []; } } catch (err) { console.error('加载套餐明细失败:', err); item.packageDetails = []; } }
     }
   } catch (err) {
     console.error('加载套餐明细失败:', err);
@@ -623,6 +609,17 @@ async function handleCategoryExpand(cat) {
     console.error('加载分类检查方法失败', err);
   }
 }
+async function handleCollapseChange(activeNames) {
+  // 当折叠面板展开时，加载对应分类的检查方法
+  if (Array.isArray(activeNames) && activeNames.length > 0) {
+    for (const typeId of activeNames) {
+      const cat = filteredCategoryList.value.find(c => c.typeId == typeId);
+      if (cat && (!cat.methods || cat.methods.length === 0)) {
+        await handleCategoryExpand(cat);
+      }
+    }
+  }
+}
 
 watch(availableMethods, (newMethods) => {
   if (form.inspectionMethod && !newMethods.find(m => m.name === form.inspectionMethod)) {
@@ -1060,8 +1057,12 @@ async function handleItemSelect(checked, item, cat) {
 }
 
 // Bug #384修复: 展开/收起项目卡片
-function toggleItemExpand(item) {
+async function toggleItemExpand(item) {
   item.expanded = !item.expanded;
+  // 如果是展开且该项目是套餐，加载套餐明细
+  if (item.expanded && item.isPackage && (!item.packageDetails || item.packageDetails.length === 0)) {
+    await loadPackageDetailsForItem(item);
+  }
 }
 
 // Bug #384修复: 勾选框选择检查方法（单选逻辑）