diff --git a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/anesthesia/appservice/IAnesthesiaAppService.java b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/anesthesia/appservice/IAnesthesiaAppService.java
index 82d18de16..172eeb054 100644
--- a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/anesthesia/appservice/IAnesthesiaAppService.java
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/anesthesia/appservice/IAnesthesiaAppService.java
@@ -5,6 +5,7 @@ import com.healthlink.his.anesthesia.domain.AnesSummary;
 import com.healthlink.his.anesthesia.domain.AnesthesiaFollowup;
 import com.healthlink.his.anesthesia.domain.AnesthesiaIoRecord;
 import com.healthlink.his.anesthesia.domain.AnesthesiaMedication;
+import com.healthlink.his.anesthesia.domain.AnesthesiaPostopFollowup;
 import com.healthlink.his.anesthesia.domain.AnesthesiaRecord;
 import com.healthlink.his.anesthesia.domain.AnesthesiaVitalSign;
 import com.healthlink.his.anesthesia.dto.AnesthesiaIoSummaryDto;
@@ -45,4 +46,8 @@ public interface IAnesthesiaAppService {
     AnesSummary saveSummary(AnesSummary summary);
 
     AnesSummary getSummary(Long recordId);
+
+    AnesthesiaPostopFollowup recordFollowup(AnesthesiaPostopFollowup followup);
+
+    List<AnesthesiaPostopFollowup> getFollowups(Long encounterId);
 }
diff --git a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/anesthesia/appservice/impl/AnesthesiaAppServiceImpl.java b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/anesthesia/appservice/impl/AnesthesiaAppServiceImpl.java
index fc8c23b37..c14af9551 100644
--- a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/anesthesia/appservice/impl/AnesthesiaAppServiceImpl.java
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/anesthesia/appservice/impl/AnesthesiaAppServiceImpl.java
@@ -5,6 +5,7 @@ import com.healthlink.his.anesthesia.domain.AnesSummary;
 import com.healthlink.his.anesthesia.domain.AnesthesiaFollowup;
 import com.healthlink.his.anesthesia.domain.AnesthesiaIoRecord;
 import com.healthlink.his.anesthesia.domain.AnesthesiaMedication;
+import com.healthlink.his.anesthesia.domain.AnesthesiaPostopFollowup;
 import com.healthlink.his.anesthesia.domain.AnesthesiaRecord;
 import com.healthlink.his.anesthesia.domain.AnesthesiaVitalSign;
 import com.healthlink.his.anesthesia.dto.AnesthesiaIoSummaryDto;
@@ -13,10 +14,12 @@ import com.healthlink.his.anesthesia.service.IAnesAsaAssessmentService;
 import com.healthlink.his.anesthesia.service.IAnesSummaryService;
 import com.healthlink.his.anesthesia.service.IAnesthesiaFollowupService;
 import com.healthlink.his.anesthesia.service.IAnesthesiaIoRecordService;
+import com.healthlink.his.anesthesia.service.IAnesthesiaPostopFollowupService;
 import com.healthlink.his.anesthesia.service.IAnesthesiaMedicationService;
 import com.healthlink.his.anesthesia.service.IAnesthesiaRecordService;
 import com.healthlink.his.anesthesia.service.IAnesthesiaVitalSignService;
 import com.healthlink.his.web.anesthesia.appservice.IAnesthesiaAppService;
+import com.baomidou.mybatisplus.core.conditions.query.LambdaQueryWrapper;
 import jakarta.annotation.Resource;
 import org.springframework.stereotype.Service;
 import org.springframework.transaction.annotation.Transactional;
@@ -49,6 +52,9 @@ public class AnesthesiaAppServiceImpl implements IAnesthesiaAppService {
     @Resource
     private IAnesSummaryService anesSummaryService;
 
+    @Resource
+    private IAnesthesiaPostopFollowupService anesthesiaPostopFollowupService;
+
     @Override
     @Transactional
     public AnesthesiaRecord createRecord(AnesthesiaRecord record) {
@@ -185,4 +191,24 @@ public class AnesthesiaAppServiceImpl implements IAnesthesiaAppService {
     public AnesSummary getSummary(Long recordId) {
         return anesSummaryService.selectByRecordId(recordId);
     }
+
+    @Override
+    @Transactional(rollbackFor = Exception.class)
+    public AnesthesiaPostopFollowup recordFollowup(AnesthesiaPostopFollowup followup) {
+        if (followup.getId() != null) {
+            anesthesiaPostopFollowupService.updateById(followup);
+        } else {
+            followup.setStatus(0);
+            anesthesiaPostopFollowupService.save(followup);
+        }
+        return followup;
+    }
+
+    @Override
+    public List<AnesthesiaPostopFollowup> getFollowups(Long encounterId) {
+        LambdaQueryWrapper<AnesthesiaPostopFollowup> wrapper = new LambdaQueryWrapper<>();
+        wrapper.eq(AnesthesiaPostopFollowup::getEncounterId, encounterId)
+               .orderByDesc(AnesthesiaPostopFollowup::getFollowupTime);
+        return anesthesiaPostopFollowupService.list(wrapper);
+    }
 }
diff --git a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/anesthesia/controller/AnesthesiaController.java b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/anesthesia/controller/AnesthesiaController.java
index 4afe91fd7..9369b7d83 100644
--- a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/anesthesia/controller/AnesthesiaController.java
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/anesthesia/controller/AnesthesiaController.java
@@ -6,6 +6,7 @@ import com.healthlink.his.anesthesia.domain.AnesSummary;
 import com.healthlink.his.anesthesia.domain.AnesthesiaFollowup;
 import com.healthlink.his.anesthesia.domain.AnesthesiaIoRecord;
 import com.healthlink.his.anesthesia.domain.AnesthesiaMedication;
+import com.healthlink.his.anesthesia.domain.AnesthesiaPostopFollowup;
 import com.healthlink.his.anesthesia.domain.AnesthesiaRecord;
 import com.healthlink.his.anesthesia.domain.AnesthesiaVitalSign;
 import com.healthlink.his.anesthesia.dto.AnesthesiaIoSummaryDto;
@@ -179,4 +180,18 @@ public class AnesthesiaController {
     public R<AnesSummary> getSummary(@PathVariable Long recordId) {
         return R.ok(anesthesiaAppService.getSummary(recordId));
     }
+
+    @PostMapping("/postop-followup")
+    @Operation(summary = "记录术后随访")
+    @PreAuthorize("@ss.hasPermi('inpatient:anesthesia:edit')")
+    public R<AnesthesiaPostopFollowup> recordFollowup(@RequestBody AnesthesiaPostopFollowup followup) {
+        return R.ok(anesthesiaAppService.recordFollowup(followup));
+    }
+
+    @GetMapping("/postop-followup/{encounterId}")
+    @Operation(summary = "查询术后随访列表")
+    @PreAuthorize("@ss.hasPermi('inpatient:anesthesia:list')")
+    public R<List<AnesthesiaPostopFollowup>> getPostopFollowups(@PathVariable Long encounterId) {
+        return R.ok(anesthesiaAppService.getFollowups(encounterId));
+    }
 }
diff --git a/healthlink-his-ui/src/api/anesthesia/index.js b/healthlink-his-ui/src/api/anesthesia/index.js
index 3c529d7d0..52daecca2 100644
--- a/healthlink-his-ui/src/api/anesthesia/index.js
+++ b/healthlink-his-ui/src/api/anesthesia/index.js
@@ -7,3 +7,5 @@ export function getVitalSigns(recordId) { return request({ url: '/api/v1/anesthe
 export function getMedications(recordId) { return request({ url: '/api/v1/anesthesia/medication/' + recordId, method: 'get' }) }
 export function getIoSummary(recordId) { return request({ url: '/api/v1/anesthesia/io-summary/' + recordId, method: 'get' }) }
 export function completeRecord(id) { return request({ url: '/api/v1/anesthesia/complete/' + id, method: 'put' }) }
+export function recordPostopFollowup(data) { return request({ url: '/api/v1/anesthesia/postop-followup', method: 'post', data }) }
+export function getPostopFollowups(encounterId) { return request({ url: '/api/v1/anesthesia/postop-followup/' + encounterId, method: 'get' }) }
diff --git a/healthlink-his-ui/src/views/inpatientDoctor/PostopFollowup.vue b/healthlink-his-ui/src/views/inpatientDoctor/PostopFollowup.vue
new file mode 100644
index 000000000..c34921d80
--- /dev/null
+++ b/healthlink-his-ui/src/views/inpatientDoctor/PostopFollowup.vue
@@ -0,0 +1,281 @@
+<template>
+  <div class="postop-followup-container">
+    <el-card v-loading="loading">
+      <template #header>
+        <div class="card-header">
+          <span>术后随访记录</span>
+          <el-button type="primary" size="small" @click="handleNew">新建随访</el-button>
+        </div>
+      </template>
+
+      <el-table :data="tableData" border style="width: 100%">
+        <el-table-column type="index" label="序号" width="60" align="center" />
+        <el-table-column prop="followupType" label="随访类型" width="100" align="center">
+          <template #default="scope">
+            <el-tag :type="getTypeTag(scope.row.followupType)">{{ scope.row.followupType }}</el-tag>
+          </template>
+        </el-table-column>
+        <el-table-column prop="followupTime" label="随访时间" width="170" />
+        <el-table-column prop="painScore" label="疼痛评分" width="90" align="center">
+          <template #default="scope">
+            <el-tag :type="getPainType(scope.row.painScore)">{{ scope.row.painScore ?? '-' }}</el-tag>
+          </template>
+        </el-table-column>
+        <el-table-column prop="nauseaVomiting" label="恶心呕吐" width="90" align="center">
+          <template #default="scope">
+            <el-tag v-if="scope.row.nauseaVomiting" type="danger">有</el-tag>
+            <el-tag v-else type="success">无</el-tag>
+          </template>
+        </el-table-column>
+        <el-table-column prop="consciousnessStatus" label="意识状态" width="100" />
+        <el-table-column prop="vitalSigns" label="生命体征" min-width="140" show-overflow-tooltip />
+        <el-table-column prop="complications" label="并发症" min-width="140" show-overflow-tooltip />
+        <el-table-column prop="treatment" label="处理措施" min-width="140" show-overflow-tooltip />
+        <el-table-column prop="followupDoctorName" label="随访医师" width="100" />
+        <el-table-column label="操作" width="80" align="center" fixed="right">
+          <template #default="scope">
+            <el-button link type="primary" @click="handleEdit(scope.row)">编辑</el-button>
+          </template>
+        </el-table-column>
+      </el-table>
+    </el-card>
+
+    <el-dialog v-model="dialogVisible" :title="isEdit ? '编辑术后随访' : '新建术后随访'" width="750px" destroy-on-close :close-on-click-modal="false">
+      <el-form ref="formRef" :model="form" :rules="rules" label-width="110px">
+        <el-divider content-position="left">基本信息</el-divider>
+        <el-row :gutter="20">
+          <el-col :span="12">
+            <el-form-item label="随访类型" prop="followupType">
+              <el-select v-model="form.followupType" placeholder="请选择随访类型" style="width: 100%">
+                <el-option label="24h随访" value="24h" />
+                <el-option label="48h随访" value="48h" />
+                <el-option label="72h随访" value="72h" />
+              </el-select>
+            </el-form-item>
+          </el-col>
+          <el-col :span="12">
+            <el-form-item label="随访时间" prop="followupTime">
+              <el-date-picker v-model="form.followupTime" type="datetime" placeholder="选择随访时间" value-format="YYYY-MM-DD HH:mm:ss" style="width: 100%" />
+            </el-form-item>
+          </el-col>
+          <el-col :span="12">
+            <el-form-item label="就诊ID" prop="encounterId">
+              <el-input-number v-model="form.encounterId" :min="1" style="width: 100%" />
+            </el-form-item>
+          </el-col>
+          <el-col :span="12">
+            <el-form-item label="患者ID" prop="patientId">
+              <el-input-number v-model="form.patientId" :min="1" style="width: 100%" />
+            </el-form-item>
+          </el-col>
+          <el-col :span="12">
+            <el-form-item label="患者姓名">
+              <el-input v-model="form.patientName" placeholder="请输入患者姓名" />
+            </el-form-item>
+          </el-col>
+          <el-col :span="12">
+            <el-form-item label="手术ID">
+              <el-input-number v-model="form.surgeryId" :min="0" style="width: 100%" />
+            </el-form-item>
+          </el-col>
+        </el-row>
+
+        <el-divider content-position="left">疼痛评估</el-divider>
+        <el-row :gutter="20">
+          <el-col :span="12">
+            <el-form-item label="疼痛评分" prop="painScore">
+              <el-input-number v-model="form.painScore" :min="0" :max="10" style="width: 100%" />
+            </el-form-item>
+          </el-col>
+          <el-col :span="12">
+            <el-form-item label="恶心呕吐">
+              <el-select v-model="form.nauseaVomiting" style="width: 100%">
+                <el-option label="无" :value="false" />
+                <el-option label="有" :value="true" />
+              </el-select>
+            </el-form-item>
+          </el-col>
+        </el-row>
+
+        <el-divider content-position="left">术后评估</el-divider>
+        <el-row :gutter="20">
+          <el-col :span="12">
+            <el-form-item label="意识状态">
+              <el-select v-model="form.consciousnessStatus" placeholder="请选择" style="width: 100%">
+                <el-option label="清醒" value="清醒" />
+                <el-option label="嗜睡" value="嗜睡" />
+                <el-option label="模糊" value="模糊" />
+                <el-option label="昏迷" value="昏迷" />
+              </el-select>
+            </el-form-item>
+          </el-col>
+          <el-col :span="12">
+            <el-form-item label="随访医师ID">
+              <el-input-number v-model="form.followupDoctorId" :min="0" style="width: 100%" />
+            </el-form-item>
+          </el-col>
+          <el-col :span="12">
+            <el-form-item label="随访医师姓名">
+              <el-input v-model="form.followupDoctorName" placeholder="请输入医师姓名" />
+            </el-form-item>
+          </el-col>
+          <el-col :span="24">
+            <el-form-item label="生命体征">
+              <el-input v-model="form.vitalSigns" type="textarea" :rows="2" placeholder="请描述生命体征（如：T 36.5℃, P 78次/min, R 18次/min, BP 120/80mmHg）" />
+            </el-form-item>
+          </el-col>
+          <el-col :span="24">
+            <el-form-item label="并发症">
+              <el-input v-model="form.complications" type="textarea" :rows="2" placeholder="请描述并发症情况" />
+            </el-form-item>
+          </el-col>
+          <el-col :span="24">
+            <el-form-item label="处理措施">
+              <el-input v-model="form.treatment" type="textarea" :rows="2" placeholder="请输入处理措施" />
+            </el-form-item>
+          </el-col>
+        </el-row>
+      </el-form>
+      <template #footer>
+        <el-button @click="dialogVisible = false">取消</el-button>
+        <el-button type="primary" :loading="submitLoading" @click="handleSave">保存</el-button>
+      </template>
+    </el-dialog>
+  </div>
+</template>
+
+<script setup>
+import { ref, reactive, onMounted, watch } from 'vue'
+import { ElMessage } from 'element-plus'
+import { recordPostopFollowup, getPostopFollowups } from '@/api/anesthesia'
+
+const props = defineProps({
+  encounterId: { type: [Number, String], default: null }
+})
+
+const loading = ref(false)
+const submitLoading = ref(false)
+const tableData = ref([])
+const dialogVisible = ref(false)
+const isEdit = ref(false)
+const formRef = ref(null)
+
+const form = reactive({
+  id: null,
+  encounterId: null,
+  patientId: null,
+  patientName: '',
+  surgeryId: null,
+  followupType: '',
+  followupTime: '',
+  painScore: null,
+  nauseaVomiting: false,
+  consciousnessStatus: '',
+  vitalSigns: '',
+  complications: '',
+  treatment: '',
+  followupDoctorId: null,
+  followupDoctorName: ''
+})
+
+const rules = {
+  followupType: [{ required: true, message: '请选择随访类型', trigger: 'change' }],
+  followupTime: [{ required: true, message: '请选择随访时间', trigger: 'change' }],
+  encounterId: [{ required: true, message: '请输入就诊ID', trigger: 'blur' }],
+  patientId: [{ required: true, message: '请输入患者ID', trigger: 'blur' }],
+  painScore: [{ required: true, message: '请输入疼痛评分', trigger: 'blur' }]
+}
+
+function getTypeTag(type) {
+  const map = { '24h': 'success', '48h': 'warning', '72h': 'danger' }
+  return map[type] || 'info'
+}
+
+function getPainType(score) {
+  if (score == null) return 'info'
+  if (score <= 3) return 'success'
+  if (score <= 6) return 'warning'
+  return 'danger'
+}
+
+function resetForm() {
+  form.id = null
+  form.encounterId = null
+  form.patientId = null
+  form.patientName = ''
+  form.surgeryId = null
+  form.followupType = ''
+  form.followupTime = ''
+  form.painScore = null
+  form.nauseaVomiting = false
+  form.consciousnessStatus = ''
+  form.vitalSigns = ''
+  form.complications = ''
+  form.treatment = ''
+  form.followupDoctorId = null
+  form.followupDoctorName = ''
+}
+
+function handleNew() {
+  resetForm()
+  isEdit.value = false
+  dialogVisible.value = true
+}
+
+function handleEdit(row) {
+  Object.assign(form, row)
+  isEdit.value = true
+  dialogVisible.value = true
+}
+
+function handleSave() {
+  formRef.value?.validate(valid => {
+    if (!valid) return
+    submitLoading.value = true
+    recordPostopFollowup({ ...form }).then(res => {
+      if (res.code === 200) {
+        ElMessage.success('保存成功')
+        dialogVisible.value = false
+        loadData()
+      } else {
+        ElMessage.error(res.msg || '保存失败')
+      }
+    }).catch(() => {
+      ElMessage.error('保存失败')
+    }).finally(() => {
+      submitLoading.value = false
+    })
+  })
+}
+
+function loadData() {
+  if (!props.encounterId) return
+  loading.value = true
+  getPostopFollowups(props.encounterId).then(res => {
+    tableData.value = res.data || []
+  }).catch(() => {
+    ElMessage.error('查询失败')
+  }).finally(() => {
+    loading.value = false
+  })
+}
+
+watch(() => props.encounterId, () => {
+  loadData()
+})
+
+onMounted(() => {
+  loadData()
+})
+</script>
+
+<style scoped>
+.postop-followup-container {
+  padding: 12px;
+}
+.card-header {
+  display: flex;
+  justify-content: space-between;
+  align-items: center;
+}
+</style>