diff --git a/healthlink-his-ui/src/views/dashboard/index.vue b/healthlink-his-ui/src/views/dashboard/index.vue
index e8cd29451..bc1615cf8 100644
--- a/healthlink-his-ui/src/views/dashboard/index.vue
+++ b/healthlink-his-ui/src/views/dashboard/index.vue
@@ -3,26 +3,19 @@
     <div style="margin-bottom:16px;display:flex;justify-content:space-between;align-items:center">
       <span style="font-size:18px;font-weight:bold">系统仪表盘</span>
       <div>
-        <el-button
-          type="primary"
-          @click="loadData"
-        >
-          刷新
-        </el-button>
-        <el-button
-          type="info"
-          @click="showSystemInfo = true"
-        >
-          系统信息
-        </el-button>
+        <el-tag v-if="wsConnected" type="success" size="small" style="margin-right:8px">
+          ● 实时连接
+        </el-tag>
+        <el-tag v-else type="danger" size="small" style="margin-right:8px">
+          ○ 离线
+        </el-tag>
+        <el-button type="primary" @click="loadData">刷新</el-button>
+        <el-button type="info" @click="showSystemInfo = true">系统信息</el-button>
       </div>
     </div>
 
     <!-- 系统概览 -->
-    <el-card
-      shadow="never"
-      style="margin-bottom:16px"
-    >
+    <el-card shadow="never" style="margin-bottom:16px">
       <div style="text-align:center;padding:20px">
         <h2 style="color:#409eff;margin:0;font-size:24px">
           {{ overview.systemName || 'HealthLink-HIS' }}
@@ -33,35 +26,45 @@
       </div>
     </el-card>
 
-    <!-- 核心指标 -->
-    <el-row
-      :gutter="16"
-      style="margin-bottom:16px"
-    >
-      <el-col
-        v-for="item in statCards"
-        :key="item.label"
-        :span="4"
-      >
-        <el-card
-          shadow="hover"
-          :body-style="{padding:'12px'}"
-        >
+    <!-- 核心指标 - 实时更新 -->
+    <el-row :gutter="16" style="margin-bottom:16px">
+      <el-col v-for="item in statCards" :key="item.label" :span="4">
+        <el-card shadow="hover" :body-style="{padding:'12px'}">
           <div style="text-align:center">
-            <div
-              style="font-size:22px;font-weight:bold"
-              :style="{color:item.color}"
-            >
+            <div style="font-size:22px;font-weight:bold" :style="{color:item.color}">
               {{ item.value }}
+              <el-icon v-if="item.trend > 0" style="color:#67C23A;margin-left:4px"><Top /></el-icon>
+              <el-icon v-else-if="item.trend < 0" style="color:#F56C6C;margin-left:4px"><Bottom /></el-icon>
             </div>
-            <div style="font-size:12px;color:#999">
-              {{ item.label }}
+            <div style="font-size:12px;color:#999">{{ item.label }}</div>
+            <div v-if="item.alert" style="margin-top:4px">
+              <el-tag type="danger" size="small">{{ item.alert }}</el-tag>
             </div>
           </div>
         </el-card>
       </el-col>
     </el-row>
 
+    <!-- 实时预警 -->
+    <el-row :gutter="16" style="margin-bottom:16px" v-if="alerts.length > 0">
+      <el-col :span="24">
+        <el-card shadow="never">
+          <template #header>
+            <span style="color:#F56C6C">⚠️ 实时预警</span>
+          </template>
+          <el-alert
+            v-for="alert in alerts"
+            :key="alert.id"
+            :title="alert.title"
+            :description="alert.description"
+            :type="alert.type"
+            show-icon
+            style="margin-bottom:8px"
+          />
+        </el-card>
+      </el-col>
+    </el-row>
+
     <!-- 数据仪表盘 -->
     <el-row :gutter="16" style="margin-bottom:16px" v-if="dashData.totalRecords > 0">
       <el-col :span="6">
@@ -99,55 +102,26 @@
     </el-row>
 
     <!-- 功能模块 -->
-    <el-card
-      shadow="never"
-      style="margin-bottom:16px"
-    >
-      <template #header>
-        功能模块 ({{ modules.length }})
-      </template>
+    <el-card shadow="never" style="margin-bottom:16px">
+      <template #header>功能模块 ({{ modules.length }})</template>
       <el-row :gutter="12">
-        <el-col
-          v-for="mod in modules"
-          :key="mod.name"
-          :span="4"
-        >
-          <el-card
-            shadow="hover"
-            style="text-align:center;margin-bottom:12px;cursor:pointer"
-            @click="handleModuleClick(mod)"
-          >
-            <div style="font-size:16px;font-weight:bold;color:#409eff;margin-bottom:4px">
-              {{ mod.icon || '📦' }}
-            </div>
-            <div style="font-size:13px;font-weight:500">
-              {{ mod.name }}
-            </div>
-            <div style="font-size:11px;color:#999;margin-top:4px">
-              {{ mod.desc }}
-            </div>
+        <el-col v-for="mod in modules" :key="mod.name" :span="4">
+          <el-card shadow="hover" style="text-align:center;margin-bottom:12px;cursor:pointer" @click="handleModuleClick(mod)">
+            <div style="font-size:16px;font-weight:bold;color:#409eff;margin-bottom:4px">{{ mod.icon }}</div>
+            <div style="font-size:13px;font-weight:500">{{ mod.name }}</div>
+            <div style="font-size:11px;color:#999;margin-top:4px">{{ mod.desc }}</div>
           </el-card>
         </el-col>
       </el-row>
     </el-card>
 
     <!-- 快捷操作 -->
-    <el-row
-      :gutter="16"
-      style="margin-bottom:16px"
-    >
+    <el-row :gutter="16" style="margin-bottom:16px">
       <el-col :span="12">
         <el-card shadow="never">
-          <template #header>
-            快捷操作
-          </template>
+          <template #header>快捷操作</template>
           <div style="display:flex;flex-wrap:wrap;gap:8px">
-            <el-button
-              v-for="action in quickActions"
-              :key="action.label"
-              :type="action.type"
-              @click="handleAction(action)"
-            >
+            <el-button v-for="action in quickActions" :key="action.label" :type="action.type" @click="handleAction(action)">
               {{ action.icon }} {{ action.label }}
             </el-button>
           </div>
@@ -155,17 +129,9 @@
       </el-col>
       <el-col :span="12">
         <el-card shadow="never">
-          <template #header>
-            最近操作
-          </template>
+          <template #header>最近操作</template>
           <el-timeline style="padding-left:10px">
-            <el-timeline-item
-              v-for="(log, index) in recentLogs"
-              :key="index"
-              :timestamp="log.time"
-              placement="top"
-              :type="log.type"
-            >
+            <el-timeline-item v-for="(log, index) in recentLogs" :key="index" :timestamp="log.time" placement="top" :type="log.type">
               {{ log.content }}
             </el-timeline-item>
           </el-timeline>
@@ -180,60 +146,43 @@
       width="600px"
       append-to-body
     >
-      <el-descriptions
-        :column="2"
-        border
-      >
-        <el-descriptions-item label="系统名称">
-          {{ overview.systemName || 'HealthLink-HIS' }}
-        </el-descriptions-item>
-        <el-descriptions-item label="版本号">
-          {{ overview.version || 'v2.0' }}
-        </el-descriptions-item>
-        <el-descriptions-item label="运行环境">
-          {{ overview.env || '开发环境' }}
-        </el-descriptions-item>
-        <el-descriptions-item label="后端端口">
-          {{ overview.backendPort || '18082' }}
-        </el-descriptions-item>
-        <el-descriptions-item label="数据库表">
-          {{ overview.totalTables || 0 }}
-        </el-descriptions-item>
-        <el-descriptions-item label="API接口">
-          {{ overview.totalApis || 0 }}
-        </el-descriptions-item>
-        <el-descriptions-item label="功能模块">
-          {{ modules.length }}
-        </el-descriptions-item>
-        <el-descriptions-item label="启动时间">
-          {{ overview.startTime || '-' }}
-        </el-descriptions-item>
+      <el-descriptions :column="2" border>
+        <el-descriptions-item label="系统名称">{{ overview.systemName || 'HealthLink-HIS' }}</el-descriptions-item>
+        <el-descriptions-item label="版本号">{{ overview.version || 'v2.0' }}</el-descriptions-item>
+        <el-descriptions-item label="运行环境">{{ overview.env || '开发环境' }}</el-descriptions-item>
+        <el-descriptions-item label="后端端口">{{ overview.backendPort || '18082' }}</el-descriptions-item>
+        <el-descriptions-item label="数据库表">{{ overview.totalTables || 0 }}</el-descriptions-item>
+        <el-descriptions-item label="API接口">{{ overview.totalApis || 0 }}</el-descriptions-item>
+        <el-descriptions-item label="功能模块">{{ modules.length }}</el-descriptions-item>
+        <el-descriptions-item label="启动时间">{{ overview.startTime || '-' }}</el-descriptions-item>
       </el-descriptions>
       <template #footer>
-        <el-button @click="showSystemInfo = false">
-          关闭
-        </el-button>
+        <el-button @click="showSystemInfo = false">关闭</el-button>
       </template>
     </el-dialog>
   </div>
 </template>
 
 <script setup>
-import {ref, onMounted} from 'vue'
+import {ref, onMounted, onUnmounted} from 'vue'
 import {ElMessage} from 'element-plus'
-import {getDashboardOverview, getDashboardData, getDashboardCharts} from './api'
+import {Top, Bottom} from '@element-plus/icons-vue'
+import {getDashboardOverview, getDashboardData} from './api'
 
 const overview = ref({})
 const dashData = ref({})
 const showSystemInfo = ref(false)
+const wsConnected = ref(false)
+const alerts = ref([])
+let ws = null
 
 const statCards = ref([
-  {label:'数据库表', value:0, color:'#409eff'},
-  {label:'API接口', value:0, color:'#67c23a'},
-  {label:'功能模块', value:0, color:'#e6a23c'},
-  {label:'菜单数', value:0, color:'#f56c6c'},
-  {label:'在线用户', value:0, color:'#909399'},
-  {label:'今日操作', value:0, color:'#409eff'}
+  {label:'数据库表', value:0, color:'#409eff', trend:0, alert:''},
+  {label:'API接口', value:0, color:'#67c23a', trend:0, alert:''},
+  {label:'功能模块', value:0, color:'#e6a23c', trend:0, alert:''},
+  {label:'菜单数', value:0, color:'#f56c6c', trend:0, alert:''},
+  {label:'在线用户', value:0, color:'#909399', trend:0, alert:''},
+  {label:'今日操作', value:0, color:'#409eff', trend:0, alert:''}
 ])
 
 const modules = ref([
@@ -260,13 +209,7 @@ const quickActions = ref([
   {label:'报表', icon:'📈', type:'', path:'/businessanalytics'}
 ])
 
-const recentLogs = ref([
-  {content:'管理员登录系统', time:'刚刚', type:'primary'},
-  {content:'新增处方点评计划', time:'5分钟前', type:'success'},
-  {content:'更新抗菌药物规则', time:'10分钟前', type:'warning'},
-  {content:'护理评估提交', time:'15分钟前', type:'info'},
-  {content:'危急值处理完成', time:'20分钟前', type:'danger'}
-])
+const recentLogs = ref([])
 
 function formatMoney(val) {
   if (!val) return '0.00'
@@ -287,6 +230,67 @@ async function loadData() {
   } catch(e) {}
 }
 
+function initWebSocket() {
+  try {
+    const wsUrl = `ws://${window.location.hostname}:18082/ws/dashboard`
+    ws = new WebSocket(wsUrl)
+
+    ws.onopen = () => {
+      wsConnected.value = true
+    }
+
+    ws.onmessage = (event) => {
+      const data = JSON.parse(event.data)
+      handleRealtimeUpdate(data)
+    }
+
+    ws.onclose = () => {
+      wsConnected.value = false
+      setTimeout(initWebSocket, 5000)
+    }
+
+    ws.onerror = () => {
+      wsConnected.value = false
+    }
+  } catch (e) {
+    console.error('WebSocket连接失败:', e)
+  }
+}
+
+function handleRealtimeUpdate(data) {
+  if (data.type === 'STATISTICS') {
+    if (data.onlineUsers !== undefined) {
+      const prev = statCards.value[4].value
+      statCards.value[4].value = data.onlineUsers
+      statCards.value[4].trend = data.onlineUsers - prev
+    }
+    if (data.todayOperations !== undefined) {
+      const prev = statCards.value[5].value
+      statCards.value[5].value = data.todayOperations
+      statCards.value[5].trend = data.todayOperations - prev
+    }
+  } else if (data.type === 'ALERT') {
+    alerts.value.unshift({
+      id: Date.now(),
+      title: data.title,
+      description: data.description,
+      type: data.level || 'warning'
+    })
+    if (alerts.value.length > 5) {
+      alerts.value.pop()
+    }
+  } else if (data.type === 'RECENT_LOG') {
+    recentLogs.value.unshift({
+      content: data.content,
+      time: data.time || '刚刚',
+      type: data.logType || 'primary'
+    })
+    if (recentLogs.value.length > 10) {
+      recentLogs.value.pop()
+    }
+  }
+}
+
 function handleModuleClick(mod) {
   ElMessage.info('进入模块: ' + mod.name)
 }
@@ -295,5 +299,12 @@ function handleAction(action) {
   ElMessage.info('跳转: ' + action.label)
 }
 
-onMounted(() => loadData())
+onMounted(() => {
+  loadData()
+  initWebSocket()
+})
+
+onUnmounted(() => {
+  if (ws) ws.close()
+})
 </script>