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 62e688825..788d56066 100755
--- a/openhis-ui-vue3/src/views/doctorstation/components/examination/examinationApplication.vue
+++ b/openhis-ui-vue3/src/views/doctorstation/components/examination/examinationApplication.vue
@@ -1009,11 +1009,16 @@ function handleRowClick(row) {
   activeDetailTab.value = 'applyForm';
   request({ url: `/exam/apply/${row.applyNo}`, method: 'get' }).then(async res => {
     const resp = res.data || res;
-    // 保存 items 在顶层响应中，避免后面 d.data 赋值后丢失
-    const rawItems = resp.items;
+    // Bug #408修复: items 在 AjaxResult 顶层(res.items / resp.items)，不在 ExamApply 对象内
+    // 防御性提取：优先取顶层 items，兼容嵌套在 resp.data.items 的情况
+    let rawItems = res.items || resp.items;
+    if (!rawItems && resp.data && typeof resp.data === 'object') {
+      rawItems = resp.data.items;
+    }
+    rawItems = rawItems || [];
     const d = resp.data || resp;
     if (d) Object.assign(form, d);
-    if (rawItems && Array.isArray(rawItems)) {
+    if (Array.isArray(rawItems) && rawItems.length > 0) {
       try {
         // 为每个项目加载检查方法
         const itemsWithMethods = await Promise.all(rawItems.map(async m => {