diff --git a/healthlink-his-ui/src/views/doctorstation/components/prescription/orderBindInfo.vue b/healthlink-his-ui/src/views/doctorstation/components/prescription/orderBindInfo.vue
index 04bae00c5..f0e1cb1c5 100755
--- a/healthlink-his-ui/src/views/doctorstation/components/prescription/orderBindInfo.vue
+++ b/healthlink-his-ui/src/views/doctorstation/components/prescription/orderBindInfo.vue
@@ -184,7 +184,7 @@ const handleDeleteRow = (row) => {
 
 // 提交处理
 const handleSubmit = () => {
-  const selectedRows = consumableTableRef.value.getSelectionRows();
+  const selectedRows = consumableTableRef.value.getCheckboxRecords();
   // 保存到本地存储
   localStorage.setItem('doctor' + userStore.id.toString(), dontShowAgain.value);
   if (selectedRows.length === 0) {
diff --git a/healthlink-his-ui/src/views/doctorstation/components/prescription/prescriptionlist.vue b/healthlink-his-ui/src/views/doctorstation/components/prescription/prescriptionlist.vue
index 82b86cdd3..4bd66e3c7 100755
--- a/healthlink-his-ui/src/views/doctorstation/components/prescription/prescriptionlist.vue
+++ b/healthlink-his-ui/src/views/doctorstation/components/prescription/prescriptionlist.vue
@@ -314,7 +314,7 @@
         border
         @cell-click="clickRow"
         @cell-dblclick="clickRowDb"
-        @select="handleSelectionChange"
+        @checkbox-change="handleSelectionChange"
       >
         <vxe-column
           type="expand"
@@ -333,7 +333,7 @@
                 style="padding: 16px; background: #f8f9fa; border-radius: 8px"
               >
                 <template v-if="scope.row.adviceType == 1">
-                  <div style="display: flex; align-items: center; margin-bottom: 16px; gap: 16px">
+                  <div style="display: flex; align-items: center; margin-bottom: 16px; gap: 16px; flex-wrap: nowrap">
                     <span class="medicine-title">
                       {{
                         scope.row.adviceName +
@@ -411,9 +411,8 @@
                       }}
                     </span>
                   </div>
-                  <div style="display: flex; align-items: center; gap: 12px; flex-wrap: wrap">
-                    <div class="form-group">
-                      <!-- 单次剂量 -->
+                  <div class="edit-form-row">
+                      <!-- 单次用量 -->
                       <el-form-item
                         label="单次用量："
                         prop="doseQuantity"
@@ -426,7 +425,7 @@
                           :min="0"
                           controls-position="right"
                           :controls="false"
-                          style="width: 70px; margin-right: 20px"
+                          style="width: 70px"
                           @input="convertValues(scope.row, scope.rowIndex)"
                           @keyup.enter.prevent="handleEnter('doseQuantity', scope.row, scope.rowIndex)" 
                           @change="calculateTotalAmount(scope.row, scope.rowIndex)"
@@ -435,7 +434,7 @@
                       <!-- 剂量单位 -->
                       <el-select
                         v-model="scope.row.minUnitCode"
-                        style="width: 70px; margin-right: 20px"
+                        style="width: 70px"
                         placeholder=" "
                       >
                         <template
@@ -461,7 +460,7 @@
                           v-model="scope.row.dose"
                           controls-position="right"
                           :controls="false"
-                          style="width: 70px; margin: 0 20px"
+                          style="width: 70px"
                           @input="convertDoseValues(scope.row, scope.rowIndex)"
                           @keyup.enter.prevent="handleEnter('dose', scope.row, scope.rowIndex)"
                         />
@@ -480,8 +479,6 @@
                           :label="item.label"
                         />
                       </el-select>
-                    </div>
-                    <div class="form-group">
                       <el-form-item
                         label="给药途径："
                         prop="methodCode"
@@ -530,7 +527,6 @@
                               if (scope.row.rateCode) {
                                 handleEnter('rateCode', scope.row, scope.rowIndex);
                               }
-                              // inputRefs.rateCode.blur();
                             }
                           "
                           @change="calculateTotalAmount(scope.row, scope.rowIndex)"
@@ -544,18 +540,8 @@
                           />
                         </el-select>
                       </el-form-item>
-                    </div>
                   </div>
-                  <div
-                    style="
-                    display: flex;
-                    align-items: center;
-                    gap: 12px;
-                    flex-wrap: wrap;
-                    margin-top: 10px;
-                  "
-                  >
-                    <div class="form-group">
+                  <div class="edit-form-row">
                       <el-form-item
                         label="用药天数："
                         prop="dispensePerDuration"
@@ -580,7 +566,6 @@
                           </template>
                         </el-input-number>
                       </el-form-item>
-
                       <el-form-item
                         label="总量："
                         prop="quantity"
@@ -600,7 +585,7 @@
                       <el-form-item>
                         <el-select
                           v-model="scope.row.unitCode"
-                          style="width: 70px; margin-right: 20px"
+                          style="width: 70px"
                           placeholder=" "
                           @change="calculateTotalAmount(scope.row, scope.rowIndex)"
                         >
@@ -633,50 +618,34 @@
                           </template>
                         </el-select>
                       </el-form-item>
-                    </div>
-                  </div>
-                  <div
-                    style="
-                    display: flex;
-                    align-items: center;
-                    gap: 12px;
-                    flex-wrap: wrap;
-                    margin-top: 10px;
-                  "
-                  >
-                    <div class="form-group">
                       <el-form-item
                         label="备注："
                         prop="remarks"
-                        style="margin: 0; margin-right: 20px"
                       >
                         <el-input
                           v-model="scope.row.remarks"
                           placeholder="请输入备注"
                           maxlength="100"
                           show-word-limit
-                          style="width: 500px"
+                          style="width: 300px"
                         />
                       </el-form-item>
-                    </div>
                     <el-button
                       type="primary"
                       @click="handleSaveSign(scope.row, scope.rowIndex)"
                     >
                       确定
                     </el-button>
+                    <el-button
+                      @click="handleCancelEdit(scope.row, scope.rowIndex)"
+                    >
+                      取消
+                    </el-button>
                   </div>
                 </template>
                 <!-- 🔧 Bug #147 修复：耗材类型(adviceType=4)的编辑模板 -->
                 <template v-else-if="scope.row.adviceType == 4">
-                  <div
-                    style="
-                        display: flex;
-                        align-items: center;
-                        margin-bottom: 16px;
-                        gap: 16px;
-                      "
-                  >
+                  <div class="edit-form-row">
                     <span class="medicine-title">
                       {{
                         scope.row.adviceName +
@@ -711,7 +680,7 @@
                     <el-form-item>
                       <el-select
                         v-model="scope.row.unitCode"
-                        style="width: 70px; margin-right: 20px"
+                        style="width: 70px"
                         placeholder=" "
                         @change="calculateTotalAmount(scope.row, scope.rowIndex)"
                       >
@@ -723,7 +692,6 @@
                             v-if="item.type != unitMap['dose']"
                             :value="item.value"
                             :label="item.label"
-                            style="width: 70px; margin-right: 20px"
                             @click="
                               () => {
                                 scope.row.unitCode_dictText = item.label;
@@ -750,23 +718,21 @@
                           : '0.00 元'
                       }}
                     </span>
+                    <el-button
+                      type="primary"
+                      @click="handleSaveSign(scope.row, scope.rowIndex)"
+                    >
+                      确定
+                    </el-button>
+                    <el-button
+                      @click="handleCancelEdit(scope.row, scope.rowIndex)"
+                    >
+                      取消
+                    </el-button>
                   </div>
-                  <el-button
-                    type="primary"
-                    @click="handleSaveSign(scope.row, scope.rowIndex)"
-                  >
-                    确定
-                  </el-button>
                 </template>
                 <template v-else-if="scope.row.adviceType == 2">
-                  <div
-                    style="
-                        display: flex;
-                        align-items: center;
-                        margin-bottom: 16px;
-                        gap: 16px;
-                      "
-                  >
+                  <div class="edit-form-row">
                     <span class="medicine-title">
                       {{
                         scope.row.adviceName +
@@ -801,7 +767,7 @@
                     <el-form-item>
                       <el-select
                         v-model="scope.row.unitCode"
-                        style="width: 70px; margin-right: 20px"
+                        style="width: 70px"
                         placeholder=" "
                         @change="calculateTotalAmount(scope.row, scope.rowIndex)"
                       >
@@ -813,7 +779,6 @@
                             v-if="item.type != unitMap['dose']"
                             :value="item.value"
                             :label="item.label"
-                            style="width: 70px; margin-right: 20px"
                             @click="
                               () => {
                                 scope.row.unitCode_dictText = item.label;
@@ -853,17 +818,22 @@
                           : '0.00 元'
                       }}
                     </span>
+                    <el-button
+                      type="primary"
+                      @click="handleSaveSign(scope.row, scope.rowIndex)"
+                    >
+                      确定
+                    </el-button>
+                    <el-button
+                      @click="handleCancelEdit(scope.row, scope.rowIndex)"
+                    >
+                      取消
+                    </el-button>
                   </div>
-                  <el-button
-                    type="primary"
-                    @click="handleSaveSign(scope.row, scope.rowIndex)"
-                  >
-                    确定
-                  </el-button>
                 </template>
                 <template v-else>
-                  <div style="display: flex; align-items: center; margin-bottom: 16px; gap: 16px">
-                    <span style="font-size: 16px; font-weight: 600">
+                  <div class="edit-form-row">
+                    <span style="font-size: 16px; font-weight: 600; white-space: nowrap">
                       {{ scope.row.adviceName }}
                       {{
                         (scope.row.unitPrice !== undefined && scope.row.unitPrice !== null && !isNaN(scope.row.unitPrice) &&
@@ -872,61 +842,63 @@
                           : '-' + '元'
                       }}
                     </span>
-                    <div class="form-group">
-                      <el-form-item
-                        label="执行次数："
-                        prop="quantity"
-                        class="required-field"
-                        data-prop="quantity"
-                      >
-                        <el-input-number
-                          :ref="(el) => (inputRefs.quantity = el)"
-                          v-model="scope.row.quantity"
-                          placeholder="执行次数"
-                          style="width: 100px; margin: 0 20px"
-                          controls-position="right"
-                          :controls="false"
-                          @keyup.enter.prevent="handleEnter('quantity', scope.row, scope.rowIndex)"
-                          @input="calculateTotalPrice(scope.row, scope.rowIndex)"
-                        />
-                      </el-form-item>
-                      <el-form-item
-                        label="执行科室："
-                        prop="orgId"
-                        class="required-field"
-                        data-prop="orgId"
-                      >
-                        <el-tree-select
-                          :ref="(el) => (inputRefs.orgId = el)"
-                          v-model="scope.row.orgId"
-                          clearable
-                          style="width: 200px"
-                          :data="organization"
-                          :props="{ value: 'id', label: 'name', children: 'children' }"
-                          value-key="id"
-                          check-strictly
-                          default-expand-all
-                          placeholder="请选择执行科室"
-                          @change="(value) => handleOrgChange(value, scope.rowIndex, scope.row)"
-                        />
-                      </el-form-item>
-                      <span class="total-amount">
-                        总金额：
-                        {{
-                          (scope.row.totalPrice !== undefined && scope.row.totalPrice !== null &&
-                            !isNaN(scope.row.totalPrice) && isFinite(scope.row.totalPrice))
-                            ? Number(scope.row.totalPrice).toFixed(2) + ' 元'
-                            : '0.00 元'
-                        }}
-                      </span>
-                    <!-- 金额: {{ scope.row.priceList[0].price }} -->
-                    </div>
+                    <el-form-item
+                      label="执行次数："
+                      prop="quantity"
+                      class="required-field"
+                      data-prop="quantity"
+                    >
+                      <el-input-number
+                        :ref="(el) => (inputRefs.quantity = el)"
+                        v-model="scope.row.quantity"
+                        placeholder="执行次数"
+                        style="width: 100px"
+                        controls-position="right"
+                        :controls="false"
+                        @keyup.enter.prevent="handleEnter('quantity', scope.row, scope.rowIndex)"
+                        @input="calculateTotalPrice(scope.row, scope.rowIndex)"
+                      />
+                    </el-form-item>
+                    <el-form-item
+                      label="执行科室："
+                      prop="orgId"
+                      class="required-field"
+                      data-prop="orgId"
+                    >
+                      <el-tree-select
+                        :ref="(el) => (inputRefs.orgId = el)"
+                        v-model="scope.row.orgId"
+                        clearable
+                        style="width: 200px"
+                        :data="organization"
+                        :props="{ value: 'id', label: 'name', children: 'children' }"
+                        value-key="id"
+                        check-strictly
+                        default-expand-all
+                        placeholder="请选择执行科室"
+                        @change="(value) => handleOrgChange(value, scope.rowIndex, scope.row)"
+                      />
+                    </el-form-item>
+                    <span class="total-amount">
+                      总金额：
+                      {{
+                        (scope.row.totalPrice !== undefined && scope.row.totalPrice !== null &&
+                          !isNaN(scope.row.totalPrice) && isFinite(scope.row.totalPrice))
+                          ? Number(scope.row.totalPrice).toFixed(2) + ' 元'
+                          : '0.00 元'
+                      }}
+                    </span>
                     <el-button
                       type="primary"
                       @click="handleSaveSign(scope.row, scope.rowIndex)"
                     >
                       确定
                     </el-button>
+                    <el-button
+                      @click="handleCancelEdit(scope.row, scope.rowIndex)"
+                    >
+                      取消
+                    </el-button>
                   </div>
                 </template>
               </div>
@@ -1161,19 +1133,21 @@
           title="单次剂量"
           align="center"
           field=""
-          width="120"
+          width="160"
         >
           <template #default="scope">
             <template v-if="scope.row.isEdit">
-              <el-input-number 
-                v-model="scope.row.dose" 
-                :min="0" 
-                :precision="2" 
-                :controls="false"
-                style="width: 70px"
-                size="small"
-              />
-              <span style="margin-left: 4px">{{ scope.row.doseUnitCode_dictText }}</span>
+              <div style="display: flex; align-items: center; white-space: nowrap;">
+                <el-input-number 
+                  v-model="scope.row.dose" 
+                  :min="0" 
+                  :precision="2" 
+                  :controls="false"
+                  style="width: 80px"
+                  size="small"
+                />
+                <span style="margin-left: 4px">{{ scope.row.doseUnitCode_dictText }}</span>
+              </div>
             </template>
             <span v-else>
               {{
@@ -1192,21 +1166,23 @@
           title="总量"
           align="center"
           field=""
-          width="100"
+          width="140"
         >
           <template #default="scope">
             <template v-if="scope.row.isEdit">
-              <el-input-number 
-                v-model="scope.row.quantity" 
-                :min="1" 
-                :precision="0" 
-                :controls="false"
-                style="width: 60px"
-                size="small"
-                @change="calculateTotalPrice(scope.row, scope.rowIndex)"
-                @input="calculateTotalPrice(scope.row, scope.rowIndex)"
-              />
-              <span style="margin-left: 4px">{{ resolveTotalQuantityUnit(scope.row) }}</span>
+              <div style="display: flex; align-items: center; white-space: nowrap;">
+                <el-input-number 
+                  v-model="scope.row.quantity" 
+                  :min="1" 
+                  :precision="0" 
+                  :controls="false"
+                  style="width: 70px"
+                  size="small"
+                  @change="calculateTotalPrice(scope.row, scope.rowIndex)"
+                  @input="calculateTotalPrice(scope.row, scope.rowIndex)"
+                />
+                <span style="margin-left: 4px">{{ resolveTotalQuantityUnit(scope.row) }}</span>
+              </div>
             </template>
             <span v-else>
               {{ formatTotalQuantityWithUnit(scope.row) }}
@@ -1578,6 +1554,19 @@ const orderGroupLoaded = ref({
 const updateExpandOrder = (keys) => {
   expandOrder.value = keys;
 };
+
+// 收起所有展开行（vxe-table v4: expandRowKeys只在初始化生效，必须调实例方法收起行）
+function collapseAllExpanded() {
+  expandOrder.value = [];
+  if (prescriptionRef.value?.clearRowExpand) {
+    prescriptionRef.value.clearRowExpand();
+  } else if (prescriptionRef.value?.setRowExpand) {
+    const allRows = prescriptionRef.value.getData?.() || [];
+    if (allRows.length > 0) {
+      prescriptionRef.value.setRowExpand(allRows, false);
+    }
+  }
+}
 const stockList = ref([]);
 const contractList = ref([]);
 const conditionId = ref('');
@@ -1766,7 +1755,7 @@ watch(
       nextTick(() => {
         const index = prescriptionList.value.findIndex((row) => row.uniqueKey === newValue[0]);
         const items = proxy.$refs['formRef' + index]?.$el?.querySelectorAll('[data-prop]');
-        requiredProps.value = Array.from(items).map((item) => item.dataset.prop);
+        requiredProps.value = items ? Array.from(items).map((item) => item.dataset.prop) : [];
       });
     } else {
       requiredProps.value = {};
@@ -1878,7 +1867,7 @@ function handlePrintCommand(command) {
 // 智能打印 - 根据选中数据的adviceType自动选择打印方式
 async function printPrescription() {
   // const selectedRows = prescriptionList.value.filter((item) => item.check);
-  const selectedRows = prescriptionRef.value.getSelectionRows();
+  const selectedRows = prescriptionRef.value.getCheckboxRecords();
   console.log('123456selectedRows', selectedRows);
   if (selectedRows.length === 0) {
     ElMessage.warning('未选择要打印的项目，请重新选择，打印失败');
@@ -2005,7 +1994,7 @@ async function printPrescription() {
 // 处方打印 - 专门打印处方类型的数据
 async function prescriptionPrint() {
   // const selectedRows = prescriptionList.value.filter((item) => item.check);
-  const selectedRows = prescriptionRef.value.getSelectionRows();
+  const selectedRows = prescriptionRef.value.getCheckboxRecords();
   if (selectedRows.length === 0) {
     ElMessage.warning('未选择要打印的项目，请重新选择，打印失败');
     return;
@@ -2088,7 +2077,7 @@ async function prescriptionPrint() {
 async function disposalPrint() {
   console.log('处置打印开始');
   // const selectedRows = prescriptionList.value.filter((item) => item.check);
-  const selectedRows = prescriptionRef.value.getSelectionRows();
+  const selectedRows = prescriptionRef.value.getCheckboxRecords();
   if (selectedRows.length === 0) {
     ElMessage.warning('未选择要打印的项目，请重新选择，打印失败');
     return;
@@ -2357,14 +2346,17 @@ function getDiagnosisInfo() {
 }
 
 // 选择框改变时的处理
-function handleSelectionChange(selection, row) {
-  const isSelected = selection.some((item) => item.uniqueKey === row.uniqueKey);
+function handleSelectionChange({ checked, selection, row }) {
+  if (!row) return;
+  // 优先使用selection，回退到checked（兼容不同vxe-table版本）
+  const isSelected = selection ? selection.some((item) => item.uniqueKey === row.uniqueKey) : !!checked;
+  if (!row.groupId) return;
   prescriptionList.value
     .filter((item) => {
-      return item.groupId && item.groupId == row?.groupId;
+      return item.groupId && item.groupId == row.groupId && item.uniqueKey !== row.uniqueKey;
     })
-    .forEach((row) => {
-      prescriptionRef.value.toggleCheckboxRow(row, isSelected);
+    .forEach((item) => {
+      prescriptionRef.value.toggleCheckboxRow(item, isSelected);
     });
 }
 
@@ -2421,7 +2413,7 @@ function handleAddPrescription(prescriptionId, showWarning = true) {
   });
   getGroupMarkers();
   nextTick(() => {
-    const adviceRefName = 'adviceRef_' + (prescriptionId || currentPrescriptionId.value) + '_0';
+    const adviceRefName = 'adviceRef' + 0;
     const adviceRef = proxy.$refs[adviceRefName];
     if (adviceRef && adviceRef.focus) {
       adviceRef.focus();
@@ -2521,7 +2513,11 @@ function handleFocus(row, index) {
 
 function handleBlur(row) {
   setTimeout(() => {
-    row.showPopover = false;
+    // 通过uniqueKey找到当前行，确保popover关闭
+    const currentRow = prescriptionList.value.find(r => r.uniqueKey === row.uniqueKey);
+    if (currentRow) {
+      currentRow.showPopover = false;
+    }
   }, 200);
 }
 
@@ -2620,32 +2616,38 @@ function selectAdviceBase(key, row) {
 
   async function setNewRow(key, row) {
     console.log('[BugFix] setNewRow - row.adviceType:', row.adviceType, 'row.adviceType_dictText:', row.adviceType_dictText, 'row.adviceTableName:', row.adviceTableName);
-    // 每次选择药品时，将当前行数据完全重置，清空所有旧数据
-    const preservedData = {
-      uniqueKey: prescriptionList.value[rowIndex.value].uniqueKey,
-      isEdit: true,
-      statusEnum: 1,
-      showPopover: false, // 确保popover关闭
-    };
+    // 不再替换行对象引用，保持vxe-table的行引用不变，确保插槽模板正确响应数据更新
+    const currentRow = prescriptionList.value[rowIndex.value];
+    if (!currentRow) return;
+    // 保持编辑状态
+    currentRow.isEdit = true;
+    currentRow.statusEnum = 1;
+    // 立即设置adviceName，确保输入框即时显示选中项名称
+    currentRow.adviceName = row.adviceName;
+    currentRow.showPopover = false;
 
-    // 完全替换整个对象，只保留必要的初始字段
-    prescriptionList.value[rowIndex.value] = preservedData;
-
-    setValue(row);
+    await setValue(row);
 
     console.log('[BugFix] setNewRow after setValue - prescriptionList[rowIndex].adviceType:', prescriptionList.value[rowIndex.value].adviceType, 'adviceType_dictText:', prescriptionList.value[rowIndex.value].adviceType_dictText);
 
     // 🔧 Bug #220 修复：确保在setValue之后重新计算耗材类型的总金额
     // 耗材(adviceType=4)和诊疗(adviceType=3)需要重新计算以确保显示正确
-    const currentRow = prescriptionList.value[rowIndex.value];
-    if (currentRow && (currentRow.adviceType == 3 || currentRow.adviceType == 4)) {
+    if (currentRow.adviceType == 3 || currentRow.adviceType == 4) {
       calculateTotalPrice(currentRow, rowIndex.value);
     }
 
     // 确保在setValue之后再次设置showPopover为false，防止被覆盖
-    prescriptionList.value[rowIndex.value].showPopover = false;
+    currentRow.showPopover = false;
 
     expandOrder.value = [key];
+    // vxe-table v4: expandRowKeys只在初始化生效，必须调实例方法展开行
+    await nextTick();
+    if (prescriptionRef.value?.setRowExpand) {
+      const rowObj = prescriptionList.value.find(item => item.uniqueKey === key);
+      if (rowObj) {
+        prescriptionRef.value.setRowExpand([rowObj], true);
+      }
+    }
 
     // 自动聚焦到单次用量字段 - 使用 async/await 多次尝试
     await nextTick();
@@ -2719,7 +2721,7 @@ function getInspectionApplyNoFromAdviceRow(row) {
 }
 
 function handleDelete() {
-  let selectRows = prescriptionRef.value.getSelectionRows();
+  let selectRows = prescriptionRef.value.getCheckboxRecords();
   console.log('BugFix#219: handleDelete called, selectRows=', selectRows);
   
   if (selectRows.length == 0) {
@@ -2885,7 +2887,7 @@ function handleDelete() {
   console.log('BugFix#219: 普通医嘱删除列表, deleteList=', deleteList.length, 'sum=', sum);
   
   handleEmrTreatment();
-  updateExpandOrder([]);
+  collapseAllExpanded();
   isAdding.value = false;
   adviceQueryParams.value.adviceTypes = undefined; // 🎯 修复：改为 adviceTypes（复数）
   
@@ -3000,11 +3002,11 @@ function handleSave(prescriptionId) {
   if (prescriptionList.value[0]?.isEdit && !prescriptionList.value[0].adviceType) {
     prescriptionList.value.shift();
     isAdding.value = false;
-    updateExpandOrder([]);
+    collapseAllExpanded();
   }
 
   // --- 【修改点1：优先获取选中行】 ---
-  const selectedRows = prescriptionRef.value ? prescriptionRef.value.getSelectionRows() : [];
+  const selectedRows = prescriptionRef.value ? prescriptionRef.value.getCheckboxRecords() : [];
   let sourceList = [];
 
   // 如果用户有勾选，只处理勾选的；否则处理当前列表所有数据
@@ -3498,6 +3500,19 @@ function handleSkinTest(selectRows) {
   );
 }
 
+// 取消编辑 - 关闭展开区域
+function handleCancelEdit(row, index) {
+  if (isAdding.value && !row.requestId) {
+    // 新增行取消：移除该行
+    prescriptionList.value.splice(index, 1);
+    isAdding.value = false;
+  } else {
+    // 已有行取消：恢复非编辑状态
+    row.isEdit = false;
+  }
+  collapseAllExpanded();
+}
+
 // 单行处方保存
 function handleSaveSign(row, index, prescriptionId) {
   // 如果传入了处方ID，先切换到该处方
@@ -3582,7 +3597,7 @@ function handleSaveSign(row, index, prescriptionId) {
       }
       row.isEdit = false;
       isAdding.value = false;
-      updateExpandOrder([]);
+      collapseAllExpanded();
       row.contentJson = undefined;
       row.patientId = props.patientInfo.patientId;
       row.encounterId = props.patientInfo.encounterId;
@@ -3753,7 +3768,7 @@ function handleSaveBatch(prescriptionId) {
   // --- 【修改开始：优先使用选中行】 ---
 
   // 1. 获取表格当前选中的行
-  const selectedRows = prescriptionRef.value ? prescriptionRef.value.getSelectionRows() : [];
+  const selectedRows = prescriptionRef.value ? prescriptionRef.value.getCheckboxRecords() : [];
 
   // 2. 确定数据源
   // 逻辑：如果用户有勾选，就只处理勾选的；如果没勾选，就处理所有数据(一键保存)
@@ -4053,22 +4068,34 @@ async function setValue(row) {
     ? (typeof row.skinTestFlag === 'number' ? row.skinTestFlag : (row.skinTestFlag ? 1 : 0))
     : 0;
 
-  // 创建一个新的对象，而不是合并旧数据，以避免残留数据问题
+  // 不再替换行对象引用，保持vxe-table的行引用不变，确保插槽模板正确响应数据更新
   console.log('[BugFix] setValue - row.adviceType:', row.adviceType, 'row.adviceType_dictText:', row.adviceType_dictText, 'row.adviceTableName:', row.adviceTableName);
-  prescriptionList.value[rowIndex.value] = {
-    ...JSON.parse(JSON.stringify(row)),
-    // 确保adviceType为数字类型，避免类型不匹配导致的显示问题
-    adviceType: Number(row.adviceType),
-    // 🔧 Bug Fix: 确保adviceType_dictText被正确设置，避免展开行时显示错误
-    adviceType_dictText: row.adviceType_dictText || mapAdviceTypeLabel(row.adviceType, row.adviceTableName),
-    skinTestFlag: skinTestFlag, // 确保皮试字段是数字类型
-    skinTestFlag_enumText: skinTestFlag == 1 ? '是' : '否', // 更新显示文本
-    // 保留原来设置的初始状态值
-    uniqueKey: prescriptionList.value[rowIndex.value].uniqueKey,
-    isEdit: prescriptionList.value[rowIndex.value].isEdit,
-    statusEnum: prescriptionList.value[rowIndex.value].statusEnum,
-    showPopover: false, // 确保查询框关闭
-  };
+  const existingRow = prescriptionList.value[rowIndex.value];
+  if (!existingRow) return;
+  
+  // 保存需要保留的字段
+  const preservedKey = existingRow.uniqueKey;
+  const preservedIsEdit = existingRow.isEdit;
+  const preservedStatus = existingRow.statusEnum;
+  
+  // 清除行上所有自有属性（避免残留旧数据）
+  Object.keys(existingRow).forEach(key => {
+    delete existingRow[key];
+  });
+  
+  // 从选中项复制所有属性到现有行对象
+  const rowData = JSON.parse(JSON.stringify(row));
+  Object.assign(existingRow, rowData);
+  
+  // 覆盖需要特殊处理的字段
+  existingRow.adviceType = Number(row.adviceType);
+  existingRow.adviceType_dictText = row.adviceType_dictText || mapAdviceTypeLabel(row.adviceType, row.adviceTableName);
+  existingRow.skinTestFlag = skinTestFlag;
+  existingRow.skinTestFlag_enumText = skinTestFlag == 1 ? '是' : '否';
+  existingRow.uniqueKey = preservedKey;
+  existingRow.isEdit = preservedIsEdit;
+  existingRow.statusEnum = preservedStatus;
+  existingRow.showPopover = false;
   console.log('[BugFix] setValue - prescriptionList[rowIndex].adviceType_dictText:', prescriptionList.value[rowIndex.value].adviceType_dictText);
   // 🔧 Bug #455: 诊疗医嘱(adviceType=3)的执行科室默认使用患者就诊科室，
   // 不使用positionId(诊疗目录配置的执行科室)，避免配置ID不在机构树中导致显示原始ID
@@ -4491,7 +4518,7 @@ function escKeyListener(e) {
         index = prescriptionList.value.findIndex((item) => item.uniqueKey == expandOrder.value[0]);
       }
       if (index == 0) {
-        updateExpandOrder([]);
+        collapseAllExpanded();
       }
       prescriptionList.value.shift();
       isAdding.value = false;
@@ -4502,7 +4529,7 @@ function escKeyListener(e) {
 
 // 签退/撤回
 function handleSingOut() {
-  let selectRows = prescriptionRef.value.getSelectionRows();
+  let selectRows = prescriptionRef.value.getCheckboxRecords();
   console.log('BugFix#219: handleSingOut called, selectRows=', selectRows);
   console.log('BugFix#219: 选中行详情:', selectRows.map(item => ({
     adviceType: item.adviceType,
@@ -4688,7 +4715,7 @@ function handleGroupId(paramList) {
 
 // 组合
 function combination() {
-  let selectRows = prescriptionRef.value.getSelectionRows();
+  let selectRows = prescriptionRef.value.getCheckboxRecords();
   if (selectRows.length <= 1) {
     proxy.$modal.msgWarning('至少选择两项');
     return;
@@ -4750,7 +4777,7 @@ function combination() {
 
 // 拆组
 function split() {
-  let selectRows = prescriptionRef.value.getSelectionRows();
+  let selectRows = prescriptionRef.value.getCheckboxRecords();
   if (selectRows.length < 1) {
     proxy.$modal.msgWarning('至少选择一项');
     return;
@@ -5344,8 +5371,8 @@ const orderSetDialogScope = ref('personal');
 function openOrderSetDialog(scope) {
   orderSetDialogScope.value = scope || 'personal';
   const selectedRaw =
-    prescriptionRef.value && prescriptionRef.value.getSelectionRows
-      ? prescriptionRef.value.getSelectionRows()
+    prescriptionRef.value && prescriptionRef.value.getCheckboxRecords
+      ? prescriptionRef.value.getCheckboxRecords()
       : [];
 
   const selected = (selectedRaw || []).map((row) => {
@@ -5437,6 +5464,8 @@ defineExpose({ getListInfo, getDiagnosisInfo });
   display: flex;
   align-items: center;
   gap: 8px;
+  flex-wrap: nowrap;
+  white-space: nowrap;
   background: #fff;
   padding: 6px 10px;
   border-radius: 4px;
@@ -5444,6 +5473,18 @@ defineExpose({ getListInfo, getDiagnosisInfo });
   box-shadow: 0 2px 4px rgba(0, 0, 0, 0.04);
 }
 
+.edit-form-row {
+  display: flex;
+  align-items: center;
+  gap: 12px;
+  flex-wrap: nowrap;
+  margin-top: 10px;
+}
+
+.edit-form-row .el-form-item {
+  margin-bottom: 0;
+}
+
 /* 调整element组件默认间距 */
 // .el-select,
 // .el-input-number {
diff --git a/healthlink-his-ui/src/views/doctorstation/components/prescription/refundListDialog.vue b/healthlink-his-ui/src/views/doctorstation/components/prescription/refundListDialog.vue
index eadad539c..889d9223f 100755
--- a/healthlink-his-ui/src/views/doctorstation/components/prescription/refundListDialog.vue
+++ b/healthlink-his-ui/src/views/doctorstation/components/prescription/refundListDialog.vue
@@ -1,6 +1,7 @@
 <template>
   <el-dialog
-    v-model="props.open"
+    :model-value="props.open"
+    @update:model-value="(val) => !val && emit('close')"
     title="退费单"
     width="1300px"
     teleported
@@ -221,7 +222,7 @@ function tableSpanMethod({ row, column, rowIndex }) {
 
 function submit() {
   // 1. 获取当前选中行并提取去重的 paymentId 列表
-  const selectedRows = proxy.$refs['refundListRef'].getSelectionRows();
+  const selectedRows = proxy.$refs['refundListRef'].getCheckboxRecords();
   const selectedPaymentIds = [...new Set(selectedRows.map((row) => row.paymentId))];
 
   // 2. 遍历 refundList，筛选出符合条件的数据并设置 refundFlag
diff --git a/healthlink-his-ui/src/views/doctorstation/components/prescription/skinTestInfo.vue b/healthlink-his-ui/src/views/doctorstation/components/prescription/skinTestInfo.vue
index d815e8f2d..583ee87e7 100755
--- a/healthlink-his-ui/src/views/doctorstation/components/prescription/skinTestInfo.vue
+++ b/healthlink-his-ui/src/views/doctorstation/components/prescription/skinTestInfo.vue
@@ -50,7 +50,7 @@
             align="center"
             width="120"
           >
-            <template #default="scope">
+            <template #default>
               {{ '1' }}
             </template>
           </vxe-column>
@@ -166,7 +166,7 @@ const handleDeleteRow = (row) => {
 
 // 提交处理
 const handleSubmit = () => {
-  const selectedRows = consumableTableRef.value.getSelectionRows();
+  const selectedRows = consumableTableRef.value.getCheckboxRecords();
   // 保存到本地存储
   // localStorage.setItem('doctor' + userStore.id.toString(), dontShowAgain.value);
   if (selectedRows.length === 0) {