diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/inhospitalnursestation/appservice/impl/ATDManageAppServiceImpl.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/inhospitalnursestation/appservice/impl/ATDManageAppServiceImpl.java
index 2f159586..0e78b07f 100644
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/inhospitalnursestation/appservice/impl/ATDManageAppServiceImpl.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/inhospitalnursestation/appservice/impl/ATDManageAppServiceImpl.java
@@ -833,12 +833,23 @@ public class ATDManageAppServiceImpl implements IATDManageAppService {
                 = ((List<DocStatisticsDto>) docStatisticsAppService.queryByEncounterId(encounterId).getData()).stream()
                         .filter(item -> DocDefinitionEnum.ADMISSION_VITAL_SIGNS.getValue().equals(item.getSource())).toList();
         List<DocStatisticsDto> list = new ArrayList<>(data);
+        
+        // 先删除所有已有的入院体征记录（重新保存最新数据）
+        for (DocStatisticsDto existingItem : data) {
+            if (existingItem.getId() != null) {
+                docStatisticsMapper.deleteById(existingItem.getId());
+            }
+        }
+        list.clear();
+        
         map.keySet().forEach(key -> {
-            if (map.get(key) != null && !map.get(key).isEmpty()) {
+            String value = map.get(key);
+            // 只保存非空值
+            if (value != null && !value.isEmpty() && !" ".equals(value)) {
                 DocStatisticsDefinitionDto docStatisticsDefinitionDto = definitionDtoHashMap.get(key);
                 DocStatisticsDto statistics = new DocStatisticsDto();
                 statistics.setStatisticDefinitionCode(key);
-                statistics.setValue(map.get(key));
+                statistics.setValue(value);
                 statistics.setEncounterId(encounterId);
                 statistics.setPatientId(encounter.getPatientId());
                 statistics.setStatisticDefinitionId(docStatisticsDefinitionDto.getId());
diff --git a/openhis-ui-vue3/src/views/inpatientNurse/inOut/components/transferInDialog.vue b/openhis-ui-vue3/src/views/inpatientNurse/inOut/components/transferInDialog.vue
index 29c3df0f..307fc995 100644
--- a/openhis-ui-vue3/src/views/inpatientNurse/inOut/components/transferInDialog.vue
+++ b/openhis-ui-vue3/src/views/inpatientNurse/inOut/components/transferInDialog.vue
@@ -571,7 +571,13 @@ const handleSubmit = async () => {
       Object.keys(interventionForm.value).forEach(key => {
         const value = interventionForm.value[key];
         // 保留非空的值（0、false等有效值也需要保留）
-        if (value !== '' && value !== null && value !== undefined) {
+        // 特别注意：体征字段（height, weight等）即使为空字符串也要提交，用于清除已有数据
+        const vitalSignFields = ['height', 'weight', 'temperature', 'hertRate', 'pulse', 'endBloodPressure', 'highBloodPressure'];
+        if (vitalSignFields.includes(key)) {
+          // 体征字段：提交所有值，包括空字符串（用于清除数据）
+          formData[key] = value === undefined ? '' : value;
+        } else if (value !== '' && value !== null && value !== undefined) {
+          // 其他字段：只保留非空值
           formData[key] = value;
         }
       });