diff --git a/openhis-ui-vue3/src/views/outpatient/exam/ExamApply.vue b/openhis-ui-vue3/src/views/outpatient/exam/ExamApply.vue
index 5a514bdf3..78802d63f 100644
--- a/openhis-ui-vue3/src/views/outpatient/exam/ExamApply.vue
+++ b/openhis-ui-vue3/src/views/outpatient/exam/ExamApply.vue
@@ -62,62 +62,52 @@
 <script setup lang="ts">
 import { ref } from 'vue'
 
-interface ExamMethod {
-  id: number | string
-  name: string
-  checked: boolean
-}
-
-interface ExamItem {
-  id: number | string
-  name: string
-  checked: boolean
-  methods: ExamMethod[]
-}
-
+// 状态定义
 const categories = ref<any[]>([])
-const currentItems = ref<ExamItem[]>([])
-const selectedItems = ref<ExamItem[]>([])
-// 默认收起状态：不自动展开任何明细面板
-const activeCollapseNames = ref<(number | string)[]>([])
+const currentItems = ref<any[]>([])
+const selectedItems = ref<any[]>([])
+// 修复点3：默认收起明细面板
+const activeCollapseNames = ref<any[]>([])
 
+// 分类切换
 const handleCategorySelect = (node: any) => {
-  // 实际项目中此处应调用 API 获取对应分类下的项目
-  currentItems.value = node.items || []
+  // 实际项目中此处应调用 API 获取对应分类下的项目列表
+  // 此处仅做结构演示，确保 methods 字段存在且默认未勾选
+  currentItems.value = node.children?.map((c: any) => ({
+    id: c.id,
+    name: c.name,
+    checked: false,
+    methods: (c.methods || []).map((m: any) => ({ id: m.id, name: m.name, checked: false }))
+  })) || []
 }
 
-/**
- * 清理名称：去除“套餐”等冗余标识，避免遮挡
- */
-const cleanName = (name: string): string => {
-  if (!name) return ''
+// 修复点2：清理冗余“套餐”字样
+const cleanName = (name: string) => {
   return name.replace(/套餐/g, '').trim()
 }
 
-/**
- * 处理项目勾选：严格解耦，不联动勾选下属检查方法
- */
-const handleItemCheck = (item: ExamItem) => {
+// 修复点1：项目勾选与检查方法解耦
+const handleItemCheck = (item: any) => {
   if (item.checked) {
-    // 若未加入已选列表，则添加，并强制重置其方法为未勾选状态
+    // 仅将项目加入已选列表，关联方法保持未勾选状态
     if (!selectedItems.value.find(s => s.id === item.id)) {
       selectedItems.value.push({
-        ...item,
-        methods: item.methods.map(m => ({ ...m, checked: false }))
+        id: item.id,
+        name: item.name,
+        methods: item.methods.map((m: any) => ({ ...m, checked: false }))
       })
     }
   } else {
-    // 取消勾选则从已选列表移除
+    // 取消勾选时移除项目，并同步清理折叠面板状态
     selectedItems.value = selectedItems.value.filter(s => s.id !== item.id)
+    activeCollapseNames.value = activeCollapseNames.value.filter(n => n !== item.id)
   }
 }
 
-/**
- * 处理检查方法勾选：独立控制，不影响父级项目状态
- */
-const handleMethodCheck = (sel: ExamItem, method: ExamMethod) => {
-  // 仅更新当前方法状态，保持父子级独立
-  // 可根据后续业务需求扩展：如所有方法取消时是否自动移除父项目
+// 修复点1：检查方法独立勾选，不反向影响父级项目状态
+const handleMethodCheck = (sel: any, method: any) => {
+  // 此处可添加业务逻辑：如统计已选方法数量、联动费用计算等
+  // 保持与父级项目勾选状态完全独立
 }
 </script>
 
@@ -129,43 +119,31 @@ const handleMethodCheck = (sel: ExamItem, method: ExamMethod) => {
   padding: 16px;
   height: 100%;
 }
-
-.category-panel,
-.item-panel,
-.selected-panel {
+.category-panel, .item-panel, .selected-panel {
   width: 100%;
 }
-
-.item-list,
-.method-container {
-  display: flex;
-  flex-direction: column;
-  gap: 10px;
-  padding: 8px 0;
+.item-list, .method-container {
+  max-height: 300px;
+  overflow-y: auto;
 }
-
-.item-row,
-.method-row {
+.item-row, .method-row {
   display: flex;
   align-items: center;
-  gap: 8px;
-  padding: 4px 0;
+  padding: 8px 0;
+  border-bottom: 1px solid #f0f0f0;
 }
-
-.item-name,
-.method-name,
-.collapse-title {
+/* 修复点2：宽度自适应 + 溢出省略 + 悬浮提示 */
+.item-name, .method-name, .collapse-title {
+  flex: 1;
   overflow: hidden;
   text-overflow: ellipsis;
   white-space: nowrap;
-  max-width: 320px;
-  cursor: default;
+  cursor: pointer;
+  padding-left: 8px;
 }
-
 .empty-tip {
-  color: #909399;
+  color: #999;
   text-align: center;
-  padding: 24px 0;
-  font-size: 14px;
+  padding: 20px;
 }
 </style>