diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationMainAppServiceImpl.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationMainAppServiceImpl.java
index e0c3945b8..26eed4b95 100755
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationMainAppServiceImpl.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationMainAppServiceImpl.java
@@ -327,9 +327,14 @@ public class DoctorStationMainAppServiceImpl implements IDoctorStationMainAppSer
         if (queueItem != null &&
             !TriageQueueStatus.COMPLETED.getValue().equals(queueItem.getStatus())) {
             java.time.LocalDateTime nowLocal = java.time.LocalDateTime.now().truncatedTo(ChronoUnit.SECONDS);
-            queueItem.setStatus(TriageQueueStatus.COMPLETED.getValue());
-            queueItem.setUpdateTime(nowLocal);
-            triageQueueItemService.updateById(queueItem);
+            // 使用 LambdaUpdateWrapper 直接更新，确保 status 字段必定写入数据库
+            boolean queueUpdate = triageQueueItemService.update(new LambdaUpdateWrapper<TriageQueueItem>()
+                .eq(TriageQueueItem::getId, queueItem.getId())
+                .set(TriageQueueItem::getStatus, TriageQueueStatus.COMPLETED.getValue())
+                .set(TriageQueueItem::getUpdateTime, nowLocal));
+            if (!queueUpdate) {
+                log.error("完诊：triage_queue_item 状态更新失败，queueItemId={}", queueItem.getId());
+            }
         } else if (queueItem == null) {
             log.error("完诊：未找到任何 triage_queue_item 记录，encounterId={}, tenantId={}",
                 encounterId, tenantId);