fix(ui): 修复住院医生站与护士站临床医嘱若干稳定性问题

医生站:
    - 修复类型切换后编辑表单残留、blur/click竞态致选中无效、批量保存缺patientId
    - 修复filterPrescriptionList.find过滤下展开失败、popover溢出、表格塌陷
    - 提取resolveCategoryCode/getAdviceTableRef消除重复, 优化adviceTableRef类型
    - 修复adviceBaseList keyField、选中残留、TS类型声明

  护士站:
    - 校对: 新增已执行状态判定+退回拦截, 修复状态标签颜色不一致
    - 执行: 修复长期医嘱dayTimes为空被静默丢弃
    - 双模块: 新增keep-alive重激活刷新+患者列表自动加载

  配置:
    - eslint.config.js 新增 @typescript-eslint/parser 支持Vue TS解析

healthlink-his-ui/src/views/inpatientDoctor/home/components/adviceBaseList.vue

@@ -8,7 +8,7 @@
       :table-height="400"
       :max-height="400"
       :loading="loading"
-      :row-config="{ keyField: 'patientId' }"
+      :row-config="{ keyField: 'adviceDefinitionId' }"
       @cell-click="handleRowClick"
     >
       <template #quantity="{ row }">
@@ -26,15 +26,16 @@
 import {computed, nextTick, ref} from 'vue';
 import {throttle} from 'lodash-es';
 import Table from '@/components/TableLayout/Table.vue';
+// @ts-ignore: api.js 无类型声明
 import {getAdviceBaseInfo} from './api';
-import type {TableColumn} from '@/components/types/TableLayout';
+import {TableColumn} from '@/components/types/TableLayout';
 
-interface Props {
+type Props = {
   patientInfo: {
     inHospitalOrgId?: string;
     [key: string]: any;
   };
-}
+};
 
 const props = defineProps<Props>();
 
@@ -42,13 +43,23 @@ const emit = defineEmits<{
   selectAdviceBase: [row: any];
 }>();
 
+interface QueryParams {
+  pageSize: number;
+  pageNo: number;
+  adviceTypes: number[];
+  searchKey?: string;
+  organizationId?: string;
+  categoryCode?: string;
+  dischargeFlag?: number;
+}
+
 const total = ref<number>(0);
 const loading = ref<boolean>(false);
 const adviceBaseRef = ref<InstanceType<typeof Table> | null>(null);
 const tableWrapper = ref<HTMLDivElement | null>(null);
 const currentIndex = ref<number>(0);
 const currentSelectRow = ref<any>({});
-const queryParams = ref({
+const queryParams = ref<QueryParams>({
   pageSize: 30,
   pageNo: 1,
   adviceTypes: [1, 2, 3, 6],
@@ -86,6 +97,9 @@ const tableColumns = computed<TableColumn[]>(() => [
  * @param searchKey 搜索关键词
  */
 function refresh(adviceType: any, categoryCode: string, searchKey: string) {
+  // 每次刷新时重置选中状态，防止上次选中的药品在新列表中残留
+  currentIndex.value = 0;
+  currentSelectRow.value = {};
   // 有搜索词时跨类型搜索，避免用户输入"级护理"但因当前adviceType为药品而搜不到诊疗类护理项目
   if (searchKey) {
     queryParams.value.adviceTypes = [1, 2, 3, 6];
@@ -118,7 +132,7 @@ function getList() {
   }
 
   getAdviceBaseInfo(queryParams.value)
-    .then((res) => {
+    .then((res: any) => {
       const records = res.data?.records || [];
 
       // 药品/耗材需要有库存才显示，诊疗/手术直接显示
@@ -144,7 +158,7 @@ function getList() {
         }
       });
     })
-    .catch((err) => {
+    .catch((err: any) => {
       console.warn('医嘱基础信息加载失败:', err);
       adviceBaseList.value = [];
     })

healthlink-his-ui/src/views/inpatientDoctor/home/components/order/index.vue

@@ -174,6 +174,11 @@
                 :disabled="!isCategoryLoaded"
                 @change="
                   (value) => {
+                    // 切换类型时强制收起编辑区，防止残留字段（如药品→诊疗时 dose/rateCode 未清理）
+                    // 注意：模板内联表达式中 ref 自动解包，expandOrder 即数组，不要加 .value
+                    if (expandOrder.length > 0) {
+                      collapseAllExpanded();
+                    }
                     filterPrescriptionList[scope.rowIndex].adviceName = undefined;
                     // 根据选中的医嘱类型，设置对应的 categoryCode
                     const selectedItem = adviceTypeList.find(item => item.value === value);
@@ -196,7 +201,7 @@
                       searchKey: adviceQueryParams.value?.searchKey || '',
                     };
                     // 直接调用子组件 refresh 方法，立即刷新列表（用 scope.rowIndex 找到当前行的子组件）
-                    const tableRef = Array.isArray(adviceTableRef.value) ? adviceTableRef.value[scope.rowIndex] : adviceTableRef.value;
+                    const tableRef = getAdviceTableRef();
                     if (tableRef && tableRef.refresh) {
                       tableRef.refresh(newAdviceType, newCategoryCode, '');
                     }
@@ -221,7 +226,7 @@
                 popper-class="order-advice-popper"
                 :offset="0"
                 :visible="scope.row.showPopover"
-                :width="1200"
+                :width="advicePopperWidth"
                 :teleported="true"
                 :popper-options="advicePopperOptions"
               >
@@ -246,7 +251,7 @@
                         if (['ArrowUp', 'ArrowDown', 'Enter'].includes(e.key)) {
                           e.preventDefault();
                           // 传递事件到弹窗容器
-                          const tableRef = Array.isArray(adviceTableRef.value) ? adviceTableRef.value[scope.rowIndex] : adviceTableRef.value;
+                          const tableRef = getAdviceTableRef();
                           if (tableRef && tableRef.handleKeyDown) tableRef.handleKeyDown(e);
                         }
                       }
@@ -461,7 +466,7 @@ import {
 } from '../api';
 import adviceBaseList from '../adviceBaseList';
 import {calculateQuantityByDays} from '@/utils/his';
-import {localPatientInfo as patientInfo} from '../../store/localPatient.js';
+import {localPatientInfo as localPatient} from '../../store/localPatient.js';
 import OrderGroupDrawer from '@/views/doctorstation/components/prescription/orderGroupDrawer.vue';
 import PrescriptionHistory from '@/views/doctorstation/components/prescription/prescriptionHistory.vue';
 import Decimal from 'decimal.js';
@@ -492,7 +497,7 @@ const groupIndexList = ref([]);
 const diagnosisList = ref([]);
 const nextId = ref(1);
 const unitCodeList = ref([]);
-const adviceTableRef = ref([]);
+const adviceTableRef = ref(null);
 const organization = ref([]);
 const conditionDefinitionId = ref('');
 const encounterDiagnosisId = ref('');
@@ -505,6 +510,11 @@ const popoverJustClosedByKey = ref(null);
 // 医嘱检索下拉浮框对齐：跟踪表格水平滚动偏移与主体区域边界限制
 const tableScrollLeft = ref(0);
 const mainBoundary = ref(null);
+const advicePopperWidth = computed(() => {
+  // 取主体区域宽度与 900px 中较小值，避免小屏幕溢出；下限 500px
+  const mainWidth = mainBoundary.value?.clientWidth || window.innerWidth - 300;
+  return Math.max(500, Math.min(mainWidth - 24, 900));
+});
 const advicePopperStyle = computed(() => ({
   padding: '0',
   marginLeft: `-${tableScrollLeft.value}px`,
@@ -549,10 +559,10 @@ const unitMap = ref({
   unit: 'unit',
 });
 const buttonDisabled = computed(() => {
-  return !patientInfo.value;
+  return !localPatient.value;
 });
 const isSaveDisabled = computed(() => {
-  return !patientInfo.value || prescriptionList.value.length === 0;
+  return !localPatient.value || prescriptionList.value.length === 0;
 });
 const props = defineProps({
   patientInfo: {
@@ -763,7 +773,7 @@ function getListInfo(addNewRow) {
   const orgTreePromise = getOrgTree().then((res) => {
     organization.value = res?.data?.records ?? res?.data ?? [];
   });
-  getPrescriptionList(patientInfo.value.encounterId).then((res) => {
+  getPrescriptionList(localPatient.value.encounterId).then((res) => {
     // 等待科室树加载完成后再处理处方数据，确保 resolveOrgId 能正确匹配
     orgTreePromise.then(() => {
       loading.value = false;
@@ -830,10 +840,10 @@ function getListInfo(addNewRow) {
       }
     });
   }).catch(() => { loading.value = false; });
-  getContract({ encounterId: patientInfo.value.encounterId }).then((res) => {
+  getContract({ encounterId: localPatient.value.encounterId }).then((res) => {
     contractList.value = res.data;
   });
-  accountId.value = patientInfo.value.accountId;
+  accountId.value = localPatient.value.accountId;
   
   // 加载已配置的药品类别
   loadConfiguredCategories();
@@ -843,7 +853,7 @@ function getListInfo(addNewRow) {
  * 加载已配置的药品类别
  */
 function loadConfiguredCategories() {
-  const orgId = patientInfo.value?.inHospitalOrgId;
+  const orgId = localPatient.value?.inHospitalOrgId;
   if (!orgId) {
     isCategoryLoaded.value = true; // 标记已加载（即使没有科室ID）
     return;
@@ -917,7 +927,7 @@ const filterPrescriptionList = computed(() => {
 });
 
 function getDiagnosisInfo() {
-  getEncounterDiagnosis(patientInfo.value.encounterId).then((res) => {
+  getEncounterDiagnosis(localPatient.value.encounterId).then((res) => {
     diagnosisList.value = res.data;
     let diagnosisInfo = diagnosisList.value.filter((item) => {
       return item.maindiseFlag == 1;
@@ -937,6 +947,7 @@ function getRowDisabled(row) {
 /**
  * 将行的 adviceType + categoryCode 映射为 el-select 的选中值
  * 药品子分类使用复合值如 '1-2'（adviceType-categoryCode），诊疗/手术/全部使用原始值
+ * 注意：el-select 使用严格匹配，返回值类型需与 adviceTypeList option value 一致
  */
 function getRowSelectValue(row) {
   if (row.adviceType == 1 && row.categoryCode) {
@@ -945,13 +956,17 @@ function getRowSelectValue(row) {
   if (row.adviceType == 7) {
     return 7;
   }
+  // adviceType == 1 但没有 categoryCode 时无匹配项，返回 undefined 让 select 显示空
+  if (row.adviceType == 1) {
+    return undefined;
+  }
   return row.adviceType;
 }
 
 // 新增医嘱
 function handleAddPrescription() {
   // 校验是否选中患者
-  if (!patientInfo.value || !patientInfo.value.encounterId) {
+  if (!localPatient.value || !localPatient.value.encounterId) {
     proxy.$modal.msgWarning('请先选择患者');
     return;
   }
@@ -1002,9 +1017,9 @@ function checkUnit(item, row) {
  * @returns {boolean} true=通过, false=不通过
  */
 function validateStartTime(startTime) {
-  if (!startTime || !patientInfo.value?.inHospitalTime) return true;
+  if (!startTime || !localPatient.value?.inHospitalTime) return true;
   const startDate = new Date(startTime);
-  const inHospitalDate = new Date(patientInfo.value.inHospitalTime);
+  const inHospitalDate = new Date(localPatient.value.inHospitalTime);
   if (startDate < inHospitalDate) {
     const pad = (n) => String(n).padStart(2, '0');
     const d = inHospitalDate;
@@ -1168,25 +1183,40 @@ function handleFocus(row, index) {
     return;
   }
   row.showPopover = true;
-  // Bug #555: handleFocus 初始化查询参数并加载初始数据（searchKey 为空，无竞态风险）
-  let categoryCode = '';
-  if (row.adviceType !== undefined) {
-    const selectValue = (adviceType == 1 && row.categoryCode) ? '1-' + row.categoryCode : adviceType;
-    const selectedItem = adviceTypeList.value.find(item => item.value === selectValue) || adviceTypeList.value.find(item => item.adviceType === adviceType);
-    categoryCode = selectedItem ? selectedItem.categoryCode : (row.categoryCode || '');
-  }
-  adviceQueryParams.value = { adviceType, categoryCode, searchKey: '' };
-  // 弹窗首次打开时加载初始数据
-  const tableRef = Array.isArray(adviceTableRef.value) ? adviceTableRef.value[index] : adviceTableRef.value;
+  // 初始化查询参数（searchKey 使用当前输入框已有文本，避免 @input 二次触发导致竞态）
+  const searchKey = row.adviceName || '';
+  adviceQueryParams.value = { adviceType, categoryCode: resolveCategoryCode(row, adviceType), searchKey };
+  const tableRef = getAdviceTableRef();
   if (tableRef && tableRef.refresh) {
-    tableRef.refresh(adviceType, categoryCode, '');
+    tableRef.refresh(adviceType, adviceQueryParams.value.categoryCode, searchKey);
   }
 }
 
+/** 从行数据和 adviceType 解析 categoryCode */
+function resolveCategoryCode(row, adviceType) {
+  if (row.adviceType !== undefined) {
+    const selectValue = (adviceType == 1 && row.categoryCode) ? '1-' + row.categoryCode : adviceType;
+    const selectedItem = adviceTypeList.value.find(item => item.value === selectValue) || adviceTypeList.value.find(item => item.adviceType === adviceType);
+    return selectedItem ? selectedItem.categoryCode : (row.categoryCode || '');
+  }
+  return '';
+}
+
+/** 获取 adviceTableRef（单实例，不在 v-for 中） */
+function getAdviceTableRef() {
+  return adviceTableRef.value;
+}
+
 function handleBlur(row) {
-  row.showPopover = false;
-  // Bug #587: 标记弹窗刚关闭，防止点击空白处时触发行展开
-  popoverJustClosedByKey.value = row.uniqueKey;
+  // 延迟关闭弹窗，等待 click 事件在弹出层内容上正常触发
+  // 原因：浏览器 blur 事件先于 click 触发；同步关闭会移除 DOM，导致 click 丢失
+  // 如果用户在弹出层内点击药品行，selectAdviceBase 会在 150ms 内设 showPopover=false
+  // 此处的赋值变为 no-op（false→false），弹窗正常关闭且数据正确填充
+  setTimeout(() => {
+    row.showPopover = false;
+    // Bug #587: 标记弹窗刚关闭，防止点击空白处时触发行展开
+    popoverJustClosedByKey.value = row.uniqueKey;
+  }, 150);
 }
 
 function handleChange(value, row, index) {
@@ -1197,21 +1227,13 @@ function handleChange(value, row, index) {
     return;
   }
   adviceQueryParams.value.searchKey = value;
-  // @focus 已先于 @input 执行，rowIndex 必定有效
   // popover 被 blur 关闭后，用户继续输入时自行打开
   if (!row.showPopover) {
     row.showPopover = true;
   }
-  const tableRef = Array.isArray(adviceTableRef.value) ? adviceTableRef.value[index] : adviceTableRef.value;
+  const tableRef = getAdviceTableRef();
   if (tableRef && tableRef.refresh) {
-    const adviceType = row?.adviceType !== undefined ? row.adviceType : adviceQueryParams.value.adviceType;
-    let categoryCode = '';
-    if (row?.adviceType !== undefined) {
-      const selectValue = (adviceType == 1 && row?.categoryCode) ? '1-' + row.categoryCode : adviceType;
-      const selectedItem = adviceTypeList.value.find(item => item.value === selectValue) || adviceTypeList.value.find(item => item.adviceType === adviceType);
-      categoryCode = selectedItem ? selectedItem.categoryCode : (adviceQueryParams.value.categoryCode || '');
-    }
-    tableRef.refresh(adviceType, categoryCode, value);
+    tableRef.refresh(adviceType, resolveCategoryCode(row, adviceType), value);
   }
 }
 
@@ -1279,9 +1301,10 @@ function selectAdviceBase(key, row) {
         prescriptionList.value[rowIndex.value].skinTestFlag = 1;
         prescriptionList.value[rowIndex.value].skinTestFlag_enumText = '是';
         expandOrder.value = [currentUniqueKey];
-        const expandRow = filterPrescriptionList.value.find(item => item.uniqueKey === currentUniqueKey);
-        if (expandRow && prescriptionRef.value?.setRowExpand) {
-          prescriptionRef.value.setRowExpand([expandRow], true);
+        // 使用 prescriptionList 而非 filterPrescriptionList，避免过滤后找不到行导致展开失败
+        const rowObj = prescriptionList.value.find(item => item.uniqueKey === currentUniqueKey);
+        if (rowObj && prescriptionRef.value?.setRowExpand) {
+          prescriptionRef.value.setRowExpand([rowObj], true);
         }
         expandOrderAndFocus(currentUniqueKey, row);
       })
@@ -1290,17 +1313,18 @@ function selectAdviceBase(key, row) {
         prescriptionList.value[rowIndex.value].skinTestFlag = 0;
         prescriptionList.value[rowIndex.value].skinTestFlag_enumText = '否';
         expandOrder.value = [currentUniqueKey];
-        const expandRow = filterPrescriptionList.value.find(item => item.uniqueKey === currentUniqueKey);
-        if (expandRow && prescriptionRef.value?.setRowExpand) {
-          prescriptionRef.value.setRowExpand([expandRow], true);
+        // 使用 prescriptionList 而非 filterPrescriptionList，避免过滤后找不到行导致展开失败
+        const rowObj = prescriptionList.value.find(item => item.uniqueKey === currentUniqueKey);
+        if (rowObj && prescriptionRef.value?.setRowExpand) {
+          prescriptionRef.value.setRowExpand([rowObj], true);
         }
         expandOrderAndFocus(currentUniqueKey, row);
       });
   } else {
     // 选完药品后展开编辑区域，供医生编辑剂量等字段
     expandOrder.value = [currentUniqueKey];
-    // 直接调 vxe-table 实例方法展开（expandRowKeys 仅在初始化时生效）
-    const rowObj = filterPrescriptionList.value.find(item => item.uniqueKey === currentUniqueKey);
+    // 使用 prescriptionList 而非 filterPrescriptionList，避免过滤后找不到行导致展开失败
+    const rowObj = prescriptionList.value.find(item => item.uniqueKey === currentUniqueKey);
     if (rowObj && prescriptionRef.value?.setRowExpand) {
       prescriptionRef.value.setRowExpand([rowObj], true);
     }
@@ -1539,9 +1563,9 @@ function handleSave() {
   // 签发处理逻辑
   function executeSaveLogic() {
     saveList.forEach((item) => {
-      item.patientId = patientInfo.value.patientId;
-      item.encounterId = patientInfo.value.encounterId;
-      item.accountId = patientInfo.value.accountId;
+      item.patientId = localPatient.value.patientId;
+      item.encounterId = localPatient.value.encounterId;
+      item.accountId = localPatient.value.accountId;
       item.dbOpType = '1';
       // Bug #589: 出院带药保存时转为药品类型
       if (item.adviceType == 7) {
@@ -1570,11 +1594,11 @@ function handleSave() {
     // 保存签发按钮
     isSaving.value = true;
     console.log('签发处方参数：', {
-      organizationId: patientInfo.value.inHospitalOrgId,
+      organizationId: localPatient.value.inHospitalOrgId,
       adviceSaveList: list,
     });
     savePrescriptionSign({
-      organizationId: patientInfo.value.inHospitalOrgId,
+      organizationId: localPatient.value.inHospitalOrgId,
       regAdviceSaveList: list,
     })
       .then((res) => {
@@ -1636,8 +1660,8 @@ function handleOrderBindInfo(bindIdInfo) {
       const newRow = {
         ...prescriptionList.value[rowIndex.value],
         uniqueKey: nextId.value++,
-        patientId: patientInfo.value.patientId,
-        encounterId: patientInfo.value.encounterId,
+        patientId: localPatient.value.patientId,
+        encounterId: localPatient.value.encounterId,
         accountId: accountId.value,
         quantity: item.quantity,
         methodCode: item.methodCode,
@@ -1742,8 +1766,8 @@ function handleSaveSign(row, index) {
 
   // 执行保存
   row.contentJson = undefined;
-  row.patientId = patientInfo.value.patientId;
-  row.encounterId = patientInfo.value.encounterId;
+  row.patientId = localPatient.value.patientId;
+  row.encounterId = localPatient.value.encounterId;
   row.accountId = accountId.value;
 
   // 🔧 文字医嘱(type=8)：跳过计费逻辑，总金额为0
@@ -1867,6 +1891,11 @@ function handleSaveBatch() {
       const therapyEnum = item.therapyEnum || '1';
       const result = {
         ...item,
+        // 确保 patientId/encounterId/accountId 始终存在，防止新增行未保存时这些字段为 null
+        // （新增行由 handleAddPrescription 创建时不携带患者信息，与其他保存路径保持一致）
+        patientId: item.patientId || localPatient.value?.patientId,
+        encounterId: item.encounterId || localPatient.value?.encounterId,
+        accountId: item.accountId || accountId.value,
         therapyEnum: therapyEnum,
         dbOpType: item.requestId ? '2' : '1',
           // 确保 skinTestFlag 是数字类型（1 或 0）
@@ -1992,15 +2021,17 @@ function setValue(row) {
     // 2. 诊疗类型优先使用项目维护的所属科室(row.orgId)，其次positionId
     // 3. 如果都为空，回退到患者当前所在科室(patientInfo.orgId)
     // 4. 使用 resolveOrgId 从组织树中匹配正确的 String id，解决大 Long 精度丢失问题
-    orgId: row.adviceType != 3 ? undefined : (resolveOrgId(row.orgId || row.positionId || patientInfo.value?.inHospitalOrgId) || ''),
+    orgId: row.adviceType != 3 ? undefined : (resolveOrgId(row.orgId || row.positionId || localPatient.value?.inHospitalOrgId) || ''),
     // 🔧 修复：同时保存 orgName，当 orgId 在科室树中匹配不到时作为兜底显示
-    orgName: row.adviceType != 3 ? undefined : (findOrgName(row.orgId || row.positionId || patientInfo.value?.inHospitalOrgId) || row.orgName || patientInfo.value?.inHospitalOrgName || ''),
+    orgName: row.adviceType != 3 ? undefined : (findOrgName(row.orgId || row.positionId || localPatient.value?.inHospitalOrgId) || row.orgName || localPatient.value?.inHospitalOrgName || ''),
     // dose: undefined, Removed to preserve dose value from group package
     unitCodeList: unitCodeList.value,
     doseUnitCode: row.doseUnitCode,
     minUnitCode: String(row.minUnitCode),
     unitCode: row.partAttributeEnum == 1 ? String(row.minUnitCode) : String(row.unitCode),
-    categoryEnum: row.categoryCode,
+    // 显式保留 categoryCode，防止 API 未返回时类型下拉框显示空白
+    categoryCode: row.categoryCode || baseRow.categoryCode || prevRow.categoryCode || '',
+    categoryEnum: row.categoryCode || baseRow.categoryCode || prevRow.categoryEnum || '',
     // 确保 skinTestFlag 是数字类型（1 或 0），如果未定义则默认为 0
     skinTestFlag: row.skinTestFlag !== undefined && row.skinTestFlag !== null
       ? (typeof row.skinTestFlag === 'number' ? row.skinTestFlag : (row.skinTestFlag ? 1 : 0))
@@ -2100,8 +2131,8 @@ function handleSaveGroup(orderGroupList) {
       ...prescriptionList.value[tempIndex],
       requesterId_dictText: userStore.nickName,
       requesterId: userStore.id,
-      patientId: patientInfo.value.patientId,
-      encounterId: patientInfo.value.encounterId,
+      patientId: localPatient.value.patientId,
+      encounterId: localPatient.value.encounterId,
       accountId: accountId.value,
       // 🔧 修复 Bug #403：从 mergedDetail 读取明细字段，而非直接从 item 取
       // item.dose 等字段可能为 null，mergedDetail 已做 ?? 兜底
@@ -2115,9 +2146,9 @@ function handleSaveGroup(orderGroupList) {
       unitCode: mergedDetail.unitCode ?? item.unitCode,
       unitCode_dictText: item.unitCodeName || mergedDetail.unitCodeName || '',
       statusEnum: 1,
-      orgId: resolveOrgId(mergedDetail.orgId || patientInfo.value?.inHospitalOrgId) || '',
+      orgId: resolveOrgId(mergedDetail.orgId || localPatient.value?.inHospitalOrgId) || '',
       // 🔧 修复：同时存储 orgName，确保树匹配不到时仍有中文名称可显示
-      orgName: findOrgName(mergedDetail.orgId || patientInfo.value?.inHospitalOrgId) || mergedDetail.orgName || patientInfo.value?.inHospitalOrgName || '',
+      orgName: findOrgName(mergedDetail.orgId || localPatient.value?.inHospitalOrgId) || mergedDetail.orgName || localPatient.value?.inHospitalOrgName || '',
       startTime: mergedDetail.startTime || defaultStartTimeFn(),
       dbOpType: prescriptionList.value[tempIndex].requestId ? '2' : '1',
       conditionId: conditionId.value,
@@ -2161,8 +2192,8 @@ function handleSaveHistory(value) {
     ...value,
     requesterId_dictText: userStore.nickName,
     requesterId: userStore.id,
-    patientId: patientInfo.value.patientId,
-    encounterId: patientInfo.value.encounterId,
+    patientId: localPatient.value.patientId,
+    encounterId: localPatient.value.encounterId,
     accountId: accountId.value,
     uniqueKey: undefined,
     startTime: defaultStartTimeFn(),
@@ -2386,9 +2417,9 @@ function confirmStopAdvice() {
     return;
   }
   // 校验：停嘱时间不能早于患者入院时间
-  if (patientInfo.value?.inHospitalTime) {
+  if (localPatient.value?.inHospitalTime) {
     const stopDate = new Date(stopForm.stopTime);
-    const inHospitalDate = new Date(patientInfo.value.inHospitalTime);
+    const inHospitalDate = new Date(localPatient.value.inHospitalTime);
     if (stopDate < inHospitalDate) {
       const pad = (n) => String(n).padStart(2, '0');
       const d = inHospitalDate;
@@ -2903,7 +2934,7 @@ function sortPrescriptionList() {
 }
 
 function handleLeaveHospital() {
-  if (!patientInfo.value) {
+  if (!localPatient.value) {
     proxy.$modal.msgWarning('请先选择患者');
     return;
   }
@@ -3053,7 +3084,7 @@ defineExpose({ getListInfo, getDiagnosisInfo });
   .inpatientDoctor-order-table {
     flex: auto;
     width: 100%;
-    min-height: 0;
+    min-height: 300px;
     overflow: auto;
   }
   .applicationForm-bottom-btn {

healthlink-his-ui/src/views/inpatientNurse/medicalOrderExecution/components/prescriptionList.vue

@@ -451,6 +451,17 @@ function handleGetPrescription(skipAutoSelectAll = false) {
             .map((x) => x.trim())
             .filter((x) => x !== '')
             .map((x) => normalizeDayTimeHm(x));
+          // 如果频次表(adm_frequency)中 day_times 为空，降级使用 executeNum 生成默认时间点
+          // 避免长期医嘱因缺失 dayTimes 被静默过滤（不显示在待执行列表）
+          if (!rate || rate.length === 0) {
+            const execCount = prescription.executeNum || 1;
+            // 生成默认时间点：从 08:00 开始，按 executeNum 均分到 20:00
+            rate = Array.from({ length: execCount }, (_, i) => {
+              const h = 8 + Math.floor((12 / execCount) * i);
+              const m = Math.round(((12 / execCount) * i) % 1 * 60);
+              return `${String(h).padStart(2, '0')}:${String(m).padStart(2, '0')}`;
+            });
+          }
           // 用截止时间和医嘱签发时间算出全部执行日期
           times = getDateRange(prescription.requestTime, deadline.value);
         } else {

healthlink-his-ui/src/views/inpatientNurse/medicalOrderExecution/index.vue

@@ -63,9 +63,10 @@
 </template>
 
 <script setup>
-import {getCurrentInstance, ref, nextTick, provide} from 'vue';
+import {getCurrentInstance, ref, nextTick, provide, watch, onActivated} from 'vue';
 import PatientList from '../components/patientList.vue';
 import PrescriptionList from './components/prescriptionList.vue';
+import { patientInfoList } from '../components/store/patient.js';
 import { RequestStatus } from '@/utils/medicalConstants';
 
 const activeName = ref('preparation');
@@ -129,6 +130,31 @@ function handleClick(tabName) {
 provide('handleGetPrescription', (value) => {
   prescriptionRefs.value[activeName.value].handleGetPrescription();
 });
+
+// 监听患者列表变化，自动触发当前tab数据加载
+// （解决从校对页面切换过来时，lazy tab 未挂载导致数据不刷新的问题）
+const autoFetchDone = ref(false);
+watch(patientInfoList, async (newVal) => {
+  if (!autoFetchDone.value && newVal.length > 0) {
+    autoFetchDone.value = true;
+    // 等待组件挂载完成、模板ref（prescriptionRefs）填充后再触发数据加载
+    // immediate 回调在 setup 阶段同步执行，此时模板尚未渲染，prescriptionRefs 为空
+    await nextTick();
+    nextTick(() => {
+      handleClick(activeName.value);
+    });
+  }
+}, { immediate: true });
+
+// keep-alive 缓存后重新激活时，强制刷新当前 tab 数据
+// （校对通过长期医嘱后切换到执行页面，autoFetchDone 已为 true 不会再触发）
+onActivated(() => {
+  if (patientInfoList.value.length > 0) {
+    nextTick(() => {
+      handleClick(activeName.value);
+    });
+  }
+});
 </script>
 
 <style scoped>

healthlink-his-ui/src/views/inpatientNurse/medicalOrderProofread/components/prescriptionList.vue

@@ -207,7 +207,7 @@
             >
               <template #default="scope">
                 <el-tag
-                  :type="getStatusType(scope.row.requestStatus)"
+                  :type="getStatusType(scope.row)"
                   size="small"
                 >
                   {{ getStatusDisplayText(scope.row) }}
@@ -430,6 +430,11 @@ const getStatusDisplayText = (row) => {
   if (DISPENSE_STATUS_DISPLAY[dispenseCode]) {
     return DISPENSE_STATUS_DISPLAY[dispenseCode];
   }
+  // 2.5 兼容后端未更新 dispenseStatus 的情况：通过执行记录列表判断是否已执行
+  const exeRecords = row?.exePerformRecordList;
+  if (exeRecords && Array.isArray(exeRecords) && exeRecords.length > 0) {
+    return '已执行';
+  }
   // 3. 最后回退到其他请求状态
   if (REQUEST_STATUS_DISPLAY[requestCode]) {
     return REQUEST_STATUS_DISPLAY[requestCode];
@@ -439,7 +444,13 @@ const getStatusDisplayText = (row) => {
 };
 
 
-const getStatusType = (status) => {
+const getStatusType = (row) => {
+  // '已执行'状态优先用 success 色，与 getStatusDisplayText 保持一致
+  const displayText = getStatusDisplayText(row);
+  if (displayText === '已执行') {
+    return 'success';
+  }
+  const status = row?.requestStatus;
   const map = {
     [RequestStatus.DRAFT]: 'info',
     [RequestStatus.ACTIVE]: 'primary',
@@ -452,9 +463,10 @@ const getStatusType = (status) => {
   };
   return map[status] || 'info';
 };
+/** 选中医嘱中是否包含已执行或已发药记录 — 用于禁用退回按钮 */
 const hasDispensedSelected = computed(() => {
   selectionTrigger.value;
-  return getSelectRows().some(item => item.dispenseStatus === 4);
+  return getSelectRows().some(item => item.dispenseStatus === 11 || item.dispenseStatus === 4);
 });
 const props = defineProps({
   requestStatus: {
@@ -591,6 +603,12 @@ function handleCheck() {
 function handleCancel() {
   let list = getSelectRows();
   if (list.length > 0) {
+    // 校验已执行的医嘱不允许直接退回
+    let executedItems = list.filter(item => item.dispenseStatus === 11);
+    if (executedItems.length > 0) {
+      proxy.$message.error('选中医嘱已执行，请先在"医嘱执行"界面取消执行后，再执行退回操作');
+      return;
+    }
     // 校验已发药的医嘱不允许退回
     let dispensedItems = list.filter(item => item.dispenseStatus === 4);
     if (dispensedItems.length > 0) {

healthlink-his-ui/src/views/inpatientNurse/medicalOrderProofread/index.vue

@@ -66,6 +66,7 @@
 import PatientList from '../components/patientList.vue';
 import PrescriptionList from './components/prescriptionList.vue';
 import { RequestStatus } from '@/utils/medicalConstants';
+import { patientInfoList } from '../components/store/patient.js';
 
 const activeName = ref('unverified');
 const active = ref('first');
@@ -123,6 +124,30 @@ function handleTabClick(tabName) {
 provide('handleGetPrescription', (value) => {
   prescriptionRefs.value[activeName.value].handleGetPrescription();
 });
+
+// 监听患者列表变化，自动触发当前tab数据加载
+// （解决切换医嘱校对/医嘱执行tab后组件重建时数据不刷新的问题）
+const autoFetchDone = ref(false);
+watch(patientInfoList, async (newVal) => {
+  if (!autoFetchDone.value && newVal.length > 0) {
+    autoFetchDone.value = true;
+    // 等待组件挂载完成、模板ref（prescriptionRefs）填充后再触发数据加载
+    // immediate 回调在 setup 阶段同步执行，此时模板尚未渲染，prescriptionRefs 为空
+    await nextTick();
+    nextTick(() => {
+      handleTabClick(activeName.value);
+    });
+  }
+}, { immediate: true });
+
+// keep-alive 缓存后重新激活时，强制刷新当前 tab 数据
+onActivated(() => {
+  if (patientInfoList.value.length > 0) {
+    nextTick(() => {
+      handleTabClick(activeName.value);
+    });
+  }
+});
 </script>
 
 <style scoped>