diff --git a/MD/MODULE_INDEX.md b/MD/MODULE_INDEX.md
index 66356fd11..0bd7c8660 100644
--- a/MD/MODULE_INDEX.md
+++ b/MD/MODULE_INDEX.md
@@ -1,7 +1,7 @@
 # HealthLink-HIS 代码模块索引
 
 > 供 LLM 快速定位代码。每个模块列出 Controller → Service → Mapper 关键文件。
-> 最后更新: 2026-06-19 18:00 (342 个 Controller)
+> 最后更新: 2026-06-20 00:00 (345 个 Controller)
 
 ## 关键词 → 模块速查
 
diff --git a/healthlink-his-ui/src/views/doctorstation/components/surgery/surgeryApplication.vue b/healthlink-his-ui/src/views/doctorstation/components/surgery/surgeryApplication.vue
index 425eb354d..e8b6659dd 100755
--- a/healthlink-his-ui/src/views/doctorstation/components/surgery/surgeryApplication.vue
+++ b/healthlink-his-ui/src/views/doctorstation/components/surgery/surgeryApplication.vue
@@ -340,7 +340,7 @@
                 :filter-method="filterSurgery"
                 style="width: 100%"
                 @change="handleSurgeryChange"
-                @visible-change="(visible) => { if (visible) filterSurgery('') }"
+                @visible-change="(visible) => { isSelectingSurgery.value = false; if (visible) filterSurgery('') }"
               >
                 <el-option
                   v-for="item in surgeryNameList"
@@ -420,7 +420,7 @@
                     :filter-method="filterSurgery"
                     style="width: 100%"
                     @change="(val) => handleSecondarySurgeryChange(val, scope.row)"
-                    @visible-change="(visible) => { if (visible) filterSurgery('') }"
+                    @visible-change="(visible) => { isSelectingSurgery.value = false; if (visible) filterSurgery('') }"
                   >
                     <el-option
                       v-for="item in surgeryNameList"
@@ -502,6 +502,7 @@
                     :filter-method="filterAnesthesia"
                     style="width: 100%"
                     @change="(val) => handleSecondaryAnesthesiaChange(val, scope.row)"
+                    @visible-change="(visible) => { isSelectingAnesthesia.value = false; if (visible) filterAnesthesia('') }"
                   >
                     <el-option
                       v-for="item in anesthesiaNameList"
@@ -962,6 +963,8 @@ const surgeryLoading = ref(false)
 const anesthesiaLoading = ref(false)
 let surgerySearchTimer = null
 let anesthesiaSearchTimer = null
+const isSelectingSurgery = ref(false)
+const isSelectingAnesthesia = ref(false)
 const surgeryList = ref([])
 const open = ref(false)
 const viewOpen = ref(false)
@@ -1418,6 +1421,8 @@ function doSearchAnesthesia(query) {
 
 // 本地过滤手术项目
 function filterSurgery(query) {
+  // 🔧 BugFix#769: 选择手术时不重置列表，防止下拉框闪烁
+  if (isSelectingSurgery.value) return
   if (!query) {
     surgeryNameList.value = allSurgeryItems.value
   } else {
@@ -1430,6 +1435,8 @@ function filterSurgery(query) {
 
 // 本地过滤麻醉项目
 function filterAnesthesia(query) {
+  // 🔧 BugFix#769: 选择麻醉时不重置列表，防止下拉框闪烁
+  if (isSelectingAnesthesia.value) return
   if (!query) {
     anesthesiaNameList.value = allAnesthesiaItems.value
   } else {
@@ -1495,6 +1502,8 @@ function loadSurgeryAndAnesthesiaOptions() {
 
 // 手术项目选择变更
 function handleSurgeryChange(val) {
+  // 🔧 BugFix#769: 标记正在选择，防止 visible-change 重置列表导致闪烁
+  isSelectingSurgery.value = true
   // 🔧 BugFix#318: 确保 surgeryName 被正确设置
   form.value.surgeryName = val
   const selected = surgeryNameList.value.find(item => item.name === val)
@@ -1514,6 +1523,8 @@ function handleSurgeryChange(val) {
 
 // 麻醉项目选择变更
 function handleAnesthesiaChange(val) {
+  // 🔧 BugFix#769: 标记正在选择，防止 visible-change 重置列表导致闪烁
+  isSelectingAnesthesia.value = true
   const selected = anesthesiaNameList.value.find(item => item.name === val)
   if (selected) {
     // 设置麻醉费用 (增加对多种字段名和类型的兼容)
@@ -1527,6 +1538,8 @@ function handleAnesthesiaChange(val) {
 
 // 次要手术麻醉项目选择变更
 function handleSecondaryAnesthesiaChange(val, row) {
+  // 🔧 BugFix#769: 标记正在选择，防止 visible-change 重置列表导致闪烁
+  isSelectingAnesthesia.value = true
   const selected = anesthesiaNameList.value.find(item => item.name === val)
   if (selected) {
     // 设置该次要手术的麻醉费用
@@ -1551,6 +1564,8 @@ function mapAnesthesiaNameToEnum(name) {
 
 // 次要手术项目选择变更
 function handleSecondarySurgeryChange(val, row) {
+  // 🔧 BugFix#769: 标记正在选择，防止 visible-change 重置列表导致闪烁
+  isSelectingSurgery.value = true
   const selected = surgeryNameList.value.find(item => item.name === val)
   if (selected) {
     row.surgeryCode = selected.busNo