diff --git a/openhis-ui-vue3/src/views/surgicalschedule/index.vue b/openhis-ui-vue3/src/views/surgicalschedule/index.vue
index 6ea0a1e6..c9fb135d 100644
--- a/openhis-ui-vue3/src/views/surgicalschedule/index.vue
+++ b/openhis-ui-vue3/src/views/surgicalschedule/index.vue
@@ -1386,12 +1386,46 @@ function handleMedicalAdvice(row) {
       // 如果没有数据或接口调用失败，初始化空列表
       temporaryBillingMedicines.value = []
     }
+    
+    // 将计费药品转换为临时医嘱数据
+    temporaryAdvices.value = temporaryBillingMedicines.value.map((medicine, index) => {
+      // 解析规格中的数值和单位
+      const specMatch = medicine.specification ? medicine.specification.match(/(\d+)(\D+)/) : null
+      const specValue = specMatch ? parseInt(specMatch[1]) : 1
+      const specUnit = specMatch ? specMatch[2] : 'ml'
+      
+      // 计算剂量 = 规格数值 × 数量
+      const dosage = specValue * (medicine.quantity || 1)
+      
+      // 根据药品名称判断用法
+      let usage = '静脉注射'
+      if (medicine.medicineName && medicine.medicineName.includes('注射液')) {
+        usage = '静脉注射'
+      } else if (medicine.medicineName && medicine.medicineName.includes('片')) {
+        usage = '口服'
+      } else if (medicine.medicineName && medicine.medicineName.includes('胶囊')) {
+        usage = '口服'
+      }
+      
+      return {
+        id: index + 1,
+        adviceName: medicine.medicineName || '',
+        dosage: dosage,
+        unit: specUnit,
+        usage: usage,
+        frequency: '临时',
+        executeTime: new Date().toLocaleString('zh-CN'),
+        originalMedicine: medicine
+      }
+    })
+    
+    // 打开临时医嘱弹窗
+    showTemporaryMedical.value = true
   }).catch(() => {
     temporaryBillingMedicines.value = []
+    temporaryAdvices.value = []
+    showTemporaryMedical.value = true
   })
-  
-  // 打开临时医嘱弹窗
-  showTemporaryMedical.value = true
 }
 
 // 关闭临时医嘱弹窗
diff --git a/openhis-ui-vue3/src/views/surgicalschedule/temporaryMedical.vue b/openhis-ui-vue3/src/views/surgicalschedule/temporaryMedical.vue
index dfd09089..bbea16eb 100644
--- a/openhis-ui-vue3/src/views/surgicalschedule/temporaryMedical.vue
+++ b/openhis-ui-vue3/src/views/surgicalschedule/temporaryMedical.vue
@@ -265,7 +265,7 @@ const convertedAdvices = computed(() => {
 
 // 使用转换后的数据或传入的临时医嘱数据
 const displayAdvices = computed(() => {
-  return props.temporaryAdvices.length > 0 ? props.temporaryAdvices : convertedAdvices.value
+  return props.temporaryAdvices
 })
 
 // 方法
@@ -369,16 +369,13 @@ const handleDeleteAdvice = (index) => {
     cancelButtonText: '取消',
     type: 'warning'
   }).then(() => {
-    // 检查数据来源
-    if (props.temporaryAdvices.length > 0) {
-      // 如果使用的是传入的临时医嘱数据，通知父组件删除
-      emit('delete-advice', index)
-    } else {
-      // 如果使用的是转换的数据，需要构建新的临时医嘱数据并通知父组件
-      const updatedAdvices = [...displayAdvices.value]
-      updatedAdvices.splice(index, 1)
-      emit('update:temporaryAdvices', updatedAdvices)
-    }
+    // 构建新的临时医嘱数据
+    const updatedAdvices = [...props.temporaryAdvices]
+    updatedAdvices.splice(index, 1)
+    
+    // 通知父组件更新数据
+    emit('update:temporaryAdvices', updatedAdvices)
+    
     ElMessage.success('删除成功')
   }).catch(() => {
     // 用户取消删除