diff --git a/openhis-ui-vue3/src/views/inpatientNurse/medicalOrderExecution/components/prescriptionList.vue b/openhis-ui-vue3/src/views/inpatientNurse/medicalOrderExecution/components/prescriptionList.vue
index 36df2f50..488c1358 100755
--- a/openhis-ui-vue3/src/views/inpatientNurse/medicalOrderExecution/components/prescriptionList.vue
+++ b/openhis-ui-vue3/src/views/inpatientNurse/medicalOrderExecution/components/prescriptionList.vue
@@ -270,7 +270,7 @@ function normalizeDayTimeHm(part) {
   return `${h}:${m}`;
 }
 
-function handleGetPrescription() {
+function handleGetPrescription(skipAutoSelectAll = false) {
   if (patientInfoList.value.length > 0) {
     loading.value = true;
     let encounterIds = patientInfoList.value.map((i) => i.encounterId).join(',');
@@ -430,10 +430,12 @@ function handleGetPrescription() {
 
       // 将分组结果转换为数组形式
       prescriptionList.value = Object.values(groupedPrescriptions);
-      // 默认选中全部行
-      nextTick(() => {
-        defaultSelectAllRows();
-      });
+      // 默认选中全部行（执行后刷新时不自动全选，保持用户操作状态）
+      if (!skipAutoSelectAll) {
+        nextTick(() => {
+          defaultSelectAllRows();
+        });
+      }
       } catch (error) {
         console.error('医嘱执行-获取处方列表数据处理失败:', error);
         prescriptionList.value = [];
@@ -469,18 +471,17 @@ function handleExecute() {
   console.log(list, 'list');
   adviceExecute({ exeDate: exeDate.value, adviceExecuteDetailList: list }).then((res) => {
     if (res.code == 200) {
-      handleGetPrescription();
-      // 仅当选中医嘱中包含药品/耗材类医嘱时，才调用耗材批号匹配
-      const hasMedOrDevice = list.some(
-        (item) =>
-          item.adviceTable === 'med_medication_request' ||
-          String(item.adviceTable || '').includes('device'),
+      // 仅当选中医嘱中包含耗材类医嘱时，才调用耗材批号匹配（排除纯药品医嘱场景）
+      const hasDevice = list.some((item) =>
+        String(item.adviceTable || '').includes('device'),
       );
-      if (hasMedOrDevice) {
+      if (hasDevice) {
         lotNumberMatch({ encounterIdList: encounterIds }, { skipErrorMsg: true }).catch((error) => {
           console.warn('lotNumberMatch failed after adviceExecute:', error);
         });
       }
+      // 刷新列表（不自动全选，保持用户操作前的选择状态）
+      handleGetPrescription(true);
       proxy.$modal.msgSuccess(res.msg || '医嘱执行成功');
     } else {
       proxy.$modal.msgError(res.msg || '医嘱执行失败');
@@ -504,7 +505,7 @@ function handleNoExecute() {
   adviceNoExecute({ adviceExecuteDetailList: list }).then((res) => {
     if (res.code == 200) {
       proxy.$modal.msgSuccess(res.msg || '操作成功');
-      handleGetPrescription();
+      handleGetPrescription(true);
     } else {
       proxy.$modal.msgError(res.msg || '操作失败');
     }
@@ -543,7 +544,7 @@ function handleCancel() {
   adviceCancel({ adviceExecuteDetailList: producerIds }).then((res) => {
     if (res.code == 200) {
       proxy.$modal.msgSuccess(res.msg || '取消执行成功');
-      handleGetPrescription();
+      handleGetPrescription(true);
     } else {
       proxy.$modal.msgError(res.msg || '取消执行失败');
     }
diff --git a/openhis-ui-vue3/src/views/surgicalschedule/index.vue b/openhis-ui-vue3/src/views/surgicalschedule/index.vue
index 2e1045b1..5825b188 100755
--- a/openhis-ui-vue3/src/views/surgicalschedule/index.vue
+++ b/openhis-ui-vue3/src/views/surgicalschedule/index.vue
@@ -1412,6 +1412,10 @@ async function handleChargeCharge(row) {
 
 // 关闭计费弹窗
 function closeChargeDialog() {
+  // 先关闭 prescriptionlist 内所有已打开的项目字典 popover
+  if (prescriptionRef.value && prescriptionRef.value.closeAllPopovers) {
+    prescriptionRef.value.closeAllPopovers()
+  }
   showChargeDialog.value = false
   chargePatientInfo.value = {}
   chargeSurgeryInfo.value = {}