diff --git a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/orderclosedloop/appservice/impl/OrderClosedLoopAppServiceImpl.java b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/orderclosedloop/appservice/impl/OrderClosedLoopAppServiceImpl.java
index 3016d3bfa..bb0bf5b71 100644
--- a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/orderclosedloop/appservice/impl/OrderClosedLoopAppServiceImpl.java
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/orderclosedloop/appservice/impl/OrderClosedLoopAppServiceImpl.java
@@ -174,7 +174,12 @@ public class OrderClosedLoopAppServiceImpl implements IOrderClosedLoopAppService
 
     private Map<String, Object> getUnclosedWarnings(Integer pageNum, Integer pageSize) {
         Map<String, Object> result = new HashMap<>();
-        List<Map<String, Object>> rows = recordMapper.selectUnclosedWarnings();
+        // 使用分页查询避免全量拉取导致卡死
+        int pn = (pageNum != null && pageNum > 0) ? pageNum : 1;
+        int ps = (pageSize != null && pageSize > 0) ? pageSize : 10;
+        int offset = (pn - 1) * ps;
+        long total = recordMapper.countUnclosedWarnings();
+        List<Map<String, Object>> rows = recordMapper.selectUnclosedWarningsPaged(ps, offset);
         java.text.SimpleDateFormat sdf = new java.text.SimpleDateFormat("yyyy-MM-dd HH:mm:ss");
         List<Map<String, Object>> warnings = new ArrayList<>();
         for (Map<String, Object> row : rows) {
@@ -195,6 +200,9 @@ public class OrderClosedLoopAppServiceImpl implements IOrderClosedLoopAppService
             warnings.add(warning);
         }
         result.put("records", warnings);
+        result.put("total", total);
+        result.put("pageNum", pn);
+        result.put("pageSize", ps);
         return result;
     }
 
diff --git a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/orderclosedloop/mapper/OrderExecuteRecordMapper.java b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/orderclosedloop/mapper/OrderExecuteRecordMapper.java
index 079f5b3f8..686217082 100644
--- a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/orderclosedloop/mapper/OrderExecuteRecordMapper.java
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/orderclosedloop/mapper/OrderExecuteRecordMapper.java
@@ -15,40 +15,46 @@ public interface OrderExecuteRecordMapper extends BaseMapper<OrderExecuteRecord>
     @Select("SELECT m.department_name FROM order_main m WHERE m.order_no = #{orderNo} AND m.delete_flag = '0' LIMIT 1")
     String findDepartmentByOrderNo(@Param("orderNo") String orderNo);
 
-    @Select("SELECT e.order_type AS orderType, " +
-            "COUNT(*) AS totalOrders, " +
-            "COUNT(CASE WHEN e.execute_status = 'completed' THEN 1 END) AS closedCount " +
+    @Select("SELECT e.order_type AS \"orderType\", " +
+            "COUNT(*) AS \"totalOrders\", " +
+            "COUNT(CASE WHEN e.execute_status = 'completed' THEN 1 END) AS \"closedCount\" " +
             "FROM order_execute_record e " +
             "WHERE e.delete_flag = '0' AND e.execute_status != 'cancelled' " +
             "GROUP BY e.order_type")
     List<Map<String, Object>> selectOverviewByType();
 
-    @Select("SELECT COALESCE(m.department_name, '未知') AS department, " +
-            "COUNT(*) AS totalOrders, " +
-            "COUNT(CASE WHEN e.execute_status = 'completed' THEN 1 END) AS closedCount " +
+    @Select("SELECT COALESCE(m.department_name, '未知') AS \"department\", " +
+            "COUNT(*) AS \"totalOrders\", " +
+            "COUNT(CASE WHEN e.execute_status = 'completed' THEN 1 END) AS \"closedCount\" " +
             "FROM order_execute_record e " +
             "LEFT JOIN order_main m ON e.order_no = m.order_no AND m.delete_flag = '0' " +
             "WHERE e.delete_flag = '0' AND e.execute_status != 'cancelled' " +
-            "GROUP BY m.department_name ORDER BY totalOrders DESC")
+            "GROUP BY m.department_name ORDER BY \"totalOrders\" DESC")
     List<Map<String, Object>> selectGroupByDepartment();
 
-    @Select("SELECT COALESCE(m.doctor_name, '未知') AS doctorName, " +
-            "COUNT(*) AS totalOrders, " +
-            "COUNT(CASE WHEN e.execute_status = 'completed' THEN 1 END) AS closedCount " +
+    @Select("SELECT COALESCE(m.doctor_name, '未知') AS \"doctorName\", " +
+            "COUNT(*) AS \"totalOrders\", " +
+            "COUNT(CASE WHEN e.execute_status = 'completed' THEN 1 END) AS \"closedCount\" " +
             "FROM order_execute_record e " +
             "LEFT JOIN order_main m ON e.order_no = m.order_no AND m.delete_flag = '0' " +
             "WHERE e.delete_flag = '0' AND e.execute_status != 'cancelled' " +
-            "GROUP BY m.doctor_name ORDER BY totalOrders DESC")
+            "GROUP BY m.doctor_name ORDER BY \"totalOrders\" DESC")
     List<Map<String, Object>> selectGroupByDoctor();
 
-    @Select("SELECT e.order_no AS orderNo, e.patient_name AS patientName, e.order_type AS orderType, " +
-            "COALESCE(m.department_name, '未知') AS department, " +
-            "COALESCE(m.doctor_name, '未知') AS doctorName, " +
-            "e.current_step AS currentStep, e.create_time AS orderTime " +
+    @Select("SELECT COUNT(*) FROM order_execute_record e " +
+            "WHERE e.delete_flag = '0' " +
+            "AND e.execute_status IN ('pending', 'in_progress', 'overdue', 'executing')")
+    long countUnclosedWarnings();
+
+    @Select("SELECT e.order_no AS \"orderNo\", e.patient_name AS \"patientName\", e.order_type AS \"orderType\", " +
+            "COALESCE(m.department_name, '未知') AS \"department\", " +
+            "COALESCE(m.doctor_name, '未知') AS \"doctorName\", " +
+            "e.current_step AS \"currentStep\", e.create_time AS \"orderTime\" " +
             "FROM order_execute_record e " +
             "LEFT JOIN order_main m ON e.order_no = m.order_no AND m.delete_flag = '0' " +
             "WHERE e.delete_flag = '0' " +
             "AND e.execute_status IN ('pending', 'in_progress', 'overdue', 'executing') " +
-            "ORDER BY e.create_time DESC")
-    List<Map<String, Object>> selectUnclosedWarnings();
+            "ORDER BY e.create_time DESC " +
+            "LIMIT #{limit} OFFSET #{offset}")
+    List<Map<String, Object>> selectUnclosedWarningsPaged(@Param("limit") int limit, @Param("offset") int offset);
 }
\ No newline at end of file