diff --git a/healthlink-his-ui/src/views/inpatientDoctor/home/components/diagnosis/diagnosis.vue b/healthlink-his-ui/src/views/inpatientDoctor/home/components/diagnosis/diagnosis.vue
index 72ae7940a..ff88469d2 100755
--- a/healthlink-his-ui/src/views/inpatientDoctor/home/components/diagnosis/diagnosis.vue
+++ b/healthlink-his-ui/src/views/inpatientDoctor/home/components/diagnosis/diagnosis.vue
@@ -397,7 +397,7 @@ import {deleteTcmDiagnosis} from '@/views/doctorstation/components/api.js';
 import diagnosisdialog from '../diagnosis/diagnosisdialog.vue';
 import AddDiagnosisDialog from './addDiagnosisDialog.vue';
 import diagnosislist from '../diagnosis/diagnosislist.vue';
-import {patientInfo} from '../../store/patient.js';
+
 import {ElMessage} from 'element-plus';
 // const diagnosisList = ref([]);
 const allowAdd = ref(false);
@@ -472,6 +472,7 @@ function getDetail(encounterId) {
       if (res.code === 200) {
         allowAdd.value = res.data ? true : false;
         console.log('设置 allowAdd =', allowAdd.value, ', 病历数据:', res.data);
+      } else {
         allowAdd.value = false;
         console.warn('获取病历详情失败:', res.msg);
       }
@@ -710,14 +711,40 @@ function getTree() {
 function handleAddDiagnosis() {
   console.log('点击新增诊断按钮，allowAdd:', allowAdd.value);
 
-  // 检查是否有未填写的空行（名称为空的行），防止不保存一直新增
-  const hasEmptyRow = form.value.diagnosisList.some(item => !item.name);
-  if (hasEmptyRow) {
-    proxy.$modal.msgWarning('请先完善已有的诊断信息后再新增');
+  // 检查当前列表是否已有未保存的诊断，阻止重复新增
+  const hasUnsaved = (form.value.diagnosisList || []).some(
+    (item) => !item.conditionId && !item.encounterDiagnosisId
+  );
+  if (hasUnsaved) {
+    proxy.$modal.msgWarning('请保存当前诊断');
     return;
   }
 
-  addDiagnosisItem();
+  // 检查表单ref是否存在
+  if (!proxy.$refs.formRef) {
+    console.error('表单ref不存在');
+    // 直接添加诊断，不经过表单验证
+    addDiagnosisItem();
+    return;
+  }
+
+  proxy.$refs.formRef.validate((valid, fields) => {
+    console.log('表单验证结果:', valid, '错误字段:', fields);
+    if (valid) {
+      if (!allowAdd.value) {
+        proxy.$modal.msgWarning('请先填写病历');
+        return;
+      }
+      addDiagnosisItem();
+    } else {
+      console.warn('表单验证失败:', fields);
+      // 验证失败时也允许添加（因为是新增空行）
+      if (allowAdd.value) {
+        console.log('验证失败但允许添加，强制添加诊断');
+        addDiagnosisItem();
+      }
+    }
+  });
 }
 
 /**