diff --git a/openhis-ui-vue3/src/views/maintainSystem/Inspection/index.vue b/openhis-ui-vue3/src/views/maintainSystem/Inspection/index.vue
index b9946031..1819c81f 100644
--- a/openhis-ui-vue3/src/views/maintainSystem/Inspection/index.vue
+++ b/openhis-ui-vue3/src/views/maintainSystem/Inspection/index.vue
@@ -268,14 +268,14 @@
               <template #default="{ row }">
                 <template v-if="editingRowId === row.id">
                   <el-select v-model="row.feePackageId" placeholder="选择费用套餐" size="small" style="width: 100%;" filterable clearable
-                    @change="(val) => { const pkg = feePackages.find(p => p.id === val); row.package = pkg ? pkg.packageName : ''; updateAmountFromPackage(row); }"
+                    @change="(val) => { const pkg = feePackages.find(p => String(p.id) === String(val)); row.package = pkg ? pkg.packageName : ''; updateAmountFromPackage(row); }"
                     @visible-change="(visible) => { if (visible && feePackages.length === 0) getFeePackages() }">
                     <el-option label="选择费用套餐" value="" />
                     <el-option
                       v-for="pkg in feePackages"
                       :key="pkg.id"
                       :label="pkg.packageName"
-                      :value="pkg.id"
+                      :value="String(pkg.id)"
                     />
                   </el-select>
                 </template>
@@ -353,7 +353,7 @@
                         v-for="item in (row.subItemOptions || [])"
                         :key="item.id"
                         :label="item.name"
-                        :value="item.id"
+                        :value="Number(item.id)"
                     />
                   </el-select>
                 </template>
@@ -1160,18 +1160,33 @@ const handleEditRow = (row) => {
 
   // 初始化行内属性
   if (!row.subItemOptions) row.subItemOptions = [];
-  row.loadingSubItems = false;
 
-  // 回显名称
+  // 预加载费用套餐列表（确保下拉框能显示名称而不是ID）
+  if (feePackages.value.length === 0) {
+    getFeePackages();
+  }
+
+  // 如果已有子项ID但选项列表为空，且有大类ID，则主动加载子类列表
+  if (row.inspectionTypeId && row.subItemOptions.length === 0) {
+    row.loadingSubItems = true;
+    fetchInspectionTypesRequest({ parentId: row.inspectionTypeId }).then(res => {
+      let subData = [];
+      if (res.code === 200) {
+        if (res.data && Array.isArray(res.data)) subData = res.data;
+        else if (res.data && res.data.rows) subData = res.data.rows;
+        else if (res.data && res.data.data && Array.isArray(res.data.data)) subData = res.data.data;
+      }
+      row.subItemOptions = subData;
+    }).finally(() => {
+      row.loadingSubItems = false;
+    });
+  }
+
+  // 回显检验大类名称
   if (row.inspectionTypeId && !row.inspectionTypeName) {
     const p = parentTypeOptions.value.find(i => i.id === row.inspectionTypeId);
     if (p) row.inspectionTypeName = p.name;
   }
-
-  if (row.subItemId && row.subItemOptions.length > 0) {
-    const s = row.subItemOptions.find(i => i.id === row.subItemId);
-    if (s) row.subItemName = s.name;
-  }
 };
 
 onMounted(() => {
@@ -1292,15 +1307,15 @@ const loadObservationItems = async (resetPage = false) => {
           code: item.busNo || '',
           name: item.name || '',
           testType: item.inspectionTypeId_dictText || item.testType || '',
-          inspectionTypeId: item.inspectionTypeId || null,
+          inspectionTypeId: item.inspectionTypeId ? Number(item.inspectionTypeId) : null,
           package: item.packageName || '',
-          feePackageId: item.feePackageId || null,
+          feePackageId: item.feePackageId ? String(item.feePackageId) : null,
           sampleType: item.specimenCode || '',
           amount: parseFloat(item.retailPrice || 0),
           sortOrder: item.sortOrder || null,
           serviceRange: item.serviceRange || '全部',
           subItemName: item.subItemName || '',
-          subItemId: item.subItemId || null,
+          subItemId: item.subItemId ? Number(item.subItemId) : null,
           remark: item.descriptionText || '',
           status: true
         }));
@@ -1466,7 +1481,7 @@ let addingItem = false;
 const addPackageItem = () => {
   if (addingItem) return; // 防止重复调用
   addingItem = true;
-  
+
   const newItem = {
     name: '',
     dosage: '',
@@ -1482,7 +1497,7 @@ const addPackageItem = () => {
     origin: ''
   };
   packageItems.value.push(newItem);
-  
+
   // 延迟重置标志位，确保不会影响其他操作
   setTimeout(() => {
     addingItem = false;
@@ -1509,23 +1524,23 @@ const deletePackageItem = (index) => {
 const updateItemAmount = (item) => {
   // 计算项目原价金额
   const originalAmount = (item.quantity || 1) * (item.unitPrice || 0.00);
-  
+
   // 应用折扣到项目金额
   let discountedAmount = originalAmount;
   if (discount.value && !isNaN(parseFloat(discount.value))) {
     const discountRate = parseFloat(discount.value) / 100;
     discountedAmount = originalAmount * (1 - discountRate);
   }
-  
+
   // 更新项目金额
   item.amount = parseFloat(discountedAmount.toFixed(2));
-  
+
   // 基于折扣后的金额计算服务费
   item.serviceFee = calculateItemServiceFee(item);
-  
+
   // 更新项目总金额
   updateItemTotalAmount(item);
-  
+
   // 重新计算套餐金额和服务费
   calculateAmounts();
 };
@@ -1581,7 +1596,7 @@ const cancelEditItem = (index) => {
 // 计算单个项目的服务费（基于折扣后的金额）
 const calculateItemServiceFee = (item) => {
   if (!generateServiceFee.value) return 0;
-  
+
   // 服务费是项目折扣后金额的10%
   return parseFloat((item.amount * 0.1).toFixed(2));
 };
@@ -1596,7 +1611,7 @@ const redistributeServiceFee = () => {
     });
     return;
   }
-  
+
   // 重新计算每个项目的服务费
   packageItems.value.forEach(item => {
     item.serviceFee = calculateItemServiceFee(item);
@@ -1610,27 +1625,27 @@ const calculateAmounts = () => {
   packageItems.value.forEach(item => {
     // 计算项目原价金额
     const originalAmount = (item.quantity || 1) * (item.unitPrice || 0.00);
-    
+
     // 应用折扣到项目金额
     let discountedAmount = originalAmount;
     if (discount.value && !isNaN(parseFloat(discount.value))) {
       const discountRate = parseFloat(discount.value) / 100;
       discountedAmount = originalAmount * (1 - discountRate);
     }
-    
+
     // 更新项目金额
     item.amount = parseFloat(discountedAmount.toFixed(2));
   });
-  
+
   // 重新分配所有项目的服务费
   redistributeServiceFee();
-  
+
   // 计算套餐总金额（基于项目的折扣后金额）
   const totalAmount = packageItems.value.reduce((sum, item) => sum + (item.amount || 0), 0);
-  
+
   // 更新套餐金额
   packageAmount.value = parseFloat(totalAmount.toFixed(2));
-  
+
   // 计算套餐总服务费
   if (generateServiceFee.value) {
     serviceFee.value = parseFloat(packageItems.value.reduce((sum, item) => sum + (item.serviceFee || 0), 0).toFixed(2));
@@ -1724,12 +1739,12 @@ const handleConfirm = (row) => {
     ElMessage.warning('请选择执行科室');
     return;
   }
-  
+
   // 注意：编码唯一性由后端统一校验；这里不做硬编码拦截（避免误判）
-  
+
   // 去除code字段的前后空格，确保唯一性验证准确
   submitData.code = submitData.code.trim();
-  
+
   // 区分新增和更新操作：使用 temp_ 前缀的临时ID判断，避免时间戳阈值在不同年份失效
   if (isTempId(row.id)) { // 新增的临时ID
     // 处理 parentId：如果是子类且 parentId 是临时ID，需要先找到父类的真实 id
@@ -1740,7 +1755,7 @@ const handleConfirm = (row) => {
       const parts = parseCodeParts(submitData.code);
       if (parts.subRaw) {
         const parentCode = parts.mainRaw;
-        const parent = tableData.value.find(r => 
+        const parent = tableData.value.find(r =>
           !isTempId(r.id) && (r?.code ?? '').toString().trim() === parentCode
         );
         if (parent) {
@@ -1751,11 +1766,11 @@ const handleConfirm = (row) => {
         }
       }
     }
-    
+
     // 新增数据时移除临时ID，让后端自动生成主键
     const { id, ...newData } = submitData;
     newData.parentId = finalParentId || null;  // 确保 parentId 正确设置（大类为 null，子类为父类 id）
-    
+
     addInspectionType(newData).then(response => {
       ElMessage.success('新增成功');
       getInspectionTypeList();
@@ -1778,7 +1793,7 @@ const handleConfirm = (row) => {
       }
     });
   }
-  
+
   editingRowId.value = null;
 };
 
@@ -1826,7 +1841,7 @@ const handleAdd = (row, index) => {
   tableData.value.splice(index + 1, 0, newRow);
   editingRowId.value = newRow.id;
 };
-  
+
   const handleDelete = (id) => {
     ElMessageBox.confirm('确定要删除该检验类型吗？', '提示', {
       confirmButtonText: '确定',
@@ -1881,19 +1896,47 @@ const addNewItem = () => {
   editingRowId.value = newItem.id;
 };
 
-const editItem = (item) => {
+const editItem = async (item) => {
   if (editingRowId.value === item.id) {
-    // 如果当前行已经在编辑模式，点击编辑按钮则保存
     saveItem(item);
-  } else {
-    // 否则进入编辑模式
-    editingRowId.value = item.id;
+    return;
   }
+
+  // 初始化行内属性
+  if (!item.subItemOptions) item.subItemOptions = [];
+
+  // 并行预加载：费用套餐列表 + 当前行的子类列表
+  const tasks = [];
+
+  if (feePackages.value.length === 0) {
+    tasks.push(getFeePackages());
+  }
+
+  if (item.inspectionTypeId && item.subItemOptions.length === 0) {
+    item.loadingSubItems = true;
+    tasks.push(
+      fetchInspectionTypesRequest({ parentId: item.inspectionTypeId }).then(res => {
+        let subData = [];
+        if (res.code === 200) {
+          if (res.data && Array.isArray(res.data)) subData = res.data;
+          else if (res.data && res.data.rows) subData = res.data.rows;
+          else if (res.data && res.data.data && Array.isArray(res.data.data)) subData = res.data.data;
+        }
+        item.subItemOptions = subData;
+      }).finally(() => {
+        item.loadingSubItems = false;
+      })
+    );
+  }
+
+  // 等所有数据加载完再切换编辑态，确保 el-select 能回显正确文字
+  await Promise.all(tasks);
+  editingRowId.value = item.id;
 };
 
 const updateAmountFromPackage = (item) => {
   if (item.feePackageId) {
-    const selectedPackage = feePackages.value.find(pkg => pkg.id === item.feePackageId);
+    const selectedPackage = feePackages.value.find(pkg => String(pkg.id) === String(item.feePackageId));
     if (selectedPackage) {
       // 套餐总金额 = 套餐金额 + 服务费
       const packageAmount = parseFloat(selectedPackage.packageAmount || 0);
@@ -1911,42 +1954,42 @@ const saveItem = async (item) => {
     ElMessage.error('小类编码不能为空');
     return;
   }
-  
+
   // 验证小类编码格式：4位数字
   const codeRegex = /^\d{4}$/;
   if (!codeRegex.test(item.code.trim())) {
     ElMessage.error('小类编码必须为4位数字');
     return;
   }
-  
+
   if (!item.name || item.name.trim() === '') {
     ElMessage.error('小类项目名称不能为空');
     return;
   }
-  
+
   if (!item.inspectionTypeId) {
     ElMessage.error('检验类型不能为空');
     return;
   }
-  
+
   if (!item.sampleType) {
     ElMessage.error('样本类型不能为空');
     return;
   }
-  
+
   // 验证小类编码唯一性
-  const isDuplicate = inspectionItems.value.some(i => 
+  const isDuplicate = inspectionItems.value.some(i =>
     i.id !== item.id && i.code.trim() === item.code.trim()
   );
-  
+
   if (isDuplicate) {
     ElMessage.error('小类编码已存在');
     return;
   }
-  
+
   // 从费用套餐获取金额
   updateAmountFromPackage(item);
-  
+
   try {
     // 准备提交给后端的数据
     const submitData = {
@@ -1964,7 +2007,7 @@ const saveItem = async (item) => {
       sortOrder: item.sortOrder ? parseInt(item.sortOrder) : null,
       serviceRange: item.serviceRange || '全部'
     };
-    
+
     // 判断是新增还是更新
     if (typeof item.id === 'number') { // 临时ID（数字类型），新增
       const response = await addDiagnosisTreatment(submitData);
@@ -1984,7 +2027,7 @@ const saveItem = async (item) => {
         ElMessage.error(response.msg || '更新失败');
       }
     }
-    
+
     editingRowId.value = null;
   } catch (error) {
     console.error('保存检验项目失败:', error);
@@ -2048,19 +2091,19 @@ const exportTable = () => {
 
   // 创建Blob对象
   const blob = new Blob([csvContent], { type: 'text/csv;charset=utf-8;' });
-  
+
   // 创建下载链接
   const link = document.createElement('a');
   const url = URL.createObjectURL(blob);
   link.setAttribute('href', url);
   link.setAttribute('download', `检验项目导出_${new Date().toISOString().split('T')[0]}.csv`);
   link.style.visibility = 'hidden';
-  
+
   // 添加到DOM并触发下载
   document.body.appendChild(link);
   link.click();
   document.body.removeChild(link);
-  
+
   ElMessage.success('导出成功');
 };