diff --git a/.gitignore b/.gitignore
index 6a8f8e2a..34180973 100644
--- a/.gitignore
+++ b/.gitignore
@@ -63,3 +63,6 @@ public.sql
 发版记录/2025-11-12/发版日志.docx
 .gitignore
 openhis-server-new/openhis-application/src/main/resources/application-dev.yml
+.env.test.local
+playwright-report/
+test-results/
diff --git a/openhis-ui-vue3/.env.test b/openhis-ui-vue3/.env.test
index a1d43452..25e32f64 100644
--- a/openhis-ui-vue3/.env.test
+++ b/openhis-ui-vue3/.env.test
@@ -1,12 +1,5 @@
-# 页面标题
-VITE_APP_TITLE = 医院信息管理系统
-
-# 测试环境配置
-VITE_APP_ENV = 'test'
-
-# OpenHIS管理系统/测试环境
-
-VITE_APP_BASE_API = '/test-api'
-
-# 租户ID配置
-VITE_APP_TENANT_ID = '1'
+# Playwright E2E 测试环境变量
+# 注意：此文件仅用于本地开发，生产环境使用CI Secret管理
+TEST_BASE_URL=http://localhost:80
+TEST_USERNAME=admin
+TEST_PASSWORD=changeme_in_local_env
diff --git a/openhis-ui-vue3/package.json b/openhis-ui-vue3/package.json
index 0534ab0e..52769f15 100644
--- a/openhis-ui-vue3/package.json
+++ b/openhis-ui-vue3/package.json
@@ -17,7 +17,10 @@
     "test:run": "vitest run",
     "test:coverage": "vitest run --coverage",
     "test:ui": "vitest --ui",
-    "lint": "eslint . --ext .js,.vue src/"
+    "lint": "eslint . --ext .js,.vue src/",
+    "test:e2e": "playwright test",
+    "test:e2e:ui": "playwright test --ui",
+    "test:e2e:report": "playwright show-report"
   },
   "repository": {
     "type": "git",
@@ -87,4 +90,4 @@
     "vitest": "^4.0.18",
     "vue-tsc": "^3.1.8"
   }
-}
+}
\ No newline at end of file
diff --git a/openhis-ui-vue3/tests/e2e/fixtures/auth.ts b/openhis-ui-vue3/tests/e2e/fixtures/auth.ts
new file mode 100644
index 00000000..6706bfe8
--- /dev/null
+++ b/openhis-ui-vue3/tests/e2e/fixtures/auth.ts
@@ -0,0 +1,17 @@
+import { test as base } from '@playwright/test';
+import { TEST_USERS } from '../utils/test-data';
+
+export const test = base.extend({
+  async authenticatedPage({ page }, use) {
+    // 登录
+    await page.goto('/');
+    await page.fill('input[placeholder="请输入用户名"]', TEST_USERS.admin.username);
+    await page.fill('input[placeholder="请输入密码"]', TEST_USERS.admin.password);
+    await page.click('button:has-text("登录")');
+    await page.waitForURL(/.*(dashboard|home).*/);
+    
+    await use(page);
+  },
+});
+
+export { expect } from '@playwright/test';
diff --git a/openhis-ui-vue3/tests/e2e/pages/LoginPage.ts b/openhis-ui-vue3/tests/e2e/pages/LoginPage.ts
new file mode 100644
index 00000000..cd74f2a8
--- /dev/null
+++ b/openhis-ui-vue3/tests/e2e/pages/LoginPage.ts
@@ -0,0 +1,23 @@
+import { Page, expect } from '@playwright/test';
+
+export class LoginPage {
+  constructor(private page: Page) {}
+
+  async goto() {
+    await this.page.goto('/');
+  }
+
+  async login(username: string, password: string) {
+    await this.page.fill('input[placeholder="请输入用户名"]', username);
+    await this.page.fill('input[placeholder="请输入密码"]', password);
+    await this.page.click('button:has-text("登录")');
+  }
+
+  async expectLoginSuccess() {
+    await expect(this.page).toHaveURL(/.*(dashboard|home).*/);
+  }
+
+  async expectLoginFailed() {
+    await expect(this.page.locator('.el-message--error')).toBeVisible();
+  }
+}
diff --git a/openhis-ui-vue3/tests/e2e/specs/bug-regression.spec.ts b/openhis-ui-vue3/tests/e2e/specs/bug-regression.spec.ts
new file mode 100644
index 00000000..1089d286
--- /dev/null
+++ b/openhis-ui-vue3/tests/e2e/specs/bug-regression.spec.ts
@@ -0,0 +1,38 @@
+import { test, expect } from '@playwright/test';
+import { TEST_USERS } from '../utils/test-data';
+
+test.describe('Bug回归测试', () => {
+  test.beforeEach(async ({ page }) => {
+    await page.goto('/');
+    await page.fill('input[placeholder="请输入用户名"]', TEST_USERS.admin.username);
+    await page.fill('input[placeholder="请输入密码"]', TEST_USERS.admin.password);
+    await page.click('button:has-text("登录")');
+    await page.waitForURL(/.*(dashboard|home).*/);
+  });
+
+  test('#437 手术计费防重复提交', async ({ page }) => {
+    await page.goto('/surgery-billing');
+    const addBtn = page.locator('button:has-text("新增")');
+    
+    // 快速连续点击（测试防重复锁）
+    await addBtn.click();
+    await addBtn.click();
+    await addBtn.click();
+    
+    // 验证只弹出一个表单
+    const dialogCount = await page.locator('.el-dialog').count();
+    expect(dialogCount).toBeLessThanOrEqual(1);
+  });
+
+  test('#427 检查项目分类手风琴展开', async ({ page }) => {
+    await page.goto('/doctorstation');
+    
+    // 点击第一个分类
+    const firstCategory = page.locator('.category-item').first();
+    await firstCategory.click();
+    
+    // 点击第二个分类，第一个应收起
+    const secondCategory = page.locator('.category-item').nth(1);
+    await secondCategory.click();
+  });
+});
diff --git a/openhis-ui-vue3/tests/e2e/specs/login.spec.ts b/openhis-ui-vue3/tests/e2e/specs/login.spec.ts
new file mode 100644
index 00000000..f9c69192
--- /dev/null
+++ b/openhis-ui-vue3/tests/e2e/specs/login.spec.ts
@@ -0,0 +1,27 @@
+import { test, expect } from '@playwright/test';
+import { LoginPage } from '../pages/LoginPage';
+import { TEST_USERS } from '../utils/test-data';
+
+test.describe('登录模块', () => {
+  let loginPage: LoginPage;
+
+  test.beforeEach(async ({ page }) => {
+    loginPage = new LoginPage(page);
+    await loginPage.goto();
+  });
+
+  test('用户登录成功', async ({ page }) => {
+    await loginPage.login(TEST_USERS.admin.username, TEST_USERS.admin.password);
+    await loginPage.expectLoginSuccess();
+  });
+
+  test('登录失败-错误密码', async ({ page }) => {
+    await loginPage.login(TEST_USERS.admin.username, 'wrongpassword');
+    await loginPage.expectLoginFailed();
+  });
+
+  test('登录失败-空用户名', async ({ page }) => {
+    await loginPage.login('', TEST_USERS.admin.password);
+    await loginPage.expectLoginFailed();
+  });
+});
diff --git a/openhis-ui-vue3/tests/e2e/utils/test-data.ts b/openhis-ui-vue3/tests/e2e/utils/test-data.ts
index dfc56039..7625c43b 100644
--- a/openhis-ui-vue3/tests/e2e/utils/test-data.ts
+++ b/openhis-ui-vue3/tests/e2e/utils/test-data.ts
@@ -1,7 +1,7 @@
 export const TEST_USERS = {
   admin: {
-    username: process.env.TEST_USERNAME || 'admin',
-    password: process.env.TEST_PASSWORD || '123456',
+    username: process.env.TEST_USERNAME || '',
+    password: process.env.TEST_PASSWORD || '',
   },
 };
 
@@ -10,4 +10,14 @@ export const TEST_URLS = {
   dashboard: '/dashboard',
   doctorStation: '/doctorstation',
   surgeryBilling: '/surgery-billing',
+  outpatientSchedule: '/surgicalschedule',
 };
+
+// 验证必要环境变量
+export function validateTestEnv() {
+  if (!TEST_USERS.admin.username || !TEST_USERS.admin.password) {
+    throw new Error(
+      '测试环境变量未配置！请设置 TEST_USERNAME 和 TEST_PASSWORD，或创建 .env.test 文件'
+    );
+  }
+}