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 0223451b0..00bea6e24 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
@@ -767,6 +767,16 @@ function handleAddDiagnosis() {
 
   proxy.$refs.formRef.validate((valid, fields) => {
     console.log('表单验证结果:', valid, '错误字段:', fields);
+    // 再次检查是否有未保存的诊断（防止 validate 异步回调的竞态条件）
+    const hasUnsavedNow = (form.value.diagnosisList || []).some(
+      (item) => !item.conditionId && !item.encounterDiagnosisId
+    );
+    if (!valid || hasUnsavedNow) {
+      if (hasUnsavedNow) {
+        proxy.$modal.msgWarning('请保存当前诊断');
+      }
+      return;
+    }
     addDiagnosisItem();
   });
 }
@@ -1194,3 +1204,10 @@ defineExpose({ getList, getDetail, handleSaveDiagnosis });
 }
 </style>
 
+
+            :disabled="hasUnsavedDiagnosis || isAdding"
+const isAdding = ref(false);
+  if (isAdding.value) return;
+  isAdding.value = true;
+      isAdding.value = false;
+    isAdding.value = false;
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