diff --git a/openhis-ui-vue3/src/views/outpatient/doctor/examination/ExaminationApplication.vue b/openhis-ui-vue3/src/views/outpatient/doctor/examination/ExaminationApplication.vue
index 65f7cf130..f9fb9415e 100644
--- a/openhis-ui-vue3/src/views/outpatient/doctor/examination/ExaminationApplication.vue
+++ b/openhis-ui-vue3/src/views/outpatient/doctor/examination/ExaminationApplication.vue
@@ -65,67 +65,72 @@
             </div>
           </div>
         </div>
-        <el-empty v-if="selectedItemsList.length === 0" description="暂无选择项目" />
       </div>
     </div>
   </div>
 </template>
 
 <script setup>
-import { ref, reactive } from 'vue'
+import { ref } from 'vue'
 
-// 模拟数据源（实际应从API获取）
+// 数据状态
 const categoryTree = ref([])
 const currentCategoryItems = ref([])
-
-// 已选项目ID列表（仅控制中间列表的项目勾选状态）
 const selectedItemIds = ref([])
+const selectedItemsList = ref([])
 
-// 已选项目列表（包含独立的方法状态与展开状态）
-const selectedItemsList = reactive([])
-
-// 清理名称：去除“套餐”前缀及冗余符号
+/**
+ * 清理项目名称：去除“套餐”前缀/后缀及冗余符号
+ */
 const cleanItemName = (name) => {
   if (!name) return ''
-  return name.replace(/^套餐[：:]/, '').replace(/套餐$/, '')
+  return name.replace(/^套餐[：:\s]*/g, '').replace(/套餐$/g, '')
 }
 
-// 选择分类
+/**
+ * 分类切换
+ */
 const handleCategorySelect = (node) => {
+  // 实际项目中此处应调用 API 获取分类下的项目列表
   currentCategoryItems.value = node.items || []
 }
 
-// 项目勾选变化：严格解耦，不自动勾选关联方法
+/**
+ * 项目勾选变更（核心解耦逻辑）
+ * 修复：勾选项目时不自动联动勾选检查方法，保持独立控制
+ */
 const onItemCheckChange = (item, checked) => {
   if (checked) {
-    const exists = selectedItemsList.find(s => s.id === item.id)
+    const exists = selectedItemsList.value.find(s => s.id === item.id)
     if (!exists) {
-      selectedItemsList.push({
+      selectedItemsList.value.push({
         id: item.id,
         name: cleanItemName(item.name),
-        expanded: false, // 默认收起
-        methods: (item.methods || []).map(m => ({
-          id: m.id,
-          name: m.name,
-          checked: false // 独立状态，初始不勾选
-        }))
+        expanded: false, // 默认收起状态
+        methods: (item.methods || []).map(m => ({ ...m, checked: false })) // 方法默认未勾选，彻底解耦
       })
     }
   } else {
-    const idx = selectedItemsList.findIndex(s => s.id === item.id)
-    if (idx !== -1) selectedItemsList.splice(idx, 1)
+    selectedItemsList.value = selectedItemsList.value.filter(s => s.id !== item.id)
   }
 }
 
-// 方法勾选变化：完全独立，不影响父级或其他方法
+/**
+ * 检查方法勾选变更
+ * 修复：独立控制，不反向影响父级项目状态
+ */
 const onMethodCheckChange = (method, checked) => {
   method.checked = checked
 }
 
-// 展开/收起卡片
+/**
+ * 卡片展开/收起切换
+ */
 const toggleCard = (id) => {
-  const target = selectedItemsList.find(s => s.id === id)
-  if (target) target.expanded = !target.expanded
+  const item = selectedItemsList.value.find(s => s.id === id)
+  if (item) {
+    item.expanded = !item.expanded
+  }
 }
 </script>
 
@@ -135,80 +140,81 @@ const toggleCard = (id) => {
   gap: 16px;
   height: 100%;
   padding: 12px;
-  background: #f5f7fa;
+  box-sizing: border-box;
 }
+
 .left-panel, .middle-panel, .right-panel {
   flex: 1;
-  background: #fff;
   border: 1px solid #ebeef5;
   border-radius: 6px;
   padding: 12px;
   overflow-y: auto;
-  display: flex;
-  flex-direction: column;
+  background: #fff;
 }
+
 .panel-title {
   font-weight: 600;
   margin-bottom: 12px;
   color: #303133;
+  font-size: 14px;
 }
+
 .item-list {
   display: flex;
   flex-direction: column;
   gap: 8px;
 }
+
 .selected-list {
-  flex: 1;
-  overflow-y: auto;
+  display: flex;
+  flex-direction: column;
+  gap: 10px;
 }
+
 .selected-card {
+  width: 100%; /* 修复：取消固定宽度，支持自适应 */
+  min-width: 0; /* 防止 flex 子项溢出 */
   border: 1px solid #dcdfe6;
-  border-radius: 6px;
-  margin-bottom: 10px;
+  border-radius: 4px;
+  padding: 10px;
   background: #fafafa;
-  /* 宽度自适应，取消固定宽度导致的截断溢出 */
-  width: 100%;
-  min-width: 0;
-  box-sizing: border-box;
+  transition: all 0.2s;
 }
+
 .card-header {
   display: flex;
   justify-content: space-between;
   align-items: center;
-  padding: 10px 12px;
   cursor: pointer;
   user-select: none;
-  background: #fff;
-  border-bottom: 1px solid transparent;
-  transition: all 0.2s;
-}
-.card-header:hover {
-  background: #f5f7fa;
 }
+
 .card-name {
-  font-weight: 500;
+  flex: 1;
   overflow: hidden;
   text-overflow: ellipsis;
   white-space: nowrap;
-  max-width: 85%;
+  font-weight: 500;
   color: #303133;
 }
+
 .expand-toggle {
   color: #409eff;
   font-size: 12px;
+  margin-left: 8px;
   flex-shrink: 0;
 }
+
 .card-details {
-  padding: 8px 12px;
-  background: #fff;
+  margin-top: 8px;
+  padding-left: 16px;
+  border-top: 1px dashed #ebeef5;
+  padding-top: 8px;
 }
+
 .method-row {
-  padding: 6px 0;
+  padding: 4px 0;
   display: flex;
   align-items: center;
-  border-bottom: 1px dashed #ebeef5;
-}
-.method-row:last-child {
-  border-bottom: none;
 }
 </style>
diff --git a/openhis-ui-vue3/tests/e2e/specs/bug-regression.spec.ts b/openhis-ui-vue3/tests/e2e/specs/bug-regression.spec.ts
index 573781770..4cbd949e4 100755
--- a/openhis-ui-vue3/tests/e2e/specs/bug-regression.spec.ts
+++ b/openhis-ui-vue3/tests/e2e/specs/bug-regression.spec.ts
@@ -2,6 +2,30 @@ import { describe, it, beforeEach } from 'cypress'
 
 // ... existing regression tests ...
 
+describe('Bug #561 Regression', { tags: ['@bug561', '@regression'] }, () => {
+  beforeEach(() => {
+    cy.visit('/outpatient/doctor/order')
+  })
+
+  it('should display total unit from treatment catalog instead of null', () => {
+    // 拦截医嘱详情接口，模拟返回诊疗目录配置的“使用单位”
+    cy.intercept('GET', '/api/outpatient/orders/*/detail', {
+      statusCode: 200,
+      body: {
+        id: 1001,
+        itemName: '超声切骨刀辅助操作',
+        totalQuantity: 1,
+        totalUnit: '次'
+      }
+    }).as('getOrderDetail')
+
+    // 模拟进入医嘱详情页
+    cy.visit('/outpatient/doctor/order/1001')
+    cy.wait('@getOrderDetail')
+    cy.get('[data-cy="total-unit"]').should('contain', '次')
+  })
+})
+
 describe('Bug #550 Regression', { tags: ['@bug550', '@regression'] }, () => {
   beforeEach(() => {
     // 模拟进入门诊医生站检查申请页
@@ -37,27 +61,3 @@ describe('Bug #550 Regression', { tags: ['@bug550', '@regression'] }, () => {
     cy.get('[data-cy="selected-card"]').should('not.contain', '项目套餐明细')
   })
 })
-
-describe('Bug #561 Regression', { tags: ['@bug561', '@regression'] }, () => {
-  beforeEach(() => {
-    cy.visit('/outpatient/doctor/order')
-  })
-
-  it('should display total unit from treatment catalog instead of null', () => {
-    // 拦截医嘱详情接口，模拟返回诊疗目录配置的“使用单位”
-    cy.intercept('GET', '/api/outpatient/orders/*/detail', {
-      statusCode: 200,
-      body: {
-        id: 1001,
-        itemName: '超声切骨刀辅助操作',
-        totalQuantity: 1,
-        totalUnit: '次'
-      }
-    }).as('getOrderDetail')
-
-    // 模拟进入医嘱详情页
-    cy.visit('/outpatient/doctor/order/1001')
-    cy.wait('@getOrderDetail')
-    cy.get('[data-cy="total-unit"]').should('contain', '次')
-  })
-})