diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/chargemanage/appservice/impl/OutpatientRegistrationAppServiceImpl.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/chargemanage/appservice/impl/OutpatientRegistrationAppServiceImpl.java
index 8be9cc0c..0852a29b 100644
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/chargemanage/appservice/impl/OutpatientRegistrationAppServiceImpl.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/chargemanage/appservice/impl/OutpatientRegistrationAppServiceImpl.java
@@ -108,6 +108,9 @@ public class OutpatientRegistrationAppServiceImpl implements IOutpatientRegistra
     @Resource
     IOrderService orderService;
 
+    @Resource
+    com.openhis.triageandqueuemanage.service.TriageQueueItemService triageQueueItemService;
+
     @Resource
     ScheduleSlotMapper scheduleSlotMapper;
 
@@ -324,6 +327,9 @@ public class OutpatientRegistrationAppServiceImpl implements IOutpatientRegistra
         // 如果本次门诊挂号来自预约签到，同步把预约订单与号源槽位状态改为已退号
         if (result != null && result.getCode() == 200) {
             syncAppointmentReturnStatus(byId, cancelRegPaymentDto.getReason());
+
+            // 同步移除分诊队列中的记录
+            removeTriageQueueItem(byId.getId());
         }
 
         // 记录退号日志
@@ -779,4 +785,48 @@ public class OutpatientRegistrationAppServiceImpl implements IOutpatientRegistra
         }
     }
 
+    /**
+     * 移除分诊队列中的记录
+     * 退号时同步移除患者队列记录，避免已退号患者仍在排队
+     *
+     * @param encounterId 就诊ID
+     */
+    private void removeTriageQueueItem(Long encounterId) {
+        if (encounterId == null) {
+            return;
+        }
+        // 1. 移除分诊队列中的记录（必须成功，否则回滚事务）
+        com.openhis.triageandqueuemanage.domain.TriageQueueItem queueItem = triageQueueItemService.getOne(
+            new LambdaQueryWrapper<com.openhis.triageandqueuemanage.domain.TriageQueueItem>()
+                .eq(com.openhis.triageandqueuemanage.domain.TriageQueueItem::getEncounterId, encounterId)
+                .eq(com.openhis.triageandqueuemanage.domain.TriageQueueItem::getDeleteFlag, "0")
+        );
+
+        if (queueItem != null) {
+            // 逻辑删除队列项
+            queueItem.setDeleteFlag("1");
+            queueItem.setUpdateTime(LocalDateTime.now());
+            triageQueueItemService.updateById(queueItem);
+            log.info("退号成功，已移除分诊队列记录，encounterId={}, queueItemId={}", encounterId, queueItem.getId());
+        }
+
+        // 2. 移除候选池排除记录（非必须，即使失败也不影响主流程）
+        try {
+            TriageCandidateExclusion exclusion = triageCandidateExclusionService.getOne(
+                new LambdaQueryWrapper<TriageCandidateExclusion>()
+                    .eq(TriageCandidateExclusion::getEncounterId, encounterId)
+                    .eq(TriageCandidateExclusion::getDeleteFlag, "0")
+            );
+            if (exclusion != null) {
+                exclusion.setDeleteFlag("1");
+                exclusion.setUpdateTime(LocalDateTime.now());
+                triageCandidateExclusionService.updateById(exclusion);
+                log.info("已移除候选池排除记录，encounterId={}", encounterId);
+            }
+        } catch (Exception e) {
+            // 候选池排除记录移除失败不影响主流程，仅记录日志
+            log.warn("移除候选池排除记录失败，encounterId={}", encounterId, e);
+        }
+    }
+
 }
diff --git a/openhis-server-new/openhis-application/src/main/resources/mapper/chargemanage/OutpatientRegistrationAppMapper.xml b/openhis-server-new/openhis-application/src/main/resources/mapper/chargemanage/OutpatientRegistrationAppMapper.xml
index be71ec4d..2f5fa0e8 100644
--- a/openhis-server-new/openhis-application/src/main/resources/mapper/chargemanage/OutpatientRegistrationAppMapper.xml
+++ b/openhis-server-new/openhis-application/src/main/resources/mapper/chargemanage/OutpatientRegistrationAppMapper.xml
@@ -84,7 +84,7 @@
                         T8.gender_enum     AS gender_enum,
                         T8.id_card         AS id_card,
                         T1.status_enum     AS status_enum,
-                         T1.create_time     AS "registerTime",
+                         T1.create_time     AS register_time,
                         T10.total_price,
                         T11."name"         AS account_name,
                         T12."name"         AS enterer_name,
@@ -178,7 +178,7 @@
                    AND T10.context_enum = #{register}
              ) AS T9
             ${ew.customSqlSegment}
-        ORDER BY T9.registerTime DESC
+        ORDER BY T9.register_time DESC
     </select>
 
     <select id="getTmpActivityList" resultType="com.openhis.web.personalization.dto.ActivityDeviceDto">