diff --git a/healthlink-his-ui/src/views/doctorstation/components/examination/examinationApplication.vue b/healthlink-his-ui/src/views/doctorstation/components/examination/examinationApplication.vue
index 810b4e167..c845de437 100755
--- a/healthlink-his-ui/src/views/doctorstation/components/examination/examinationApplication.vue
+++ b/healthlink-his-ui/src/views/doctorstation/components/examination/examinationApplication.vue
@@ -88,6 +88,7 @@
         v-loading="loading"
         :data="filteredApplicationList"
         :max-height="200"
+        min-width="865"
         border
         size="small"
         :header-cell-style="{ background: '#f5f5f5', color: '#303133', fontWeight: '600' }"
@@ -140,7 +141,7 @@
         <vxe-column
           title="收费"
           field="isCharged"
-          width="50"
+          width="65"
           align="center"
         >
           <template #default="{ row }">
@@ -155,7 +156,7 @@
         <vxe-column
           title="退费"
           field="isRefunded"
-          width="50"
+          width="65"
           align="center"
         >
           <template #default="{ row }">
@@ -170,7 +171,7 @@
         <vxe-column
           title="执行"
           field="isExecuted"
-          width="50"
+          width="65"
           align="center"
         >
           <template #default="{ row }">
@@ -1451,7 +1452,10 @@ const availableMethods = computed(() => {
 });
 
 function isStandaloneMethodSelected(method) {
-  return selectedMethods.value.some((m) => String(m.id) === String(method?.id));
+  return selectedMethods.value.some((m) =>
+    String(m.id) === String(method?.id) ||
+    (m.code && method?.code && String(m.code) === String(method.code))
+  );
 }
 
 function getDisplayMethodName(method) {
@@ -1712,11 +1716,12 @@ watch(() => props.patientInfo, (newVal) => {
 
 watch(() => props.activeTab, async (val) => {
   if (val === 'examination') {
-    getList();
-    // 切换到检查页签时，重新获取临床诊断（确保与诊断页签同步）
+    // 进入检查tab时自动初始化表单，确保输入框可编辑且处于干净状态
+    // handleAdd 内部已调用 loadClinicalDiag() 获取临床诊断
     if (props.patientInfo?.encounterId) {
-      await loadClinicalDiag();
+      handleAdd();
     }
+    // 父组件 handleClick 中已调用 getList()，此处不再重复调用
   }
 });
 
@@ -1859,7 +1864,8 @@ function handleSave() {
   });
 }
 
-function handleRowClick(row) {
+function handleRowClick({ row, column }) {
+  // vxe-table v4 cell-click 事件参数为 { row, column, rowIndex, ... }，需解构获取实际行数据
   Object.assign(form, row);
   form.selectedMethodDisplay = '';  // Bug #384修复: 先清空，后面根据回充数据更新
   selectedItems.value = [];
@@ -1896,6 +1902,11 @@ function handleRowClick(row) {
             packageId: null,
             hasChildren: false  // #426修复: 树形表格懒加载展开标记，后续根据packageId动态设置
           };
+          // Bug #656: 从已保存数据提取检查方法信息（移到 bodyPartCode 外部，确保始终可用）
+          const savedMethodCode = m.examMethodCode || m.checkMethodCode;
+          const savedMethodId = m.checkMethodId;
+          const savedMethodName = m.checkMethodName;
+
           // 加载该项目的检查方法
           if (m.bodyPartCode) {
             try {
@@ -1916,49 +1927,74 @@ function handleRowClick(row) {
                   packagePrice: md.packagePrice || null,
                   serviceFee: md.serviceFee || null
                 }));
-                // 回充已保存的检查方法
-                const methodCode = m.examMethodCode || m.checkMethodCode;
-                const methodId = m.checkMethodId;
-                if (methodCode || methodId) {
-                  const found = item.methods.find(md =>
-                    (methodCode && String(md.code) === String(methodCode)) ||
-                    (methodId && String(md.id) === String(methodId))
-                  );
-                  if (found) {
-                    item.selectedMethod = found;
-                  } else {
-                    item.selectedMethod = {
-                      id: methodId || null,
-                      name: m.checkMethodName || '',
-                      code: methodCode || '',
-                      price: 0,
-                      packageName: m.checkMethodPackageName || '',
-                      packageId: null,
-                      packagePrice: null,
-                      serviceFee: null
-                    };
-                  }
-                }
-                if (item.selectedMethod || item.packageId || item.packageName) {
-                  item.hasChildren = true;
-                }
               }
             } catch (err) {
               console.error('加载检查方法失败', err);
             }
           }
+
+          // Bug #656修复: 回充已保存的检查方法（始终执行，不依赖 bodyPartCode 或 API 返回）
+          if (savedMethodCode || savedMethodId) {
+            let found = null;
+            // 1. 优先在该项目的检查方法列表中查找
+            found = item.methods.find(md =>
+              (savedMethodCode && String(md.code) === String(savedMethodCode)) ||
+              (savedMethodId && String(md.id) === String(savedMethodId))
+            );
+            // 2. 未找到时，回退到全局 allMethods 中查找（兼容 checkType 不匹配导致方法不在分类结果中的场景）
+            if (!found) {
+              found = allMethods.value.find(m =>
+                (savedMethodCode && String(m.code) === String(savedMethodCode)) ||
+                (savedMethodId && String(m.id) === String(savedMethodId))
+              );
+            }
+            // 3. 设置 selectedMethod
+            if (found) {
+              item.selectedMethod = {
+                id: found.id,
+                name: found.name,
+                code: found.code,
+                price: found.price || 0,
+                packageName: found.packageName || '',
+                packageId: found.packageId || null,
+                packagePrice: found.packagePrice || null,
+                serviceFee: found.serviceFee || null
+              };
+            } else {
+              // 4. 创建降级对象：优先用已保存名称，其次用代码作为显示名
+              item.selectedMethod = {
+                id: savedMethodId || null,
+                name: savedMethodName || savedMethodCode || '',
+                code: savedMethodCode || '',
+                price: 0,
+                packageName: m.checkMethodPackageName || '',
+                packageId: null,
+                packagePrice: null,
+                serviceFee: null
+              };
+            }
+          }
+
+          if (item.selectedMethod || item.packageId || item.packageName) {
+            item.hasChildren = true;
+          }
           return item;
         }));
-        // Bug #408修复: 确保明细数据正确加载到selectedItems
+        // Bug #656修复: 去重键改为 id || code，避免 id 为 null 时误判为同一方法导致丢失
         const methodMap = new Map();
         for (const item of itemsWithMethods) {
-          if (item.selectedMethod && !methodMap.has(String(item.selectedMethod.id))) {
-            methodMap.set(String(item.selectedMethod.id), {
-              ...item.selectedMethod,
-              expanded: false,
-              packageLoading: false,
-              packageDetails: []
-            });
+          if (item.selectedMethod) {
+            const dedupKey = item.selectedMethod.id != null
+              ? String(item.selectedMethod.id)
+              : (item.selectedMethod.code || `__item_${item.id}`);
+            if (!methodMap.has(dedupKey)) {
+              methodMap.set(dedupKey, {
+                ...item.selectedMethod,
+                expanded: false,
+                packageLoading: false,
+                packageDetails: []
+              });
+            }
           }
           item.methodPackageDetails = [];
         }
@@ -1988,8 +2024,39 @@ function handleRowClick(row) {
         syncCategoryChecked();
         // Bug #384修复: 回充后更新检查方法显示
         updateMethodDisplay();
-        // Bug #408修复: 加载申请单详情后自动切换到检查明细页签，确保已加载的明细数据可见
-        activeDetailTab.value = 'applyDetail';
+
+        // Bug #656修复: 展开对应检查项目分类节点，使树形结构和检查方法勾选状态正确回显
+        const firstItem = selectedItems.value[0];
+        if (firstItem && firstItem.checkType) {
+          const targetCat = categoryList.value.find(cat =>
+            (cat.typeName && cat.typeName === firstItem.checkType) ||
+            (cat.categoryName && cat.categoryName === firstItem.checkType)
+          );
+          if (targetCat) {
+            // 先确保分类树的方法已加载完成，再展开分类
+            // 注意顺序：先 await handleCategoryExpand，再设置 activeNames，
+            // 避免 handleCollapseChange 中异步加载与后续匹配逻辑的竞态条件
+            await handleCategoryExpand(targetCat);
+            activeNames.value = targetCat.typeId;
+            // 将 selectedMethods 中的降级方法（id/name 为空）按 code 匹配分类树中的方法，补充名称和真实 ID
+            if (targetCat.methods && targetCat.methods.length > 0) {
+              let updated = false;
+              selectedMethods.value = selectedMethods.value.map(m => {
+                if ((!m.name || !m.id) && m.code) {
+                  const matched = targetCat.methods.find(cm => String(cm.code) === String(m.code));
+                  if (matched) {
+                    updated = true;
+                    return { ...matched, expanded: false, packageLoading: false, packageDetails: m.packageDetails || [] };
+                  }
+                }
+                return m;
+              });
+              if (updated) {
+                updateMethodDisplay();
+              }
+            }
+          }
+        }
       } catch (err) {
         console.error('加载申请单详情失败', err);
         ElMessage.error('加载申请单详情失败');
@@ -2333,10 +2400,11 @@ function resetCategoryChecked() {
 
 function syncCategoryChecked() {
   resetCategoryChecked();
-  const ids = new Set(selectedItems.value.map(s => s.id));
+  // 统一转为 String 比较，避免 Number vs String 类型不匹配
+  const ids = new Set(selectedItems.value.map(s => String(s.id)));
   for (const cat of categoryList.value)
     for (const item of cat.items)
-      if (ids.has(item.id)) item.checked = true;
+      if (ids.has(String(item.id))) item.checked = true;
 }
 
 defineExpose({ getList });
diff --git a/healthlink-his-ui/src/views/doctorstation/index.vue b/healthlink-his-ui/src/views/doctorstation/index.vue
index 778487e94..e3e6c39da 100755
--- a/healthlink-his-ui/src/views/doctorstation/index.vue
+++ b/healthlink-his-ui/src/views/doctorstation/index.vue
@@ -227,7 +227,6 @@
       <div style="padding: 10px; position: relative">
         <el-tabs
           v-model="activeTab"
-          v-loading="loading"
           type="card"
           style="width: 100%; height: 100%"
           @tab-change="handleClick(activeTab)"
@@ -546,7 +545,6 @@ const diagnosisRef = ref();
 const consultationRef = ref();
 const infectiousReportRef = ref();
 const waitCount = ref(0);
-const loading = ref(false);
 const { proxy } = getCurrentInstance();
 const visitType = ref('');
 const firstVisitDate = ref('');
@@ -807,7 +805,6 @@ function handleCardClick(item, index) {
   currentEncounterId.value = item.encounterId;
   console.log('currentEncounterId.value 设置为:', currentEncounterId.value);
 
-  loading.value = true;
   patientList.value.forEach((patient) => {
     patient.active = patient.encounterId === item.encounterId;
   });
@@ -860,9 +857,6 @@ function handleCardClick(item, index) {
     eprescriptionRef.value.getList();
     consultationRef.value.fetchConsultationList();
     // emrRef.value.getDetail(item.encounterId);
-    setTimeout(() => {
-      loading.value = false;
-    }, 200);
   });
 }