diff --git a/src/App.vue b/src/App.vue
index 7a309a9..725fd97 100644
--- a/src/App.vue
+++ b/src/App.vue
@@ -5,11 +5,23 @@
 <script setup lang="ts">
 import useSettingsStore from '@/store/modules/settings'
 import { handleThemeStyle } from '@/utils/theme'
+import { useSysParam } from '@/hooks/useSysParam'
+
+const { initAllParams } = useSysParam()
+
+// ========== 在这里统一维护【所有需要全局获取的参数 key】 ==========
+const GLOBAL_PARAM_KEYS = [
+  'YBZFXMTSXX',   // YBZFXMTSXX
+  'HZBQGY',   //    患者病情概要是否必填
+]
 
 onMounted(() => {
   nextTick(() => {
     // 初始化主题样式
     handleThemeStyle(useSettingsStore().theme)
   })
+
+  // 获取参数值
+  initAllParams(GLOBAL_PARAM_KEYS)
 })
 </script>
diff --git a/src/api/common.ts b/src/api/common.ts
new file mode 100644
index 0000000..1c57189
--- /dev/null
+++ b/src/api/common.ts
@@ -0,0 +1,26 @@
+/**
+ * @file common.ts
+ * @description: 公共接口
+ * @author: w
+ * @since: 2026-06-16
+ */
+
+import request from '@/utils/request'
+
+// 获取参数的值
+export function getParameterOne(query?: Object) {
+  return request({
+    url: '/bus/common/getParameterOne',
+    method: 'get',
+    params: query
+  })
+}
+
+// 获取输血前检验项目
+export function queryLisProject(query?: Object) {
+  return request({
+    url: '/bus/common/queryLisProject',
+    method: 'post',
+    data: query
+  })
+}
\ No newline at end of file
diff --git a/src/api/doctor/assessment.ts b/src/api/doctor/assessment.ts
index 4ef5270..15f2409 100644
--- a/src/api/doctor/assessment.ts
+++ b/src/api/doctor/assessment.ts
@@ -3,7 +3,7 @@ import request from '@/utils/request'
 // 根据住院号获取病人信息
 export function queryPatInfo(query?: Object) {
   return request({
-    url: '/doctor/applyBefore/getPatInfo',
+    url: '/bus/doctor/applyBefore/getPatInfo',
     method: 'get',
     params: query
   })
@@ -11,7 +11,15 @@ export function queryPatInfo(query?: Object) {
 // 查询单据信息
 export function queryPatList(query?: Object) {
   return request({
-    url: '/doctor/applyBefore/queryList',
+    url: '/bus/doctor/applyBefore/queryList',
+    method: 'get',
+    params: query
+  })
+}
+// 查询单个单据信息
+export function queryPatOne(query?: Object) {
+  return request({
+    url: '/bus/doctor/applyBefore/queryOne',
     method: 'get',
     params: query
   })
@@ -19,7 +27,7 @@ export function queryPatList(query?: Object) {
 // 打印单据信息
 export function printPat(query?: Object) {
   return request({
-    url: '/doctor/applyBefore/print',
+    url: '/bus/doctor/applyBefore/print',
     method: 'get',
     params: query
   })
@@ -27,7 +35,7 @@ export function printPat(query?: Object) {
 // 保存信息
 export function savePat(query?: Object) {
   return request({
-    url: '/doctor/applyBefore/save',
+    url: '/bus/doctor/applyBefore/save',
     method: 'post',
     data: query
   })
@@ -35,7 +43,7 @@ export function savePat(query?: Object) {
 // 修改信息
 export function updatePat(query?: Object) {
   return request({
-    url: '/doctor/applyBefore/update',
+    url: '/bus/doctor/applyBefore/update',
     method: 'post',
     data: query
   })
@@ -43,8 +51,8 @@ export function updatePat(query?: Object) {
 // 删除信息
 export function delPat(query?: Object) {
   return request({
-    url: '/doctor/applyBefore/delete',
+    url: '/bus/doctor/applyBefore/delete',
     method: 'get',
     params: query
   })
-}
\ No newline at end of file
+}
diff --git a/src/api/system/user.ts b/src/api/system/user.ts
index 0ae8852..a852132 100644
--- a/src/api/system/user.ts
+++ b/src/api/system/user.ts
@@ -10,6 +10,16 @@ export function listUser(query: UserQueryParams): Promise<TableDataInfo<SysUser[
     params: query
   })
 }
+//同步用户数据
+export function syncUser(query?: Object) {
+  return request({
+    url: '/system/user/syncUser',
+    method: 'get',
+    params: query
+  })
+}
+
+
 
 // 查询用户详细
 export function getUser(userId?: number): Promise<UserFormDataResult> {
diff --git a/src/assets/styles/index.scss b/src/assets/styles/index.scss
index b0d9071..a09b563 100644
--- a/src/assets/styles/index.scss
+++ b/src/assets/styles/index.scss
@@ -611,7 +611,7 @@ aside {
 
 .vxe-table {
   border: 1px solid #96B8D9 !important;
-  border-top: none !important;
+  // border-top: none !important;
   /* 蓝色外边框 */
   border-radius: .5rem;
   /* 可选：添加边框圆角 */
diff --git a/src/components/elTable/index.vue b/src/components/elTable/index.vue
index 9e80611..cce2df3 100644
--- a/src/components/elTable/index.vue
+++ b/src/components/elTable/index.vue
@@ -73,12 +73,10 @@
   </div>
 </template>
 <script setup lang="ts">
-import { TableColumnCtx } from 'element-plus';
-import { classCom } from "@/utils/classCom";
-const aotuSize = classCom.useAutoSize();
-// @ts-ignore
+import { useAutoSize } from "@/utils/classCom";
+const aotuSize = useAutoSize();
+
 import Sortable from 'sortablejs'; // 引入sortablejs
-import ts from 'typescript';
 interface TableColumn {
   prop?: string;
   type?: string; // 'selection' | 'index' | undefined
diff --git a/src/hooks/useSysParam.ts b/src/hooks/useSysParam.ts
new file mode 100644
index 0000000..9e2e911
--- /dev/null
+++ b/src/hooks/useSysParam.ts
@@ -0,0 +1,76 @@
+import { getParameterOne } from '@/api/common'
+import { useCommonStore } from '@/store/modules/commonStore'
+
+// 全局请求加载状态
+const loading = ref(false)
+// 请求锁：防止短时间内多次触发初始化
+let requestLock = false
+
+
+export function useSysParam() {
+  //  在函数内部再实例化 store，保证 Pinia 已挂载
+  const sysParamStore = useCommonStore()
+
+  /**
+   * 初始化：批量并行请求多个参数
+   * @param paramKeyList 需要请求的参数 key 数组
+   */
+  const initAllParams = async (paramKeyList: string[]) => {
+    // 已加载 / 请求中，直接终止，避免重复请求
+    if (sysParamStore.isLoaded || requestLock) return
+
+    requestLock = true
+    loading.value = true
+
+    try {
+      // 1. 构建并行请求数组
+      const requestList = paramKeyList.map(key => getParameterOne({ parameterCode: key }))
+      // 2. 并行执行所有接口
+      const resList = await Promise.all(requestList)
+
+      // 3. 组装键值对
+      const resultMap: Record<string, string | number> = {}
+      paramKeyList.forEach((key, index) => {
+        const res = resList[index]
+        if (res.code == 0 && res.data !== null && res.data !== undefined) {
+          resultMap[key] = res.data
+        }
+      })
+
+      // 4. 存入全局 Pinia 缓存
+      sysParamStore.setParamMap(resultMap)
+    } catch (error) {
+      console.error('【系统参数】批量请求失败：', error)
+    } finally {
+      // 释放锁 & 加载状态
+      loading.value = false
+      requestLock = false
+    }
+  }
+
+  /**
+   * 根据 key 获取单个参数
+   * @param key 参数键名
+   * @param defaultValue 取不到值时的默认值
+   */
+  const getParam = (key: string, defaultValue: string | number = '') => {
+    return sysParamStore.paramMap[key] ?? defaultValue
+  }
+
+  /**
+   * 手动刷新所有参数（特殊场景使用：如参数后台更新后）
+   * @param paramKeyList 需要刷新的参数 key 数组
+   */
+  const refreshAllParams = async (paramKeyList: string[]) => {
+    sysParamStore.clearAllParam()
+    await initAllParams(paramKeyList)
+  }
+
+  return {
+    loading,
+    initAllParams,
+    getParam,
+    refreshAllParams,
+    paramMap: sysParamStore.paramMap
+  }
+}
\ No newline at end of file
diff --git a/src/store/modules/commonStore.ts b/src/store/modules/commonStore.ts
index d738c12..548fb0f 100644
--- a/src/store/modules/commonStore.ts
+++ b/src/store/modules/commonStore.ts
@@ -8,18 +8,36 @@ interface DefaultConfig {
 }
 export const useCommonStore = defineStore('commonStore', {
   state: () => ({
-
+    isLoaded: false,// 是否已完成初始化请求（防重复请求）
+    paramMap: {} as Record<string, string | number>, // 全局参数键值对集合 (参数值)  
     defaultConfig: {} as DefaultConfig, // 存储默认配置
   }),
   actions: {
     setDefaultConfig(config: DefaultConfig) {
       this.defaultConfig = config
     },
+
+    // 批量写入参数
+    setParamMap(data: Record<string, string | number>) {
+      this.paramMap = { ...this.paramMap, ...data }
+      this.isLoaded = true
+    },
+
+    // 单个设置参数
+    setSingleParam(key: string, value: string | number) {
+      this.paramMap[key] = value
+    },
+
+    // 清空所有参数（登出/切换账号使用）
+    clearAllParam() {
+      this.paramMap = {}
+      this.isLoaded = false
+    }
   },
   // 持久化配置
   persist: {
     // 指定要持久化的状态字段
-    pick: ['fingerprint', 'defaultConfig'],
+    pick: ['paramMap', 'defaultConfig'],
     // 可选配置：自定义存储键名（默认是store的id）
     // key: 'common_store',
     // 可选配置：指定存储位置（默认是localStorage 也可以用sessionStorage）
diff --git a/src/store/modules/user.ts b/src/store/modules/user.ts
index b23d037..fad33e9 100644
--- a/src/store/modules/user.ts
+++ b/src/store/modules/user.ts
@@ -4,6 +4,8 @@ import { login, logout, getInfo, loginAnonymous } from '@/api/login'
 import { getToken, setToken, removeToken } from '@/utils/auth'
 import { isHttp, isEmpty } from "@/utils/validate"
 import defAva from '@/assets/images/profile.jpg'
+import { useCommonStore } from '@/store/modules/commonStore'
+
 
 interface RoleInfo {
   roleName: string
@@ -122,6 +124,8 @@ const useUserStore = defineStore(
             this.token = ''
             this.roles = []
             this.permissions = []
+            const sysParamStore = useCommonStore()
+            sysParamStore.clearAllParam() //清除参数值缓存
             removeToken()
             resolve()
           }).catch((error: any) => {
diff --git a/src/utils/classCom.ts b/src/utils/classCom.ts
index 55737d6..813dfeb 100644
--- a/src/utils/classCom.ts
+++ b/src/utils/classCom.ts
@@ -4,7 +4,7 @@
  * 提供十进制颜色值转十六进制颜色码（支持BGR转RGB）及文字对比度计算功能
  */
 
-function decimalToHexColor(decimal: number | string): string {
+export function decimalToHexColor(decimal: number | string): string {
   // 处理空值和非数字情况
   if (decimal === undefined || decimal === null || decimal === '') {
     return '#FFFFFF';
@@ -33,20 +33,20 @@ function decimalToHexColor(decimal: number | string): string {
   return `#${rgbHex}`;
 }
 
-
 // 处理颜色转换为十进制数字
-const convertHexToNumber = (hex: string) => {
-  if (!hex) return
+export const convertHexToNumber = (hex: string) => {
+  if (!hex) return;
   hex = hex.replace('#', '');
   const bgr = hex.slice(4, 6) + hex.slice(2, 4) + hex.slice(0, 2);
   return parseInt(bgr, 16);
 };
+
 /**
  * 根据背景色计算对比度文字颜色（黑/白）
  * @param bgColor 十六进制背景色（如#FFFF80）
  * @returns 对比度文字颜色（#333333或#FFFFFF）
  */
-function getContrastTextColor(bgColor: string): string {
+export function getContrastTextColor(bgColor: string): string {
   // 验证颜色格式
   if (!/^#([0-9A-F]{6})$/i.test(bgColor)) {
     throw new Error('Invalid hex color format. Expected #RRGGBB');
@@ -65,7 +65,7 @@ function getContrastTextColor(bgColor: string): string {
 }
 
 // 打印https pdf
-function printPDF(pdfUrl: string) {
+export function printPDF(pdfUrl: string) {
   // 验证URL是否为HTTPS
   if (pdfUrl.startsWith('http')) {
     console.warn('PDF URL不是HTTPS协议，可能存在安全风险');
@@ -82,7 +82,7 @@ function printPDF(pdfUrl: string) {
 }
 
 // 打印base64 pdf
-function printBase64PDF(base64: string) {
+export function printBase64PDF(base64: string) {
   const blob = base64ToBlob(base64);
   const pdfUrl = URL.createObjectURL(blob);
   const iframe = document.createElement('iframe');
@@ -105,7 +105,7 @@ function base64ToBlob(base64: string) {
 }
 
 // 计算两个日期的天数差（支持带时分秒）
-const getDayDiff = (start: string, end: string): number => {
+export const getDayDiff = (start: string, end: string): number => {
   const startTime = new Date(start).getTime();
   const endTime = new Date(end).getTime();
 
@@ -117,12 +117,11 @@ const getDayDiff = (start: string, end: string): number => {
   return dayDiff < 0 ? -1 : dayDiff; // -1 表示结束时间早于开始时间，>=0 为正常天数
 };
 
-
 /**
  * 自动根据屏幕分辨率切换按钮尺寸（small/default）
-  * @returns 按钮尺寸的响应式ref
+ * @returns 按钮尺寸的响应式ref
  */
-function useAutoSize() {
+export function useAutoSize() {
   const autoSize = ref<'small' | 'default'>('default');
   // 防抖函数，避免频繁触发
   const debounce = (fn: Function, delay: number) => {
@@ -158,6 +157,4 @@ function useAutoSize() {
   });
 
   return autoSize;
-}
-
-export const classCom = { decimalToHexColor, convertHexToNumber, getContrastTextColor, printBase64PDF, printPDF, useAutoSize, getDayDiff }
+}
\ No newline at end of file
diff --git a/src/views/doctor/assessment/index.vue b/src/views/doctor/assessment/index.vue
index 1385315..209dd30 100644
--- a/src/views/doctor/assessment/index.vue
+++ b/src/views/doctor/assessment/index.vue
@@ -8,27 +8,46 @@
 <template>
   <div class="app-container">
     <div class="section">
-      <el-button type="primary" plain>检索</el-button>
-      <el-button type="primary" plain>新增</el-button>
-      <el-button type="primary" plain>保存</el-button>
-      <el-button type="primary" plain>输血申请</el-button>
-      <el-button type="warning" plain>打印</el-button>
-      <el-button type="warning" plain>打印输血知情同意书</el-button>
+      <el-button type="primary" plain @click="openJsDialog">检索</el-button>
+      <el-button type="primary" plain @click="handleAdd">新增</el-button>
+      <el-button type="danger" plain :disabled="!evaluationInfo.billNo" @click="handleDel">删除</el-button>
+      <el-button type="success" plain @click="handleSubmit">保存</el-button>
+      <el-button type="primary" plain @click="goSxPath">输血申请</el-button>
+      <el-button type="warning" plain :disabled="!evaluationInfo.billNo"
+        @click="printPg('ASSESS_BEFORE')">打印输血前评估单</el-button>
+      <el-button type="warning" plain :disabled="!evaluationInfo.billNo"
+        @click="printPg('INFORMED_CONSENT')">打印输血知情同意书</el-button>
     </div>
 
-    <el-form :model="form" label-width="auto">
+
+    <el-form label-width="auto">
+      <div class="section">
+        <el-row :gutter="20">
+          <el-col :span="4">
+            <el-form-item label="评估单号">
+              <el-input v-model="evaluationInfo.billNo" disabled />
+            </el-form-item>
+          </el-col>
+          <el-col :span="4">
+            <el-form-item label="评估日期">
+              <el-input v-model="evaluationInfo.assessmentDate" disabled />
+            </el-form-item>
+          </el-col>
+          <el-col :span="4">
+            <el-form-item label="评估医师">
+              <el-input v-model="evaluationInfo.assess_person" disabled />
+            </el-form-item>
+          </el-col>
+        </el-row>
+      </div>
       <!-- 基础信息 -->
       <div class="section">
         <div class="title">基础信息</div>
         <el-row :gutter="20">
-          <el-col :span="4">
-            <el-form-item label="评估单号">
-              <el-input v-model="baseInfo.assessmentNo" disabled />
-            </el-form-item>
-          </el-col>
           <el-col :span="4">
             <el-form-item label="住院号/ID号">
-              <el-input v-model="baseInfo.beinhos_id" @change="handleChange" />
+              <el-input v-model="baseInfo.beinhos_id" @keyup.enter="handleChange"
+                :disabled="evaluationInfo.billNo !== ''" />
             </el-form-item>
           </el-col>
           <el-col :span="4">
@@ -45,19 +64,18 @@
 
         <el-row :gutter="20">
           <el-col :span="4">
-            <el-form-item label="评估日期">
-              <el-input v-model="baseInfo.assessmentDate" readonly />
-            </el-form-item>
-          </el-col>
-          <el-col :span="4">
-            <el-form-item label="科 室">
-              <SelectTable v-model:data="baseInfo.dept_id" :tableData="dictData.ks" />
+            <el-form-item label="床位号">
+              <el-input v-model="bloodInfo.patient_bed" />
             </el-form-item>
           </el-col>
 
           <el-col :span="4">
-            <el-form-item label="床位号">
-              <el-input v-model="baseInfo.patient_bed" />
+            <el-form-item label="性别">
+              <el-select v-model="baseInfo.patient_sex" placeholder="">
+                <el-option label="男" value="男" />
+                <el-option label="女" value="女" />
+                <el-option label="未知" value="未知" />
+              </el-select>
             </el-form-item>
           </el-col>
 
@@ -70,59 +88,69 @@
 
         <el-row :gutter="20">
           <el-col :span="4">
-            <el-form-item label="评估医师">
-              <el-input v-model="baseInfo.doctorname" readonly />
+            <el-form-item label="科 室">
+              <SelectTable v-model:data="bloodInfo.dept_id" :tableData="dictData.ks" placeholder="" />
+            </el-form-item>
+          </el-col>
+
+          <el-col :span="4">
+            <el-form-item label="年 龄">
+              <el-input v-model="baseInfo.age" style="width:60%" />
+              <div style="width: 40%">
+                <el-select v-model="baseInfo.nldw" placeholder="">
+                  <el-option v-for="v in dictData.nldw" :label="v.label" :value="v.value" />
+                </el-select>
+              </div>
             </el-form-item>
           </el-col>
           <el-col :span="4">
             <el-form-item label="病 区">
-              <el-input v-model="baseInfo.zone_id" />
+              <SelectTable v-model:data="bloodInfo.zone_id" dict-type="bq" placeholder="" />
             </el-form-item>
           </el-col>
           <el-col :span="4">
-            <el-form-item label="年 龄">
-              <el-input v-model="baseInfo.age" type="number" />
-            </el-form-item>
-          </el-col>
-          <el-col :span="7">
             <el-form-item label="临床诊断">
-              <el-input v-model="baseInfo.diagnosis" />
+              <el-input v-model="bloodInfo.diagnoses" />
             </el-form-item>
           </el-col>
         </el-row>
 
         <el-row :gutter="20">
+          <el-col :span="8">
+            <el-form-item label="输血目的">
+              <SelectTable v-model:data="bloodInfo.intent" dict-type="sxmd" placeholder="" />
+            </el-form-item>
+          </el-col>
           <el-col :span="4">
             <el-form-item label="出血量">
-              <el-input v-model="formData.bleedingVolume" />
-            </el-form-item>
-          </el-col>
-          <el-col :span="4">
-            <el-form-item label="输血目的">
-              <el-input v-model="formData.intent" />
+              <el-input v-model="bloodInfo.blood_loss" type="number" />
             </el-form-item>
           </el-col>
+
           <el-col :span="4">
             <el-form-item label="贫血程度">
-              <el-input v-model="formData.anemiaDegree" />
-            </el-form-item>
-          </el-col>
-          <el-col :span="4">
-            <el-form-item label="血液品种">
-              <el-input v-model="formData.abo" />
-            </el-form-item>
-          </el-col>
-          <el-col :span="3">
-            <el-form-item label="血量">
-              <el-input v-model="formData.bloodVolume" />
+              <el-select v-model="bloodInfo.anemia" placeholder="">
+                <el-option v-for="v in dictData.anemia" :label="v.label" :value="v.value" />
+              </el-select>
             </el-form-item>
           </el-col>
+
         </el-row>
 
         <el-row :gutter="20">
-          <el-col :span="18">
+          <el-col :span="4">
+            <el-form-item label="血液品种">
+              <SelectTable v-model:data="bloodInfo.blood_breed" dict-type="xylx" placeholder="" />
+            </el-form-item>
+          </el-col>
+          <el-col :span="4">
+            <el-form-item label="血量">
+              <el-input v-model="bloodInfo.blood_num" type="number" />
+            </el-form-item>
+          </el-col>
+          <el-col :span="8">
             <el-form-item label=" ">
-              <el-checkbox v-model="formData.hbLow" class="text-danger">
+              <el-checkbox v-model="bloodInfo.agreement_ink" class="text-danger" true-value="Y" false-value="N">
                 病人/病人家属是否签署输血同意书
               </el-checkbox>
             </el-form-item>
@@ -135,7 +163,7 @@
               <span class="tips">
                 (病人基本情况、贫血程度、凝血障碍、有无创面弥漫性渗血、心肺代偿功能、有无代谢率增高、年龄因素、输血目的等。)
               </span>
-              <el-input v-model="formData.otherReason" type="textarea" :rows="3" style="margin-top: 8px" />
+              <el-input v-model="bloodInfo.bqgy" type="textarea" :rows="3" style="margin-top: 8px" />
             </el-form-item>
           </el-col>
         </el-row>
@@ -144,246 +172,326 @@
         <div class="title">病人最近检查结果</div>
 
         <el-row :gutter="20">
-          <el-col :span="4">
-            <el-form-item label="HGB">
-              <el-input v-model="formData.hgbValue" placeholder="">
-                <template #suffix>
-                  g/L
-                </template>
-              </el-input>
-            </el-form-item>
-          </el-col>
-          <el-col :span="4">
-            <el-form-item label="HCT">
-              <el-input v-model="formData.hgbExpect" placeholder="">
-                <template #suffix>
-                  %
-                </template>
-              </el-input>
-            </el-form-item>
-          </el-col>
-          <el-col :span="4">
-            <el-form-item label="PLT">
-              <el-input v-model="formData.estimatedVolume" placeholder="">
-                <template #suffix>
-                  X10^9/L
-                </template>
-              </el-input>
-            </el-form-item>
-          </el-col>
-          <el-col :span="4">
-            <el-form-item label="APTT">
-              <el-input v-model="formData.aptt" placeholder="">
-                <template #suffix>
-                  秒
-                </template>
-              </el-input>
-            </el-form-item>
-          </el-col>
-        </el-row>
-
-        <el-row :gutter="20">
-          <el-col :span="4">
-            <el-form-item label="ALT">
-              <el-input v-model="formData.altValue" placeholder="">
-                <template #suffix>
-                  U/L
-                </template>
-              </el-input>
-            </el-form-item>
-          </el-col>
-          <el-col :span="4">
-            <el-form-item label="HBsAg">
-              <el-select v-model="formData.hbsAg" placeholder="请选择">
-                <el-option label="阴性" value="negative" />
-                <el-option label="阳性" value="positive" />
-              </el-select>
-            </el-form-item>
-          </el-col>
-          <el-col :span="4">
-            <el-form-item label="TP">
-              <el-select v-model="formData.tp" placeholder="请选择">
-                <el-option label="阴性" value="negative" />
-                <el-option label="阳性" value="positive" />
-              </el-select>
-            </el-form-item>
-          </el-col>
-          <el-col :span="4">
-            <el-form-item label="FIB">
-              <el-input v-model="formData.fib" placeholder="">
-                <template #suffix>
-                  g/L
-                </template>
-              </el-input>
-            </el-form-item>
-          </el-col>
-        </el-row>
-
-        <el-row :gutter="20">
-          <el-col :span="4">
-            <el-form-item label="Anti-HCV">
-              <el-select v-model="formData.antiHcv" placeholder="请选择">
-                <el-option label="阴性" value="negative" />
-                <el-option label="阳性" value="positive" />
-              </el-select>
-            </el-form-item>
-          </el-col>
-          <el-col :span="4">
-            <el-form-item label="Anti-HIV">
-              <el-select v-model="formData.antiHiv" placeholder="请选择">
-                <el-option label="阴性" value="negative" />
-                <el-option label="阳性" value="positive" />
-              </el-select>
-            </el-form-item>
-          </el-col>
-          <el-col :span="4">
-            <el-form-item label="PT">
-              <el-input v-model="formData.pt" placeholder="">
-                <template #suffix>
-                  U
-                </template>
-              </el-input>
-            </el-form-item>
-          </el-col>
-          <el-col :span="4">
-            <el-form-item label="INR">
-              <el-input v-model="formData.inr" placeholder="" />
-            </el-form-item>
+          <el-col :span="18">
+            <el-row :gutter="50">
+              <el-col :span="6" v-for="item in lisProject" class="col-project">
+                <el-form-item :label="item.item_name">
+                  <el-select v-model="item.item_result" placeholder="">
+                    <el-option v-for="v in dictData.sxqjcxmmrz" :label="v.label" :value="v.value" />
+                  </el-select>
+                  <span class="unit">{{ item.item_unit }}</span>
+                </el-form-item>
+              </el-col>
+            </el-row>
           </el-col>
         </el-row>
       </div>
     </el-form>
+
+    <el-dialog title="输血申请检索" v-model="visible" width="800px" :close-on-click-modal="false" @closed="handleClose">
+      <div class="mb10">
+        <el-button type="primary" @click="handleSearch">检索</el-button>
+        <el-button type="success" @click="handleConfirm">确认</el-button>
+      </div>
+      <!-- 检索条件区 -->
+      <el-form :model="searchForm" label-width="auto" class="search-form">
+        <el-row :gutter="30">
+          <el-col :span="14">
+            <el-form-item label="评估日期">
+              <div class="date-range">
+                <el-date-picker v-model="searchForm.stime" type="date" format="YYYY-MM-DD" value-format="YYYY-MM-DD"
+                  style="width: 47%" />
+                <span class="separator" style="width: 6%;display: inline-block;text-align: center;">-</span>
+                <el-date-picker v-model="searchForm.etime" type="date" format="YYYY-MM-DD" value-format="YYYY-MM-DD"
+                  style="width: 47%" />
+              </div>
+            </el-form-item>
+          </el-col>
+          <el-col :span="10">
+            <el-form-item label="患者姓名">
+              <el-input v-model="searchForm.patient_name" placeholder="" />
+            </el-form-item>
+          </el-col>
+        </el-row>
+        <el-row :gutter="30">
+          <el-col :span="14">
+            <el-form-item label="评估单号">
+              <el-input v-model="searchForm.bill_no" placeholder="" />
+            </el-form-item>
+          </el-col>
+          <el-col :span="10">
+            <el-form-item label="住院号/ID号">
+              <el-input v-model="searchForm.beinhos_id" placeholder="" />
+            </el-form-item>
+          </el-col>
+        </el-row>
+      </el-form>
+
+      <!-- 结果表格区 -->
+      <el-table :data="tableData" border style="width: 100%; margin-top: 10px" height="350" @row-click="handleRowClick"
+        highlight-current-row>
+        <el-table-column prop="bill_no" label="评估单号" align="center" width="180" />
+        <el-table-column prop="dept_id" label="科室" align="center">
+          <template #default="scope">
+            {{ formatDict(scope.row.dept_id, 'ks') }}
+          </template>
+        </el-table-column>
+        <el-table-column prop="beinhos_id" label="住院号" align="center" />
+        <el-table-column prop="patient_name" label="姓名" align="center" />
+        <el-table-column prop="assess_data" label="评估日期" width="180" align="center" />
+        <el-table-column prop="assess_person" label="评估人" align="center" />
+      </el-table>
+    </el-dialog>
   </div>
 </template>
 
 <script setup lang="ts">
 import dayjs from 'dayjs'
-import { queryPatInfo } from '@/api/doctor/assessment'
+import { printPat, queryPatInfo, queryPatList, savePat, queryPatOne, updatePat, delPat } from '@/api/doctor/assessment'
+import { queryLisProject, getParameterOne } from '@/api/common'
 import { getDictData, formatDict, dictData } from '@/hooks'
-const type = ref<'operation' | 'nonOperation'>('operation')
+import router from '@/router'
+import { ElMessage, ElMessageBox } from 'element-plus'
+import { printBase64PDF } from '@/utils/classCom'
+import useUserStore from '@/store/modules/user'
+import { useSysParam } from '@/hooks/useSysParam'
+const { getParam } = useSysParam()
 
-// 表单聚合（统一Form模型）
-const form = reactive({})
+
+const userInfo = useUserStore()
+const visible = ref(false)
+// 表单数据
+const searchForm = ref({
+  stime: dayjs().format('YYYY-MM-DD'),
+  etime: dayjs().format('YYYY-MM-DD'),
+  patient_name: '',
+  bill_no: '',
+  beinhos_id: ''
+})
+
+const tableData = ref([])
+
+const evaluationInfo = ref({
+  assessmentDate: dayjs().format('YYYY-MM-DD HH:mm:ss'),
+  billNo: '',
+  assess_person: userInfo.nickName,
+})
 
 // 基础信息数据
 const baseInfo = ref({
-  assessmentNo: '',
-  patient_name: '',
-  dept_id: '',
-  assessmentDate: dayjs().format('YYYY-MM-DD HH:mm:ss'),
-  patient_bed: '',
-  zone_id: '',
-  doctorName: '',
-  age: '',
-  abo: '',
   beinhos_id: '',
-  diagnosis: '',
-  rh: ''
+  nldw: '岁',
+})
+// 输血数据
+const bloodInfo = ref({
+  agreement_ink: 'Y',
+  assess_person: userInfo.name,//申请人
 })
 
-// 表单数据
-const formData = reactive({
-  bleedingVolume: '',
-  intent: '',
-  anemiaDegree: '',
-  abo: '', // 血液品种
-  bloodVolume: '', // 血量
-  hbLow: false,
-  otherReason: '',
-  height: '',
-  weight: '',
-  hgbValue: '',
-  hgbExpect: '',
-  estimatedVolume: '',
-  altValue: '', // ALT值
-  hbsAg: '', // HBsAg
-  tp: '', // TP
-  antiHcv: '', // Anti-HCV
-  antiHiv: '', // Anti-HIV
-  pt: '', // PT
-  aptt: '', // APTT
-  fib: '', // FIB
-  inr: '', // INR
-  intraHemorrhage: false,
-  nonTraumaBleeding: '',
-  traumaBleeding: '',
-  bloodLoss: '',
-  hemolysisCondition: '',
-  heartLungOxygen: false,
-  anemiaCondition: false,
-  crystalloidBefore: false,
-  colloidBefore: false
-})
+// 检查结果
+const lisProject = ref([])
 
 
-onMounted(() => {
-
-})
-
-// 关闭弹窗
-const handleClose = () => {
-  Object.assign(baseInfo.value, {
-    name: '',
-    dept_id: '',
-    assessmentDate: new Date().toLocaleString(),
-    patient_bed: '',
-    zone_id: '',
-    age: '',
-    abo: '',
-    beinhos_id: '',
-    diagnosis: '',
-    rh: ''
-  })
-  // 重置表单
-  Object.assign(formData, {
-    bleedingVolume: '',
-    intent: '',
-    anemiaDegree: '',
-    abo: '',
-    bloodVolume: '',
-    hbLow: false,
-    otherReason: '',
-    height: '',
-    weight: '',
-    hgbValue: '',
-    hgbExpect: '',
-    estimatedVolume: '',
-    altValue: '',
-    hbsAg: '',
-    tp: '',
-    antiHcv: '',
-    antiHiv: '',
-    pt: '',
-    aptt: '',
-    fib: '',
-    inr: '',
-    intraHemorrhage: false,
-    nonTraumaBleeding: '',
-    traumaBleeding: '',
-    bloodLoss: '',
-    hemolysisCondition: '',
-    heartLungOxygen: false,
-    anemiaCondition: false,
-    crystalloidBefore: false,
-    colloidBefore: false
-  })
-  type.value = 'operation'
+// 检索
+const openJsDialog = () => {
+  getList()
+  visible.value = true
+}
+const handleSearch = () => {
+  getList()
+}
+const handleConfirm = () => {
+  if (!seelctRow.value.bill_no) return ElMessage.warning('请选择评估单')
+  evaluationInfo.value.billNo = seelctRow.value.bill_no
+  getBillInfo()
+  visible.value = false
+  seelctRow.value = {}
 }
 
-const handleChange = (val) => {
-  queryPatInfo({ patNo: val }).then((res) => {
+const handleClose = () => {
+  visible.value = false
+  searchForm.value = {
+    stime: dayjs().format('YYYY-MM-DD'),
+    etime: dayjs().format('YYYY-MM-DD'),
+    patient_name: '',
+    bill_no: '',
+    beinhos_id: ''
+  }
+  seelctRow.value = {}
+}
+
+//获取评估单信息
+const getBillInfo = () => {
+  queryPatOne({ billNo: evaluationInfo.value.billNo }).then((res) => {
+    if (res.code == 0) {
+      evaluationInfo.value.assessmentDate = res.data.xkTransfuseApplyBeforeList[0].assess_data
+      baseInfo.value = res.data.xkPatientInfo
+      bloodInfo.value = res.data.xkTransfuseApplyBeforeList[0]
+      lisProject.value = res.data.xkTransfuseApplyTestitemList.map(item => {
+        return {
+          bill_no: item.bill_no,
+          item_name: item.pro_name,
+          item_result: item.item_result,
+          item_unit: item.item_unit,
+          test_date: item.test_date,
+          sid: item.sid
+        }
+      })
+      splitAge(baseInfo.value.age)
+    }
+  })
+}
+
+// 回显时拆分 年龄 + 单位
+const splitAge = (ageStr: string) => {
+  const unitList = dictData.value.nldw.map(item => item.value)
+  let age = ageStr
+  let unit = '岁'
+  for (const u of unitList) {
+    if (ageStr.includes(u)) {
+      age = ageStr.replace(u, '')
+      unit = u
+      break
+    }
+  }
+  baseInfo.value.age = age
+  baseInfo.value.nldw = unit
+}
+
+const seelctRow = ref({})
+const handleRowClick = (row) => {
+  seelctRow.value = row
+}
+//查询单据信息
+const getList = () => {
+  const data = {
+    ...searchForm.value,
+    stime: dayjs(searchForm.value.stime).format('YYYY-MM-DD') + ' 00:00:00',
+    etime: dayjs(searchForm.value.etime).format('YYYY-MM-DD') + ' 23:59:59',
+  }
+  queryPatList(data).then((res) => {
+    tableData.value = res.data || []
+  })
+}
+
+// 关闭弹窗
+const handleAdd = () => {
+  evaluationInfo.value.assessmentDate = dayjs().format('YYYY-MM-DD HH:mm:ss')
+  evaluationInfo.value.billNo = ''
+  baseInfo.value = { beinhos_id: '', nldw: '岁' }
+  bloodInfo.value = { agreement_ink: 'Y', assess_person: userInfo.name }
+  getProject()
+}
+
+//删除单据
+const handleDel = () => {
+  ElMessageBox.confirm('确定删除当前评估单吗？', '提示', {
+    type: 'warning'
+  }).then(() => {
+    delPat({ billNo: evaluationInfo.value.billNo }).then(() => {
+      ElMessage.success('删除成功')
+      handleAdd()
+    })
+  })
+}
+
+//打印输血评估单 
+const printPg = (name: string) => {
+  printPat({ billNo: evaluationInfo.value.billNo, templateName: name }).then((res) => {
+    if (res.data) {
+      printBase64PDF(res.data)
+    }
+  })
+}
+
+const handleChange = () => {
+  queryPatInfo({ patNo: baseInfo.value.beinhos_id }).then((res) => {
     baseInfo.value = res.data.xkPatientInfo
+    // bloodInfo.value = res.data.xkTransfuseApplyBeforeList[0] || {}
+    // lisProject.value = res.data.xkTransfuseApplyTestitemList || []
+
+    splitAge(baseInfo.value.age)
   })
 }
 
 // 提交
 const handleSubmit = () => {
-  console.log('基础信息', baseInfo)
-  console.log('表单数据', formData)
+  if (bloodInfo.value.bill_status && bloodInfo.value.bill_status == '2') return ElMessage.warning('该评估单已审核，不允许修改！')
+  //判断病情概要是否填写
+  if (getParam('HZBQGY') == 'Y' && !bloodInfo.value.bqgy) return ElMessage.warning('请务必填写病情概要,以便输血科评估用血合理性!')
+  const tempPatient = { ...baseInfo.value }
+
+  if (baseInfo.value.age) {
+    tempPatient.age = baseInfo.value.age + baseInfo.value.nldw
+  }
+
+  const data = {
+    xkPatientInfo: tempPatient,
+    xkTransfuseApplyBeforeList: [{
+      ...bloodInfo.value,
+      beinhos_id: baseInfo.value.beinhos_id,
+      assess_data: evaluationInfo.value.assessmentDate
+    }],
+    xkTransfuseApplyTestitemList: lisProject.value
+  }
+  if (bloodInfo.value.bill_status && bloodInfo.value.bill_status == '1') {
+    updatePat(data).then((res) => {
+      if (res.code == 0) {
+        ElMessage.success('保存成功')
+      }
+    })
+  } else {
+    savePat(data).then((res) => {
+      if (res.code == 0) {
+        ElMessage.success('保存成功')
+        evaluationInfo.value.billNo = res.data
+
+        //获取到评估单号后请求最新评估单信息
+        getBillInfo()
+      }
+    })
+  }
+
+
+}
+
+const goSxPath = () => {
+  router.push({ path: `/doctor/application` })
+}
+
+const getProject = () => {
+  queryLisProject({ need: 'Y' }).then((res) => {
+    lisProject.value = res.data.map(item => {
+      return {
+        bill_no: '',
+        item_name: item.pro_name,
+        item_result: '',
+        item_unit: item.unit,
+        test_date: dayjs().format('YYYY-MM-DD HH:mm:ss'),
+        sid: item.sid
+      }
+    })
+  })
 }
 
 onMounted(() => {
-  getDictData('ks')
+  getDictData('ks', 'sxqjcxmmrz', 'nldw', 'anemia')
+  getProject()
+
+
+  const tipText = `<strong>输血报销适用限制范围如下:</strong><br />
+诊疗少白细胞红细胞限特殊适应症与急救、抢救请根据限制范围，结合当前病人情况，判断是否适用医保如为自费患者。<br />
+请到HIS-医保管理菜单-医保费用审核里`
+  //判断是否显示医保提示
+  if (getParam('YBZFXMTSXX') == 'Y') {
+    ElMessageBox.alert(
+      tipText,
+      '提示',
+      {
+        dangerouslyUseHTMLString: true,
+      }
+    )
+  }
 })
 </script>
 
@@ -433,6 +541,19 @@ onMounted(() => {
       font-weight: 700;
     }
   }
+
+  .col-project {
+    position: relative;
+
+  }
+
+  .unit {
+    position: absolute;
+    left: 100%;
+    top: 0;
+    color: #aeb1b7;
+    margin-left: 5px;
+  }
 }
 
 
diff --git a/src/views/nurses/record/index.vue b/src/views/nurses/record/index.vue
index 24406a4..22c4edf 100644
--- a/src/views/nurses/record/index.vue
+++ b/src/views/nurses/record/index.vue
@@ -2,10 +2,18 @@
 * @file index.vue
 * @description: 输血输注
 * @author: w
-* @since: 2026-06-04
+* @since: 2026-06-15
 */
 <template>
   <div class="app-container">
+    <div class="form-card">
+      <el-button type="primary" plain>检索</el-button>
+      <el-button type="primary" plain>新增单据</el-button>
+      <el-button type="danger" plain>删除单据</el-button>
+      <el-button type="success" plain>保存</el-button>
+      <el-button type="warning" plain>打印护理记录</el-button>
+    </div>
+
     <!-- 顶部搜索栏卡片 -->
     <div class="search-card">
       <el-form inline :model="searchForm">
@@ -21,7 +29,7 @@
     </div>
     <!-- 上方表格卡片 -->
     <div class="table-top-card">
-      <el-table :data="topTableData" border @selection-change="handleSelect" highlight-current-row height="130px">
+      <el-table :data="topTableData" border @selection-change="handleSelect" highlight-current-row height="150px">
         <el-table-column type="index" width="50" label="序号" align="center" />
         <el-table-column label="血液流水号" prop="bloodSn" align="center" />
         <el-table-column label="产品码" prop="productCode" align="center" />
@@ -38,131 +46,185 @@
     <div class="form-card">
       <el-tabs v-model="activeTab">
         <el-tab-pane label="输血输注及护理登记" name="tab1">
-          <el-form :model="formData" label-width="auto" class="form-top-label" label-position="top">
+          <el-form :model="formData" label-width="auto" class="form-top-label">
             <!-- 第一行 -->
-            <div class="form-row four-col">
-              <el-form-item label="血液流水号：">
-                <el-input v-model="formData.bloodSn" style="width:100%" />
-              </el-form-item>
-              <el-form-item label="发血日期：">
-                <el-date-picker v-model="formData.fhDate" type="datetime" format="YYYY-MM-DD HH:mm:ss"
-                  value-format="YYYY-MM-DD HH:mm:ss" style="width:100%" />
-              </el-form-item>
-              <el-form-item label="科 室：">
-                <el-select v-model="formData.department" placeholder="">
-                  <el-option label="科室1" value="科室1"></el-option>
-                </el-select>
-              </el-form-item>
-              <el-form-item label="血型：">
-                <el-input v-model="formData.aboBlood" style="width:100%" />
-              </el-form-item>
-              <el-form-item label="申请单号：">
-                <el-input v-model="formData.applyNo" style="width:100%" />
-              </el-form-item>
-              <el-form-item label="申请日期：">
-                <el-date-picker v-model="formData.applyDate" type="datetime" format="YYYY-MM-DD HH:mm:ss"
-                  value-format="YYYY-MM-DD HH:mm:ss" style="width:100%" />
-              </el-form-item>
-            </div>
-            <!-- 第二行 -->
-            <div class="form-row four-col">
-              <el-form-item label="发血品种：">
-                <el-input v-model="formData.bloodType" style="width:100%" />
-              </el-form-item>
-              <el-form-item label="患者姓名：">
-                <el-input v-model="formData.patientName" style="width:100%" />
-              </el-form-item>
-              <el-form-item label="住院号/ID号：">
-                <el-input v-model="formData.inId" style="width:100%" />
-              </el-form-item>
-              <el-form-item label="Rh(D)：">
-                <el-input v-model="formData.rhD" style="width:100%" />
-              </el-form-item>
-              <el-form-item label="血量：">
-                <div class="two-input-wrap">
-                  <el-input v-model="formData.vol1" style="flex:1" />
-                  <el-input v-model="formData.vol2" style="flex:1" />
-                </div>
-              </el-form-item>
-            </div>
+            <el-row :gutter="20">
+              <el-col :span="6">
+                <el-form-item label="血液流水号：">
+                  <el-input v-model="formData.bloodSn" style="width:100%" />
+                </el-form-item>
+              </el-col>
+              <el-col :span="6">
+                <el-form-item label="发血日期：">
+                  <el-date-picker v-model="formData.fhDate" type="datetime" format="YYYY-MM-DD HH:mm:ss"
+                    value-format="YYYY-MM-DD HH:mm:ss" style="width:100%" />
+                </el-form-item>
+              </el-col>
+              <el-col :span="6">
+                <el-form-item label="科 室：">
+                  <el-select v-model="formData.department" placeholder="">
+                    <el-option label="科室1" value="科室1"></el-option>
+                  </el-select>
+                </el-form-item>
+              </el-col>
+              <el-col :span="6">
+                <el-form-item label="血型：">
+                  <el-input v-model="formData.aboBlood" style="width:100%" />
+                </el-form-item>
+              </el-col>
+            </el-row>
+            <el-row :gutter="20">
+              <el-col :span='6'>
+                <el-form-item label="申请单号：">
+                  <el-input v-model="formData.applyNo" style="width:100%" />
+                </el-form-item>
+              </el-col>
+              <el-col :span='6'>
+                <el-form-item label="申请日期：">
+                  <el-date-picker v-model="formData.applyDate" type="datetime" format="YYYY-MM-DD HH:mm:ss"
+                    value-format="YYYY-MM-DD HH:mm:ss" style="width:100%" />
+                </el-form-item>
+              </el-col>
+              <el-col :span='6'>
+                <el-form-item label="发血品种：">
+                  <el-input v-model="formData.bloodType" style="width:100%" />
+                </el-form-item>
+              </el-col>
+              <el-col :span='6'>
+                <el-form-item label="Rh(D)：">
+                  <el-input v-model="formData.rhD" style="width:100%" />
+                </el-form-item>
+              </el-col>
+            </el-row>
+            <el-row :gutter="20">
+              <el-col :span='6'>
+                <el-form-item label="患者姓名：">
+                  <el-input v-model="formData.patientName" style="width:100%" />
+                </el-form-item>
+              </el-col>
+              <el-col :span='6'>
+                <el-form-item label="住院号/ID号：">
+                  <el-input v-model="formData.inId" style="width:100%" />
+                </el-form-item>
+              </el-col>
+              <el-col :span='6'>
+                <el-form-item label="血量：">
+                  <div class="two-input-wrap">
+                    <el-input v-model="formData.vol1" style="width:65%" />
+                    <el-input v-model="formData.vol2" style="width:35%" />
+                  </div>
+                </el-form-item>
+              </el-col>
+            </el-row>
+
 
             <div class="split-line">输血输注及护理信息</div>
             <!-- 第四行 -->
-            <div class="form-row four-col">
-              <el-form-item label="登记日期：">
-                <el-date-picker v-model="formData.regDate" type="datetime" format="YYYY-MM-DD HH:mm:ss"
-                  value-format="YYYY-MM-DD HH:mm:ss" style="width:100%" />
-              </el-form-item>
-              <el-form-item label="输血医师：">
-                <el-input v-model="formData.docName" style="width:100%" />
-              </el-form-item>
-              <el-form-item label="责任护士：">
-                <el-select v-model="formData.nurse" placeholder="">
-                  <el-option label="张三" value="张三"></el-option>
-                </el-select>
-              </el-form-item>
-              <el-form-item label="滴速：">
-                <el-input v-model="formData.speed">
-                  <template #suffix> 滴/分 </template>
-                </el-input>
-              </el-form-item>
-            </div>
-            <!-- 复选+右侧表单 -->
-            <div class="form-row-check">
-              <div class="check-col">
-                <el-checkbox v-model="formData.check1">患者信息是否核对</el-checkbox>
-                <el-checkbox v-model="formData.check2">交叉配血结果是否相符</el-checkbox>
-                <el-checkbox v-model="formData.check3">血液是否未过期</el-checkbox>
-                <el-checkbox v-model="formData.check4">血袋外观是否合格</el-checkbox>
-                <el-checkbox v-model="formData.check5">血液流水号是否相符</el-checkbox>
-              </div>
-              <div class="field-col">
-                <div class="form-row four-col">
-                  <el-form-item label="输血开始时间：">
-                    <el-date-picker v-model="formData.startTime" type="datetime" format="YYYY-MM-DD HH:mm:ss"
-                      style="width:100%" />
-                  </el-form-item>
-                  <el-form-item label="输血结束时间：">
-                    <el-date-picker v-model="formData.endTime" type="datetime" format="YYYY-MM-DD HH:mm:ss"
-                      style="width:100%" />
-                  </el-form-item>
-                  <el-form-item label="一刻钟观察时间：">
-                    <el-date-picker v-model="formData.q1Time" type="datetime" format="YYYY-MM-DD HH:mm:ss"
-                      style="width:100%" />
-                  </el-form-item>
-                  <el-form-item label="一刻钟观察护士：">
-                    <el-select v-model="formData.q1Nurse" placeholder="">
-                      <el-option label="张三" value="张三"></el-option>
-                    </el-select>
-                  </el-form-item>
-                </div>
-                <div class="form-row four-col">
-                  <el-form-item label="一小时观察时间：">
-                    <el-date-picker v-model="formData.qhTime" type="datetime" format="YYYY-MM-DD HH:mm:ss"
-                      style="width:100%" />
-                  </el-form-item>
-                  <el-form-item label="一小时观察护士：">
-                    <el-select v-model="formData.qhNurse" placeholder="">
-                      <el-option label="张三" value="张三"></el-option>
-                    </el-select>
-                  </el-form-item>
-                  <el-form-item label="输血后血袋处理：">
-                    <el-input v-model="formData.bagDeal" style="width:100%" />
-                  </el-form-item>
-                  <el-form-item label="审阅者：" class="red-label">
-                    <el-select v-model="formData.checkUser" placeholder="">
-                      <el-option label="张三" value="张三"></el-option>
-                    </el-select>
-                  </el-form-item>
-                </div>
+            <el-row :gutter="20">
+              <el-col :span="6">
+                <el-form-item label="登记日期：">
+                  <el-date-picker v-model="formData.regDate" type="datetime" format="YYYY-MM-DD HH:mm:ss"
+                    value-format="YYYY-MM-DD HH:mm:ss" style="width:100%" />
+                </el-form-item>
+              </el-col>
+              <el-col :span="6">
+                <el-form-item label="输血医师：">
+                  <el-input v-model="formData.docName" style="width:100%" />
+                </el-form-item>
+              </el-col>
+              <el-col :span="6">
+                <el-form-item label="责任护士：">
+                  <el-select v-model="formData.nurse" placeholder="">
+                    <el-option label="张三" value="张三"></el-option>
+                  </el-select>
+                </el-form-item>
+              </el-col>
+              <el-col :span="6">
+                <el-form-item label="滴速：">
+                  <el-input v-model="formData.speed">
+                    <template #suffix> 滴/分 </template>
+                  </el-input>
+                </el-form-item>
+              </el-col>
+            </el-row>
 
-                <div class="form-row">
-                  <el-form-item label="输血情况记录：">
-                    <el-input v-model="formData.record" style="width:500px" />
-                  </el-form-item>
+            <!-- 复选+右侧表单 -->
+            <el-row :gutter="20">
+              <el-col :span="6">
+                <div class="form-row-check">
+                  <el-checkbox v-model="formData.check1">患者信息是否核对</el-checkbox>
+                  <el-checkbox v-model="formData.check2">交叉配血结果是否相符</el-checkbox>
+                  <el-checkbox v-model="formData.check3">血液是否未过期</el-checkbox>
+                  <el-checkbox v-model="formData.check4">血袋外观是否合格</el-checkbox>
+                  <el-checkbox v-model="formData.check5">血液流水号是否相符</el-checkbox>
                 </div>
-              </div>
-            </div>
+              </el-col>
+              <el-col :span="18">
+                <el-row :gutter="20">
+                  <el-col :span="8">
+                    <el-form-item label="输血开始时间：">
+                      <el-date-picker v-model="formData.startTime" type="datetime" format="YYYY-MM-DD HH:mm:ss"
+                        style="width:100%" />
+                    </el-form-item>
+                  </el-col>
+                  <el-col :span="8">
+                    <el-form-item label="输血结束时间：">
+                      <el-date-picker v-model="formData.endTime" type="datetime" format="YYYY-MM-DD HH:mm:ss"
+                        style="width:100%" />
+                    </el-form-item>
+                  </el-col>
+                  <el-col :span="8"></el-col>
+                  <el-col :span="8">
+                    <el-form-item label="一刻钟观察时间：">
+                      <el-date-picker v-model="formData.q1Time" type="datetime" format="YYYY-MM-DD HH:mm:ss"
+                        style="width:100%" />
+                    </el-form-item>
+                  </el-col>
+                  <el-col :span="8">
+                    <el-form-item label="一刻钟观察护士：">
+                      <el-select v-model="formData.q1Nurse" placeholder="">
+                        <el-option label="张三" value="张三"></el-option>
+                      </el-select>
+                    </el-form-item>
+                  </el-col>
+                  <el-col :span="8"></el-col>
+                  <el-col :span="8">
+                    <el-form-item label="一小时观察时间：">
+                      <el-date-picker v-model="formData.qhTime" type="datetime" format="YYYY-MM-DD HH:mm:ss"
+                        style="width:100%" />
+                    </el-form-item>
+                  </el-col>
+                  <el-col :span="8">
+                    <el-form-item label="一小时观察护士：">
+                      <el-select v-model="formData.qhNurse" placeholder="">
+                        <el-option label="张三" value="张三"></el-option>
+                      </el-select>
+                    </el-form-item>
+                  </el-col>
+                  <el-col :span="8"></el-col>
+                  <el-col :span="8">
+                    <el-form-item label="输血后血袋处理：">
+                      <el-input v-model="formData.bagDeal" style="width:100%" />
+                    </el-form-item>
+                  </el-col>
+                  <el-col :span="8">
+                    <el-form-item label="审阅者：" class="red-label">
+                      <el-select v-model="formData.checkUser" placeholder="">
+                        <el-option label="张三" value="张三"></el-option>
+                      </el-select>
+                    </el-form-item>
+                  </el-col>
+                  <el-col :span="8"></el-col>
+                  <el-col :span="16">
+                    <el-form-item label="输血情况记录：">
+                      <el-input v-model="formData.record" />
+                    </el-form-item>
+                  </el-col>
+
+                </el-row>
+              </el-col>
+
+            </el-row>
           </el-form>
         </el-tab-pane>
         <el-tab-pane label="临床监护记录" name="tab2">
@@ -232,15 +294,15 @@ const queryByIn = () => { console.log('按住院号查找', searchForm.value.inN
   padding: 14px;
   display: flex;
   flex-direction: column;
-  gap: 16px;
+  gap: 10px;
   overflow-y: auto;
 
   // 搜索卡片
   .search-card {
     background: #fff;
-    padding: 16px 20px;
-    border-radius: 6px;
-    box-shadow: 0 1px 12px rgba(0, 0, 0, 0.065);
+    padding: 12px;
+    border-radius: 4px;
+    box-shadow: 0 2px 12px 0 rgba(0, 0, 0, 0.08);
 
     :deep(.el-form-item) {
       margin-bottom: 0;
@@ -254,9 +316,6 @@ const queryByIn = () => { console.log('按住院号查找', searchForm.value.inN
     border-radius: 6px;
     box-shadow: 0 1px 12px rgba(0, 0, 0, 0.065);
 
-    &:hover {
-      box-shadow: 0 6px 12px rgba(0, 0, 0, 0.12); // 悬停加深阴影
-    }
 
     :deep(.el-table__header th) {
       background: #f5f7fa;
@@ -264,7 +323,7 @@ const queryByIn = () => { console.log('按住院号查找', searchForm.value.inN
   }
 
   :deep(.el-tabs__header) {
-    margin-bottom: 0;
+    margin-bottom: 10px;
   }
 
   // 下方表单卡片
@@ -274,21 +333,12 @@ const queryByIn = () => { console.log('按住院号查找', searchForm.value.inN
     border-radius: 6px;
     box-shadow: 0 1px 12px rgba(0, 0, 0, 0.065);
 
-    &:hover {
-      box-shadow: 0 6px 12px rgba(0, 0, 0, 0.12); // 悬停加深阴影
-    }
 
     .form-top-label {
-
-      :deep(.el-form-item__label) {
-        padding: 0 0 5px 0;
-        margin: 8px 0 0 0;
-        font-size: 14px;
-      }
-
       :deep(.el-form-item) {
-        margin-bottom: 12px;
+        margin-bottom: 6px;
       }
+
     }
 
     .split-line {
@@ -310,40 +360,12 @@ const queryByIn = () => { console.log('按住院号查找', searchForm.value.inN
       }
     }
 
-    .form-row {
-      display: flex;
-      gap: 10px;
-      margin-bottom: 0;
-
-      &.four-col {
-        >.el-form-item {
-          width: 250px;
-          margin-bottom: 0;
-        }
-      }
-    }
-
-    .two-input-wrap {
-      display: flex;
-      align-items: center;
-      gap: 6px;
-    }
 
     .form-row-check {
       display: flex;
-      gap: 24px;
-      margin-top: 10px;
+      flex-direction: column;
+      padding-left: 30px;
 
-      .check-col {
-        display: flex;
-        flex-direction: column;
-        gap: 12px;
-        width: 238px;
-      }
-
-      .field-col {
-        flex: 1;
-      }
     }
 
     :deep(.red-label) {
diff --git a/src/views/system/user/index.vue b/src/views/system/user/index.vue
index bb400a3..34da884 100644
--- a/src/views/system/user/index.vue
+++ b/src/views/system/user/index.vue
@@ -65,6 +65,9 @@
                 <el-button type="warning" plain icon="Download" @click="handleExport"
                   v-hasPermi="['system:user:export']">导出</el-button>
               </el-col>
+              <el-col :span="1.5">
+                <el-button type="primary" plain icon="Refresh" @click="handleSync">同步用户数据</el-button>
+              </el-col>
               <right-toolbar v-model:showSearch="showSearch" @queryTable="getList" :columns="columns"></right-toolbar>
             </el-row>
 
@@ -245,7 +248,7 @@
 <script setup lang="ts" name="User">
 import { getToken } from "@/utils/auth"
 import useAppStore from '@/store/modules/app'
-import { changeUserStatus, listUser, resetUserPwd, delUser, getUser, updateUser, addUser, deptTreeSelect } from "@/api/system/user"
+import { changeUserStatus, listUser, resetUserPwd, delUser, getUser, updateUser, addUser, deptTreeSelect, syncUser } from "@/api/system/user"
 import { Splitpanes, Pane } from "splitpanes"
 import "splitpanes/dist/splitpanes.css"
 import type { SysUser, UserQueryParams, UserFormDataResult } from '@/types/api/system/user'
@@ -386,6 +389,12 @@ function resetQuery() {
   handleQuery()
 }
 
+const handleSync = () => {
+  syncUser().then(() => {
+    handleQuery()
+  })
+}
+
 /** 删除按钮操作 */
 function handleDelete(row?: SysUser) {
   const userIds = row?.userId || ids.value
diff --git a/src/views/system/user/profile/index.vue b/src/views/system/user/profile/index.vue
index e4ab3da..15a2430 100644
--- a/src/views/system/user/profile/index.vue
+++ b/src/views/system/user/profile/index.vue
@@ -38,10 +38,6 @@
                 <svg-icon icon-class="date" />创建日期
                 <div class="pull-right">{{ state.user.createTime }}</div>
               </li>
-              <li class="list-group-item">
-                <svg-icon icon-class="system" />浏览器ID
-                <div class="pull-right">{{ mbStore.fingerprint }}</div>
-              </li>
             </ul>
           </div>
         </el-card>