diff --git a/src/views/Department-entry/Medical-examination-vehicle.vue b/src/views/Department-entry/Medical-examination-vehicle.vue
index 73ab353..caf742c 100644
--- a/src/views/Department-entry/Medical-examination-vehicle.vue
+++ b/src/views/Department-entry/Medical-examination-vehicle.vue
@@ -245,23 +245,35 @@
           </div>
 
           <!-- 修改体检小结部分 -->
-          <div v-if="['ultrasound', 'ecg'].includes(currentTab)" class="findings-diagnosis-container">
+          <div
+            v-if="['ultrasound', 'ecg'].includes(currentTab)"
+            class="findings-diagnosis-container"
+          >
             <div class="findings-section">
               <div class="section-title">
                 <span class="title-text">
                   检查所见
-                  <el-button type="text" @click="openTemplateDrawer('finding')" :disabled="isReadOnly">
+                  <el-button
+                    type="text"
+                    @click="openTemplateDrawer('finding')"
+                    :disabled="isReadOnly"
+                  >
                     诊断模板
                   </el-button>
                   <span class="save-btn-container">
-                    <el-button type="text" class="save-btn" @click="handleSaveCurrentTab" :disabled="isReadOnly">
+                    <el-button
+                      type="text"
+                      class="save-btn"
+                      @click="handleSaveCurrentTab"
+                      :disabled="isReadOnly"
+                    >
                       保存
                     </el-button>
                   </span>
                 </span>
               </div>
-              <textarea 
-                v-model="conclusionData[currentTab].finding" 
+              <textarea
+                v-model="conclusionData[currentTab].finding"
                 placeholder="请输入检查所见"
                 class="findings-textarea"
                 :readonly="isReadOnly"
@@ -272,13 +284,17 @@
               <div class="section-title">
                 <span class="title-text">
                   检查结果
-                  <el-button type="text" @click="openTemplateDrawer('diagnosis')" :disabled="isReadOnly">
+                  <el-button
+                    type="text"
+                    @click="openTemplateDrawer('diagnosis')"
+                    :disabled="isReadOnly"
+                  >
                     诊断模板
                   </el-button>
                 </span>
               </div>
-              <textarea 
-                v-model="conclusionData[currentTab].diagnosis" 
+              <textarea
+                v-model="conclusionData[currentTab].diagnosis"
                 placeholder="请输入检查结果"
                 class="diagnosis-textarea"
                 :readonly="isReadOnly"
@@ -291,18 +307,27 @@
             <div class="section-title">
               <span class="title-text">
                 体检小结
-                <el-button type="text" @click="openTemplateDrawer('summary')" :disabled="isReadOnly">
+                <el-button
+                  type="text"
+                  @click="openTemplateDrawer('summary')"
+                  :disabled="isReadOnly"
+                >
                   诊断模板
                 </el-button>
                 <span class="save-btn-container">
-                  <el-button type="text" class="save-btn" @click="handleSaveCurrentTab" :disabled="isReadOnly">
+                  <el-button
+                    type="text"
+                    class="save-btn"
+                    @click="handleSaveCurrentTab"
+                    :disabled="isReadOnly"
+                  >
                     保存
                   </el-button>
                 </span>
               </span>
             </div>
-            <textarea 
-              v-model="currentSummary" 
+            <textarea
+              v-model="currentSummary"
               placeholder="输入多个以分号隔开"
               class="summary-textarea"
               :readonly="isReadOnly"
@@ -757,7 +782,16 @@ const handlePatientSelect = async (patient) => {
     // 清理当前数据
     examConclusion.value = ''
     examItems.value = {}
-
+    // 重置体检小结数据，避免缓存问题
+    conclusionData.value = {
+      general: { summary: '未见异常' },
+      ultrasound: { finding: '未见异常', diagnosis: '未见异常' },
+      ecg: { finding: '未见异常', diagnosis: '未见异常' },
+      blood: { summary: '' },
+      urine: { summary: '' },
+      biochemical: { summary: '' },
+      summary: { summary: '' }
+    }
     // 设置选中患者
     selectedPatient.value = patient
 
@@ -2092,34 +2126,34 @@ const handleSaveCurrentTab = async () => {
         return {
           ...baseFields,
           examDescription: finding,
-          itemResult: diagnosis,
+          itemResult: diagnosis
         }
       } else {
         // 其他类型的检查项目
         return {
           ...baseFields,
-          analyse: conclusionData.value[currentTab.value]?.summary?.trim() || '',
+          analyse: conclusionData.value[currentTab.value]?.summary?.trim() || ''
         }
       }
     })
     // 根据不同标签页类型保存体检小结
-    if(currentTab.value==='blood'){
+    if (currentTab.value === 'blood') {
       await PacsDataApi.updatePacsDataitem({
         code: selectedPatient.value?.medicalSn,
         type: 'cbc',
-        item: updatedItems[0].analyse,
+        item: updatedItems[0].analyse
       })
-    }else if(currentTab.value==='urine'){
+    } else if (currentTab.value === 'urine') {
       await PacsDataApi.updatePacsDataitem({
         code: selectedPatient.value?.medicalSn,
         type: 'urine',
-        item: updatedItems[0].analyse,
+        item: updatedItems[0].analyse
       })
-    }else if(currentTab.value==='biochemical'){
+    } else if (currentTab.value === 'biochemical') {
       await PacsDataApi.updatePacsDataitem({
         code: selectedPatient.value?.medicalSn,
         type: 'bt',
-        item: updatedItems[0].analyse,
+        item: updatedItems[0].analyse
       })
     }
     // 批量更新检查项目
@@ -3200,13 +3234,13 @@ const handleSaveCurrentTab = async () => {
 }
 /* 醒目的保存按钮样式 - 绿色 */
 .save-btn {
-  color: #67c23a;  /* 醒目的绿色 */
+  color: #67c23a; /* 醒目的绿色 */
   font-weight: bold;
   font-size: 15px;
 }
 
 .save-btn:hover {
-  color: #85ce61;  /* 悬停时的浅绿色 */
+  color: #85ce61; /* 悬停时的浅绿色 */
 }
 
 .save-btn:disabled {