diff --git a/src/api/inspect/inspectpatient/index.ts b/src/api/inspect/inspectpatient/index.ts
index b21a68b..1732fef 100644
--- a/src/api/inspect/inspectpatient/index.ts
+++ b/src/api/inspect/inspectpatient/index.ts
@@ -115,5 +115,9 @@ export const PatientApi = {
   //根据体检编号给患者绑定体检项目
   bindPatientProject: async (medicalSn: string) => {
     return await request.get({ url: `/inspect/patient/createPatientitem?medicalSn=` + medicalSn })
+  },
+  //根据体检编号&姓名&身份证号获取患者信息
+  getPatientInfoByMedicalSn: async (searchKey: string) => {
+    return await request.get({ url: `/inspect/patient/PatientBySearchKey?searchKey=` + searchKey })
   }
 }
diff --git a/src/views/Department-entry/Medical-examination-vehicle.vue b/src/views/Department-entry/Medical-examination-vehicle.vue
index 813bfcc..73ab353 100644
--- a/src/views/Department-entry/Medical-examination-vehicle.vue
+++ b/src/views/Department-entry/Medical-examination-vehicle.vue
@@ -41,7 +41,7 @@
           <input
             v-model="searchQuery"
             placeholder="请输入姓名/体检编号/身份证"
-            @input="handleLocalSearch"
+            @keydown.enter="handleLocalSearch"
           />
         </div>
       </div>
@@ -158,8 +158,9 @@
                   <div class="header-cell" style="width: 15%">参考值</div>
                   <div class="header-cell" style="width: 10%">提示</div>
                   <div class="header-cell" style="width: 15%">风险</div>
-                  <div class="header-cell" style="width: 10%">阳性/阴性</div>
-                  <div class="header-cell" style="width: 10%">操作</div>
+
+                  <!-- <div class="header-cell" style="width: 10%">阳性/阴性</div>
+                  <div class="header-cell" style="width: 10%">操作</div> -->
                 </div>
               </div>
               <!-- 表格内容 -->
@@ -193,7 +194,7 @@
                     </div>
                     <div class="table-cell" style="width: 10%">{{ item.note }}</div>
                     <div class="table-cell" style="width: 15%">{{ item.risk }}</div>
-                    <div class="table-cell" style="width: 10%">
+                    <!-- <div class="table-cell" style="width: 10%">
                       <el-tag
                         v-if="item.positive === '阳性'"
                         type="danger"
@@ -236,7 +237,7 @@
                           </el-dropdown-menu>
                         </template>
                       </el-dropdown>
-                    </div>
+                    </div> -->
                   </div>
                 </div>
               </div>
@@ -516,18 +517,13 @@ const handleLocalSearch = async () => {
       background: 'rgba(255, 255, 255, 0.7)'
     })
 
-    const params = {
-      pageNo: pageNo.value,
-      pageSize: pageSize.value,
-      // 使用或条件搜索
-      searchKey: searchQuery.value // 使用统一的搜索关键字字段
-    }
-
-    const res = await PatientApi.getPatientPage(params)
-
-    if (res.list && res.list.length > 0) {
-      patients.value = res.list
-      total.value = res.total
+    // 获取搜索结果
+    const res = await PatientApi.getPatientInfoByMedicalSn(searchQuery.value)
+    // 根据返回的数据结构调整处理逻辑
+    if (res) {
+      // 检查返回的是单个对象还是列表
+      patients.value = res
+      total.value = res.length
     } else {
       patients.value = []
       total.value = 0
@@ -537,6 +533,7 @@ const handleLocalSearch = async () => {
   } catch (error) {
     console.error('搜索患者失败:', error)
     ElMessage.error('搜索患者失败')
+    loading.close()
   }
 }
 
@@ -776,7 +773,6 @@ const handlePatientSelect = async (patient) => {
   } catch (error) {
     console.error('[handlePatientSelect] 切换患者失败:', error)
     message.error('切换患者失败')
-    isImageDepartment.value = false
   }
 }
 
@@ -862,39 +858,6 @@ const processConclusion = (item, category, conclusions) => {
   }
 }
 
-// 修改检查是否为影像科的函数
-const checkIsImageDepartment = (deptId) => {
-  // 强制返回true用于测试
-  // return true;
-
-  // 如果deptId是对象，尝试获取其id属性
-  const id = typeof deptId === 'object' ? deptId.id || deptId.deptId : deptId
-
-  // 影像科的ID列表 - 根据实际情况调整
-  const imageDeptIds = [
-    '7',
-    '8',
-    '9',
-    '10',
-    '11',
-    '12',
-    '13',
-    'CT室',
-    'DR室',
-    '超声科',
-    '放射科',
-    '影像科',
-    'CT',
-    'MRI',
-    '超声',
-    '放射'
-  ]
-
-  // 检查ID是否在列表中
-  const result = imageDeptIds.includes(String(id))
-  return result
-}
-
 // 修改获取状态提示的函数
 const getStatusNote = (item) => {
   if (!item.reference || item.reference === 'null-null') {
@@ -1574,30 +1537,6 @@ const formatReference = (reference) => {
   return `${low}-${high}`
 }
 
-// 添加isImageDepartment的响应式引用
-const isImageDepartment = ref(false)
-
-// 添加判断是否为血常规检查的计算属性
-const isBloodTest = computed(() => {
-  if (!selectedPatient.value) return false
-
-  const currentItems = Object.values(examItems.value)
-    .flat()
-    .filter((item) => {
-      const itemName = (item.name || '').toLowerCase()
-      return (
-        itemName.includes('血常规') ||
-        itemName.includes('血细胞') ||
-        itemName.includes('血红蛋白') ||
-        itemName.includes('白细胞') ||
-        itemName.includes('红细胞') ||
-        itemName.includes('血小板')
-      )
-    })
-
-  return currentItems.length > 0
-})
-
 // 添加日期格式化函数
 const formatDate = (date) => {
   if (!date) return ''
@@ -2009,22 +1948,11 @@ const statusFilter = ref('0') // 默认选择待检查
 const filteredPatients = computed(() => {
   let result = patients.value
 
-  // 先按状态筛选
+  // 只按状态筛选，移除搜索词本地筛选逻辑
   if (statusFilter.value !== '') {
     result = result.filter((patient) => String(patient.status) === statusFilter.value)
   }
 
-  // 再按搜索词筛选
-  if (searchQuery.value) {
-    const query = searchQuery.value.toLowerCase()
-    result = result.filter(
-      (patient) =>
-        (patient.pname && patient.pname.toLowerCase().includes(query)) ||
-        (patient.medicalSn && patient.medicalSn.toLowerCase().includes(query)) ||
-        (patient.cardId && patient.cardId.toLowerCase().includes(query))
-    )
-  }
-
   return result
 })