diff --git a/yudao-module-tblist/yudao-module-tblist-biz/src/main/java/cn/iocoder/yudao/module/tblist/controller/admin/patientexamlist/PatientexamlistController.java b/yudao-module-tblist/yudao-module-tblist-biz/src/main/java/cn/iocoder/yudao/module/tblist/controller/admin/patientexamlist/PatientexamlistController.java
index afb53a20a..b323a0128 100644
--- a/yudao-module-tblist/yudao-module-tblist-biz/src/main/java/cn/iocoder/yudao/module/tblist/controller/admin/patientexamlist/PatientexamlistController.java
+++ b/yudao-module-tblist/yudao-module-tblist-biz/src/main/java/cn/iocoder/yudao/module/tblist/controller/admin/patientexamlist/PatientexamlistController.java
@@ -63,6 +63,9 @@ import javax.validation.Valid;
 
 import com.baomidou.mybatisplus.core.conditions.query.QueryWrapper;
 
+import cn.iocoder.yudao.module.tblist.dal.mysql.positivestatistics.PositivestatisticsMapper;
+import cn.iocoder.yudao.module.tblist.dal.mysql.ecganalysisparas.EcganalysisparasMapper;
+
 @Tag(name = "管理后台 - PACS检查列表")
 @RestController
 @RequestMapping("/tblist/patientexamlist")
@@ -82,6 +85,10 @@ public class PatientexamlistController {
     private OrgUnitService Service;
     @Resource
     private ConfigService configService;
+    @Resource
+    private PositivestatisticsMapper positivestatisticsMapper;
+    @Resource
+    private EcganalysisparasMapper ecganalysisparasMapper;
 
     @PostMapping("/create")
     @Operation(summary = "创建PACS检查列表")
@@ -530,12 +537,13 @@ public class PatientexamlistController {
     @GetMapping("/getECGStatistics")
     @Operation(summary = "获取心电图统计数据")
     @PreAuthorize("@ss.hasPermission('tblist:patientexamlist:query')")
-    public CommonResult<ECGStatisticsRespVO> getECGStatistics() {
+    public CommonResult<ECGStatisticsRespVO> getECGStatistics(@RequestParam("orgId") String orgId) {
         ECGStatisticsRespVO statistics = new ECGStatisticsRespVO();
         
         // 构建基础查询条件
         QueryWrapper<PatientexamlistDO> queryWrapper = new QueryWrapper<>();
-        queryWrapper.eq("deviceType", "ECG");
+        queryWrapper.eq("deviceType", "ECG")
+                    .eq("orgId", orgId);
         
         // 获取总数
         int totalCount = patientexamlistMapper.selectCount(queryWrapper).intValue();
@@ -544,7 +552,8 @@ public class PatientexamlistController {
         // 获取已分析数量(reviewDate不为空)
         QueryWrapper<PatientexamlistDO> analyzedWrapper = new QueryWrapper<>();
         analyzedWrapper.eq("deviceType", "ECG")
-                .isNotNull("reviewDate");
+                      .eq("orgId", orgId)
+                      .isNotNull("reviewDate");
         int analyzedCount = patientexamlistMapper.selectCount(analyzedWrapper).intValue();
         statistics.setAnalyzedCount(analyzedCount);
         
@@ -552,19 +561,48 @@ public class PatientexamlistController {
         statistics.setUnanalyzedCount(totalCount - analyzedCount);
         
         // 获取阳性数量
-        QueryWrapper<PatientexamlistDO> positiveWrapper = new QueryWrapper<>();
-        positiveWrapper.eq("deviceType", "ECG")
-                .eq("wholeDiagFlag", "1"); // 假设 wholeDiagFlag=1 表示阳性
-        int positiveCount = patientexamlistMapper.selectCount(positiveWrapper).intValue();
+        int positiveCount = 0;
+        // 1. 获取所有阳性关键词配置
+        List<Map<String, Object>> positivestatisticsDict = positivestatisticsMapper.selectList_usable(orgId);
+        if (positivestatisticsDict != null && !positivestatisticsDict.isEmpty()) {
+            // 2. 收集所有关键词
+            List<String> allKeywords = new ArrayList<>();
+            for (Map<String, Object> dict : positivestatisticsDict) {
+                if (dict.get("keyWord") != null && dict.get("keyWord").toString().trim().length() > 0) {
+                    String[] keywords = dict.get("keyWord").toString().trim().split(",");
+                    allKeywords.addAll(Arrays.asList(keywords));
+                }
+            }
+            
+            // 3. 一次性查询所有符合任意关键词的记录
+            if (!allKeywords.isEmpty()) {
+                positiveCount = ecganalysisparasMapper.selectList_positive(
+                    orgId,           // 机构ID
+                    null,           // 不限制开始时间
+                    null,           // 不限制结束时间
+                    allKeywords.toArray(new String[0])
+                ).size();
+            }
+        }
+        
         statistics.setPositiveCount(positiveCount);
         
         // 获取上级申请数量(applicationDate不为空)
         QueryWrapper<PatientexamlistDO> appliedWrapper = new QueryWrapper<>();
         appliedWrapper.eq("deviceType", "ECG")
-                .isNotNull("applicationDate");
+                      .eq("orgId", orgId)
+                      .isNotNull("applicationDate");
         int appliedCount = patientexamlistMapper.selectCount(appliedWrapper).intValue();
         statistics.setAppliedCount(appliedCount);
         
+        // 获取危急值数量(warning = 1)
+        QueryWrapper<PatientexamlistDO> criticalWrapper = new QueryWrapper<>();
+        criticalWrapper.eq("deviceType", "ECG")
+                      .eq("orgId", orgId)
+                      .eq("warning", "1");
+        int criticalCount = patientexamlistMapper.selectCount(criticalWrapper).intValue();
+        statistics.setCriticalCount(criticalCount);
+        
         return success(statistics);
     }
 
diff --git a/yudao-module-tblist/yudao-module-tblist-biz/src/main/java/cn/iocoder/yudao/module/tblist/controller/admin/patientexamlist/vo/ECGStatisticsRespVO.java b/yudao-module-tblist/yudao-module-tblist-biz/src/main/java/cn/iocoder/yudao/module/tblist/controller/admin/patientexamlist/vo/ECGStatisticsRespVO.java
index 8359bfadd..9a15a9ce3 100644
--- a/yudao-module-tblist/yudao-module-tblist-biz/src/main/java/cn/iocoder/yudao/module/tblist/controller/admin/patientexamlist/vo/ECGStatisticsRespVO.java
+++ b/yudao-module-tblist/yudao-module-tblist-biz/src/main/java/cn/iocoder/yudao/module/tblist/controller/admin/patientexamlist/vo/ECGStatisticsRespVO.java
@@ -23,4 +23,7 @@ public class ECGStatisticsRespVO {
     
     @Schema(description = "上级申请数量")
     private Integer appliedCount;
+    
+    @Schema(description = "危急值数量")
+    private Integer criticalCount;
 }
\ No newline at end of file