diff --git a/src/views/Department-entry/Medical-examination-vehicle.vue b/src/views/Department-entry/Medical-examination-vehicle.vue
index a5538c0..b10f7d1 100644
--- a/src/views/Department-entry/Medical-examination-vehicle.vue
+++ b/src/views/Department-entry/Medical-examination-vehicle.vue
@@ -1691,32 +1691,31 @@ const handleSaveAllResults = async () => {
       }
     }
     
+    // 最后执行汇总保存
+    const result = await handleSummarySave()
+    if (!result) return
+
     ElMessage.success('所有检查结果保存成功')
     
     // 重新加载数据以更新界面
     await refreshExamData()
-    
-    // 如果汇总组件存在，调用其保存方法
-    if (summaryRef.value) {
-      await summaryRef.value.saveSummary()
-    } 
-    
+
   } catch (error) {
     ElMessage.error(`保存失败: ${error.message || '请检查数据是否完整'}`)
   }
-    // 汇总标签页特殊处理
-  const result = await handleSummarySave()
-  if (!result) return
 }
 
-// 添加汇总保存方法
+// 修改汇总保存方法
 const handleSummarySave = async () => {
-  // 直接调用汇总组件的保存方法
-  if (summaryRef.value) {
-    await summaryRef.value.saveSummary()
-    ElMessage.success('汇总数据保存成功')
-  } else {
-    throw new Error('未找到汇总组件')
+  try {
+    if (summaryRef.value) {
+      await summaryRef.value.saveSummary()
+      return true
+    }
+    return false
+  } catch (error) {
+    ElMessage.error('汇总保存失败: ' + error.message)
+    return false
   }
 }
 
diff --git a/src/views/Department-entry/summary.vue b/src/views/Department-entry/summary.vue
index 43637b2..d06fb2d 100644
--- a/src/views/Department-entry/summary.vue
+++ b/src/views/Department-entry/summary.vue
@@ -3,7 +3,7 @@
     <div class="summary-header">
       <div class="title-with-button">
         <h3>体检汇总</h3>
-        <el-button
+        <!-- <el-button
           type="success"
           circle
           size="small"
@@ -11,7 +11,7 @@
           class="refresh-button"
         >
           <el-icon><Refresh /></el-icon>
-        </el-button>
+        </el-button> -->
       </div>
     </div>
 
@@ -72,9 +72,9 @@ const isReadOnly = ref(false)
 
 // 检查患者状态
 const checkPatientStatus = () => {
-  if (props.patient && props.patient.status) {
-    // 假设状态为2表示已检查完成
-    isReadOnly.value = props.patient.status === 2
+  if (props.patient?.status) {
+    // 同时处理字符串和数字类型的状态值
+    isReadOnly.value = String(props.patient.status) === '1'
     console.log('患者状态:', props.patient.status, '只读模式:', isReadOnly.value)
   }
 }
@@ -303,14 +303,7 @@ const loadPatientItems = async () => {
     const formattedText = formatSummaryData()
     console.log('格式化后的文本:', formattedText)
     editableSummary.value = formattedText
-
     loading.close()
-
-    if (formattedText) {
-      ElMessage.success('体检汇总数据已刷新')
-    } else {
-      ElMessage.warning('未找到可用的体检汇总数据')
-    }
   } catch (error) {
     console.error('加载汇总数据失败:', error)
     ElMessage.error('加载汇总数据失败: ' + error.message)
@@ -321,6 +314,10 @@ const loadPatientItems = async () => {
 const saving = ref(false)
 // 保存汇总内容到PatientApi的summaryResult字段
 const saveSummary = async () => {
+  if (isReadOnly.value) {
+    ElMessage.warning('已检查患者不可修改汇总内容')
+    return false
+  }
   if (!editableSummary.value) {
     ElMessage.warning('体检汇总内容为空，请检查汇总内容')
     return false
@@ -400,11 +397,15 @@ onMounted(() => {
 
 // 监听患者信息变化
 watch(() => props.patient, (newVal) => {
-  if (newVal && newVal.medicalSn) {
-    loadPatientItems()
+  if (newVal) {
+    // 立即检查状态
     checkPatientStatus()
+    // 如果medicalSn变化则重新加载数据
+    if (newVal.medicalSn) {
+      loadPatientItems()
+    }
   }
-}, { deep: true })
+}, { deep: true, immediate: true })
 
 // 暴露保存汇总方法给父组件调用
 defineExpose({ saveSummary })