diff --git a/src/views/Department-entry/Medical-examination-vehicle.vue b/src/views/Department-entry/Medical-examination-vehicle.vue
index b10f7d1..b1b6a7f 100644
--- a/src/views/Department-entry/Medical-examination-vehicle.vue
+++ b/src/views/Department-entry/Medical-examination-vehicle.vue
@@ -1708,12 +1708,78 @@ const handleSaveAllResults = async () => {
 // 修改汇总保存方法
 const handleSummarySave = async () => {
   try {
+    // 检查summaryRef是否存在
     if (summaryRef.value) {
+      // 如果在汇总标签页，直接调用组件方法
       await summaryRef.value.saveSummary()
       return true
+    } else {
+      // 如果不在汇总标签页，需要手动构建汇总内容并保存
+      // 格式化汇总数据
+      let summaryContent = ''
+      
+      // 一般检查
+      if (conclusionData.value.general?.summary) {
+        summaryContent += '【一般检查】\n' + conclusionData.value.general.summary + '\n\n'
+      }
+      
+      // 超声检查
+      if (conclusionData.value.ultrasound?.finding || conclusionData.value.ultrasound?.diagnosis) {
+        summaryContent += '【超声】\n'
+        if (conclusionData.value.ultrasound.finding) {
+          summaryContent += '检查所见：' + conclusionData.value.ultrasound.finding + '\n'
+        }
+        if (conclusionData.value.ultrasound.diagnosis) {
+          summaryContent += '检查结果：' + conclusionData.value.ultrasound.diagnosis + '\n'
+        }
+        summaryContent += '\n'
+      }
+      
+      // 心电图检查
+      if (conclusionData.value.ecg?.finding || conclusionData.value.ecg?.diagnosis) {
+        summaryContent += '【心电图】\n'
+        if (conclusionData.value.ecg.finding) {
+          summaryContent += '检查所见：' + conclusionData.value.ecg.finding + '\n'
+        }
+        if (conclusionData.value.ecg.diagnosis) {
+          summaryContent += '检查结果：' + conclusionData.value.ecg.diagnosis + '\n'
+        }
+        summaryContent += '\n'
+      }
+      
+      // 血常规
+      if (conclusionData.value.blood?.summary) {
+        summaryContent += '【血常规】\n' + conclusionData.value.blood.summary + '\n\n'
+      }
+      
+      // 尿常规
+      if (conclusionData.value.urine?.summary) {
+        summaryContent += '【尿常规】\n' + conclusionData.value.urine.summary + '\n\n'
+      }
+      
+      // 生化
+      if (conclusionData.value.biochemical?.summary) {
+        summaryContent += '【生化】\n' + conclusionData.value.biochemical.summary + '\n\n'
+      }
+      
+      // 如果有汇总内容，则保存
+      if (summaryContent.trim()) {
+        // 准备保存的数据
+        const saveData = {
+          medicalSn: selectedPatient.value?.medicalSn,
+          summaryResult: summaryContent
+        }
+        
+        // 调用API保存数据
+        await PatientApi.updatemedicalSn(saveData)
+        return true
+      }
+      
+      return true // 即使没有内容也返回成功
     }
-    return false
+    
   } catch (error) {
+    console.error('汇总保存失败:', error)
     ElMessage.error('汇总保存失败: ' + error.message)
     return false
   }