diff --git a/public/templates/report-template.html b/public/templates/report-template.html
index 0a56a25..5f16772 100644
--- a/public/templates/report-template.html
+++ b/public/templates/report-template.html
@@ -1014,7 +1014,7 @@
 			<div style="text-align: center;margin-top: 5px;">
 				<span style="font-size: 20px;font-weight: bold;">一般检查</span>
 			</div>
-            <div class="report-content">
+            <div class="report-content" id="general-exam-content">
 			    
                 <table class="exam-table">
                     <thead>
@@ -1059,7 +1059,7 @@
                     </tbody>
                 </table>
             </div>
-            <div class="report-summary">
+            <div class="report-summary" id="general-exam-summary">
                 <h4>一般检查小结：</h4>
                 <p>--</p>
             </div>
@@ -1081,14 +1081,14 @@
 			<div class="USPrinttitleDiv" style="text-align: center;margin-top: 5px;">
 				<span style="font-size: 20px;font-weight: bold;">超声检查报告</span>
 			</div>
-            <div class="report-content">
+            <div class="report-content" id="ultrasound-exam-content">
                 <!-- 屏幕查看时显示PDF -->
                 <div class="screen-only">
                     <iframe src=""></iframe>
                 </div>
 
                 <!-- 打印时显示渲染的PDF -->
-                <div class="print-only pdf-container" data-pdf-url="">
+                <div class="print-only pdf-container" data-pdf-url="" id="ultrasound-exam-pdf-container">
                     <div class="pdf-loading">正在准备PDF预览...</div>
                     <!-- 添加图片容器，用于存放渲染后的图片 -->
                     <div class="pdf-image-container" style="display:none;"></div>
@@ -1122,7 +1122,7 @@
 			<div style="text-align: center;margin-top: 5px;">
 				<span style="font-size: 20px;font-weight: bold;">尿常规检查报告</span>
 			</div>
-            <div class="report-content">
+            <div class="report-content" id="urine-exam-content">
                 <!-- 屏幕查看时显示PDF -->
                 <div class="screen-only">
                     <iframe src=""></iframe>
@@ -1135,7 +1135,7 @@
                     <div class="pdf-image-container" style="display:none;"></div>
                 </div>
             </div>
-            <div class="report-summary">
+            <div class="report-summary" id="urine-summary">
                 <h4>尿常规小结：</h4>
                 <p id="urine-summary"  style="white-space: pre-line">--</p>
             </div>
@@ -1157,7 +1157,7 @@
 				<div style="text-align: center;margin-top: 5px;">
 				<span style="font-size: 20px;font-weight: bold;">生化检查报告</span>
 			</div>
-            <div class="report-content">
+            <div class="report-content" id="biochemistry-exam-content">
 			
                 <!-- 屏幕查看时显示PDF -->
                 <div class="screen-only">
@@ -1165,13 +1165,13 @@
                 </div>
 
                 <!-- 打印时显示渲染的PDF -->
-                <div class="print-only pdf-container" data-pdf-url="">
+                <div class="print-only pdf-container" data-pdf-url="" id="biochemistry-exam-pdf-container">
                     <div class="pdf-loading">正在准备PDF预览...</div>
                     <!-- 添加图片容器 -->
                     <div class="pdf-image-container" style="display:none;"></div>
                 </div>
             </div>
-            <div class="report-summary">
+            <div class="report-summary" id="biochemistry-summary">
                 <h4>生化小结：</h4>
                 <p id="biochemistry-summary"  style="white-space: pre-line">--</p>
             </div>
@@ -1193,7 +1193,7 @@
 			<div style="text-align: center;margin-top: 5px;">
 				<span style="font-size: 20px;font-weight: bold;">血常规检查报告</span>
 			</div>
-            <div class="report-content">
+            <div class="report-content" id="blood-exam-content" >
 		
                 <!-- 屏幕查看时显示PDF -->
                 <div class="screen-only">
@@ -1201,13 +1201,13 @@
                 </div>
 
                 <!-- 打印时显示渲染的PDF -->
-                <div class="print-only pdf-container" data-pdf-url="">
+                <div class="print-only pdf-container" data-pdf-url="" id="blood-exam-pdf-container">
                     <div class="pdf-loading">正在准备PDF预览...</div>
                     <!-- 添加图片容器 -->
                     <div class="pdf-image-container" style="display:none;"></div>
                 </div>
             </div>
-            <div class="report-summary">
+            <div class="report-summary" id="blood-summary">
                 <h4>血常规小结：</h4>
                 <p id="blood-summary"  style="white-space: pre-line">--</p>
             </div>
@@ -1229,7 +1229,7 @@
 			<div style="text-align: center;margin-top: 5px;">
 				<span style="font-size: 20px;font-weight: bold;">心电图检查报告</span>
 			</div>
-            <div class="report-content">
+            <div class="report-content" id="ecg-exam-content">
 			
                 <img src="" alt="心电图检查">
             </div>
diff --git a/src/views/summary/reprot-print/components/ReportPreview.vue b/src/views/summary/reprot-print/components/ReportPreview.vue
index d588918..b5054e8 100644
--- a/src/views/summary/reprot-print/components/ReportPreview.vue
+++ b/src/views/summary/reprot-print/components/ReportPreview.vue
@@ -176,78 +176,115 @@ const handleIframeLoad = async () => {
       (item) => item.itemName === '超声' || item.itemName === 'US'
     )
     if (ultrasoundData) {
-      // 更新超声检查报告内容
-      //const ultrasoundSummary = doc.querySelector('.report-item.ultrasound-exam .report-summary')
-      const ultrasoundSummary = doc.getElementById('ultrasound-summary')
-      if (ultrasoundSummary) {
-        // 解析 analyse 字段（格式："检查所见：xxx\n检查结果：xxx"）
-        const findings = ultrasoundData.analyse.split('\n')[0].replace('检查所见：', '') || ''
-        const conclusion = ultrasoundData.analyse.split('\n')[1].replace('检查结果：', '') || ''
-        ultrasoundSummary.innerHTML = `
-          <p><strong>【所见】</strong><br>${findings}</p>
-          <p><strong>【所得】</strong><br>${conclusion}</p>
-        `
+      // 检查是否弃检
+      if (ultrasoundData.itemStatus === "2") {
+        // 隐藏所有超声检查相关ID元素
+        const ultrasoundContent = doc.getElementById('ultrasound-exam-content')
+        const ultrasoundPdfContainer = doc.getElementById('ultrasound-exam-pdf-container')
+        const ultrasoundSummary = doc.getElementById('ultrasound-summary')
+        
+        if (ultrasoundContent) ultrasoundContent.style.display = 'none'
+        if (ultrasoundPdfContainer) ultrasoundPdfContainer.style.display = 'none'
+        if (ultrasoundSummary) {
+          ultrasoundSummary.innerHTML = '<p class="abandon-notice" style="color:red;font-weight:bold;text-align:center;padding:20px;">该项目已弃检</p>'
+        }
       } else {
-        console.error('未找到超声检查小结元素')
-      }
-
-      // 更新超声检查PDF链接
-      if (ultrasoundData.data) {
-        // 为PDF URL添加参数
-        const pdfUrl = ultrasoundData.data + '#toolbar=0&navpanes=0&view=Fit'
-
-        // 更新屏幕显示的iframe
-        const iframeElement = doc.querySelector('.ultrasound-exam .screen-only iframe')
-        if (iframeElement) {
-          iframeElement.src = pdfUrl
-        } else {
-          console.error('未找到超声检查iframe元素')
+        // 原有代码逻辑
+        const ultrasoundSummary = doc.getElementById('ultrasound-summary')
+        if (ultrasoundSummary) {
+          const findings = ultrasoundData.analyse.split('\n')[0].replace('检查所见：', '') || ''
+          const conclusion = ultrasoundData.analyse.split('\n')[1].replace('检查结果：', '') || ''
+          ultrasoundSummary.innerHTML = `
+            <p><strong>【所见】</strong><br>${findings}</p>
+            <p><strong>【所得】</strong><br>${conclusion}</p>
+          `
         }
 
-        // 更新打印用的PDF容器
-        const pdfContainer = doc.querySelector('.ultrasound-exam .print-only.pdf-container')
-        if (pdfContainer) {
-          pdfContainer.setAttribute('data-pdf-url', pdfUrl)
-        } else {
-          console.error('未找到超声检查PDF容器')
+        // 更新超声检查PDF链接
+        if (ultrasoundData.data) {
+          // 为PDF URL添加参数
+          const pdfUrl = ultrasoundData.data + '#toolbar=0&navpanes=0&view=Fit'
+
+          // 更新屏幕显示的iframe
+          const iframeElement = doc.querySelector('.ultrasound-exam .screen-only iframe')
+          if (iframeElement) {
+            iframeElement.src = pdfUrl
+          } else {
+            console.error('未找到超声检查iframe元素')
+          }
+
+          // 更新打印用的PDF容器
+          const pdfContainer = doc.querySelector('.ultrasound-exam .print-only.pdf-container')
+          if (pdfContainer) {
+            pdfContainer.setAttribute('data-pdf-url', pdfUrl)
+          } else {
+            console.error('未找到超声检查PDF容器')
+          }
         }
       }
     }
 
-    // 更新其他检查报告
-    // 尿常规
+    // 更新尿常规检查
     const urineData = reportData.data.find((item) => item.itemName === '尿常规')
     if (urineData) {
-      //const urineSummary = doc.querySelector('.report-item:nth-of-type(6) .report-summary p')
-      const urineSummary = doc.getElementById('urine-summary')
-      if (urineSummary) {
-        urineSummary.textContent = urineData.analyse || ''
+      if (urineData.itemStatus === "2") {
+        // 隐藏所有尿常规检查相关ID元素
+        const urineContent = doc.getElementById('urine-exam-content')
+        const urineSummary = doc.getElementById('urine-summary')
+        
+        if (urineContent) urineContent.style.display = 'none'
+        if (urineSummary) {
+          urineSummary.innerHTML = '<p class="abandon-notice" style="color:red;font-weight:bold;text-align:center;padding:20px;">该项目已弃检</p>'
+        }
+      } else {
+        const urineSummary = doc.getElementById('urine-summary')
+        if (urineSummary) {
+          urineSummary.textContent = urineData.analyse || ''
+        }
       }
     }
 
     // 更新生化检查
     const biochemData = reportData.data.find((item) => item.itemName === '生化')
     if (biochemData) {
-      // 改为第7个report-item（原4→7）
-      //const biochemSummary = doc.querySelector('.report-item:nth-of-type(7) .report-summary p')
-      const biochemSummary = doc.getElementById('biochemistry-summary')
-      if (biochemSummary) {
-        biochemSummary.textContent = biochemData.analyse || ''
+      if (biochemData.itemStatus === "2") {
+        // 隐藏所有生化检查相关ID元素
+        const biochemContent = doc.getElementById('biochemistry-exam-content')
+        const biochemPdfContainer = doc.getElementById('biochemistry-exam-pdf-container')
+        const biochemSummary = doc.getElementById('biochemistry-summary')
+        
+        if (biochemContent) biochemContent.style.display = 'none'
+        if (biochemPdfContainer) biochemPdfContainer.style.display = 'none'
+        if (biochemSummary) {
+          biochemSummary.innerHTML = '<p class="abandon-notice" style="color:red;font-weight:bold;text-align:center;padding:20px;">该项目已弃检</p>'
+        }
       } else {
-        console.error('未找到生化检查小结元素')
+        const biochemSummary = doc.getElementById('biochemistry-summary')
+        if (biochemSummary) {
+          biochemSummary.textContent = biochemData.analyse || ''
+        }
       }
     }
 
     // 更新血常规
     const bloodData = reportData.data.find((item) => item.itemName === '血常规')
     if (bloodData) {
-      // 改为第8个report-item（原5→8）
-      //const bloodSummary = doc.querySelector('.report-item:nth-of-type(8) .report-summary p')
-      const bloodSummary = doc.getElementById('blood-summary')
-      if (bloodSummary) {
-        bloodSummary.textContent = bloodData.analyse || ''
+      if (bloodData.itemStatus === "2") {
+        // 隐藏所有血常规检查相关ID元素
+        const bloodContent = doc.getElementById('blood-exam-content')
+        const bloodPdfContainer = doc.getElementById('blood-exam-pdf-container')
+        const bloodSummary = doc.getElementById('blood-summary')
+        
+        if (bloodContent) bloodContent.style.display = 'none'
+        if (bloodPdfContainer) bloodPdfContainer.style.display = 'none'
+        if (bloodSummary) {
+          bloodSummary.innerHTML = '<p class="abandon-notice" style="color:red;font-weight:bold;text-align:center;padding:20px;">该项目已弃检</p>'
+        }
       } else {
-        console.error('未找到血常规小结元素')
+        const bloodSummary = doc.getElementById('blood-summary')
+        if (bloodSummary) {
+          bloodSummary.textContent = bloodData.analyse || ''
+        }
       }
     }
 
@@ -265,16 +302,23 @@ const handleIframeLoad = async () => {
     // 更新心电图
     const ecgData = reportData.data.find((item) => item.itemName === '心电图')
     if (ecgData) {
-      // 改为第9个report-item（原last-child→9）
-      //const ecgSummary = doc.querySelector('.report-item:nth-of-type(9) .report-summary')
-      const ecgSummary = doc.getElementById('ecg-summary')
-      if (ecgSummary) {
-        ecgSummary.innerHTML = `
-          <p><strong>【所见】</strong><br>${ecgData.analyse.split('\n')[0].replace('检查所见：', '') || ''}</p>
-          <p><strong>【所得】</strong><br>${ecgData.analyse.split('\n')[1].replace('检查结果：', '') || ''}</p>
-        `
+      if (ecgData.itemStatus === "2") {
+        // 隐藏所有心电图相关ID元素
+        const ecgContent = doc.getElementById('ecg-exam-content')
+        const ecgSummary = doc.getElementById('ecg-summary')
+        
+        if (ecgContent) ecgContent.style.display = 'none'
+        if (ecgSummary) {
+          ecgSummary.innerHTML = '<p class="abandon-notice" style="color:red;font-weight:bold;text-align:center;padding:20px;">该项目已弃检</p>'
+        }
       } else {
-        console.error('未找到心电图小结元素')
+        const ecgSummary = doc.getElementById('ecg-summary')
+        if (ecgSummary) {
+          ecgSummary.innerHTML = `
+            <p><strong>【所见】</strong><br>${ecgData.analyse.split('\n')[0].replace('检查所见：', '') || ''}</p>
+            <p><strong>【所得】</strong><br>${ecgData.analyse.split('\n')[1].replace('检查结果：', '') || ''}</p>
+          `
+        }
       }
     }