diff --git a/src/views/Department-entry/Medical-examination-vehicle.vue b/src/views/Department-entry/Medical-examination-vehicle.vue
index caf742c..01e7afa 100644
--- a/src/views/Department-entry/Medical-examination-vehicle.vue
+++ b/src/views/Department-entry/Medical-examination-vehicle.vue
@@ -267,7 +267,16 @@
                       @click="handleSaveCurrentTab"
                       :disabled="isReadOnly"
                     >
-                      保存
+                      保存小结
+                    </el-button>
+                    <el-button
+                      type="text"
+                      class="abandon-btn"
+                      @click="handleAbandonExam"
+                      :disabled="isReadOnly"
+                      style="color: red"
+                    >
+                      弃检
                     </el-button>
                   </span>
                 </span>
@@ -321,8 +330,17 @@
                     @click="handleSaveCurrentTab"
                     :disabled="isReadOnly"
                   >
-                    保存
+                    保存小结
                   </el-button>
+                  <el-button
+                    type="text"
+                    class="abandon-btn"
+                    @click="handleAbandonExam"
+                    :disabled="isReadOnly"
+                    style="color: red"
+                  >
+                    弃检
+                    </el-button>
                 </span>
               </span>
             </div>
@@ -368,9 +386,6 @@
           </div>
           <div class="right-section">
             <div class="action-buttons">
-              <button class="action-btn" @click="checkEditPermission" :disabled="isDisabled"
-                >弃检</button
-              >
               <button
                 class="action-btn primary"
                 @click="handleSaveAllResults"
@@ -1485,7 +1500,16 @@ const isDisabled = computed(() => {
 
 // 修改只读状态的计算属性
 const isReadOnly = computed(() => {
-  return isDisabled.value
+  // 如果整体已禁用，则为只读
+  if (isDisabled.value) return true
+  
+  // 检查当前标签页的检查项目是否全部弃检
+  const currentItems = examItems.value[currentTab.value] || []
+  if (currentItems.length > 0 && currentItems.every(item => item.itemStatus === '2')) {
+    return true // 所有项目都已弃检，设为只读
+  }
+  
+  return false
 })
 
 // 修改分页处理函数
@@ -2168,6 +2192,66 @@ const handleSaveCurrentTab = async () => {
     ElMessage.error(`保存失败: ${error.message || '请检查数据是否完整'}`)
   }
 }
+
+const handleAbandonExam = async () => {
+  if (!checkEditPermission()) return
+
+  try {
+    // 确认是否要弃检
+    await ElMessageBox.confirm('确定要弃检当前项目吗？弃检后将无法编辑。', '弃检确认', {
+      confirmButtonText: '确定弃检',
+      cancelButtonText: '取消',
+      type: 'warning'
+    })
+
+    const loading = ElLoading.service({
+      lock: true,
+      text: '处理中...',
+      background: 'rgba(255, 255, 255, 0.7)'
+    })
+
+    try {
+      // 获取当前标签页的检查项目
+      const currentItems = examItems.value[currentTab.value] || []
+
+      if (currentItems.length === 0) {
+        ElMessage.warning('当前标签页没有检查项目')
+        loading.close()
+        return
+      }
+
+      // 准备更新的数据
+      const updatedItems = currentItems.map(item => ({
+        id: item.id,
+        medicalSn: selectedPatient.value?.medicalSn,
+        itemStatus: '2', // 设置为弃检状态
+        inspectdoctor: inspectDoctor.value || user.value?.nickname || '',
+        inspecttime: Date.now() // 使用当前时间戳
+      }))
+
+      // 批量更新检查项目
+      await PatientitemsApi.updatePatientitemsBatch(updatedItems)
+
+      // 更新本地检查项目状态
+      currentItems.forEach(item => {
+        item.itemStatus = '2'
+      })
+
+      loading.close()
+      ElMessage.success('弃检成功')
+
+      // 刷新数据
+      await refreshExamData()
+    } catch (error) {
+      loading.close()
+      console.error('弃检失败:', error)
+      ElMessage.error(`弃检失败: ${error.message || '请稍后重试'}`)
+    }
+  } catch {
+    // 用户取消弃检
+    ElMessage.info('已取消弃检')
+  }
+}
 </script>
 
 <style scoped>
@@ -3226,32 +3310,21 @@ const handleSaveCurrentTab = async () => {
 .title-text .el-button[disabled] {
   color: #c0c4cc;
 }
-/* 保存按钮容器样式 - 靠左对齐 */
-.save-btn-container {
-  display: inline-block;
-  margin-left: 10px;
-  text-align: left;
-}
-/* 醒目的保存按钮样式 - 绿色 */
-.save-btn {
-  color: #67c23a; /* 醒目的绿色 */
-  font-weight: bold;
-  font-size: 15px;
-}
-
-.save-btn:hover {
-  color: #85ce61; /* 悬停时的浅绿色 */
-}
-
-.save-btn:disabled {
-  color: #c8c9cc;
-  cursor: not-allowed;
-}
-
 .section-title {
   display: flex;
   align-items: center;
   justify-content: space-between;
   margin-bottom: 10px;
 }
+
+.save-btn-container {
+  display: flex;
+  flex-direction: row;
+  align-items: center;
+  gap: 10px; /* 按钮之间的间距 */
+}
+
+.save-btn-container .el-button {
+  margin-left: 0; /* 重置按钮的左边距 */
+}
 </style>