feat: 医生端Web后台 + SignalR实时问诊

- 新增 doctor_web/ React前端 (dashboard/患者/问诊/报告/随访)
- 后端新增 doctor_endpoints (14个医生API) + ConsultationHub (SignalR)
- Flutter端 SignalR 替换轮询实现实时聊天

doctor_web/src/pages/consultations/ChatPage.tsx

@@ -0,0 +1,167 @@
+import { useEffect, useRef, useState } from 'react';
+import { useParams } from 'react-router-dom';
+import { api } from '../../services/api-client';
+import { getConnection, startConnection } from '../../services/signalr';
+import type { ConsultationMessage } from '../../types';
+
+export default function ChatPage() {
+  const { id } = useParams<{ id: string }>();
+  const [messages, setMessages] = useState<ConsultationMessage[]>([]);
+  const [status, setStatus] = useState('');
+  const [text, setText] = useState('');
+  const [connected, setConnected] = useState(false);
+  const bottomRef = useRef<HTMLDivElement>(null);
+
+  // 加载历史消息
+  useEffect(() => {
+    if (!id) return;
+    api.get<{ status: string; messages: ConsultationMessage[] }>(`/api/doctor/consultations/${id}/messages`)
+      .then(data => {
+        setMessages(data.messages);
+        setStatus(data.status);
+      })
+      .catch(() => {});
+  }, [id]);
+
+  // 建立 SignalR 连接
+  useEffect(() => {
+    if (!id) return;
+    let disposed = false;
+
+    (async () => {
+      try {
+        const conn = getConnection();
+        await startConnection();
+        if (disposed) return;
+
+        // 加入问诊房间
+        await conn.invoke('JoinConsultation', id);
+        setConnected(true);
+
+        // 注册消息接收
+        const handler = (msg: ConsultationMessage & { consultationId: string }) => {
+          if (msg.consultationId !== id) return;
+          setMessages(prev => {
+            if (prev.some(m => m.id === msg.id)) return prev; // 去重
+            return [...prev, msg];
+          });
+        };
+        conn.on('ReceiveMessage', handler);
+
+        // 重连时重新加入房间
+        conn.onreconnected(() => {
+          conn.invoke('JoinConsultation', id);
+        });
+      } catch { /* ignore */ }
+    })();
+
+    return () => {
+      disposed = true;
+      const conn = getConnection();
+      if (conn.state === 'Connected') {
+        conn.invoke('LeaveConsultation', id).catch(() => {});
+        conn.off('ReceiveMessage');
+      }
+    };
+  }, [id]);
+
+  // 自动滚到底部
+  useEffect(() => {
+    bottomRef.current?.scrollIntoView({ behavior: 'smooth' });
+  }, [messages]);
+
+  async function sendMessage() {
+    if (!text.trim() || !id) return;
+    const content = text.trim();
+    setText('');
+
+    // 通过 HTTP 发送（后端会通过 SignalR 广播）
+    try {
+      await api.post(`/api/doctor/consultations/${id}/messages`, { content });
+    } catch {
+      // fallback: 直接通过 SignalR 发送
+      try {
+        await getConnection().invoke('SendMessage', id, 'Doctor', '医生 · 王建国', content);
+      } catch { /* ignore */ }
+    }
+  }
+
+  return (
+    <div style={{ display: 'flex', flexDirection: 'column', height: '100vh' }}>
+      {/* 顶栏 */}
+      <div style={{ background: '#FFF', padding: '16px 24px', borderBottom: '1px solid #EDF0F7', display: 'flex', alignItems: 'center', justifyContent: 'space-between' }}>
+        <div>
+          <div style={{ fontSize: 16, fontWeight: 600 }}>问诊对话</div>
+          <div style={{ fontSize: 12, color: '#9BA0B4', marginTop: 2 }}>
+            {status === 'AiTalking' ? 'AI 分身对话中' : status === 'WaitingDoctor' ? '等待医生回复' : status === 'DoctorReplied' ? '医生已回复' : status === 'Closed' ? '已结束' : status}
+          </div>
+        </div>
+        <div style={{ display: 'flex', alignItems: 'center', gap: 6 }}>
+          <div style={{ width: 8, height: 8, borderRadius: 4, background: connected ? '#20C997' : '#EF4444' }} />
+          <span style={{ fontSize: 12, color: '#9BA0B4' }}>{connected ? '已连接' : '未连接'}</span>
+        </div>
+      </div>
+
+      {/* 消息列表 */}
+      <div style={{ flex: 1, overflow: 'auto', padding: '20px 24px' }}>
+        {messages.map((msg, i) => {
+          const isDoctor = msg.senderType === 'Doctor';
+          const isAi = msg.senderType === 'Ai';
+          return (
+            <div key={msg.id || i} style={{ display: 'flex', flexDirection: 'column', alignItems: isDoctor ? 'flex-end' : 'flex-start', marginBottom: 16 }}>
+              {/* 发送者名称 */}
+              {!isDoctor && msg.senderName && (
+                <div style={{ fontSize: 11, color: '#9BA0B4', marginBottom: 4, marginLeft: 8 }}>{msg.senderName}</div>
+              )}
+              {/* 气泡 */}
+              <div style={{
+                maxWidth: '70%',
+                padding: '12px 18px',
+                borderRadius: isDoctor ? '18px 4px 18px 18px' : '4px 18px 18px 18px',
+                background: isDoctor ? '#4F6EF7' : isAi ? '#F5F5F5' : '#FFF',
+                color: isDoctor ? '#FFF' : '#1A1D28',
+                border: isDoctor ? 'none' : '1px solid #EDF0F7',
+                fontSize: 15,
+                lineHeight: 1.6,
+                whiteSpace: 'pre-wrap',
+                wordBreak: 'break-word',
+              }}>
+                {msg.content}
+              </div>
+              {/* AI 标记 */}
+              {isAi && (
+                <div style={{ fontSize: 10, color: '#F9A825', marginTop: 4, marginLeft: 8, background: '#FFF8E1', padding: '2px 8px', borderRadius: 6 }}>
+                  AI 分析，仅供参考
+                </div>
+              )}
+              {/* 时间 */}
+              <div style={{ fontSize: 11, color: '#CCC', marginTop: 4, marginLeft: 8, marginRight: 8 }}>
+                {new Date(msg.createdAt).toLocaleTimeString('zh-CN', { hour: '2-digit', minute: '2-digit' })}
+              </div>
+            </div>
+          );
+        })}
+        <div ref={bottomRef} />
+      </div>
+
+      {/* 输入栏 */}
+      <div style={{ background: '#FFF', padding: '14px 24px', borderTop: '1px solid #EDF0F7' }}>
+        <div style={{ display: 'flex', gap: 12 }}>
+          <input
+            value={text}
+            onChange={e => setText(e.target.value)}
+            onKeyDown={e => e.key === 'Enter' && sendMessage()}
+            placeholder="输入回复..."
+            style={{ flex: 1, padding: '12px 18px', border: '1px solid #E1E5ED', borderRadius: 12, fontSize: 15, outline: 'none' }}
+          />
+          <button
+            onClick={sendMessage}
+            disabled={!text.trim()}
+            style={{ padding: '12px 24px', background: text.trim() ? '#4F6EF7' : '#E1E5ED', color: text.trim() ? '#FFF' : '#9BA0B4', border: 'none', borderRadius: 12, fontSize: 15, fontWeight: 600 }}>
+            发送
+          </button>
+        </div>
+      </div>
+    </div>
+  );
+}

doctor_web/src/pages/consultations/ConsultationListPage.tsx

@@ -0,0 +1,57 @@
+import { useEffect, useState } from 'react';
+import { Link } from 'react-router-dom';
+import { api } from '../../services/api-client';
+import type { Consultation } from '../../types';
+
+const STATUS_MAP: Record<string, { label: string; color: string }> = {
+  AiTalking: { label: 'AI 对话中', color: '#9BA0B4' },
+  WaitingDoctor: { label: '等待医生', color: '#F59E0B' },
+  DoctorReplied: { label: '医生已回复', color: '#20C997' },
+  Closed: { label: '已结束', color: '#CCC' },
+};
+
+export default function ConsultationListPage() {
+  const [list, setList] = useState<Consultation[]>([]);
+
+  useEffect(() => {
+    api.get<Consultation[]>('/api/doctor/consultations').then(setList).catch(() => {});
+  }, []);
+
+  return (
+    <div style={{ padding: 32, maxWidth: 1200 }}>
+      <h1 style={{ fontSize: 24, fontWeight: 700, marginBottom: 24 }}>在线问诊</h1>
+
+      {list.length === 0 ? (
+        <div style={{ color: '#9BA0B4', padding: 40, textAlign: 'center' }}>暂无问诊记录</div>
+      ) : (
+        <div style={{ display: 'flex', flexDirection: 'column', gap: 12 }}>
+          {list.map(c => {
+            const st = STATUS_MAP[c.status] ?? { label: c.status, color: '#9BA0B4' };
+            return (
+              <Link key={c.id} to={`/consultations/${c.id}`}
+                style={{ background: '#FFF', borderRadius: 14, padding: '18px 20px', boxShadow: '0 1px 8px rgba(0,0,0,0.04)', display: 'flex', alignItems: 'center', gap: 16 }}>
+                <div style={{ width: 44, height: 44, borderRadius: 12, background: '#EDF0FD', display: 'flex', alignItems: 'center', justifyContent: 'center', fontSize: 18, fontWeight: 700, color: '#4F6EF7', flexShrink: 0 }}>
+                  {(c.patientName || '患')[0]}
+                </div>
+                <div style={{ flex: 1 }}>
+                  <div style={{ fontWeight: 600, fontSize: 15 }}>{c.patientName || c.patientPhone}</div>
+                  <div style={{ fontSize: 13, color: '#9BA0B4', marginTop: 2 }}>
+                    {c.lastMessage?.content?.slice(0, 40) || '暂无消息'}
+                  </div>
+                </div>
+                <div style={{ textAlign: 'right' }}>
+                  <span style={{ padding: '3px 12px', borderRadius: 10, fontSize: 12, fontWeight: 500, background: `${st.color}18`, color: st.color }}>
+                    {st.label}
+                  </span>
+                  <div style={{ fontSize: 11, color: '#CCC', marginTop: 4 }}>
+                    {new Date(c.createdAt).toLocaleDateString('zh-CN')}
+                  </div>
+                </div>
+              </Link>
+            );
+          })}
+        </div>
+      )}
+    </div>
+  );
+}

doctor_web/src/pages/dashboard/DashboardPage.tsx

@@ -0,0 +1,72 @@
+import { useEffect, useState } from 'react';
+import { Link } from 'react-router-dom';
+import { api } from '../../services/api-client';
+import type { DashboardStats } from '../../types';
+
+const CARD_CONFIG = [
+  { key: 'totalPatients', label: '患者总数', color: '#4F6EF7', bg: '#EDF0FD' },
+  { key: 'activeConsultations', label: '进行中问诊', color: '#20C997', bg: '#E6F9F2' },
+  { key: 'pendingReports', label: '待审核报告', color: '#F59E0B', bg: '#FFF8E6' },
+  { key: 'todayFollowUps', label: '今日随访', color: '#845EF7', bg: '#F3E8FF' },
+];
+
+const QUICK_LINKS = [
+  { to: '/patients', label: '患者列表', color: '#4F6EF7' },
+  { to: '/consultations', label: '在线问诊', color: '#20C997' },
+  { to: '/reports', label: '报告审核', color: '#F59E0B' },
+  { to: '/follow-ups', label: '随访管理', color: '#845EF7' },
+];
+
+export default function DashboardPage() {
+  const [stats, setStats] = useState<DashboardStats | null>(null);
+
+  useEffect(() => {
+    api.get<DashboardStats>('/api/doctor/dashboard').then(setStats).catch(() => {});
+  }, []);
+
+  if (!stats) return <div style={{ padding: 40, color: '#9BA0B4' }}>加载中...</div>;
+
+  return (
+    <div style={{ padding: 32, maxWidth: 1200 }}>
+      {/* 欢迎 */}
+      <div style={{ marginBottom: 32 }}>
+        <h1 style={{ fontSize: 24, fontWeight: 700 }}>欢迎回来，{stats.doctorName}</h1>
+        <p style={{ color: '#9BA0B4', marginTop: 4 }}>{stats.doctorTitle} · {stats.doctorDepartment}</p>
+      </div>
+
+      {/* 统计卡片 */}
+      <div style={{ display: 'grid', gridTemplateColumns: 'repeat(auto-fit, minmax(220px, 1fr))', gap: 20, marginBottom: 32 }}>
+        {CARD_CONFIG.map(c => (
+          <div key={c.key} style={{ background: '#FFF', borderRadius: 16, padding: '24px 20px', position: 'relative', overflow: 'hidden', boxShadow: '0 2px 12px rgba(0,0,0,0.04)' }}>
+            <div style={{ position: 'absolute', top: 0, left: 0, width: 4, height: '100%', background: c.color }} />
+            <div style={{ fontSize: 30, fontWeight: 800, color: c.color }}>{(stats as any)[c.key]}</div>
+            <div style={{ fontSize: 13, color: '#5A6072', marginTop: 4 }}>{c.label}</div>
+          </div>
+        ))}
+      </div>
+
+      {/* 快捷操作 */}
+      <div style={{ display: 'grid', gridTemplateColumns: '2fr 1fr', gap: 20 }}>
+        <div style={{ background: '#FFF', borderRadius: 16, padding: 24, boxShadow: '0 2px 12px rgba(0,0,0,0.04)' }}>
+          <h2 style={{ fontSize: 16, fontWeight: 600, marginBottom: 16 }}>快捷操作</h2>
+          <div style={{ display: 'grid', gridTemplateColumns: '1fr 1fr', gap: 12 }}>
+            {QUICK_LINKS.map(l => (
+              <Link key={l.to} to={l.to} style={{ padding: '14px 16px', borderRadius: 12, border: `1px solid ${l.color}20`, color: l.color, fontWeight: 500, textAlign: 'center', transition: 'all 0.15s', fontSize: 14 }}>
+                {l.label}
+              </Link>
+            ))}
+          </div>
+        </div>
+
+        <div style={{ background: '#FFF', borderRadius: 16, padding: 24, boxShadow: '0 2px 12px rgba(0,0,0,0.04)' }}>
+          <h2 style={{ fontSize: 16, fontWeight: 600, marginBottom: 16 }}>今日待办</h2>
+          <div style={{ display: 'flex', flexDirection: 'column', gap: 12 }}>
+            <div style={{ fontSize: 14, color: '#5A6072' }}>📋 待审核报告 <b style={{ color: '#F59E0B' }}>{stats.pendingReports}</b> 份</div>
+            <div style={{ fontSize: 14, color: '#5A6072' }}>💬 进行中问诊 <b style={{ color: '#20C997' }}>{stats.activeConsultations}</b> 个</div>
+            <div style={{ fontSize: 14, color: '#5A6072' }}>📅 今日随访 <b style={{ color: '#845EF7' }}>{stats.todayFollowUps}</b> 个</div>
+          </div>
+        </div>
+      </div>
+    </div>
+  );
+}

doctor_web/src/pages/followups/FollowUpEditPage.tsx

@@ -0,0 +1,105 @@
+import { useEffect, useState } from 'react';
+import { useParams, useNavigate } from 'react-router-dom';
+import { api } from '../../services/api-client';
+
+interface PatientSimple { id: string; name: string; phone: string; }
+
+export default function FollowUpEditPage() {
+  const { id } = useParams<{ id: string }>();
+  const nav = useNavigate();
+  const isEdit = !!id;
+
+  const [patients, setPatients] = useState<PatientSimple[]>([]);
+  const [userId, setUserId] = useState('');
+  const [title, setTitle] = useState('');
+  const [scheduledAt, setScheduledAt] = useState('');
+  const [notes, setNotes] = useState('');
+  const [saving, setSaving] = useState(false);
+
+  useEffect(() => {
+    // 加载患者列表
+    api.get<PatientSimple[]>('/api/doctor/patients-simple').then(setPatients).catch(() => {});
+    // 编辑模式：加载现有随访
+    if (id) {
+      api.get<any[]>(`/api/doctor/follow-ups`).then(list => {
+        const item = list.find(f => f.id === id);
+        if (item) {
+          setUserId(item.userId);
+          setTitle(item.title);
+          // datetime-local 格式
+          const d = new Date(item.scheduledAt);
+          setScheduledAt(d.toISOString().slice(0, 16));
+          setNotes(item.notes || '');
+        }
+      }).catch(() => {});
+    }
+  }, [id]);
+
+  async function save() {
+    if (!userId || !title || !scheduledAt) return alert('请填写完整信息');
+    setSaving(true);
+    try {
+      const body = { userId, title, scheduledAt: new Date(scheduledAt).toISOString(), notes };
+      if (isEdit) {
+        await api.put(`/api/doctor/follow-ups/${id}`, body);
+      } else {
+        await api.post('/api/doctor/follow-ups', body);
+      }
+      nav('/follow-ups');
+    } catch { alert('保存失败'); }
+    setSaving(false);
+  }
+
+  return (
+    <div style={{ padding: 32, maxWidth: 600 }}>
+      <div style={{ display: 'flex', alignItems: 'center', gap: 12, marginBottom: 24 }}>
+        <button onClick={() => nav(-1)} style={{ color: '#4F6EF7', fontSize: 14, border: 'none', background: 'none' }}>← 返回</button>
+        <h1 style={{ fontSize: 24, fontWeight: 700 }}>{isEdit ? '编辑随访' : '新建随访'}</h1>
+      </div>
+
+      <div style={{ background: '#FFF', borderRadius: 16, padding: 24, boxShadow: '0 2px 12px rgba(0,0,0,0.04)' }}>
+        {/* 患者选择 */}
+        <div style={{ marginBottom: 20 }}>
+          <label style={{ display: 'block', fontSize: 14, fontWeight: 500, marginBottom: 6, color: '#5A6072' }}>患者</label>
+          <select value={userId} onChange={e => setUserId(e.target.value)}
+            style={{ width: '100%', padding: '10px 14px', border: '1px solid #E1E5ED', borderRadius: 10, fontSize: 14, outline: 'none' }}>
+            <option value="">请选择患者</option>
+            {patients.map(p => (
+              <option key={p.id} value={p.id}>{p.name || '未设置'} ({p.phone})</option>
+            ))}
+          </select>
+        </div>
+
+        {/* 标题 */}
+        <div style={{ marginBottom: 20 }}>
+          <label style={{ display: 'block', fontSize: 14, fontWeight: 500, marginBottom: 6, color: '#5A6072' }}>随访标题</label>
+          <input value={title} onChange={e => setTitle(e.target.value)} placeholder="如：PCI术后1个月随访"
+            style={{ width: '100%', padding: '10px 14px', border: '1px solid #E1E5ED', borderRadius: 10, fontSize: 14, outline: 'none' }} />
+        </div>
+
+        {/* 时间 */}
+        <div style={{ marginBottom: 20 }}>
+          <label style={{ display: 'block', fontSize: 14, fontWeight: 500, marginBottom: 6, color: '#5A6072' }}>计划时间</label>
+          <input type="datetime-local" value={scheduledAt} onChange={e => setScheduledAt(e.target.value)}
+            style={{ width: '100%', padding: '10px 14px', border: '1px solid #E1E5ED', borderRadius: 10, fontSize: 14, outline: 'none' }} />
+        </div>
+
+        {/* 备注 */}
+        <div style={{ marginBottom: 24 }}>
+          <label style={{ display: 'block', fontSize: 14, fontWeight: 500, marginBottom: 6, color: '#5A6072' }}>备注</label>
+          <textarea value={notes} onChange={e => setNotes(e.target.value)} placeholder="备注信息..."
+            rows={3}
+            style={{ width: '100%', padding: '10px 14px', border: '1px solid #E1E5ED', borderRadius: 10, fontSize: 14, outline: 'none', resize: 'vertical' }} />
+        </div>
+
+        <button onClick={save} disabled={saving}
+          style={{
+            width: '100%', padding: '14px', background: saving ? '#E1E5ED' : 'linear-gradient(135deg, #4F6EF7, #6C8AFF)',
+            color: saving ? '#9BA0B4' : '#FFF', border: 'none', borderRadius: 12, fontSize: 16, fontWeight: 600,
+          }}>
+          {saving ? '保存中...' : '保存'}
+        </button>
+      </div>
+    </div>
+  );
+}

doctor_web/src/pages/followups/FollowUpListPage.tsx

@@ -0,0 +1,94 @@
+import { useEffect, useState } from 'react';
+import { Link, useNavigate } from 'react-router-dom';
+import { api } from '../../services/api-client';
+import type { FollowUp } from '../../types';
+
+const STATUS_MAP: Record<string, { label: string; color: string }> = {
+  Upcoming: { label: '即将到来', color: '#4F6EF7' },
+  Completed: { label: '已完成', color: '#20C997' },
+  Cancelled: { label: '已取消', color: '#EF4444' },
+};
+
+export default function FollowUpListPage() {
+  const [list, setList] = useState<FollowUp[]>([]);
+  const [filter, setFilter] = useState('');
+  const nav = useNavigate();
+
+  useEffect(() => { loadList(); }, [filter]);
+
+  async function loadList() {
+    const q = filter ? `?status=${filter}` : '';
+    try { setList(await api.get<FollowUp[]>(`/api/doctor/follow-ups${q}`)); } catch { setList([]); }
+  }
+
+  async function deleteItem(id: string) {
+    if (!confirm('确定删除？')) return;
+    try {
+      await api.del(`/api/doctor/follow-ups/${id}`);
+      setList(prev => prev.filter(f => f.id !== id));
+    } catch { alert('删除失败'); }
+  }
+
+  async function markComplete(id: string) {
+    try {
+      await api.put(`/api/doctor/follow-ups/${id}`, { status: 'Completed' });
+      loadList();
+    } catch { alert('操作失败'); }
+  }
+
+  return (
+    <div style={{ padding: 32, maxWidth: 1200 }}>
+      <div style={{ display: 'flex', justifyContent: 'space-between', alignItems: 'center', marginBottom: 24 }}>
+        <h1 style={{ fontSize: 24, fontWeight: 700 }}>复查随访</h1>
+        <button onClick={() => nav('/follow-ups/new')}
+          style={{ padding: '10px 24px', background: 'linear-gradient(135deg, #4F6EF7, #6C8AFF)', color: '#FFF', border: 'none', borderRadius: 12, fontSize: 14, fontWeight: 600 }}>
+          + 新建随访
+        </button>
+      </div>
+
+      {/* 筛选 */}
+      <div style={{ display: 'flex', gap: 8, marginBottom: 20 }}>
+        {[{ k: '', l: '全部' }, { k: 'Upcoming', l: '即将到来' }, { k: 'Completed', l: '已完成' }, { k: 'Cancelled', l: '已取消' }].map(t => (
+          <button key={t.k} onClick={() => setFilter(t.k)}
+            style={{ padding: '6px 18px', borderRadius: 10, border: 'none', fontSize: 13, fontWeight: 500,
+              background: filter === t.k ? '#4F6EF7' : '#F2F3F7', color: filter === t.k ? '#FFF' : '#5A6072' }}>
+            {t.l}
+          </button>
+        ))}
+      </div>
+
+      {list.length === 0 ? (
+        <div style={{ color: '#9BA0B4', padding: 40, textAlign: 'center' }}>暂无随访安排</div>
+      ) : (
+        <div style={{ display: 'flex', flexDirection: 'column', gap: 12 }}>
+          {list.map(f => {
+            const st = STATUS_MAP[f.status] ?? { label: f.status, color: '#9BA0B4' };
+            return (
+              <div key={f.id} style={{ background: '#FFF', borderRadius: 14, padding: '18px 20px', boxShadow: '0 1px 8px rgba(0,0,0,0.04)', display: 'flex', alignItems: 'center', gap: 16 }}>
+                <span style={{ fontSize: 24 }}>📅</span>
+                <div style={{ flex: 1 }}>
+                  <div style={{ fontWeight: 600, fontSize: 15 }}>{f.title}</div>
+                  <div style={{ fontSize: 13, color: '#5A6072', marginTop: 2 }}>
+                    {f.patientName || '-'} · {new Date(f.scheduledAt).toLocaleString('zh-CN')}
+                  </div>
+                  {f.notes && <div style={{ fontSize: 12, color: '#9BA0B4', marginTop: 2 }}>{f.notes}</div>}
+                </div>
+                <span style={{ padding: '3px 12px', borderRadius: 10, fontSize: 12, fontWeight: 500, background: `${st.color}18`, color: st.color }}>
+                  {st.label}
+                </span>
+                {/* 操作按钮 */}
+                <div style={{ display: 'flex', gap: 6 }}>
+                  {f.status === 'Upcoming' && (
+                    <button onClick={() => markComplete(f.id)} style={{ padding: '4px 12px', borderRadius: 8, border: '1px solid #20C997', background: '#E6F9F2', color: '#20C997', fontSize: 12 }}>完成</button>
+                  )}
+                  <Link to={`/follow-ups/${f.id}/edit`} style={{ padding: '4px 12px', borderRadius: 8, border: '1px solid #E1E5ED', color: '#5A6072', fontSize: 12 }}>编辑</Link>
+                  <button onClick={() => deleteItem(f.id)} style={{ padding: '4px 12px', borderRadius: 8, border: '1px solid #FEE2E2', background: '#FFF5F5', color: '#EF4444', fontSize: 12 }}>删除</button>
+                </div>
+              </div>
+            );
+          })}
+        </div>
+      )}
+    </div>
+  );
+}

doctor_web/src/pages/patients/PatientDetailPage.tsx

@@ -0,0 +1,273 @@
+import { useEffect, useState } from 'react';
+import { useParams, Link } from 'react-router-dom';
+import { api } from '../../services/api-client';
+import type { PatientDetail, TrendRecord } from '../../types';
+import { LineChart, Line, XAxis, YAxis, CartesianGrid, Tooltip, ResponsiveContainer, Legend } from 'recharts';
+
+const METRIC_LABELS: Record<string, string> = {
+  BloodPressure: '血压', HeartRate: '心率', Glucose: '血糖', SpO2: '血氧', Weight: '体重',
+};
+
+const METRIC_COLORS: Record<string, string> = {
+  BloodPressure: '#EF4444', HeartRate: '#F59E0B', Glucose: '#4F6EF7', SpO2: '#20C997', Weight: '#845EF7',
+};
+
+const DAY_LABELS = ['日', '一', '二', '三', '四', '五', '六'];
+
+export default function PatientDetailPage() {
+  const { id } = useParams<{ id: string }>();
+  const [data, setData] = useState<PatientDetail | null>(null);
+  const [chartMetric, setChartMetric] = useState<string>('BloodPressure');
+
+  useEffect(() => {
+    if (id) api.get<PatientDetail>(`/api/doctor/patients/${id}`).then(setData).catch(() => {});
+  }, [id]);
+
+  if (!data) return <div style={{ padding: 40, color: '#9BA0B4' }}>加载中...</div>;
+
+  const p = data.profile;
+  const a = data.archive;
+
+  // 趋势图数据（用 any 兼容不同指标的数据结构）
+  // eslint-disable-next-line @typescript-eslint/no-explicit-any
+  const chartData: any[] = buildChartData(data.trendRecords, chartMetric);
+
+  return (
+    <div style={{ padding: 32, maxWidth: 1200 }}>
+      {/* 标题 */}
+      <div style={{ display: 'flex', alignItems: 'center', gap: 12, marginBottom: 24 }}>
+        <Link to="/patients" style={{ color: '#4F6EF7', fontSize: 14 }}>← 返回列表</Link>
+        <h1 style={{ fontSize: 24, fontWeight: 700 }}>{p.name || '未设置'} 的健康档案</h1>
+      </div>
+
+      {/* 基本信息卡片 */}
+      <InfoCard p={p} a={a} />
+
+      {/* 健康指标 */}
+      <Section title="最新健康指标">
+        <div style={{ display: 'grid', gridTemplateColumns: 'repeat(auto-fit, minmax(180px, 1fr))', gap: 16 }}>
+          {data.latestRecords.map(r => (
+            <div key={r.id} style={{ background: '#FFF', borderRadius: 14, padding: 20, position: 'relative', overflow: 'hidden', boxShadow: '0 1px 8px rgba(0,0,0,0.04)' }}>
+              <div style={{ position: 'absolute', top: 0, left: 0, width: 3, height: '100%', background: METRIC_COLORS[r.metricType] || '#9BA0B4' }} />
+              <div style={{ fontSize: 12, color: '#9BA0B4', marginBottom: 4 }}>{METRIC_LABELS[r.metricType] || r.metricType}</div>
+              <div style={{ fontSize: 26, fontWeight: 700, color: r.isAbnormal ? '#EF4444' : '#1A1D28' }}>
+                {r.metricType === 'BloodPressure' ? `${r.systolic}/${r.diastolic}` : r.value}
+                <span style={{ fontSize: 14, fontWeight: 400, color: '#9BA0B4', marginLeft: 4 }}>{r.unit}</span>
+              </div>
+              <div style={{ fontSize: 11, color: '#9BA0B4', marginTop: 4 }}>
+                {new Date(r.recordedAt).toLocaleDateString('zh-CN')}
+              </div>
+            </div>
+          ))}
+          {data.latestRecords.length === 0 && <Empty text="暂无健康数据" />}
+        </div>
+      </Section>
+
+      {/* 趋势图 */}
+      <Section title="健康趋势（30天）">
+        <div style={{ display: 'flex', gap: 8, marginBottom: 16 }}>
+          {Object.keys(METRIC_LABELS).map(m => (
+            <button key={m} onClick={() => setChartMetric(m)}
+              style={{
+                padding: '6px 14px', borderRadius: 8, border: 'none', fontSize: 13, fontWeight: 500,
+                background: chartMetric === m ? METRIC_COLORS[m] : '#F2F3F7',
+                color: chartMetric === m ? '#FFF' : '#5A6072',
+              }}>
+              {METRIC_LABELS[m]}
+            </button>
+          ))}
+        </div>
+        {chartData.length > 0 ? (
+          <div style={{ background: '#FFF', borderRadius: 14, padding: 24, boxShadow: '0 1px 8px rgba(0,0,0,0.04)' }}>
+            <ResponsiveContainer width="100%" height={300}>
+              <LineChart data={chartData}>
+                <CartesianGrid strokeDasharray="3 3" stroke="#F0F0F0" />
+                <XAxis dataKey="date" tick={{ fontSize: 12 }} />
+                <YAxis tick={{ fontSize: 12 }} />
+                <Tooltip />
+                <Legend />
+                {chartMetric === 'BloodPressure' ? (
+                  <>
+                    <Line type="monotone" dataKey="systolic" stroke="#EF4444" name="收缩压" strokeWidth={2} dot={{ r: 3 }} />
+                    <Line type="monotone" dataKey="diastolic" stroke="#F59E0B" name="舒张压" strokeWidth={2} dot={{ r: 3 }} />
+                  </>
+                ) : (
+                  <Line type="monotone" dataKey="value" stroke={METRIC_COLORS[chartMetric]} name={METRIC_LABELS[chartMetric]} strokeWidth={2} dot={{ r: 4 }} />
+                )}
+              </LineChart>
+            </ResponsiveContainer>
+          </div>
+        ) : <Empty text="暂无趋势数据" />}
+      </Section>
+
+      {/* 用药 */}
+      <Section title="当前用药">
+        {data.medications.length > 0 ? (
+          <div style={{ display: 'flex', flexDirection: 'column', gap: 8 }}>
+            {data.medications.map(m => (
+              <div key={m.id} style={{ background: '#FFF', borderRadius: 12, padding: '14px 18px', boxShadow: '0 1px 8px rgba(0,0,0,0.04)', display: 'flex', alignItems: 'center', gap: 12 }}>
+                <span style={{ fontSize: 20 }}>💊</span>
+                <div style={{ flex: 1 }}>
+                  <div style={{ fontWeight: 600 }}>{m.name} <span style={{ fontWeight: 400, color: '#5A6072', fontSize: 14 }}>{m.dosage}</span></div>
+                  <div style={{ fontSize: 12, color: '#9BA0B4' }}>{m.frequency} · {m.timeOfDay?.join(', ')}</div>
+                </div>
+              </div>
+            ))}
+          </div>
+        ) : <Empty text="暂无用药" />}
+      </Section>
+
+      {/* 饮食 + 运动 双列 */}
+      <div style={{ display: 'grid', gridTemplateColumns: '1fr 1fr', gap: 24, marginBottom: 24 }}>
+        <div>
+          <div style={{ fontSize: 16, fontWeight: 600, marginBottom: 12 }}>🍽️ 近期饮食</div>
+          {data.dietRecords.length > 0 ? (
+            <div style={{ display: 'flex', flexDirection: 'column', gap: 8 }}>
+              {data.dietRecords.map(d => (
+                <div key={d.id} style={{ background: '#FFF', borderRadius: 12, padding: '12px 16px', boxShadow: '0 1px 8px rgba(0,0,0,0.04)' }}>
+                  <div style={{ fontSize: 13, fontWeight: 500 }}>{d.foods.map(f => f.name).join('、')}</div>
+                  <div style={{ fontSize: 12, color: '#9BA0B4', marginTop: 4 }}>
+                    {d.mealType === 'Breakfast' ? '早餐' : d.mealType === 'Lunch' ? '午餐' : d.mealType === 'Dinner' ? '晚餐' : '加餐'}
+                    {' · '}{d.totalCalories}kcal · 评分 {d.healthScore}/5
+                  </div>
+                </div>
+              ))}
+            </div>
+          ) : <Empty text="暂无饮食记录" />}
+        </div>
+        <div>
+          <div style={{ fontSize: 16, fontWeight: 600, marginBottom: 12 }}>🏃 运动计划</div>
+          {data.exercisePlan ? (
+            <div style={{ display: 'flex', flexDirection: 'column', gap: 6 }}>
+              {data.exercisePlan.items.map((item, i) => (
+                <div key={i} style={{ background: '#FFF', borderRadius: 12, padding: '10px 16px', boxShadow: '0 1px 8px rgba(0,0,0,0.04)', display: 'flex', alignItems: 'center', gap: 10, opacity: item.isRestDay ? 0.5 : 1 }}>
+                  <span style={{ fontSize: 12, color: '#9BA0B4', minWidth: 36 }}>周{DAY_LABELS[item.dayOfWeek]}</span>
+                  <span style={{ flex: 1, fontSize: 13 }}>
+                    {item.isRestDay ? '休息' : `${item.exerciseType} ${item.durationMinutes}分钟`}
+                  </span>
+                  {item.isCompleted && <span style={{ color: '#20C997', fontSize: 12, fontWeight: 500 }}>✓ 已完成</span>}
+                </div>
+              ))}
+            </div>
+          ) : <Empty text="暂无运动计划" />}
+        </div>
+      </div>
+
+      {/* 报告 */}
+      <Section title="📋 检查报告">
+        {data.reports.length > 0 ? (
+          <div style={{ display: 'flex', flexDirection: 'column', gap: 8 }}>
+            {data.reports.map(r => (
+              <Link key={r.id} to={`/reports/${r.id}`} style={{ background: '#FFF', borderRadius: 12, padding: '14px 18px', boxShadow: '0 1px 8px rgba(0,0,0,0.04)', display: 'flex', alignItems: 'center', gap: 12 }}>
+                <span style={{ fontSize: 20 }}>📄</span>
+                <div style={{ flex: 1 }}>
+                  <div style={{ fontWeight: 500, fontSize: 14 }}>{r.category} 报告</div>
+                  <div style={{ fontSize: 12, color: '#9BA0B4' }}>{new Date(r.createdAt).toLocaleDateString('zh-CN')}</div>
+                </div>
+                <StatusBadge status={r.status} map={{ PendingDoctor: ['待审核', '#F59E0B'], DoctorReviewed: ['已审核', '#20C997'] }} />
+              </Link>
+            ))}
+          </div>
+        ) : <Empty text="暂无报告" />}
+      </Section>
+
+      {/* 随访 */}
+      <Section title="📅 复查随访">
+        {data.followUps.length > 0 ? (
+          <div style={{ display: 'flex', flexDirection: 'column', gap: 8 }}>
+            {data.followUps.map(f => (
+              <div key={f.id} style={{ background: '#FFF', borderRadius: 12, padding: '14px 18px', boxShadow: '0 1px 8px rgba(0,0,0,0.04)', display: 'flex', alignItems: 'center', gap: 12 }}>
+                <span style={{ fontSize: 20 }}>📅</span>
+                <div style={{ flex: 1 }}>
+                  <div style={{ fontWeight: 500, fontSize: 14 }}>{f.title}</div>
+                  <div style={{ fontSize: 12, color: '#9BA0B4' }}>
+                    {new Date(f.scheduledAt).toLocaleString('zh-CN')}
+                    {f.doctorName ? ` · ${f.doctorName}` : ''}
+                    {f.notes ? ` · ${f.notes}` : ''}
+                  </div>
+                </div>
+                <StatusBadge status={f.status} map={{ Upcoming: ['即将到来', '#4F6EF7'], Completed: ['已完成', '#20C997'], Cancelled: ['已取消', '#EF4444'] }} />
+              </div>
+            ))}
+          </div>
+        ) : <Empty text="暂无随访安排" />}
+      </Section>
+    </div>
+  );
+}
+
+// ===== 子组件 =====
+
+function InfoCard({ p, a }: { p: PatientDetail['profile']; a: PatientDetail['archive'] }) {
+  return (
+    <div style={{ background: '#FFF', borderRadius: 16, padding: 24, marginBottom: 24, boxShadow: '0 2px 12px rgba(0,0,0,0.04)' }}>
+      <div style={{ display: 'flex', gap: 24 }}>
+        <div style={{ width: 64, height: 64, borderRadius: 16, background: 'linear-gradient(135deg, #4F6EF7, #6C8AFF)', display: 'flex', alignItems: 'center', justifyContent: 'center', color: '#FFF', fontSize: 28, fontWeight: 700, flexShrink: 0 }}>
+          {p.name?.[0] ?? '?'}
+        </div>
+        <div style={{ flex: 1 }}>
+          <div style={{ fontSize: 20, fontWeight: 700 }}>{p.name || '未设置'}</div>
+          <div style={{ fontSize: 13, color: '#9BA0B4', marginTop: 2 }}>{p.phone} · {p.gender || '未知'} · {p.birthDate || '未知'}</div>
+          {a && (
+            <div style={{ display: 'grid', gridTemplateColumns: '1fr 1fr', gap: '4px 24px', marginTop: 12, fontSize: 13 }}>
+              <Row label="诊断" value={a.diagnosis} />
+              <Row label="手术类型" value={a.surgeryType} />
+              <Row label="手术日期" value={a.surgeryDate} />
+              <Row label="过敏史" value={a.allergies?.join('、')} />
+              <Row label="饮食限制" value={a.dietRestrictions?.join('、')} />
+              <Row label="慢病史" value={a.chronicDiseases?.join('、')} />
+              <Row label="家族病史" value={a.familyHistory} />
+            </div>
+          )}
+        </div>
+      </div>
+    </div>
+  );
+}
+
+function Row({ label, value }: { label: string; value?: string | null }) {
+  return (
+    <div>
+      <span style={{ color: '#9BA0B4' }}>{label}：</span>
+      <span style={{ color: value ? '#1A1D28' : '#CCC' }}>{value || '未填写'}</span>
+    </div>
+  );
+}
+
+function Section({ title, children }: { title: string; children: React.ReactNode }) {
+  return (
+    <div style={{ marginBottom: 24 }}>
+      <div style={{ fontSize: 16, fontWeight: 600, marginBottom: 12 }}>{title}</div>
+      {children}
+    </div>
+  );
+}
+
+function Empty({ text }: { text: string }) {
+  return <div style={{ color: '#CCC', fontSize: 13, padding: 16, textAlign: 'center' }}>{text}</div>;
+}
+
+function StatusBadge({ status, map }: { status: string; map: Record<string, [string, string]> }) {
+  const [label, color] = map[status] ?? [status, '#9BA0B4'];
+  return (
+    <span style={{ padding: '3px 12px', borderRadius: 10, fontSize: 12, fontWeight: 500, background: `${color}18`, color }}>
+      {label}
+    </span>
+  );
+}
+
+// 构建趋势图数据
+function buildChartData(records: TrendRecord[], metric: string) {
+  const filtered = records.filter(r => r.metricType === metric);
+  if (metric === 'BloodPressure') {
+    return filtered.map(r => ({
+      date: new Date(r.recordedAt).toLocaleDateString('zh-CN', { month: 'short', day: 'numeric' }),
+      systolic: r.systolic,
+      diastolic: r.diastolic,
+    }));
+  }
+  return filtered.map(r => ({
+    date: new Date(r.recordedAt).toLocaleDateString('zh-CN', { month: 'short', day: 'numeric' }),
+    value: r.value,
+  }));
+}

doctor_web/src/pages/patients/PatientListPage.tsx

@@ -0,0 +1,80 @@
+import { useEffect, useState } from 'react';
+import { Link } from 'react-router-dom';
+import { api } from '../../services/api-client';
+import type { Patient } from '../../types';
+
+export default function PatientListPage() {
+  const [patients, setPatients] = useState<Patient[]>([]);
+  const [search, setSearch] = useState('');
+  const [loading, setLoading] = useState(true);
+
+  useEffect(() => { loadPatients(); }, []);
+
+  async function loadPatients(s?: string) {
+    setLoading(true);
+    try {
+      const q = s !== undefined ? s : search;
+      const data = await api.get<Patient[]>(`/api/doctor/patients${q ? `?search=${encodeURIComponent(q)}` : ''}`);
+      setPatients(data);
+    } catch { setPatients([]); }
+    setLoading(false);
+  }
+
+  return (
+    <div style={{ padding: 32, maxWidth: 1200 }}>
+      <div style={{ display: 'flex', justifyContent: 'space-between', alignItems: 'center', marginBottom: 24 }}>
+        <h1 style={{ fontSize: 24, fontWeight: 700 }}>患者管理</h1>
+        <div style={{ display: 'flex', gap: 8 }}>
+          <input
+            value={search}
+            onChange={e => setSearch(e.target.value)}
+            onKeyDown={e => e.key === 'Enter' && loadPatients()}
+            placeholder="搜索姓名或手机号..."
+            style={{ padding: '8px 16px', border: '1px solid #E1E5ED', borderRadius: 10, fontSize: 14, outline: 'none', width: 240 }}
+          />
+          <button onClick={() => loadPatients()} style={{ padding: '8px 20px', background: '#4F6EF7', color: '#FFF', border: 'none', borderRadius: 10, fontSize: 14, fontWeight: 500 }}>
+            搜索
+          </button>
+        </div>
+      </div>
+
+      {loading ? (
+        <div style={{ color: '#9BA0B4', padding: 40 }}>加载中...</div>
+      ) : patients.length === 0 ? (
+        <div style={{ color: '#9BA0B4', padding: 40, textAlign: 'center' }}>暂无患者数据</div>
+      ) : (
+        <div style={{ background: '#FFF', borderRadius: 16, overflow: 'hidden', boxShadow: '0 2px 12px rgba(0,0,0,0.04)' }}>
+          <table style={{ width: '100%', borderCollapse: 'collapse', fontSize: 14 }}>
+            <thead>
+              <tr style={{ background: '#FAFBFD', borderBottom: '1px solid #EDF0F7' }}>
+                {['姓名', '手机号', '性别', '出生日期', '健康档案', '操作'].map(h => (
+                  <th key={h} style={{ padding: '14px 16px', textAlign: 'left', fontWeight: 600, color: '#5A6072', fontSize: 13 }}>{h}</th>
+                ))}
+              </tr>
+            </thead>
+            <tbody>
+              {patients.map(p => (
+                <tr key={p.id} style={{ borderBottom: '1px solid #F2F3F7' }}>
+                  <td style={{ padding: '12px 16px', fontWeight: 500 }}>{p.name || '未设置'}</td>
+                  <td style={{ padding: '12px 16px', color: '#5A6072' }}>{p.phone}</td>
+                  <td style={{ padding: '12px 16px', color: '#5A6072' }}>{p.gender || '-'}</td>
+                  <td style={{ padding: '12px 16px', color: '#5A6072' }}>{p.birthDate || '-'}</td>
+                  <td style={{ padding: '12px 16px' }}>
+                    <span style={{ padding: '2px 10px', borderRadius: 10, fontSize: 12, background: p.hasArchive ? '#E6F9F2' : '#FFF3E0', color: p.hasArchive ? '#20C997' : '#F59E0B' }}>
+                      {p.hasArchive ? '已建立' : '未建立'}
+                    </span>
+                  </td>
+                  <td style={{ padding: '12px 16px' }}>
+                    <Link to={`/patients/${p.id}`} style={{ color: '#4F6EF7', fontWeight: 500, fontSize: 13 }}>
+                      查看详情 →
+                    </Link>
+                  </td>
+                </tr>
+              ))}
+            </tbody>
+          </table>
+        </div>
+      )}
+    </div>
+  );
+}

doctor_web/src/pages/reports/ReportDetailPage.tsx

@@ -0,0 +1,133 @@
+import { useEffect, useState } from 'react';
+import { useParams, useNavigate } from 'react-router-dom';
+import { api } from '../../services/api-client';
+import type { Report } from '../../types';
+
+export default function ReportDetailPage() {
+  const { id } = useParams<{ id: string }>();
+  const nav = useNavigate();
+  const [report, setReport] = useState<Report | null>(null);
+  const [comment, setComment] = useState('');
+  const [submitting, setSubmitting] = useState(false);
+  const [success, setSuccess] = useState(false);
+
+  useEffect(() => {
+    if (id) api.get<Report>(`/api/doctor/reports/${id}`).then(r => { setReport(r); setComment(r.doctorComment || ''); }).catch(() => {});
+  }, [id]);
+
+  async function submitReview() {
+    if (!id) return;
+    setSubmitting(true);
+    try {
+      await api.post(`/api/doctor/reports/${id}/review`, { comment });
+      setSuccess(true);
+    } catch { alert('提交失败'); }
+    setSubmitting(false);
+  }
+
+  if (!report) return <div style={{ padding: 40, color: '#9BA0B4' }}>加载中...</div>;
+
+  // 解析 AI 指标
+  let indicators: any[] = [];
+  try { indicators = JSON.parse(report.aiIndicators || '[]'); } catch {}
+
+  return (
+    <div style={{ padding: 32, maxWidth: 900 }}>
+      <div style={{ display: 'flex', alignItems: 'center', gap: 12, marginBottom: 24 }}>
+        <button onClick={() => nav(-1)} style={{ color: '#4F6EF7', fontSize: 14, border: 'none', background: 'none', cursor: 'pointer' }}>← 返回</button>
+        <h1 style={{ fontSize: 24, fontWeight: 700 }}>报告详情</h1>
+      </div>
+
+      {/* 基本信息 */}
+      <div style={{ background: '#FFF', borderRadius: 16, padding: 24, marginBottom: 20, boxShadow: '0 2px 12px rgba(0,0,0,0.04)' }}>
+        <div style={{ display: 'grid', gridTemplateColumns: '1fr 1fr', gap: '8px 24px', fontSize: 14 }}>
+          <div><span style={{ color: '#9BA0B4' }}>患者：</span>{report.patientName || '-'}</div>
+          <div><span style={{ color: '#9BA0B4' }}>类型：</span>{report.category}</div>
+          <div><span style={{ color: '#9BA0B4' }}>上传时间：</span>{new Date(report.createdAt).toLocaleString('zh-CN')}</div>
+          <div>
+            <span style={{ color: '#9BA0B4' }}>状态：</span>
+            <span style={{ padding: '2px 10px', borderRadius: 10, fontSize: 12, background: report.status === 'PendingDoctor' ? '#FFF8E6' : '#E6F9F2', color: report.status === 'PendingDoctor' ? '#F59E0B' : '#20C997' }}>
+              {report.status === 'PendingDoctor' ? '待审核' : '已审核'}
+            </span>
+          </div>
+        </div>
+        {report.fileUrl && (
+          <div style={{ marginTop: 16 }}>
+            <a href={`http://localhost:5000${report.fileUrl}`} target="_blank" rel="noopener noreferrer"
+              style={{ color: '#4F6EF7', fontSize: 13, textDecoration: 'underline' }}>
+              📎 查看原始文件
+            </a>
+          </div>
+        )}
+      </div>
+
+      {/* AI 预解读 */}
+      <div style={{ background: '#FFF', borderRadius: 16, padding: 24, marginBottom: 20, boxShadow: '0 2px 12px rgba(0,0,0,0.04)' }}>
+        <h2 style={{ fontSize: 16, fontWeight: 600, marginBottom: 16 }}>🤖 AI 预解读</h2>
+        {report.aiSummary && (
+          <div style={{ fontSize: 14, lineHeight: 1.7, color: '#5A6072', marginBottom: 16, padding: '12px 16px', background: '#FAFBFD', borderRadius: 10 }}>
+            {report.aiSummary}
+          </div>
+        )}
+        {indicators.length > 0 && (
+          <table style={{ width: '100%', borderCollapse: 'collapse', fontSize: 13 }}>
+            <thead>
+              <tr style={{ borderBottom: '2px solid #EDF0F7' }}>
+                {['指标', '结果', '单位', '参考范围', '状态'].map(h => (
+                  <th key={h} style={{ padding: '8px 12px', textAlign: 'left', color: '#9BA0B4', fontWeight: 500 }}>{h}</th>
+                ))}
+              </tr>
+            </thead>
+            <tbody>
+              {indicators.map((ind: any, i: number) => {
+                const abnormal = ind.status === 'high' || ind.status === 'abnormal';
+                const low = ind.status === 'low';
+                return (
+                  <tr key={i} style={{ borderBottom: '1px solid #F2F3F7' }}>
+                    <td style={{ padding: '8px 12px' }}>{ind.name}</td>
+                    <td style={{ padding: '8px 12px', fontWeight: 500, color: abnormal ? '#EF4444' : low ? '#F59E0B' : '#20C997' }}>{ind.value}</td>
+                    <td style={{ padding: '8px 12px', color: '#5A6072' }}>{ind.unit || '-'}</td>
+                    <td style={{ padding: '8px 12px', color: '#5A6072' }}>{ind.range || '-'}</td>
+                    <td style={{ padding: '8px 12px' }}>
+                      <span style={{ padding: '2px 8px', borderRadius: 8, fontSize: 11, background: abnormal ? '#FEE2E2' : low ? '#FFF8E6' : '#E6F9F2', color: abnormal ? '#EF4444' : low ? '#F59E0B' : '#20C997' }}>
+                        {abnormal ? '偏高' : low ? '偏低' : '正常'}
+                      </span>
+                    </td>
+                  </tr>
+                );
+              })}
+            </tbody>
+          </table>
+        )}
+      </div>
+
+      {/* 医生审核 */}
+      <div style={{ background: '#FFF', borderRadius: 16, padding: 24, boxShadow: '0 2px 12px rgba(0,0,0,0.04)' }}>
+        <h2 style={{ fontSize: 16, fontWeight: 600, marginBottom: 16 }}>👨‍⚕️ 医生审核意见</h2>
+        {success && (
+          <div style={{ marginBottom: 16, padding: '12px 18px', background: '#E6F9F2', borderRadius: 10, color: '#20C997', fontWeight: 500, fontSize: 14 }}>
+            ✓ 审核已提交
+          </div>
+        )}
+        <textarea
+          value={comment}
+          onChange={e => setComment(e.target.value)}
+          placeholder="请输入您的专业解读意见..."
+          rows={5}
+          style={{ width: '100%', padding: 14, border: '1px solid #E1E5ED', borderRadius: 12, fontSize: 14, outline: 'none', resize: 'vertical' }}
+        />
+        <div style={{ marginTop: 16, display: 'flex', justifyContent: 'flex-end' }}>
+          <button onClick={submitReview} disabled={submitting || !comment.trim()}
+            style={{
+              padding: '12px 32px',
+              background: submitting || !comment.trim() ? '#E1E5ED' : 'linear-gradient(135deg, #4F6EF7, #6C8AFF)',
+              color: submitting || !comment.trim() ? '#9BA0B4' : '#FFF',
+              border: 'none', borderRadius: 12, fontSize: 15, fontWeight: 600,
+            }}>
+            {submitting ? '提交中...' : '提交审核意见'}
+          </button>
+        </div>
+      </div>
+    </div>
+  );
+}

doctor_web/src/pages/reports/ReportListPage.tsx

@@ -0,0 +1,75 @@
+import { useEffect, useState } from 'react';
+import { Link } from 'react-router-dom';
+import { api } from '../../services/api-client';
+import type { Report } from '../../types';
+
+const STATUS_MAP: Record<string, { label: string; color: string }> = {
+  PendingDoctor: { label: '待审核', color: '#F59E0B' },
+  DoctorReviewed: { label: '已审核', color: '#20C997' },
+};
+
+export default function ReportListPage() {
+  const [reports, setReports] = useState<Report[]>([]);
+  const [filter, setFilter] = useState('');
+
+  useEffect(() => {
+    const q = filter ? `?status=${filter}` : '';
+    api.get<Report[]>(`/api/doctor/reports${q}`).then(setReports).catch(() => {});
+  }, [filter]);
+
+  return (
+    <div style={{ padding: 32, maxWidth: 1200 }}>
+      <h1 style={{ fontSize: 24, fontWeight: 700, marginBottom: 24 }}>报告审核</h1>
+
+      {/* 筛选标签 */}
+      <div style={{ display: 'flex', gap: 8, marginBottom: 20 }}>
+        {[{ k: '', l: '全部' }, { k: 'PendingDoctor', l: '待审核' }, { k: 'DoctorReviewed', l: '已审核' }].map(t => (
+          <button key={t.k} onClick={() => setFilter(t.k)}
+            style={{ padding: '6px 18px', borderRadius: 10, border: 'none', fontSize: 13, fontWeight: 500,
+              background: filter === t.k ? '#4F6EF7' : '#F2F3F7', color: filter === t.k ? '#FFF' : '#5A6072' }}>
+            {t.l}
+          </button>
+        ))}
+      </div>
+
+      {reports.length === 0 ? (
+        <div style={{ color: '#9BA0B4', padding: 40, textAlign: 'center' }}>暂无报告</div>
+      ) : (
+        <div style={{ background: '#FFF', borderRadius: 16, overflow: 'hidden', boxShadow: '0 2px 12px rgba(0,0,0,0.04)' }}>
+          <table style={{ width: '100%', borderCollapse: 'collapse', fontSize: 14 }}>
+            <thead>
+              <tr style={{ background: '#FAFBFD', borderBottom: '1px solid #EDF0F7' }}>
+                {['患者', '类型', '状态', 'AI 摘要', '上传时间', '操作'].map(h => (
+                  <th key={h} style={{ padding: '14px 16px', textAlign: 'left', fontWeight: 600, color: '#5A6072', fontSize: 13 }}>{h}</th>
+                ))}
+              </tr>
+            </thead>
+            <tbody>
+              {reports.map(r => {
+                const st = STATUS_MAP[r.status] ?? { label: r.status, color: '#9BA0B4' };
+                return (
+                  <tr key={r.id} style={{ borderBottom: '1px solid #F2F3F7' }}>
+                    <td style={{ padding: '12px 16px', fontWeight: 500 }}>{r.patientName || '-'}</td>
+                    <td style={{ padding: '12px 16px', color: '#5A6072' }}>{r.category}</td>
+                    <td style={{ padding: '12px 16px' }}>
+                      <span style={{ padding: '3px 12px', borderRadius: 10, fontSize: 12, fontWeight: 500, background: `${st.color}18`, color: st.color }}>{st.label}</span>
+                    </td>
+                    <td style={{ padding: '12px 16px', color: '#5A6072', maxWidth: 240, overflow: 'hidden', textOverflow: 'ellipsis', whiteSpace: 'nowrap' }}>
+                      {r.aiSummary?.slice(0, 40) || '-'}
+                    </td>
+                    <td style={{ padding: '12px 16px', color: '#9BA0B4', fontSize: 13 }}>{new Date(r.createdAt).toLocaleDateString('zh-CN')}</td>
+                    <td style={{ padding: '12px 16px' }}>
+                      <Link to={`/reports/${r.id}`} style={{ color: '#4F6EF7', fontWeight: 500, fontSize: 13 }}>
+                        {r.status === 'PendingDoctor' ? '审核 →' : '查看 →'}
+                      </Link>
+                    </td>
+                  </tr>
+                );
+              })}
+            </tbody>
+          </table>
+        </div>
+      )}
+    </div>
+  );
+}