diff --git a/src/views/modules/medicalrecords/addCertificate.vue b/src/views/modules/medicalrecords/addCertificate.vue
index 9c253c3..475fdb2 100644
--- a/src/views/modules/medicalrecords/addCertificate.vue
+++ b/src/views/modules/medicalrecords/addCertificate.vue
@@ -23,125 +23,161 @@
         v-if="dialogVisible"
         style="padding: 0 20px;box-sizing: border-box;height: calc(100% - 40px);overflow-y: auto;"
         :style="
-          addCertificateForm.state == 2 || !showMessages ? 'height:100%' : ''
+          `
+          ${
+            addCertificateForm.state == 2 || !showMessages ? 'height:100%;' : ''
+          }
+         
+          
+          `
         "
-      >
-        <!-- 触发按钮 -->
-        <p
-          style="cursor: pointer;margin: 0;margin-bottom: 10px;"
-          v-if="isShowWord"
-        >
-          <span @click="triggerUpload">上传 Word</span>
-          <img
-            src="../../../assets/img/word-iocn.png"
-            alt=""
-            @click="triggerUpload"
-          />
-          <span
-            style="color:red;float: right;"
-            v-if="messageList.length > 0"
-            @click="messageList = []"
+      > 
+      <div style="width:300px !important;float:right;background:#fafafa" v-if="markList.length>0">
+         <el-timeline style="padding-left:10px;margin-top:14px" :reverse="true">
+          <el-timeline-item
+            v-for="(activity, index) in markList"
+            :key="index"
+            :timestamp="activity.time"
           >
-            <i class="el-icon-delete"></i>
-            清空已识别的医案
-          </span>
-        </p>
-        <!-- 隐藏上传框 -->
-        <input
-          type="file"
-          ref="uploadInput"
-          accept=".docx"
-          @change="handleUpload"
-          style="display: none"
-        />
-        <div
-          style="display: flex;align-items: center;justify-content: flex-start;flex-wrap: wrap;"
-          v-if="isShowWord"
-        >
+            {{ activity.mark }}
+
+            <span style="color:#f56c6c" v-if="activity.state == 2"
+              >( 已拒绝 )</span
+            >
+            <span style="color:#17b3a3;" v-if="activity.state == 3"
+              >( 已通过 )</span
+            >
+          </el-timeline-item>
+        </el-timeline>
+      </div>
+       
+        <div class="medical_box"  :style="
+          `
+          ${
+            markList.length>0? 'width:calc(100% - 320px);' : ''
+          }
+         
+          
+          `
+        ">
+          <!-- 触发按钮 -->
+          <p
+            style="cursor: pointer;margin: 0;margin-bottom: 10px;"
+            v-if="isShowWord"
+          >
+            <span @click="triggerUpload">上传 Word</span>
+            <img
+              src="../../../assets/img/word-iocn.png"
+              alt=""
+              @click="triggerUpload"
+            />
+            <span
+              style="color:red;float: right;"
+              v-if="messageList.length > 0"
+              @click="messageList = []"
+            >
+              <i class="el-icon-delete"></i>
+              清空已识别的医案
+            </span>
+          </p>
+          <!-- 隐藏上传框 -->
+          <input
+            type="file"
+            ref="uploadInput"
+            accept=".docx"
+            @change="handleUpload"
+            style="display: none"
+          />
           <div
-            v-for="(v, i) in messageList"
-            class="wordItem"
-            @click="insertMessage(v.text, v.images ? v.images : [])"
-            style="width: 32%;margin-right: 15px;margin-bottom: 10px;cursor: pointer;"
+            style="display: flex;align-items: center;justify-content: flex-start;flex-wrap: wrap;"
+            v-if="isShowWord"
           >
             <div
-              style="border: 1px solid #bbb;border-radius: 8px;height: 110px;overflow: hidden;"
+              v-for="(v, i) in messageList"
+              class="wordItem"
+              @click="insertMessage(v.text, v.images ? v.images : [])"
+              style="width: 32%;margin-right: 15px;margin-bottom: 10px;cursor: pointer;"
             >
-              <p
-                style="font-weight: bold;margin-bottom:2px;margin-top: -1px;background-color: #f0f0f0;color: #333;padding: 2px 10px 2px 2px;"
-              >
-                【医案 {{ numberToChineseLower(i + 1) }}】
-                <el-button
-                  @click.stop="
-                    analyzingMessage(v.text, v.images ? v.images : [])
-                  "
-                  size="mini"
-                  type=""
-                  plain
-                  style="margin-left: 10px; padding: 2px;float: right;color: rgb(23, 129, 255);"
-                  >解析医案</el-button
-                >
-                <el-button
-                  @click.stop="insertMessage(v.text, v.images ? v.images : [])"
-                  size="mini"
-                  type=""
-                  plain
-                  icon="el-icon-plus"
-                  style="margin-left: 10px; padding: 2px;float: right;"
-                  >选择</el-button
-                >
-              </p>
               <div
-                style=" overflow: hidden;font-size: 13px;padding: 10px 10px 0;box-sizing: border-box;
-  display: -webkit-box;
-  -webkit-box-orient: vertical;
-  -webkit-line-clamp: 2;
-  line-height: 1.5;
-  max-height: calc(1.5em * 3);
-  text-overflow: ellipsis;
-  word-break: break-word;      /* 可选：精确限制高度，兼容性更好 */"
+                style="border: 1px solid #bbb;border-radius: 8px;height: 110px;overflow: hidden;"
               >
-                {{ v.text }}
-              </div>
+                <p
+                  style="font-weight: bold;margin-bottom:2px;margin-top: -1px;background-color: #f0f0f0;color: #333;padding: 2px 10px 2px 2px;"
+                >
+                  【医案 {{ numberToChineseLower(i + 1) }}】
+                  <el-button
+                    @click.stop="
+                      analyzingMessage(v.text, v.images ? v.images : [])
+                    "
+                    size="mini"
+                    type=""
+                    plain
+                    style="margin-left: 10px; padding: 2px;float: right;color: rgb(23, 129, 255);"
+                    >解析医案</el-button
+                  >
+                  <el-button
+                    @click.stop="
+                      insertMessage(v.text, v.images ? v.images : [])
+                    "
+                    size="mini"
+                    type=""
+                    plain
+                    icon="el-icon-plus"
+                    style="margin-left: 10px; padding: 2px;float: right;"
+                    >选择</el-button
+                  >
+                </p>
+                <div
+                  style=" overflow: hidden;font-size: 13px;padding: 10px 10px 0;box-sizing: border-box;
+                display: -webkit-box;
+                -webkit-box-orient: vertical;
+                -webkit-line-clamp: 2;
+                line-height: 1.5;
+                max-height: calc(1.5em * 3);
+                text-overflow: ellipsis;
+                word-break: break-word;      /* 可选：精确限制高度，兼容性更好 */"
+                >
+                  {{ v.text }}
+                </div>
 
-              <div v-if="v.images" style="padding:0px 10px 0;">
-                <img
-                  v-for="(img, i) in v.images"
-                  :key="i"
-                  :src="img"
-                  style="width:30px;height: 30px; margin: 4px;"
-                />
+                <div v-if="v.images" style="padding:0px 10px 0;">
+                  <img
+                    v-for="(img, i) in v.images"
+                    :key="i"
+                    :src="img"
+                    style="width:30px;height: 30px; margin: 4px;"
+                  />
+                </div>
               </div>
             </div>
           </div>
-        </div>
-        <template v-if="!showMessages">
-          <div class="home_wrap home_wrap_analysis">
-            <div class="home_form" style="position: relative">
-              <div
-                class="form_item"
-                style="
+          <template v-if="!showMessages">
+            <div class="home_wrap home_wrap_analysis">
+              <div class="home_form" style="position: relative">
+                <div
+                  class="form_item"
+                  style="
                   display: flex;
                   align-items: flex-start;
                   justify-content: space-between;
                 "
-              >
-                <!-- <text>医案信息</text> -->
+                >
+                  <!-- <text>医案信息</text> -->
 
-                <!-- 固定标题和输入框部分 -->
-                <div class="analysis_box">
-                  <div
-                    class="analysis_title"
-                    style="width: 100%;overflow: hidden;"
-                  >
-                    智能分析医案
-                  </div>
+                  <!-- 固定标题和输入框部分 -->
+                  <div class="analysis_box">
+                    <div
+                      class="analysis_title"
+                      style="width: 100%;overflow: hidden;"
+                    >
+                      智能分析医案
+                    </div>
 
-                  <!-- 固定的输入框部分 -->
-                  <div
-                    style="height: calc(100% - 20px);padding:15px 15px 0;box-sizing: border-box;"
-                  >
-                    <!-- <quill-editor
+                    <!-- 固定的输入框部分 -->
+                    <div
+                      style="height: calc(100% - 20px);padding:15px 15px 0;box-sizing: border-box;"
+                    >
+                      <!-- <quill-editor
                       style=" min-height: 95% !important;"
                       placeholder="请输入医案到此处，将自动解析医案信息"
                       v-model="message"
@@ -149,44 +185,44 @@
                       :options="editorOption"
                     >
                     </quill-editor> -->
-                    <textarea
-                      style=" min-height: 95% !important;"
-                      placeholder="请输入医案到此处，将自动解析医案信息"
-                      v-model="message"
-                      ref="myQuillEditor"
-                      :options="editorOption"
-                    >
-                    </textarea>
-                    <el-button
-                      type="primary"
-                      size="mini"
-                      @click="submit"
-                      style="float: right;margin-right: 10px;margin-top: 4px;background-color: #1781ff;"
-                      >解析医案</el-button
-                    >
+                      <textarea
+                        style=" min-height: 95% !important;"
+                        placeholder="请输入医案到此处，将自动解析医案信息"
+                        v-model="message"
+                        ref="myQuillEditor"
+                        :options="editorOption"
+                      >
+                      </textarea>
+                      <el-button
+                        type="primary"
+                        size="mini"
+                        @click="submit"
+                        style="float: right;margin-right: 10px;margin-top: 4px;background-color: #1781ff;"
+                        >解析医案</el-button
+                      >
+                    </div>
                   </div>
                 </div>
               </div>
+
+              <!-- 搜索结果列表 -->
             </div>
+          </template>
 
-            <!-- 搜索结果列表 -->
-          </div>
-        </template>
-
-        <template v-else>
-          <el-alert
-            v-if="tishi"
-            :title="
-              loading
-                ? '解析预计耗时约50秒,请耐心等待，也可在草稿箱中查看内容'
-                : '好的，结合您的医案，下面是解析后的结果。5秒后自动关闭'
-            "
-            :type="loading ? 'warning' : 'success'"
-            show-icon
-          >
-          </el-alert>
-          <template v-if="!loading">
-            <div
+          <template v-else>
+            <el-alert
+              v-if="tishi"
+              :title="
+                loading
+                  ? '解析预计耗时约50秒,请耐心等待，也可在草稿箱中查看内容'
+                  : '好的，结合您的医案，下面是解析后的结果。5秒后自动关闭'
+              "
+              :type="loading ? 'warning' : 'success'"
+              show-icon
+            >
+            </el-alert>
+            <template v-if="!loading">
+              <!-- <div
               v-if="
                 addCertificateForm.mark &&
                   (addCertificateForm.mark.state == 2 ||
@@ -195,82 +231,84 @@
               style="padding:4px 10px;border-radius: 4px;white-space: wrap;"
               :style="
                 `color:${currentNode.data.color ? currentNode.data.color : ''};
-      `
+           `
               "
             >
               审核备注：{{ addCertificateForm.mark }}
-            </div>
-            <el-form
-              :rules="dataRule"
-              :model="addCertificateForm"
-              ref="addCertificateForm"
-              label-width="120px"
-            >
-              <!-- <div style="background-color: #f0f0f0;padding:0 10px;box-sizing: border-box;color: #000;">
+            </div> -->
+              <el-form
+                :rules="dataRule"
+                :model="addCertificateForm"
+                ref="addCertificateForm"
+                label-width="120px"
+              >
+                <!-- <div style="background-color: #f0f0f0;padding:0 10px;box-sizing: border-box;color: #000;">
                         <p>绑定用户</p>
                     </div> -->
-              <div
-                v-if="pageType == 'label'"
-                style="display:flex;align-items:center;justify-content:space-between"
-              >
-                <el-form-item
-                  style="width: 50%;"
-                  label="手机号/邮箱："
-                  prop="userKey"
-                  class="form_item"
+                <div
+                  v-if="pageType == 'label'"
+                  style="display:flex;align-items:center;justify-content:space-between"
                 >
-                  <div style="display: flex;align-items: center;">
-                    <el-autocomplete
-                      size="small"
-                      v-if="isEdit"
-                      style="width: 100%;"
-                      v-model="addCertificateForm.userKey"
-                      :fetch-suggestions="loadAll"
-                      placeholder="请输入手机号/邮箱"
-                      @select="handleSelect"
-                    >
-                      <template #default="{ item }">
-                        <div class="custom-item">
-                          <span>{{ item.tel ? item.tel : item.email }}</span>
-                          <span
-                            style="color: gray; margin-left: 10px;"
-                            v-if="item.name"
-                            >({{ item.name }})</span
-                          >
-                        </div>
-                      </template>
-                    </el-autocomplete>
-                    <span v-if="!isEdit">{{ addCertificateForm.userKey }}</span>
-                  </div>
-                </el-form-item>
-                <el-form-item
-                  label="用户姓名："
-                  style="width: 50%;"
-                  v-if="addCertificateForm.userId"
-                  prop="user"
-                  class="form_item"
-                >
-                  <div>
-                    <!-- <span
+                  <el-form-item
+                    style="width: 50%;"
+                    label="手机号/邮箱："
+                    prop="userKey"
+                    class="form_item"
+                  >
+                    <div style="display: flex;align-items: center;">
+                      <el-autocomplete
+                        size="small"
+                        v-if="isEdit"
+                        style="width: 100%;"
+                        v-model="addCertificateForm.userKey"
+                        :fetch-suggestions="loadAll"
+                        placeholder="请输入手机号/邮箱"
+                        @select="handleSelect"
+                      >
+                        <template #default="{ item }">
+                          <div class="custom-item">
+                            <span>{{ item.tel ? item.tel : item.email }}</span>
+                            <span
+                              style="color: gray; margin-left: 10px;"
+                              v-if="item.name"
+                              >({{ item.name }})</span
+                            >
+                          </div>
+                        </template>
+                      </el-autocomplete>
+                      <span v-if="!isEdit">{{
+                        addCertificateForm.userKey
+                      }}</span>
+                    </div>
+                  </el-form-item>
+                  <el-form-item
+                    label="用户姓名："
+                    style="width: 50%;"
+                    v-if="addCertificateForm.userId"
+                    prop="user"
+                    class="form_item"
+                  >
+                    <div>
+                      <!-- <span
                 style="width: 110px;display: inline-block;text-align: right;"
                 >用户姓名：</span
               > -->
-                    {{
-                      addCertificateForm.userName
-                        ? addCertificateForm.userName
-                        : "-"
-                    }}
-                  </div></el-form-item
+                      {{
+                        addCertificateForm.userName
+                          ? addCertificateForm.userName
+                          : "-"
+                      }}
+                    </div></el-form-item
+                  >
+                </div>
+                <template
+                  v-if="
+                    (type == 'detail' && currentNode.data.id == 'wait') ||
+                      currentNode.data.id == 'caogao'
+                  "
+                  style="display:flex;align-items:center;justify-content:space-between"
                 >
-              </div>
-              <template
-                v-if="
-                  (type == 'detail' && currentNode.data.id == 'wait') ||
-                    currentNode.data.id == 'caogao'
-                "
-                style="display:flex;align-items:center;justify-content:space-between"
-              >
-                <!-- <el-form-item
+                  <!-- <el-form-item
                   label="手机号/邮箱："
                   prop="user"
                   class="form_item"
@@ -293,50 +331,50 @@
                     }}
                   </div></el-form-item
                 > -->
-                <el-form-item label="医案分类" prop="user" class="form_item">
-                  <div>
-                    <el-cascader
-                      size="mini"
-                      style="width: 100%;"
-                      :show-all-levels="false"
-                      v-model="addCertificateForm.labelId"
-                      :props="{
-                        value: 'id',
-                        label: 'title'
-                      }"
-                      filterable
-                      :options="cateOptions"
-                      @change="selectLabelId"
-                      placeholder="医案分类"
-                    ></el-cascader></div
-                ></el-form-item>
-              </template>
+                  <el-form-item label="医案分类" prop="user" class="form_item">
+                    <div>
+                      <el-cascader
+                        size="mini"
+                        style="width: 100%;"
+                        :show-all-levels="false"
+                        v-model="addCertificateForm.labelId"
+                        :props="{
+                          value: 'id',
+                          label: 'title'
+                        }"
+                        filterable
+                        :options="cateOptions"
+                        @change="selectLabelId"
+                        placeholder="医案分类"
+                      ></el-cascader></div
+                  ></el-form-item>
+                </template>
 
-              <div
-                class="flexbox width100"
-                style="display: flex;align-items: center;"
-              >
-                <el-form-item
-                  label="标题："
-                  label-width="110px"
-                  prop="title"
-                  style="width: 100%;"
+                <div
+                  class="flexbox width100"
+                  style="display: flex;align-items: center;"
                 >
-                  <el-input
-                    v-if="type != 'detail'"
-                    clearable
-                    size="small"
-                    v-model="addCertificateForm.title"
-                    placeholder="请输入医案标题"
+                  <el-form-item
+                    label="标题："
+                    label-width="110px"
+                    prop="title"
                     style="width: 100%;"
-                  ></el-input>
-                  <div v-else>
-                    {{ addCertificateForm.title }}
-                  </div>
-                </el-form-item>
-              </div>
+                  >
+                    <el-input
+                      v-if="type != 'detail'"
+                      clearable
+                      size="small"
+                      v-model="addCertificateForm.title"
+                      placeholder="请输入医案标题"
+                      style="width: 100%;"
+                    ></el-input>
+                    <div v-else>
+                      {{ addCertificateForm.title }}
+                    </div>
+                  </el-form-item>
+                </div>
 
-              <!-- <el-form-item label="课程名称：" prop="course" class="form_item">
+                <!-- <el-form-item label="课程名称：" prop="course" class="form_item">
                         <el-button plain type="primary"  @click="selectCourse('addCertificateForm')"
                                     size="mini">选择</el-button>
                                     <span style="margin-left: 20px"></span>
@@ -344,7 +382,7 @@
                             <div v-if="addCertificateForm.courseId" style="font-weight: bold;margin-top: 20px;display: flex;align-items: center;justify-content: space-between;"><p><img v-if="addCertificateForm.courseImg" :src="addCertificateForm.courseImg" alt=""style="width: 30px;height: 40px;margin-right: 20px;">{{ addCertificateForm.courseName }}</p><span @click="clearCourse"  style="color: red;cursor: pointer;"><i class="el-icon-delete" style="margin-right: 4px;"></i> 删除</span></div>        
                     </el-form-item> -->
 
-              <!-- <el-form-item label="医案编号" prop="certificateNo" class="form_item">
+                <!-- <el-form-item label="医案编号" prop="certificateNo" class="form_item">
             <el-input
               v-model="addCertificateForm.certificateNo"
               placeholder="请输入医案编号"
@@ -352,60 +390,62 @@
             ></el-input>
           </el-form-item> -->
 
-              <el-form-item
-                label="医案详情："
-                label-width="110px"
-                class="form_item"
-              >
-                <div style="padding-top: 15px;">
-                  <div
-                    v-for="(html, key) in record"
-                    :key="key"
-                    style="padding: 2px; margin-bottom: 4px;box-sizing: border-box;"
-                  >
-                    <!-- 显示字段标题 -->
-
+                <el-form-item
+                  label="医案详情："
+                  label-width="110px"
+                  class="form_item"
+                >
+                  <div style="padding-top: 15px;">
                     <div
-                      class="h1_box"
-                      :class="type == 'detail' ? 'h1_box_detail' : ''"
-                      v-html="`${getTitleHtml(html, key)}`"
-                      style="margin-top: 0;margin-bottom: 10px; font-weight: bold;display: flex;align-items: center;"
-                    ></div>
-
-                    <!-- 编辑区域 -->
-                    <quill-editor
-                      v-model="editableMap[key]"
-                      ref="myQuillEditor"
-                      :options="editorOption"
-                      class="shangpin_editor"
-                      v-if="type != 'detail'"
+                      v-for="(html, key) in record"
+                      :key="key"
+                      style="padding: 2px; margin-bottom: 4px;box-sizing: border-box;"
                     >
-                    </quill-editor>
-                    <div
-                      class="detail_info_medical"
-                      v-else
-                      v-html="editableMap[key] ? editableMap[key] : '<p>无</p>'"
-                    ></div>
-                  </div>
+                      <!-- 显示字段标题 -->
 
-                  <!-- <h3 style="margin-top: 40px;">✅ 保存后的结果（JSON 格式预览）</h3> -->
-                </div>
-                <!-- <quill-editor
+                      <div
+                        class="h1_box"
+                        :class="type == 'detail' ? 'h1_box_detail' : ''"
+                        v-html="`${getTitleHtml(html, key)}`"
+                        style="margin-top: 0;margin-bottom: 10px; font-weight: bold;display: flex;align-items: center;"
+                      ></div>
+
+                      <!-- 编辑区域 -->
+                      <quill-editor
+                        v-model="editableMap[key]"
+                        ref="myQuillEditor"
+                        :options="editorOption"
+                        class="shangpin_editor"
+                        v-if="type != 'detail'"
+                      >
+                      </quill-editor>
+                      <div
+                        class="detail_info_medical"
+                        v-else
+                        v-html="
+                          editableMap[key] ? editableMap[key] : '<p>无</p>'
+                        "
+                      ></div>
+                    </div>
+
+                    <!-- <h3 style="margin-top: 40px;">✅ 保存后的结果（JSON 格式预览）</h3> -->
+                  </div>
+                  <!-- <quill-editor
               v-model="detailContent"
               ref="myQuillEditor2"
               :options="editorOption"
               class="shangpin_editor"
             >
             </quill-editor> -->
-              </el-form-item>
+                </el-form-item>
 
-              <el-form-item
-                label="上传图片："
-                label-width="110px"
-                class="form_item custom-upload-box"
-                v-if="dialogVisible"
-              >
-                <!-- <template v-for="(file, i) in fileList" v-if="type == 'detail'">
+                <el-form-item
+                  label="上传图片："
+                  label-width="110px"
+                  class="form_item custom-upload-box"
+                  v-if="dialogVisible"
+                >
+                  <!-- <template v-for="(file, i) in fileList" v-if="type == 'detail'">
 
                   <img
                     style="width: 60px;height: 60px;border-radius: 6px;margin: 0 8px 8px 0;"
@@ -414,69 +454,69 @@
                     alt=""
                   />
                 </template> -->
-                <div
-                  v-if="fileList.length == 0 && type == 'detail'"
-                  style="line-height: 60px;"
-                >
-                  暂无图片
-                </div>
-                <el-upload
-                  v-if="type != 'detail'"
-                  class="custom-upload"
-                  multiple
-                  :action="baseUrl + '/oss/fileoss'"
-                  list-type="picture-card"
-                  accept="image/png, image/jpeg"
-                  :file-list="fileList"
-                  :on-success="onSuccessImg"
-                  :before-upload="beforeUpload"
-                  :on-progress="onProgress"
-                >
-                  <i slot="default" class="el-icon-plus"></i>
-                  <div slot="file" slot-scope="{ file }">
-                    <img
-                      class="el-upload-list__item-thumbnail"
-                      :src="file.url"
-                      alt=""
-                    />
-                    <span class="el-upload-list__item-actions">
-                      <!-- <span
+                  <div
+                    v-if="fileList.length == 0 && type == 'detail'"
+                    style="line-height: 60px;"
+                  >
+                    暂无图片
+                  </div>
+                  <el-upload
+                    v-if="type != 'detail'"
+                    class="custom-upload"
+                    multiple
+                    :action="baseUrl + '/oss/fileoss'"
+                    list-type="picture-card"
+                    accept="image/png, image/jpeg"
+                    :file-list="fileList"
+                    :on-success="onSuccessImg"
+                    :before-upload="beforeUpload"
+                    :on-progress="onProgress"
+                  >
+                    <i slot="default" class="el-icon-plus"></i>
+                    <div slot="file" slot-scope="{ file }">
+                      <img
+                        class="el-upload-list__item-thumbnail"
+                        :src="file.url"
+                        alt=""
+                      />
+                      <span class="el-upload-list__item-actions">
+                        <!-- <span
           class="el-upload-list__item-preview"
           @click="handlePictureCardPreview(file)"
         >
           <i class="el-icon-zoom-in"></i>
         </span> -->
 
-                      <span
-                        v-if="!disabled"
-                        class="el-upload-list__item-delete"
-                        @click="handleRemove(file)"
-                      >
-                        <i class="el-icon-delete"></i>
+                        <span
+                          v-if="!disabled"
+                          class="el-upload-list__item-delete"
+                          @click="handleRemove(file)"
+                        >
+                          <i class="el-icon-delete"></i>
+                        </span>
                       </span>
-                    </span>
-                    <!-- 上传中的加载动画 -->
-                    <div v-if="file.uploading" class="loading-spinner">
-                      <i class="el-icon-loading"></i>
+                      <!-- 上传中的加载动画 -->
+                      <div v-if="file.uploading" class="loading-spinner">
+                        <i class="el-icon-loading"></i>
+                      </div>
                     </div>
-                  </div>
-                </el-upload>
-                <template
-                  v-if="addCertificateForm.img !== '' && type == 'detail'"
-                >
-                  <el-image
-                    v-if="fileList.length > 0"
-                    :key="index"
-                    class="el-upload-list__item-thumbnail"
-                    v-for="(item, index) in addCertificateForm.img.split(',')"
-                    style="width: 60px;height: 60px;border-radius: 6px;margin: 0 8px 8px 0;"
-                    :src="item"
-                    :preview-src-list="addCertificateForm.img.split(',')"
+                  </el-upload>
+                  <template
+                    v-if="addCertificateForm.img !== '' && type == 'detail'"
                   >
-                  </el-image>
-                </template>
+                    <el-image
+                      v-if="fileList.length > 0"
+                      :key="index"
+                      class="el-upload-list__item-thumbnail"
+                      v-for="(item, index) in addCertificateForm.img.split(',')"
+                      style="width: 60px;height: 60px;border-radius: 6px;margin: 0 8px 8px 0;"
+                      :src="item"
+                      :preview-src-list="addCertificateForm.img.split(',')"
+                    >
+                    </el-image>
+                  </template>
 
-                <!-- <div class="flexBox" style="width:100%;justify-content: space-between;">
+                  <!-- <div class="flexBox" style="width:100%;justify-content: space-between;">
                                     <div class="" style="display:flex">
 
                                         <div
@@ -500,11 +540,12 @@
                                     </div>
 
                                 </div>  -->
-              </el-form-item>
-            </el-form>
+                </el-form-item>
+              </el-form>
+            </template>
+            <div v-else v-loading="loading" style="height: 95%;"></div>
           </template>
-          <div v-else v-loading="loading" style="height: 95%;"></div>
-        </template>
+        </div>
       </div>
 
       <div
@@ -578,10 +619,13 @@
 
       <span slot="footer" class="dialog-footer">
         <el-button @click="dialogMarkVisible = false" size="mini"
-          >取消审核</el-button
+          >取消</el-button
         >
-        <el-button type="primary" @click="handleReviewSave" size="mini"
-          >保存</el-button
+        <el-button
+          :type="`${reviewType == 'approved' ? 'primary' : 'danger'}`"
+          @click="handleReviewSave"
+          size="mini"
+          >{{ reviewType == "approved" ? "通过" : "拒绝" }}</el-button
         >
       </span>
     </el-dialog>
@@ -712,7 +756,8 @@ export default {
       detailContent: "",
       medicalId: "",
       medicalRecords: {},
-      content: ""
+      content: "",
+      markList: []
     };
   },
   components: {
@@ -804,7 +849,7 @@ export default {
     },
     async analyzingMessage(data, images) {
       await this.insertMessage(data, images);
-      await this.submit()
+      await this.submit();
     },
     // 点击按钮触发上传
     triggerUpload() {
@@ -816,22 +861,23 @@ export default {
     // 处理上传文件
     handleUpload(event) {
       const loading = this.$loading({
-          lock: true,
-          text: 'word文件识别中',
-          spinner: 'el-icon-loading',
-          background: 'rgba(0, 0, 0, 0.7)'
-        });
-      
-      this.$commonJS.handleUpload(event, arr => {
-        console.log("content at line 618:", arr);
-   
-
-        this.messageList = arr;
-        
-        loading.close();
-      }).catch(()=>{
-        loading.close();
+        lock: true,
+        text: "word文件识别中",
+        spinner: "el-icon-loading",
+        background: "rgba(0, 0, 0, 0.7)"
       });
+
+      this.$commonJS
+        .handleUpload(event, arr => {
+          console.log("content at line 618:", arr);
+
+          this.messageList = arr;
+
+          loading.close();
+        })
+        .catch(() => {
+          loading.close();
+        });
     },
     beforeClose() {
       this.dialogMarkVisible = false;
@@ -948,6 +994,7 @@ export default {
     },
     init(type, data) {
       this.showMessages = false;
+      this.markList = [];
       this.messageList = [];
       this.currentMedicalWordImageList = [];
       this.currentMedicalWordImageStr = "";
@@ -1027,6 +1074,9 @@ export default {
             ","
           );
         }
+        if (this.addCertificateForm.mark) {
+          this.markList = JSON.parse(this.addCertificateForm.mark);
+        }
       } else {
         this.addCertificateForm = {};
       }
@@ -1062,7 +1112,29 @@ export default {
       // }
       const label = this.addCertificateForm.labelId;
       const value = Array.isArray(label) ? label[label.length - 1] : label;
+      const formatFullTime = date => {
+        const pad = (n, len = 2) => n.toString().padStart(len, "0");
+        return (
+          `${date.getFullYear()}-${pad(date.getMonth() + 1)}-${pad(
+            date.getDate()
+          )} ` +
+          `${pad(date.getHours())}:${pad(date.getMinutes())}:${pad(
+            date.getSeconds()
+          )}.${pad(date.getMilliseconds(), 3)}`
+        );
+      };
 
+      const now = new Date();
+      const timeStamp = now.getTime(); // 毫秒级时间戳
+      const timeStr = formatFullTime(now); // 格式化字符串
+      var markList = [
+        ...this.markList,
+        {
+          mark: this.addCertificateForm.mark,
+          time: timeStr,
+          state: this.reviewType == "approved" ? 3 : 2
+        }
+      ];
       var data = {
         labelId: value,
         img:
@@ -1072,7 +1144,7 @@ export default {
         title: this.addCertificateForm.title,
         userId: this.addCertificateForm.userId,
         train: this.addCertificateForm.train, //是否加入ai训练库0否1是
-        mark: this.addCertificateForm.mark, //备注
+        mark: JSON.stringify(markList), //备注
         state: this.reviewType == "approved" ? 3 : 2, //备注
         ...recordData
       };
@@ -1157,9 +1229,9 @@ export default {
       if (this.currentMedicalWordImageList.length > 0) {
         const loading = this.$loading({
           lock: true,
-          text: 'loading',
-          spinner: 'el-icon-loading',
-          background: 'rgba(0, 0, 0, 0.7)'
+          text: "loading",
+          spinner: "el-icon-loading",
+          background: "rgba(0, 0, 0, 0.7)"
         });
         this.currentMedicalWordImageStr = await this.uploadImage(
           this.currentMedicalWordImageList
@@ -1304,19 +1376,19 @@ export default {
             this.addCertificateForm.id = data.id;
             this.addCertificateForm.img = data.img;
             if (this.addCertificateForm.img) {
-          this.fileList = this.addCertificateForm.img
-            .split(",")
-            .map((image, i) => ({
-              uid: i, // 假设 id 是唯一标识符
-              name: i, // 文件名
-              status: "done", // 状态
-              url: image // 文件 URL
-            }));
-          console.log("this.fileList at line 308:", this.fileList);
-          this.addCertificateForm.imageList = this.addCertificateForm.img.split(
-            ","
-          );
-        }
+              this.fileList = this.addCertificateForm.img
+                .split(",")
+                .map((image, i) => ({
+                  uid: i, // 假设 id 是唯一标识符
+                  name: i, // 文件名
+                  status: "done", // 状态
+                  url: image // 文件 URL
+                }));
+              console.log("this.fileList at line 308:", this.fileList);
+              this.addCertificateForm.imageList = this.addCertificateForm.img.split(
+                ","
+              );
+            }
             this.$forceUpdate();
 
             // 滚动到最底部锚点
diff --git a/src/views/modules/medicalrecords/medicalList.vue b/src/views/modules/medicalrecords/medicalList.vue
index 3155749..4dc8ea3 100644
--- a/src/views/modules/medicalrecords/medicalList.vue
+++ b/src/views/modules/medicalrecords/medicalList.vue
@@ -264,7 +264,7 @@
                 <div
                   style="overflow: hidden;
                   font-size: 13px;
-                  padding: 10px 10px 0px;
+               
                   box-sizing: border-box;
                   display: -webkit-box;
                   -webkit-box-orient: vertical;