diff --git a/src/views/cases/components/UltrasoundReportPrint.vue b/src/views/cases/components/UltrasoundReportPrint.vue
index a9efa1c..e23eabb 100644
--- a/src/views/cases/components/UltrasoundReportPrint.vue
+++ b/src/views/cases/components/UltrasoundReportPrint.vue
@@ -6,7 +6,7 @@
     :close-on-click-modal="false"
   >
     <div id="print">
-      <el-form ref="form" :model="form" label-width="90px" class="report-form">
+      <el-form ref="form" :model="report" label-width="90px" class="report-form">
         <el-row>
           <el-col :span="4">
             <img
diff --git a/src/views/cases/detail.vue b/src/views/cases/detail.vue
index 4acdc87..29beda1 100644
--- a/src/views/cases/detail.vue
+++ b/src/views/cases/detail.vue
@@ -19,6 +19,7 @@
             :data="form.attachment"
             :show-header="false"
             height="calc(100vh - 239px)"
+            @row-dblclick="handleAttachmentClick"
           >
             <el-table-column align="center">
               <template slot-scope="scope">
@@ -42,7 +43,7 @@
                 <el-button
                   type="text"
                   icon="el-icon-delete"
-                  @click="handleDeleteImg(scope.row)"
+                  @click="handleDeleteImg(scope.row, scope.$index)"
                   v-if="form.status == 1 || form.status == 5"
                 >
                   删除
@@ -640,6 +641,7 @@ import { mapGetters } from "vuex";
 // 导入打印组件
 import UltrasoundReportPrint from "./components/UltrasoundReportPrint.vue";
 import CreateGroupDialog from "@/views/message/components/CreateGroupDialog";
+import { uploadFile } from "@/utils/requestMinio";
 export default {
   name: "CaseDetail",
   components: {
@@ -729,44 +731,21 @@ export default {
     handleOpenFile() {
       this.$refs.fileInput.click();
     },
-    async handleFileChange(e) {
-      const files = e.target.files || [];
-      for (let file of files) {
-        // 验证文件类型（只能上传图片）
-        if (!file.type.startsWith("image/")) {
-          this.$modal.msgError("只能上传图片文件");
-          continue;
-        }
-
-        // 创建预览 URL
-        const previewUrl = URL.createObjectURL(file);
-
-        // 添加到列表，标记为上传中
-        const tempId = Date.now();
-        this.form.attachment.push({
-          id: tempId,
-          previewUrl,
-          uploading: true,
-          uploadPercent: 0,
-          file, // 保存文件对象用于上传
-        });
-
-        // 开始上传
-        try {
-          await this.uploadImageToMinIO(tempId, file);
-        } catch (error) {
-          console.error("影像上传失败:", error);
-          this.$modal.msgError(`上传失败：${error.message}`);
-          // 移除上传失败的项目
-          this.form.attachment = this.form.attachment.filter(
-            (i) => i.id !== tempId
-          );
-        }
+    async handleFileChange(event) {
+      const file = event.target.files[0];
+      if (!file) return;
+      try {
+        await this.uploadImageToMinIO(file);
+      } catch (error) {
+        console.error("超声影像上传失败:", error);
+        this.$modal.msgError("超声影像上传失败: " + error.message);
+      } finally {
+        // 清空文件输入
+        event.target.value = "";
       }
-      e.target.value = "";
     },
-    // 上传图片到 MinIO
-    async uploadImageToMinIO(tempId, file) {
+    // 上传头像到 MinIO
+    async uploadImageToMinIO(file) {
       try {
         // 确保 MinIO 配置已加载
         await this.ensureMinioInitialized();
@@ -775,55 +754,31 @@ export default {
         const bucket = config.MINIO_BUCKET_REPORT || "remote-avatar-test";
         const timestamp = Date.now();
         const ext = file.name.split(".").pop() || "png";
-        const fileNameWithoutExt = file.name.replace(/\.[^/.]+$/, "");
-        const randomStr = Math.random().toString(36).substr(2, 6);
-
-        // 原始文件路径（大文件）
-        const objectKey = `attachments/${
-          this.form.id || 0
-        }/${fileNameWithoutExt}.${timestamp}_${randomStr}_big.${ext}`;
-        // 压缩文件路径（小文件）
-        const objectCompress = `attachments/${
-          this.form.id || 0
-        }/${fileNameWithoutExt}.${timestamp}_${randomStr}_small.${ext}`;
+        const fileName = `${timestamp}.${ext}`;
+        const objectName = `attachments/${this.form.id}/${fileName}`;
 
         console.log(
-          `Uploading ultrasound image to bucket: ${bucket}, object: ${objectKey}`
+          `Uploading avatar to bucket: ${bucket}, object: ${objectName}`
         );
 
         // 使用 MinIO 上传
         const result = await uploadFile(
           bucket,
-          objectKey,
+          objectName,
           file,
           {},
-          (percent) => {
-            // 更新上传进度
-            const item = this.form.attachment.find((i) => i.id === tempId);
-            if (item) {
-              item.uploadPercent = Math.round(percent);
-            }
-          }
+          (percent) => {}
         );
 
         console.log("MinIO 上传成功:", result);
-
-        // 更新上传成功的记录 - 按照预期数据结构
-        const item = this.form.attachment.find((i) => i.id === tempId);
-        if (item) {
-          item.bucketName = bucket;
-          item.bucket_compress = bucket;
-          item.fileType = "CT";
-          item.objectKey = objectKey;
-          item.object_compress = objectCompress;
-          item.showInDoc = 0;
-          item.uploading = false;
-          item.uploadPercent = 100;
-          delete item.file; // 删除文件对象释放内存
-          delete item.previewUrl; // 删除预览URL
-        }
-
-        this.$message.success("影像上传成功");
+        this.form.attachment.push({
+          bucketName: bucket,
+          bucket_compress: bucket,
+          fileType: "CT",
+          objectKey: objectName,
+          object_compress: objectName,
+          showInDoc: 0,
+        });
       } catch (error) {
         throw error;
       }
@@ -836,13 +791,19 @@ export default {
         await this.$store.dispatch("GetNetConfig");
       }
     },
-    handleDeleteImg(row) {
-      this.$confirm("确定删除该影像?").then(() => {
-        this.form.attachment = this.form.attachment.filter(
-          (i) => i.id !== row.id
-        );
-        this.$message.success("删除成功");
-      });
+    handleAttachmentClick(row) {
+      row.showInDoc = 1;
+    },
+    handleDeleteImg(row, index) {
+      this.$modal
+        .confirm("确定删除该影像？")
+        .then(function () {
+          return this.form.attachment.splice(index, 1);
+        })
+        .then(() => {
+          this.$modal.msgSuccess("删除成功");
+        })
+        .catch(() => {});
     },
     // 根据路由参数获取病例数据
     getReportInfo(id) {
@@ -877,6 +838,7 @@ export default {
           // // 构建提交参数，确保格式与后端接口一致
           return postReportEdit({
             // 基本信息
+            attachment: JSON.stringify(form.attachment || []),
             area_number: form.area_number || "",
             bed_number: form.bed_number || "",
             comment: form.comment || "",
@@ -936,7 +898,12 @@ export default {
       this.$refs.UltrasoundReportPrintRef.print(this.form);
     },
     handleClose() {
-      this.$router.back();
+      this.$modal
+        .confirm("尚有修改未提交,是否确定退出")
+        .then(() => {
+          this.$router.back();
+        })
+        .catch(() => {});
     },
     handleShare() {
       this.$refs.createGroupDialogRef.show();