diff --git a/acupuncture-前台/src/main.js b/acupuncture-前台/src/main.js
index 1fa0ce5d..95bdd829 100644
--- a/acupuncture-前台/src/main.js
+++ b/acupuncture-前台/src/main.js
@@ -12,7 +12,7 @@ import store from './store'
 import router from './router'
 import directive from './directive' // directive
 import plugins from './plugins' // plugins
-import { download } from '@/utils/request'
+import { download, download1} from '@/utils/request'
 import moment from 'moment';
 
 import './assets/icons' // icon
@@ -48,6 +48,7 @@ Vue.prototype.addDateRange = addDateRange
 Vue.prototype.selectDictLabel = selectDictLabel
 Vue.prototype.selectDictLabels = selectDictLabels
 Vue.prototype.download = download
+Vue.prototype.download1 = download1
 Vue.prototype.handleTree = handleTree
 Vue.prototype.$moment = moment
 
diff --git a/acupuncture-前台/src/utils/request.js b/acupuncture-前台/src/utils/request.js
index faa87275..0f4920a7 100644
--- a/acupuncture-前台/src/utils/request.js
+++ b/acupuncture-前台/src/utils/request.js
@@ -148,5 +148,38 @@ export function download(url, params, filename, config) {
     downloadLoadingInstance.close();
   })
 }
+// 通用下载方法
+export function download1(url, params, filename, config) {
+  downloadLoadingInstance = Loading.service({
+    text: "正在下载数据，请稍候",
+    spinner: "el-icon-loading",
+    background: "rgba(0, 0, 0, 0.7)",
+  });
+  return service
+    .post(url, params, {
+      headers: { "Content-Type": "application/json;charset=utf-8" },
+
+      responseType: "blob",
+    })
+    .then(async (data) => {
+      const isBlob = blobValidate(data);
+      if (isBlob) {
+        const blob = new Blob([data]);
+        saveAs(blob, filename);
+      } else {
+        const resText = await data.text();
+        const rspObj = JSON.parse(resText);
+        const errMsg =
+          errorCode[rspObj.code] || rspObj.msg || errorCode["default"];
+        Message.error(errMsg);
+      }
+      downloadLoadingInstance.close();
+    })
+    .catch((r) => {
+      console.error(r);
+      Message.error("下载文件出现错误，请联系管理员！");
+      downloadLoadingInstance.close();
+    });
+}
 
 export default service
diff --git a/acupuncture-前台/src/views/patientFile/index.vue b/acupuncture-前台/src/views/patientFile/index.vue
index ea184336..59652b18 100644
--- a/acupuncture-前台/src/views/patientFile/index.vue
+++ b/acupuncture-前台/src/views/patientFile/index.vue
@@ -33,7 +33,7 @@
           />
         </div>
       </el-form-item>
-      <el-form-item label="建档组织" prop="tenantId">
+      <!-- <el-form-item label="建档组织" prop="tenantId">
         <el-select
           v-model="queryParams.param.tenantId"
           placeholder="请选择"
@@ -41,7 +41,7 @@
         >
           <el-option label="dict.label" value="dict.value" />
         </el-select>
-      </el-form-item>
+      </el-form-item> -->
       <el-form-item label="数据来源" prop="sourceId">
         <el-select
           v-model="queryParams.param.sourceId"
@@ -96,7 +96,7 @@
           icon="el-icon-bottom"
           size="mini"
           :disabled="multiple"
-          @click="handleDelete"
+          @click="handleDownload"
           >下载模版</el-button
         >
       </el-col>
@@ -133,13 +133,14 @@
       max-height="600"
     >
       <el-table-column type="selection" width="55" align="center" />
-      <el-table-column label="姓名" align="center" prop="name" width="100" />
+      <el-table-column label="姓名" align="center" prop="name" width="100" fixed/>
       <el-table-column
         label="性别"
         align="center"
         prop="gender"
         show-overflow-tooltip
         width="100"
+		fixed
       >
         <template slot-scope="scope">
           <span v-if="scope.row.gender == 0">男</span>
@@ -153,6 +154,7 @@
         prop="birthDate"
         show-overflow-tooltip
         width="150"
+		fixed
       />
       <el-table-column
         label="民族"
@@ -204,11 +206,11 @@
       <el-table-column
         label="建档组织（医院名称）"
         align="center"
-        prop="organization"
+        prop="tenantName"
         show-overflow-tooltip
         width="150"
       />
-      <el-table-column label="建档日期" align="center" width="130">
+      <el-table-column label="建档日期" align="center" width="140">
         <template slot-scope="scope">
           <span>{{
             parseTime(scope.row.createTime, "{y}-{m}-{d} {h}:{i}")
@@ -224,9 +226,9 @@
         width="100"
       >
         <template slot-scope="scope">
-          <span v-if="scope.row.gender == 0">筛查</span>
-          <span v-if="scope.row.gender == 1">录入</span>
-          <span v-if="scope.row.gender == 2">HIS</span>
+          <span v-if="scope.row.source == 0">筛查</span>
+          <span v-if="scope.row.source == 1">录入</span>
+          <span v-if="scope.row.source == 2">HIS</span>
         </template>
       </el-table-column>
       <el-table-column fixed="right" label="操作" align="center" width="150">
@@ -256,7 +258,7 @@
             size="mini"
             type="text"
             icon="el-icon-notebook-2"
-            @click="handleDelete(scope.row)"
+            @click="handleArchives(scope.row)"
             >诊疗档案</el-button
           >
         </template>
@@ -422,7 +424,7 @@ export default {
         Authorization: "Bearer " + getToken(),
         deptId: localStorage.getItem("hospitalId"),
       },
-      uploadFileUrl1: process.env.VUE_APP_BASE_API + "/pms/importTjbgZip", // 上传的图片服务器地址
+      uploadFileUrl1: process.env.VUE_APP_API_QZURL + "/acupuncture/patient/import", // 上传的图片服务器地址
       fileList: [],
       // 现病史
       medicalHistory: [
@@ -462,6 +464,10 @@ export default {
           label: "台湾居民来往大陆通行证",
           value: 3,
         },
+		{
+		  label: "台湾居民来往大陆通行证",
+		  value: 3,
+		},
       ],
       idCardTypeValue: {
         0: "身份证",
@@ -672,14 +678,24 @@ export default {
     },
     /** 导出按钮操作 */
     handleExport() {
-      this.download(
-        "system/user/export",
+      this.download1(
+        "/patient/export",
         {
           ...this.queryParams.params,
         },
         `患者档案.xlsx`
       );
     },
+	/** 下载按钮操作 */
+	handleDownload() {
+	  this.download1(
+	    "/patient/export",
+	    {
+	      ...this.queryParams.params,
+	    },
+	    `患者档案.xlsx`
+	  );
+	},
     /** 导入按钮操作 */
     handleImport() {
       this.upload.title = "用户导入";