diff --git a/src/layouts/BasicLayout.vue b/src/layouts/BasicLayout.vue
index fa2961c..9fe918d 100644
--- a/src/layouts/BasicLayout.vue
+++ b/src/layouts/BasicLayout.vue
@@ -173,6 +173,7 @@
 			});
 		},
 		methods: {
+			...mapMutations('patient', ['setPatientData', 'setPatientDataCur']),
 			handleClickMenu(item, index) {
 				if (index != this.current) {
 					this.current_ = this.current
@@ -206,6 +207,7 @@
 							if(this.$route.name != 'Thrombolysis') this.$router.push('/firstaid/thrombolysis')
 						}else{
 							this.setPatientData({});
+							this.setPatientDataCur({});
 							if(this.$route.name != 'PatientList')  this.$router.replace('/firstaid/patientList')
 						}
 						
diff --git a/src/views/thrombolysis/components/throm-before3.vue b/src/views/thrombolysis/components/throm-before3.vue
index ba22460..fb0881c 100644
--- a/src/views/thrombolysis/components/throm-before3.vue
+++ b/src/views/thrombolysis/components/throm-before3.vue
@@ -22,6 +22,7 @@
 			</div>
 		</a-card>
 		<div class="btns" v-if="!outside">
+			<input type="file" ref="fileInput" @change="onFileChange" accept="image/*" style="display: none;" />
 			<a-button :disabled="writeAble" class="common-button" block size="large" v-if="fileList.length < 5"
 				@click="openCamera">上传院前CT图片</a-button>
 			<a-button :disabled="writeAble" class="common-button" block type="primary" size="large"
@@ -139,19 +140,19 @@
 					this.$message.success('患者已审核，内容不可更改')
 					return
 				}
-				if (!window.plus) {
-				    // H5 环境中不使用 `plus` API
-					this.$message.success('当前环境不支持 plus API')
-					return
-				    // console.log('当前环境不支持 plus API');
-				}
+				// if (!window.plus) {
+				//     // H5 环境中不使用 `plus` API
+				// 	this.$message.success('当前环境不支持 plus API')
+				// 	return
+				//     // console.log('当前环境不支持 plus API');
+				// }
 				const cmr = plus.camera.getCamera();
 				if (!cmr) {
 				  this.$message.success('没有可用的摄像头');
 				  return;
 				}
-				const res = cmr.supportedImageResolutions.length > 0 ? cmr.supportedImageResolutions[0] : null;
-				const fmt = cmr.supportedImageFormats.length > 0 ? cmr.supportedImageFormats[0] : null;
+				const res = cmr.supportedImageResolutions.length > 0 ? cmr.supportedImageResolutions[0] : { width: 640, height: 480 }; // 默认分辨率;
+				const fmt = cmr.supportedImageFormats.length > 0 ? cmr.supportedImageFormats[0] : 'jpeg';
 				if (!res || !fmt) {
 				  plus.nativeUI.toast('摄像头不支持该格式或分辨率');
 				  return;
@@ -202,6 +203,13 @@
 					}
 				);
 			},
+			onFileChange(event) {
+			  const file = event.target.files[0];
+			  if (file) {
+				// 处理图片文件
+				this.compressImage(file);
+			  }
+			},
 			//显示图片
 			showPics(url, name) {
 				let _this = this;