diff --git a/src/views/thrombolysis/components/throm-before.vue b/src/views/thrombolysis/components/throm-before.vue
index 540d605..d67d74d 100644
--- a/src/views/thrombolysis/components/throm-before.vue
+++ b/src/views/thrombolysis/components/throm-before.vue
@@ -20,6 +20,9 @@
 </template>
 
 <script>
+	import {
+		mapState
+	} from 'vuex';
 	import ThromBefore0 from './throm-before0.vue';
 	import ThromBefore1 from './throm-before1.vue';
 	import ThromBefore2 from './throm-before2.vue';
@@ -39,9 +42,13 @@
 				currentIndex: 0,
 			}
 		},
+		computed: {
+			...mapState('patient', ['patientData'])
+		},
 		methods: {
 			handleClickStep(current) {
 				this.currentIndex = current;
+				this.home.queryAid(this.patientData?.firstAidId, false)
 			},
 			handleNext() {
 				this.currentIndex++
diff --git a/src/views/thrombolysis/components/throm-before2.vue b/src/views/thrombolysis/components/throm-before2.vue
index 5ab5e6c..a9436e7 100644
--- a/src/views/thrombolysis/components/throm-before2.vue
+++ b/src/views/thrombolysis/components/throm-before2.vue
@@ -154,6 +154,7 @@ export default {
 			this.activeTabKey = key;
 		},
 		onSubmit(){
+			this.home.queryAid(this.patientData?.firstAidId, false)
 			this.$emit('next')
 		}
 	},
diff --git a/src/views/thrombolysis/components/throm-before4.vue b/src/views/thrombolysis/components/throm-before4.vue
index 7996dad..8b14360 100644
--- a/src/views/thrombolysis/components/throm-before4.vue
+++ b/src/views/thrombolysis/components/throm-before4.vue
@@ -148,8 +148,8 @@
 				<div class="throm-common-button">
 					<!-- <a-button :disabled="writeAble" class="" type="primary" size="large" block
 							@click="onSubmitSign" v-if="!disabled && activeTabKey == 'tab1'">提交</a-button> -->
-					<a-button :disabled="writeAble" class="" block type="primary" size="large"
-						@click="activeTabKey = 'tab2'" v-if="activeTabKey == 'tab1'">下一步</a-button>
+					<a-button :disabled="writeAble" class="" block type="primary" size="large" @click="handleNextTab"
+						v-if="activeTabKey == 'tab1'">下一步</a-button>
 					<a-button :disabled="writeAble" class="" block type="primary" size="large" @click="onSubmitSign"
 						v-if="activeTabKey == 'tab2'">下一步</a-button>
 					<a-button :disabled="writeAble" class="" block type="primary" size="large" @click="handleNext"
@@ -341,25 +341,6 @@
 				}
 			},
 			async handleNext() {
-				// const {
-				// 	firstAidId
-				// } = this.patientData;
-				// if (!firstAidId) return this.$message.error('缺少急救');
-				// let res = await ctFrontAdd({
-				// 	firstAidId,
-				// 	path: this.fileList.join(','),
-				// 	type: 3,
-				// });
-				// const {
-				// 	code,
-				// 	data,
-				// 	msg
-				// } = res;
-				// if (code === 200) {
-				// 	this.$message.success('保存成功');
-				// 	this.$emit('next')
-				// }
-
 				let codeAndAnswerList = [];
 				codeAndAnswerList.push({
 					questionCode: 'JMRS-ZQTY-PIC',
@@ -372,6 +353,10 @@
 				this.$emit('next')
 
 			},
+			handleNextTab() {
+				this.activeTabKey = 'tab2'
+				this.home.queryAid(this.patientData?.firstAidId, false)
+			},
 			async queryFileList() {
 				const {
 					firstAidId
diff --git a/src/views/thrombolysis/components/throm-ing-record.vue b/src/views/thrombolysis/components/throm-ing-record.vue
index dc7cb5a..7fea46b 100644
--- a/src/views/thrombolysis/components/throm-ing-record.vue
+++ b/src/views/thrombolysis/components/throm-ing-record.vue
@@ -80,6 +80,7 @@
 				}
 			},
 			handleNext() {
+				this.home.queryAid(this.patientData?.firstAidId, false)
 				this.$emit('next')
 			}
 		}
diff --git a/src/views/thrombolysis/components/throm-ing.vue b/src/views/thrombolysis/components/throm-ing.vue
index 131fd6c..a2d9ab1 100644
--- a/src/views/thrombolysis/components/throm-ing.vue
+++ b/src/views/thrombolysis/components/throm-ing.vue
@@ -104,6 +104,7 @@
 					code
 				})
 				this.currentIndex = current;
+				this.home.queryAid(this.patientData?.firstAidId, false)
 			},
 			handleNext() {
 				this.currentIndex++
diff --git a/src/views/thrombolysis/components/throm-interfere-image.vue b/src/views/thrombolysis/components/throm-interfere-image.vue
index 643115f..1ff628e 100644
--- a/src/views/thrombolysis/components/throm-interfere-image.vue
+++ b/src/views/thrombolysis/components/throm-interfere-image.vue
@@ -99,6 +99,7 @@
 				}
 			},
 			onSubmit() {
+				this.home.queryAid(this.patientData?.firstAidId, false)
 				this.$emit('next')
 			}
 		}
diff --git a/src/views/thrombolysis/components/throm-interfere-informed.vue b/src/views/thrombolysis/components/throm-interfere-informed.vue
index 006f541..44ece46 100644
--- a/src/views/thrombolysis/components/throm-interfere-informed.vue
+++ b/src/views/thrombolysis/components/throm-interfere-informed.vue
@@ -3,6 +3,21 @@
 		<a-card style="width:100%" :tab-list="tabList" :active-tab-key="activeTabKey" @tabChange="onTabChange">
 			<div class="throm-before4-container Informed-container">
 				<div class="video-container" v-if="activeTabKey == 'tab1'">
+					<div class="info">百人中使用药物结果分布情况</div>
+					<div class="img">
+						<img src="@/assets/images/100.png" alt="" style="width: 100%;" />
+					</div>
+					<div class="image-container">
+						<video :src="getVideo" controls autoplay loop muted v-if="getVideo" width="100%">
+							您的浏览器不支持 video 标签。
+						</video>
+						<!-- <div class="notImg" v-else>溶栓视频安全区</div> -->
+						<div class="emtpy" v-else>
+							<a-empty :image="emptyImage" description="未检测到影像信息" />
+						</div>
+					</div>
+				</div>
+				<div class="video-container" v-if="activeTabKey == 'tab2'">
 					<h1 style="text-align: center;font-size: 2rem;line-height: 5rem;font-weight: bold;">急性脑梗塞静脉溶栓治疗知情同意书
 					</h1>
 					<div style="transition: all 1s; overflow: hidden; ">
@@ -101,10 +116,10 @@
 							@confirm="confirmPicker" @cancel="picker = false" />
 					</div>
 				</div>
-				<div class="video-container" v-if="activeTabKey == 'tab2'">
+				<div class="video-container" v-if="activeTabKey == 'tab3'">
 					<div class="upload-informed-container">
 						<div class="upload-container">
-							<div class="info">知情同意图片</div>
+							<div class="info">上传知情同意图片</div>
 							<div class="upload-list" style="min-height: 300px;" v-if="fileList.length">
 								<!-- <div class="upload-list-item" v-for="(item, index) in fileList" :key="index"
 									@click="handlePreview(item)">
@@ -135,21 +150,7 @@
 						</a-modal>
 					</div>
 				</div>
-				<div class="video-container" v-if="activeTabKey == 'tab3'">
-					<div class="info">百人中使用药物结果分布情况</div>
-					<div class="img">
-						<img src="@/assets/images/100.png" alt="" style="width: 100%;" />
-					</div>
-					<div class="image-container">
-						<video :src="getVideo" controls autoplay loop muted v-if="getVideo" width="100%">
-							您的浏览器不支持 video 标签。
-						</video>
-						<!-- <div class="notImg" v-else>溶栓视频安全区</div> -->
-						<div class="emtpy" v-else>
-							<a-empty :image="emptyImage" description="未检测到影像信息" />
-						</div>
-					</div>
-				</div>
+
 			</div>
 		</a-card>
 
@@ -162,8 +163,12 @@
 		<div class="throm-common-button">
 			<!-- <a-button :disabled="writeAble" class="" type="primary" size="large" block @click="onSubmitSign"
 				v-if="!disabled && activeTabKey == 'tab1'">提交</a-button> -->
-			<a-button :disabled="writeAble" class="" block type="primary" size="large"
+			<a-button :disabled="writeAble" class="" block type="primary" size="large" v-if="activeTabKey == 'tab1'"
+				@click="handleNextTab">下一步</a-button>
+			<a-button :disabled="writeAble" class="" block type="primary" size="large" v-if="activeTabKey == 'tab2'"
 				@click="onSubmitSign">下一步</a-button>
+			<a-button :disabled="writeAble" class="" block type="primary" size="large" v-if="activeTabKey == 'tab3'"
+				@click="handleNext">下一步</a-button>
 		</div>
 	</div>
 </template>
@@ -201,15 +206,15 @@
 				activeTabKey: 'tab1',
 				tabList: [{
 						key: 'tab1',
-						tab: '知情同意',
+						tab: '谈话辅助工具',
 					},
 					{
 						key: 'tab2',
-						tab: '拍照上传',
+						tab: '知情同意',
 					},
 					{
 						key: 'tab3',
-						tab: '谈话辅助工具',
+						tab: '拍照上传',
 					}
 				],
 				apiUrl: imgUrl,
@@ -358,8 +363,22 @@
 					// }
 				}
 			},
-			handleNext() {
+			handleNextTab(key) {
+				this.activeTabKey = 'tab2';
+				this.home.queryAid(this.patientData?.firstAidId, false)
+			},
+			async handleNext() {
+				let codeAndAnswerList = [];
+				codeAndAnswerList.push({
+					questionCode: 'JMRS-ZQTY-PIC',
+					answer: this.fileList,
+					time: '',
+				});
+				await this.home.updateAidCode({
+					codeAndAnswerList,
+				}, false);
 				this.$emit('next')
+
 			},
 			onTabChange(key, type) {
 				this.activeTabKey = key;
@@ -640,7 +659,11 @@
 		.video-container {
 			.info {
 				font-size: 18px;
-				margin-bottom: 2rem;
+				font-family: Source Han Sans CN, Source Han Sans CN-Bold;
+				font-weight: 700;
+				text-align: left;
+				margin-bottom: 20px;
+				color: #393d4e;
 			}
 
 			.plus {
diff --git a/src/views/thrombolysis/components/throm-interfere-surgical.vue b/src/views/thrombolysis/components/throm-interfere-surgical.vue
index 8a618d0..bc127b1 100644
--- a/src/views/thrombolysis/components/throm-interfere-surgical.vue
+++ b/src/views/thrombolysis/components/throm-interfere-surgical.vue
@@ -104,6 +104,7 @@
 				console.log(res)
 			},
 			onSubmit() {
+				this.home.queryAid(this.patientData?.firstAidId, false)
 				this.$emit('next')
 			}
 		}
diff --git a/src/views/thrombolysis/components/throm-interfere.vue b/src/views/thrombolysis/components/throm-interfere.vue
index e3b25d5..866c356 100644
--- a/src/views/thrombolysis/components/throm-interfere.vue
+++ b/src/views/thrombolysis/components/throm-interfere.vue
@@ -16,6 +16,9 @@
 </template>
 
 <script>
+	import {
+		mapState
+	} from 'vuex';
 	import ThromInterfereImage from './throm-interfere-image.vue';
 	import ThromInterfereInformed from './throm-interfere-informed.vue';
 	import ThromInterfereSurgical from './throm-interfere-surgical.vue';
@@ -26,6 +29,10 @@
 			ThromInterfereInformed,
 			ThromInterfereSurgical,
 		},
+		computed: {
+			...mapState('patient', ['patientData'])
+		},
+		created() {},
 		data() {
 			return {
 				currentIndex: 0,
@@ -33,7 +40,9 @@
 		},
 		methods: {
 			handleClickStep(current) {
+				console.log('handleClickStep', current)
 				this.currentIndex = current;
+				this.home.queryAid(this.patientData?.firstAidId, false)
 			},
 			handleNext() {
 				this.currentIndex++
diff --git a/src/views/thrombolysis/components/throm-result-sop.vue b/src/views/thrombolysis/components/throm-result-sop.vue
index 4d63abb..34d7ac8 100644
--- a/src/views/thrombolysis/components/throm-result-sop.vue
+++ b/src/views/thrombolysis/components/throm-result-sop.vue
@@ -70,6 +70,7 @@
 					countDownInSeconds: '',
 					nodeList: [],
 				},
+				patFirstAidId: ''
 			}
 		},
 		props: {
@@ -88,7 +89,7 @@
 		},
 		async mounted() {
 			// console.log(this.reportType, this.firstAidId)
-			console.log('mounted')
+			// console.log('mounted')
 			if (this.reportType == 'modal') {
 				this.init(this.dataSource.firstAidId);
 			} else if (this.firstAidId) {
@@ -111,13 +112,13 @@
 			...mapMutations('patient', ['setNextNodeData']),
 			//初始化数据
 			async init(firstAidId) {
+				this.patFirstAidId = firstAidId
 				this.getNextNode(firstAidId);
 				this.timer = null;
-				this.timer = setInterval(()=>{
-					console.log('10mmin')
+				this.timer = setInterval(() => {
 					this.getNextNode(firstAidId);
 				}, 10000)
-				
+
 			},
 			async getNextNode(firstAidId) {
 				let res = await getNextNode({
@@ -137,13 +138,14 @@
 				}
 			},
 			onSubmit() {
+				this.home.queryAid(this.patFirstAidId, false)
 				this.$emit('next')
 			}
 		},
 		beforeDestroy() {
 			console.log("beforeDestroy")
 			// 清除定时器
-			if(this.timer){
+			if (this.timer) {
 				clearInterval(this.timer);
 				this.timer = null
 			}
diff --git a/src/views/thrombolysis/components/throm-result.vue b/src/views/thrombolysis/components/throm-result.vue
index 8903ef8..f202af2 100644
--- a/src/views/thrombolysis/components/throm-result.vue
+++ b/src/views/thrombolysis/components/throm-result.vue
@@ -57,6 +57,7 @@
 		methods: {
 			handleClickStep(current) {
 				this.currentIndex = current;
+				this.home.queryAid(this.patientData?.firstAidId, false)
 			},
 			handleNext() {
 				this.currentIndex++
diff --git a/src/views/thrombolysis/index.vue b/src/views/thrombolysis/index.vue
index c30780a..8a87918 100644
--- a/src/views/thrombolysis/index.vue
+++ b/src/views/thrombolysis/index.vue
@@ -2,28 +2,37 @@
 	<div class="thrombolysis-container">
 
 		<div class="thrombolysis-box">
-			<a-steps v-model="current" type="navigation" size="small" :style="stepStyle">
+			<a-steps v-model="current" type="navigation" size="small" :style="stepStyle" @change="handleClickStep">
 				<a-step status="finish" title="创建患者" disabled />
-				<a-step :status="current == 1 ? 'process' : current > 1 ? 'finish' : 'wait'" title="溶栓前"  :disabled="!!firstAidId">
+				<a-step :status="current == 1 ? 'process' : current > 1 ? 'finish' : 'wait'" title="溶栓前"
+					:disabled="!!firstAidId">
 				</a-step>
 				<template v-if="isrs && !isjr">
-					<a-step :status="current == 2 ? 'process' : current > 2 ? 'finish' : 'wait'" title="溶栓中" :disabled="!!firstAidId" />
-					<a-step :status="current == 3 ? 'process' : current > 3 ? 'finish' : 'wait'" title="查看结果" :disabled="!!firstAidId" />
-					<a-step :status="current == 4 ? 'process' : current > 4 ? 'finish' : 'wait'" title="报告" disabled  />
+					<a-step :status="current == 2 ? 'process' : current > 2 ? 'finish' : 'wait'" title="溶栓中"
+						:disabled="!!firstAidId" />
+					<a-step :status="current == 3 ? 'process' : current > 3 ? 'finish' : 'wait'" title="查看结果"
+						:disabled="!!firstAidId" />
+					<a-step :status="current == 4 ? 'process' : current > 4 ? 'finish' : 'wait'" title="报告" disabled />
 				</template>
 				<template v-else-if="!isrs && isjr">
-					<a-step :status="current == 2 ? 'process' : current > 2 ? 'finish' : 'wait'" title="介入" :disabled="!!firstAidId" />
-					<a-step :status="current == 3 ? 'process' : current > 3 ? 'finish' : 'wait'" title="查看结果" :disabled="!!firstAidId" />
+					<a-step :status="current == 2 ? 'process' : current > 2 ? 'finish' : 'wait'" title="介入"
+						:disabled="!!firstAidId" />
+					<a-step :status="current == 3 ? 'process' : current > 3 ? 'finish' : 'wait'" title="查看结果"
+						:disabled="!!firstAidId" />
 					<a-step :status="current == 4 ? 'process' : current > 4 ? 'finish' : 'wait'" title="报告" disabled />
 				</template>
 				<template v-else-if="!isrs && !isjr">
-					<a-step :status="current == 2 ? 'process' : current > 2 ? 'finish' : 'wait'" title="查看结果" :disabled="!!firstAidId" />
+					<a-step :status="current == 2 ? 'process' : current > 2 ? 'finish' : 'wait'" title="查看结果"
+						:disabled="!!firstAidId" />
 					<a-step :status="current == 3 ? 'process' : current > 3 ? 'finish' : 'wait'" title="报告" disabled />
 				</template>
 				<template v-else>
-					<a-step :status="current == 2 ? 'process' : current > 2 ? 'finish' : 'wait'" title="溶栓中" :disabled="!!firstAidId" />
-					<a-step :status="current == 3 ? 'process' : current > 3 ? 'finish' : 'wait'" title="介入" :disabled="!!firstAidId" />
-					<a-step :status="current == 4 ? 'process' : current > 4 ? 'finish' : 'wait'" title="查看结果" :disabled="!!firstAidId" />
+					<a-step :status="current == 2 ? 'process' : current > 2 ? 'finish' : 'wait'" title="溶栓中"
+						:disabled="!!firstAidId" />
+					<a-step :status="current == 3 ? 'process' : current > 3 ? 'finish' : 'wait'" title="介入"
+						:disabled="!!firstAidId" />
+					<a-step :status="current == 4 ? 'process' : current > 4 ? 'finish' : 'wait'" title="查看结果"
+						:disabled="!!firstAidId" />
 					<a-step :status="current == 5 ? 'process' : current > 5 ? 'finish' : 'wait'" title="报告" disabled />
 				</template>
 
@@ -75,10 +84,10 @@
 		},
 		computed: {
 			...mapState('patient', ['patientData']),
-			isrs() { 
+			isrs() {
 				return !(this.patientData?.recordValDict?.['JBXX-ISRS']?.[0]?.answer[0] == '否')
 			},
-			isjr() { 
+			isjr() {
 				return !(this.patientData?.recordValDict?.['JBXX-ISJR']?.[0]?.answer[0] == '否')
 			}
 		},
@@ -99,10 +108,10 @@
 				handler(to, o) {
 					const cuIndex = to.query?.cu
 					const chIndex = to.query?.ch
-					if(!!cuIndex && !isNaN(cuIndex) && !isNaN(Number(cuIndex))){
+					if (!!cuIndex && !isNaN(cuIndex) && !isNaN(Number(cuIndex))) {
 						this.current = Number(to.query.cu)
 					}
-					if(!!chIndex && !isNaN(chIndex) && !isNaN(Number(chIndex))){
+					if (!!chIndex && !isNaN(chIndex) && !isNaN(Number(chIndex))) {
 						this.childIndex = Number(to.query.ch)
 					}
 				},
@@ -112,10 +121,10 @@
 			next((vm) => {
 				const cuIndex = to.query?.cu
 				const chIndex = to.query?.ch
-				if(!!cuIndex && !isNaN(cuIndex) && !isNaN(Number(cuIndex))){
+				if (!!cuIndex && !isNaN(cuIndex) && !isNaN(Number(cuIndex))) {
 					vm.current = Number(to.query.cu)
 				}
-				if(!!chIndex && !isNaN(chIndex) && !isNaN(Number(chIndex))){
+				if (!!chIndex && !isNaN(chIndex) && !isNaN(Number(chIndex))) {
 					vm.childIndex = Number(to.query.ch)
 				}
 			});
@@ -124,11 +133,15 @@
 			handleNext(data) {
 				this.firstAidId = data?.firstAidId
 				// console.log(firstAidId)
-				this.$nextTick(()=> {
+				this.$nextTick(() => {
 					this.current++
 				})
-				
-			}
+
+			},
+			handleClickStep(current) {
+				console.log('handleClickStep', current)
+				this.home.queryAid(this.patientData?.firstAidId, false)
+			},
 		}
 	}
 </script>
@@ -149,7 +162,8 @@
 			}
 		}
 	}
-	.throm-step{
-		margin-right:10px !important;
+
+	.throm-step {
+		margin-right: 10px !important;
 	}
 </style>
\ No newline at end of file