diff --git a/src/components/occDisease/OccDisease.vue b/src/components/occDisease/OccDisease.vue
index fea1c64..fecfd3c 100644
--- a/src/components/occDisease/OccDisease.vue
+++ b/src/components/occDisease/OccDisease.vue
@@ -30,8 +30,8 @@
     <div style="display: flex;justify-content: space-between;">
       <div></div>
       <div>
-        <el-button @click="btnTest">测试</el-button>
-        <el-button class="deleteButton" @click="btnDel">删除</el-button>
+        <el-button v-if="false" @click="btnTest">测试</el-button>
+        <el-button class="deleteButton" @click="btnDel" :disabled="dataTransOpts.tableS.patient_register.completeFlag == '3'">删除</el-button>
         <el-button class="commonbutton" @click="btnOk">确定</el-button>
         <el-button class="commonbutton" @click="btnClose">关闭</el-button>
       </div>
@@ -131,9 +131,9 @@ export default {
             this.dataTransOpts.tableM.patient_past_medical_history = deepCopy(res.data['patientPastMedicalHistoryDtos'])
             this.dataTransOpts.tableM.patient_occupational_medical_history = deepCopy(res.data['patientOccupationalMedicalHistoryDtos'])
             this.dataTransOpts.tableM.patient_poison = deepCopy(res.data['patientPoisonDtos'])
-            this.dataTransOpts.tableM.patient_poison.forEach(e => {
-              e.poisonName = dddw(this.dict.poisonList,'id',e.poisonId,'displayName')
-            });
+            // this.dataTransOpts.tableM.patient_poison.forEach(e => {
+            //   e.poisonName = dddw(this.dict.poisonList,'id',e.poisonId,'displayName')
+            // });
             this.dataTransOpts.tableM.patient_occupational_history = deepCopy(res.data['patientOccupationalHistoryDtos'])
             if (Array.isArray(res.data['patientSymptomDtos']) && res.data['patientSymptomDtos'].length > 0) {
               this.dataTransOpts.tableM.patient_symptom = deepCopy(res.data['patientSymptomDtos'])
diff --git a/src/components/occDisease/OccDiseaseConclusion.vue b/src/components/occDisease/OccDiseaseConclusion.vue
index 9f384c4..852956d 100644
--- a/src/components/occDisease/OccDiseaseConclusion.vue
+++ b/src/components/occDisease/OccDiseaseConclusion.vue
@@ -10,9 +10,9 @@
       </tr>
       <tr>
         <td><el-input type="textarea" v-model="dataTransOpts.tableS.patient_occupational_disease.occupationalAbnormal"
-            size="small" :autosize="{ minRows: 8, maxRows: 8 }"></el-input></td>
+            size="small" :autosize="{ minRows: 8, maxRows: 8 }" :disabled="!checkPagePriv(pagePriv.privs, '职业健康检查结论')"></el-input></td>
         <td><el-input type="textarea" v-model="dataTransOpts.tableS.patient_occupational_disease.occupationalAbSuggestion"
-            size="small" :autosize="{ minRows: 8, maxRows: 8 }"></el-input></td>
+            size="small" :autosize="{ minRows: 8, maxRows: 8 }" :disabled="!checkPagePriv(pagePriv.privs, '职业健康检查结论')"></el-input></td>
       </tr>
       <!--
       <tr>
@@ -30,7 +30,7 @@
     <div>处理意见：</div>
     <div>
       <el-input type="textarea" v-model="dataTransOpts.tableS.patient_occupational_disease.handleSuggestion" size="small"
-        :autosize="{ minRows: 2, maxRows: 2 }"></el-input>
+        :autosize="{ minRows: 2, maxRows: 2 }" :disabled="!checkPagePriv(pagePriv.privs, '职业健康检查结论')"></el-input>
     </div>
   </div>
 </template>
@@ -46,7 +46,7 @@ export default {
   data() {
     return {
       pagePriv: {
-        routeUrlorPageName: 'customerOrg', //当前页面归属路由或归属页面权限名称
+        routeUrlorPageName: 'OccDisease', //当前页面归属路由或归属页面权限名称
         privs: [] // 页面权限
       },
 
diff --git a/src/components/occDisease/OccDiseasePoison.vue b/src/components/occDisease/OccDiseasePoison.vue
index 86946db..93e620a 100644
--- a/src/components/occDisease/OccDiseasePoison.vue
+++ b/src/components/occDisease/OccDiseasePoison.vue
@@ -15,7 +15,7 @@
         <el-table-column v-if="height < 300" prop="occupationalAbnormalId" label="接害因素检查结论" min-width="130" align="center">
           <template slot-scope="scope">
             <el-select v-model="scope.row.occupationalAbnormalId" size="small" clearable filterable
-              :filter-method="filterMethod">
+              :filter-method="filterMethod" :disabled="!checkPagePriv(pagePriv.privs, '职业健康检查结论')">
               <el-option v-for="item in occupationalAbnormal" :key="item.id" :label="item.displayName" :value="item.id" />
             </el-select>
           </template>
@@ -71,7 +71,7 @@ export default {
   data() {
     return {
       pagePriv: {
-        routeUrlorPageName: 'customerOrg', //当前页面归属路由或归属页面权限名称
+        routeUrlorPageName: 'OccDisease', //当前页面归属路由或归属页面权限名称
         privs: [] // 页面权限
       },
       poisonList: [],
diff --git a/src/components/sumDoctorCheck/ButtonList.vue b/src/components/sumDoctorCheck/ButtonList.vue
index 663bd29..908c0f4 100644
--- a/src/components/sumDoctorCheck/ButtonList.vue
+++ b/src/components/sumDoctorCheck/ButtonList.vue
@@ -112,6 +112,7 @@ export default {
                     details: [{ id: 1, name: '000' }, { id: 2, name: '001' }]
                 }
             ],
+            
         };
     },
 
@@ -123,6 +124,7 @@ export default {
 
     //挂载完成
     mounted() {
+        
 
     },
 
@@ -225,7 +227,7 @@ export default {
             let body = {
                 patientRegisterId: this.dataTransOpts.tableS.patient_register.id,
                 summaryDoctorId: this.dataTransOpts.tableS.patient_register.summaryDoctorId || null,
-                summaryDate: this.dataTransOpts.tableS.patient_register.summaryDate||moment(new Date()).format("yyyy-MM-DD HH:mm:ss"),
+                summaryDate: this.dataTransOpts.tableS.patient_register.summaryDate || moment(new Date()).format("yyyy-MM-DD HH:mm:ss"),
                 medicalConclusionId: this.dataTransOpts.tableS.patient_register.medicalConclusionId || null,
                 sumSummarys: this.sumDoctorCheck.summaryList,
                 sumSuggestions: this.sumDoctorCheck.suggestionList
@@ -384,12 +386,12 @@ export default {
             let ReportCode = '0005';
             let BusinessCode = this.dataTransOpts.tableS.patient_register.id
 
-            if(this.dataTransOpts.tableS.patient_register.isPatientOccupationalDisease == 'Y') ReportCode = '0006'
+            if (this.dataTransOpts.tableS.patient_register.isPatientOccupationalDisease == 'Y') ReportCode = '0006'
 
             let token = window.sessionStorage.getItem('token');
             let user = window.sessionStorage.getItem('user');
             let toOutShell = {
-                ReportCode, token,BusinessCode,
+                ReportCode, token, BusinessCode,
                 isBuildImage: 'N',
                 IsUploadPdf: 'N',
                 preViewCanPrint: 'Y',
@@ -422,7 +424,7 @@ export default {
             //         }
             //     })
             let JSONtoOutShell = JSON.stringify(toOutShell)
-            console.log('$peisAPI.printPre',JSONtoOutShell)
+            console.log('$peisAPI.printPre', JSONtoOutShell)
             this.$peisAPI.printPre(JSONtoOutShell)
                 .then(res => {
                     if (res) {
diff --git a/src/components/sumDoctorCheck/SumSug.vue b/src/components/sumDoctorCheck/SumSug.vue
index 21df0f6..2fa55e6 100644
--- a/src/components/sumDoctorCheck/SumSug.vue
+++ b/src/components/sumDoctorCheck/SumSug.vue
@@ -2,14 +2,36 @@
   <div>
     <!--组件-->
     <div style="display: flex;">
+      <div
+        :style="`position: absolute; top: 0px; left: ${Math.floor((window.pageWidth - 120) / 2) - 110}px; display: flex;z-index: 3;`">
+        <div v-show="checkPagePriv(pagePriv.privs, '新增综述')">
+          <el-button style="height: 28px;" class="commonbutton" @click="addSummary"
+            :disabled="sumBtnDisabled('addSummary')">新增综述</el-button>
+        </div>
+      </div>
       <div style="width:50%;">
         <el-table id="tableSummary" row-key="id" :data="sumDoctorCheck.summaryList" width="100%" :height="sumHeight"
           border size="small">
           <el-table-column type="index" width="30" align="center" />
           <el-table-column prop="summaryTitle" label="综述">
+            <template slot="header">
+              <div style="display: flex;justify-content:space-between;">
+                <div>综述</div>
+                <div></div>
+              </div>
+            </template>
             <template slot-scope="scope">
               <div>
-                <el-input v-model="scope.row.summaryTitle" placeholder="请输入综述" disabled></el-input>
+                <div style="display: flex;">
+                  <el-input v-model="scope.row.summaryTitle" placeholder="请输入综述" :ref="scope.row.id" :id="scope.row.id"
+                    :disabled="sumBtnDisabled('addSummary')"></el-input>
+                  <el-button v-show="checkPagePriv(pagePriv.privs, '新增综述明细')" icon="el-icon-plus"
+                    style="min-width:21px;height:21px;padding:2px;" @click="addSum(scope.$index)"
+                    :disabled="sumBtnDisabled('addSummary')"></el-button>
+                  <el-button v-show="checkPagePriv(pagePriv.privs, '删除综述')" type="danger" icon="el-icon-delete"
+                    style="margin-left: 2px;min-width:21px;height:21px;padding:2px;" @click="delSumHead(scope.$index)"
+                    :disabled="sumBtnDisabled('addSummary')"></el-button>
+                </div>
                 <el-table :id="scope.row.id" :row-key="scope.$index + scope.row.id" style="margin-left: 10px;"
                   :data="scope.row.details" border @row-click="rowClick" :show-header="false">
                   <el-table-column width="30">
@@ -19,10 +41,16 @@
                   </el-table-column>
                   <el-table-column prop="summaryContent" label="综述" min-width="200">
                     <template slot-scope="scope2">
-                      <!--:autosize="{ minRows: 1, maxRows: 20 } "-->
-                      <el-input type="textarea" v-model="scope2.row.summaryContent" placeholder="请输入综述" disabled
-                        :autosize="{ minRows: 1, maxRows: 20 }">
-                      </el-input>
+                      <div style="display: flex;">
+                        <el-input type="textarea" v-model="scope2.row.summaryContent" placeholder="请输入综述"
+                          :disabled="sumBtnDisabled('addSummary')" :id="scope2.row.id" :ref="scope2.row.id"
+                          :autosize="{ minRows: 1, maxRows: 20 }">
+                        </el-input>
+                        <el-button v-show="checkPagePriv(pagePriv.privs, '删除综述明细')" type="danger" icon="el-icon-delete"
+                          style="margin-left: 2px;min-width:21px;height:21px;padding:2px;"
+                          @click="delSug(scope.row.details, scope2.$index)"
+                          :disabled="sumBtnDisabled('addSummary')"></el-button>
+                      </div>
                     </template>
                   </el-table-column>
                   <el-table-column width="8" />
@@ -235,7 +263,7 @@
       <el-dialog title="选择诊断" :visible.sync="dialogDiagnosises" width="800px" :close-on-click-modal="false">
         <div style="height: 320px;">
           <el-select v-model="choosedDiagnosisIds" multiple placeholder="请选择" style="width: 100%;" filterable
-          :filter-method="filterMethod" popper-class="diagnosisSelect" :popper-append-to-body="false">
+            :filter-method="filterMethod" popper-class="diagnosisSelect" :popper-append-to-body="false">
             <el-option v-for="item in diagnosisesFilter" :key="item.id" :value="item.id" :label="item.displayName" />
           </el-select>
         </div>
@@ -268,7 +296,7 @@ export default {
       diagnosisesFilter: [], // 可选的诊断
       choosedDiagnosisIds: [],  // 已选的诊断 id 集合
       disabledDiagnosisIds: [],  // 不可选的诊断 id 集合
-      diagnosisesChoosed:[],  // 已选的诊断集合
+      diagnosisesChoosed: [],  // 已选的诊断集合
 
       collapse: false,  // 折叠/展开全部建议
 
@@ -286,6 +314,7 @@ export default {
         colName: '', // 
         subIndex: -1,
       },
+      summary_check_default_summay_modifiable: 'N',
     };
   },
 
@@ -299,11 +328,11 @@ export default {
   },
 
   //挂载完成
-  mounted() {
+  async mounted() {
     // this.rowDrop();  （综述取消拖拽）
     this.rowDropSuggestion();
 
-    this.dictInit()
+    await this.dictInit()
     // document.addEventListener('DOMContentLoaded', function () {
     //   const textarea = document.querySelector('textarea');
     //   textarea.addEventListener('input', function () {
@@ -336,7 +365,7 @@ export default {
     //   });      
     // },
     // 获取诊断数据
-    dictInit() {
+    async dictInit() {
 
       // 获取诊断  /api/app/diagnosis/getlistinsuggestion , {}
       postapi('/api/app/Diagnosis/GetSimpleDiagnosisWithSuggestions').then(res => {
@@ -351,6 +380,35 @@ export default {
           this.symbols = res.data
         }
       })
+
+      let sysParmId = "summary_check_default_summay_modifiable"
+      try {
+        let sysParm = await postapi('/api/app/SysParmValue/GetSysParmValueBySysParmId', { sysParmId })
+        this.summary_check_default_summay_modifiable = sysParm.data.toUpperCase()
+        // console.log('dictInit this.summary_check_default_summay_modifiable',this.summary_check_default_summay_modifiable,sysParm.data.toUpperCase())
+      } catch (error) {
+        console.log('获取参数 summary_check_default_summay_modifiable 失败', error)
+      }
+
+    },
+
+    // 增加综述
+    addSummary() {
+      let id = String(new Date().getTime())
+      let pojo = {
+        id,
+        patientRegisterId: this.dataTransOpts.tableS.patient_register.id,
+        summaryTitle: '',
+        details: [{
+          id: 'detail' + id,
+          summaryContent: '',
+        }]
+      }
+
+      this.sumDoctorCheck.summaryList.push(pojo);
+      this.$nextTick(() => {
+        this.$refs[id].focus();
+      })
     },
 
     //增加建议
@@ -424,13 +482,13 @@ export default {
       this.diagnosisesChoosed = []
 
       this.diagnosises.forEach(e => {
-        if(this.disabledDiagnosisIds.indexOf(e.id) == -1){
-          if(this.choosedDiagnosisIds.indexOf(e.id) == -1){
-            if(this.diagnosisesFilter.length < 20) this.diagnosisesFilter.push(e)
-          }else{
+        if (this.disabledDiagnosisIds.indexOf(e.id) == -1) {
+          if (this.choosedDiagnosisIds.indexOf(e.id) == -1) {
+            if (this.diagnosisesFilter.length < 20) this.diagnosisesFilter.push(e)
+          } else {
             this.diagnosisesChoosed.push(e)
           }
-        }        
+        }
       });
       this.diagnosisesFilter = this.diagnosisesFilter.concat(this.diagnosisesChoosed)
       this.dialogDiagnosises = true
@@ -441,16 +499,16 @@ export default {
       if (keyWords) {
         let diagnosisesFilter = []
         this.diagnosises.forEach(e => {
-          if(this.disabledDiagnosisIds.indexOf(e.id) == -1){
-            if(this.choosedDiagnosisIds.indexOf(e.id) == -1){
-              if(e.displayName.toLowerCase().indexOf(keyWords.toLowerCase()) > - 1 || e.simpleCode.toLowerCase().indexOf(keyWords.toLowerCase()) > - 1){
-                if(diagnosisesFilter.length < 20) diagnosisesFilter.push(e)
+          if (this.disabledDiagnosisIds.indexOf(e.id) == -1) {
+            if (this.choosedDiagnosisIds.indexOf(e.id) == -1) {
+              if (e.displayName.toLowerCase().indexOf(keyWords.toLowerCase()) > - 1 || e.simpleCode.toLowerCase().indexOf(keyWords.toLowerCase()) > - 1) {
+                if (diagnosisesFilter.length < 20) diagnosisesFilter.push(e)
               }
             }
           }
         })
         this.diagnosisesFilter = diagnosisesFilter.concat(this.diagnosisesChoosed)
-      }      
+      }
     },
 
     btnOkDiagnosis() {
@@ -596,7 +654,20 @@ export default {
       // '人员已锁定，不可执行此操作'
       if (patientRegister.isLock && patientRegister.isLock == 'Y') return ret
 
-      if (btnType && btnType == 'collapse') ret = false
+      // console.log('btnType', btnType, this.summary_check_default_summay_modifiable)
+
+      switch (btnType) {
+        case 'collapse':
+          return false;
+        case 'addSummary':
+          if (patientRegister.completeFlag && patientRegister.completeFlag != '3' && this.summary_check_default_summay_modifiable == 'Y') {
+            return false;
+          } else {
+            return true;
+          }
+        default:
+          break;
+      }
 
       if (patientRegister.completeFlag && patientRegister.completeFlag != '3') ret = false
 
@@ -689,6 +760,19 @@ export default {
       })
     },
 
+    // 新增综述明细
+    addSum(index) {
+      let id = String(new Date().getTime())
+      this.sumDoctorCheck.summaryList[index]['details'].push({
+        id,
+        summaryContent: '',
+      })
+      this.$nextTick(() => {
+        this.$refs[id].focus();
+      })
+
+    },
+
     //增加建议明细
     addSug(index, contentType) {
       this.suggestionCurRow = index
@@ -716,6 +800,24 @@ export default {
       console.log('this.sumDoctorCheck.suggestionList', index, this.sumDoctorCheck.suggestionList)
     },
 
+    //删除建议头及明细
+    delSumHead(index) {
+      this.$confirm("此操作将删除该记录, 是否继续?", "提示", {
+        confirmButtonText: "是",
+        cancelButtonText: "否",
+        type: "warning",
+      }).then(() => {
+        //删除建议
+        this.sumDoctorCheck.summaryList.splice(index, 1)
+      }).catch((err) => {
+        if (err == 'cancel') {
+          console.log(`已取消 ${err}`)
+        } else {
+          this.$message.error(`操作失败 ${err}`)
+        }
+      });
+    },
+
     //删除建议头及明细
     delSugHead(index) {
       this.$confirm("此操作将删除该记录, 是否继续?", "提示", {
@@ -734,7 +836,9 @@ export default {
       });
     },
 
-    //删除建议明细
+
+
+    //删除/综述建议明细
     delSug(details, indexD) {
       this.$confirm("此操作将删除该记录, 是否继续?", "提示", {
         confirmButtonText: "是",
@@ -750,8 +854,8 @@ export default {
           this.$message.error(`操作失败 ${err}`)
         }
       });
-
     },
+
     //选择组合项目
     rowClick(row) {
       console.log('rowClick row', row)
@@ -875,7 +979,7 @@ export default {
       this.rowClickSug(row, 2)
     },
 
-    rowClickSug(row, contentType) {      
+    rowClickSug(row, contentType) {
       let lcontentType = 'healthGuidances'
       switch (contentType) {
         case 0:
@@ -897,7 +1001,7 @@ export default {
 
     //建议明细拖拽
     rowDropSugDetail(contentType, id) {
-      this.$nextTick(() => {        
+      this.$nextTick(() => {
         const fEl = document.getElementById(`${contentType}_sug${id}`)  // document.querySelector(`#${id} tbody`) querySelector为静态方法不支持动态传参;
         console.log('rowDropSumDetail tbody', fEl, fEl.children) //el.childNodes,el.children
         const el = this.findEl(fEl, 'TBODY')