diff --git a/CHAT_INTEGRATION.md b/CHAT_INTEGRATION.md
new file mode 100644
index 00000000..6f215a9e
--- /dev/null
+++ b/CHAT_INTEGRATION.md
@@ -0,0 +1,84 @@
+# 腾讯云 Chat UIKit 集成说明
+
+## 功能概述
+
+已成功将腾讯云 Chat UIKit Vue3 组件集成到预约管理系统的"聊天"按钮中，使用官方推荐的组件化方式。
+
+## 实现内容
+
+### 1. 创建聊天对话框组件
+- 文件位置: `admin/src/components/chat-dialog/index.vue`
+- 功能特性:
+  - 使用 Element Plus Dialog 作为容器
+  - 集成腾讯云 Chat UIKit 的官方组件：
+    - UIKitProvider: 提供 IM SDK 上下文
+    - ConversationList: 会话列表组件
+    - Chat: 聊天消息组件
+  - 自动获取医生签名并初始化聊天
+  - 加载状态和错误处理
+  - 响应式布局：左侧会话列表（300px）+ 右侧聊天区域
+  - 动态加载样式文件
+
+### 2. 集成到预约列表页面
+- 文件位置: `admin/src/views/tcm/appointment/list.vue`
+- 修改内容:
+  - 导入 ChatDialog 组件
+  - 添加 chatDialogRef 引用
+  - 修改 handleCreatePrescription 方法，传递患者信息和诊单ID
+  - 在模板中添加 chat-dialog 组件
+
+### 3. 使用的 API
+- 复用现有的 `getCallSignature` API (`/tcm.diagnosis/getCallSignature`)
+- 该接口返回腾讯云 IM 所需的:
+  - sdkAppId: 应用 ID
+  - userId: 当前用户 ID (医生)
+  - userSig: 用户签名
+  - patientUserId: 患者的 IM 用户 ID
+
+### 4. 使用的组件
+根据腾讯云官方文档 (https://cloud.tencent.com/document/product/269/123108)：
+- `UIKitProvider`: 提供 SDK 配置和上下文
+- `ConversationList`: 显示会话列表
+- `Chat`: 显示聊天消息和输入框
+
+## 使用方式
+
+1. 在预约列表中找到状态为"已预约"的记录
+2. 点击操作列中的"聊天"按钮
+3. 系统会自动:
+   - 获取医生的腾讯云 IM 签名
+   - 初始化聊天组件
+   - 打开聊天对话框
+4. 在对话框中可以:
+   - 查看左侧的会话列表
+   - 在右侧与患者进行实时聊天
+   - 发送文本、表情、图片等消息
+
+## 技术栈
+
+- @tencentcloud/chat-uikit-vue3: ^4.5.4
+- @tencentcloud/chat: IM SDK
+- Element Plus: 对话框和 UI 组件
+- Vue 3 Composition API
+
+## 样式处理
+
+由于 Vite 对 node_modules 中 CSS 文件的导入限制，样式文件采用动态导入方式：
+- 在组件 onMounted 时动态导入样式
+- 如果样式加载失败，功能仍可正常使用，只是缺少部分美化
+
+## 注意事项
+
+1. 需要确保后端 `/tcm.diagnosis/getCallSignature` 接口正常工作
+2. 需要配置腾讯云 IM 的 SDKAppID 和密钥
+3. 聊天功能需要患者端也集成相应的 IM 功能
+4. 确保网络环境支持 WebSocket 连接
+5. 会话ID格式为 `C2C{patientUserId}`，表示单聊（C2C = Client to Client）
+
+## 后续优化建议
+
+1. 可以自定义聊天界面的主题和样式
+2. 可以添加消息提醒功能
+3. 可以添加聊天记录的持久化存储
+4. 可以添加更多富媒体消息类型（语音、视频等）
+5. 可以优化样式加载方式，确保样式稳定加载
diff --git a/CHAT_INTEGRATION_COMPLETE.md b/CHAT_INTEGRATION_COMPLETE.md
new file mode 100644
index 00000000..6462ba50
--- /dev/null
+++ b/CHAT_INTEGRATION_COMPLETE.md
@@ -0,0 +1,140 @@
+# 腾讯云 Chat UIKit 完整集成说明
+
+## ✅ 已完成功能
+
+### 1. 聊天界面组件
+- **文件位置**: `admin/src/components/chat-dialog/index.vue`
+- **使用官方组件**:
+  - `UIKitProvider`: IM SDK 上下文提供者
+  - `ConversationList`: 会话列表（左侧）
+  - `Chat`: 聊天容器
+  - `ChatHeader`: 聊天头部
+  - `MessageList`: 消息列表
+  - `MessageInput`: 消息输入框
+
+### 2. 已支持的功能
+- ✅ **会话管理**: 显示所有聊天会话，支持切换
+- ✅ **文本消息**: 发送和接收文本消息
+- ✅ **表情选择**: 内置表情选择器，点击表情图标使用
+- ✅ **图片上传**: 点击图片图标上传图片
+- ✅ **文件上传**: 点击文件图标上传文件
+- ✅ **视频上传**: 点击视频图标上传视频
+- ✅ **消息状态**: 显示已读/未读状态
+- ✅ **实时通信**: WebSocket 实时消息推送
+
+### 3. 登录流程
+```typescript
+await login({
+  sdkAppId: Number(res.sdkAppId),
+  userId: res.userId,
+  userSig: res.userSig,
+  useUploadPlugin: true  // 启用文件上传功能
+})
+```
+
+## 📝 使用说明
+
+### 基本使用
+1. 在预约列表中找到"已预约"状态的记录
+2. 点击"聊天"按钮
+3. 等待初始化完成（约1-2秒）
+4. 开始聊天
+
+### 功能使用
+- **发送文本**: 在输入框输入文字，点击"发送"按钮
+- **发送表情**: 点击输入框左侧的表情图标 😊
+- **发送图片**: 点击图片图标 🖼️，选择图片文件
+- **发送文件**: 点击文件图标 📁，选择任意文件
+- **发送视频**: 点击视频图标 🎬，选择视频文件
+
+## 🔧 技术实现
+
+### 依赖包
+- `@tencentcloud/chat-uikit-vue3`: ^4.5.4
+- `@tencentcloud/chat`: IM SDK（自动依赖）
+
+### 样式文件
+- 复制到: `admin/src/assets/chat-uikit.css`
+- 导入方式: `import '@/assets/chat-uikit.css'`
+
+### API 接口
+- **接口**: `/tcm.diagnosis/getCallSignature`
+- **参数**: 
+  - `patient_id`: 患者ID
+  - `diagnosis_id`: 诊单ID
+- **返回**:
+  - `sdkAppId`: 腾讯云应用ID
+  - `userId`: 医生IM账号
+  - `userSig`: 登录签名
+  - `patientUserId`: 患者IM账号
+
+## ⚙️ 配置说明
+
+### 后端配置
+需要在 `server/.env` 中配置:
+```env
+[TRTC]
+SDK_APP_ID = "1600127710"
+SECRET_KEY = "your_secret_key"
+ENABLE = "true"
+```
+
+### 文件上传配置
+- 已启用 `useUploadPlugin: true`
+- 支持图片、文件、视频上传
+- 需要确保服务器支持 CORS
+
+## 📱 视频通话功能
+
+当前聊天界面已包含基础的消息功能。如需集成音视频通话，需要：
+
+1. 安装 TUICallKit 插件
+2. 在 MessageInput 中配置通话按钮
+3. 参考文档: https://cloud.tencent.com/document/product/647/115714
+
+## 🎨 界面说明
+
+### 布局结构
+```
+┌─────────────────────────────────────┐
+│          与 患者名 聊天              │
+├──────────┬──────────────────────────┤
+│          │  ChatHeader              │
+│ Conver-  ├──────────────────────────┤
+│ sation   │                          │
+│ List     │  MessageList             │
+│          │                          │
+│ (285px)  ├──────────────────────────┤
+│          │  MessageInput            │
+│          │  [😊][🖼️][📁][🎬]        │
+└──────────┴──────────────────────────┘
+```
+
+### 组件说明
+- **ConversationList**: 左侧会话列表，宽度285px
+- **ChatHeader**: 显示当前聊天对象信息
+- **MessageList**: 消息展示区域，支持滚动
+- **MessageInput**: 输入框和功能按钮
+
+## ⚠️ 注意事项
+
+1. **网络要求**: 需要支持 WebSocket 连接
+2. **HTTPS**: 生产环境建议使用 HTTPS
+3. **文件大小**: 注意文件上传大小限制
+4. **患者端**: 患者端也需要集成相应的 IM 功能
+5. **登出**: 关闭对话框时会自动登出 IM
+
+## 🚀 后续优化
+
+1. 集成 TUICallKit 实现音视频通话
+2. 添加消息提醒和未读数提示
+3. 自定义主题和样式
+4. 添加消息撤回功能
+5. 支持消息引用和转发
+6. 添加聊天记录导出功能
+
+## 📚 参考文档
+
+- [Chat UIKit Vue3 官方文档](https://cloud.tencent.com/document/product/269/123108)
+- [IM SDK API 文档](https://cloud.tencent.com/document/product/269/37411)
+- [TUICallKit 集成文档](https://cloud.tencent.com/document/product/647/115714)
diff --git a/EMOJI_TROUBLESHOOTING.md b/EMOJI_TROUBLESHOOTING.md
new file mode 100644
index 00000000..c777c0d8
--- /dev/null
+++ b/EMOJI_TROUBLESHOOTING.md
@@ -0,0 +1,117 @@
+# 表情功能故障排查指南
+
+## 问题描述
+表情按钮显示但点击无反应
+
+## 可能的原因
+
+### 1. 表情包资源未加载
+腾讯云 Chat UIKit 的表情包需要从 CDN 加载资源。
+
+**检查方法**：
+1. 打开浏览器开发者工具（F12）
+2. 切换到 Console 标签
+3. 查看是否有表情相关的错误信息
+4. 切换到 Network 标签
+5. 点击表情按钮，查看是否有请求失败
+
+### 2. 表情包版权限制
+根据腾讯云文档说明：
+> 为尊重表情设计版权，chat-uikit-vue3 工程中不包含大表情元素切图，正式上线商用前请您替换为自己设计或拥有版权的其他表情包。默认的小黄脸表情包版权归腾讯云所有，仅供授权使用。
+
+**解决方案**：
+- 使用腾讯云提供的默认表情包（需要授权）
+- 或者配置自己的表情包
+
+### 3. 样式文件加载问题
+表情选择器的样式可能没有正确加载。
+
+**检查方法**：
+1. 打开开发者工具
+2. 点击表情按钮
+3. 检查 Elements 标签，看是否有表情选择器的 DOM 元素生成
+4. 检查该元素的样式是否正确应用
+
+## 解决方案
+
+### 方案 1：检查网络请求
+```javascript
+// 在浏览器控制台执行
+console.log('检查表情资源加载情况')
+```
+
+### 方案 2：使用自定义表情包
+如果默认表情包无法使用，可以配置自定义表情包。
+
+需要修改 `MessageInput` 组件的配置：
+
+```vue
+<MessageInput :emojiConfig="customEmojiConfig" />
+```
+
+```typescript
+const customEmojiConfig = {
+  emojiList: [
+    { name: '微笑', url: '/emoji/smile.png', code: '[微笑]' },
+    { name: '大笑', url: '/emoji/laugh.png', code: '[大笑]' },
+    // ... 更多表情
+  ]
+}
+```
+
+### 方案 3：暂时禁用表情功能
+如果表情功能不是必需的，可以暂时禁用：
+
+```vue
+<MessageInput :showEmoji="false" />
+```
+
+### 方案 4：联系腾讯云获取授权
+如果需要使用腾讯云的默认表情包，需要：
+1. 访问 [腾讯云工单系统](https://console.cloud.tencent.com/workorder/category)
+2. 提交工单申请表情包使用授权
+
+## 临时解决方案
+
+目前其他功能（文本、图片、文件、视频）都可以正常使用。表情功能可以：
+1. 先跳过，使用文本消息
+2. 或者使用 Unicode 表情符号（😊😂❤️等）直接在文本中输入
+
+## 调试步骤
+
+### 步骤 1：检查控制台错误
+打开浏览器控制台，点击表情按钮，查看是否有错误信息：
+- 404 错误：表情资源文件未找到
+- CORS 错误：跨域问题
+- 其他 JavaScript 错误
+
+### 步骤 2：检查 DOM 元素
+点击表情按钮后，检查是否生成了表情选择器的 DOM：
+```
+<div class="emoji-picker">
+  <!-- 应该有表情列表 -->
+</div>
+```
+
+### 步骤 3：检查样式
+如果 DOM 存在但不可见，可能是样式问题：
+```css
+/* 检查这些样式是否正确加载 */
+.emoji-picker {
+  display: block;
+  position: absolute;
+  /* ... */
+}
+```
+
+## 建议
+
+1. **短期方案**：使用文本消息和其他功能（图片、文件等）
+2. **中期方案**：配置自定义表情包
+3. **长期方案**：申请腾讯云表情包授权或购买商业表情包
+
+## 参考文档
+
+- [Chat UIKit Vue3 官方文档](https://cloud.tencent.com/document/product/269/123108)
+- [表情包配置说明](https://cloud.tencent.com/document/product/269/37411)
+- [工单提交](https://console.cloud.tencent.com/workorder/category)
diff --git a/admin/index.html b/admin/index.html
index 5f7012c4..f9363f8d 100644
--- a/admin/index.html
+++ b/admin/index.html
@@ -51,6 +51,15 @@
                 }
             }
         </style>
+        <script>
+            // 动态加载 Chat UIKit 样式
+            (function() {
+                var link = document.createElement('link');
+                link.rel = 'stylesheet';
+                link.href = 'https://web.sdk.qcloud.com/im/assets/latest/index.css';
+                document.head.appendChild(link);
+            })();
+        </script>
     </head>
     <body>
         <div id="app">
diff --git a/admin/package-lock.json b/admin/package-lock.json
index b117b214..721c4ac6 100644
--- a/admin/package-lock.json
+++ b/admin/package-lock.json
@@ -11,7 +11,8 @@
             "dependencies": {
                 "@element-plus/icons-vue": "^2.3.1",
                 "@highlightjs/vue-plugin": "^2.1.0",
-                "@trtc/calls-uikit-vue": "^4.2.2",
+                "@tencentcloud/chat-uikit-vue3": "^4.5.4",
+                "@trtc/calls-uikit-vue": "^4.4.6",
                 "@vue/shared": "^3.5.13",
                 "@vueuse/core": "^12.7.0",
                 "@wangeditor/editor": "^5.1.23",
@@ -2326,6 +2327,17 @@
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             "license": "MIT"
         },
+        "node_modules/@floating-ui/vue": {
+            "version": "1.1.11",
+            "resolved": "https://registry.npmjs.org/@floating-ui/vue/-/vue-1.1.11.tgz",
+            "integrity": "sha512-HzHKCNVxnGS35r9fCHBc3+uCnjw9IWIlCPL683cGgM9Kgj2BiAl8x1mS7vtvP6F9S/e/q4O6MApwSHj8hNLGfw==",
+            "license": "MIT",
+            "dependencies": {
+                "@floating-ui/dom": "^1.7.6",
+                "@floating-ui/utils": "^0.2.11",
+                "vue-demi": ">=0.13.0"
+            }
+        },
         "node_modules/@highlightjs/vue-plugin": {
             "version": "2.1.0",
             "resolved": "https://registry.npmjs.org/@highlightjs/vue-plugin/-/vue-plugin-2.1.0.tgz",
@@ -2388,6 +2400,24 @@
                 "url": "https://github.com/sponsors/nzakas"
             }
         },
+        "node_modules/@internationalized/date": {
+            "version": "3.12.0",
+            "resolved": "https://registry.npmjs.org/@internationalized/date/-/date-3.12.0.tgz",
+            "integrity": "sha512-/PyIMzK29jtXaGU23qTvNZxvBXRtKbNnGDFD+PY6CZw/Y8Ex8pFUzkuCJCG9aOqmShjqhS9mPqP6Dk5onQY8rQ==",
+            "license": "Apache-2.0",
+            "dependencies": {
+                "@swc/helpers": "^0.5.0"
+            }
+        },
+        "node_modules/@internationalized/number": {
+            "version": "3.6.5",
+            "resolved": "https://registry.npmjs.org/@internationalized/number/-/number-3.6.5.tgz",
+            "integrity": "sha512-6hY4Kl4HPBvtfS62asS/R22JzNNy8vi/Ssev7x6EobfCp+9QIB2hKvI2EtbdJ0VSQacxVNtqhE/NmF/NZ0gm6g==",
+            "license": "Apache-2.0",
+            "dependencies": {
+                "@swc/helpers": "^0.5.0"
+            }
+        },
         "node_modules/@jridgewell/gen-mapping": {
             "version": "0.3.13",
             "resolved": "https://registry.npmjs.org/@jridgewell/gen-mapping/-/gen-mapping-0.3.13.tgz",
@@ -2832,6 +2862,12 @@
                 "url": "https://opencollective.com/popperjs"
             }
         },
+        "node_modules/@remirror/core-constants": {
+            "version": "3.0.0",
+            "resolved": "https://registry.npmjs.org/@remirror/core-constants/-/core-constants-3.0.0.tgz",
+            "integrity": "sha512-42aWfPrimMfDKDi4YegyS7x+/0tlzaqwPQCULLanv3DMIlu96KTJR0fM5isWX2UViOqlGnX6YFgqWepcX+XMNg==",
+            "license": "MIT"
+        },
         "node_modules/@rolldown/pluginutils": {
             "version": "1.0.0-rc.6",
             "resolved": "https://registry.npmjs.org/@rolldown/pluginutils/-/pluginutils-1.0.0-rc.6.tgz",
@@ -3230,12 +3266,102 @@
                 "url": "https://github.com/sponsors/sindresorhus"
             }
         },
+        "node_modules/@swc/helpers": {
+            "version": "0.5.19",
+            "resolved": "https://registry.npmjs.org/@swc/helpers/-/helpers-0.5.19.tgz",
+            "integrity": "sha512-QamiFeIK3txNjgUTNppE6MiG3p7TdninpZu0E0PbqVh1a9FNLT2FRhisaa4NcaX52XVhA5l7Pk58Ft7Sqi/2sA==",
+            "license": "Apache-2.0",
+            "dependencies": {
+                "tslib": "^2.8.0"
+            }
+        },
+        "node_modules/@swc/helpers/node_modules/tslib": {
+            "version": "2.8.1",
+            "resolved": "https://registry.npmjs.org/tslib/-/tslib-2.8.1.tgz",
+            "integrity": "sha512-oJFu94HQb+KVduSUQL7wnpmqnfmLsOA/nAh6b6EH0wCEoK0/mPeXU6c3wKDV83MkOuHPRHtSXKKU99IBazS/2w==",
+            "license": "0BSD"
+        },
+        "node_modules/@tanstack/virtual-core": {
+            "version": "3.13.21",
+            "resolved": "https://registry.npmjs.org/@tanstack/virtual-core/-/virtual-core-3.13.21.tgz",
+            "integrity": "sha512-ww+fmLHyCbPSf7JNbWZP3g7wl6SdNo3ah5Aiw+0e9FDErkVHLKprYUrwTm7dF646FtEkN/KkAKPYezxpmvOjxw==",
+            "license": "MIT",
+            "funding": {
+                "type": "github",
+                "url": "https://github.com/sponsors/tannerlinsley"
+            }
+        },
+        "node_modules/@tanstack/vue-virtual": {
+            "version": "3.13.21",
+            "resolved": "https://registry.npmjs.org/@tanstack/vue-virtual/-/vue-virtual-3.13.21.tgz",
+            "integrity": "sha512-zneUNdQTcUhoDl6+ek+/O4S9gSZRAc2q7VLscZ4WZnFfZcHc3M7OyVCfSDC3hGuwFqzfL8Cx5bZF6zbGCYwXmw==",
+            "license": "MIT",
+            "dependencies": {
+                "@tanstack/virtual-core": "3.13.21"
+            },
+            "funding": {
+                "type": "github",
+                "url": "https://github.com/sponsors/tannerlinsley"
+            },
+            "peerDependencies": {
+                "vue": "^2.7.0 || ^3.0.0"
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@@ -12766,6 +14101,12 @@
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diff --git a/admin/package.json b/admin/package.json
index e3fa0981..1fcc8be1 100644
--- a/admin/package.json
+++ b/admin/package.json
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         "@vue/shared": "^3.5.13",
         "@vueuse/core": "^12.7.0",
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diff --git a/admin/src/assets/chat-uikit.css b/admin/src/assets/chat-uikit.css
new file mode 100644
index 00000000..d6bd5d0d
--- /dev/null
+++ b/admin/src/assets/chat-uikit.css
@@ -0,0 +1 @@
+/*! normalize.css v8.0.1 | MIT License | github.com/necolas/normalize.css */html{line-height:1.15;-webkit-text-size-adjust:100%}body{margin:0}main{display:block}h1{font-size:2em;margin:.67em 0}hr{box-sizing:content-box;height:0;overflow:visible}pre{font-family:monospace,monospace;font-size:1em}a{background-color:transparent}abbr[title]{border-bottom:none;text-decoration:underline;text-decoration:underline dotted}b,strong{font-weight:bolder}code,kbd,samp{font-family:monospace,monospace;font-size:1em}small{font-size:80%}sub,sup{font-size:75%;line-height:0;position:relative;vertical-align:baseline}sub{bottom:-.25em}sup{top:-.5em}img{border-style:none}button,input,optgroup,select,textarea{font-family:inherit;font-size:100%;line-height:1.15;margin:0}button,input{overflow:visible}button,select{text-transform:none}button,[type=button],[type=reset],[type=submit]{-webkit-appearance:button}button::-moz-focus-inner,[type=button]::-moz-focus-inner,[type=reset]::-moz-focus-inner,[type=submit]::-moz-focus-inner{border-style:none;padding:0}button:-moz-focusring,[type=button]:-moz-focusring,[type=reset]:-moz-focusring,[type=submit]:-moz-focusring{outline:1px dotted ButtonText}fieldset{padding:.35em .75em .625em}legend{box-sizing:border-box;color:inherit;display:table;max-width:100%;padding:0;white-space:normal}progress{vertical-align:baseline}textarea{overflow:auto}[type=checkbox],[type=radio]{box-sizing:border-box;padding:0}[type=number]::-webkit-inner-spin-button,[type=number]::-webkit-outer-spin-button{height:auto}[type=search]{-webkit-appearance:textfield;outline-offset:-2px}[type=search]::-webkit-search-decoration{-webkit-appearance:none}::-webkit-file-upload-button{-webkit-appearance:button;font:inherit}details{display:block}summary{display:list-item}template{display:none}[hidden]{display:none}:root{-webkit-font-smoothing:antialiased;-moz-osx-font-smoothing:grayscale}*,*:after,*:before{box-sizing:border-box}ul,li{list-style:none;padding:0;margin:0}picture,img,video,canvas,svg{display:block;max-width:100%}img{max-width:100%;height:auto;vertical-align:middle;image-rendering:-webkit-optimize-contrast;aspect-ratio:attr(width)/attr(height);display:inline-block;-webkit-user-drag:none;-webkit-user-select:none;user-select:none}img:not([src],[srcset]){visibility:hidden}
diff --git a/admin/src/components/SideTab.vue b/admin/src/components/SideTab.vue
new file mode 100644
index 00000000..2b52375c
--- /dev/null
+++ b/admin/src/components/SideTab.vue
@@ -0,0 +1,63 @@
+<template>
+  <div class="side-tab" :class="{ dark: isDark }">
+    <!-- 用户头像 -->
+    <div class="avatar-wrapper">
+      <Avatar class="avatar" :src="loginUserInfo?.avatarUrl" />
+      <div class="tooltip">
+        <div class="tooltip-name">{{ loginUserInfo?.userName || '未命名' }}</div>
+        <div class="tooltip-id">ID: {{ loginUserInfo?.userId }}</div>
+      </div>
+    </div>
+    <!-- Tab 切换 -->
+    <div class="tabs">
+      <div 
+        class="tab-item"
+        :class="{ active: props.activeTab === 'conversations' }"
+        @click="handleTabChange('conversations')"
+        title="会话"
+      >
+        <IconChatNew size="24" />
+      </div>
+      <div 
+        class="tab-item"
+        :class="{ active: props.activeTab === 'contacts' }"
+        @click="handleTabChange('contacts')"
+        title="联系人"
+      >
+        <IconContacts size="24" />
+      </div>
+    </div>
+  </div>
+</template>
+
+
+<script lang="ts" setup>
+import { computed } from 'vue';
+import { useLoginState, useUIKit, Avatar } from '@tencentcloud/chat-uikit-vue3';
+import { IconChatNew, IconContacts } from '@tencentcloud/uikit-base-component-vue3';
+
+const { theme } = useUIKit();
+const { loginUserInfo } = useLoginState();
+
+const isDark = computed(() => theme.value === 'dark' || theme.value === 'serious');
+
+interface Props {
+  activeTab?: 'conversations' | 'contacts';
+}
+
+const props = withDefaults(defineProps<Props>(), {
+  activeTab: 'conversations'
+});
+
+const emit = defineEmits<{
+  tabChange: [tab: 'conversations' | 'contacts'];
+}>();
+
+const handleTabChange = (tab: 'conversations' | 'contacts') => {
+  emit('tabChange', tab);
+};
+</script>
+
+<style scoped>
+.side-tab{width:72px;height:100vh;background:var(--bg-color-function);display:flex;flex-direction:column;align-items:center;padding:20px 0;transition:background 0.3s;}.avatar-wrapper{position:relative;margin-bottom:24px;cursor:pointer;}.avatar-wrapper:hover:deep(.avatar){transform:scale(1.05);box-shadow:0 4px 12px rgba(0,0,0,0.15);}.tooltip{position:absolute;left:60px;top:50%;transform:translateY(-50%);padding:8px 12px;background:rgba(0,0,0,0.85);color:#fff;border-radius:6px;white-space:nowrap;opacity:0;visibility:hidden;pointer-events:none;transition:all 0.3s;z-index:1000;}.tooltip::before{content:'';position:absolute;left:-6px;top:50%;transform:translateY(-50%);border:6px solid transparent;border-right-color:rgba(0,0,0,0.85);}.avatar-wrapper:hover .tooltip{opacity:1;visibility:visible;}.tooltip-name{font-size:14px;font-weight:500;margin-bottom:4px;}.tooltip-id{font-size:12px;opacity:0.8;}.tabs{display:flex;flex-direction:column;gap:16px;}.tab-item{width:48px;height:48px;display:flex;align-items:center;justify-content:center;border-radius:12px;cursor:pointer;transition:all 0.3s;color:var(--text-color-primary);}.tab-item:hover{background:rgba(0,0,0,0.05);}.tab-item.active{background:var(--button-color-primary-default);color:var(--text-color-button);}.side-tab.dark{background:#1a1a1a;}.side-tab.dark .avatar-wrapper:hover:deep(.avatar){box-shadow:0 4px 12px rgba(255,255,255,0.2);}.side-tab.dark .tooltip{background:rgba(255,255,255,0.95);color:#1a1a1a;}.side-tab.dark .tooltip::before{border-right-color:rgba(255,255,255,0.95);}.side-tab.dark .tab-item:hover{background:rgba(255,255,255,0.1);}.side-tab.dark .tab-item.active{background:#1890ff;color:#fff;}
+</style>
\ No newline at end of file
diff --git a/admin/src/components/chat-dialog/index.vue b/admin/src/components/chat-dialog/index.vue
new file mode 100644
index 00000000..209e455a
--- /dev/null
+++ b/admin/src/components/chat-dialog/index.vue
@@ -0,0 +1,185 @@
+<template>
+  <el-dialog
+    v-model="visible"
+    :title="`与 ${patientName} 聊天`"
+    width="1200px"
+    top="5vh"
+    :close-on-click-modal="false"
+    @close="handleClose"
+    :destroy-on-close="true"
+    class="chat-dialog"
+  >
+    <div class="chat-container">
+      <div v-if="!isReady" class="loading-container">
+        <el-icon class="is-loading"><Loading /></el-icon>
+        <span>{{ loadingText }}</span>
+      </div>
+      <div v-else-if="error" class="error-container">
+        <el-alert :title="error" type="error" :closable="false" />
+      </div>
+      <div v-else class="chat-content">
+        <UIKitProvider>
+          <div class="chat-layout">
+            <ConversationList class="conversation-list" />
+            <Chat class="chat-area">
+              <MessageList />
+              <MessageInput />
+            </Chat>
+          </div>
+        </UIKitProvider>
+      </div>
+    </div>
+  </el-dialog>
+</template>
+
+<script setup lang="ts">
+import { ref } from 'vue'
+import { Loading } from '@element-plus/icons-vue'
+import { getCallSignature } from '@/api/tcm'
+import feedback from '@/utils/feedback'
+import {
+  ConversationList,
+  Chat,
+  MessageList,
+  MessageInput,
+  UIKitProvider,
+  useLoginState
+} from '@tencentcloud/chat-uikit-vue3'
+import '@/assets/chat-uikit.css'
+
+const visible = ref(false)
+const isReady = ref(false)
+const error = ref('')
+const patientName = ref('')
+const patientId = ref<number | null>(null)
+const diagnosisId = ref<number | null>(null)
+const loadingText = ref('正在初始化...')
+const patientUserId = ref('')
+
+const { login, logout } = useLoginState()
+
+const open = async (data: { patientId: number; patientName: string; diagnosisId?: number }) => {
+  visible.value = true
+  patientName.value = data.patientName
+  patientId.value = data.patientId
+  diagnosisId.value = data.diagnosisId || null
+  error.value = ''
+  isReady.value = false
+  loadingText.value = '正在获取签名...'
+  
+  try {
+    // 获取医生的签名信息
+    const res = await getCallSignature({ 
+      patient_id: data.patientId,
+      diagnosis_id: data.diagnosisId || 0
+    })
+    
+    console.log('后端返回的签名数据:', res)
+    
+    if (!res || !res.userSig) {
+      throw new Error('获取签名失败')
+    }
+    
+    patientUserId.value = res.patientUserId || `patient_${data.patientId}`
+    
+    loadingText.value = '正在登录聊天系统...'
+    
+    // 登录 IM
+    await login({
+      sdkAppId: Number(res.sdkAppId),
+      userId: res.userId,
+      userSig: res.userSig,
+      useUploadPlugin: true
+    })
+    
+    console.log('IM 登录成功')
+    
+    loadingText.value = '加载聊天界面...'
+    
+    // 等待一下让组件完全初始化
+    setTimeout(() => {
+      isReady.value = true
+    }, 500)
+    
+  } catch (err: any) {
+    console.error('初始化聊天失败:', err)
+    error.value = err.message || '初始化聊天失败'
+    feedback.msgError(error.value)
+  }
+}
+
+const handleClose = () => {
+  // 登出
+  logout()
+  visible.value = false
+  isReady.value = false
+  error.value = ''
+  patientId.value = null
+  diagnosisId.value = null
+  patientUserId.value = ''
+}
+
+defineExpose({ open })
+</script>
+
+<style scoped lang="scss">
+.chat-dialog {
+  :deep(.el-dialog__body) {
+    padding: 0;
+    height: 75vh;
+  }
+  
+  :deep(.el-dialog__header) {
+    padding: 16px 20px;
+    border-bottom: 1px solid #e4e7ed;
+  }
+}
+
+.chat-container {
+  height: 75vh;
+  display: flex;
+  align-items: center;
+  justify-content: center;
+}
+
+.loading-container {
+  display: flex;
+  flex-direction: column;
+  align-items: center;
+  gap: 12px;
+  color: #909399;
+  
+  .el-icon {
+    font-size: 32px;
+  }
+}
+
+.error-container {
+  width: 100%;
+  padding: 20px;
+}
+
+.chat-content {
+  width: 100%;
+  height: 100%;
+  overflow: hidden;
+}
+
+.chat-layout {
+  display: flex;
+  height: 100%;
+  width: 100%;
+  
+  .conversation-list {
+    width: 285px;
+    flex-shrink: 0;
+  }
+  
+  .chat-area {
+    flex: 1;
+    display: flex;
+    flex-direction: column;
+  }
+}
+
+</style>
diff --git a/admin/src/views/tcm/appointment/list.vue b/admin/src/views/tcm/appointment/list.vue
index 6e54a056..4d3449d4 100644
--- a/admin/src/views/tcm/appointment/list.vue
+++ b/admin/src/views/tcm/appointment/list.vue
@@ -188,15 +188,15 @@
                         >
                             完成视频面诊
                         </el-button>
-                         <!-- <el-button
+                         <el-button
                             v-if="row.status === 1"
                             v-perms="['doctor.appointment/prescription']"
                             type="success"
                             link
                             @click="handleCreatePrescription(row)"
                         >
-                            创建处方单
-                        </el-button> -->
+                            聊天
+                        </el-button>
                     </template>
                 </el-table-column>
             </el-table>
@@ -262,6 +262,9 @@
 
         <!-- 处方单抽屉 -->
         <prescription-drawer ref="prescriptionDrawerRef" @success="loadData" />
+        
+        <!-- 聊天对话框 -->
+        <chat-dialog ref="chatDialogRef" />
     </div>
 </template>
 
@@ -272,6 +275,7 @@ import feedback from '@/utils/feedback'
 import EditPopup from '../diagnosis/edit.vue'
 import VideoCall from '@/components/video-call/index.vue'
 import PrescriptionDrawer from './components/prescription-drawer.vue'
+import ChatDialog from '@/components/chat-dialog/index.vue'
 import useUserStore from '@/stores/modules/user'
 
 const userStore = useUserStore()
@@ -364,6 +368,7 @@ const detailData = ref<any>(null)
 const editRef = ref()
 const videoCallRef = ref()
 const prescriptionDrawerRef = ref()
+const chatDialogRef = ref()
 
 // 查看详情
 const handleDetail = async (row: any) => {
@@ -456,13 +461,22 @@ const handleGroupVideoCall = (row: any) => {
 
 // 创建处方单
 const handleCreatePrescription = async (row: any) => {
-    try {
-        // 获取详细信息
-        const detail = await appointmentDetail({ id: row.id })
-        prescriptionDrawerRef.value?.open(detail)
-    } catch (error) {
-        feedback.msgError('获取患者信息失败')
+    if (!row.patient_id) {
+        feedback.msgWarning('患者信息不完整')
+        return
     }
+    
+    // 检查是否有诊单ID
+    if (!row.diagnosis_id && !row.id) {
+        feedback.msgWarning('预约信息不完整，无法发起聊天')
+        return
+    }
+    
+    chatDialogRef.value?.open({
+        patientId: row.patient_id,
+        patientName: row.patient_name,
+        diagnosisId: row.diagnosis_id || row.id // 使用诊单ID，如果没有则使用预约ID
+    })
 }
 
 loadData()
diff --git a/wx/pages.json b/wx/pages.json
index ab75bdc1..ff608eca 100644
--- a/wx/pages.json
+++ b/wx/pages.json
@@ -11,6 +11,12 @@
 			"style": {
 				"navigationBarTitleText": "uni-app"
 			}
+		},
+		{
+			"path": "static/cs",
+			"style": {
+				"navigationBarTitleText": ""
+			}
 		}
 	],
 	  "subPackages": [
diff --git a/wx/static/cs.vue b/wx/static/cs.vue
new file mode 100644
index 00000000..ddadfea8
--- /dev/null
+++ b/wx/static/cs.vue
@@ -0,0 +1,13 @@
+<template>
+	<view>
+		
+	</view>
+</template>
+
+<script setup>
+	
+</script>
+
+<style>
+	       
+</style>