diff --git a/src/api/business/user-comment-clinical-article/user-comment-clinical-article-api.js b/src/api/business/user-comment-clinical-article/user-comment-clinical-article-api.js
new file mode 100644
index 0000000..a980eb5
--- /dev/null
+++ b/src/api/business/user-comment-clinical-article/user-comment-clinical-article-api.js
@@ -0,0 +1,48 @@
+/**
+ * 用户评论-临床病例-文章 api 封装
+ *
+ * @Author:    xing
+ * @Date:      2025-08-12 09:11:31
+ * @Copyright  gdxz
+ */
+import { postRequest, getRequest } from '/@/lib/axios';
+
+export const userCommentClinicalArticleApi = {
+
+  /**
+   * 分页查询  @author  xing
+   */
+  queryPage : (param) => {
+    return postRequest('/userCommentClinicalArticle/queryPage', param);
+  },
+
+  /**
+   * 增加  @author  xing
+   */
+  add: (param) => {
+      return postRequest('/userCommentClinicalArticle/add', param);
+  },
+
+  /**
+   * 修改  @author  xing
+   */
+  update: (param) => {
+      return postRequest('/userCommentClinicalArticle/update', param);
+  },
+
+
+  /**
+   * 删除  @author  xing
+   */
+  delete: (id) => {
+      return getRequest(`/userCommentClinicalArticle/delete/${id}`);
+  },
+
+  /**
+   * 批量删除  @author  xing
+   */
+  batchDelete: (idList) => {
+      return postRequest('/userCommentClinicalArticle/batchDelete', idList);
+  },
+
+};
diff --git a/src/api/business/user-comment-clinical-video/user-comment-clinical-video-api.js b/src/api/business/user-comment-clinical-video/user-comment-clinical-video-api.js
new file mode 100644
index 0000000..d1e5992
--- /dev/null
+++ b/src/api/business/user-comment-clinical-video/user-comment-clinical-video-api.js
@@ -0,0 +1,48 @@
+/**
+ * 用户评论-临床病例-视频 api 封装
+ *
+ * @Author:    xing
+ * @Date:      2025-08-12 09:12:42
+ * @Copyright  gdxz
+ */
+import { postRequest, getRequest } from '/@/lib/axios';
+
+export const userCommentClinicalVideoApi = {
+
+  /**
+   * 分页查询  @author  xing
+   */
+  queryPage : (param) => {
+    return postRequest('/userCommentClinicalVideo/queryPage', param);
+  },
+
+  /**
+   * 增加  @author  xing
+   */
+  add: (param) => {
+      return postRequest('/userCommentClinicalVideo/add', param);
+  },
+
+  /**
+   * 修改  @author  xing
+   */
+  update: (param) => {
+      return postRequest('/userCommentClinicalVideo/update', param);
+  },
+
+
+  /**
+   * 删除  @author  xing
+   */
+  delete: (id) => {
+      return getRequest(`/userCommentClinicalVideo/delete/${id}`);
+  },
+
+  /**
+   * 批量删除  @author  xing
+   */
+  batchDelete: (idList) => {
+      return postRequest('/userCommentClinicalVideo/batchDelete', idList);
+  },
+
+};
diff --git a/src/api/business/user-comment-exchange/user-comment-exchange-api.js b/src/api/business/user-comment-exchange/user-comment-exchange-api.js
new file mode 100644
index 0000000..882471b
--- /dev/null
+++ b/src/api/business/user-comment-exchange/user-comment-exchange-api.js
@@ -0,0 +1,48 @@
+/**
+ * 用户评论-病例交流 api 封装
+ *
+ * @Author:    xing
+ * @Date:      2025-08-12 09:13:30
+ * @Copyright  gdxz
+ */
+import { postRequest, getRequest } from '/@/lib/axios';
+
+export const userCommentExchangeApi = {
+
+  /**
+   * 分页查询  @author  xing
+   */
+  queryPage : (param) => {
+    return postRequest('/userCommentExchange/queryPage', param);
+  },
+
+  /**
+   * 增加  @author  xing
+   */
+  add: (param) => {
+      return postRequest('/userCommentExchange/add', param);
+  },
+
+  /**
+   * 修改  @author  xing
+   */
+  update: (param) => {
+      return postRequest('/userCommentExchange/update', param);
+  },
+
+
+  /**
+   * 删除  @author  xing
+   */
+  delete: (id) => {
+      return getRequest(`/userCommentExchange/delete/${id}`);
+  },
+
+  /**
+   * 批量删除  @author  xing
+   */
+  batchDelete: (idList) => {
+      return postRequest('/userCommentExchange/batchDelete', idList);
+  },
+
+};
diff --git a/src/constants/business/user-comment-clinical-article/user-comment-clinical-article-const.js b/src/constants/business/user-comment-clinical-article/user-comment-clinical-article-const.js
new file mode 100644
index 0000000..d62ce56
--- /dev/null
+++ b/src/constants/business/user-comment-clinical-article/user-comment-clinical-article-const.js
@@ -0,0 +1,11 @@
+/**
+ * 用户评论-临床病例-文章 枚举
+ *
+ * @Author:    xing
+ * @Date:      2025-08-12 09:11:31
+ * @Copyright  gdxz
+ */
+
+
+export default {
+};
\ No newline at end of file
diff --git a/src/constants/business/user-comment-clinical-video/user-comment-clinical-video-const.js b/src/constants/business/user-comment-clinical-video/user-comment-clinical-video-const.js
new file mode 100644
index 0000000..d23f65e
--- /dev/null
+++ b/src/constants/business/user-comment-clinical-video/user-comment-clinical-video-const.js
@@ -0,0 +1,11 @@
+/**
+ * 用户评论-临床病例-视频 枚举
+ *
+ * @Author:    xing
+ * @Date:      2025-08-12 09:12:42
+ * @Copyright  gdxz
+ */
+
+
+export default {
+};
\ No newline at end of file
diff --git a/src/constants/business/user-comment-exchange/user-comment-exchange-const.js b/src/constants/business/user-comment-exchange/user-comment-exchange-const.js
new file mode 100644
index 0000000..352e2d6
--- /dev/null
+++ b/src/constants/business/user-comment-exchange/user-comment-exchange-const.js
@@ -0,0 +1,11 @@
+/**
+ * 用户评论-病例交流 枚举
+ *
+ * @Author:    xing
+ * @Date:      2025-08-12 09:13:30
+ * @Copyright  gdxz
+ */
+
+
+export default {
+};
\ No newline at end of file
diff --git a/src/views/business/case-exchange/case-exchange-list.vue b/src/views/business/case-exchange/case-exchange-list.vue
index 49cbcb7..ceb36dd 100644
--- a/src/views/business/case-exchange/case-exchange-list.vue
+++ b/src/views/business/case-exchange/case-exchange-list.vue
@@ -69,7 +69,13 @@
             :row-selection="{ selectedRowKeys: selectedRowKeyList, onChange: onSelectChange }"
         >
             <template #bodyCell="{ text, record, column }">
-                                <template v-if="column.dataIndex === 'exchangeStatus'">
+                <template v-if="column.dataIndex === 'exchangeTitle'">
+                  <div class="text-wrap">{{ text }}</div>
+                </template>
+                <template v-if="column.dataIndex === 'hospitalName'">
+                  <div class="text-wrap">{{ text }}</div>
+                </template>
+                <template v-if="column.dataIndex === 'exchangeStatus'">
                   <a-switch
                     :checked="text === 1"
                     @change="(checked) => onStatusChange(record, checked)"
@@ -238,7 +244,7 @@
             title: '操作',
             dataIndex: 'action',
             fixed: 'right',
-            width: 120,
+            width: 150,
         },
     ]);
 
diff --git a/src/views/business/user-comment-clinical-article/user-comment-clinical-article-form.vue b/src/views/business/user-comment-clinical-article/user-comment-clinical-article-form.vue
new file mode 100644
index 0000000..fff3360
--- /dev/null
+++ b/src/views/business/user-comment-clinical-article/user-comment-clinical-article-form.vue
@@ -0,0 +1,121 @@
+<!--
+  * 用户评论-临床病例-文章
+  *
+  * @Author:    xing
+  * @Date:      2025-08-12 09:11:31
+  * @Copyright  gdxz
+-->
+<template>
+  <a-drawer
+      :title="form.commentId ? '编辑' : '添加'"
+      :width="1000"
+      :open="visibleFlag"
+      @close="onClose"
+      :maskClosable="false"
+      :destroyOnClose="true"
+  >
+    <a-form ref="formRef" :model="form" :rules="rules" :label-col="{ span: 5 }" >
+        <a-form-item label="主键id"  name="commentId">
+          <a-input-number style="width: 100%" v-model:value="form.commentId" placeholder="主键id" />
+        </a-form-item>
+        <a-form-item label="评论状态（0:禁用 1:正常）"  name="status">
+          <a-input-number style="width: 100%" v-model:value="form.status" placeholder="评论状态（0:禁用 1:正常）" />
+        </a-form-item>
+        <a-form-item label="评论内容"  name="content">
+          <a-input style="width: 100%" v-model:value="form.content" placeholder="评论内容" />
+        </a-form-item>
+    </a-form>
+
+    <template #footer>
+      <a-space>
+        <a-button @click="onClose">取消</a-button>
+        <a-button type="primary" @click="onSubmit">保存</a-button>
+      </a-space>
+    </template>
+  </a-drawer>
+</template>
+<script setup>
+  import { reactive, ref, nextTick } from 'vue';
+  import _ from 'lodash';
+  import { message } from 'ant-design-vue';
+  import { SmartLoading } from '/@/components/framework/smart-loading';
+  import { userCommentClinicalArticleApi } from '/@/api/business/user-comment-clinical-article/user-comment-clinical-article-api';
+  import { smartSentry } from '/@/lib/smart-sentry';
+
+  // ------------------------ 事件 ------------------------
+
+  const emits = defineEmits(['reloadList']);
+
+  // ------------------------ 显示与隐藏 ------------------------
+  // 是否显示
+  const visibleFlag = ref(false);
+
+  function show(rowData) {
+    Object.assign(form, formDefault);
+    if (rowData && !_.isEmpty(rowData)) {
+      Object.assign(form, rowData);
+    }
+    // 使用字典时把下面这注释修改成自己的字典字段 有多个字典字段就复制多份同理修改 不然打开表单时不显示字典初始值
+    // if (form.status && form.status.length > 0) {
+    //   form.status = form.status.map((e) => e.valueCode);
+    // }
+    visibleFlag.value = true;
+    nextTick(() => {
+      formRef.value.clearValidate();
+    });
+  }
+
+  function onClose() {
+    Object.assign(form, formDefault);
+    visibleFlag.value = false;
+  }
+
+  // ------------------------ 表单 ------------------------
+
+  // 组件ref
+  const formRef = ref();
+
+  const formDefault = {
+      commentId: undefined, //主键id
+      status: undefined, //评论状态（0:禁用 1:正常）
+      content: undefined, //评论内容
+  };
+
+  let form = reactive({ ...formDefault });
+
+  const rules = {
+  };
+
+  // 点击确定，验证表单
+  async function onSubmit() {
+    try {
+      await formRef.value.validateFields();
+      save();
+    } catch (err) {
+      message.error('参数验证错误，请仔细填写表单数据!');
+    }
+  }
+
+  // 新建、编辑API
+  async function save() {
+    SmartLoading.show();
+    try {
+      if (form.commentId) {
+        await userCommentClinicalArticleApi.update(form);
+      } else {
+        await userCommentClinicalArticleApi.add(form);
+      }
+      message.success('操作成功');
+      emits('reloadList');
+      onClose();
+    } catch (err) {
+      smartSentry.captureError(err);
+    } finally {
+      SmartLoading.hide();
+    }
+  }
+
+  defineExpose({
+    show,
+  });
+</script>
diff --git a/src/views/business/user-comment-clinical-article/user-comment-clinical-article-list.vue b/src/views/business/user-comment-clinical-article/user-comment-clinical-article-list.vue
new file mode 100644
index 0000000..0bf7394
--- /dev/null
+++ b/src/views/business/user-comment-clinical-article/user-comment-clinical-article-list.vue
@@ -0,0 +1,321 @@
+<!--
+  * 用户评论-临床病例-文章
+  *
+  * @Author:    xing
+  * @Date:      2025-08-12 09:11:31
+  * @Copyright  gdxz
+-->
+<template>
+    <!---------- 查询表单form begin ----------->
+    <a-form class="smart-query-form">
+        <a-row class="smart-query-form-row">
+            <a-form-item label="内容" class="smart-query-form-item">
+                <a-input style="width: 200px" v-model:value="queryForm.keywords" placeholder="内容" />
+            </a-form-item>
+            <a-form-item class="smart-query-form-item">
+                <a-button type="primary" @click="onSearch">
+                    <template #icon>
+                        <SearchOutlined />
+                    </template>
+                    查询
+                </a-button>
+                <a-button @click="resetQuery" class="smart-margin-left10">
+                    <template #icon>
+                        <ReloadOutlined />
+                    </template>
+                    重置
+                </a-button>
+            </a-form-item>
+        </a-row>
+    </a-form>
+    <!---------- 查询表单form end ----------->
+
+    <a-card size="small" :bordered="false" :hoverable="true">
+        <!---------- 表格操作行 begin ----------->
+        <a-row class="smart-table-btn-block">
+            <div class="smart-table-operate-block">
+                <a-button @click="showForm" type="primary" size="small">
+                    <template #icon>
+                        <PlusOutlined />
+                    </template>
+                    新建
+                </a-button>
+                <a-button @click="confirmBatchDelete" type="primary" danger size="small" :disabled="selectedRowKeyList.length == 0">
+                    <template #icon>
+                        <DeleteOutlined />
+                    </template>
+                    批量删除
+                </a-button>
+            </div>
+            <div class="smart-table-setting-block">
+                <TableOperator v-model="columns" :tableId="null" :refresh="queryData" />
+            </div>
+        </a-row>
+        <!---------- 表格操作行 end ----------->
+
+        <!---------- 表格 begin ----------->
+        <a-table
+            size="small"
+            :scroll="{ y: 800 }"
+            :dataSource="tableData"
+            :columns="columns"
+            rowKey="commentId"
+            bordered
+            :loading="tableLoading"
+            :pagination="false"
+            :row-selection="{ selectedRowKeys: selectedRowKeyList, onChange: onSelectChange }"
+        >
+            <template #bodyCell="{ text, record, column }">
+
+
+                <template v-if="column.dataIndex === 'action'">
+                    <div class="smart-table-operate">
+                        <a-button @click="showForm(record)" type="link">编辑</a-button>
+                        <a-button @click="onDelete(record)" danger type="link">删除</a-button>
+                    </div>
+                </template>
+            </template>
+        </a-table>
+        <!---------- 表格 end ----------->
+
+        <div class="smart-query-table-page">
+            <a-pagination
+                showSizeChanger
+                showQuickJumper
+                show-less-items
+                :pageSizeOptions="PAGE_SIZE_OPTIONS"
+                :defaultPageSize="queryForm.pageSize"
+                v-model:current="queryForm.pageNum"
+                v-model:pageSize="queryForm.pageSize"
+                :total="total"
+                @change="queryData"
+                @showSizeChange="queryData"
+                :show-total="(total) => `共${total}条`"
+            />
+        </div>
+
+        <UserCommentClinicalArticleForm  ref="formRef" @reloadList="queryData"/>
+
+    </a-card>
+</template>
+<script setup>
+    import { reactive, ref, onMounted } from 'vue';
+    import { message, Modal } from 'ant-design-vue';
+    import { SmartLoading } from '/@/components/framework/smart-loading';
+    import { userCommentClinicalArticleApi } from '/@/api/business/user-comment-clinical-article/user-comment-clinical-article-api';
+    import { PAGE_SIZE_OPTIONS } from '/@/constants/common-const';
+    import { smartSentry } from '/@/lib/smart-sentry';
+    import TableOperator from '/@/components/support/table-operator/index.vue';
+    import UserCommentClinicalArticleForm from './user-comment-clinical-article-form.vue';
+
+    // ---------------------------- 表格列 ----------------------------
+
+    const columns = ref([
+        {
+            title: '主键id',
+            dataIndex: 'commentId',
+            ellipsis: true,
+        },
+        {
+            title: '用户id',
+            dataIndex: 'userId',
+            ellipsis: true,
+        },
+        {
+            title: '临床文章id',
+            dataIndex: 'articleId',
+            ellipsis: true,
+        },
+        {
+            title: '父级id，一级评论为null',
+            dataIndex: 'parentId',
+            ellipsis: true,
+        },
+        {
+            title: '根评论id，一级评论时为null。其余为一级评论id',
+            dataIndex: 'rootId',
+            ellipsis: true,
+        },
+        {
+            title: '评论状态（0:禁用 1:正常）',
+            dataIndex: 'status',
+            ellipsis: true,
+        },
+        {
+            title: '是否存在敏感词（0:否 1:是）',
+            dataIndex: 'isSensitive',
+            ellipsis: true,
+        },
+        {
+            title: '是否置顶（0:否 1:是）',
+            dataIndex: 'isTop',
+            ellipsis: true,
+        },
+        {
+            title: '点赞数量',
+            dataIndex: 'likeNum',
+            ellipsis: true,
+        },
+        {
+            title: '是否作者评论（0:否 1:是）',
+            dataIndex: 'isAuthor',
+            ellipsis: true,
+        },
+        {
+            title: '评论内容',
+            dataIndex: 'content',
+            ellipsis: true,
+        },
+        {
+            title: '评论内容(原版)',
+            dataIndex: 'contentWord',
+            ellipsis: true,
+        },
+        {
+            title: '评论图片',
+            dataIndex: 'commentImage',
+            ellipsis: true,
+        },
+        {
+            title: '创建时间',
+            dataIndex: 'createdAt',
+            ellipsis: true,
+        },
+        {
+            title: '修改时间',
+            dataIndex: 'updatedAt',
+            ellipsis: true,
+        },
+        {
+            title: '操作',
+            dataIndex: 'action',
+            fixed: 'right',
+            width: 90,
+        },
+    ]);
+
+    // ---------------------------- 查询数据表单和方法 ----------------------------
+
+    const queryFormState = {
+        keywords: undefined, //内容
+        pageNum: 1,
+        pageSize: 10,
+    };
+    // 查询表单form
+    const queryForm = reactive({ ...queryFormState });
+    // 表格加载loading
+    const tableLoading = ref(false);
+    // 表格数据
+    const tableData = ref([]);
+    // 总数
+    const total = ref(0);
+
+    // 重置查询条件
+    function resetQuery() {
+        let pageSize = queryForm.pageSize;
+        Object.assign(queryForm, queryFormState);
+        queryForm.pageSize = pageSize;
+        queryData();
+    }
+
+    // 搜索
+    function onSearch(){
+      queryForm.pageNum = 1;
+      queryData();
+    }
+
+    // 查询数据
+    async function queryData() {
+        tableLoading.value = true;
+        try {
+            let queryResult = await userCommentClinicalArticleApi.queryPage(queryForm);
+            tableData.value = queryResult.data.list;
+            total.value = queryResult.data.total;
+        } catch (e) {
+            smartSentry.captureError(e);
+        } finally {
+            tableLoading.value = false;
+        }
+    }
+
+
+    onMounted(queryData);
+
+    // ---------------------------- 添加/修改 ----------------------------
+    const formRef = ref();
+
+    function showForm(data) {
+        formRef.value.show(data);
+    }
+
+    // ---------------------------- 单个删除 ----------------------------
+    //确认删除
+    function onDelete(data){
+        Modal.confirm({
+            title: '提示',
+            content: '确定要删除选吗?',
+            okText: '删除',
+            okType: 'danger',
+            onOk() {
+                requestDelete(data);
+            },
+            cancelText: '取消',
+            onCancel() {},
+        });
+    }
+
+    //请求删除
+    async function requestDelete(data){
+        SmartLoading.show();
+        try {
+            let deleteForm = {
+                goodsIdList: selectedRowKeyList.value,
+            };
+            await userCommentClinicalArticleApi.delete(data.commentId);
+            message.success('删除成功');
+            queryData();
+        } catch (e) {
+            smartSentry.captureError(e);
+        } finally {
+            SmartLoading.hide();
+        }
+    }
+
+    // ---------------------------- 批量删除 ----------------------------
+
+    // 选择表格行
+    const selectedRowKeyList = ref([]);
+
+    function onSelectChange(selectedRowKeys) {
+        selectedRowKeyList.value = selectedRowKeys;
+    }
+
+    // 批量删除
+    function confirmBatchDelete() {
+        Modal.confirm({
+            title: '提示',
+            content: '确定要批量删除这些数据吗?',
+            okText: '删除',
+            okType: 'danger',
+            onOk() {
+                requestBatchDelete();
+            },
+            cancelText: '取消',
+            onCancel() {},
+        });
+    }
+
+    //请求批量删除
+    async function requestBatchDelete() {
+        try {
+            SmartLoading.show();
+            await userCommentClinicalArticleApi.batchDelete(selectedRowKeyList.value);
+            message.success('删除成功');
+            queryData();
+        } catch (e) {
+            smartSentry.captureError(e);
+        } finally {
+            SmartLoading.hide();
+        }
+    }
+</script>
diff --git a/src/views/business/user-comment-clinical-video/user-comment-clinical-video-form.vue b/src/views/business/user-comment-clinical-video/user-comment-clinical-video-form.vue
new file mode 100644
index 0000000..dee712a
--- /dev/null
+++ b/src/views/business/user-comment-clinical-video/user-comment-clinical-video-form.vue
@@ -0,0 +1,121 @@
+<!--
+  * 用户评论-临床病例-视频
+  *
+  * @Author:    xing
+  * @Date:      2025-08-12 09:12:42
+  * @Copyright  gdxz
+-->
+<template>
+  <a-modal
+      :title="form.commentId ? '编辑' : '添加'"
+      :width="1000"
+      :open="visibleFlag"
+      @cancel="onClose"
+      :maskClosable="false"
+      :destroyOnClose="true"
+  >
+    <a-form ref="formRef" :model="form" :rules="rules" :label-col="{ span: 5 }" >
+        <a-form-item label="主键id"  name="commentId">
+          <a-input-number style="width: 100%" v-model:value="form.commentId" placeholder="主键id" />
+        </a-form-item>
+        <a-form-item label="评论状态（0:禁用 1:正常）"  name="status">
+          <a-input-number style="width: 100%" v-model:value="form.status" placeholder="评论状态（0:禁用 1:正常）" />
+        </a-form-item>
+        <a-form-item label="评论内容"  name="content">
+          <a-input style="width: 100%" v-model:value="form.content" placeholder="评论内容" />
+        </a-form-item>
+    </a-form>
+
+    <template #footer>
+      <a-space>
+        <a-button @click="onClose">取消</a-button>
+        <a-button type="primary" @click="onSubmit">保存</a-button>
+      </a-space>
+    </template>
+  </a-modal>
+</template>
+<script setup>
+  import { reactive, ref, nextTick } from 'vue';
+  import _ from 'lodash';
+  import { message } from 'ant-design-vue';
+  import { SmartLoading } from '/@/components/framework/smart-loading';
+  import { userCommentClinicalVideoApi } from '/@/api/business/user-comment-clinical-video/user-comment-clinical-video-api';
+  import { smartSentry } from '/@/lib/smart-sentry';
+
+  // ------------------------ 事件 ------------------------
+
+  const emits = defineEmits(['reloadList']);
+
+  // ------------------------ 显示与隐藏 ------------------------
+  // 是否显示
+  const visibleFlag = ref(false);
+
+  function show(rowData) {
+    Object.assign(form, formDefault);
+    if (rowData && !_.isEmpty(rowData)) {
+      Object.assign(form, rowData);
+    }
+    // 使用字典时把下面这注释修改成自己的字典字段 有多个字典字段就复制多份同理修改 不然打开表单时不显示字典初始值
+    // if (form.status && form.status.length > 0) {
+    //   form.status = form.status.map((e) => e.valueCode);
+    // }
+    visibleFlag.value = true;
+    nextTick(() => {
+      formRef.value.clearValidate();
+    });
+  }
+
+  function onClose() {
+    Object.assign(form, formDefault);
+    visibleFlag.value = false;
+  }
+
+  // ------------------------ 表单 ------------------------
+
+  // 组件ref
+  const formRef = ref();
+
+  const formDefault = {
+      commentId: undefined, //主键id
+      status: undefined, //评论状态（0:禁用 1:正常）
+      content: undefined, //评论内容
+  };
+
+  let form = reactive({ ...formDefault });
+
+  const rules = {
+  };
+
+  // 点击确定，验证表单
+  async function onSubmit() {
+    try {
+      await formRef.value.validateFields();
+      save();
+    } catch (err) {
+      message.error('参数验证错误，请仔细填写表单数据!');
+    }
+  }
+
+  // 新建、编辑API
+  async function save() {
+    SmartLoading.show();
+    try {
+      if (form.commentId) {
+        await userCommentClinicalVideoApi.update(form);
+      } else {
+        await userCommentClinicalVideoApi.add(form);
+      }
+      message.success('操作成功');
+      emits('reloadList');
+      onClose();
+    } catch (err) {
+      smartSentry.captureError(err);
+    } finally {
+      SmartLoading.hide();
+    }
+  }
+
+  defineExpose({
+    show,
+  });
+</script>
diff --git a/src/views/business/user-comment-clinical-video/user-comment-clinical-video-list.vue b/src/views/business/user-comment-clinical-video/user-comment-clinical-video-list.vue
new file mode 100644
index 0000000..54a5b07
--- /dev/null
+++ b/src/views/business/user-comment-clinical-video/user-comment-clinical-video-list.vue
@@ -0,0 +1,321 @@
+<!--
+  * 用户评论-临床病例-视频
+  *
+  * @Author:    xing
+  * @Date:      2025-08-12 09:12:42
+  * @Copyright  gdxz
+-->
+<template>
+    <!---------- 查询表单form begin ----------->
+    <a-form class="smart-query-form">
+        <a-row class="smart-query-form-row">
+            <a-form-item label="内容" class="smart-query-form-item">
+                <a-input style="width: 200px" v-model:value="queryForm.keywords" placeholder="内容" />
+            </a-form-item>
+            <a-form-item class="smart-query-form-item">
+                <a-button type="primary" @click="onSearch">
+                    <template #icon>
+                        <SearchOutlined />
+                    </template>
+                    查询
+                </a-button>
+                <a-button @click="resetQuery" class="smart-margin-left10">
+                    <template #icon>
+                        <ReloadOutlined />
+                    </template>
+                    重置
+                </a-button>
+            </a-form-item>
+        </a-row>
+    </a-form>
+    <!---------- 查询表单form end ----------->
+
+    <a-card size="small" :bordered="false" :hoverable="true">
+        <!---------- 表格操作行 begin ----------->
+        <a-row class="smart-table-btn-block">
+            <div class="smart-table-operate-block">
+                <a-button @click="showForm" type="primary" size="small">
+                    <template #icon>
+                        <PlusOutlined />
+                    </template>
+                    新建
+                </a-button>
+                <a-button @click="confirmBatchDelete" type="primary" danger size="small" :disabled="selectedRowKeyList.length == 0">
+                    <template #icon>
+                        <DeleteOutlined />
+                    </template>
+                    批量删除
+                </a-button>
+            </div>
+            <div class="smart-table-setting-block">
+                <TableOperator v-model="columns" :tableId="null" :refresh="queryData" />
+            </div>
+        </a-row>
+        <!---------- 表格操作行 end ----------->
+
+        <!---------- 表格 begin ----------->
+        <a-table
+            size="small"
+            :scroll="{ y: 800 }"
+            :dataSource="tableData"
+            :columns="columns"
+            rowKey="commentId"
+            bordered
+            :loading="tableLoading"
+            :pagination="false"
+            :row-selection="{ selectedRowKeys: selectedRowKeyList, onChange: onSelectChange }"
+        >
+            <template #bodyCell="{ text, record, column }">
+
+
+                <template v-if="column.dataIndex === 'action'">
+                    <div class="smart-table-operate">
+                        <a-button @click="showForm(record)" type="link">编辑</a-button>
+                        <a-button @click="onDelete(record)" danger type="link">删除</a-button>
+                    </div>
+                </template>
+            </template>
+        </a-table>
+        <!---------- 表格 end ----------->
+
+        <div class="smart-query-table-page">
+            <a-pagination
+                showSizeChanger
+                showQuickJumper
+                show-less-items
+                :pageSizeOptions="PAGE_SIZE_OPTIONS"
+                :defaultPageSize="queryForm.pageSize"
+                v-model:current="queryForm.pageNum"
+                v-model:pageSize="queryForm.pageSize"
+                :total="total"
+                @change="queryData"
+                @showSizeChange="queryData"
+                :show-total="(total) => `共${total}条`"
+            />
+        </div>
+
+        <UserCommentClinicalVideoForm  ref="formRef" @reloadList="queryData"/>
+
+    </a-card>
+</template>
+<script setup>
+    import { reactive, ref, onMounted } from 'vue';
+    import { message, Modal } from 'ant-design-vue';
+    import { SmartLoading } from '/@/components/framework/smart-loading';
+    import { userCommentClinicalVideoApi } from '/@/api/business/user-comment-clinical-video/user-comment-clinical-video-api';
+    import { PAGE_SIZE_OPTIONS } from '/@/constants/common-const';
+    import { smartSentry } from '/@/lib/smart-sentry';
+    import TableOperator from '/@/components/support/table-operator/index.vue';
+    import UserCommentClinicalVideoForm from './user-comment-clinical-video-form.vue';
+
+    // ---------------------------- 表格列 ----------------------------
+
+    const columns = ref([
+        {
+            title: '主键id',
+            dataIndex: 'commentId',
+            ellipsis: true,
+        },
+        {
+            title: '用户id',
+            dataIndex: 'userId',
+            ellipsis: true,
+        },
+        {
+            title: '临床视频id',
+            dataIndex: 'videoId',
+            ellipsis: true,
+        },
+        {
+            title: '父级id，一级评论为null',
+            dataIndex: 'parentId',
+            ellipsis: true,
+        },
+        {
+            title: '根评论id，一级评论时为null。其余为一级评论id',
+            dataIndex: 'rootId',
+            ellipsis: true,
+        },
+        {
+            title: '评论状态（0:禁用 1:正常）',
+            dataIndex: 'status',
+            ellipsis: true,
+        },
+        {
+            title: '是否存在敏感词（0:否 1:是）',
+            dataIndex: 'isSensitive',
+            ellipsis: true,
+        },
+        {
+            title: '是否置顶（0:否 1:是）',
+            dataIndex: 'isTop',
+            ellipsis: true,
+        },
+        {
+            title: '点赞数量',
+            dataIndex: 'likeNum',
+            ellipsis: true,
+        },
+        {
+            title: '是否作者评论（0:否 1:是）',
+            dataIndex: 'isAuthor',
+            ellipsis: true,
+        },
+        {
+            title: '评论内容',
+            dataIndex: 'content',
+            ellipsis: true,
+        },
+        {
+            title: '评论内容(原版)',
+            dataIndex: 'contentWord',
+            ellipsis: true,
+        },
+        {
+            title: '评论图片',
+            dataIndex: 'commentImage',
+            ellipsis: true,
+        },
+        {
+            title: '创建时间',
+            dataIndex: 'createdAt',
+            ellipsis: true,
+        },
+        {
+            title: '修改时间',
+            dataIndex: 'updatedAt',
+            ellipsis: true,
+        },
+        {
+            title: '操作',
+            dataIndex: 'action',
+            fixed: 'right',
+            width: 90,
+        },
+    ]);
+
+    // ---------------------------- 查询数据表单和方法 ----------------------------
+
+    const queryFormState = {
+        keywords: undefined, //内容
+        pageNum: 1,
+        pageSize: 10,
+    };
+    // 查询表单form
+    const queryForm = reactive({ ...queryFormState });
+    // 表格加载loading
+    const tableLoading = ref(false);
+    // 表格数据
+    const tableData = ref([]);
+    // 总数
+    const total = ref(0);
+
+    // 重置查询条件
+    function resetQuery() {
+        let pageSize = queryForm.pageSize;
+        Object.assign(queryForm, queryFormState);
+        queryForm.pageSize = pageSize;
+        queryData();
+    }
+
+    // 搜索
+    function onSearch(){
+      queryForm.pageNum = 1;
+      queryData();
+    }
+
+    // 查询数据
+    async function queryData() {
+        tableLoading.value = true;
+        try {
+            let queryResult = await userCommentClinicalVideoApi.queryPage(queryForm);
+            tableData.value = queryResult.data.list;
+            total.value = queryResult.data.total;
+        } catch (e) {
+            smartSentry.captureError(e);
+        } finally {
+            tableLoading.value = false;
+        }
+    }
+
+
+    onMounted(queryData);
+
+    // ---------------------------- 添加/修改 ----------------------------
+    const formRef = ref();
+
+    function showForm(data) {
+        formRef.value.show(data);
+    }
+
+    // ---------------------------- 单个删除 ----------------------------
+    //确认删除
+    function onDelete(data){
+        Modal.confirm({
+            title: '提示',
+            content: '确定要删除选吗?',
+            okText: '删除',
+            okType: 'danger',
+            onOk() {
+                requestDelete(data);
+            },
+            cancelText: '取消',
+            onCancel() {},
+        });
+    }
+
+    //请求删除
+    async function requestDelete(data){
+        SmartLoading.show();
+        try {
+            let deleteForm = {
+                goodsIdList: selectedRowKeyList.value,
+            };
+            await userCommentClinicalVideoApi.delete(data.commentId);
+            message.success('删除成功');
+            queryData();
+        } catch (e) {
+            smartSentry.captureError(e);
+        } finally {
+            SmartLoading.hide();
+        }
+    }
+
+    // ---------------------------- 批量删除 ----------------------------
+
+    // 选择表格行
+    const selectedRowKeyList = ref([]);
+
+    function onSelectChange(selectedRowKeys) {
+        selectedRowKeyList.value = selectedRowKeys;
+    }
+
+    // 批量删除
+    function confirmBatchDelete() {
+        Modal.confirm({
+            title: '提示',
+            content: '确定要批量删除这些数据吗?',
+            okText: '删除',
+            okType: 'danger',
+            onOk() {
+                requestBatchDelete();
+            },
+            cancelText: '取消',
+            onCancel() {},
+        });
+    }
+
+    //请求批量删除
+    async function requestBatchDelete() {
+        try {
+            SmartLoading.show();
+            await userCommentClinicalVideoApi.batchDelete(selectedRowKeyList.value);
+            message.success('删除成功');
+            queryData();
+        } catch (e) {
+            smartSentry.captureError(e);
+        } finally {
+            SmartLoading.hide();
+        }
+    }
+</script>
diff --git a/src/views/business/user-comment-exchange/user-comment-exchange-form.vue b/src/views/business/user-comment-exchange/user-comment-exchange-form.vue
new file mode 100644
index 0000000..b72714c
--- /dev/null
+++ b/src/views/business/user-comment-exchange/user-comment-exchange-form.vue
@@ -0,0 +1,121 @@
+<!--
+  * 用户评论-病例交流
+  *
+  * @Author:    xing
+  * @Date:      2025-08-12 09:13:30
+  * @Copyright  gdxz
+-->
+<template>
+  <a-modal
+      :title="form.commentId ? '编辑' : '添加'"
+      :width="1000"
+      :open="visibleFlag"
+      @cancel="onClose"
+      :maskClosable="false"
+      :destroyOnClose="true"
+  >
+    <a-form ref="formRef" :model="form" :rules="rules" :label-col="{ span: 5 }" >
+        <a-form-item label="主键id"  name="commentId">
+          <a-input-number style="width: 100%" v-model:value="form.commentId" placeholder="主键id" />
+        </a-form-item>
+        <a-form-item label="评论状态（0:禁用 1:正常）"  name="status">
+          <a-input-number style="width: 100%" v-model:value="form.status" placeholder="评论状态（0:禁用 1:正常）" />
+        </a-form-item>
+        <a-form-item label="评论内容"  name="content">
+          <a-input style="width: 100%" v-model:value="form.content" placeholder="评论内容" />
+        </a-form-item>
+    </a-form>
+
+    <template #footer>
+      <a-space>
+        <a-button @click="onClose">取消</a-button>
+        <a-button type="primary" @click="onSubmit">保存</a-button>
+      </a-space>
+    </template>
+  </a-modal>
+</template>
+<script setup>
+  import { reactive, ref, nextTick } from 'vue';
+  import _ from 'lodash';
+  import { message } from 'ant-design-vue';
+  import { SmartLoading } from '/@/components/framework/smart-loading';
+  import { userCommentExchangeApi } from '/@/api/business/user-comment-exchange/user-comment-exchange-api';
+  import { smartSentry } from '/@/lib/smart-sentry';
+
+  // ------------------------ 事件 ------------------------
+
+  const emits = defineEmits(['reloadList']);
+
+  // ------------------------ 显示与隐藏 ------------------------
+  // 是否显示
+  const visibleFlag = ref(false);
+
+  function show(rowData) {
+    Object.assign(form, formDefault);
+    if (rowData && !_.isEmpty(rowData)) {
+      Object.assign(form, rowData);
+    }
+    // 使用字典时把下面这注释修改成自己的字典字段 有多个字典字段就复制多份同理修改 不然打开表单时不显示字典初始值
+    // if (form.status && form.status.length > 0) {
+    //   form.status = form.status.map((e) => e.valueCode);
+    // }
+    visibleFlag.value = true;
+    nextTick(() => {
+      formRef.value.clearValidate();
+    });
+  }
+
+  function onClose() {
+    Object.assign(form, formDefault);
+    visibleFlag.value = false;
+  }
+
+  // ------------------------ 表单 ------------------------
+
+  // 组件ref
+  const formRef = ref();
+
+  const formDefault = {
+      commentId: undefined, //主键id
+      status: undefined, //评论状态（0:禁用 1:正常）
+      content: undefined, //评论内容
+  };
+
+  let form = reactive({ ...formDefault });
+
+  const rules = {
+  };
+
+  // 点击确定，验证表单
+  async function onSubmit() {
+    try {
+      await formRef.value.validateFields();
+      save();
+    } catch (err) {
+      message.error('参数验证错误，请仔细填写表单数据!');
+    }
+  }
+
+  // 新建、编辑API
+  async function save() {
+    SmartLoading.show();
+    try {
+      if (form.commentId) {
+        await userCommentExchangeApi.update(form);
+      } else {
+        await userCommentExchangeApi.add(form);
+      }
+      message.success('操作成功');
+      emits('reloadList');
+      onClose();
+    } catch (err) {
+      smartSentry.captureError(err);
+    } finally {
+      SmartLoading.hide();
+    }
+  }
+
+  defineExpose({
+    show,
+  });
+</script>
diff --git a/src/views/business/user-comment-exchange/user-comment-exchange-list.vue b/src/views/business/user-comment-exchange/user-comment-exchange-list.vue
new file mode 100644
index 0000000..9de99bb
--- /dev/null
+++ b/src/views/business/user-comment-exchange/user-comment-exchange-list.vue
@@ -0,0 +1,321 @@
+<!--
+  * 用户评论-病例交流
+  *
+  * @Author:    xing
+  * @Date:      2025-08-12 09:13:30
+  * @Copyright  gdxz
+-->
+<template>
+    <!---------- 查询表单form begin ----------->
+    <a-form class="smart-query-form">
+        <a-row class="smart-query-form-row">
+            <a-form-item label="内容" class="smart-query-form-item">
+                <a-input style="width: 200px" v-model:value="queryForm.keywords" placeholder="内容" />
+            </a-form-item>
+            <a-form-item class="smart-query-form-item">
+                <a-button type="primary" @click="onSearch">
+                    <template #icon>
+                        <SearchOutlined />
+                    </template>
+                    查询
+                </a-button>
+                <a-button @click="resetQuery" class="smart-margin-left10">
+                    <template #icon>
+                        <ReloadOutlined />
+                    </template>
+                    重置
+                </a-button>
+            </a-form-item>
+        </a-row>
+    </a-form>
+    <!---------- 查询表单form end ----------->
+
+    <a-card size="small" :bordered="false" :hoverable="true">
+        <!---------- 表格操作行 begin ----------->
+        <a-row class="smart-table-btn-block">
+            <div class="smart-table-operate-block">
+                <a-button @click="showForm" type="primary" size="small">
+                    <template #icon>
+                        <PlusOutlined />
+                    </template>
+                    新建
+                </a-button>
+                <a-button @click="confirmBatchDelete" type="primary" danger size="small" :disabled="selectedRowKeyList.length == 0">
+                    <template #icon>
+                        <DeleteOutlined />
+                    </template>
+                    批量删除
+                </a-button>
+            </div>
+            <div class="smart-table-setting-block">
+                <TableOperator v-model="columns" :tableId="null" :refresh="queryData" />
+            </div>
+        </a-row>
+        <!---------- 表格操作行 end ----------->
+
+        <!---------- 表格 begin ----------->
+        <a-table
+            size="small"
+            :scroll="{ y: 800 }"
+            :dataSource="tableData"
+            :columns="columns"
+            rowKey="commentId"
+            bordered
+            :loading="tableLoading"
+            :pagination="false"
+            :row-selection="{ selectedRowKeys: selectedRowKeyList, onChange: onSelectChange }"
+        >
+            <template #bodyCell="{ text, record, column }">
+
+
+                <template v-if="column.dataIndex === 'action'">
+                    <div class="smart-table-operate">
+                        <a-button @click="showForm(record)" type="link">编辑</a-button>
+                        <a-button @click="onDelete(record)" danger type="link">删除</a-button>
+                    </div>
+                </template>
+            </template>
+        </a-table>
+        <!---------- 表格 end ----------->
+
+        <div class="smart-query-table-page">
+            <a-pagination
+                showSizeChanger
+                showQuickJumper
+                show-less-items
+                :pageSizeOptions="PAGE_SIZE_OPTIONS"
+                :defaultPageSize="queryForm.pageSize"
+                v-model:current="queryForm.pageNum"
+                v-model:pageSize="queryForm.pageSize"
+                :total="total"
+                @change="queryData"
+                @showSizeChange="queryData"
+                :show-total="(total) => `共${total}条`"
+            />
+        </div>
+
+        <UserCommentExchangeForm  ref="formRef" @reloadList="queryData"/>
+
+    </a-card>
+</template>
+<script setup>
+    import { reactive, ref, onMounted } from 'vue';
+    import { message, Modal } from 'ant-design-vue';
+    import { SmartLoading } from '/@/components/framework/smart-loading';
+    import { userCommentExchangeApi } from '/@/api/business/user-comment-exchange/user-comment-exchange-api';
+    import { PAGE_SIZE_OPTIONS } from '/@/constants/common-const';
+    import { smartSentry } from '/@/lib/smart-sentry';
+    import TableOperator from '/@/components/support/table-operator/index.vue';
+    import UserCommentExchangeForm from './user-comment-exchange-form.vue';
+
+    // ---------------------------- 表格列 ----------------------------
+
+    const columns = ref([
+        {
+            title: '主键id',
+            dataIndex: 'commentId',
+            ellipsis: true,
+        },
+        {
+            title: '用户id',
+            dataIndex: 'userId',
+            ellipsis: true,
+        },
+        {
+            title: '病例交流id',
+            dataIndex: 'exchangeId',
+            ellipsis: true,
+        },
+        {
+            title: '父级id，一级评论为null',
+            dataIndex: 'parentId',
+            ellipsis: true,
+        },
+        {
+            title: '根评论id，一级评论时为null。其余为一级评论id',
+            dataIndex: 'rootId',
+            ellipsis: true,
+        },
+        {
+            title: '评论状态（0:禁用 1:正常）',
+            dataIndex: 'status',
+            ellipsis: true,
+        },
+        {
+            title: '是否存在敏感词（0:否 1:是）',
+            dataIndex: 'isSensitive',
+            ellipsis: true,
+        },
+        {
+            title: '是否置顶（0:否 1:是）',
+            dataIndex: 'isTop',
+            ellipsis: true,
+        },
+        {
+            title: '点赞数量',
+            dataIndex: 'likeNum',
+            ellipsis: true,
+        },
+        {
+            title: '是否作者评论（0:否 1:是）',
+            dataIndex: 'isAuthor',
+            ellipsis: true,
+        },
+        {
+            title: '评论内容',
+            dataIndex: 'content',
+            ellipsis: true,
+        },
+        {
+            title: '评论内容(原版)',
+            dataIndex: 'contentWord',
+            ellipsis: true,
+        },
+        {
+            title: '评论图片',
+            dataIndex: 'commentImage',
+            ellipsis: true,
+        },
+        {
+            title: '创建时间',
+            dataIndex: 'createdAt',
+            ellipsis: true,
+        },
+        {
+            title: '修改时间',
+            dataIndex: 'updatedAt',
+            ellipsis: true,
+        },
+        {
+            title: '操作',
+            dataIndex: 'action',
+            fixed: 'right',
+            width: 90,
+        },
+    ]);
+
+    // ---------------------------- 查询数据表单和方法 ----------------------------
+
+    const queryFormState = {
+        keywords: undefined, //内容
+        pageNum: 1,
+        pageSize: 10,
+    };
+    // 查询表单form
+    const queryForm = reactive({ ...queryFormState });
+    // 表格加载loading
+    const tableLoading = ref(false);
+    // 表格数据
+    const tableData = ref([]);
+    // 总数
+    const total = ref(0);
+
+    // 重置查询条件
+    function resetQuery() {
+        let pageSize = queryForm.pageSize;
+        Object.assign(queryForm, queryFormState);
+        queryForm.pageSize = pageSize;
+        queryData();
+    }
+
+    // 搜索
+    function onSearch(){
+      queryForm.pageNum = 1;
+      queryData();
+    }
+
+    // 查询数据
+    async function queryData() {
+        tableLoading.value = true;
+        try {
+            let queryResult = await userCommentExchangeApi.queryPage(queryForm);
+            tableData.value = queryResult.data.list;
+            total.value = queryResult.data.total;
+        } catch (e) {
+            smartSentry.captureError(e);
+        } finally {
+            tableLoading.value = false;
+        }
+    }
+
+
+    onMounted(queryData);
+
+    // ---------------------------- 添加/修改 ----------------------------
+    const formRef = ref();
+
+    function showForm(data) {
+        formRef.value.show(data);
+    }
+
+    // ---------------------------- 单个删除 ----------------------------
+    //确认删除
+    function onDelete(data){
+        Modal.confirm({
+            title: '提示',
+            content: '确定要删除选吗?',
+            okText: '删除',
+            okType: 'danger',
+            onOk() {
+                requestDelete(data);
+            },
+            cancelText: '取消',
+            onCancel() {},
+        });
+    }
+
+    //请求删除
+    async function requestDelete(data){
+        SmartLoading.show();
+        try {
+            let deleteForm = {
+                goodsIdList: selectedRowKeyList.value,
+            };
+            await userCommentExchangeApi.delete(data.commentId);
+            message.success('删除成功');
+            queryData();
+        } catch (e) {
+            smartSentry.captureError(e);
+        } finally {
+            SmartLoading.hide();
+        }
+    }
+
+    // ---------------------------- 批量删除 ----------------------------
+
+    // 选择表格行
+    const selectedRowKeyList = ref([]);
+
+    function onSelectChange(selectedRowKeys) {
+        selectedRowKeyList.value = selectedRowKeys;
+    }
+
+    // 批量删除
+    function confirmBatchDelete() {
+        Modal.confirm({
+            title: '提示',
+            content: '确定要批量删除这些数据吗?',
+            okText: '删除',
+            okType: 'danger',
+            onOk() {
+                requestBatchDelete();
+            },
+            cancelText: '取消',
+            onCancel() {},
+        });
+    }
+
+    //请求批量删除
+    async function requestBatchDelete() {
+        try {
+            SmartLoading.show();
+            await userCommentExchangeApi.batchDelete(selectedRowKeyList.value);
+            message.success('删除成功');
+            queryData();
+        } catch (e) {
+            smartSentry.captureError(e);
+        } finally {
+            SmartLoading.hide();
+        }
+    }
+</script>