diff --git a/Pages/yishi/case/index.js b/Pages/yishi/case/index.js
index 6414560..7453198 100644
--- a/Pages/yishi/case/index.js
+++ b/Pages/yishi/case/index.js
@@ -22,21 +22,36 @@ Page({
   goReport(event){
     const url=event.currentTarget.dataset.url;
     const randfile = new Date().getTime() + '检测报告';
-  const newPath = `${wx.env.USER_DATA_PATH}/${randfile}`;
-  wx.downloadFile({
-    // 示例 url，并非真实存在
-    url:url,
-    filePath: newPath,
-    success: function (res) {
-      //const filePath = res.tempFilePath
-      wx.openDocument({
-        filePath: newPath,
-        success: function (res) {
-          console.log('打开文档成功')
-        }
-      })
-    }
-  })
+    const newPath = `${wx.env.USER_DATA_PATH}/${randfile}`;
+    wx.downloadFile({
+      // 示例 url，并非真实存在
+      url:url,
+      filePath: newPath,
+      success: function (res) {
+        //const filePath = res.tempFilePath
+        wx.openDocument({
+          fileType:"pdf",
+          showMenu:true,
+          filePath: newPath,
+          success: function (res) {
+            console.log('打开文档成功')
+          },
+          fail:function(error){
+            wx.showToast({
+              title:res,
+              icon:"none"
+            })
+          }
+        })
+      },
+      fail:function(error){
+        wx.showToast({
+          title:error,
+          icon:"none"
+        })
+      }
+     
+    })
   },
   formatImgList(){
     let diagnose_images = this.data.case_detail.diagnose_images?this.data.case_detail.diagnose_images:[];
diff --git a/Pages/yishi/onlinechufang/index.wxml b/Pages/yishi/onlinechufang/index.wxml
index 8e0ea30..7d3f0a1 100644
--- a/Pages/yishi/onlinechufang/index.wxml
+++ b/Pages/yishi/onlinechufang/index.wxml
@@ -10,10 +10,10 @@
     </view>
     <!-- 中间内容部分 -->
     <view class="item_content">
-      <view class="item_content_li">
+      <view class="item_content_li {{!case_detail.disease_desc?'active':''}}">
         <view class="item_content_li_title">病情主诉：</view>
-      <van-field value="{{add_disease_desc}}" class="item_content_li_txt" label="" custom-style="border:1px solid #dfdfdf;border-radius:8rpx;" type="textarea" maxlength="500" placeholder="请填写患者病情"  show-word-limit="{{true}}" autosize="{{autoHeight}}" wx:if="{{!case_detail.disease_desc}}" bind:change="onChangeTextAraa"/>
-        <view class="item_content_li_txt" wx:else>{{case_detail.disease_desc}}</view> 
+      <van-field  wx:if="{{!case_detail.disease_desc}}" value="{{add_disease_desc}}" class="item_content_li_txt" label="" custom-style="border:1px solid #dfdfdf;border-radius:8rpx;margin-top:20rpx" type="textarea" maxlength="500" placeholder="请填写患者病情"  show-word-limit="{{true}}" autosize="{{autoHeight}}" bind:change="onChangeTextAraa"/>
+       <view class="item_content_li_txt" wx:else>{{case_detail.disease_desc}}</view> 
       </view>
       <view class="item_content_li" wx:if="{{case_detail.product.length > 0}}">
         <view class="item_content_li_title">用药意向：</view>
diff --git a/Pages/yishi/onlinechufang/index.wxss b/Pages/yishi/onlinechufang/index.wxss
index 898fad6..31d3ad7 100644
--- a/Pages/yishi/onlinechufang/index.wxss
+++ b/Pages/yishi/onlinechufang/index.wxss
@@ -52,6 +52,9 @@ page{
   display: flex;
   padding-bottom: 20rpx;
 }
+.item_content_li.active{
+  flex-direction: column;
+}
 .item_content_li_title{
   font-size: 30rpx;
   color: #333333;
diff --git a/Pages/yishi/wenzhen_v2/wenzhen.wxml b/Pages/yishi/wenzhen_v2/wenzhen.wxml
index 93f9eba..9c20c00 100644
--- a/Pages/yishi/wenzhen_v2/wenzhen.wxml
+++ b/Pages/yishi/wenzhen_v2/wenzhen.wxml
@@ -334,7 +334,7 @@
           <view class="content_4" wx:if="{{ item.inquiry_status == 3 }}">不接诊24小时后自动取消</view>
         </view>  
       </van-tab>
-      <van-tab title="糖组检测" dot="{{dot_5}}" name="5" wx:if="{{data_list_5.length > 0}}">
+      <van-tab title="报告解读" dot="{{dot_5}}" name="5" wx:if="{{data_list_5.length > 0}}">
         <!-- <wenzhen-data 
           name="{{ item.patient_name }}"
           sex="{{ item.patient_sex==1?'男':'女' }}"
diff --git a/TUIKit/components/TUIChat/components/MessageElements/CustomMessage/index.js b/TUIKit/components/TUIChat/components/MessageElements/CustomMessage/index.js
index 65bdd6e..294bb38 100644
--- a/TUIKit/components/TUIChat/components/MessageElements/CustomMessage/index.js
+++ b/TUIKit/components/TUIChat/components/MessageElements/CustomMessage/index.js
@@ -255,7 +255,7 @@ Component({
     },
     goReport(event){
       const url=event.currentTarget.dataset.url;
-      const randfile = new Date().getTime() + '检测报告';
+    const randfile = new Date().getTime() + '检测报告';
     const newPath = `${wx.env.USER_DATA_PATH}/${randfile}`;
     wx.downloadFile({
       // 示例 url，并非真实存在
@@ -264,12 +264,27 @@ Component({
       success: function (res) {
         //const filePath = res.tempFilePath
         wx.openDocument({
+          fileType:"pdf",
+          showMenu:true,
           filePath: newPath,
           success: function (res) {
             console.log('打开文档成功')
+          },
+          fail:function(error){
+            wx.showToast({
+              title:res,
+              icon:"none"
+            })
           }
         })
+      },
+      fail:function(error){
+        wx.showToast({
+          title:error,
+          icon:"none"
+        })
       }
+     
     })
     },
    goSick(event){