支持删除。

src/controller/admin/patient.js

@@ -13,6 +13,7 @@ module.exports = class extends Base {
     this.assign('canExport', this.isSuperAdmin || (this.userPermissions || []).includes('patient:export'));
     this.assign('canAudit', this.isSuperAdmin || (this.userPermissions || []).includes('patient:audit'));
     this.assign('canView', this.isSuperAdmin || (this.userPermissions || []).includes('patient:view'));
+    this.assign('canDelete', this.isSuperAdmin || (this.userPermissions || []).includes('patient:delete'));
     return this.display();
   }
 
@@ -275,6 +276,25 @@ module.exports = class extends Base {
     return this.success();
   }
 
+  // 删除患者（软删除，支持批量）
+  async deleteAction() {
+    const { ids } = this.post();
+    if (!ids || !ids.length) return this.fail('参数错误');
+
+    const model = this.model('patient');
+    const patients = await model.where({ id: ['in', ids], is_deleted: 0 }).select();
+    if (!patients.length) return this.fail('患者不存在');
+
+    await model.where({ id: ['in', ids] }).update({
+      is_deleted: 1,
+      update_by: this.adminUser?.id || 0
+    });
+
+    const names = patients.map(p => p.name).join('、');
+    await this.log('delete', '患者管理', `删除患者「${names}」共${patients.length}条`);
+    return this.success();
+  }
+
   // 编辑患者
   async editAction() {
     const data = this.post();

src/controller/admin/system/role.js

@@ -255,7 +255,8 @@ module.exports = class extends Base {
           { name: '新增', key: 'patient:add' },
           { name: '编辑', key: 'patient:edit' },
           { name: '导出', key: 'patient:export' },
-          { name: '审核', key: 'patient:audit' }
+          { name: '审核', key: 'patient:audit' },
+          { name: '删除', key: 'patient:delete' }
         ]
       },
       {

view/admin/patient_index.html

@@ -34,6 +34,7 @@
     <div style="display:flex;gap:8px;margin-top:12px;">
       <el-button v-if="perms.canAdd" type="success" :icon="Plus" @click="showAddDialog">新增患者</el-button>
       <el-button v-if="perms.canExport" :icon="Download" @click="handleExport" :loading="exporting">导出</el-button>
+      <el-button v-if="perms.canDelete && selectedIds.length" type="danger" :icon="Delete" @click="handleBatchDelete">批量删除 (${ selectedIds.length })</el-button>
     </div>
   </el-card>
 
@@ -57,7 +58,8 @@
       </el-tab-pane>
     </el-tabs>
 
-    <el-table :data="tableData" v-loading="loading" stripe border>
+    <el-table :data="tableData" v-loading="loading" stripe border @selection-change="onSelectionChange">
+      <el-table-column v-if="perms.canDelete" type="selection" width="45"></el-table-column>
       <el-table-column prop="patient_no" label="编号" min-width="200"></el-table-column>
       <el-table-column prop="name" label="姓名" min-width="80"></el-table-column>
       <el-table-column label="身份证号" min-width="180">
@@ -86,11 +88,12 @@
           <el-tag v-else-if="row.status === 2" type="danger" size="small">已驳回</el-tag>
         </template>
       </el-table-column>
-      <el-table-column label="操作" width="200" align="center" fixed="right">
+      <el-table-column label="操作" width="240" align="center" fixed="right">
         <template #default="{ row }">
           <el-button type="primary" link @click="viewDetail(row)">查看详情</el-button>
           <el-button v-if="perms.canEdit" type="info" link @click="showEditDialog(row)">编辑</el-button>
           <el-button v-if="row.status === 0 && perms.canAudit" type="warning" link @click="viewDetail(row)">去审核</el-button>
+          <el-button v-if="perms.canDelete" type="danger" link @click="handleDelete(row)">删除</el-button>
         </template>
       </el-table-column>
     </el-table>
@@ -254,14 +257,15 @@
 {% block js %}
 <script>
 const { createApp, ref, reactive, onMounted, computed } = Vue;
-const { Plus, Download } = ElementPlusIconsVue;
+const { Plus, Download, Delete } = ElementPlusIconsVue;
 
 const perms = {
   canAdd: {{ canAdd | dump | safe }},
   canEdit: {{ canEdit | dump | safe }},
   canExport: {{ canExport | dump | safe }},
   canAudit: {{ canAudit | dump | safe }},
-  canView: {{ canView | dump | safe }}
+  canView: {{ canView | dump | safe }},
+  canDelete: {{ canDelete | dump | safe }}
 };
 
 const app = createApp({
@@ -374,6 +378,58 @@ const app = createApp({
       loadList();
     }
 
+    // 多选
+    const selectedIds = ref([]);
+    function onSelectionChange(rows) {
+      selectedIds.value = rows.map(function(r) { return r.id; });
+    }
+
+    // 单条删除
+    async function handleDelete(row) {
+      try {
+        await ElementPlus.ElMessageBox.confirm(
+          '确定要删除患者「' + row.name + '」吗？删除后不可恢复。',
+          '确认删除',
+          { confirmButtonText: '确认删除', cancelButtonText: '取消', type: 'warning' }
+        );
+        var res = await fetch('/admin/patient/delete', {
+          method: 'POST',
+          headers: { 'Content-Type': 'application/json' },
+          body: JSON.stringify({ ids: [row.id] })
+        }).then(function(r) { return r.json(); });
+        if (res.code === 0) {
+          ElementPlus.ElMessage.success('删除成功');
+          loadList();
+        } else {
+          ElementPlus.ElMessage.error(res.msg || '删除失败');
+        }
+      } catch(e) {}
+    }
+
+    // 批量删除
+    async function handleBatchDelete() {
+      if (!selectedIds.value.length) return;
+      try {
+        await ElementPlus.ElMessageBox.confirm(
+          '确定要删除选中的 ' + selectedIds.value.length + ' 条患者记录吗？删除后不可恢复。',
+          '批量删除确认',
+          { confirmButtonText: '确认删除', cancelButtonText: '取消', type: 'warning' }
+        );
+        var res = await fetch('/admin/patient/delete', {
+          method: 'POST',
+          headers: { 'Content-Type': 'application/json' },
+          body: JSON.stringify({ ids: selectedIds.value })
+        }).then(function(r) { return r.json(); });
+        if (res.code === 0) {
+          ElementPlus.ElMessage.success('删除成功');
+          selectedIds.value = [];
+          loadList();
+        } else {
+          ElementPlus.ElMessage.error(res.msg || '删除失败');
+        }
+      } catch(e) {}
+    }
+
     function viewDetail(row) {
       if (!perms.canView) {
         ElementPlus.ElMessageBox.alert('暂无查看详情权限，请先联系管理员授权', '温馨提示', {
@@ -542,10 +598,10 @@ const app = createApp({
 
     return {
       keyword, dateRange, tagFilter, regionFilter, activeTab, loading, tableData, pagination, counts,
-      uploadHeaders, addVisible, addSaving, addForm, exporting, editingId, perms,
-      regionTree, tagOptions, isMinorComputed, Plus, Download,
-      loadList, resetFilter, onTabChange, onSizeChange, viewDetail, showAddDialog, showEditDialog, handleExport,
-      onIdCardInput, onDocUpload, onSignUpload, submitAdd
+      uploadHeaders, addVisible, addSaving, addForm, exporting, editingId, perms, selectedIds,
+      regionTree, tagOptions, isMinorComputed, Plus, Download, Delete,
+      loadList, resetFilter, onTabChange, onSizeChange, onSelectionChange, viewDetail, showAddDialog, showEditDialog, handleExport,
+      onIdCardInput, onDocUpload, onSignUpload, submitAdd, handleDelete, handleBatchDelete
     };
   }
 });