diff --git a/public/index.html b/public/index.html
index f449c2f..6f52be6 100644
--- a/public/index.html
+++ b/public/index.html
@@ -39,8 +39,8 @@
   <% if (process.env.VUE_APP_NODE_ENV === 'dev') { %>
     <script>
       //http://121.36.16.195:9002/huimu-admin/swagger-ui/index.html
-    window.SITE_CONFIG['apiURL'] = 'http://47.110.224.240:8036/xiangan-crf';
-    // window.SITE_CONFIG['apiURL'] = 'http://192.168.0.167:8036/xiangan-crf';
+    // window.SITE_CONFIG['apiURL'] = 'http://47.110.224.240:8036/xiangan-crf';
+    window.SITE_CONFIG['apiURL'] = 'http://192.168.0.167:8036/xiangan-crf';
     </script>
   <% } %>
   <!-- 测试环境 -->
diff --git a/src/components/360View/medicalRecord/callMedical/index.vue b/src/components/360View/medicalRecord/callMedical/index.vue
index 54f584a..d06e846 100644
--- a/src/components/360View/medicalRecord/callMedical/index.vue
+++ b/src/components/360View/medicalRecord/callMedical/index.vue
@@ -122,18 +122,20 @@ export default {
         this.$message.error(res.msg)
       }
     },
-    async deleteForm(id) {
+    deleteForm(id) {
       const params = {
         id: id
       }
-      const { data: res } = await this.$http.post('/case/delete', params)
-      if (res.code === 0) {
-        this.$message.success('删除成功')
-        this.id = ''
-        await this.getFormList()
-      } else {
-        this.$message.error(res.msg)
-      }
+      this.$confirmFun('你确定要删除吗？').then(async() => {
+        const { data: res } = await this.$http.post('/case/delete', params)
+        if (res.code === 0) {
+          this.$message.success('删除成功')
+          this.id = ''
+          await this.getFormList()
+        } else {
+          this.$message.error(res.msg)
+        }
+      })
     },
     async getFormList() {
       const { data: res } = await this.$http.get('/patient/view/getCases', {
diff --git a/src/components/360View/medicalRecord/index.vue b/src/components/360View/medicalRecord/index.vue
index f2c3851..0373253 100644
--- a/src/components/360View/medicalRecord/index.vue
+++ b/src/components/360View/medicalRecord/index.vue
@@ -138,7 +138,26 @@ export default {
       if (this.curIndex === index) {
         return
       }
-      this.$confirmFun('是否保存数据，否则当前数据会丢弃！', '保存', '', '已取消保存数据！')
+      // 360视图不用保存
+      if (this.onlyRead) {
+        this.curIndex = index
+        this.id = item.id
+        this.name = item.name
+        this.caseId = item.id
+        this.jsonText = item.jsonText
+        return
+      }
+      this.confirmChange().finally(() => {
+        this.curIndex = index
+        this.id = item.id
+        this.name = item.name
+        this.caseId = item.id
+        this.jsonText = item.jsonText
+      })
+    },
+    // 切换保存
+    confirmChange() {
+      return this.$confirmFun('是否保存数据，否则当前数据会丢弃！', '保存', '', '已取消保存数据！')
         .then(() => {
           this.$nextTick(() => {
             switch (this.name) {
@@ -159,12 +178,6 @@ export default {
                 return
             }
           })
-        }).finally(() => {
-          this.curIndex = index
-          this.id = item.id
-          this.name = item.name
-          this.caseId = item.id
-          this.jsonText = item.jsonText
         })
     },
     getPatientData() {
diff --git a/src/components/360View/opticalFile/index.vue b/src/components/360View/opticalFile/index.vue
index 378191f..c1e87d1 100644
--- a/src/components/360View/opticalFile/index.vue
+++ b/src/components/360View/opticalFile/index.vue
@@ -178,13 +178,15 @@ export default {
       const params = {
         id: this.id
       }
-      const { data: res } = await this.$http.post('/case/delete', params)
-      if (res.code === 0) {
-        this.$message.success('删除成功')
-        this.getFormList(1)
-      } else {
-        this.$message.error(res.msg)
-      }
+      this.$confirmFun('你确定要删除吗？').then(async() => {
+        const { data: res } = await this.$http.post('/case/delete', params)
+        if (res.code === 0) {
+          this.$message.success('删除成功')
+          this.getFormList(1)
+        } else {
+          this.$message.error(res.msg)
+        }
+      })
     },
     async getFormList(type) {
       const { data: res } = await this.$http.get('/patient/view/getCases', {
diff --git a/src/page-subspecialty/views/modules/optometryManagement/dioptric/patient-add-or-update.vue b/src/page-subspecialty/views/modules/optometryManagement/dioptric/patient-add-or-update.vue
index 78015c1..90ed764 100644
--- a/src/page-subspecialty/views/modules/optometryManagement/dioptric/patient-add-or-update.vue
+++ b/src/page-subspecialty/views/modules/optometryManagement/dioptric/patient-add-or-update.vue
@@ -83,7 +83,7 @@
     </el-form>
     <template slot="footer">
       <el-button @click="visible = false">{{ $t('cancel') }}</el-button>
-      <el-button type="primary" @click="dataFormSubmitHandle()">{{ $t('confirm') }}</el-button>
+      <el-button :disabled="disabled" type="primary" @click="dataFormSubmitHandle()">{{ $t('confirm') }}</el-button>
     </template>
   </el-dialog>
 </template>
@@ -103,6 +103,7 @@ export default {
   },
   data() {
     return {
+      disabled: false,
       visible: false,
       dataForm: {
         platform: 3,
@@ -198,25 +199,30 @@ export default {
     },
     // 表单提交
     dataFormSubmitHandle: debounce(function() {
+      this.disabled = true
       this.$refs.dataForm.validate((valid) => {
         if (!valid) {
+          this.disabled = false
           return false
         }
         this.dataForm.zlProjectCode = this.dataForm.zlProjectCode.length && this.dataForm.zlProjectCode.join(',')
-        this.$http[!this.dataForm.id ? 'post' : 'put']('/patient/savePatient', this.dataForm).then(({ data: res }) => {
-          if (res.code !== 0) {
-            return this.$message.error(res.msg)
-          }
-          this.$message({
-            message: this.$t('prompt.success'),
-            type: 'success',
-            duration: 500,
-            onClose: () => {
-              this.visible = false
-              this.$emit('refreshDataList')
+        this.$http[!this.dataForm.id ? 'post' : 'put']('/patient/savePatient', this.dataForm)
+          .then(({ data: res }) => {
+            if (res.code !== 0) {
+              return this.$message.error(res.msg)
             }
+            this.$message({
+              message: this.$t('prompt.success'),
+              type: 'success',
+              duration: 500,
+              onClose: () => {
+                this.visible = false
+                this.$emit('refreshDataList')
+              }
+            })
           })
-        }).catch(() => {})
+          .catch(() => {})
+          .finally(() => { this.disabled = false })
       })
     }, 1000, { leading: true, trailing: false }),
     // 关闭弹框
diff --git a/src/page-subspecialty/views/modules/outpatientManagement/call/patient-add-or-update.vue b/src/page-subspecialty/views/modules/outpatientManagement/call/patient-add-or-update.vue
index bc68718..517c7ce 100644
--- a/src/page-subspecialty/views/modules/outpatientManagement/call/patient-add-or-update.vue
+++ b/src/page-subspecialty/views/modules/outpatientManagement/call/patient-add-or-update.vue
@@ -83,7 +83,7 @@
     </el-form>
     <template slot="footer">
       <el-button @click="visible = false">{{ $t('cancel') }}</el-button>
-      <el-button type="primary" @click="dataFormSubmitHandle()">{{ $t('confirm') }}</el-button>
+      <el-button :disabled="disabled" type="primary" @click="dataFormSubmitHandle()">{{ $t('confirm') }}</el-button>
     </template>
   </el-dialog>
 </template>
@@ -104,6 +104,7 @@ export default {
   },
   data() {
     return {
+      disabled: false,
       visible: false,
       dataForm: {
         platform: 1,
@@ -207,25 +208,30 @@ export default {
     },
     // 表单提交
     dataFormSubmitHandle: debounce(function() {
+      this.disabled = true
       this.$refs.dataForm.validate((valid) => {
         if (!valid) {
+          this.disabled = false
           return false
         }
         this.dataForm.zlProjectCode = this.dataForm.zlProjectCode.length && this.dataForm.zlProjectCode.join(',')
-        this.$http[!this.dataForm.id ? 'post' : 'put']('/patient/savePatient', this.dataForm).then(({ data: res }) => {
-          if (res.code !== 0) {
-            return this.$message.error(res.msg)
-          }
-          this.$message({
-            message: this.$t('prompt.success'),
-            type: 'success',
-            duration: 500,
-            onClose: () => {
-              this.visible = false
-              this.$emit('refreshDataList')
+        this.$http[!this.dataForm.id ? 'post' : 'put']('/patient/savePatient', this.dataForm)
+          .then(({ data: res }) => {
+            if (res.code !== 0) {
+              return this.$message.error(res.msg)
             }
+            this.$message({
+              message: this.$t('prompt.success'),
+              type: 'success',
+              duration: 500,
+              onClose: () => {
+                this.visible = false
+                this.$emit('refreshDataList')
+              }
+            })
           })
-        }).catch(() => {})
+          .catch(() => {})
+          .finally(() => { this.disabled = false })
       })
     }, 1000, { leading: true, trailing: false }),
     // 关闭弹框
diff --git a/src/page-subspecialty/views/modules/outpatientManagement/treat/patient-add-or-update.vue b/src/page-subspecialty/views/modules/outpatientManagement/treat/patient-add-or-update.vue
index 3c6743c..0063362 100644
--- a/src/page-subspecialty/views/modules/outpatientManagement/treat/patient-add-or-update.vue
+++ b/src/page-subspecialty/views/modules/outpatientManagement/treat/patient-add-or-update.vue
@@ -80,7 +80,7 @@
     </el-form>
     <template slot="footer">
       <el-button @click="visible = false">{{ $t('cancel') }}</el-button>
-      <el-button type="primary" @click="dataFormSubmitHandle()">{{ $t('confirm') }}</el-button>
+      <el-button :disabled="disabled" type="primary" @click="dataFormSubmitHandle()">{{ $t('confirm') }}</el-button>
     </template>
   </el-dialog>
 </template>
@@ -100,6 +100,7 @@ export default {
   },
   data() {
     return {
+      disabled: false,
       visible: false,
       dataForm: {
         platform: 2,
@@ -194,27 +195,34 @@ export default {
     },
     // 表单提交
     dataFormSubmitHandle: debounce(function() {
+      this.disabled = true
       this.$refs.dataForm.validate((valid) => {
         if (!valid) {
+          this.disabled = false
           return false
         }
         this.dataForm.zlProjectCode = this.dataForm.zlProjectCode.length && this.dataForm.zlProjectCode.join(',')
-        this.$http[!this.dataForm.id ? 'post' : 'put']('/patient/savePatient', this.dataForm).then(({ data: res }) => {
-          if (res.code !== 0) {
-            return this.$message.error(res.msg)
-          }
-          this.$message({
-            message: this.$t('prompt.success'),
-            type: 'success',
-            duration: 500,
-            onClose: () => {
-              this.visible = false
-              this.$emit('refreshDataList')
+        this.$http[!this.dataForm.id ? 'post' : 'put']('/patient/savePatient', this.dataForm)
+          .then(({ data: res }) => {
+            if (res.code !== 0) {
+              return this.$message.error(res.msg)
             }
+            this.$message({
+              message: this.$t('prompt.success'),
+              type: 'success',
+              duration: 500,
+              onClose: () => {
+                this.visible = false
+                this.$emit('refreshDataList')
+              }
+            })
+          })
+          .catch(res => {
+            this.$message.error(res.msg)
+          })
+          .finally(() => {
+            this.disabled = false
           })
-        }).catch(res => {
-          this.$message.error(res.msg)
-        })
       })
     }, 1000, { leading: true, trailing: false }),
     // 关闭弹框