diff --git a/apps/web-antd/src/views/business/chat/components/MessageInput.vue b/apps/web-antd/src/views/business/chat/components/MessageInput.vue
index 10979d48..654a029f 100644
--- a/apps/web-antd/src/views/business/chat/components/MessageInput.vue
+++ b/apps/web-antd/src/views/business/chat/components/MessageInput.vue
@@ -75,6 +75,7 @@ const sendUploadedFile = () => {
     room_id: chatStore.currentFriend.room_id,
     read: true,
     duration: 0,
+    isSent: true,  // 标记为自己发送的消息，确保显示在右侧
   };
 
   chatStore.addMessage(messageObj, userStore.currentUser.doctor_id);
@@ -83,6 +84,7 @@ const sendUploadedFile = () => {
   sendMessage({
     senderId: userStore.currentUser.doctor_id,
     receiverId: chatStore.currentFriend.id,
+    roomId: chatStore.currentFriend.room_id,  // 添加房间ID
     type: uploadPreview.value.type,
     content: uploadPreview.value.url,
   }).catch((error) => {
diff --git a/apps/web-antd/src/views/business/chat/composables/useWebSocket.ts b/apps/web-antd/src/views/business/chat/composables/useWebSocket.ts
index b47e306d..480afc08 100644
--- a/apps/web-antd/src/views/business/chat/composables/useWebSocket.ts
+++ b/apps/web-antd/src/views/business/chat/composables/useWebSocket.ts
@@ -22,7 +22,8 @@ export function useWebSocket() {
 
     try {
       // const wsUrl = import.meta.env.VITE_WS_URL || "wss://g-ws.nailaoyun.cn/ws"
-      const wsUrl = import.meta.env.VITE_WS_URL || 'ws://localhost:12080/ws';
+      // const wsUrl = import.meta.env.VITE_WS_URL || 'ws://localhost:12080/ws';
+      const wsUrl = 'wss://api.ws.g.xiaokang88.com/ws';
       // const wsUrl = import.meta.env.VITE_WS_URL || "wss://g-ws.nailaoyun.cn/ws"
       socket.value = new WebSocket(wsUrl);
 
diff --git a/apps/web-antd/src/views/doctor/online-consultation/api/index.ts b/apps/web-antd/src/views/doctor/online-consultation/api/index.ts
index 647bde5e..04c81fed 100644
--- a/apps/web-antd/src/views/doctor/online-consultation/api/index.ts
+++ b/apps/web-antd/src/views/doctor/online-consultation/api/index.ts
@@ -67,11 +67,14 @@ export async function getPatientList(type: number) {
 
 /**
  * 获取患者详情
- * @param roomId 房间ID
+ * @param roomId 房间ID（可选，如果没有room_id但有registerId，可以通过registerId查询）
  * @param registerId 挂号ID（可选）
  */
-export async function getPatientDetail(roomId: string, registerId?: number) {
-  const params: any = { room_id: roomId };
+export async function getPatientDetail(roomId?: string, registerId?: number) {
+  const params: any = {};
+  if (roomId) {
+    params.room_id = roomId;
+  }
   if (registerId) {
     params.register_id = registerId;
   }
diff --git a/apps/web-antd/src/views/doctor/online-consultation/components/PatientInfoPanel.vue b/apps/web-antd/src/views/doctor/online-consultation/components/PatientInfoPanel.vue
index f8cebc31..cc87ed11 100644
--- a/apps/web-antd/src/views/doctor/online-consultation/components/PatientInfoPanel.vue
+++ b/apps/web-antd/src/views/doctor/online-consultation/components/PatientInfoPanel.vue
@@ -27,7 +27,8 @@ const receptionLoading = ref(false);
 
 // 获取患者详情
 const fetchPatientDetail = async () => {
-  if (!props.patient || !props.patient.room_id) {
+  // 至少需要 room_id 或 register_id 其中之一
+  if (!props.patient || (!props.patient.room_id && !props.patient.register_id)) {
     patientDetail.value = null;
     return;
   }
@@ -43,9 +44,10 @@ const fetchPatientDetail = async () => {
       }
     }
     
-    console.log('查询患者详情，register_id:', registerId, 'patient:', props.patient);
+    console.log('查询患者详情，register_id:', registerId, 'room_id:', props.patient.room_id, 'patient:', props.patient);
     
-    const res = await getPatientDetail(props.patient.room_id, registerId);
+    // 支持只有 register_id 没有 room_id 的情况
+    const res = await getPatientDetail(props.patient.room_id || '', registerId);
     console.log('患者详情API响应:', res);
     // 确保正确解析返回数据
     const data = res?.result || res?.data || res || null;
@@ -63,8 +65,12 @@ const fetchPatientDetail = async () => {
 
 // 接诊
 const handleReception = async () => {
-  if (!props.patient || !props.patient.register_id) {
-    message.error('患者信息不存在或缺少挂号ID');
+  if (!props.patient) {
+    message.error('患者信息不存在');
+    return;
+  }
+  if (!props.patient.register_id) {
+    message.error('缺少挂号ID');
     return;
   }
 
@@ -100,8 +106,12 @@ const getSexText = (sex) => {
 
 // 进入聊天
 const handleEnterChat = () => {
-  if (!props.patient || !props.patient.room_id) {
-    message.warning('患者信息不完整，无法进入聊天');
+  if (!props.patient) {
+    message.warning('患者信息不存在');
+    return;
+  }
+  if (!props.patient.room_id) {
+    message.warning('患者尚未创建聊天房间，请先接诊');
     return;
   }
   emit('enter-chat', props.patient);
diff --git a/apps/web-antd/vite.config.mts b/apps/web-antd/vite.config.mts
index dbd8ac8c..9bff75ac 100644
--- a/apps/web-antd/vite.config.mts
+++ b/apps/web-antd/vite.config.mts
@@ -20,7 +20,8 @@ export default defineConfig(async () => {
             rewrite: (path) => path.replace(/^\/im-api/, ''),
             // mock代理目标地址
             // target: 'https://api.xiaokang88.com/api/admin/',
-            target: 'http://localhost:12080/api/',
+            target: 'https://api.ws.g.xiaokang88.com/api/',
+            // target: 'http://localhost:12080/api/',
             // target: 'http://api.xiaokang88.com/api/admin/',
             ws: true,
           },