diff --git a/request/api/api.js b/request/api/api.js
index 1c0c626..989bc38 100644
--- a/request/api/api.js
+++ b/request/api/api.js
@@ -1,5 +1,14 @@
 import http from './request'
 import { get } from './http'
+import {
+	getPatientListApi,
+	savePatientApi,
+	deletePatientApi,
+	getPatientGuardianInfoApi,
+	getPatientRelationApi,
+	changePatientDefaultApi,
+	getPatientHealthInfoApi,
+} from './patient.js'
 
 /** 将 xk-api 的 code/result 格式转为旧版 errcode/data，兼容现有页面 */
 function normalizeXkApiResponse(res) {
@@ -10,6 +19,21 @@ function normalizeXkApiResponse(res) {
 	return res;
 }
 
+/**
+ * 就诊人列表专用：xk-api result 为 { list, latest_register_user_patient_id }
+ * 旧页面仍读 res.data.data 数组，这里把 list 摊平到 data
+ */
+function normalizePatientListResponse(res) {
+	if (res && res.data && (res.data.code === 0 || res.data.code === '0')) {
+		const result = res.data.result
+		const list = Array.isArray(result) ? result : ((result && result.list) || [])
+		res.data.errcode = 0
+		res.data.data = list
+		res.data.result = result
+	}
+	return res
+}
+
 // 登录 授权 其他手机号授权
 export async function getsLogin(params) {
 	let data = await http('/oldApi/v1/user/login', params)
@@ -96,59 +120,58 @@ export async function registerList(params) {
 }
 
 
-// 就诊人列表
+/** 就诊人列表（xk-api POST /patient/list） */
 export async function userList(params) {
-	let data = await http('/oldApi/v1/patient/list', params)
-	return data
+	const data = (params && params.data) || params || {}
+	return normalizePatientListResponse(await getPatientListApi(data))
 }
 
-// 就诊人关系
+/** 就诊人关系（xk-api GET /patient/relation） */
 export async function userRelation(params) {
-	let data = await http('/oldApi/v1/patient/relation', params)
-	return data
+	const data = (params && params.data) || params || {}
+	return normalizeXkApiResponse(await getPatientRelationApi(data))
 }
 
-// 编辑就诊人信息
+/** 编辑就诊人头像等（仍走旧接口，业务极少用） */
 export async function userInfo(params) {
 	let data = await http('/oldApi/v1/patient/edit-patient', params)
 	return data
 }
 
-// 就诊人保存
+/** 就诊人保存（xk-api POST /patient/save） */
 export async function userAdd(params) {
-	let data = await http('/xkApi/patient/save', params)
-	return data
+	const data = (params && params.data) || params || {}
+	return normalizeXkApiResponse(await savePatientApi(data))
 }
 
-// 就诊人监护人信息（编辑回显）
+/** 就诊人监护人信息（xk-api GET /patient/guardian-info） */
 export async function userGuardianInfo(params) {
-	const query = params.data || params
-	return await get('/patient/guardian-info', query, 3)
+	const query = (params && params.data) || params || {}
+	return normalizeXkApiResponse(await getPatientGuardianInfoApi(query))
 }
 
-// 删除就诊人
+/** 删除就诊人（xk-api POST /patient/delete） */
 export async function userPatientDel(params) {
-	let data = await http('/xkApi/patient/delete', params)
-	return data
+	const data = (params && params.data) || params || {}
+	return normalizeXkApiResponse(await deletePatientApi(data))
 }
 
-// 就诊人详情
+/** 就诊人详情（列表已含字段；无独立详情时仍兼容旧 Yii） */
 export async function userDetail(params) {
 	let data = await http('/oldApi/v1/patient/info', params)
 	return data
 }
 
-// 就诊人 切换默认接诊人
+/** 切换默认就诊人（xk-api POST /patient/change-default） */
 export async function userPatientChoose(params) {
-	let data = await http('/oldApi/v1/patient/change-patient', params)
-	return data
+	const data = (params && params.data) || params || {}
+	return normalizeXkApiResponse(await changePatientDefaultApi(data))
 }
 
-
-// 就诊人 - 健康信息
+/** 健康问诊详情（xk-api POST /patient/health-info） */
 export async function userEidtPatient(params) {
-	let data = await http('/oldApi/v1/patient/health-info', params)
-	return data
+	const data = (params && params.data) || params || {}
+	return normalizeXkApiResponse(await getPatientHealthInfoApi(data))
 }
 
 // 挂号
diff --git a/subPackages/my/myinfo-edit.vue b/subPackages/my/myinfo-edit.vue
index 8ad913f..0f26529 100644
--- a/subPackages/my/myinfo-edit.vue
+++ b/subPackages/my/myinfo-edit.vue
@@ -853,6 +853,8 @@
 						that.form.age = that.infoList[0].age
 						that.form.identityCardNo = that.infoList[0].id_card
 						that.addid = that.infoList[0].id
+						// 编辑页无「设为默认」开关，保存时原样回传，避免后端缺省写成 0
+						that.checked = Number(that.infoList[0].is_default) === 1
 
 						that.actionSheetCallback(that.infoList[0].relation)
             that.getHeath()
@@ -1073,6 +1075,8 @@
 					age: this.form.age,
 					mobile: this.phone,
 					relation: this.relation,
+					// 编辑页回传原默认态，防止保存后默认被取消
+					is_default: this.checked ? '1' : '0',
 					is_visit: this.isVisit == '是' ? '1' : '0',
 					liver_function: this.liver == '正常' ? '0' : '1',
 					renal_function: this.renal == '正常' ? '0' : '1',