diff --git a/crates/erp-health/src/service/patient_service.rs b/crates/erp-health/src/service/patient_service.rs
index 8df6c95..fbe836a 100644
--- a/crates/erp-health/src/service/patient_service.rs
+++ b/crates/erp-health/src/service/patient_service.rs
@@ -428,42 +428,44 @@ pub async fn get_health_summary(
     find_patient(&state.db, tenant_id, patient_id).await?;
 
     use crate::entity::{vital_signs, lab_report, appointment, follow_up_task};
+    use sea_orm::QueryOrder;
 
-    // 最新体征
-    let latest_vitals = vital_signs::Entity::find()
-        .filter(vital_signs::Column::TenantId.eq(tenant_id))
-        .filter(vital_signs::Column::PatientId.eq(patient_id))
-        .filter(vital_signs::Column::DeletedAt.is_null())
-        .order_by_desc(vital_signs::Column::RecordDate)
-        .one(&state.db)
-        .await?;
+    // 4 个查询并行执行
+    let (latest_vitals_res, latest_lab_res, upcoming_res, pending_follow_ups_res) = tokio::join!(
+        // 最新体征
+        vital_signs::Entity::find()
+            .filter(vital_signs::Column::TenantId.eq(tenant_id))
+            .filter(vital_signs::Column::PatientId.eq(patient_id))
+            .filter(vital_signs::Column::DeletedAt.is_null())
+            .order_by_desc(vital_signs::Column::RecordDate)
+            .one(&state.db),
+        // 最新化验
+        lab_report::Entity::find()
+            .filter(lab_report::Column::TenantId.eq(tenant_id))
+            .filter(lab_report::Column::PatientId.eq(patient_id))
+            .filter(lab_report::Column::DeletedAt.is_null())
+            .order_by_desc(lab_report::Column::ReportDate)
+            .one(&state.db),
+        // 待处理预约数
+        appointment::Entity::find()
+            .filter(appointment::Column::TenantId.eq(tenant_id))
+            .filter(appointment::Column::PatientId.eq(patient_id))
+            .filter(appointment::Column::Status.eq("pending"))
+            .filter(appointment::Column::DeletedAt.is_null())
+            .count(&state.db),
+        // 待办随访数
+        follow_up_task::Entity::find()
+            .filter(follow_up_task::Column::TenantId.eq(tenant_id))
+            .filter(follow_up_task::Column::PatientId.eq(patient_id))
+            .filter(follow_up_task::Column::Status.eq("pending"))
+            .filter(follow_up_task::Column::DeletedAt.is_null())
+            .count(&state.db),
+    );
 
-    // 最新化验
-    let latest_lab = lab_report::Entity::find()
-        .filter(lab_report::Column::TenantId.eq(tenant_id))
-        .filter(lab_report::Column::PatientId.eq(patient_id))
-        .filter(lab_report::Column::DeletedAt.is_null())
-        .order_by_desc(lab_report::Column::ReportDate)
-        .one(&state.db)
-        .await?;
-
-    // 待处理预约数
-    let upcoming = appointment::Entity::find()
-        .filter(appointment::Column::TenantId.eq(tenant_id))
-        .filter(appointment::Column::PatientId.eq(patient_id))
-        .filter(appointment::Column::Status.eq("pending"))
-        .filter(appointment::Column::DeletedAt.is_null())
-        .count(&state.db)
-        .await?;
-
-    // 待办随访数
-    let pending_follow_ups = follow_up_task::Entity::find()
-        .filter(follow_up_task::Column::TenantId.eq(tenant_id))
-        .filter(follow_up_task::Column::PatientId.eq(patient_id))
-        .filter(follow_up_task::Column::Status.eq("pending"))
-        .filter(follow_up_task::Column::DeletedAt.is_null())
-        .count(&state.db)
-        .await?;
+    let latest_vitals = latest_vitals_res?;
+    let latest_lab = latest_lab_res?;
+    let upcoming = upcoming_res?;
+    let pending_follow_ups = pending_follow_ups_res?;
 
     Ok(serde_json::json!({
         "patient_id": patient_id,