diff --git a/apps/miniprogram/package.json b/apps/miniprogram/package.json
index 6f044cf..89dfe55 100644
--- a/apps/miniprogram/package.json
+++ b/apps/miniprogram/package.json
@@ -14,9 +14,6 @@
     "ios >= 8"
   ],
   "dependencies": {
-    "@babel/preset-env": "^7.29.2",
-    "@babel/preset-react": "^7.28.5",
-    "@babel/preset-typescript": "^7.28.5",
     "@tarojs/components": "4.2.0",
     "@tarojs/helper": "4.2.0",
     "@tarojs/plugin-framework-react": "4.2.0",
@@ -25,20 +22,18 @@
     "@tarojs/runtime": "4.2.0",
     "@tarojs/shared": "4.2.0",
     "@tarojs/taro": "4.2.0",
-    "babel-preset-taro": "^4.2.0",
-    "crypto-js": "^4.2.0",
-    "echarts": "^6.0.0",
     "react": "^18.3.0",
-    "react-dom": "^18.3.0",
-    "zod": "^4.3.6",
     "zustand": "^5.0.0"
   },
   "devDependencies": {
+    "@babel/preset-env": "^7.29.2",
+    "@babel/preset-react": "^7.28.5",
+    "@babel/preset-typescript": "^7.28.5",
     "@babel/runtime": "^7.27.0",
     "@tarojs/cli": "4.2.0",
     "@tarojs/webpack5-runner": "4.2.0",
-    "@types/crypto-js": "^4.2.2",
     "@types/react": "^18.3.0",
+    "babel-preset-taro": "^4.2.0",
     "miniprogram-automator": "^0.12.1",
     "sass": "^1.87.0",
     "typescript": "^5.8.0",
diff --git a/apps/miniprogram/src/hooks/useAuthRequired.ts b/apps/miniprogram/src/hooks/useAuthRequired.ts
new file mode 100644
index 0000000..81dd1bf
--- /dev/null
+++ b/apps/miniprogram/src/hooks/useAuthRequired.ts
@@ -0,0 +1,15 @@
+import { useAuthStore } from '@/stores/auth';
+
+export function useAuthRequired() {
+  const user = useAuthStore((s) => s.user);
+  const currentPatient = useAuthStore((s) => s.currentPatient);
+  const loadPatients = useAuthStore((s) => s.loadPatients);
+  const isMedicalStaff = useAuthStore((s) => s.isMedicalStaff);
+
+  return {
+    isLoggedIn: !!user,
+    hasPatient: !!currentPatient,
+    isMedicalStaff: isMedicalStaff(),
+    loadPatients,
+  };
+}
diff --git a/apps/miniprogram/src/hooks/usePageRefresh.ts b/apps/miniprogram/src/hooks/usePageRefresh.ts
new file mode 100644
index 0000000..69da321
--- /dev/null
+++ b/apps/miniprogram/src/hooks/usePageRefresh.ts
@@ -0,0 +1,23 @@
+import { useCallback } from 'react';
+import Taro, { usePullDownRefresh } from '@tarojs/taro';
+
+export function usePageRefresh(onRefresh: () => Promise<void>) {
+  usePullDownRefresh(async () => {
+    try {
+      await onRefresh();
+    } finally {
+      Taro.stopPullDownRefresh();
+    }
+  });
+
+  const manualRefresh = useCallback(async () => {
+    Taro.startPullDownRefresh();
+    try {
+      await onRefresh();
+    } finally {
+      Taro.stopPullDownRefresh();
+    }
+  }, [onRefresh]);
+
+  return { manualRefresh };
+}
diff --git a/apps/miniprogram/src/hooks/usePagination.ts b/apps/miniprogram/src/hooks/usePagination.ts
new file mode 100644
index 0000000..008221d
--- /dev/null
+++ b/apps/miniprogram/src/hooks/usePagination.ts
@@ -0,0 +1,65 @@
+import { useState, useCallback, useRef } from 'react';
+
+interface PaginationResult<T> {
+  list: T[];
+  setList: React.Dispatch<React.SetStateAction<T[]>>;
+  loading: boolean;
+  hasMore: boolean;
+  total: number;
+  loadMore: () => Promise<void>;
+  refresh: () => Promise<void>;
+}
+
+export function usePagination<T>(
+  fetcher: (page: number, pageSize: number) => Promise<{ data: T[]; total: number }>,
+  pageSize = 10,
+): PaginationResult<T> {
+  const [list, setList] = useState<T[]>([]);
+  const [loading, setLoading] = useState(false);
+  const [hasMore, setHasMore] = useState(true);
+  const [total, setTotal] = useState(0);
+  const pageRef = useRef(1);
+  const loadingRef = useRef(false);
+
+  const loadMore = useCallback(async () => {
+    if (loadingRef.current || !hasMore) return;
+    loadingRef.current = true;
+    setLoading(true);
+    try {
+      const res = await fetcher(pageRef.current, pageSize);
+      const items = res.data || [];
+      setList((prev) => [...prev, ...items]);
+      setTotal(res.total);
+      setHasMore(items.length >= pageSize);
+      pageRef.current += 1;
+    } catch {
+      // 错误由调用方处理
+    } finally {
+      loadingRef.current = false;
+      setLoading(false);
+    }
+  }, [fetcher, pageSize, hasMore]);
+
+  const refresh = useCallback(async () => {
+    if (loadingRef.current) return;
+    loadingRef.current = true;
+    setLoading(true);
+    pageRef.current = 1;
+    setHasMore(true);
+    try {
+      const res = await fetcher(1, pageSize);
+      const items = res.data || [];
+      setList(items);
+      setTotal(res.total);
+      setHasMore(items.length >= pageSize);
+      pageRef.current = 2;
+    } catch {
+      // 错误由调用方处理
+    } finally {
+      loadingRef.current = false;
+      setLoading(false);
+    }
+  }, [fetcher, pageSize]);
+
+  return { list, setList, loading, hasMore, total, loadMore, refresh };
+}
diff --git a/apps/miniprogram/src/pages/ai-report/detail/index.tsx b/apps/miniprogram/src/pages/ai-report/detail/index.tsx
index db899e4..bf6e248 100644
--- a/apps/miniprogram/src/pages/ai-report/detail/index.tsx
+++ b/apps/miniprogram/src/pages/ai-report/detail/index.tsx
@@ -3,6 +3,7 @@ import { View, Text, RichText } from '@tarojs/components';
 import Taro, { useRouter } from '@tarojs/taro';
 import { getAiAnalysisDetail, type AiAnalysisItem } from '@/services/ai-analysis';
 import Loading from '@/components/Loading';
+import { sanitizeHtml } from '@/utils/sanitize-html';
 import { useElderClass } from '../../../hooks/useElderClass';
 import './index.scss';
 
@@ -13,29 +14,10 @@ const TYPE_LABELS: Record<string, string> = {
   report_summary_generation: '报告摘要',
 };
 
-/** 移除危险的 HTML 标签和事件属性，防止 XSS */
-function sanitizeHtml(html: string): string {
-  return html
-    // 移除 <script> 标签及其内容
-    .replace(/<script\b[^<]*(?:(?!<\/script>)<[^<]*)*<\/script>/gi, '')
-    // 移除 <iframe>, <object>, <embed>, <form>, <input>, <textarea>, <style> 标签
-    .replace(/<\/?(?:iframe|object|embed|form|input|textarea|style)\b[^>]*>/gi, '')
-    // 移除 <link> 和 <meta> 标签
-    .replace(/<\/?(?:link|meta)\b[^>]*>/gi, '')
-    // 移除所有 on* 事件属性 (onclick, onerror, onload 等)
-    .replace(/\s+on\w+\s*=\s*(?:"[^"]*"|'[^']*'|[^\s>]+)/gi, '')
-    // 移除 javascript: 和 data: 协议的 href/src 属性
-    .replace(/(href|src)\s*=\s*(?:"javascript:[^"]*"|'javascript:[^']*')/gi, '')
-    .replace(/(href|src)\s*=\s*(?:"data:[^"]*"|'data:[^']*')/gi, '');
-}
-
 function markdownToHtml(md: string): string {
-  // 先转义 markdown 中可能存在的原始 HTML 标签
   const escaped = sanitizeHtml(md);
   return escaped
-    .replace(/^### (.+)$/gm, '<h3>$1</h3>')
-    .replace(/^## (.+)$/gm, '<h2>$1</h2>')
-    .replace(/^# (.+)$/gm, '<h1>$1</h1>')
+    .replace(/^(#{1,3}) (.+)$/gm, (_, h: string, t: string) => `<h${h.length}>${t}</h${h.length}>`)
     .replace(/\*\*(.+?)\*\*/g, '<strong>$1</strong>')
     .replace(/\*(.+?)\*/g, '<em>$1</em>')
     .replace(/^- (.+)$/gm, '<li>$1</li>')
diff --git a/apps/miniprogram/src/pages/article/detail/index.tsx b/apps/miniprogram/src/pages/article/detail/index.tsx
index 21fc56d..3984f4c 100644
--- a/apps/miniprogram/src/pages/article/detail/index.tsx
+++ b/apps/miniprogram/src/pages/article/detail/index.tsx
@@ -3,6 +3,7 @@ import { View, Text, RichText } from '@tarojs/components';
 import Taro, { useRouter, useShareAppMessage } from '@tarojs/taro';
 import { getArticleDetail, getPublicArticleDetail, Article } from '../../../services/article';
 import { trackEvent } from '@/services/analytics';
+import { sanitizeHtml } from '@/utils/sanitize-html';
 import { useElderClass } from '../../../hooks/useElderClass';
 import { useAuthStore } from '../../../stores/auth';
 import './index.scss';
@@ -82,7 +83,7 @@ export default function ArticleDetail() {
       {/* 正文 */}
       <View className='article-content'>
         <RichText
-          nodes={article.content || ''}
+          nodes={sanitizeHtml(article.content || '')}
         />
       </View>
     </View>
diff --git a/apps/miniprogram/src/services/request.ts b/apps/miniprogram/src/services/request.ts
index 48b0a3d..8b7fcc1 100644
--- a/apps/miniprogram/src/services/request.ts
+++ b/apps/miniprogram/src/services/request.ts
@@ -1,14 +1,32 @@
 import Taro from '@tarojs/taro';
 import { secureGet, secureSet, secureRemove } from '@/utils/secure-storage';
 
-const BASE_URL = process.env.TARO_APP_API_URL || 'http://localhost:3000/api/v1';
+const BASE_URL = (() => {
+  const url = process.env.TARO_APP_API_URL || '';
+  if (!url) return 'http://localhost:3000/api/v1';
+  if (process.env.NODE_ENV === 'production' && url.startsWith('http://')) {
+    return url.replace('http://', 'https://');
+  }
+  return url;
+})();
 
 interface ApiResponse<T> {
   success: boolean;
   data?: T;
   message?: string;
+  error_code?: string;
 }
 
+const ERROR_CODE_MAP: Record<string, string> = {
+  VALIDATION_ERROR: '输入信息有误，请检查后重试',
+  UNAUTHORIZED: '请先登录',
+  FORBIDDEN: '权限不足',
+  NOT_FOUND: '数据不存在',
+  DUPLICATE: '数据已存在',
+  RATE_LIMITED: '操作过于频繁，请稍后再试',
+  CONCURRENCY_CONFLICT: '数据已被其他人修改，请刷新后重试',
+};
+
 function safeGet(key: string): string {
   try {
     return secureGet(key);
@@ -17,23 +35,53 @@ function safeGet(key: string): string {
   }
 }
 
+// --- 内存缓存 header 字段，避免每次请求 3 次 Storage 读 ---
+let cachedToken = '';
+let cachedTenantId = '';
+let headersCacheTs = 0;
+const HEADERS_CACHE_TTL = 30_000;
+
+export function invalidateHeadersCache(): void {
+  headersCacheTs = 0;
+}
+
+function refreshHeadersCache(): void {
+  cachedToken = safeGet('access_token');
+  cachedTenantId = safeGet('tenant_id');
+  // 首次启动时从 Storage 读取 patientId
+  if (!cachedPatientId) {
+    cachedPatientId = Taro.getStorageSync('current_patient_id') || '';
+  }
+  headersCacheTs = Date.now();
+}
+
 async function getHeaders(): Promise<Record<string, string>> {
+  if (Date.now() - headersCacheTs > HEADERS_CACHE_TTL) {
+    refreshHeadersCache();
+  }
+  // Token 过期预检查，提前 60 秒主动刷新
+  if (!isLoggingOut) {
+    const expiresAt = parseInt(safeGet('token_expires_at'), 10);
+    if (expiresAt && Date.now() > expiresAt - 60_000) {
+      await tryRefreshToken();
+      refreshHeadersCache();
+    }
+  }
   const headers: Record<string, string> = { 'Content-Type': 'application/json' };
-  const token = safeGet('access_token');
-  if (token) headers['Authorization'] = `Bearer ${token}`;
-  const patientId = Taro.getStorageSync('current_patient_id');
-  if (patientId) headers['X-Patient-Id'] = patientId;
-  const tenantId = safeGet('tenant_id');
-  if (tenantId) headers['X-Tenant-Id'] = tenantId;
+  if (cachedToken) headers['Authorization'] = `Bearer ${cachedToken}`;
+  if (cachedPatientId) headers['X-Patient-Id'] = cachedPatientId;
+  if (cachedTenantId) headers['X-Tenant-Id'] = cachedTenantId;
   return headers;
 }
 
 // --- Token refresh deduplication ---
 let refreshPromise: Promise<boolean> | null = null;
 let isLoggingOut = false;
+const MAX_401_RETRY = 1;
 
 export function markLoggingOut(): void {
   isLoggingOut = true;
+  invalidateHeadersCache();
 }
 
 export function clearLoggingOut(): void {
@@ -60,6 +108,10 @@ async function doRefresh(): Promise<boolean> {
     if (res.statusCode === 200 && res.data?.success) {
       secureSet('access_token', res.data.data.access_token);
       secureSet('refresh_token', res.data.data.refresh_token);
+      if (res.data.data.expires_in) {
+        secureSet('token_expires_at', String(Date.now() + res.data.data.expires_in * 1000));
+      }
+      invalidateHeadersCache();
       return true;
     }
   } catch {
@@ -75,7 +127,7 @@ async function doRefresh(): Promise<boolean> {
 }
 
 // --- Core request ---
-async function request<T>(method: string, path: string, data?: unknown, timeout?: number): Promise<T> {
+async function request<T>(method: string, path: string, data?: unknown, timeout?: number, _retryCount401 = 0): Promise<T> {
   const headers = await getHeaders();
   const url = `${BASE_URL}${path}`;
   let res: Taro.request.SuccessCallbackResult;
@@ -92,10 +144,13 @@ async function request<T>(method: string, path: string, data?: unknown, timeout?
   }
 
   if (res.statusCode === 401) {
+    if (isLoggingOut || _retryCount401 >= MAX_401_RETRY) {
+      throw new Error('登录已过期');
+    }
     const hasToken = !!safeGet('access_token');
     if (hasToken) {
       const refreshed = await tryRefreshToken();
-      if (refreshed) return request<T>(method, path, data);
+      if (refreshed) return request<T>(method, path, data, timeout, _retryCount401 + 1);
       const pages = Taro.getCurrentPages();
       const currentPath = pages[pages.length - 1]?.path || '';
       if (!currentPath.includes('pages/login')) {
@@ -116,7 +171,10 @@ async function request<T>(method: string, path: string, data?: unknown, timeout?
   }
 
   const body = res.data as ApiResponse<T>;
-  if (!body.success) throw new Error(body.message || '请求失败');
+  if (!body.success) {
+    const userMsg = body.error_code ? (ERROR_CODE_MAP[body.error_code] || '操作失败，请稍后重试') : '操作失败，请稍后重试';
+    throw new Error(userMsg);
+  }
   return body.data as T;
 }
 
@@ -133,13 +191,18 @@ function buildQuery(params?: Record<string, string | number | undefined>): strin
 
 // --- GET request cache + deduplication ---
 interface CacheEntry { data: unknown; expiry: number }
+const MAX_CACHE_SIZE = 100;
 const responseCache = new Map<string, CacheEntry>();
 const inflightRequests = new Map<string, Promise<unknown>>();
 const DEFAULT_CACHE_TTL = 60_000;
+let cachedPatientId = '';
+
+export function setCachedPatientId(id: string): void {
+  cachedPatientId = id;
+}
 
 function getCacheKey(url: string): string {
-  const patientId = Taro.getStorageSync('current_patient_id') || '';
-  return `${url}#${patientId}`;
+  return `${url}#${cachedPatientId}`;
 }
 
 export function clearRequestCache(prefix?: string): void {
@@ -169,6 +232,10 @@ export const api = {
       inflightRequests.delete(cacheKey);
       const ttl = cacheTtl ?? DEFAULT_CACHE_TTL;
       if (ttl > 0) {
+        if (responseCache.size >= MAX_CACHE_SIZE) {
+          const oldest = responseCache.keys().next().value;
+          if (oldest) responseCache.delete(oldest);
+        }
         responseCache.set(cacheKey, { data, expiry: Date.now() + ttl });
       }
       return data;
diff --git a/apps/miniprogram/src/stores/auth.ts b/apps/miniprogram/src/stores/auth.ts
index 45ae88e..2b9108e 100644
--- a/apps/miniprogram/src/stores/auth.ts
+++ b/apps/miniprogram/src/stores/auth.ts
@@ -2,11 +2,21 @@ import { create } from 'zustand';
 import Taro from '@tarojs/taro';
 import * as authApi from '@/services/auth';
 import { secureGet, secureSet, secureRemove } from '@/utils/secure-storage';
-import { clearRequestCache, markLoggingOut, clearLoggingOut } from '@/services/request';
+import { clearRequestCache, markLoggingOut, clearLoggingOut, setCachedPatientId } from '@/services/request';
+import { useHealthStore } from './health';
+
+// --- 内存缓存，避免每次 Tab 切换重复 Storage IPC + JSON.parse ---
+let cachedUserJson = '';
+let cachedUserObj: AuthState['user'] = null;
+let cachedRolesJson = '';
+let cachedRolesObj: string[] = [];
+let cachedPatientJson = '';
+let cachedPatientObj: authApi.PatientInfo | null = null;
 
 interface BindPhoneResp {
   access_token: string;
   refresh_token: string;
+  expires_in?: number;
   user: { id: string; username: string; display_name?: string; phone?: string; tenant_id?: string };
 }
 
@@ -68,15 +78,48 @@ export const useAuthStore = create<AuthState>((set, get) => ({
   },
 
   restore: () => {
-    let user: AuthState['user'] = null;
-    let roles: string[] = [];
+    // 利用内存缓存避免重复 Storage IPC + JSON.parse
     try {
-      const userData = secureGet('user_data') || Taro.getStorageSync('user_data');
-      if (userData) user = JSON.parse(userData);
-      const rolesData = secureGet('user_roles') || Taro.getStorageSync('user_roles');
-      if (rolesData) roles = JSON.parse(rolesData);
+      const userData = secureGet('user_data') || Taro.getStorageSync('user_data') || '';
+      if (userData !== cachedUserJson) {
+        cachedUserJson = userData;
+        cachedUserObj = userData ? JSON.parse(userData) : null;
+      }
+      const rolesData = secureGet('user_roles') || Taro.getStorageSync('user_roles') || '';
+      if (rolesData !== cachedRolesJson) {
+        cachedRolesJson = rolesData;
+        cachedRolesObj = rolesData ? JSON.parse(rolesData) : [];
+      }
     } catch { /* secure storage 不可用时保持默认值 */ }
-    const currentPatient = Taro.getStorageSync('current_patient') || null;
+    try {
+      let patientRaw = Taro.getStorageSync('current_patient');
+      // 防御双重序列化：如果 Storage 写入了 JSON 字符串而非对象，尝试解析
+      if (typeof patientRaw === 'string') {
+        try { patientRaw = JSON.parse(patientRaw); } catch { patientRaw = null; }
+      }
+      const patientJson = patientRaw ? JSON.stringify(patientRaw) : '';
+      if (patientJson !== cachedPatientJson) {
+        cachedPatientJson = patientJson;
+        cachedPatientObj = patientRaw || null;
+      }
+    } catch { cachedPatientObj = null; }
+
+    const user = cachedUserObj;
+    const roles = cachedRolesObj;
+    const currentPatient = cachedPatientObj;
+
+    // 同步 cachedPatientId 到 request.ts
+    if (currentPatient?.id) {
+      setCachedPatientId(currentPatient.id);
+    }
+
+    // 跳过未变更的 set()
+    const cur = get();
+    const userChanged = cur.user?.id !== user?.id;
+    const rolesChanged = cur.roles.length !== roles.length || cur.roles.some((r, i) => r !== roles[i]);
+    const patientChanged = cur.currentPatient?.id !== currentPatient?.id;
+    if (!userChanged && !rolesChanged && !patientChanged) return;
+
     set({ user, roles, currentPatient });
   },
 
@@ -92,6 +135,9 @@ export const useAuthStore = create<AuthState>((set, get) => ({
           : [];
         secureSet('access_token', access_token);
         secureSet('refresh_token', refresh_token);
+        if (resp.token.expires_in) {
+          secureSet('token_expires_at', String(Date.now() + resp.token.expires_in * 1000));
+        }
         secureSet('user_data', JSON.stringify(user));
         secureSet('user_roles', JSON.stringify(roles));
         secureSet('tenant_id', user.tenant_id || '');
@@ -118,12 +164,15 @@ export const useAuthStore = create<AuthState>((set, get) => ({
         throw new Error('登录态丢失，请返回重试');
       }
       const resp = await authApi.wechatBindPhone(openid, encryptedData, iv) as Record<string, unknown>;
-      const tokenData = resp as { access_token: string; refresh_token: string; user: AuthState['user'] };
+      const tokenData = resp as { access_token: string; refresh_token: string; expires_in?: number; user: AuthState['user'] };
       const roles = resp.roles instanceof Array
         ? (resp.roles as Array<Record<string, string>>).map((r) => r.code || r.name || String(r))
         : [];
       secureSet('access_token', tokenData.access_token);
       secureSet('refresh_token', tokenData.refresh_token);
+      if (tokenData.expires_in) {
+        secureSet('token_expires_at', String(Date.now() + tokenData.expires_in * 1000));
+      }
       secureSet('user_data', JSON.stringify(tokenData.user));
       secureSet('user_roles', JSON.stringify(roles));
       secureSet('tenant_id', tokenData.user?.tenant_id || '');
@@ -141,6 +190,8 @@ export const useAuthStore = create<AuthState>((set, get) => ({
   setCurrentPatient: (patient) => {
     Taro.setStorageSync('current_patient_id', patient.id);
     Taro.setStorageSync('current_patient', patient);
+    setCachedPatientId(patient.id);
+    clearRequestCache();
     set({ currentPatient: patient });
   },
 
@@ -159,8 +210,10 @@ export const useAuthStore = create<AuthState>((set, get) => ({
   logout: () => {
     markLoggingOut();
     clearRequestCache();
+    setCachedPatientId('');
     secureRemove('access_token');
     secureRemove('refresh_token');
+    secureRemove('token_expires_at');
     secureRemove('user_data');
     secureRemove('user_roles');
     secureRemove('tenant_id');
@@ -169,6 +222,7 @@ export const useAuthStore = create<AuthState>((set, get) => ({
     Taro.removeStorageSync('current_patient_id');
     Taro.removeStorageSync('analytics_queue');
     Taro.removeStorageSync('edit_patient');
+    useHealthStore.getState().clearCache();
     set({ user: null, roles: [], currentPatient: null, patients: [] });
     Taro.reLaunch({ url: '/pages/index/index' });
   },
diff --git a/apps/miniprogram/src/utils/sanitize-html.ts b/apps/miniprogram/src/utils/sanitize-html.ts
new file mode 100644
index 0000000..10a10c7
--- /dev/null
+++ b/apps/miniprogram/src/utils/sanitize-html.ts
@@ -0,0 +1,7 @@
+const DANGEROUS_TAG_RE = /<(?:script\b[^<]*(?:(?!<\/script>)<[^<]*)*<\/script>|\/?(?:iframe|object|embed|form|input|textarea|style|link|meta)\b[^>]*)>/gi;
+const DANGEROUS_ATTR_RE = /(?:\s+on\w+\s*=\s*(?:"[^"]*"|'[^']*'|[^\s>]+)|(?:href|src)\s*=\s*(?:"(?:javascript|data):[^"]*"|'(?:javascript|data):[^']*'))/gi;
+
+export function sanitizeHtml(html: string): string {
+  if (!html) return '';
+  return html.replace(DANGEROUS_TAG_RE, '').replace(DANGEROUS_ATTR_RE, '');
+}
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+# HMS 小程序深度分析 + 五专家组头脑风暴
+
+> 日期: 2026-05-14 | 参与者: 5 专家组（架构师 / 安全专家 / UX 专家 / 工程效能专家 / 产品战略专家）
+
+## 一、综合评分矩阵
+
+| 维度 | 评分 | 评审人 | 核心评价 |
+|------|------|--------|---------|
+| **架构设计** | **7.2/10 (B+)** | 架构师 | 基础设施优秀（网络层/BLE/关怀模式），中间层缺失（Hook 层/类型共享） |
+| **安全性** | **5.5/10 (C+)** | 安全专家 | 认证框架正确，但 PHI 明文存储、XSS 风险、无远程错误追踪 |
+| **UX/无障碍** | **6.0/10 (B-)** | UX 专家 | Design Token 体系优秀，但零 ARIA 标注、错误处理不一致、关怀模式仅视觉 |
+| **工程效能** | **5.5/10 (C+)** | 工程专家 | 依赖精简、BLE 抽象优秀，但零 CI/CD、零 ESLint、测试覆盖 ~2% |
+| **产品完整度** | **7.2/10 (B)** | 产品专家 | 患者端闭环基本完整，但 AI 能力空转、无推送、无看护者模式 |
+| **综合** | **6.3/10 (B-)** | — | 技术基座扎实，产品进入「好用」跃升期，工程基础设施是最大短板 |
+
+## 二、关键发现汇总
+
+### 2.1 五大亮点（跨专家组共识）
+
+| # | 亮点 | 涉及文件 | 专家评价 |
+|---|------|---------|---------|
+| 1 | **request.ts 网络层** | `services/request.ts` | Token 刷新去重 + 响应缓存 + 飞行中请求去重 + LRU 淘汰，"可当教材" |
+| 2 | **BLE 子系统** | `services/ble/` 8 文件 | 适配器模式 + 离线缓冲 + 同步调度，"接近产品级方案" |
+| 3 | **关怀模式 CSS 变量级联** | `styles/tokens.scss` + `elder-mode.scss` | 非线性缩放 + 58/58 页面 100% 覆盖，"业内罕见优雅实现" |
+| 4 | **分包策略** | `app.config.ts` 10 个分包 | 边界清晰，主包 14 页，功能分包合理 |
+| 5 | **长者模式触觉反馈** | `utils/elder-toast.ts` | Toast 时长延长 + 震动反馈，细节关怀到位 |
+
+### 2.2 五大风险（按严重程度排序）
+
+| # | 风险 | 级别 | 影响 | 涉及范围 |
+|---|------|------|------|---------|
+| 1 | **PHI/敏感数据明文存储** | CRITICAL | 患者姓名/手机号/Token 明文可读，root 设备可提取 | `utils/secure-storage.ts` + 4 stores |
+| 2 | **零 CI/CD + 零代码质量门禁** | CRITICAL | 代码质量完全依赖人工，回归风险极高 | 全项目 |
+| 3 | **测试覆盖 ~2%** | HIGH | 66 个页面几乎零测试，重构无安全网 | `__tests__/` 13 文件 |
+| 4 | **Hook 层缺失**（124 文件仅 2 Hook） | HIGH | 跨页面重复代码 ~1200 行，随功能增长恶化 | 全部 56 页面 |
+| 5 | **AI 分析 4 个 SSE 端点无 UI 入口** | HIGH | 核心差异化能力空转，投入产出为零 | 后端 4 端点 + 前端无对应页面 |
+
+### 2.3 架构师视角：应该存在的 12 个自定义 Hook
+
+| # | Hook | 受益页面 | 消除重复 |
+|---|------|---------|---------|
+| 1 | `usePagination` | 10+ | 分页加载 + hasMore + loadMore |
+| 2 | `useAuthRequired` | 15+ | 登录守卫 + GuestGuard |
+| 3 | `usePageRefresh` | 20+ | usePullDownRefresh + stopPullDownRefresh |
+| 4 | `useVitalSigns` | 4 | 体征获取/提交/阈值校验 |
+| 5 | `useHealthTrend` | 3 | 趋势数据 + healthStore.getTrend |
+| 6 | `useFormValidation` | 6+ | 表单验证 + 脏检查 |
+| 7 | `useConsultation` | 2 | 咨询长轮询 + 自动标记已读 |
+| 8 | `useBLEConnection` | 1 | BLE 扫描/连接/读取状态机 |
+| 9 | `useReminder` | 1 | 首页智能提醒加载 |
+| 10 | `useUnreadCount` | 3 | 未读消息计数 + 轮询 |
+| 11 | `useAppNavigation` | 15+ | 条件导航 + 参数解析 |
+| 12 | `useThresholdCheck` | 2 | 阈值校验 + 异常提示弹窗 |
+
+**P0（最高 ROI）：** `usePagination` + `useAuthRequired` + `usePageRefresh` → 一个工作日完成，减少 50% 重复代码。
+
+### 2.4 安全专家视角：6 个关键修复
+
+| # | 修复项 | 当前 | 方案 | 优先级 |
+|---|--------|------|------|--------|
+| 1 | RichText XSS | `article/detail` 未净化 | 提取 `sanitizeHtml()` 为共享工具 | P0 |
+| 2 | HTTPS 强制 | HTTP 回退未保护 | 编译时校验 + 生产强制 HTTPS | P0 |
+| 3 | 错误信息净化 | 后端原始消息透传 | error_code 映射 + 用户友好消息 | P0 |
+| 4 | Token 生命周期 | `expires_in` 从未使用 | 记录过期时间 + 主动刷新 | P1 |
+| 5 | 安全存储 | 明文 `secureSet/Get` | Token 仅内存 / 微信原生加密 | P1 |
+| 6 | 远程错误追踪 | 无 Sentry/BugSnag | 接入错误追踪服务 | P1 |
+
+### 2.5 UX 专家视角：Top 10 改进
+
+| # | 改进项 | 工作量 | 影响 |
+|---|--------|--------|------|
+| 1 | 统一 PageState 模式（usePageState hook） | 3 天 | 56 页面 UX 一致性 |
+| 2 | 全量 ARIA 标注 | 5 天 | 视障用户可访问 |
+| 3 | 骨架屏组件 | 2 天 | 降低感知等待时间 |
+| 4 | 修复 15+ 处静默错误 | 1 天 | 用户不再丢失关键反馈 |
+| 5 | 类型安全路由 | 2 天 | 消除路由拼写错误 |
+| 6 | 关怀模式简化导航（3 大按钮） | 3 天 | 老年用户操作成功率 |
+| 7 | 异常值分级告警（黄/橙/红） | 2 天 | 医疗安全关键路径 |
+| 8 | 下拉刷新统一包装 | 2 天 | 交互一致性 |
+| 9 | 体征录入大数字键盘 | 3 天 | 老年患者录入体验 |
+| 10 | InfiniteList 统一列表组件 | 2 天 | 减少 ~300 行重复 |
+
+### 2.6 工程效能专家视角：技术债务优先级
+
+| 优先级 | 任务 | 工时 | 收益 |
+|--------|------|------|------|
+| P0 | 建立 CI/CD + ESLint + Prettier | 1 天 | 自动化质量门禁 |
+| P0 | 补齐 request.ts + auth store 测试 | 3 天 | 核心认证链路回归保护 |
+| P1 | Babel 依赖错放修复 | 0.1 天 | 包体积/语义正确 |
+| P1 | 消除 35+ 处 `any` + 开启 noImplicitAny | 4 天 | 类型安全 |
+| P2 | 创建 `services/types/` 共享类型 | 4h | 消除 4 套重复类型 |
+| P2 | OpenAPI 代码生成引入 | 1 周 | 前后端类型自动同步 |
+
+### 2.7 产品专家视角：Top 10 缺失功能
+
+| # | 功能 | ICE 分 | 说明 |
+|---|------|--------|------|
+| 1 | AI 分析 UI 入口 | 27 | 4 个 SSE 端点已存在，只差一个按钮 |
+| 2 | 微信订阅消息推送 | 24 | 没有推送 = 没有召回能力 |
+| 3 | 体征异常智能提醒 | 22 | 录入后即时判断异常 + 行动建议 |
+| 4 | BLE 后台自动同步 | 20 | 手动同步是反用户体验 |
+| 5 | 健康数据 PDF 导出 | 18 | 就诊时出示给医生，高频刚需 |
+| 6 | 仪表盘异常患者快筛 | 17 | 医生每天第一步 |
+| 7 | 告警智能分诊 + 批量操作 | 16 | 当前逐条处理效率极低 |
+| 8 | 看护者模式（代操作） | 15 | 老年患者子女代为录入/查看 |
+| 9 | 离线体征录入 | 14 | 网络不稳定场景 |
+| 10 | 随访自动化工作流 | 13 | 术后/出院自动创建随访 |
+
+## 三、核心结论
+
+### 3.1 跨专家组共识
+
+1. **技术基座扎实** — 网络层/BLE/关怀模式/分包策略是高标准实现，不需要推翻重来
+2. **中间层缺失是最大架构问题** — Hook 层和类型共享层的缺失会随页面增长加速恶化
+3. **安全合规是医疗产品的生死线** — PHI 明文存储 + XSS 风险 + 无远程错误追踪必须修复
+4. **AI 能力空转是最大产品浪费** — 4 个 SSE 端点已建设，只差一个 UI 入口就能释放价值
+5. **工程基础设施是扩大团队的瓶颈** — 无 CI/CD + 无 ESLint + 测试 ~2%，5 人以上团队必出问题
+
+### 3.2 三个月路线图
+
+**Month 1：安全加固 + 工程基础**
+- P0: RichText XSS 净化、HTTPS 强制、错误信息净化
+- P0: CI/CD 流水线 + ESLint + Prettier + pre-commit hook
+- P1: request.ts + auth store 单元测试补齐
+- P1: Token 生命周期管理 + secure-storage 加密/内存化
+
+**Month 2：架构优化 + UX 提升**
+- P0: 提取 usePagination + useAuthRequired + usePageRefresh 三个高 ROI Hook
+- P0: AI 分析 UI 入口上线（释放已建设能力）
+- P1: 拆分 health/index.tsx (419→5 文件) + daily-monitoring (487→5 文件)
+- P1: 统一 PageState 模式 + 骨架屏组件
+- P1: 创建 services/types/ 共享类型
+
+**Month 3：产品深化 + 质量补齐**
+- 微信订阅消息推送接入
+- 体征异常即时提醒 + 分级告警
+- 医护端工作台化改造
+- 覆盖率提升至 50%+
+- OpenAPI 代码生成引入
+
+## 四、数据资产清单
+
+| 指标 | 值 |
+|------|-----|
+| 源文件 | 124 TS/TSX + 82 SCSS |
+| 页面 | 56 (13 主包 + 43 分包) |
+| 组件 | 10 共享组件 |
+| Service | 41 文件 (19 患者 + 8 医生 + 8 BLE + 6 核心) |
+| Store | 4 Zustand (auth/ui/health/points) |
+| Hook | 2 自定义 (应 12+) |
+| 测试 | 13 单元 + 4 E2E (~2% 覆盖率) |
+| `any` 类型 | 35+ 处 |
+| 重复类型 | 4 套 (patient/doctor 各定义) |
+| 大组件 (>200 行) | 7 个 (最大 487 行) |
+| 静默 catch | 15+ 处 |
+| ARIA 标注 | 0 处 |