diff --git a/crates/erp-health/src/event.rs b/crates/erp-health/src/event.rs
index 6a865a6..71ffe70 100644
--- a/crates/erp-health/src/event.rs
+++ b/crates/erp-health/src/event.rs
@@ -11,6 +11,7 @@ pub const APPOINTMENT_CREATED: &str = "appointment.created";
 
 // 告警
 pub const ALERT_TRIGGERED: &str = "alert.triggered";
+pub const ALERT_AGGREGATED: &str = "alert.aggregated";
 
 // 知情同意
 pub const CONSENT_GRANTED: &str = "consent.granted";
@@ -181,6 +182,33 @@ pub fn register_handlers_with_state(state: crate::state::HealthState) {
                     }
                     let _ = erp_core::events::mark_event_processed(&alert_db, event.id, "alert_notifier").await;
                 }
+                Some(event) if event.event_type == ALERT_TRIGGERED => {
+                    // 被抑制的告警 → 发布聚合事件
+                    if erp_core::events::is_event_processed(&alert_db, event.id, "alert_aggregator").await.unwrap_or(false) {
+                        continue;
+                    }
+                    let is_suppressed = event.payload.get("suppressed")
+                        .and_then(|v| v.as_bool())
+                        .unwrap_or(false);
+
+                    if is_suppressed {
+                        let patient_id = event.payload.get("patient_id").and_then(|v| v.as_str());
+                        if let Some(pid) = patient_id {
+                            let aggregated_event = erp_core::events::DomainEvent::new(
+                                ALERT_AGGREGATED,
+                                event.tenant_id,
+                                erp_core::events::build_event_payload(serde_json::json!({
+                                    "patient_id": pid,
+                                    "triggering_alert_id": event.payload.get("alert_id").and_then(|v| v.as_str()),
+                                    "severity": event.payload.get("severity"),
+                                })),
+                            );
+                            alert_bus.publish(aggregated_event, &alert_db).await;
+                            tracing::info!(patient_id = %pid, "告警聚合事件已发布");
+                        }
+                    }
+                    let _ = erp_core::events::mark_event_processed(&alert_db, event.id, "alert_aggregator").await;
+                }
                 Some(_) => {}
                 None => break,
             }
@@ -937,6 +965,7 @@ mod tests {
         let all_types = [
             APPOINTMENT_CREATED,
             ALERT_TRIGGERED,
+            ALERT_AGGREGATED,
             CONSENT_GRANTED,
             CONSENT_REVOKED,
             ARTICLE_PUBLISHED,
@@ -971,6 +1000,7 @@ mod tests {
         let all_types = [
             APPOINTMENT_CREATED,
             ALERT_TRIGGERED,
+            ALERT_AGGREGATED,
             CONSENT_GRANTED,
             CONSENT_REVOKED,
             ARTICLE_PUBLISHED,
@@ -1008,6 +1038,7 @@ mod tests {
         // 确保常量值与消费者 switch 匹配中使用的硬编码字符串一致
         assert_eq!(APPOINTMENT_CREATED, "appointment.created");
         assert_eq!(ALERT_TRIGGERED, "alert.triggered");
+        assert_eq!(ALERT_AGGREGATED, "alert.aggregated");
         assert_eq!(CONSENT_GRANTED, "consent.granted");
         assert_eq!(CONSENT_REVOKED, "consent.revoked");
         assert_eq!(ARTICLE_PUBLISHED, "article.published");
@@ -1570,6 +1601,12 @@ mod tests {
             prefix,
             ALERT_TRIGGERED
         );
+        assert!(
+            ALERT_AGGREGATED.starts_with(prefix),
+            "前缀 '{}' 应覆盖 '{}'",
+            prefix,
+            ALERT_AGGREGATED
+        );
     }
 
     #[test]
@@ -1683,6 +1720,7 @@ mod tests {
         // 收集所有消费者的 consumer_id（从 mark_event_processed 调用中提取）
         let consumer_ids = [
             "workflow_task_consumer",
+            "alert_aggregator",
             "alert_notifier",
             "patient_welcome",
             "appt_created_notifier",