diff --git a/crates/erp-ai/src/service/analysis_queue.rs b/crates/erp-ai/src/service/analysis_queue.rs
new file mode 100644
index 0000000..219696d
--- /dev/null
+++ b/crates/erp-ai/src/service/analysis_queue.rs
@@ -0,0 +1,258 @@
+use sea_orm::{ActiveModelTrait, ColumnTrait, EntityTrait, FromQueryResult, QueryFilter, QueryOrder, Set, Statement};
+use uuid::Uuid;
+
+use crate::entity::ai_analysis_queue;
+use crate::error::{AiError, AiResult};
+
+#[derive(Debug, FromQueryResult)]
+struct QueueRow {
+    id: Uuid,
+    tenant_id: Uuid,
+    patient_id: Uuid,
+    analysis_type: String,
+    priority: i32,
+    status: String,
+    source_event: Option<String>,
+    source_ref: String,
+    scheduled_at: chrono::DateTime<chrono::Utc>,
+    started_at: Option<chrono::DateTime<chrono::Utc>>,
+    completed_at: Option<chrono::DateTime<chrono::Utc>>,
+    result_analysis_id: Option<Uuid>,
+    error_message: Option<String>,
+    retry_count: i32,
+    max_retries: i32,
+    created_at: chrono::DateTime<chrono::Utc>,
+    updated_at: chrono::DateTime<chrono::Utc>,
+    created_by: Option<Uuid>,
+    updated_by: Option<Uuid>,
+    deleted_at: Option<chrono::DateTime<chrono::Utc>>,
+    version_lock: i32,
+}
+
+#[derive(Debug, Clone, serde::Serialize, serde::Deserialize)]
+pub struct AnalysisJob {
+    pub tenant_id: Uuid,
+    pub patient_id: Uuid,
+    pub analysis_type: String,
+    pub priority: i32,
+    pub source_event: Option<String>,
+    pub source_ref: String,
+    pub created_by: Option<Uuid>,
+}
+
+#[derive(Debug, Clone, serde::Serialize)]
+pub struct QueueStatus {
+    pub tenant_id: Uuid,
+    pub pending: i64,
+    pub running: i64,
+    pub completed: i64,
+    pub failed: i64,
+}
+
+pub struct AnalysisQueue {
+    db: sea_orm::DatabaseConnection,
+}
+
+impl AnalysisQueue {
+    pub fn new(db: sea_orm::DatabaseConnection) -> Self {
+        Self { db }
+    }
+
+    pub async fn enqueue(&self, job: AnalysisJob) -> AiResult<Uuid> {
+        let id = Uuid::now_v7();
+        let now = chrono::Utc::now();
+        let active = ai_analysis_queue::ActiveModel {
+            id: Set(id),
+            tenant_id: Set(job.tenant_id),
+            patient_id: Set(job.patient_id),
+            analysis_type: Set(job.analysis_type),
+            priority: Set(job.priority),
+            status: Set("pending".to_string()),
+            source_event: Set(job.source_event),
+            source_ref: Set(job.source_ref),
+            scheduled_at: Set(now),
+            started_at: Set(None),
+            completed_at: Set(None),
+            result_analysis_id: Set(None),
+            error_message: Set(None),
+            retry_count: Set(0),
+            max_retries: Set(3),
+            created_at: Set(now),
+            updated_at: Set(now),
+            created_by: Set(job.created_by),
+            updated_by: Set(None),
+            deleted_at: Set(None),
+            version_lock: Set(1),
+        };
+        active.insert(&self.db).await?;
+        Ok(id)
+    }
+
+    pub async fn claim_next(&self) -> AiResult<Option<ai_analysis_queue::Model>> {
+        let sql = r#"
+            SELECT * FROM ai_analysis_queue
+            WHERE status = 'pending'
+              AND deleted_at IS NULL
+              AND scheduled_at <= NOW()
+            ORDER BY priority DESC, scheduled_at ASC
+            LIMIT 1
+        "#;
+
+        let row: Option<QueueRow> = QueueRow::find_by_statement(
+            Statement::from_string(sea_orm::DatabaseBackend::Postgres, sql.to_string()),
+        )
+        .one(&self.db)
+        .await?;
+
+        match row {
+            Some(r) => {
+                let now = chrono::Utc::now();
+                let mut active: ai_analysis_queue::ActiveModel = self.find_by_id(r.id).await?.into();
+                active.status = Set("running".to_string());
+                active.started_at = Set(Some(now));
+                active.updated_at = Set(now);
+                active.version_lock = Set(active.version_lock.unwrap() + 1);
+                let model = active.update(&self.db).await?;
+                Ok(Some(model))
+            }
+            None => Ok(None),
+        }
+    }
+
+    pub async fn mark_completed(
+        &self,
+        id: Uuid,
+        result_analysis_id: Uuid,
+    ) -> AiResult<()> {
+        let job = self.find_by_id(id).await?;
+        let now = chrono::Utc::now();
+        let mut active: ai_analysis_queue::ActiveModel = job.into();
+        active.status = Set("completed".to_string());
+        active.completed_at = Set(Some(now));
+        active.result_analysis_id = Set(Some(result_analysis_id));
+        active.updated_at = Set(now);
+        active.version_lock = Set(active.version_lock.unwrap() + 1);
+        active.update(&self.db).await?;
+        Ok(())
+    }
+
+    pub async fn mark_failed(&self, id: Uuid, error: String) -> AiResult<()> {
+        let job = self.find_by_id(id).await?;
+        let now = chrono::Utc::now();
+        let retry_count = job.retry_count;
+        let max_retries = job.max_retries;
+
+        let new_status = if retry_count < max_retries {
+            "pending"
+        } else {
+            "failed"
+        };
+
+        let mut active: ai_analysis_queue::ActiveModel = job.into();
+        active.status = Set(new_status.to_string());
+        active.error_message = Set(Some(error));
+        active.retry_count = Set(retry_count + 1);
+        active.started_at = Set(None);
+        active.updated_at = Set(now);
+        active.version_lock = Set(active.version_lock.unwrap() + 1);
+        active.update(&self.db).await?;
+        Ok(())
+    }
+
+    pub async fn queue_status(&self, tenant_id: Uuid) -> AiResult<QueueStatus> {
+        #[derive(Debug, FromQueryResult)]
+        struct StatusCount {
+            status: String,
+            count: i64,
+        }
+
+        let sql = r#"
+            SELECT status, COUNT(*) AS count
+            FROM ai_analysis_queue
+            WHERE tenant_id = $1 AND deleted_at IS NULL
+            GROUP BY status
+        "#;
+
+        let rows: Vec<StatusCount> = StatusCount::find_by_statement(
+            Statement::from_sql_and_values(
+                sea_orm::DatabaseBackend::Postgres,
+                sql,
+                [tenant_id.into()],
+            ),
+        )
+        .all(&self.db)
+        .await?;
+
+        let mut pending = 0i64;
+        let mut running = 0i64;
+        let mut completed = 0i64;
+        let mut failed = 0i64;
+
+        for row in rows {
+            match row.status.as_str() {
+                "pending" => pending = row.count,
+                "running" => running = row.count,
+                "completed" => completed = row.count,
+                "failed" => failed = row.count,
+                _ => {}
+            }
+        }
+
+        Ok(QueueStatus {
+            tenant_id,
+            pending,
+            running,
+            completed,
+            failed,
+        })
+    }
+
+    async fn find_by_id(&self, id: Uuid) -> AiResult<ai_analysis_queue::Model> {
+        ai_analysis_queue::Entity::find_by_id(id)
+            .one(&self.db)
+            .await?
+            .ok_or_else(|| AiError::QueueError(format!("队列任务 {id} 未找到")))
+    }
+}
+
+#[cfg(test)]
+mod tests {
+    use super::*;
+
+    #[test]
+    fn analysis_job_construction() {
+        let job = AnalysisJob {
+            tenant_id: Uuid::now_v7(),
+            patient_id: Uuid::now_v7(),
+            analysis_type: "lab_report".into(),
+            priority: 2,
+            source_event: Some("health_data.critical_alert".into()),
+            source_ref: "auto".into(),
+            created_by: Some(Uuid::now_v7()),
+        };
+        assert_eq!(job.analysis_type, "lab_report");
+        assert_eq!(job.priority, 2);
+    }
+
+    #[test]
+    fn queue_status_serialization() {
+        let status = QueueStatus {
+            tenant_id: Uuid::now_v7(),
+            pending: 5,
+            running: 2,
+            completed: 100,
+            failed: 1,
+        };
+        let json = serde_json::to_value(&status).unwrap();
+        assert_eq!(json["pending"], 5);
+        assert_eq!(json["running"], 2);
+        assert_eq!(json["completed"], 100);
+        assert_eq!(json["failed"], 1);
+    }
+
+    #[test]
+    fn retry_logic() {
+        assert!(0 < 3);
+        assert!(!(3 < 3));
+    }
+}
diff --git a/crates/erp-ai/src/service/mod.rs b/crates/erp-ai/src/service/mod.rs
index 8c23d09..bfb0ac8 100644
--- a/crates/erp-ai/src/service/mod.rs
+++ b/crates/erp-ai/src/service/mod.rs
@@ -1,4 +1,5 @@
 pub mod analysis;
+pub mod analysis_queue;
 pub mod auto_analysis;
 pub mod cache;
 pub mod comparison;