diff --git a/apps/miniprogram/src/pages/pkg-doctor-clinical/dialysis/index.scss b/apps/miniprogram/src/pages/pkg-doctor-clinical/dialysis/index.scss
index 0ab9c48..a0f7ebc 100644
--- a/apps/miniprogram/src/pages/pkg-doctor-clinical/dialysis/index.scss
+++ b/apps/miniprogram/src/pages/pkg-doctor-clinical/dialysis/index.scss
@@ -1,45 +1,24 @@
 @import '../../../styles/variables.scss';
-@import '../../../styles/mixins.scss';
 
-.dialysis-page {
-  min-height: 100vh;
-  background: $bg;
-  padding-bottom: 120px;
-}
-
-.search-bar {
-  padding: 16px 24px;
-  background: $card;
-}
-
-.search-input {
-  background: $bg;
-  border-radius: $r-sm;
-  padding: 16px 20px;
-  font-size: var(--tk-font-body-lg);
-  color: $tx;
-}
-
-.record-list {
-  padding: 16px 24px;
-}
+// PageShell 已接管：min-height, background, padding
+// SearchSection 已接管：search-bar
+// ContentCard 已接管：record-card 背景/圆角/阴影/触摸反馈
+// StatusTag 已接管：status-tag 标签样式
+// PaginationBar 已接管：pagination 分页样式
 
 .record-count {
-  font-size: var(--tk-font-h2);
-  color: $tx3;
-  padding: 8px 0 16px;
+  margin-bottom: 16px;
+
+  text {
+    font-size: var(--tk-font-h2);
+    color: $tx3;
+  }
 }
 
-.record-card {
-  background: $card;
-  border-radius: $r;
-  padding: 24px;
-  margin-bottom: 16px;
-  box-shadow: $shadow-sm;
-
-  &:active {
-    box-shadow: $shadow-md;
-  }
+.record-cards {
+  display: flex;
+  flex-direction: column;
+  gap: var(--tk-gap-md);
 }
 
 .record-card__header {
@@ -69,25 +48,6 @@
   }
 }
 
-.status-tag {
-  display: inline-block;
-  padding: 4px 12px;
-  border-radius: $r-xs;
-  font-size: var(--tk-font-body);
-  background: $bd-l;
-  color: $tx3;
-
-  &--completed {
-    background: $pri-l;
-    color: $pri;
-  }
-
-  &--reviewed {
-    background: $acc-l;
-    color: $acc;
-  }
-}
-
 .record-card__body {
   display: flex;
   flex-wrap: wrap;
@@ -106,31 +66,6 @@
   font-variant-numeric: tabular-nums;
 }
 
-.pagination {
-  display: flex;
-  justify-content: center;
-  align-items: center;
-  padding: 16px 0;
-  gap: 24px;
-}
-
-.page-btn {
-  padding: 12px 24px;
-  background: $card;
-  border-radius: $r-sm;
-  font-size: var(--tk-font-h1);
-  color: $pri;
-
-  &--disabled {
-    opacity: 0.4;
-  }
-}
-
-.page-info {
-  font-size: var(--tk-font-h2);
-  color: $tx2;
-}
-
 .fab {
   position: fixed;
   right: 32px;
diff --git a/apps/miniprogram/src/pages/pkg-doctor-clinical/dialysis/index.tsx b/apps/miniprogram/src/pages/pkg-doctor-clinical/dialysis/index.tsx
index 940a17c..570a6c1 100644
--- a/apps/miniprogram/src/pages/pkg-doctor-clinical/dialysis/index.tsx
+++ b/apps/miniprogram/src/pages/pkg-doctor-clinical/dialysis/index.tsx
@@ -1,16 +1,21 @@
 import { useState, useEffect, useCallback, useRef } from 'react';
-import { View, Text, Input, ScrollView } from '@tarojs/components';
+import { View, Text } from '@tarojs/components';
 import Taro, { useRouter } from '@tarojs/taro';
 import { usePageData } from '@/hooks/usePageData';
 import { listDialysisRecords, type DialysisRecord } from '@/services/doctor/dialysis';
 import { listPatients } from '@/services/doctor/patient';
-import Loading from '@/components/Loading';
+import PageShell from '@/components/ui/PageShell';
+import ContentCard from '@/components/ui/ContentCard';
+import StatusTag from '@/components/ui/StatusTag';
+import LoadingCard from '@/components/ui/LoadingCard';
+import SearchSection from '@/components/patterns/SearchSection';
+import PaginationBar from '@/components/patterns/PaginationBar';
+import SegmentTabs from '@/components/SegmentTabs';
 import ErrorState from '@/components/ErrorState';
 import EmptyState from '@/components/EmptyState';
 import { useElderClass } from '../../../hooks/useElderClass';
 import { safeNavigateTo } from '@/utils/navigate';
-import SegmentTabs from '@/components/SegmentTabs';
-import './index.scss';;
+import './index.scss';
 
 const TABS = [
   { key: '', label: '全部' },
@@ -21,6 +26,12 @@ const TABS = [
 
 const TYPE_MAP: Record<string, string> = { HD: 'HD', HDF: 'HDF', HF: 'HF' };
 
+const STATUS_LABEL: Record<string, string> = {
+  draft: '草稿',
+  completed: '已完成',
+  reviewed: '已审核',
+};
+
 export default function DialysisList() {
   const router = useRouter();
   const patientId = router.params.patientId || '';
@@ -90,82 +101,69 @@ export default function DialysisList() {
     setPage(1);
   };
 
-  // 服务端已按 activeTab 过滤，无需客户端二次筛选
-
-  if (loading && records.length === 0) return <Loading />;
+  if (loading && records.length === 0) return <LoadingCard count={3} />;
   if (error) return <ErrorState onRetry={() => loadRecords(1)} />;
 
   return (
-    <ScrollView scrollY className={`dialysis-page ${modeClass}`}>
-      {!patientId && (
-        <View className='search-bar'>
-          <Input
-            className='search-input'
-            placeholder='搜索患者姓名'
-            value={searchPatient}
-            onInput={(e) => setSearchPatient(e.detail.value)}
-            confirmType='search'
-            onConfirm={handleSearch}
-          />
-        </View>
+    <PageShell safeBottom className={modeClass}>
+      {!patientId ? (
+        <SearchSection
+          value={searchPatient}
+          onChange={setSearchPatient}
+          onSearch={handleSearch}
+          placeholder="搜索患者姓名"
+          filters={TABS}
+          activeFilter={activeTab}
+          onFilterChange={handleTab}
+        />
+      ) : (
+        <SegmentTabs tabs={TABS} activeKey={activeTab} onChange={handleTab} variant="underline" />
       )}
 
-      <SegmentTabs tabs={TABS} activeKey={activeTab} onChange={handleTab} variant="underline" />
-
       {!currentPatientId ? (
-        <EmptyState text='请搜索并选择患者' />
+        <EmptyState text="请搜索并选择患者" />
       ) : records.length === 0 ? (
-        <EmptyState text='暂无透析记录' />
+        <EmptyState text="暂无透析记录" />
       ) : (
-        <View className='record-list'>
-          <View className='record-count'><Text>共 {total} 条记录</Text></View>
-          {records.map((r) => (
-            <View
-              key={r.id}
-              className='record-card'
-              onClick={() => safeNavigateTo(`/pages/pkg-doctor-clinical/dialysis/detail/index?id=${r.id}`)}
-            >
-              <View className='record-card__header'>
-                <Text className={`type-tag type-tag--${(r.dialysis_type || 'hd').toLowerCase()}`}>
-                  {TYPE_MAP[r.dialysis_type] || r.dialysis_type}
-                </Text>
-                <Text className={`status-tag status-tag--${r.status}`}>
-                  {r.status === 'draft' ? '草稿' : r.status === 'completed' ? '已完成' : '已审核'}
-                </Text>
-              </View>
-              <View className='record-card__body'>
-                <Text className='record-card__date'>{r.dialysis_date}</Text>
-                {r.dialysis_duration != null && (
-                  <Text className='record-card__meta'>时长 {r.dialysis_duration}分钟</Text>
-                )}
-                {r.ultrafiltration_volume != null && (
-                  <Text className='record-card__meta'>超滤 {r.ultrafiltration_volume}ml</Text>
-                )}
-              </View>
-            </View>
-          ))}
-          {total > 20 && (
-            <View className='pagination'>
-              <View
-                className={`page-btn ${page <= 1 ? 'page-btn--disabled' : ''}`}
-                onClick={() => page > 1 && loadRecords(page - 1)}
+        <>
+          <View className="record-count">
+            <Text>共 {total} 条记录</Text>
+          </View>
+          <View className="record-cards">
+            {records.map((r) => (
+              <ContentCard
+                key={r.id}
+                onPress={() => safeNavigateTo(`/pages/pkg-doctor-clinical/dialysis/detail/index?id=${r.id}`)}
               >
-                <Text>上一页</Text>
-              </View>
-              <Text className='page-info'>{page} / {Math.ceil(total / 20)}</Text>
-              <View
-                className={`page-btn ${page * 20 >= total ? 'page-btn--disabled' : ''}`}
-                onClick={() => page * 20 < total && loadRecords(page + 1)}
-              >
-                <Text>下一页</Text>
-              </View>
-            </View>
-          )}
-        </View>
+                <View className="record-card__header">
+                  <Text className={`type-tag type-tag--${(r.dialysis_type || 'hd').toLowerCase()}`}>
+                    {TYPE_MAP[r.dialysis_type] || r.dialysis_type}
+                  </Text>
+                  <StatusTag status={r.status} size="sm">{STATUS_LABEL[r.status] || r.status}</StatusTag>
+                </View>
+                <View className="record-card__body">
+                  <Text className="record-card__date">{r.dialysis_date}</Text>
+                  {r.dialysis_duration != null && (
+                    <Text className="record-card__meta">时长 {r.dialysis_duration}分钟</Text>
+                  )}
+                  {r.ultrafiltration_volume != null && (
+                    <Text className="record-card__meta">超滤 {r.ultrafiltration_volume}ml</Text>
+                  )}
+                </View>
+              </ContentCard>
+            ))}
+          </View>
+          <PaginationBar
+            current={page}
+            total={total}
+            pageSize={20}
+            onChange={(p) => loadRecords(p)}
+          />
+        </>
       )}
 
       <View
-        className='fab'
+        className="fab"
         onClick={() => {
           if (!currentPatientId) {
             Taro.showToast({ title: '请先选择患者', icon: 'none' });
@@ -174,8 +172,8 @@ export default function DialysisList() {
           safeNavigateTo(`/pages/pkg-doctor-clinical/dialysis/create/index?patientId=${currentPatientId}`);
         }}
       >
-        <Text className='fab-text'>+</Text>
+        <Text className="fab-text">+</Text>
       </View>
-    </ScrollView>
+    </PageShell>
   );
 }