diff --git a/pages.json b/pages.json
index 34a8be8..5008e0b 100644
--- a/pages.json
+++ b/pages.json
@@ -21,7 +21,7 @@
 		{
 			"path": "pages/home/case-home",
 			"style": {
-				"navigationBarTitleText": "病例"
+				"navigationBarTitleText": "病历"
 			}
 		},
 		{
@@ -311,7 +311,7 @@
 				"pagePath": "pages/home/case-home",
 				"iconPath": "static/tabbar/cart.png",
 				"selectedIconPath": "static/tabbar/cart_selected.png",
-				"text": "病例"
+				"text": "病历"
 			},
 			{
 				"pagePath": "pages/home/work-home",
diff --git a/pages/case/new-followup.vue b/pages/case/new-followup.vue
index f7fc132..f368dff 100644
--- a/pages/case/new-followup.vue
+++ b/pages/case/new-followup.vue
@@ -46,6 +46,33 @@
           <view class="counter">{{ (form.taskContent || '').length }}/200</view>
         </view>
       </view>
+
+      <view class="block">
+        <view class="block-title">向患者发送</view>
+        <view class="textarea-box">
+          <textarea v-model="form.sendContent" class="textarea" placeholder="请输入要发送给患者的内容" maxlength="200" />
+          <view class="counter">{{ (form.sendContent || '').length }}/200</view>
+        </view>
+      </view>
+
+      <view class="row clickable" @click="chooseFile">
+        <view class="left">
+          <view class="label">添加附件</view>
+        </view>
+        <view class="right">
+          <uni-icons type="plusempty" size="16" color="#0877F1" />
+        </view>
+      </view>
+
+      <view v-if="showFileList.length" class="file-list">
+        <view v-for="(i, index) in showFileList" :key="String(i._k || index)" class="file-item">
+          <view class="file-main">
+            <view v-if="i.typeStr" class="file-type">{{ i.typeStr }}</view>
+            <view class="file-name">{{ i.fileName }}</view>
+          </view>
+          <uni-icons type="closeempty" size="18" color="#999" @click="removeFile(index)" />
+        </view>
+      </view>
     </view>
 
     <view class="footer">
@@ -106,6 +133,7 @@ import api from '@/utils/api';
 import useAccountStore from '@/store/account';
 import { toast } from '@/utils/widget';
 import { getTodoEventTypeLabel, getTodoEventTypeOptions } from '@/utils/todo-const';
+import { chooseAndUploadImage } from '@/utils/file';
 
 const archiveId = ref('');
 const archiveName = ref('');
@@ -127,6 +155,8 @@ const form = reactive({
   executorName: '', // anotherName
   eventType: '',
   taskContent: '',
+  sendContent: '',
+  fileList: [],
 });
 
 const eventTypeLabel = computed(() => getTodoEventTypeLabel(form.eventType));
@@ -165,6 +195,8 @@ function resetForm(keepCustomer = false) {
   form.executorName = '';
   form.eventType = '';
   form.taskContent = '';
+  form.sendContent = '';
+  form.fileList = [];
   if (!keepCustomer) {
     archiveId.value = '';
     archiveName.value = '';
@@ -174,6 +206,35 @@ function resetForm(keepCustomer = false) {
   uni.setStorageSync('select-mamagement-plan', '');
 }
 
+const QUESTIONNAIRE_ICON =
+  'https://796f-youcan-clouddev-1-8ewcqf31dbb2b5-1317294507.tcb.qcloud.la/other/19-%E9%97%AE%E5%8D%B7.png?sign=55a4cd77c418b2c548b65792a2cf6bce&t=1701328694';
+const ARTICLE_ICON =
+  'https://796f-youcan-clouddev-1-8ewcqf31dbb2b5-1317294507.tcb.qcloud.la/other/18-%E5%AE%A3%E6%95%99.png?sign=26f221d14fd57a2ff0a106dfb01a5e7a&t=1701328694';
+
+const showFileList = computed(() =>
+  (Array.isArray(form.fileList) ? form.fileList : []).map((i, idx) => {
+    const type = i?.type;
+    const fileType = i?.file && typeof i.file.type === 'string' ? i.file.type : '';
+    let typeStr = '';
+    if (type === 'image' || fileType.includes('image')) typeStr = '【图片】';
+    else if (type === 'video' || fileType.includes('video')) typeStr = '【视频】';
+    else if (fileType === 'article') typeStr = '【文章】';
+    else if (fileType === 'questionnaire') typeStr = '【问卷】';
+    else if (type === 'link') typeStr = '【链接】';
+
+    const fileName =
+      String(i?.file?.name || i?.file?.title || i?.name || i?.URL || '').trim() ||
+      `附件${idx + 1}`;
+
+    return {
+      ...i,
+      _k: `${idx}_${String(i?.type || '')}_${String(i?.URL || '')}`,
+      typeStr,
+      fileName,
+    };
+  })
+);
+
 async function ensureDoctor() {
   if (doctorInfo.value) return;
   if (!account.value?.openid) return;
@@ -272,6 +333,9 @@ async function save() {
   const customerName = String(customer.name || archiveName.value || '');
   const customerUserId = String(customer.externalUserId || customer.customerUserId || '') || '';
 
+  const enableSend = !!(String(form.sendContent || '').trim() || (Array.isArray(form.fileList) && form.fileList.length));
+  const fileList = Array.isArray(form.fileList) ? form.fileList : [];
+
   const params = {
     corpId,
     customerId,
@@ -283,15 +347,15 @@ async function save() {
     userId: form.executorUserId || userId,
     taskList: [
       {
-        enableSend: false,
+        enableSend,
         eventType: form.eventType,
         executeMethod: 'todo',
         executorUserId: form.executorUserId || userId,
         planExecutionTime: form.planExecutionTime,
-        sendContent: '',
+        sendContent: String(form.sendContent || ''),
         taskContent: form.taskContent,
         taskId: `${Date.now()}_${Math.random().toString(16).slice(2)}`,
-        fileList: [],
+        fileList,
       },
     ],
   };
@@ -324,6 +388,81 @@ function pickExecutor(m) {
 function closeExecutorPicker() {
   executorPopup.value?.close?.();
 }
+
+function removeFile(index) {
+  if (!Array.isArray(form.fileList)) form.fileList = [];
+  form.fileList.splice(index, 1);
+}
+
+function chooseFile() {
+  uni.showActionSheet({
+    itemList: ['图片', '文章', '问卷'],
+    success: ({ tapIndex }) => {
+      if (tapIndex === 0) chooseImage();
+      else if (tapIndex === 1) chooseArticle();
+      else if (tapIndex === 2) chooseQuestionnaire();
+    },
+  });
+}
+
+async function chooseImage() {
+  const url = await chooseAndUploadImage({ count: 1 });
+  if (!url) return;
+  form.fileList.push({
+    type: 'image',
+    URL: url,
+    file: {
+      type: 'image',
+      name: `图片_${dayjs().format('MMDD_HHmmss')}.jpg`,
+    },
+  });
+}
+
+function chooseArticle() {
+  const eventName = `on-select-article_${Date.now()}`;
+  uni.navigateTo({
+    url: `/pages/message/article-list?select=1&eventName=${eventName}`,
+  });
+  uni.$once(eventName, (data) => {
+    const corpId = getCorpId();
+    const articleId = String(data?._id || data?.id || '');
+    if (!articleId) return;
+    const url = `${__VITE_ENV__?.MP_PATIENT_PAGE_BASE_URL || ''}pages/article/index?id=${articleId}&corpId=${corpId}`;
+    form.fileList.push({
+      type: 'link',
+      URL: String(data?.cover || data?.imgUrl || '') || ARTICLE_ICON,
+      file: {
+        type: 'article',
+        name: String(data?.title || '宣教文章'),
+        subtitle: String(data?.summary || data?.desc || ''),
+        url,
+      },
+    });
+  });
+}
+
+function chooseQuestionnaire() {
+  const eventName = `on-select-survey_${Date.now()}`;
+  uni.navigateTo({
+    url: `/pages/message/survey-list?select=1&eventName=${eventName}&patientId=${archiveId.value}&customerName=${archiveName.value || ''}`,
+  });
+  uni.$once(eventName, (data) => {
+    const corpId = getCorpId();
+    const surveryId = String(data?._id || data?.surveryId || '');
+    if (!surveryId) return;
+    const url = `${__VITE_ENV__?.MP_PATIENT_PAGE_BASE_URL || ''}pages/survery/fill?corpId=${corpId}&surveryId=${surveryId}`;
+    form.fileList.push({
+      type: 'link',
+      URL: QUESTIONNAIRE_ICON,
+      file: {
+        type: 'questionnaire',
+        name: String(data?.name || '问卷'),
+        surveryId,
+        url,
+      },
+    });
+  });
+}
 </script>
 
 <style scoped>
@@ -440,6 +579,39 @@ function closeExecutorPicker() {
   font-size: 12px;
   color: #999;
 }
+.file-list {
+  padding: 0 14px 14px;
+}
+.file-item {
+  display: flex;
+  align-items: center;
+  justify-content: space-between;
+  gap: 10px;
+  margin-top: 10px;
+  padding: 12px 12px;
+  background: #f5f6f8;
+  border-radius: 8px;
+}
+.file-main {
+  display: flex;
+  align-items: center;
+  min-width: 0;
+  gap: 8px;
+}
+.file-type {
+  flex-shrink: 0;
+  font-size: 12px;
+  color: #666;
+}
+.file-name {
+  font-size: 14px;
+  color: #333;
+  min-width: 0;
+  overflow: hidden;
+  text-overflow: ellipsis;
+  white-space: nowrap;
+  max-width: 240px;
+}
 .toggle-row {
   display: flex;
   align-items: center;
diff --git a/pages/message/article-list.vue b/pages/message/article-list.vue
index 9f7576a..b9df060 100644
--- a/pages/message/article-list.vue
+++ b/pages/message/article-list.vue
@@ -60,9 +60,9 @@
                     class="send-btn"
                     size="mini"
                     type="primary"
-                    @click.stop="sendArticle(article)"
+                    @click.stop="handlePrimaryAction(article)"
                   >
-                    发送
+                    {{ isSelectMode ? '选择' : '发送' }}
                   </button>
                 </view>
               </view>
@@ -124,6 +124,9 @@ const pageParams = ref({
   corpId: "",
 });
 
+const isSelectMode = ref(false);
+const selectEventName = ref("");
+
 // 搜索关键词
 const searchTitle = ref("");
 let searchTimer = null;
@@ -311,6 +314,20 @@ const closePreview = () => {
   previewPopup.value?.close();
 };
 
+const selectArticle = (article) => {
+  if (!selectEventName.value) {
+    uni.showToast({ title: "缺少 eventName", icon: "none" });
+    return;
+  }
+  uni.$emit(selectEventName.value, article);
+  uni.navigateBack();
+};
+
+const handlePrimaryAction = (article) => {
+  if (isSelectMode.value) return selectArticle(article);
+  return sendArticle(article);
+};
+
 // 发送文章
 const sendArticle = async (article) => {
   try {
@@ -398,6 +415,8 @@ const goBack = () => {
 
 // 页面加载时接收参数
 onLoad((options) => {
+  isSelectMode.value = String(options?.select || '') === '1';
+  selectEventName.value = String(options?.eventName || '');
   if (options.groupId) {
     pageParams.value.groupId = options.groupId;
   }
diff --git a/pages/message/survey-list.vue b/pages/message/survey-list.vue
index c681815..380b2de 100644
--- a/pages/message/survey-list.vue
+++ b/pages/message/survey-list.vue
@@ -63,9 +63,9 @@
                   class="send-btn"
                   size="mini"
                   type="primary"
-                  @click="sendSurvey(survey)"
+                  @click="handlePrimaryAction(survey)"
                 >
-                  发送
+                  {{ isSelectMode ? '选择' : '发送' }}
                 </button>
               </view>
             </view>
@@ -118,14 +118,33 @@ const pageSize = 30;
 const total = ref(0);
 const emptyText = ref("");
 
+const isSelectMode = ref(false);
+const selectEventName = ref("");
+
 // 页面加载时接收参数
 onLoad((options) => {
+  isSelectMode.value = String(options?.select || '') === '1';
+  selectEventName.value = String(options?.eventName || '');
   customerId.value = options?.patientId || "";
   customerName.value = options?.customerName || "";
   getCategoryList();
   loadSurveyList();
 });
 
+const selectSurvey = (survey) => {
+  if (!selectEventName.value) {
+    uni.showToast({ title: "缺少 eventName", icon: "none" });
+    return;
+  }
+  uni.$emit(selectEventName.value, survey);
+  uni.navigateBack();
+};
+
+const handlePrimaryAction = (survey) => {
+  if (isSelectMode.value) return selectSurvey(survey);
+  return sendSurvey(survey);
+};
+
 // 获取分类列表
 const getCategoryList = async () => {
   try {
diff --git a/routes/index.js b/routes/index.js
index 99d70db..227dae5 100644
--- a/routes/index.js
+++ b/routes/index.js
@@ -47,7 +47,7 @@ export default [
   },
   {
     path: 'pages/home/case-home',
-    meta: { title: '病例', login: false },
+    meta: { title: '病历', login: false },
   },
   {
     path: 'pages/case/search',