diff --git a/pages/home/message-home.vue b/pages/home/message-home.vue
index 16686df..b8699b9 100644
--- a/pages/home/message-home.vue
+++ b/pages/home/message-home.vue
@@ -1,37 +1,19 @@
 <template>
   <view class="message-page">
     <!-- 头部组件 -->
-    <message-header
-      v-model:activeTab="activeTab"
-      @team-change="handleTeamChange"
-      @add-patient="handleAddPatient"
-    />
+    <message-header v-model:activeTab="activeTab" @team-change="handleTeamChange" @add-patient="handleAddPatient" />
     <!-- 消息列表 -->
-    <scroll-view
-      class="message-list"
-      scroll-y="true"
-      refresher-enabled
-      :refresher-triggered="refreshing"
-      @refresherrefresh="handleRefresh"
-      @scrolltolower="handleLoadMore"
-    >
+    <scroll-view class="message-list" scroll-y="true" refresher-enabled :refresher-triggered="refreshing"
+      @refresherrefresh="handleRefresh" @scrolltolower="handleLoadMore">
       <!-- 消息列表项 -->
-      <view
-        v-for="conversation in filteredConversationList"
-        :key="conversation.groupID || conversation.conversationID"
-        class="message-item"
-        @click="handleClickConversation(conversation)"
-      >
+      <view v-for="conversation in filteredConversationList" :key="conversation.groupID || conversation.conversationID"
+        class="message-item" @click="handleClickConversation(conversation)">
         <view class="avatar-container">
-          <image
-            class="avatar"
-            :src="conversation.avatar || '/static/default-patient-avatar.png'"
-            mode="aspectFill"
-          />
+          <image class="avatar" :src="conversation.avatar || '/static/default-patient-avatar.png'" mode="aspectFill" />
           <view v-if="conversation.unreadCount > 0" class="unread-badge">
             <text class="unread-text">{{
               conversation.unreadCount > 99 ? "99+" : conversation.unreadCount
-            }}</text>
+              }}</text>
           </view>
         </view>
 
@@ -39,75 +21,63 @@
           <view class="header">
             <view class="name-info">
               <text class="name">{{ formatPatientName(conversation) }}</text>
-              <text
-                v-if="conversation.patientSex || conversation.patientAge"
-                class="patient-info"
-              >
+              <text v-if="conversation.patientSex || conversation.patientAge" class="patient-info">
                 {{ formatPatientInfo(conversation) }}
               </text>
             </view>
             <text class="time">{{
               formatMessageTime(conversation.lastMessageTime)
-            }}</text>
+              }}</text>
           </view>
           <view class="message-preview">
             <text class="preview-text">{{
               cleanMessageText(conversation.lastMessage) || "暂无消息"
-            }}</text>
+              }}</text>
           </view>
         </view>
       </view>
 
       <!-- 空状态 -->
-      <view
-        v-if="!loading && conversationList.length === 0"
-        class="empty-container"
-      >
+      <view v-if="!loading && conversationList.length === 0" class="empty-container">
         <image class="empty-image" src="/static/empty.svg" mode="aspectFit" />
         <text class="empty-text">暂无会话</text>
       </view>
-      <view
-        v-else-if="!loading && filteredConversationList.length === 0"
-        class="empty-container"
-      >
+      <view v-else-if="!loading && filteredConversationList.length === 0" class="empty-container">
         <image class="empty-image" src="/static/empty.svg" mode="aspectFit" />
         <text class="empty-text">{{
           activeTab === "processing" ? "暂无处理中的会话" : "暂无已结束的会话"
-        }}</text>
+          }}</text>
       </view>
 
       <!-- 加载更多 -->
-      <view
-        v-if="hasMore && filteredConversationList.length > 0"
-        class="load-more"
-      >
+      <view v-if="hasMore && filteredConversationList.length > 0" class="load-more">
         <text class="load-more-text">{{
           loadingMore ? "加载中..." : "上拉加载更多"
-        }}</text>
-      </view>
-    </scroll-view>
-
-    <view class="subscribe-entry" @click="handleSubscribeReminder">
-      <text class="subscribe-entry-text">接收提醒</text>
-    </view>
-  </view>
-</template>
-
-<script setup>
-import { ref, computed } from "vue";
+          }}</text>
+      </view>
+    </scroll-view>
+
+    <view class="subscribe-entry" @click="handleSubscribeReminder">
+      <text class="subscribe-entry-text">接收提醒</text>
+    </view>
+  </view>
+</template>
+
+<script setup>
+import { ref, computed } from "vue";
 import { onLoad, onShow, onHide } from "@dcloudio/uni-app";
 import { storeToRefs } from "pinia";
 import useAccountStore from "@/store/account.js";
 import useTeamStore from "@/store/team.js";
-import useInfoCheck from "@/hooks/useInfoCheck.js";
-import { globalTimChatManager } from "@/utils/tim-chat.js";
-import { mergeConversationWithGroupDetails } from "@/utils/conversation-merger.js";
-import MessageHeader from "../home/components/message-header.vue";
-import { requestConversationSubscribeMessage } from "@/utils/subscribe-message";
-import {
-  SUBSCRIBE_MESSAGE_ROLE,
-  SUBSCRIBE_MESSAGE_SCENE,
-} from "@/utils/subscribe-message-config";
+import useInfoCheck from "@/hooks/useInfoCheck.js";
+import { globalTimChatManager } from "@/utils/tim-chat.js";
+import { mergeConversationWithGroupDetails } from "@/utils/conversation-merger.js";
+import MessageHeader from "../home/components/message-header.vue";
+import { requestConversationSubscribeMessage } from "@/utils/subscribe-message";
+import {
+  SUBSCRIBE_MESSAGE_ROLE,
+  SUBSCRIBE_MESSAGE_SCENE,
+} from "@/utils/subscribe-message-config";
 
 // 获取登录状态
 const { account, openid, isIMInitialized, doctorInfo } = storeToRefs(
@@ -393,28 +363,51 @@ const setupConversationListener = () => {
   globalTimChatManager.setCallback("onConversationListUpdated", (eventData) => {
     console.log("会话列表更新事件:", eventData);
 
-    // 处理单个会话更新（标记已读的情况）
-    if (eventData && !Array.isArray(eventData) && eventData.conversationID) {
-      const conversationID = eventData.conversationID;
+    // 兼容单个会话更新，以及 { reason, conversation, message } 的增量事件结构。
+    const conversationUpdate = eventData?.conversation || eventData;
+    if (
+      conversationUpdate &&
+      !Array.isArray(conversationUpdate) &&
+      conversationUpdate.conversationID
+    ) {
+      const conversationID = conversationUpdate.conversationID;
       const existingIndex = conversationList.value.findIndex(
         (conv) => conv.conversationID === conversationID
       );
 
       if (existingIndex !== -1) {
-        // 直接更新未读数，避免触发整个对象的响应式更新
-        if (eventData.unreadCount !== undefined) {
-          conversationList.value[existingIndex].unreadCount =
-            eventData.unreadCount;
-          console.log(
-            `已清空会话未读数: ${conversationList.value[existingIndex].name}, unreadCount: ${eventData.unreadCount}`
+        const conversation = conversationList.value[existingIndex];
+        const lastMessageTimeChanged =
+          conversationUpdate.lastMessageTime !== undefined &&
+          conversation.lastMessageTime !== conversationUpdate.lastMessageTime;
+
+        if (conversationUpdate.lastMessage !== undefined) {
+          conversation.lastMessage = conversationUpdate.lastMessage;
+        }
+        if (conversationUpdate.lastMessageTime !== undefined) {
+          conversation.lastMessageTime = conversationUpdate.lastMessageTime;
+        }
+        if (conversationUpdate.unreadCount !== undefined) {
+          conversation.unreadCount = conversationUpdate.unreadCount;
+        }
+
+        if (lastMessageTimeChanged) {
+          conversationList.value.sort(
+            (a, b) => b.lastMessageTime - a.lastMessageTime
           );
         }
+        console.log(`已更新会话: ${conversation.name}`, conversationUpdate);
+      } else {
+        // 增量事件未携带患者、团队等展示信息，重新拉取完整列表。
+        loadConversationList();
       }
       return;
     }
 
     if (!eventData || !Array.isArray(eventData)) {
       console.warn("会话列表更新事件数据格式错误");
+      console.log('eventData: ', typeof eventData)
+      console.log(typeof eventData === 'object' && eventData ? JSON.stringify(eventData) : eventData);
       return;
     }
 
@@ -642,29 +635,29 @@ const handleLoadMore = () => {
 };
 
 // 下拉刷新
-const handleRefresh = async () => {
-  refreshing.value = true;
-  try {
-    await loadConversationList();
-  } finally {
-    refreshing.value = false;
-  }
-};
-
-const handleSubscribeReminder = async () => {
-  await requestConversationSubscribeMessage({
-    role: SUBSCRIBE_MESSAGE_ROLE.DOCTOR,
-    scene: SUBSCRIBE_MESSAGE_SCENE.LIST,
-    userId: doctorInfo.value?.userid || account.value?.userId || "",
-    openid: openid.value || account.value?.openid || "",
-    unionid: account.value?.unionid || "",
-    doctorId: doctorInfo.value?.userid || "",
-    extraData: {
-      teamId: currentTeamId.value || "",
-      page: "pages/home/message-home",
-    },
-  });
-};
+const handleRefresh = async () => {
+  refreshing.value = true;
+  try {
+    await loadConversationList();
+  } finally {
+    refreshing.value = false;
+  }
+};
+
+const handleSubscribeReminder = async () => {
+  await requestConversationSubscribeMessage({
+    role: SUBSCRIBE_MESSAGE_ROLE.DOCTOR,
+    scene: SUBSCRIBE_MESSAGE_SCENE.LIST,
+    userId: doctorInfo.value?.userid || account.value?.userId || "",
+    openid: openid.value || account.value?.openid || "",
+    unionid: account.value?.unionid || "",
+    doctorId: doctorInfo.value?.userid || "",
+    extraData: {
+      teamId: currentTeamId.value || "",
+      page: "pages/home/message-home",
+    },
+  });
+};
 
 // 页面加载
 onLoad(() => {
@@ -864,36 +857,36 @@ onHide(() => {
   text-align: center;
 }
 
-.load-more-text {
-  font-size: 26rpx;
-  color: #999;
-}
-
-.subscribe-entry {
-  position: fixed;
-  right: 32rpx;
-  bottom: 180rpx;
-  width: 116rpx;
-  height: 116rpx;
-  border-radius: 58rpx;
-  background: #fff;
-  border: 2rpx solid #3876f6;
-  box-shadow: 0 8rpx 24rpx rgba(56, 118, 246, 0.16);
-  display: flex;
-  align-items: center;
-  justify-content: center;
-  z-index: 20;
-}
-
-.subscribe-entry:active {
-  opacity: 0.85;
-}
-
-.subscribe-entry-text {
-  width: 56rpx;
-  font-size: 26rpx;
-  line-height: 1.4;
-  color: #3876f6;
-  text-align: center;
-}
-</style>
+.load-more-text {
+  font-size: 26rpx;
+  color: #999;
+}
+
+.subscribe-entry {
+  position: fixed;
+  right: 32rpx;
+  bottom: 180rpx;
+  width: 116rpx;
+  height: 116rpx;
+  border-radius: 58rpx;
+  background: #fff;
+  border: 2rpx solid #3876f6;
+  box-shadow: 0 8rpx 24rpx rgba(56, 118, 246, 0.16);
+  display: flex;
+  align-items: center;
+  justify-content: center;
+  z-index: 20;
+}
+
+.subscribe-entry:active {
+  opacity: 0.85;
+}
+
+.subscribe-entry-text {
+  width: 56rpx;
+  font-size: 26rpx;
+  line-height: 1.4;
+  color: #3876f6;
+  text-align: center;
+}
+</style>
diff --git a/pages/message/index.vue b/pages/message/index.vue
index 0afb829..b79b519 100644
--- a/pages/message/index.vue
+++ b/pages/message/index.vue
@@ -124,7 +124,7 @@
 
 <script setup>
 import { ref, onUnmounted, nextTick, watch, computed } from "vue";
-import { onLoad, onShow, onHide } from "@dcloudio/uni-app";
+import { onLoad, onShow, onHide, onUnload } from "@dcloudio/uni-app";
 import { storeToRefs } from "pinia";
 import useAccountStore from "@/store/account.js";
 import { globalTimChatManager } from "@/utils/tim-chat.js";
@@ -941,9 +941,14 @@ const handleSendFollowUpMessage = async (data) => {
 // 页面隐藏
 onHide(() => {
   stopIMMonitoring();
-  // 清空当前会话ID，避免离开页面后收到的消息被错误标记为已读
-  timChatManager.currentConversationID = null;
-  console.log("✓ 页面隐藏，已清空当前会话ID");
+});
+
+// 仅在真正离开页面时清空会话，息屏/切后台触发 onHide 时仍需接收当前会话的新消息。
+onUnload(() => {
+  if (timChatManager.currentConversationID === chatInfo.value.conversationID) {
+    timChatManager.currentConversationID = null;
+    console.log("✓ 页面卸载，已清空当前会话ID");
+  }
 });
 
 const sendCommonPhrase = async (phraseOrContent) => {