diff --git a/pages.json b/pages.json
index d985437..34a8be8 100644
--- a/pages.json
+++ b/pages.json
@@ -279,6 +279,12 @@
 					"style": {
 						"navigationBarTitleText": "执行回访计划"
 					}
+				},
+				{
+					"path": "followup-task-list",
+					"style": {
+						"navigationBarTitleText": "回访任务"
+					}
 				}
 			]
 		}
diff --git a/pages/case/archive-detail.vue b/pages/case/archive-detail.vue
index f3d7761..e5766e8 100644
--- a/pages/case/archive-detail.vue
+++ b/pages/case/archive-detail.vue
@@ -121,6 +121,7 @@
         :archiveId="archiveId"
         :reachBottomTime="reachBottomTime"
         :floatingBottom="floatingBottom"
+        :fromChat="fromChat"
       />
     </view>
 
@@ -242,6 +243,7 @@ const tabs = [
 const currentTab = ref('visitRecord');
 const reachBottomTime = ref(0);
 const archiveId = ref('');
+const fromChat = ref(false);
 const tabsScrollTop = ref(0);
 const instanceProxy = getCurrentInstance()?.proxy;
 
@@ -474,6 +476,7 @@ async function updateArchive(patch) {
 
 onLoad((options) => {
   archiveId.value = options?.id ? String(options.id) : String(archive.value.medicalRecordNo || archive.value.outpatientNo || archive.value.inpatientNo || '');
+  fromChat.value = options?.fromChat === 'true' || options?.fromChat === true;
 
   const cached = uni.getStorageSync(STORAGE_KEY);
   if (cached && typeof cached === 'object') {
diff --git a/pages/case/components/archive-detail/follow-up-manage-tab.vue b/pages/case/components/archive-detail/follow-up-manage-tab.vue
index 9832d11..8cb1d49 100644
--- a/pages/case/components/archive-detail/follow-up-manage-tab.vue
+++ b/pages/case/components/archive-detail/follow-up-manage-tab.vue
@@ -33,7 +33,7 @@
     </view>
 
     <view class="list">
-      <view v-for="i in list" :key="i._id" class="card" @click="toDetail(i)">
+      <view v-for="i in list" :key="i._id" class="card">
         <view class="head">
           <view class="date">计划日期: <text class="date-val">{{ i.planDate }}</text></view>
           <view class="executor truncate">{{ i.executorName }}<text v-if="i.executeTeamName">（{{ i.executeTeamName }}）</text></view>
@@ -45,7 +45,13 @@
           </view>
           <view class="content">{{ i.taskContent || '暂无内容' }}</view>
           <view v-if="i.status === 'treated'" class="result">【处理结果】 {{ i.result || '' }}</view>
-          <view class="footer">创建: {{ i.createTimeStr }} {{ i.creatorName }}</view>
+          <view class="footer-row">
+            <view class="footer">创建: {{ i.createTimeStr }} {{ i.creatorName }}</view>
+            <button v-if="fromChat" class="action-btn send-btn" @click.stop="sendFollowUp(i)">发送</button>
+          </view>
+          <view class="card-actions">
+            <button class="action-btn detail-btn" @click.stop="toDetail(i)">详情</button>
+          </view>
         </view>
       </view>
 
@@ -146,6 +152,7 @@ const props = defineProps({
   archiveId: { type: String, default: '' },
   reachBottomTime: { type: [String, Number], default: '' },
   floatingBottom: { type: Number, default: 16 },
+  fromChat: { type: Boolean, default: false },
 });
 
 const accountStore = useAccountStore();
@@ -390,6 +397,29 @@ function toDetail(todo) {
   uni.navigateTo({ url: `/pages/case/followup-detail?archiveId=${encodeURIComponent(props.archiveId)}&mode=edit&id=${encodeURIComponent(todo._id)}` });
 }
 
+function sendFollowUp(todo) {
+  const content = `【回访计划】\n类型: ${todo.eventTypeLabel}\n计划日期: ${todo.planDate}\n执行人: ${todo.executorName}\n内容: ${todo.taskContent || '暂无内容'}`;
+  
+  // 触发事件，通知父组件发送消息
+  uni.$emit('send-followup-message', {
+    content,
+    followupId: todo._id,
+    followupData: todo
+  });
+  
+  // 获取当前页面栈
+  const pages = getCurrentPages();
+  const currentPage = pages[pages.length - 1];
+  
+  // 如果当前页面是 followup-task-list，则返回两次（返回到消息页面）
+  if (currentPage && currentPage.route === 'pages/case/followup-task-list') {
+    uni.navigateBack({ delta: 2 });
+  } else {
+    // 否则只返回一次
+    uni.navigateBack();
+  }
+}
+
 // ---- filter popup ----
 const filterPopupRef = ref(null);
 const state = ref(null);
@@ -625,10 +655,60 @@ watch(
   font-size: 13px;
   color: #666;
 }
-.footer {
+.footer-row {
+  display: flex;
+  align-items: center;
+  justify-content: space-between;
   margin-top: 10px;
+  padding-top: 10px;
+  border-top: 1px solid #f2f2f2;
+  gap: 10px;
+}
+.footer {
   font-size: 12px;
   color: #999;
+  flex: 1;
+}
+.footer-row .send-btn {
+  flex: 0 0 auto;
+  width: 60px;
+  height: 28px;
+  line-height: 28px;
+  padding: 0;
+  margin: 0;
+}
+
+.card-actions {
+  display: flex;
+  gap: 10px;
+  margin-top: 12px;
+  padding-top: 12px;
+  border-top: 1px solid #f2f2f2;
+}
+
+.action-btn {
+  flex: 1;
+  height: 32px;
+  line-height: 32px;
+  border-radius: 6px;
+  font-size: 12px;
+  border: none;
+  background: #f5f6f8;
+  color: #333;
+}
+
+.action-btn::after {
+  border: none;
+}
+
+.detail-btn {
+  background: #f5f6f8;
+  color: #333;
+}
+
+.send-btn {
+  background: #0877F1;
+  color: #fff;
 }
 
 .empty {
diff --git a/pages/case/followup-task-list.vue b/pages/case/followup-task-list.vue
new file mode 100644
index 0000000..14440f0
--- /dev/null
+++ b/pages/case/followup-task-list.vue
@@ -0,0 +1,74 @@
+<template>
+  <view class="followup-task-page">
+    <!-- 回访任务列表组件 -->
+    <FollowUpManageTab
+      :data="patientData"
+      :archiveId="archiveId"
+      :reachBottomTime="reachBottomTime"
+      :floatingBottom="0"
+    />
+  </view>
+</template>
+
+<script setup>
+import { ref } from "vue";
+import { onLoad } from "@dcloudio/uni-app";
+import FollowUpManageTab from "./components/archive-detail/follow-up-manage-tab.vue";
+
+const archiveId = ref("");
+const patientData = ref({});
+const reachBottomTime = ref("");
+
+onLoad((options) => {
+  archiveId.value = options.archiveId || "";
+  patientData.value = {
+    name: options.patientName || "",
+  };
+});
+
+const handleBack = () => {
+  uni.navigateBack();
+};
+</script>
+
+<style scoped>
+.followup-task-page {
+  display: flex;
+  flex-direction: column;
+  height: 100vh;
+  background: #f5f6f8;
+}
+
+.nav-bar {
+  display: flex;
+  align-items: center;
+  justify-content: space-between;
+  height: 44px;
+  background: #0877f1;
+  padding: 0 14px;
+  color: #fff;
+  position: relative;
+}
+
+.nav-back {
+  width: 44px;
+  height: 44px;
+  display: flex;
+  align-items: center;
+  justify-content: center;
+  margin-left: -14px;
+}
+
+.nav-title {
+  position: absolute;
+  left: 50%;
+  transform: translateX(-50%);
+  font-size: 16px;
+  font-weight: 600;
+  color: #fff;
+}
+
+.nav-placeholder {
+  width: 44px;
+}
+</style>
diff --git a/pages/message/article-list.vue b/pages/message/article-list.vue
index 2954537..9f7576a 100644
--- a/pages/message/article-list.vue
+++ b/pages/message/article-list.vue
@@ -315,6 +315,8 @@ const closePreview = () => {
 const sendArticle = async (article) => {
   try {
     const { doctorInfo } = useAccountStore();
+    
+    // 1. 调用后端API记录发送
     const result = await api("sendArticleMessage", {
       groupId: pageParams.value.groupId,
       fromAccount: doctorInfo.userid,
@@ -323,8 +325,46 @@ const sendArticle = async (article) => {
       imgUrl: article.cover || "",
       desc: "点击查看详情",
     });
+    
     if (result.success) {
-      // 记录文章发送记录
+      // 2. 通过IM系统发送自定义消息到聊天列表
+      try {
+        // 获取全局IM管理器
+        const { globalTimChatManager } = await import("@/utils/tim-chat.js");
+        
+        if (globalTimChatManager && globalTimChatManager.tim && globalTimChatManager.isLoggedIn) {
+          // 重要：设置当前会话ID，确保消息发送到正确的群聊
+          const conversationID = `GROUP${pageParams.value.groupId}`;
+          globalTimChatManager.currentConversationID = conversationID;
+          
+          console.log("设置当前会话ID:", conversationID);
+          
+          // 构建自定义消息数据
+          const customMessageData = {
+            messageType: "article",
+            title: article.title || "宣教文章",
+            articleId: article._id,
+            cover: article.cover || "",
+            desc: "点击查看详情",
+            content: article.title || "宣教文章"
+          };
+          
+          // 发送自定义消息
+          const sendResult = await globalTimChatManager.sendCustomMessage(customMessageData);
+          if (sendResult && sendResult.success) {
+            console.log("✓ 文章消息已通过IM系统发送");
+          } else {
+            console.warn("⚠️ 文章消息发送失败:", sendResult?.error);
+          }
+        } else {
+          console.warn("⚠️ IM系统未就绪，消息可能不会显示在聊天列表");
+        }
+      } catch (imError) {
+        console.error("通过IM系统发送消息失败:", imError);
+        // IM发送失败不影响后端记录，继续返回
+      }
+      
+      // 3. 记录文章发送记录
       try {
         await api("addArticleSendRecord", {
           articleId: article._id,
diff --git a/pages/message/chat.scss b/pages/message/chat.scss
index 83bb6a9..06cc9a9 100644
--- a/pages/message/chat.scss
+++ b/pages/message/chat.scss
@@ -430,6 +430,15 @@ $primary-color: #0877F1;
   box-sizing: border-box;
   line-height: 1.5;
   color: #333;
+  display: flex;
+  align-items: center;
+  justify-content: center;
+}
+
+.text-input {
+  padding: 16rpx 46rpx;
+  display: block;
+  line-height: 1.5;
 }
 
 .voice-input-btn {
diff --git a/pages/message/components/chat-input.vue b/pages/message/components/chat-input.vue
index c48da5e..391e1bf 100644
--- a/pages/message/components/chat-input.vue
+++ b/pages/message/components/chat-input.vue
@@ -9,7 +9,7 @@
         <textarea v-if="!showVoiceInput" class="text-input" v-model="inputText" placeholder="我来说两句..." 
           @confirm="sendTextMessage" @focus="handleInputFocus" @input="handleInput" 
           :auto-height="true" :show-confirm-bar="false" :adjust-position="true" 
-          placeholder-style="line-height: 80rpx;" />
+          />
         <input v-else class="voice-input-btn" :class="{ recording: isRecording }" @touchstart="startRecord"
           @touchmove="onRecordTouchMove" @touchend="stopRecord" @touchcancel="cancelRecord" :placeholder="isRecording ? '松开发送' : '按住说话'" disabled>
         </input>
@@ -365,6 +365,13 @@ const goToCommonPhrases = () => {
   });
 };
 
+// 打开回访任务列表
+const showFollowUpTasks = () => {
+  uni.navigateTo({
+    url: `/pages/case/followup-task-list?archiveId=${props.patientId}&patientName=${props.patientInfo.name}`,
+  });
+};
+
 // 跳转到宣教文章页面
 const goToArticleList = () => {
   uni.navigateTo({
@@ -402,7 +409,7 @@ const morePanelButtons = [
   {
     text: "回访任务",
     icon: "/static/icon/huifangrenwu.png",
-    action: showImagePicker,
+    action: showFollowUpTasks,
   },
   {
     text: "常用语",
diff --git a/pages/message/index.vue b/pages/message/index.vue
index 9bffc38..a4061d8 100644
--- a/pages/message/index.vue
+++ b/pages/message/index.vue
@@ -757,8 +757,34 @@ onShow(() => {
   }
 
   startIMMonitoring(30000);
+
+  // 监听回访任务发送事件
+  uni.$on('send-followup-message', handleSendFollowUpMessage);
 });
 
+// 处理发送回访任务消息
+const handleSendFollowUpMessage = async (data) => {
+  try {
+    if (chatInputRef.value) {
+      // 将回访计划内容设置到输入框
+      chatInputRef.value.setInputText(data.content);
+      
+      // 延迟后自动发送
+      setTimeout(() => {
+        if (chatInputRef.value) {
+          chatInputRef.value.sendTextMessageFromPhrase(data.content);
+        }
+      }, 100);
+    }
+  } catch (error) {
+    console.error('发送回访任务消息失败:', error);
+    uni.showToast({
+      title: '发送失败，请重试',
+      icon: 'none',
+    });
+  }
+};
+
 // 页面隐藏
 onHide(() => {
   stopIMMonitoring();
@@ -945,6 +971,9 @@ onUnmounted(() => {
   timChatManager.setCallback("onMessageReceived", null);
   timChatManager.setCallback("onMessageListLoaded", null);
   timChatManager.setCallback("onError", null);
+
+  // 移除回访任务发送事件监听
+  uni.$off('send-followup-message', handleSendFollowUpMessage);
 });
 </script>
 
diff --git a/utils/tim-chat.js b/utils/tim-chat.js
index acbb643..1a1fd4f 100644
--- a/utils/tim-chat.js
+++ b/utils/tim-chat.js
@@ -723,14 +723,26 @@ class TimChatManager {
 
 			// 判断是否为当前会话的消息
 			// 系统消息：只要会话ID匹配就显示（不要求必须有currentConversationID）
+			// 自定义消息（文章等）：如果currentConversationID已设置，则需要匹配；如果未设置，则暂存等待
 			// 普通消息：必须有currentConversationID且匹配才显示
-			const isCurrentConversation = isSystemMsg
-				? messageConversationID === this.currentConversationID
-				: (this.currentConversationID && messageConversationID === this.currentConversationID)
+			let isCurrentConversation = false
+
+			if (isSystemMsg) {
+				// 系统消息：只要会话ID匹配就显示
+				isCurrentConversation = messageConversationID === this.currentConversationID
+			} else if (convertedMessage.type === 'TIMCustomElem') {
+				// 自定义消息（包括文章）：如果currentConversationID已设置，则需要匹配；否则也接收
+				// 这样可以确保消息不会丢失，即使用户还没进入聊天页面
+				isCurrentConversation = !this.currentConversationID || messageConversationID === this.currentConversationID
+			} else {
+				// 普通消息：必须有currentConversationID且匹配才显示
+				isCurrentConversation = this.currentConversationID && messageConversationID === this.currentConversationID
+			}
 
 			console.log('消息会话匹配检查:', {
 				isCurrentConversation,
 				isSystemMessage: isSystemMsg,
+				messageType: convertedMessage.type,
 				hasCurrentConversationID: !!this.currentConversationID,
 				conversationIDMatch: messageConversationID === this.currentConversationID
 			})
@@ -2516,32 +2528,66 @@ class TimChatManager {
 	formatCustomMessage(payload) {
 		try {
 			if (!payload || !payload.data) {
+				console.warn('payload.data 为空:', payload)
 				return '[自定义消息]'
 			}
 
-			const customData = typeof payload.data === 'string'
-				? JSON.parse(payload.data)
-				: payload.data
+			let customData
+			try {
+				customData = typeof payload.data === 'string'
+					? JSON.parse(payload.data)
+					: payload.data
+			} catch (parseError) {
+				console.error('JSON 解析失败:', payload.data, parseError)
+				return payload.description || '[自定义消息]'
+			}
 
 			const messageType = customData.messageType || customData.type
 
-			const messageTypeMap = {
-				system_message: '[系统消息]',
-				symptom: '[病情描述]',
-				prescription: '[处方单]',
-				refill: '[续方申请]',
-				survey: '[问卷调查]',
-				article: '[文章]',
-				consult_pending: '患者向团队发起咨询，请在1小时内接诊',
-				consult_rejected: '咨询已被拒绝',
-				consult_timeout: '咨询已超时自动关闭',
-				consult_accepted: '已接诊，会话已开始',
-				consult_ended: '已结束当前会话',
+			// 使用 switch 语句保持与 getGroupListInternal 中的逻辑一致
+			let messageText = '[自定义消息]'
+			switch (messageType) {
+				case 'system_message':
+					messageText = '[系统消息]'
+					break
+				case 'symptom':
+					messageText = '[病情描述]'
+					break
+				case 'prescription':
+					messageText = '[处方单]'
+					break
+				case 'refill':
+					messageText = '[续方申请]'
+					break
+				case 'survey':
+					messageText = '[问卷调查]'
+					break
+				case 'article':
+					messageText = '[文章]'
+					break
+				case 'consult_pending':
+					messageText = '患者向团队发起咨询，请在1小时内接诊，超时将自动关闭会话'
+					break
+				case 'consult_rejected':
+					messageText = '患者向团队发起咨询，由于有紧急事务要处理暂时无法接受咨询.本次会话已关闭'
+					break
+				case 'consult_timeout':
+					messageText = '患者向团队发起咨询，团队成员均未接受咨询，本次会话已自动关闭'
+					break
+				case 'consult_accepted':
+					messageText = '已接诊，会话已开始'
+					break
+				case 'consult_ended':
+					messageText = '已结束当前会话'
+					break
+				default:
+					messageText = customData.content || '[自定义消息]'
 			}
 
-			return messageTypeMap[messageType] || customData.content || '[自定义消息]'
+			console.log('自定义消息类型:', messageType, '显示文本:', messageText)
+			return messageText
 		} catch (error) {
-			console.error('格式化自定义消息失败:', error)
+			console.error('格式化自定义消息失败:', error, payload)
 			return '[自定义消息]'
 		}
 	}