diff --git a/患者首页处理/数据可视化网页端/app/main.py b/患者首页处理/数据可视化网页端/app/main.py
old mode 100644
new mode 100755
index e91c272..60713ed
--- a/患者首页处理/数据可视化网页端/app/main.py
+++ b/患者首页处理/数据可视化网页端/app/main.py
@@ -52,6 +52,44 @@ PDF_DIR = Path(env("PDF_DIR", str(PROJECT_ROOT / "待处理-患者首页PDF"))).
 SETTINGS_PATH = Path(env("REVIEW_SETTINGS_PATH", str(PROJECT_ROOT / "数据可视化网页端/review_settings.local.json"))).resolve()
 APP_TIMEZONE = ZoneInfo(env("APP_TIMEZONE", "Asia/Shanghai") or "Asia/Shanghai")
 
+DEFAULT_MAJOR_DEPARTMENT_OPTIONS = [
+    "肝胆外科及肝移植相关",
+    "普通外科及腹部外科",
+    "急诊医学科",
+    "重症医学科",
+    "骨科",
+    "泌尿外科",
+    "呼吸内科",
+    "耳鼻喉头颈外科",
+    "日间诊疗中心",
+    "乳腺外科",
+    "胸外科",
+    "肝病内科",
+    "感染科",
+    "肿瘤放疗科",
+    "消化内科",
+    "肿瘤外科",
+    "特需/涉外病房",
+    "老年外科",
+]
+
+
+def load_major_department_options() -> list[str]:
+    rule_path = PROJECT_ROOT / "数据处理工作区" / "01_配置规则" / "01_科室分类规则.json"
+    if rule_path.exists():
+        try:
+            data = json.loads(rule_path.read_text(encoding="utf-8"))
+            options = [str(group.get("大科室", "")).strip() for group in data.get("大科室列表", [])]
+            options = [option for option in options if option]
+            if options:
+                return options
+        except Exception:  # noqa: BLE001
+            pass
+    return DEFAULT_MAJOR_DEPARTMENT_OPTIONS
+
+
+MAJOR_DEPARTMENT_OPTIONS = load_major_department_options()
+
 
 FIELD_GROUPS: list[dict[str, Any]] = [
     {
@@ -81,7 +119,7 @@ FIELD_GROUPS: list[dict[str, Any]] = [
             ("discharge_dept", "出院科别", "text", None),
             ("discharge_ward", "出院病房", "text", None),
             ("hospital_days", "实际住院天数", "integer", None),
-            ("major_department", "大科室", "text", None),
+            ("major_department", "大科室", "select", MAJOR_DEPARTMENT_OPTIONS),
         ],
     },
     {
diff --git a/患者首页处理/数据可视化网页端/app/static/app.js b/患者首页处理/数据可视化网页端/app/static/app.js
old mode 100644
new mode 100755
index 6bdf2df..24286a0
--- a/患者首页处理/数据可视化网页端/app/static/app.js
+++ b/患者首页处理/数据可视化网页端/app/static/app.js
@@ -705,8 +705,12 @@ function renderField(record, name, label, type, options, alerted = false, source
   const sourceClass = source === "ai" ? " is-ai-modified" : source === "manual" ? " is-manual-modified" : "";
   let control = "";
   if (type === "select") {
+    const normalizedValue = String(value ?? "");
+    const normalizedOptions = (options || []).map((option) => String(option));
+    const optionItems = ["", ...normalizedOptions];
+    if (normalizedValue && !normalizedOptions.includes(normalizedValue)) optionItems.push(normalizedValue);
     control = `<select data-field="${name}" data-type="${type}">
-      ${(options || []).map((option) => `<option value="${escapeHtml(option)}" ${option === value ? "selected" : ""}>${escapeHtml(option)}</option>`).join("")}
+      ${optionItems.map((option) => `<option value="${escapeHtml(option)}" ${option === normalizedValue ? "selected" : ""}>${escapeHtml(option || "请选择")}</option>`).join("")}
     </select>`;
   } else if (type === "json") {
     control = renderJsonEditor(name, value, sourceMap);
diff --git a/患者首页处理/数据处理工作区/01_配置规则/01_科室分类规则.json b/患者首页处理/数据处理工作区/01_配置规则/01_科室分类规则.json
old mode 100644
new mode 100755
index 110c8e6..a8a0af1
--- a/患者首页处理/数据处理工作区/01_配置规则/01_科室分类规则.json
+++ b/患者首页处理/数据处理工作区/01_配置规则/01_科室分类规则.json
@@ -65,7 +65,8 @@
     {
       "大科室": "呼吸内科",
       "子科室": [
-        "呼吸内科3病区"
+        "呼吸内科3病区",
+        "呼吸内科RCU"
       ]
     },
     {
@@ -126,6 +127,18 @@
         "肿瘤放疗日间【无人】"
       ]
     },
+    {
+      "大科室": "消化内科",
+      "子科室": [
+        "消化内科2病房"
+      ]
+    },
+    {
+      "大科室": "肿瘤外科",
+      "子科室": [
+        "肿瘤外科2病房"
+      ]
+    },
     {
       "大科室": "特需/涉外病房",
       "子科室": [
@@ -141,6 +154,9 @@
   ],
   "aliases": {
     "呼吸内科3": "呼吸内科3病区",
+    "呼吸内科RCU": "呼吸内科RCU",
+    "消化内科2": "消化内科2病房",
+    "消化内科2病房": "消化内科2病房",
     "外科ICU": "外科ICU",
     "急诊中心病房": "急诊中心",
     "急诊中心": "急诊中心",
@@ -176,10 +192,14 @@
     "肝移植内科": "肝移植内",
     "肝移植内N": "肝移植内N",
     "肝移植内科N": "肝移植内N",
+    "肝脏移植内科N": "肝移植内N",
+    "肝胆外科ICU": "肝胆ICU",
     "肿瘤放疗3": "肿瘤放疗3",
     "肿放3": "肿瘤放疗3",
     "肿瘤放疗L": "肿瘤放疗病区L",
     "肿放L": "肿瘤放疗病区L",
+    "肿瘤外科2": "肿瘤外科2病房",
+    "肿瘤外科2病房": "肿瘤外科2病房",
     "重症医学1": "※重症医学1病区",
     "重症医学科1": "※重症医学1病区",
     "重症1": "※重症医学1病区",