diff --git a/pages/patients/index.js b/pages/patients/index.js
index 75df8df..8e15f8e 100644
--- a/pages/patients/index.js
+++ b/pages/patients/index.js
@@ -20,7 +20,11 @@ Page({
   async getList(append = false) {
     if (!this.data.hasMore && append) return;
     const res = await request(`doctor/patients?page=${this.page}&page_size=${this.page_size}&username=${this.data.username}`)
-    const newList = append ? this.data.list.concat(res.list) : res.list;
+    const arr = res.list.map(item => {
+      item.avatar = item.avatar ? item.avatar : 'https://image-fudan.oss-cn-beijing.aliyuncs.com/mini_images/my/baby.png'
+      return item
+    })
+    const newList = append ? this.data.list.concat(arr) : arr;
     this.setData({
       list: newList,
       hasMore: res.list.length === this.page_size
diff --git a/pages/patients/index.less b/pages/patients/index.less
index acb9bb9..9f9cfa5 100644
--- a/pages/patients/index.less
+++ b/pages/patients/index.less
@@ -20,13 +20,16 @@
   height: calc(100% - 180rpx);
   position: relative;
   z-index: 1;
-  padding: 24rpx;
   padding-top: 0;
   scroll-view{
     box-sizing: border-box;
     width: 100%;
     height: 100%;
     padding-top: 12rpx;
+    .scroll-view-box{
+      padding: 0 28rpx;
+      // padding-bottom: 160rpx;
+    }
   }
 }
 .scroll-top{
@@ -102,7 +105,6 @@
 }
 .box_5 {
   border-radius: 100%;
-  background-image: url(https://lanhu-dds-backend.oss-cn-beijing.aliyuncs.com/merge_image/imgs/0541ba31b7264f1ab9115b54b31a4f09_mergeImage.png);
   width: 84rpx;
   height: 84rpx;
   border-radius: 84rpx;
diff --git a/pages/patients/index.wxml b/pages/patients/index.wxml
index 31b1ddb..5918081 100644
--- a/pages/patients/index.wxml
+++ b/pages/patients/index.wxml
@@ -3,88 +3,47 @@
   <t-navbar t-class-placeholder="t-navbar-placeholder" t-class-content="t-navbar-content" class="block" title="患者管理" />
   <view class="box_1">
     <scroll-view scroll-y="true" bindscrolltolower="scrolltolower">
-      <view class="scroll-top"> 
-      </view>
-      <view class="box_3">
-        <view class="image-text_1">
-          <text class="iconfont icon-sousuo thumbnail_1"></text>
-          <input lines="1" class="text-group_1" placeholder="请输入患者姓名" value="{{username}}" bindinput="changeUsername"></input>
+      <view class="scroll-view-box">
+        <view class="scroll-top"></view>
+        <view class="box_3">
+          <view class="image-text_1">
+            <text class="iconfont icon-sousuo thumbnail_1"></text>
+            <input lines="1" class="text-group_1" placeholder="请输入患者姓名" value="{{username}}" bindinput="changeUsername"></input>
+          </view>
         </view>
-      </view>
-      <view class="box_4">
-        <view class="block_1" wx:for="{{list}}" data-id="{{item.id}}" bind:tap="handleClick">
-          <view class="image-text_2">
-            <view class="box_5">
-              <image :src="{{item.avatar}}" class="label_1"></image>
-            </view>
-            <view class="text-group_2">
-              <view class="text-wrapper_1">
-                <text class="text_2">{{item.username}}</text>
-                <text decode="true" class="text_3">
-                  {{item.sex == 1 ? '男':'女'}}&nbsp;·&nbsp;{{item.age}}
-                </text>
+        <view class="box_4">
+          <view class="block_1" wx:for="{{list}}" data-id="{{item.id}}" bind:tap="handleClick">
+            <view class="image-text_2">
+              <view class="box_5">
+                <image src="{{item.avatar}}" class="label_1"></image>
+              </view>
+              <view class="text-group_2">
+                <view class="text-wrapper_1">
+                  <text class="text_2">{{item.username}}</text>
+                  <text decode="true" class="text_3">
+                    {{item.sex == 1 ? '男':'女'}}&nbsp;·&nbsp;{{item.age}}
+                  </text>
+                </view>
+                <text lines="1" class="text_4">PELD评分：{{item.risk_value}}</text>
               </view>
-              <text lines="1" class="text_4">PELD评分：{{item.risk_value}}</text>
             </view>
-          </view>
-          <text lines="1" class="text_5">下次随访时间：{{item.next_follow_date}}</text>
-          <view class="box_6">
-            <view class="text-wrapper_2" wx:if="{{item.risk_type == 3}}">
-              <text lines="1" class="text_6">高危</text>
-            </view>
-            <view class="text-wrapper_5" wx:if="{{item.risk_type == 2}}">
-              <text lines="1" class="text_12">中危</text>
-            </view>
-            <view class="text-wrapper_8" wx:if="{{item.risk_type == 1}}">
-              <text lines="1" class="text_18">低危</text>
-            </view>
-            <view class="text-wrapper_3">
-              <text lines="1" class="text_7">术后{{item.postoperative_duration}}</text>
+            <text lines="1" class="text_5">下次随访时间：{{item.next_follow_date}}</text>
+            <view class="box_6">
+              <view class="text-wrapper_2" wx:if="{{item.risk_type == 3}}">
+                <text lines="1" class="text_6">高危</text>
+              </view>
+              <view class="text-wrapper_5" wx:if="{{item.risk_type == 2}}">
+                <text lines="1" class="text_12">中危</text>
+              </view>
+              <view class="text-wrapper_8" wx:if="{{item.risk_type == 1}}">
+                <text lines="1" class="text_18">低危</text>
+              </view>
+              <view class="text-wrapper_3">
+                <text lines="1" class="text_7">术后{{item.postoperative_duration}}</text>
+              </view>
             </view>
           </view>
         </view>
-        <!-- <view class="block_2">
-        <view class="image-text_3">
-          <view class="box_7"></view>
-          <view class="text-group_3">
-            <view class="text-wrapper_4">
-              <text lines="1" class="text_8">王景琛</text>
-              <text lines="1" decode="true" class="text_9">男&nbsp;·&nbsp;2岁6个月</text>
-            </view>
-            <text lines="1" class="text_10">PELD评分：7</text>
-          </view>
-        </view>
-        <text lines="1" class="text_11">下次随访时间：2025-12-12</text>
-        <view class="section_1">
-          <view class="text-wrapper_5">
-            <text lines="1" class="text_12">中危</text>
-          </view>
-          <view class="text-wrapper_6">
-            <text lines="1" class="text_13">术后3月</text>
-          </view>
-        </view>
-      </view>
-      <view class="block_3">
-        <view class="image-text_4">
-          <image src="https://lanhu-oss-2537-2.lanhuapp.com/SketchPng71431139148678087ccbf1497ba051dcae5dbd440b4d5f0dee9a483c1e64ad45" class="label_1"></image>
-          <view class="text-group_4">
-            <view class="text-wrapper_7">
-              <text lines="1" class="text_14">赵谦昌</text>
-              <text lines="1" decode="true" class="text_15">男&nbsp;·&nbsp;10个月</text>
-            </view>
-            <text lines="1" class="text_16">PELD评分：2</text>
-          </view>
-        </view>
-        <text lines="1" class="text_17">下次随访时间：2025-12-12</text>
-        <view class="group_1">
-          <view class="text-wrapper_8">
-            <text lines="1" class="text_18">低危</text>
-          </view>
-          <view class="text-wrapper_9">
-            <text lines="1" class="text_19">术后3月</text>
-          </view>
-        </view>
-      </view> -->
       </view>
     </scroll-view>
   </view>