diff --git a/src/components/exam/ExamSection.tsx b/src/components/exam/ExamSection.tsx
index 17ee4bc..1949a57 100644
--- a/src/components/exam/ExamSection.tsx
+++ b/src/components/exam/ExamSection.tsx
@@ -9,7 +9,7 @@ import { cls } from '../../utils/cls';
 interface ExamSectionProps {
   filteredClients: ExamClient[];
   selectedExamClient: ExamClient | undefined;
-  examFilterTag: (typeof EXAM_TAGS)[number];
+  examFilterTags: Set<(typeof EXAM_TAGS)[number]>;
   onFilterChange: (tag: (typeof EXAM_TAGS)[number]) => void;
   onOpenModal: (id: string, tab: ExamModalTab) => void;
   searchValue: string;
@@ -23,7 +23,7 @@ const LOAD_MORE_COUNT = 9; // 每次加载更多时的数量
 export const ExamSection = ({
   filteredClients,
   selectedExamClient,
-  examFilterTag,
+  examFilterTags,
   onFilterChange,
   onOpenModal,
   searchValue,
@@ -87,7 +87,7 @@ export const ExamSection = ({
   // 当 filteredClients 变化时，重置显示数量
   useEffect(() => {
     setDisplayCount(INITIAL_LOAD_COUNT);
-  }, [filteredClients.length, searchValue, examFilterTag]);
+  }, [filteredClients.length, searchValue, examFilterTags]);
 
   // 懒加载：使用 Intersection Observer 监听底部元素
   useEffect(() => {
@@ -158,8 +158,10 @@ export const ExamSection = ({
                     key={tag}
                     onClick={() => onFilterChange(tag)}
                     className={cls(
-                      'px-3 py-1 rounded-2xl border',
-                      examFilterTag === tag ? 'bg-gray-900 text-white border-gray-900' : 'bg-white text-gray-700',
+                      'px-3 py-1 rounded-2xl border transition-colors',
+                      examFilterTags.has(tag)
+                        ? 'bg-gray-900 text-white border-gray-900'
+                        : 'bg-white text-gray-700 border-gray-200 hover:border-gray-300',
                     )}
                   >
                     {tag}
diff --git a/src/pages/ExamPage.tsx b/src/pages/ExamPage.tsx
index bcd299f..aec1ae2 100644
--- a/src/pages/ExamPage.tsx
+++ b/src/pages/ExamPage.tsx
@@ -12,24 +12,48 @@ export const ExamPage = () => {
   const [examSelectedId, setExamSelectedId] = useState<string>('');
   const [examPanelTab, setExamPanelTab] = useState<ExamModalTab>('detail');
   const [examModalOpen, setExamModalOpen] = useState(false);
-  const [examFilterTag, setExamFilterTag] = useState<(typeof EXAM_TAGS)[number]>('全部');
+  const [examFilterTags, setExamFilterTags] = useState<Set<(typeof EXAM_TAGS)[number]>>(new Set(['全部']));
   const [loading, setLoading] = useState(false);
 
+  // 处理筛选标签切换（支持多选）
+  const handleFilterChange = (tag: (typeof EXAM_TAGS)[number]) => {
+    setExamFilterTags((prev) => {
+      const next = new Set(prev);
+      if (tag === '全部') {
+        // 点击"全部"时，清空其他选择，只保留"全部"
+        return new Set(['全部']);
+      } else {
+        // 点击其他标签时，移除"全部"，添加/移除当前标签
+        next.delete('全部');
+        if (next.has(tag)) {
+          next.delete(tag);
+          // 如果所有标签都被取消，则默认选择"全部"
+          if (next.size === 0) {
+            return new Set(['全部']);
+          }
+        } else {
+          next.add(tag);
+        }
+      }
+      return next;
+    });
+  };
+
   // 构建接口请求参数
   const getRequestPayload = useMemo(() => {
     const trimmed = searchValue.trim();
     const query_text = trimmed || null;
 
-    // 根据筛选标签设置标志位
-    const is_all = examFilterTag === '全部' ? 1 : 0;
-    const is_morning = examFilterTag === '上午' ? 1 : 0;
-    const is_afternoon = examFilterTag === '下午' ? 1 : 0;
-    const is_high_customer = examFilterTag === '高客' ? 1 : 0;
-    const is_general_customer = examFilterTag === '普客' ? 1 : 0;
-    const is_registered = examFilterTag === '已登记' ? 1 : 0;
-    const is_not_registered = examFilterTag === '未登记' ? 1 : 0;
-    const is_individual_customer = examFilterTag === '散客' ? 1 : 0;
-    const is_group_customer = examFilterTag === '团客' ? 1 : 0;
+    // 根据选中的筛选标签设置标志位（支持多选）
+    const is_all = examFilterTags.has('全部') ? 1 : 0;
+    const is_morning = examFilterTags.has('上午') ? 1 : 0;
+    const is_afternoon = examFilterTags.has('下午') ? 1 : 0;
+    const is_high_customer = examFilterTags.has('高客') ? 1 : 0;
+    const is_general_customer = examFilterTags.has('普客') ? 1 : 0;
+    const is_registered = examFilterTags.has('已登记') ? 1 : 0;
+    const is_not_registered = examFilterTags.has('未登记') ? 1 : 0;
+    const is_individual_customer = examFilterTags.has('散客') ? 1 : 0;
+    const is_group_customer = examFilterTags.has('团客') ? 1 : 0;
 
     return {
       query_text,
@@ -43,7 +67,7 @@ export const ExamPage = () => {
       is_individual_customer,
       is_group_customer,
     };
-  }, [searchValue, examFilterTag]);
+  }, [searchValue, examFilterTags]);
 
   // 从接口拉取体检客户列表
   useEffect(() => {
@@ -118,8 +142,8 @@ export const ExamPage = () => {
       <ExamSection
         filteredClients={clients}
         selectedExamClient={selectedExamClient}
-        examFilterTag={examFilterTag}
-        onFilterChange={setExamFilterTag}
+        examFilterTags={examFilterTags}
+        onFilterChange={handleFilterChange}
         onOpenModal={handleOpenModal}
         searchValue={searchValue}
         onSearchChange={setSearchValue}