diff --git a/src/pages/U2/u2.css b/src/pages/U2/u2.css
index ed8d7b5..f9e6722 100644
--- a/src/pages/U2/u2.css
+++ b/src/pages/U2/u2.css
@@ -33,6 +33,12 @@
   padding: 40px 48px;
 }
 
+.u2-avatar-container {
+  flex: 1;
+  display: flex;
+  justify-content: center;
+}
+
 .u2-avatar {
   max-width: 290px;
   height: auto;
diff --git a/src/pages/U2/u2.tsx b/src/pages/U2/u2.tsx
index e157fe2..14ff127 100644
--- a/src/pages/U2/u2.tsx
+++ b/src/pages/U2/u2.tsx
@@ -17,7 +17,7 @@ const U2: React.FC = () => {
   const navigate = useNavigate();
   const idCardNo = localStorage.getItem("lastIdCardNo");
   const [patientInfo, setPatientInfo] = useState<PatientInfo | null>(null);
-  const [loading, setLoading] = useState(false);
+  const [loading, setLoading] = useState<boolean>(() => !!idCardNo);
   const [isVip, setIsVip] = useState<number | null>(null);
   const vipCalledRef = React.useRef(false);
 
@@ -84,8 +84,10 @@ const U2: React.FC = () => {
       getOptionalItemList(idCardNo)
         .then((res) => {
           if (res.Status === 200) {
-
-            localStorage.setItem("selectedExamId", res.Data.packageInfo.physical_exam_id.toString() || "")
+            localStorage.setItem(
+              "selectedExamId",
+              res.Data.packageInfo.physical_exam_id.toString() || ""
+            );
 
             const isPackageUndecided =
               res.Data?.packageInfo?.is_optional_package === 1 &&
@@ -115,12 +117,46 @@ const U2: React.FC = () => {
     }
   };
 
+  // 根据性别和姓名生成问候称呼：取姓名第一个字 + (先生|女士|先生/女士)
+  const getGreeting = () => {
+    // 在加载中或没有姓名时不返回欢迎语，避免先渲染空的问候
+    if (loading || !patientInfo?.name) return "";
+    const name = patientInfo.name.trim();
+    const firstChar = name ? name.charAt(0) : "";
+    const genderName = (patientInfo?.gender_name || "").trim();
+    const sex = (patientInfo as any)?.sex;
+    let title = "";
+    if (genderName === "男" || sex === "1" || sex === 1) title = "先生";
+    else if (genderName === "女" || sex === "2" || sex === 2) title = "女士";
+    return `尊敬的${
+      firstChar ? `${firstChar} ${title}` : title
+    }，欢迎您的到来：`;
+  };
+
+  // 返回头像地址：优先使用读到的本地照片路径（file:///），否则使用默认 avatar
+  const getAvatarSrc = () => {
+    const photoPath = (patientInfo as any)?.photo_path || "";
+    if (!photoPath) return avatar;
+    // 如果已经是 file:// 协议，直接返回
+    if (photoPath.startsWith("file://")) return photoPath;
+    // 将 Windows 路径转换为 file:/// 格式（把反斜杠改为斜杠）
+    const normalized = photoPath.replace(/\\/g, "/").replace(/\\/g, "/");
+    return `file:///${normalized}`;
+  };
+
+  // 在数据加载时显示占位，加载完成后再渲染完整内容
+  if (loading) {
+    return <></>;
+  }
+
   return (
     <div className="u2-root">
-      <span className="u2-title">尊敬的张先生/女士，欢迎您的到来：</span>
+      <span className="u2-title">{getGreeting()}</span>
       <DecorLine />
       <div className="u2-info-card">
-        <img className="u2-avatar" src={avatar} alt="avatar" />
+        <div className="u2-avatar-container">
+          <img className="u2-avatar" src={getAvatarSrc()} alt="avatar" />
+        </div>
         <div className="u2-details-list">
           <div className="u2-detail-row">
             <div className="u2-detail-bar" />