diff --git a/clinical-web/src/views/management/users/components/OrganizationTree.vue b/clinical-web/src/views/management/users/components/OrganizationTree.vue
index 53476d3..0bdd5a3 100644
--- a/clinical-web/src/views/management/users/components/OrganizationTree.vue
+++ b/clinical-web/src/views/management/users/components/OrganizationTree.vue
@@ -20,6 +20,8 @@ const emit = defineEmits<{
   addDepartment: []
   editCampus: [campus: CampusRecord]
   editDepartment: [department: DepartmentRecord]
+  deleteCampus: [campus: CampusRecord]
+  deleteDepartment: [department: DepartmentRecord]
 }>()
 
 const institutionGroups = computed(() => {
@@ -115,15 +117,24 @@ function isDescendantSelected(department: DepartmentRecord): boolean {
               <span class="org-tree__name">{{ campus.name }}</span>
               <span class="org-tree__count">{{ departmentsForCampus(campus.id).length }} 科室</span>
             </button>
-            <button
-              v-if="canManageCampuses"
-              type="button"
-              class="org-tree__edit"
-              :aria-label="`编辑院区${campus.name}`"
-              @click="emit('editCampus', campus)"
-            >
-              编辑
-            </button>
+            <div v-if="canManageCampuses" class="org-tree__actions">
+              <button
+                type="button"
+                class="org-tree__edit"
+                :aria-label="`编辑院区${campus.name}`"
+                @click="emit('editCampus', campus)"
+              >
+                编辑
+              </button>
+              <button
+                type="button"
+                class="org-tree__remove"
+                :aria-label="`删除院区${campus.name}`"
+                @click="emit('deleteCampus', campus)"
+              >
+                删除
+              </button>
+            </div>
           </div>
 
           <div
@@ -142,15 +153,24 @@ function isDescendantSelected(department: DepartmentRecord): boolean {
                 >
                   <span class="org-tree__name">🗂 {{ department.name }}</span>
                 </button>
-                <button
-                  v-if="canManageDepartments"
-                  type="button"
-                  class="org-tree__edit"
-                  :aria-label="`编辑科室${department.name}`"
-                  @click="emit('editDepartment', department)"
-                >
-                  编辑
-                </button>
+                <div v-if="canManageDepartments" class="org-tree__actions">
+                  <button
+                    type="button"
+                    class="org-tree__edit"
+                    :aria-label="`编辑科室${department.name}`"
+                    @click="emit('editDepartment', department)"
+                  >
+                    编辑
+                  </button>
+                  <button
+                    type="button"
+                    class="org-tree__remove"
+                    :aria-label="`删除科室${department.name}`"
+                    @click="emit('deleteDepartment', department)"
+                  >
+                    删除
+                  </button>
+                </div>
               </div>
               <div
                 v-for="child in childrenFor(department.id, campus.id)"
@@ -165,15 +185,24 @@ function isDescendantSelected(department: DepartmentRecord): boolean {
                 >
                   <span class="org-tree__name">{{ child.name }}</span>
                 </button>
-                <button
-                  v-if="canManageDepartments"
-                  type="button"
-                  class="org-tree__edit"
-                  :aria-label="`编辑科室${child.name}`"
-                  @click="emit('editDepartment', child)"
-                >
-                  编辑
-                </button>
+                <div v-if="canManageDepartments" class="org-tree__actions">
+                  <button
+                    type="button"
+                    class="org-tree__edit"
+                    :aria-label="`编辑科室${child.name}`"
+                    @click="emit('editDepartment', child)"
+                  >
+                    编辑
+                  </button>
+                  <button
+                    type="button"
+                    class="org-tree__remove"
+                    :aria-label="`删除科室${child.name}`"
+                    @click="emit('deleteDepartment', child)"
+                  >
+                    删除
+                  </button>
+                </div>
               </div>
             </template>
             <p v-if="!childrenFor(null, campus.id).length" class="org-tree__empty">
@@ -371,19 +400,37 @@ function isDescendantSelected(department: DepartmentRecord): boolean {
   font-size: 12px;
 }
 
-.org-tree__edit {
-  padding: 3px 6px;
-  margin-right: 6px;
-  color: var(--brand);
+.org-tree__actions {
+  display: flex;
+  flex: 0 0 auto;
+  gap: 4px;
+  align-items: center;
+}
+
+.org-tree__edit,
+.org-tree__remove {
+  padding: 3px 7px;
   font-size: 10.5px;
   background: #fff;
-  border: 1px solid #d3e7ee;
   border-radius: 5px;
   opacity: 0;
 }
 
+.org-tree__edit {
+  color: var(--brand);
+  border: 1px solid #d3e7ee;
+}
+
+.org-tree__remove {
+  margin-right: 6px;
+  color: var(--err);
+  border: 1px solid #f0cdcd;
+}
+
 .org-tree__node:hover .org-tree__edit,
-.org-tree__node:focus-within .org-tree__edit {
+.org-tree__node:hover .org-tree__remove,
+.org-tree__node:focus-within .org-tree__edit,
+.org-tree__node:focus-within .org-tree__remove {
   opacity: 1;
 }
 
diff --git a/clinical-web/src/views/management/users/index.vue b/clinical-web/src/views/management/users/index.vue
index c99e238..5d763c2 100644
--- a/clinical-web/src/views/management/users/index.vue
+++ b/clinical-web/src/views/management/users/index.vue
@@ -1,10 +1,12 @@
 <script setup lang="ts">
 import { computed, onMounted, ref, watch } from 'vue'
-import { ElMessage } from 'element-plus'
+import { ElMessage, ElMessageBox } from 'element-plus'
 
 import {
   createCampus,
   createDepartment,
+  deleteCampus,
+  deleteDepartment,
   getAllDepartments,
   getCampuses,
   updateCampus,
@@ -664,6 +666,57 @@ async function saveOrganizationNode(form: OrganizationNodeSave) {
   }
 }
 
+async function removeCampus(campus: CampusRecord) {
+  if (!canManageCampuses.value) return
+  const departmentCount = departments.value.filter(
+    (department) => department.campusId === campus.id,
+  ).length
+  const confirmed = await ElMessageBox.confirm(
+    departmentCount
+      ? `删除院区“${campus.name}”会同时移除其下 ${departmentCount} 个科室，且无法恢复，是否继续？`
+      : `删除院区“${campus.name}”后无法恢复，是否继续？`,
+    '删除院区',
+    { type: 'warning', confirmButtonText: '删除', cancelButtonText: '取消' },
+  )
+    .then(() => true)
+    .catch(() => false)
+  if (!confirmed) return
+
+  try {
+    await deleteCampus(campus.id)
+    if (selectedCampusId.value === campus.id) selectedDepartmentId.value = null
+    await appStore.loadCampuses(true)
+    await loadOrganization()
+    ElMessage.success('院区已删除')
+  } catch (error) {
+    ElMessage.error(toUserMessage(error, '院区删除失败，请稍后重试'))
+  }
+}
+
+async function removeDepartment(department: DepartmentRecord) {
+  if (!canManageDepartments.value) return
+  const childCount = departments.value.filter((item) => item.parentId === department.id).length
+  const confirmed = await ElMessageBox.confirm(
+    childCount
+      ? `删除科室“${department.name}”会同时移除其下 ${childCount} 个下级科室，且无法恢复，是否继续？`
+      : `删除科室“${department.name}”后无法恢复，是否继续？`,
+    '删除科室',
+    { type: 'warning', confirmButtonText: '删除', cancelButtonText: '取消' },
+  )
+    .then(() => true)
+    .catch(() => false)
+  if (!confirmed) return
+
+  try {
+    await deleteDepartment(department.id)
+    if (selectedDepartmentId.value === department.id) selectedDepartmentId.value = null
+    await loadOrganization()
+    ElMessage.success('科室已删除')
+  } catch (error) {
+    ElMessage.error(toUserMessage(error, '科室删除失败，请稍后重试'))
+  }
+}
+
 watch(
   () => appStore.selectedCampusId,
   (campusId) => {
@@ -724,6 +777,8 @@ onMounted(loadOrganization)
         @add-department="openAddDepartment"
         @edit-campus="editCampus"
         @edit-department="editDepartment"
+        @delete-campus="removeCampus"
+        @delete-department="removeDepartment"
       />
 
       <section class="employee-card">