diff --git a/clinical-web/src/components/layout/AccountPanel.vue b/clinical-web/src/components/layout/AccountPanel.vue
index d4bd09e..70ed821 100644
--- a/clinical-web/src/components/layout/AccountPanel.vue
+++ b/clinical-web/src/components/layout/AccountPanel.vue
@@ -1,137 +1,300 @@
 <script setup lang="ts">
+import { onBeforeUnmount, watch } from 'vue'
+
 import { useAccountPanel } from '@/composables/useAccountPanel'
+
 const { panel, profile, loading, saving, error, contacts, password, strength, open, close, save } =
   useAccountPanel()
 defineExpose({ open })
+
+/**
+ * 弹窗挂在 body 上，卡片本身不持有焦点，`@keydown` 收不到按键，
+ * 所以 Esc 关闭（原先由 el-dialog 的 `close-on-press-escape` 提供）要挂在 document 上。
+ * `close()` 内部已挡掉保存中，这里不必再判一次。
+ */
+function handleEscape(event: KeyboardEvent) {
+  if (event.key === 'Escape') close()
+}
+
+watch(panel, (value) => {
+  if (value) document.addEventListener('keydown', handleEscape)
+  else document.removeEventListener('keydown', handleEscape)
+})
+
+onBeforeUnmount(() => document.removeEventListener('keydown', handleEscape))
 </script>
 
 <template>
-  <el-dialog
-    :model-value="panel !== null"
-    :title="panel === 'profile' ? '个人信息' : '修改密码'"
-    :width="panel === 'profile' ? '560px' : '460px'"
-    class="account-dialog"
-    append-to-body
-    :close-on-click-modal="false"
-    :close-on-press-escape="!saving"
-    :show-close="!saving"
-    @update:model-value="close"
-  >
-    <form id="account-form" @submit.prevent="save">
-      <template v-if="panel === 'profile'">
-        <p class="hint">基本信息由信息科统一维护，联系方式可自助修改</p>
-        <p v-if="loading" role="status">正在加载个人信息…</p>
-        <div v-else-if="profile" class="profile-grid">
-          <label class="full"
-            >ID（员工编号）<input :value="profile.employeeId ?? '—'" disabled
-          /></label>
-          <label>工号<input :value="profile.employeeNo || '—'" disabled /></label>
-          <label>姓名<input :value="profile.displayName" disabled /></label>
-          <label
-            >状态<input
-              :value="{ ENABLED: '启用', DISABLED: '停用', LOCKED: '锁定' }[profile.status]"
-              disabled
-          /></label>
-          <label
-            >院区 / 科室<input
-              :value="[profile.campusName || '—', profile.departmentName || '—'].join(' / ')"
-              disabled
-          /></label>
-          <label class="full"
-            >角色 / 岗位<input
-              :value="
-                [
-                  profile.roles.map((role) => role.name).join('、'),
-                  profile.position,
-                  profile.professionalTitle,
-                ]
-                  .filter(Boolean)
-                  .join(' / ') || '—'
-              "
-              disabled
-          /></label>
-          <label
-            >手机号<input
-              v-model="contacts.phone"
-              type="tel"
-              maxlength="32"
-              :disabled="saving"
-              autocomplete="tel"
-          /></label>
-          <label
-            >邮箱<input
-              v-model="contacts.email"
-              type="text"
-              inputmode="email"
-              maxlength="255"
-              :disabled="saving"
-              autocomplete="email"
-          /></label>
-          <p class="hint full">联系方式已脱敏；保持原值不修改，输入完整内容可替换，清空可删除。</p>
-        </div>
-      </template>
-      <div v-else class="password-fields">
-        <p class="hint">12–128 位，须同时包含大小写字母、数字和特殊字符。修改后需重新登录。</p>
-        <label
-          >当前密码<input
-            v-model="password.current"
-            type="password"
-            autocomplete="current-password"
-            maxlength="128"
-            :disabled="saving"
-        /></label>
-        <label
-          >新密码<input
-            v-model="password.next"
-            type="password"
-            autocomplete="new-password"
-            maxlength="128"
-            :disabled="saving"
-        /></label>
-        <p class="hint" aria-live="polite">强度：{{ strength }}</p>
-        <label
-          >确认新密码<input
-            v-model="password.confirm"
-            type="password"
-            autocomplete="new-password"
-            maxlength="128"
-            :disabled="saving"
-        /></label>
-      </div>
-      <p v-if="error" class="error" role="alert">{{ error }}</p>
-    </form>
-    <template #footer>
-      <el-button :disabled="saving" @click="close">取消</el-button>
-      <el-button v-if="panel === 'profile' && !profile && !loading" @click="open('profile')"
-        >重新加载</el-button
+  <!-- 外壳走页面通用弹窗样式（与作废确认、文书预览等同一套 .dialog-* / .action-button），
+       不再用 Element Plus 默认的 el-dialog / el-button —— 那套默认蓝与全局品牌色不一致。 -->
+  <Teleport to="body">
+    <div v-if="panel !== null" class="account-mask" role="presentation">
+      <section
+        class="account-card"
+        :class="panel === 'profile' ? 'account-card--profile' : 'account-card--password'"
+        role="dialog"
+        aria-modal="true"
+        aria-labelledby="account-dialog-title"
       >
-      <el-button
-        type="primary"
-        native-type="submit"
-        form="account-form"
-        :loading="saving"
-        :disabled="loading || (panel === 'profile' && !profile)"
-        >{{ panel === 'profile' ? '保存' : '确认修改' }}</el-button
-      >
-    </template>
-  </el-dialog>
+        <header class="account-header">
+          <strong id="account-dialog-title">
+            {{ panel === 'profile' ? '个人信息' : '修改密码' }}
+          </strong>
+          <button
+            v-if="!saving"
+            type="button"
+            class="account-close"
+            aria-label="关闭"
+            @click="close"
+          >
+            ×
+          </button>
+        </header>
+
+        <form id="account-form" class="account-body" @submit.prevent="save">
+          <template v-if="panel === 'profile'">
+            <p class="hint">基本信息由信息科统一维护，联系方式可自助修改</p>
+            <p v-if="loading" role="status">正在加载个人信息…</p>
+            <div v-else-if="profile" class="profile-grid">
+              <label class="full"
+                >ID（员工编号）<input :value="profile.employeeId ?? '—'" disabled
+              /></label>
+              <label>工号<input :value="profile.employeeNo || '—'" disabled /></label>
+              <label>姓名<input :value="profile.displayName" disabled /></label>
+              <label
+                >状态<input
+                  :value="{ ENABLED: '启用', DISABLED: '停用', LOCKED: '锁定' }[profile.status]"
+                  disabled
+              /></label>
+              <label
+                >院区 / 科室<input
+                  :value="[profile.campusName || '—', profile.departmentName || '—'].join(' / ')"
+                  disabled
+              /></label>
+              <label class="full"
+                >角色 / 岗位<input
+                  :value="
+                    [
+                      profile.roles.map((role) => role.name).join('、'),
+                      profile.position,
+                      profile.professionalTitle,
+                    ]
+                      .filter(Boolean)
+                      .join(' / ') || '—'
+                  "
+                  disabled
+              /></label>
+              <label
+                >手机号<input
+                  v-model="contacts.phone"
+                  type="tel"
+                  maxlength="32"
+                  :disabled="saving"
+                  autocomplete="tel"
+              /></label>
+              <label
+                >邮箱<input
+                  v-model="contacts.email"
+                  type="text"
+                  inputmode="email"
+                  maxlength="255"
+                  :disabled="saving"
+                  autocomplete="email"
+              /></label>
+              <p class="hint full">
+                联系方式已脱敏；保持原值不修改，输入完整内容可替换，清空可删除。
+              </p>
+            </div>
+          </template>
+          <div v-else class="password-fields">
+            <p class="hint">12–128 位，须同时包含大小写字母、数字和特殊字符。修改后需重新登录。</p>
+            <label
+              >当前密码<input
+                v-model="password.current"
+                type="password"
+                autocomplete="current-password"
+                maxlength="128"
+                :disabled="saving"
+            /></label>
+            <label
+              >新密码<input
+                v-model="password.next"
+                type="password"
+                autocomplete="new-password"
+                maxlength="128"
+                :disabled="saving"
+            /></label>
+            <p class="hint" aria-live="polite">强度：{{ strength }}</p>
+            <label
+              >确认新密码<input
+                v-model="password.confirm"
+                type="password"
+                autocomplete="new-password"
+                maxlength="128"
+                :disabled="saving"
+            /></label>
+          </div>
+          <p v-if="error" class="error" role="alert">{{ error }}</p>
+        </form>
+
+        <footer class="account-footer">
+          <span class="account-spacer" />
+          <button
+            type="button"
+            class="action-button action-button--ghost"
+            :disabled="saving"
+            @click="close"
+          >
+            取消
+          </button>
+          <button
+            v-if="panel === 'profile' && !profile && !loading"
+            type="button"
+            class="action-button action-button--ghost"
+            @click="open('profile')"
+          >
+            重新加载
+          </button>
+          <button
+            type="submit"
+            form="account-form"
+            class="action-button"
+            :disabled="saving || loading || (panel === 'profile' && !profile)"
+          >
+            {{ saving ? '处理中…' : panel === 'profile' ? '保存' : '确认修改' }}
+          </button>
+        </footer>
+      </section>
+    </div>
+  </Teleport>
 </template>
 
 <style scoped>
+.account-mask {
+  position: fixed;
+  z-index: 50;
+  inset: 0;
+  display: flex;
+  padding: 16px;
+  overflow-y: auto;
+  background: rgb(9 40 52 / 45%);
+}
+
+.account-card {
+  display: flex;
+  max-width: 96vw;
+  max-height: calc(100vh - 32px);
+  flex-direction: column;
+  margin: auto;
+  overflow: hidden;
+  background: #fff;
+  border-radius: 14px;
+  box-shadow: var(--sh-modal);
+  animation: account-pop 0.18s ease;
+}
+
+.account-card--profile {
+  width: 560px;
+}
+
+.account-card--password {
+  width: 460px;
+}
+
+.account-header {
+  display: flex;
+  flex-shrink: 0;
+  align-items: center;
+  padding: 12px 18px;
+  border-bottom: 1px solid var(--line);
+}
+
+.account-header strong {
+  color: var(--ink);
+  font-size: 15px;
+}
+
+.account-close {
+  padding: 0;
+  margin-left: auto;
+  color: var(--mut);
+  font-size: 20px;
+  line-height: 1;
+  background: transparent;
+}
+
+.account-close:hover {
+  color: var(--ink);
+}
+
+.account-body {
+  min-height: 0;
+  padding: 12px 18px;
+  overflow-y: auto;
+}
+
+.account-footer {
+  display: flex;
+  flex-shrink: 0;
+  gap: 10px;
+  align-items: center;
+  padding: 10px 18px;
+  background: #f8fbfc;
+  border-top: 1px solid var(--line);
+  border-radius: 0 0 14px 14px;
+}
+
+.account-spacer {
+  flex: 1;
+}
+
+.action-button {
+  flex-shrink: 0;
+  padding: 8px 16px;
+  color: #fff;
+  font-size: 13px;
+  font-weight: 700;
+  background: var(--brand);
+  border-radius: 7px;
+}
+
+.action-button:hover:not(:disabled) {
+  background: var(--brand-d);
+}
+
+.action-button--ghost {
+  color: var(--brand);
+  background: #fff;
+  border: 1px solid var(--brand);
+}
+
+.action-button--ghost:hover:not(:disabled) {
+  background: var(--brand-l);
+}
+
+.action-button:disabled {
+  color: #9aabb3;
+  cursor: not-allowed;
+  background: #eef3f5;
+}
+
 .profile-grid {
   display: grid;
   grid-template-columns: repeat(2, minmax(0, 1fr));
   gap: 12px;
 }
+
 .full {
   grid-column: 1 / -1;
 }
+
 label {
   display: grid;
   gap: 6px;
   font-size: 12px;
   color: var(--mut);
 }
+
 input {
   width: 100%;
   min-width: 0;
@@ -140,32 +303,48 @@ input {
   border-radius: 6px;
   color: var(--ink);
 }
+
 input:disabled {
   background: #f3f7f9;
 }
+
 input:focus {
   outline: 2px solid var(--brand);
   outline-offset: 1px;
 }
+
 .hint {
   margin: 0 0 14px;
   color: var(--mut);
   font-size: 12px;
   line-height: 1.6;
 }
+
 .password-fields {
   display: grid;
   gap: 12px;
 }
+
 .password-fields .hint {
   margin: 0;
 }
+
 .error {
   color: var(--err);
 }
-:global(.account-dialog) {
-  max-width: calc(100vw - 32px);
+
+@keyframes account-pop {
+  from {
+    opacity: 0;
+    transform: scale(0.96) translateY(8px);
+  }
+
+  to {
+    opacity: 1;
+    transform: none;
+  }
 }
+
 @media (max-width: 520px) {
   .profile-grid {
     grid-template-columns: minmax(0, 1fr);
diff --git a/clinical-web/src/components/layout/Menu.vue b/clinical-web/src/components/layout/Menu.vue
index cf0a6cb..6a2455f 100644
--- a/clinical-web/src/components/layout/Menu.vue
+++ b/clinical-web/src/components/layout/Menu.vue
@@ -1,14 +1,14 @@
 <script setup lang="ts">
-import { computed, ref } from 'vue'
+import { computed, onBeforeUnmount, ref, watch } from 'vue'
 import AccountPanel from './AccountPanel.vue'
 import { RouterLink } from 'vue-router'
-import { ElMessageBox } from 'element-plus'
 
 import { useLoginStore } from '@/stores/login'
 
 const loginStore = useLoginStore()
 const accountPanel = ref<InstanceType<typeof AccountPanel>>()
 const accountMenuOpen = ref(false)
+const logoutConfirmOpen = ref(false)
 const loggingOut = ref(false)
 const identity = computed(() => {
   const labels = [
@@ -46,6 +46,18 @@ const visibleMenuGroups = computed(() =>
     .filter((group) => group.items.length),
 )
 
+/** 打开二次确认（确认弹窗用页面通用样式，不再走 ElMessageBox 的 Element 默认外观） */
+function requestLogout() {
+  if (loggingOut.value) return
+  accountMenuOpen.value = false
+  logoutConfirmOpen.value = true
+}
+
+function cancelLogout() {
+  if (loggingOut.value) return
+  logoutConfirmOpen.value = false
+}
+
 /**
  * 退出登录：二次确认 → 注销服务端会话 → 清掉本地身份数据 → **整页**回登录页。
  *
@@ -58,21 +70,8 @@ const visibleMenuGroups = computed(() =>
  * 本地身份数据（token / tokenExpiresAt / userInfo，其中 userInfo 里含 permissions）
  * 由 `loginStore.logout()` → `clearSession()` → `clearAuthStorage()` 删除。
  */
-async function handleLogout() {
+async function confirmLogout() {
   if (loggingOut.value) return
-  accountMenuOpen.value = false
-
-  try {
-    await ElMessageBox.confirm('退出后需要重新登录才能继续使用，确定退出当前账号吗？', '退出登录', {
-      confirmButtonText: '退出登录',
-      cancelButtonText: '取消',
-      type: 'warning',
-      confirmButtonClass: 'logout-confirm-button',
-    })
-  } catch {
-    // 用户点了取消，保持在当前页面
-    return
-  }
 
   loggingOut.value = true
   try {
@@ -84,6 +83,18 @@ async function handleLogout() {
   // 用 replace 而不是 assign：退出后按浏览器后退不该再回到已登录页面
   window.location.replace('/login')
 }
+
+/** 确认弹窗挂在 body 上，Esc 关闭要挂 document 才收得到（与 AccountPanel 同一处理） */
+function handleEscape(event: KeyboardEvent) {
+  if (event.key === 'Escape') cancelLogout()
+}
+
+watch(logoutConfirmOpen, (value) => {
+  if (value) document.addEventListener('keydown', handleEscape)
+  else document.removeEventListener('keydown', handleEscape)
+})
+
+onBeforeUnmount(() => document.removeEventListener('keydown', handleEscape))
 </script>
 
 <template>
@@ -160,18 +171,59 @@ async function handleLogout() {
           <span>工号 {{ loginStore.user?.employeeNo || '—' }}</span>
           <span>{{ loginStore.user?.campusName || '—' }} · {{ loginStore.department }}</span>
         </div>
-        <button type="button" @click="openAccount('profile')">
-          <span aria-hidden="true">👤</span>个人信息
-        </button>
-        <button type="button" @click="openAccount('password')">
-          <span aria-hidden="true">🔑</span>修改密码
-        </button>
-        <button class="account-logout" type="button" :disabled="loggingOut" @click="handleLogout">
-          <span aria-hidden="true">⏻</span>{{ loggingOut ? '退出中…' : '退出登录' }}
+        <button type="button" @click="openAccount('profile')">个人信息</button>
+        <button type="button" @click="openAccount('password')">修改密码</button>
+        <button class="account-logout" type="button" :disabled="loggingOut" @click="requestLogout">
+          退出登录
         </button>
       </div>
     </el-popover>
     <AccountPanel ref="accountPanel" />
+
+    <!-- 退出二次确认：与账户弹窗同一套页面通用外壳与按钮（不再用 ElMessageBox 默认外观） -->
+    <Teleport to="body">
+      <div v-if="logoutConfirmOpen" class="logout-mask" role="presentation">
+        <section
+          class="logout-card"
+          role="alertdialog"
+          aria-modal="true"
+          aria-labelledby="logout-dialog-title"
+        >
+          <header class="logout-header">
+            <strong id="logout-dialog-title">退出登录</strong>
+            <button
+              v-if="!loggingOut"
+              type="button"
+              class="logout-close"
+              aria-label="关闭"
+              @click="cancelLogout"
+            >
+              ×
+            </button>
+          </header>
+          <div class="logout-body">退出后需要重新登录才能继续使用，确定退出当前账号吗？</div>
+          <footer class="logout-footer">
+            <span class="logout-spacer" />
+            <button
+              type="button"
+              class="action-button action-button--ghost"
+              :disabled="loggingOut"
+              @click="cancelLogout"
+            >
+              取消
+            </button>
+            <button
+              type="button"
+              class="action-button action-button--danger"
+              :disabled="loggingOut"
+              @click="confirmLogout"
+            >
+              {{ loggingOut ? '退出中…' : '退出登录' }}
+            </button>
+          </footer>
+        </section>
+      </div>
+    </Teleport>
   </aside>
 </template>
 
@@ -360,7 +412,6 @@ async function handleLogout() {
 .account-actions button {
   display: flex;
   align-items: center;
-  gap: 8px;
   width: 100%;
   padding: 9px 12px;
   background: transparent;
@@ -378,4 +429,127 @@ async function handleLogout() {
   border-top: 1px solid var(--line);
   color: #d0534f;
 }
+
+/* 退出二次确认弹窗：外壳与按钮沿用页面通用弹窗样式（与 AccountPanel 同一套） */
+.logout-mask {
+  position: fixed;
+  z-index: 50;
+  inset: 0;
+  display: flex;
+  padding: 16px;
+  overflow-y: auto;
+  background: rgb(9 40 52 / 45%);
+}
+
+.logout-card {
+  display: flex;
+  width: 440px;
+  max-width: 96vw;
+  max-height: calc(100vh - 32px);
+  flex-direction: column;
+  margin: auto;
+  overflow: hidden;
+  background: #fff;
+  border-radius: 14px;
+  box-shadow: var(--sh-modal);
+  animation: logout-pop 0.18s ease;
+}
+
+.logout-header {
+  display: flex;
+  flex-shrink: 0;
+  align-items: center;
+  padding: 12px 18px;
+  border-bottom: 1px solid var(--line);
+}
+
+.logout-header strong {
+  color: var(--ink);
+  font-size: 15px;
+}
+
+.logout-close {
+  padding: 0;
+  margin-left: auto;
+  color: var(--mut);
+  font-size: 20px;
+  line-height: 1;
+  background: transparent;
+}
+
+.logout-close:hover {
+  color: var(--ink);
+}
+
+.logout-body {
+  min-height: 0;
+  padding: 16px 18px;
+  overflow-y: auto;
+  color: var(--ink);
+  font-size: 13px;
+  line-height: 1.7;
+}
+
+.logout-footer {
+  display: flex;
+  flex-shrink: 0;
+  gap: 10px;
+  align-items: center;
+  padding: 10px 18px;
+  background: #f8fbfc;
+  border-top: 1px solid var(--line);
+  border-radius: 0 0 14px 14px;
+}
+
+.logout-spacer {
+  flex: 1;
+}
+
+.action-button {
+  flex-shrink: 0;
+  padding: 8px 16px;
+  color: #fff;
+  font-size: 13px;
+  font-weight: 700;
+  background: var(--brand);
+  border-radius: 7px;
+}
+
+.action-button--ghost {
+  color: var(--brand);
+  background: #fff;
+  border: 1px solid var(--brand);
+}
+
+.action-button--ghost:hover:not(:disabled) {
+  background: var(--brand-l);
+}
+
+.action-button--danger {
+  color: var(--err);
+  background: #fff;
+  border: 1px solid var(--err);
+}
+
+.action-button--danger:hover:not(:disabled) {
+  background: var(--err-l);
+}
+
+.action-button:disabled {
+  color: #9aabb3;
+  cursor: not-allowed;
+  background: #eef3f5;
+}
+
+@keyframes logout-pop {
+  from {
+    opacity: 0;
+    transform: scale(0.96) translateY(8px);
+  }
+
+  to {
+    opacity: 1;
+    transform: none;
+  }
+}
 </style>
diff --git a/clinical-web/src/styles/index.css b/clinical-web/src/styles/index.css
index bc72772..f2095d1 100644
--- a/clinical-web/src/styles/index.css
+++ b/clinical-web/src/styles/index.css
@@ -72,12 +72,3 @@ a {
     min-width: 0;
   }
 }
-
-/* 「退出登录」二次确认的确认按钮：终止会话不可逆，按危险操作着色。
-   MessageBox 挂在 body 上，组件里的 scoped 选择器命中不了，只能放全局。 */
-.el-message-box .logout-confirm-button,
-.el-message-box .logout-confirm-button:hover,
-.el-message-box .logout-confirm-button:focus {
-  background-color: var(--err);
-  border-color: var(--err);
-}