diff --git a/src/api/qc.ts b/src/api/qc.ts
index 2fac823..10f6ca4 100644
--- a/src/api/qc.ts
+++ b/src/api/qc.ts
@@ -1,4 +1,5 @@
 import { http } from '@/api/http'
+import type { RecordAbnormal } from '@/api/abnormal'
 import type { Elder } from '@/api/elder'
 import type { Order } from '@/api/order'
 import type { ChangePlanData, Plan } from '@/api/plan'
@@ -112,6 +113,13 @@ export interface BatchPassData {
   recordIds: string[]
 }
 
+/** 异常处理入参（处理结果 + 选填处理意见）。 */
+export interface HandleAbnormalData {
+  /** handled（已处理）/ closed（已关闭）。 */
+  handleStatus: string
+  handleResult?: string
+}
+
 /** 异常联动改计划入参：复用 plan.change 字段 + abnormalId。 */
 export interface ExceptionLinkData extends ChangePlanData {
   abnormalId: string
@@ -151,3 +159,8 @@ export function exceptionLink(data: ExceptionLinkData): Promise<Plan> {
 export function correctQc(data: CorrectData): Promise<QcRecord> {
   return http.post<QcRecord>('/qc/correct', data)
 }
+
+/** 异常处理/关闭（写 handle_status + 处理意见）。 */
+export function handleAbnormal(id: string, data: HandleAbnormalData): Promise<RecordAbnormal> {
+  return http.post<RecordAbnormal>(`/qc/abnormal/${id}/handle`, data)
+}
diff --git a/src/pages/ltc/qc/index.vue b/src/pages/ltc/qc/index.vue
index 2387438..747af0c 100644
--- a/src/pages/ltc/qc/index.vue
+++ b/src/pages/ltc/qc/index.vue
@@ -102,6 +102,7 @@
         :actions-width="120"
       >
         <template #actions="{ row }">
+          <el-button v-permission="'abnormal:handle'" link type="warning" @click="openHandle(row)">处理</el-button>
           <el-button v-permission="'qc:exception-link'" link type="primary" :disabled="row.linkPlanChange" @click="openLink(row)">
             {{ row.linkPlanChange ? '已联动' : '联动改计划' }}
           </el-button>
@@ -229,6 +230,25 @@
       </template>
     </el-dialog>
 
+    <!-- 异常处理/关闭 -->
+    <el-dialog v-model="handleVisible" title="异常处理" width="480px">
+      <el-form :model="handleForm" label-width="90px">
+        <el-form-item label="处理结果" required>
+          <el-select v-model="handleForm.handleStatus" placeholder="请选择" style="width: 100%">
+            <el-option label="已处理" value="handled" />
+            <el-option label="已关闭" value="closed" />
+          </el-select>
+        </el-form-item>
+        <el-form-item label="处理意见">
+          <el-input v-model="handleForm.handleResult" type="textarea" :rows="3" placeholder="选填" />
+        </el-form-item>
+      </el-form>
+      <template #footer>
+        <el-button @click="handleVisible = false">取消</el-button>
+        <el-button type="primary" :loading="handling" @click="confirmHandle">确认</el-button>
+      </template>
+    </el-dialog>
+
     <!-- 异常联动改计划 -->
     <el-dialog v-model="linkVisible" title="异常联动改计划" width="860px">
       <el-alert v-if="linkAbnormal" class="mb-sm" type="info" :closable="false" :title="`关联老人：${elderName(linkAbnormal.elderId)} · 异常分类：${ABNORMAL_TYPE_LABEL_MAP[linkAbnormal.abnormalType] ?? linkAbnormal.abnormalType}`" />
@@ -399,6 +419,7 @@ import {
   batchPassQc,
   exceptionLink,
   getQcDetail,
+  handleAbnormal,
   passQc,
   pendingList,
   returnQc,
@@ -727,6 +748,41 @@ function handleAbnormalReset(): void {
   else abnormalPage.value = 1
 }
 
+// ---- 异常处理/关闭 ----
+const handleVisible = ref(false)
+const handling = ref(false)
+const handleAbnormalId = ref('')
+const handleForm = reactive({ handleStatus: '', handleResult: '' })
+
+function openHandle(row: Record<string, any>): void {
+  handleAbnormalId.value = String(row.id)
+  handleForm.handleStatus = ''
+  handleForm.handleResult = ''
+  handleVisible.value = true
+}
+
+async function confirmHandle(): Promise<void> {
+  if (!handleForm.handleStatus) {
+    ElMessage.warning('请选择处理结果')
+    return
+  }
+  handling.value = true
+  try {
+    await handleAbnormal(handleAbnormalId.value, {
+      handleStatus: handleForm.handleStatus,
+      handleResult: handleForm.handleResult.trim() || undefined,
+    })
+    ElMessage.success('已处理')
+    handleVisible.value = false
+    void fetchAbnormal()
+    void fetchPending()
+  } catch (e) {
+    if (e instanceof ApiError) ElMessage.error(e.message)
+  } finally {
+    handling.value = false
+  }
+}
+
 // ---- 异常联动改计划 ----
 interface LinkItemDraft {
   svcId: string