diff --git a/server-go/cmd/server/main.go b/server-go/cmd/server/main.go
index e2a215a..abbc00d 100644
--- a/server-go/cmd/server/main.go
+++ b/server-go/cmd/server/main.go
@@ -116,6 +116,7 @@ func main() {
 	handler.RegisterWeatherRoutes(api, db, weatherSvc)
 	handler.RegisterLampRoutes(api, db, s3Svc, cfg.S3BucketImages)
 	handler.RegisterConsumableRoutes(api, db)
+	handler.RegisterConsultationRoutes(api, db)
 
 	// 启动高发病天气预警定时任务（未配置时跳过）
 	go startWeatherAlertLoop(db, weatherSvc, time.Duration(cfg.QWeatherIntervalMin)*time.Minute)
diff --git a/server-go/internal/database/db.go b/server-go/internal/database/db.go
index 78654bf..7b87e73 100644
--- a/server-go/internal/database/db.go
+++ b/server-go/internal/database/db.go
@@ -34,6 +34,7 @@ func Init(cfg *config.Config) error {
 		&model.WeatherAlert{},
 		&model.LampTest{}, &model.LampTestStep{},
 		&model.Consumable{},
+		&model.Consultation{},
 	); err != nil {
 		slog.Warn("自动迁移有警告（可忽略）", "err", err)
 	}
diff --git a/server-go/internal/handler/consultation.go b/server-go/internal/handler/consultation.go
new file mode 100644
index 0000000..83fb19b
--- /dev/null
+++ b/server-go/internal/handler/consultation.go
@@ -0,0 +1,253 @@
+package handler
+
+import (
+	"encoding/json"
+	"net/http"
+	"time"
+
+	"silk-server-go/internal/middleware"
+	"silk-server-go/internal/model"
+
+	"github.com/gin-gonic/gin"
+	"gorm.io/gorm"
+)
+
+// RegisterConsultationRoutes 注册专家会诊路由
+func RegisterConsultationRoutes(rg *gin.RouterGroup, db *gorm.DB) {
+	read := middleware.RequirePermission(db, "consultation:read")
+	write := middleware.RequirePermission(db, "consultation:write")
+	rg.GET("/consultations", read, listConsultations(db))
+	rg.GET("/consultations/:id", read, getConsultation(db))
+	rg.POST("/consultations", write, createConsultation(db))
+	rg.PATCH("/consultations/:id", write, updateConsultation(db))
+	rg.POST("/consultations/:id/resolve", write, resolveConsultation(db))
+	rg.POST("/consultations/:id/archive", write, archiveConsultation(db))
+}
+
+// listConsultations 会诊单列表（status 过滤）
+func listConsultations(db *gorm.DB) gin.HandlerFunc {
+	return func(c *gin.Context) {
+		q := db.Model(&model.Consultation{})
+		if status := c.Query("status"); status != "" {
+			q = q.Where("status = ?", status)
+		}
+		var list []model.Consultation
+		q.Order("created_at DESC").Find(&list)
+		fillConsultationRoomNames(db, list)
+		c.JSON(http.StatusOK, list)
+	}
+}
+
+func fillConsultationRoomNames(db *gorm.DB, list []model.Consultation) {
+	var rooms []model.Room
+	db.Select("id", "name").Find(&rooms)
+	names := make(map[string]string, len(rooms))
+	for _, r := range rooms {
+		names[r.ID] = r.Name
+	}
+	for i := range list {
+		if list[i].RoomID != nil {
+			if n, ok := names[*list[i].RoomID]; ok {
+				list[i].RoomName = &n
+			}
+		}
+	}
+}
+
+// getConsultation 会诊单详情
+func getConsultation(db *gorm.DB) gin.HandlerFunc {
+	return func(c *gin.Context) {
+		var t model.Consultation
+		if db.Where("id = ?", c.Param("id")).First(&t).Error != nil {
+			c.JSON(http.StatusNotFound, gin.H{"error": "consultation not found"})
+			return
+		}
+		fillConsultationRoomNames(db, []model.Consultation{t})
+		c.JSON(http.StatusOK, t)
+	}
+}
+
+// createConsultation 新建会诊单（可关联 LAMP 任务，自动打包病例快照）
+func createConsultation(db *gorm.DB) gin.HandlerFunc {
+	return func(c *gin.Context) {
+		var body struct {
+			Title     string  `json:"title"`
+			Summary   *string `json:"summary"`
+			RoomID    *string `json:"roomId"`
+			BatchID   *string `json:"batchId"`
+			LampTestID *string `json:"lampTestId"`
+		}
+		if err := c.ShouldBindJSON(&body); err != nil {
+			c.JSON(http.StatusBadRequest, gin.H{"error": err.Error()})
+			return
+		}
+		for _, id := range []*string{body.RoomID, body.BatchID, body.LampTestID} {
+			if id != nil && *id != "" && !isUUID(*id) {
+				c.JSON(http.StatusBadRequest, gin.H{"error": "关联 ID 不是合法的 UUID"})
+				return
+			}
+		}
+
+		rec := model.Consultation{
+			RoomID:     body.RoomID,
+			BatchID:    body.BatchID,
+			LampTestID: body.LampTestID,
+			Summary:    body.Summary,
+			Status:     "pending",
+		}
+		if body.Title != "" {
+			rec.Title = body.Title
+		} else {
+			rec.Title = "LAMP 交叉验证会诊"
+			if body.Summary != nil {
+				rec.Title = "专家会诊：" + *body.Summary
+			}
+		}
+
+		// 病例快照
+		var lamp *model.LampTest
+		if body.LampTestID != nil && *body.LampTestID != "" {
+			var lt model.LampTest
+			if db.Where("id = ?", *body.LampTestID).First(&lt).Error == nil {
+				lamp = &lt
+				if rec.RoomID == nil {
+					rec.RoomID = lt.RoomID
+				}
+				if rec.BatchID == nil {
+					rec.BatchID = lt.BatchID
+				}
+			}
+		}
+		snapshot := buildConsultationSnapshot(db, rec.RoomID, rec.BatchID, lamp)
+		raw, _ := json.Marshal(snapshot)
+		rec.Snapshot = raw
+
+		if err := db.Create(&rec).Error; err != nil {
+			c.JSON(http.StatusBadRequest, gin.H{"error": "创建失败"})
+			return
+		}
+		c.JSON(http.StatusCreated, rec)
+	}
+}
+
+// buildConsultationSnapshot 打包病例快照（房间/巡检/LAMP/批次/天气）
+func buildConsultationSnapshot(db *gorm.DB, roomID, batchID *string, lamp *model.LampTest) model.ConsultationSnapshot {
+	s := model.ConsultationSnapshot{CreatedAt: time.Now()}
+	if roomID != nil {
+		var room model.Room
+		if db.Where("id = ?", *roomID).First(&room).Error == nil {
+			s.RoomName = room.Name
+		}
+		var insp model.InspectionRecord
+		if db.Where("room_id = ?", *roomID).Order("created_at DESC").First(&insp).Error == nil {
+			s.Inspection = &insp
+		}
+		var alerts []model.WeatherAlert
+		db.Order("created_at DESC").Limit(3).Find(&alerts)
+		s.WeatherAlerts = alerts
+	}
+	if lamp != nil {
+		s.LampTest = lamp
+	}
+	if batchID != nil {
+		var b model.Batch
+		if db.Where("id = ?", *batchID).First(&b).Error == nil {
+			s.Batch = &b
+		}
+	} else if lamp != nil && lamp.BatchID != nil {
+		var b model.Batch
+		if db.Where("id = ?", *lamp.BatchID).First(&b).Error == nil {
+			s.Batch = &b
+		}
+	}
+	return s
+}
+
+// updateConsultation 更新会诊单（标题/摘要/状态流转）
+func updateConsultation(db *gorm.DB) gin.HandlerFunc {
+	return func(c *gin.Context) {
+		id := c.Param("id")
+		var t model.Consultation
+		if db.Where("id = ?", id).First(&t).Error != nil {
+			c.JSON(http.StatusNotFound, gin.H{"error": "consultation not found"})
+			return
+		}
+		updates, err := bindUpdates(c)
+		if err != nil {
+			c.JSON(http.StatusBadRequest, gin.H{"error": err.Error()})
+			return
+		}
+		if s, ok := updates["status"]; ok {
+			to, _ := s.(string)
+			if !model.ValidConsultationTransition(t.Status, to) {
+				c.JSON(http.StatusBadRequest, gin.H{"error": "非法的会诊状态流转"})
+				return
+			}
+		}
+		if len(updates) > 0 {
+			db.Model(&model.Consultation{}).Where("id = ?", id).Updates(updates)
+		}
+		db.Where("id = ?", id).First(&t)
+		c.JSON(http.StatusOK, t)
+	}
+}
+
+// resolveConsultation 专家出会诊意见与防控方案
+func resolveConsultation(db *gorm.DB) gin.HandlerFunc {
+	return func(c *gin.Context) {
+		id := c.Param("id")
+		var t model.Consultation
+		if db.Where("id = ?", id).First(&t).Error != nil {
+			c.JSON(http.StatusNotFound, gin.H{"error": "consultation not found"})
+			return
+		}
+		if !model.ValidConsultationTransition(t.Status, "resolved") {
+			c.JSON(http.StatusBadRequest, gin.H{"error": "当前状态不能出方案"})
+			return
+		}
+		var body struct {
+			Opinion string `json:"opinion"`
+			Plan    string `json:"plan"`
+		}
+		if err := c.ShouldBindJSON(&body); err != nil {
+			c.JSON(http.StatusBadRequest, gin.H{"error": err.Error()})
+			return
+		}
+		if body.Plan == "" {
+			c.JSON(http.StatusBadRequest, gin.H{"error": "防控方案不能为空"})
+			return
+		}
+		now := time.Now()
+		updates := map[string]interface{}{
+			"status":      "resolved",
+			"expert_id":   currentUserID(c),
+			"opinion":     body.Opinion,
+			"plan":        body.Plan,
+			"resolved_at": now,
+		}
+		db.Model(&model.Consultation{}).Where("id = ?", id).Updates(updates)
+		db.Where("id = ?", id).First(&t)
+		c.JSON(http.StatusOK, t)
+	}
+}
+
+// archiveConsultation 归档
+func archiveConsultation(db *gorm.DB) gin.HandlerFunc {
+	return func(c *gin.Context) {
+		id := c.Param("id")
+		var t model.Consultation
+		if db.Where("id = ?", id).First(&t).Error != nil {
+			c.JSON(http.StatusNotFound, gin.H{"error": "consultation not found"})
+			return
+		}
+		if !model.ValidConsultationTransition(t.Status, "archived") {
+			c.JSON(http.StatusBadRequest, gin.H{"error": "仅已出方案的会诊可归档"})
+			return
+		}
+		now := time.Now()
+		db.Model(&model.Consultation{}).Where("id = ?", id).
+			Updates(map[string]interface{}{"status": "archived", "archived_at": now})
+		db.Where("id = ?", id).First(&t)
+		c.JSON(http.StatusOK, t)
+	}
+}
diff --git a/server-go/internal/model/consultation.go b/server-go/internal/model/consultation.go
new file mode 100644
index 0000000..f0c62b6
--- /dev/null
+++ b/server-go/internal/model/consultation.go
@@ -0,0 +1,52 @@
+package model
+
+import (
+	"encoding/json"
+	"time"
+)
+
+// Consultation 专家会诊单
+type Consultation struct {
+	ID         string          `gorm:"type:uuid;primaryKey;default:gen_random_uuid()" json:"id"`
+	RoomID     *string         `gorm:"column:room_id;type:uuid;index" json:"roomId,omitempty"`
+	BatchID    *string         `gorm:"column:batch_id;type:uuid;index" json:"batchId,omitempty"`
+	LampTestID *string         `gorm:"column:lamp_test_id;type:uuid;index" json:"lampTestId,omitempty"`
+	Title      string          `gorm:"size:128" json:"title"`
+	Summary    *string         `gorm:"type:text" json:"summary,omitempty"`
+	Snapshot   json.RawMessage `gorm:"type:jsonb" json:"snapshot,omitempty"`
+	Status     string          `gorm:"size:16;default:pending" json:"status"` // pending/consulting/resolved/archived
+	ExpertID   *string         `gorm:"column:expert_id;type:uuid" json:"expertId,omitempty"`
+	Opinion    *string         `gorm:"type:text" json:"opinion,omitempty"`
+	Plan       *string         `gorm:"type:text" json:"plan,omitempty"`
+	ResolvedAt *time.Time      `gorm:"column:resolved_at;type:timestamptz" json:"resolvedAt,omitempty"`
+	ArchivedAt *time.Time      `gorm:"column:archived_at;type:timestamptz" json:"archivedAt,omitempty"`
+	CreatedAt  time.Time       `gorm:"type:timestamptz" json:"createdAt"`
+	UpdatedAt  time.Time       `gorm:"type:timestamptz" json:"updatedAt"`
+	RoomName   *string         `gorm:"-" json:"roomName,omitempty"`
+}
+
+func (Consultation) TableName() string { return "consultations" }
+
+// ValidConsultationTransition 状态流转规则：pending→consulting/resolved；consulting→resolved；resolved→archived
+func ValidConsultationTransition(from, to string) bool {
+	switch from {
+	case "pending":
+		return to == "consulting" || to == "resolved"
+	case "consulting":
+		return to == "resolved"
+	case "resolved":
+		return to == "archived"
+	default:
+		return false
+	}
+}
+
+// ConsultationSnapshot 病例快照（会诊时打包，避免引用数据变化）
+type ConsultationSnapshot struct {
+	RoomName      string          `json:"roomName,omitempty"`
+	LampTest      *LampTest       `json:"lampTest,omitempty"`
+	Inspection    *InspectionRecord `json:"inspection,omitempty"`
+	Batch         *Batch          `json:"batch,omitempty"`
+	WeatherAlerts []WeatherAlert  `json:"weatherAlerts,omitempty"`
+	CreatedAt     time.Time       `json:"createdAt"`
+}
diff --git a/server-go/internal/model/consultation_test.go b/server-go/internal/model/consultation_test.go
new file mode 100644
index 0000000..c54a8da
--- /dev/null
+++ b/server-go/internal/model/consultation_test.go
@@ -0,0 +1,57 @@
+package model
+
+import (
+	"encoding/json"
+	"testing"
+	"time"
+)
+
+func TestValidConsultationTransition(t *testing.T) {
+	ok := [][2]string{
+		{"pending", "consulting"},
+		{"pending", "resolved"},
+		{"consulting", "resolved"},
+		{"resolved", "archived"},
+	}
+	for _, c := range ok {
+		if !ValidConsultationTransition(c[0], c[1]) {
+			t.Errorf("%s → %s 应合法", c[0], c[1])
+		}
+	}
+	bad := [][2]string{
+		{"pending", "archived"},
+		{"resolved", "resolved"},
+		{"archived", "pending"},
+		{"", "resolved"},
+	}
+	for _, c := range bad {
+		if ValidConsultationTransition(c[0], c[1]) {
+			t.Errorf("%s → %s 不应合法", c[0], c[1])
+		}
+	}
+}
+
+func TestConsultationSnapshotJSON(t *testing.T) {
+	now := time.Now()
+	s := ConsultationSnapshot{
+		RoomName: "蚕房1#",
+		LampTest: &LampTest{ID: "lamp-1", Status: "resulted"},
+		Inspection: &InspectionRecord{ID: "insp-1", AIStatus: "done"},
+		Batch:    &Batch{ID: "batch-1", Name: "批次A"},
+		WeatherAlerts: []WeatherAlert{{Disease: "白僵病", Level: "orange"}},
+		CreatedAt: now,
+	}
+	raw, err := json.Marshal(s)
+	if err != nil {
+		t.Fatalf("快照序列化失败: %v", err)
+	}
+	var m map[string]any
+	if err := json.Unmarshal(raw, &m); err != nil {
+		t.Fatalf("快照反序列化失败: %v", err)
+	}
+	for _, key := range []string{"roomName", "lampTest", "inspection", "batch", "weatherAlerts", "createdAt"} {
+		if _, ok := m[key]; !ok {
+			t.Errorf("快照缺少字段 %s", key)
+		}
+	}
+}
diff --git a/server-go/internal/model/permission_seed.go b/server-go/internal/model/permission_seed.go
index 91ca691..95f9f65 100644
--- a/server-go/internal/model/permission_seed.go
+++ b/server-go/internal/model/permission_seed.go
@@ -39,6 +39,8 @@ var AllPermissions = []PermissionDef{
 	{"lamp:write", "LAMP 检测管理", "新建、编辑、录入 LAMP 检测结果"},
 	{"consumable:read", "耗材查看", "查看耗材库存与预警"},
 	{"consumable:write", "耗材管理", "新增、编辑、删除耗材"},
+	{"consultation:read", "会诊查看", "查看专家会诊单与病例快照"},
+	{"consultation:write", "会诊管理", "发起会诊、出具意见与防控方案"},
 	{"user:manage", "用户管理", "管理用户、角色和权限"},
 	{"audit:read", "审计查看", "查看审计日志"},
 }
@@ -56,6 +58,7 @@ var RolePermissionMap = map[string][]string{
 		"weather:read",
 		"lamp:read", "lamp:write",
 		"consumable:read", "consumable:write",
+		"consultation:read", "consultation:write",
 		"user:manage", "audit:read",
 	},
 	RoleOperator: {
@@ -69,6 +72,7 @@ var RolePermissionMap = map[string][]string{
 		"weather:read",
 		"lamp:read", "lamp:write",
 		"consumable:read", "consumable:write",
+		"consultation:read", "consultation:write",
 	},
 	RoleViewer: {
 		"dashboard:view", "room:read", "device:read",
@@ -80,6 +84,7 @@ var RolePermissionMap = map[string][]string{
 		"weather:read",
 		"lamp:read",
 		"consumable:read",
+		"consultation:read",
 	},
 	RoleFarmer: {
 		"dashboard:view", "room:read", "device:read", "device:control",
@@ -91,5 +96,6 @@ var RolePermissionMap = map[string][]string{
 		"weather:read",
 		"lamp:read",
 		"consumable:read",
+		"consultation:read",
 	},
 }