feat(app): 启用Expo Updates自动更新功能，优化医疗记录上传流程与API集成

components/health/tabs/MedicalRecordsTab.tsx

@@ -1,6 +1,7 @@
 import { MedicalRecordCard } from '@/components/health/MedicalRecordCard';
 import { palette } from '@/constants/Colors';
 import { useAppDispatch, useAppSelector } from '@/hooks/redux';
+import { useCosUpload } from '@/hooks/useCosUpload';
 import { MedicalRecordItem, MedicalRecordType } from '@/services/healthProfile';
 import {
   addNewMedicalRecord,
@@ -38,6 +39,11 @@ export function MedicalRecordsTab() {
   const prescriptions = medicalRecords?.prescriptions || [];
   const isLoading = useAppSelector(selectHealthLoading);
   
+  // COS 上传
+  const { upload: uploadToCos, uploading: isUploading } = useCosUpload({ 
+    prefix: 'images/health/medical-records' 
+  });
+  
   const [activeTab, setActiveTab] = useState<MedicalRecordType>('medical_record');
   const [isModalVisible, setModalVisible] = useState(false);
   const [isDatePickerVisible, setDatePickerVisibility] = useState(false);
@@ -139,16 +145,29 @@ export function MedicalRecordsTab() {
 
     setIsSubmitting(true);
     try {
+      // 1. 上传所有图片到 COS
+      const uploadPromises = images.map(async (uri) => {
+        const result = await uploadToCos({ uri });
+        return result.url;
+      });
+      
+      const uploadedUrls = await Promise.all(uploadPromises);
+      
+      // 2. 创建就医资料记录
       await dispatch(addNewMedicalRecord({
         type: activeTab,
-        title,
+        title: title.trim(),
         date: dayjs(date).format('YYYY-MM-DD'),
-        images,
-        note,
+        images: uploadedUrls,
+        note: note.trim() || undefined,
       })).unwrap();
+      
       setModalVisible(false);
-    } catch (error) {
-      Alert.alert('错误', '保存失败，请重试');
+      resetForm();
+    } catch (error: any) {
+      console.error('保存失败:', error);
+      const errorMessage = error?.message || '保存失败，请重试';
+      Alert.alert('错误', errorMessage);
     } finally {
       setIsSubmitting(false);
     }
@@ -275,10 +294,10 @@ export function MedicalRecordsTab() {
             </Text>
             <TouchableOpacity 
               onPress={handleSubmit} 
-              style={[styles.modalSaveButton, isSubmitting && styles.modalSaveButtonDisabled]}
-              disabled={isSubmitting}
+              style={[styles.modalSaveButton, (isSubmitting || isUploading) && styles.modalSaveButtonDisabled]}
+              disabled={isSubmitting || isUploading}
             >
-              {isSubmitting ? (
+              {(isSubmitting || isUploading) ? (
                 <ActivityIndicator size="small" color="#FFFFFF" />
               ) : (
                 <Text style={styles.modalSaveText}>保存</Text>