diff --git a/app/services/consumption_tsv_log.py b/app/services/consumption_tsv_log.py
index 06fa6f5..55ea633 100644
--- a/app/services/consumption_tsv_log.py
+++ b/app/services/consumption_tsv_log.py
@@ -1,4 +1,7 @@
-"""每例手术一个文本文件（制表符列）：`start_surgery` 时截断并写表头，每次时间窗识别**追加**一行（仅 item_id, item_name, qty, doctor_id, timestamp）。待确认行首列为 ``pending:{confirmation_id}``，语音落锤后**整行替换**为与客户端一致的最终真值，不再重复追加。终端 Markdown 时间戳为可读形式；落盘时间戳为 ISO 区间便于程序解析。
+"""每例手术一个文本文件（制表符列）：`start_surgery` 时截断并写表头，每次时间窗识别**追加**一行
+（item_id, item_name, qty, doctor_id, timestamp, top1–3 名与置信度）。待确认行首列为 ``pending:{confirmation_id}``、
+item_name 为「待确认」，top1–3 仍为模型输出；语音落锤后**整行替换**为与客户端一致的最终真值，不再重复追加。
+终端 Markdown 时间戳为可读形式；落盘时间戳为 ISO 区间便于程序解析。
 
 手术结束时再追加一节汇总行：item_id, item_name, qty（无其它列）；与 HTTP ``summary`` 同算法，由内存 ``details`` 经 ``build_consumption_summary`` 得到，非录制过程中按窗累计。
 
@@ -20,10 +23,11 @@ from app.services.consumable_vision_algorithm import ClsTop3, _norm_product_name
 from app.terminal_markdown import print_markdown_stderr
 
 # 制表符分隔；时间范围用 U+2013 连接；本窗消耗数量恒为 1。
-# top2/top3 为模型原始排序（未按手术候选重排）；item_id 只写与展示名不同的业务 id（label_id），与名称相同时留空。
+# top1/2/3 为模型原始排序（未按手术候选重排）；确认行 item_name 与 top1_name 同为 Top1 标签。
+# item_id 只写与展示名不同的业务 id（label_id），与名称相同时留空。
 HEADER = (
     "item_id\titem_name\tqty\tdoctor_id\ttimestamp\t"
-    "top2_name\ttop2_conf\ttop3_name\ttop3_conf\n"
+    "top1_name\ttop1_conf\ttop2_name\ttop2_conf\ttop3_name\ttop3_conf\n"
 )
 SUMMARY_HEADER = "item_id\titem_name\tqty\n"
 _RANGE_SEP = "\u2013"  # en dash，与样例 `00:00:00.000–00:00:45.000` 一致
@@ -151,6 +155,8 @@ def build_tsv_line(
         "1",
         _encode_cell(doctor_id),
         _encode_cell(ts),
+        _encode_cell(name1),
+        _fmt_top_conf(best.t1_conf),
         _encode_cell(n2),
         _fmt_top_conf(best.t2_conf),
         _encode_cell(n3),
@@ -217,6 +223,7 @@ def build_consumption_markdown(
     camera_id: str,
     wall_start_epoch: float,
     wall_end_epoch: float,
+    since_recording_start: str | None = None,
 ) -> str:
     """终端用：与落盘列一致；本窗 qty 恒为 1。"""
     tsv_id, _ = resolve_consumption_ids(best.t1_name, best.t1_pid, name_to_code)
@@ -224,14 +231,16 @@ def build_consumption_markdown(
     n2 = (best.t2_name or "").strip()
     n3 = (best.t3_name or "").strip()
     ts = format_consumption_timestamp_readable(camera_id, wall_start_epoch, wall_end_epoch)
+    rel = _md_cell(since_recording_start or "—")
     return "\n".join(
         [
-            "| item_id | item_name | qty | doctor_id | timestamp | top2 | top3 |",
-            "| :--- | :--- | ---: | :--- | :--- | :--- | :--- |",
-            "| {} | {} | 1 | {} | {} | {} | {} |".format(
+            "| item_id | item_name | qty | doctor_id | 相对开录 | timestamp | top2 | top3 |",
+            "| :--- | :--- | ---: | :--- | :--- | :--- | :--- | :--- |",
+            "| {} | {} | 1 | {} | {} | {} | {} | {} |".format(
                 _md_cell(tsv_id),
                 _md_cell(n1),
                 _md_cell(doctor_id),
+                rel,
                 _md_cell(ts),
                 _md_cell(
                     f"{n2} ({_fmt_top_conf(best.t2_conf)})" if n2 else "—",
@@ -259,6 +268,7 @@ def _build_pending_tsv_line(
 ) -> str:
     pid = f"pending:{confirmation_id}"
     ts = format_consumption_timestamp(camera_id, wall_start_epoch, wall_end_epoch)
+    n1 = (model_snap.t1_name or "").strip()
     n2 = (model_snap.t2_name or "").strip()
     n3 = (model_snap.t3_name or "").strip()
     row = [
@@ -267,6 +277,8 @@ def _build_pending_tsv_line(
         "1",
         _encode_cell(doctor_id),
         _encode_cell(ts),
+        _encode_cell(n1),
+        _fmt_top_conf(model_snap.t1_conf),
         _encode_cell(n2),
         _fmt_top_conf(model_snap.t2_conf),
         _encode_cell(n3),
@@ -283,26 +295,31 @@ def build_pending_consumption_markdown(
     camera_id: str,
     wall_start_epoch: float,
     wall_end_epoch: float,
+    since_recording_start: str | None = None,
 ) -> str:
     pid = f"pending:{confirmation_id}"
+    n1 = (model_snap.t1_name or "").strip()
     n2 = (model_snap.t2_name or "").strip()
     n3 = (model_snap.t3_name or "").strip()
     ts = format_consumption_timestamp_readable(camera_id, wall_start_epoch, wall_end_epoch)
+    rel = _md_cell(since_recording_start or "—")
+
+    def _top_cell(name: str, conf: float) -> str:
+        return _md_cell(f"{name} ({_fmt_top_conf(conf)})" if name else "—")
+
     return "\n".join(
         [
-            "| item_id | item_name | qty | doctor_id | timestamp | top2 | top3 |",
-            "| :--- | :--- | ---: | :--- | :--- | :--- | :--- |",
-            "| {} | {} | 1 | {} | {} | {} | {} |".format(
+            "| item_id | item_name | qty | doctor_id | 相对开录 | timestamp | top1 | top2 | top3 |",
+            "| :--- | :--- | ---: | :--- | :--- | :--- | :--- | :--- | :--- |",
+            "| {} | {} | 1 | {} | {} | {} | {} | {} | {} |".format(
                 _md_cell(pid),
                 _md_cell(PENDING_CONSUMPTION_ITEM_NAME),
                 _md_cell(doctor_id),
+                rel,
                 _md_cell(ts),
-                _md_cell(
-                    f"{n2} ({_fmt_top_conf(model_snap.t2_conf)})" if n2 else "—",
-                ),
-                _md_cell(
-                    f"{n3} ({_fmt_top_conf(model_snap.t3_conf)})" if n3 else "—",
-                ),
+                _top_cell(n1, model_snap.t1_conf),
+                _top_cell(n2, model_snap.t2_conf),
+                _top_cell(n3, model_snap.t3_conf),
             ),
             "",
         ]
@@ -320,8 +337,9 @@ def append_consumption_pending_window(
     wall_end_epoch: float,
     tsv_enabled: bool | None = None,
     markdown_terminal: bool | None = None,
+    since_recording_start: str | None = None,
 ) -> None:
-    """需医生确认的时间窗：落盘/终端记「待确认」，top2/3 仍保留模型提示；不更新消耗汇总。"""
+    """需医生确认的时间窗：落盘/终端记「待确认」，top1/2/3 保留模型提示；不更新消耗汇总。"""
     en_tsv = bp.CONSUMPTION_TSV_LOG_ENABLED if tsv_enabled is None else tsv_enabled
     en_md = (
         bp.CONSUMPTION_LOG_MARKDOWN_TERMINAL
@@ -349,6 +367,7 @@ def append_consumption_pending_window(
                 camera_id=camera_id,
                 wall_start_epoch=wall_start_epoch,
                 wall_end_epoch=wall_end_epoch,
+                since_recording_start=since_recording_start,
             ),
         )
 
@@ -549,6 +568,7 @@ class ConsumptionTsvWriter:
         camera_id: str,
         wall_start_epoch: float,
         wall_end_epoch: float,
+        since_recording_start: str | None = None,
     ) -> None:
         if not bp.CONSUMPTION_TSV_LOG_ENABLED and not bp.CONSUMPTION_LOG_MARKDOWN_TERMINAL:
             return
@@ -571,6 +591,7 @@ class ConsumptionTsvWriter:
                     camera_id=camera_id,
                     wall_start_epoch=wall_start_epoch,
                     wall_end_epoch=wall_end_epoch,
+                    since_recording_start=since_recording_start,
                 ),
             )
 
@@ -621,6 +642,7 @@ def append_consumption_window(
     camera_id: str,
     wall_start_epoch: float,
     wall_end_epoch: float,
+    since_recording_start: str | None = None,
 ) -> None:
     if not bp.CONSUMPTION_TSV_LOG_ENABLED and not bp.CONSUMPTION_LOG_MARKDOWN_TERMINAL:
         return
@@ -643,5 +665,6 @@ def append_consumption_window(
                 camera_id=camera_id,
                 wall_start_epoch=wall_start_epoch,
                 wall_end_epoch=wall_end_epoch,
+                since_recording_start=since_recording_start,
             ),
         )
diff --git a/app/services/synthetic_rtsp.py b/app/services/synthetic_rtsp.py
index d87ca45..c34476a 100644
--- a/app/services/synthetic_rtsp.py
+++ b/app/services/synthetic_rtsp.py
@@ -1,4 +1,8 @@
-"""Start/stop local fake RTSP streams (MediaMTX + ffmpeg) for dev orchestration."""
+"""Start/stop local fake RTSP streams (MediaMTX + ffmpeg) for dev orchestration.
+
+Each input file is published once (no ``-stream_loop``); when ffmpeg exits the
+process is gone — reconnect or re-orchestrate for another playthrough.
+"""
 
 from __future__ import annotations
 
@@ -203,7 +207,7 @@ class SyntheticRtspManager:
                 url_map[s.camera_id] = dest
                 pub = [
                     "ffmpeg", "-hide_banner", "-loglevel", "warning",
-                    "-re", "-stream_loop", "-1",
+                    "-re",
                     "-i", str(s.file_path),
                     "-c", "copy", "-f", "rtsp", "-rtsp_transport", "tcp", dest,
                 ]
diff --git a/app/services/video/classification_handler.py b/app/services/video/classification_handler.py
index da4cb4d..012efb2 100644
--- a/app/services/video/classification_handler.py
+++ b/app/services/video/classification_handler.py
@@ -12,7 +12,7 @@
 
 from __future__ import annotations
 
-from loguru import logger
+import time
 
 from app.baked import pipeline as bp
 from app.services.consumable_vision_algorithm import (
@@ -28,6 +28,7 @@ from app.services.video.inference_aggregator import WindowInferenceReady
 from app.services.video.session_registry import (
     SurgerySessionRegistry,
     SurgerySessionState,
+    format_elapsed_mmss_since,
 )
 
 
@@ -83,6 +84,10 @@ class VisionClassificationHandler:
             camera_id=camera_id,
             wall_start_epoch=ready.wall_lo,
             wall_end_epoch=ready.wall_hi,
+            since_recording_start=format_elapsed_mmss_since(
+                state.surgery_started_wall,
+                at_epoch=ready.wall_hi,
+            ),
         )
 
     async def handle(
@@ -182,11 +187,7 @@ class VisionClassificationHandler:
         )
         if cid is None:
             return
-        logger.info(
-            "Enqueued pending consumable confirmation id={} top_key={}",
-            cid,
-            top_key,
-        )
+        at_ep = ready.wall_hi if ready is not None else time.time()
         if ready is not None and surgery_id and camera_id and (
             bp.CONSUMPTION_TSV_LOG_ENABLED
             or bp.CONSUMPTION_LOG_MARKDOWN_TERMINAL
@@ -201,6 +202,10 @@ class VisionClassificationHandler:
                 wall_end_epoch=ready.wall_hi,
                 tsv_enabled=bp.CONSUMPTION_TSV_LOG_ENABLED,
                 markdown_terminal=bp.CONSUMPTION_LOG_MARKDOWN_TERMINAL,
+                since_recording_start=format_elapsed_mmss_since(
+                    state.surgery_started_wall,
+                    at_epoch=at_ep,
+                ),
             )
         await self._registry.append_pending_consumption_detail(
             state=state,
diff --git a/app/services/video/session_manager.py b/app/services/video/session_manager.py
index 1838f0b..8ebf7a4 100644
--- a/app/services/video/session_manager.py
+++ b/app/services/video/session_manager.py
@@ -30,6 +30,7 @@ from app.services.video.session_registry import (
     RunningSurgery,
     SurgerySessionRegistry,
     SurgerySessionState,
+    format_elapsed_mmss_since,
 )
 from app.services.tear_gated_segment_consumption.product_map import (
     load_tear_segment_name_to_id,
@@ -166,6 +167,7 @@ class CameraSessionManager:
         state = SurgerySessionState(
             candidate_consumables=list(resolved),
             name_to_code=name_to_code,
+            surgery_started_wall=time.time(),
         )
         stop_event = asyncio.Event()
         readies = [asyncio.Event() for _ in camera_ids]
@@ -447,9 +449,13 @@ class CameraSessionManager:
 
                     if bp.VIDEO_LOG_INFERENCE_RESULTS:
                         logger.info(
-                            "Vision result surgery={} camera={} top1={}({:.3f}) top2={}({:.3f}) top3={}({:.3f})",
+                            "Vision result surgery={} camera={} 相对开录={} top1={}({:.3f}) top2={}({:.3f}) top3={}({:.3f})",
                             surgery_id,
                             camera_id,
+                            format_elapsed_mmss_since(
+                                state.surgery_started_wall,
+                                at_epoch=time.time(),
+                            ),
                             snap.t1_name,
                             snap.t1_conf,
                             snap.t2_name,
diff --git a/app/services/video/session_registry.py b/app/services/video/session_registry.py
index 9b43bcb..1e0784a 100644
--- a/app/services/video/session_registry.py
+++ b/app/services/video/session_registry.py
@@ -29,6 +29,16 @@ from app.services.voice_confirm import build_prompt_text
 from app.surgery_errors import SurgeryPipelineError
 
 
+def format_elapsed_mmss_since(surgery_started_wall: float | None, *, at_epoch: float) -> str:
+    """从 ``start_surgery`` 记录的开录时刻到 ``at_epoch`` 的流逝时间（分+秒），供终端 loguru 使用。"""
+    if surgery_started_wall is None:
+        return "—"
+    sec = max(0.0, at_epoch - surgery_started_wall)
+    total = int(sec)
+    m, s = divmod(total, 60)
+    return f"{m}分{s:02d}秒"
+
+
 @dataclass
 class PendingConsumableConfirmation:
     """待客户端确认的一条低置信度识别（不阻塞后续帧推理）。"""
@@ -73,6 +83,8 @@ class SurgerySessionState:
     last_asr_text: str | None = None
     #: 最近一次语音确认错误说明（ASR/解析失败等）。
     last_voice_error: str | None = None
+    #: ``start_surgery`` 创建会话时的 ``time.time()``，用于日志中「相对开录的流逝时间」。
+    surgery_started_wall: float | None = None
 
 
 @dataclass
diff --git a/scripts/demo_client/README.md b/scripts/demo_client/README.md
index 0810ad5..1926230 100644
--- a/scripts/demo_client/README.md
+++ b/scripts/demo_client/README.md
@@ -8,7 +8,7 @@
 scripts/demo_client/
   server.py                 # 基于 stdlib 的静态服务器；额外暴露 /labels.json
   index.html                # 单文件页面（原生 JS，零构建依赖）
-  fake_rtsp_from_file.py    # 无真摄像头时：把本地视频循环发布为 RTSP（ffmpeg + Docker MediaMTX）
+  fake_rtsp_from_file.py    # 无真摄像头时：把本地视频按文件时长推一次到 RTSP（ffmpeg + Docker MediaMTX）
 ```
 
 ## 调试：无真实摄像头，用录好的视频模拟 RTSP
@@ -53,10 +53,10 @@ python3 scripts/demo_client/fake_rtsp_from_file.py --port 18554 \
 发布失败时，可尝试把输入转码后再推流（示例，需自行调整）：
 
 ```bash
-ffmpeg -re -stream_loop -1 -i recording.mp4 -c:v libx264 -pix_fmt yuv420p -f rtsp -rtsp_transport tcp rtsp://127.0.0.1:18554/demo
+ffmpeg -re -i recording.mp4 -c:v libx264 -pix_fmt yuv420p -f rtsp -rtsp_transport tcp rtsp://127.0.0.1:18554/demo
 ```
 
-（仍须先自行启动 MediaMTX 或等价 RTSP 服务端。）
+（仍须先自行启动 MediaMTX 或等价 RTSP 服务端；上例为**播完即止**，若要循环请加 `-stream_loop -1`。）
 
 Demo 页面「调试：两路视频」中可用 **选择视频** / **拖放** 为路1/路2 指定文件，并配合下面 **一键开录** 上传，无需在页面里手抄 `python3` / `export` 命令。若必须完全手跑 `fake_rtsp_from_file.py`，请在上文命令示例与 `export VIDEO_RTSP_URLS_JSON=...` 方式自行在终端完成。
 
diff --git a/scripts/demo_client/fake_rtsp_from_file.py b/scripts/demo_client/fake_rtsp_from_file.py
index 213f58a..8fe665e 100644
--- a/scripts/demo_client/fake_rtsp_from_file.py
+++ b/scripts/demo_client/fake_rtsp_from_file.py
@@ -1,5 +1,5 @@
 #!/usr/bin/env python3
-"""Publish local video file(s) as looping RTSP stream(s) (fake camera) for local dev.
+"""Publish local video file(s) to RTSP once per file (fake camera) for local dev.
 
 The Operation Room server only opens RTSP URLs (OpenCV); there is no video-upload API.
 This script does NOT change the application backend: it runs ffmpeg + a small
@@ -103,7 +103,7 @@ def _parse_stream_arg(spec: str) -> tuple[str, Path, str]:
 
 def main() -> int:
     parser = argparse.ArgumentParser(
-        description="Loop video file(s) to RTSP URL(s) (dev fake camera; no backend code change).",
+        description="Play each video file once to an RTSP URL (dev fake camera; no backend code change).",
     )
     parser.add_argument(
         "video",
@@ -198,7 +198,6 @@ def main() -> int:
             "ffmpeg",
             "-hide_banner", "-loglevel", "info",
             "-re",
-            "-stream_loop", "-1",
             "-i", str(fp),
             "-c", "copy",
             "-f", "rtsp",
@@ -225,7 +224,11 @@ def main() -> int:
         h = u.replace("127.0.0.1", "host.docker.internal", 1)
         print(f"  {cam}: {h}", file=sys.stderr)
     print("---", file=sys.stderr)
-    print("Fake RTSP running (Ctrl+C to stop; MediaMTX container removed on exit).", file=sys.stderr)
+    print(
+        "Fake RTSP running: each file plays once; script exits when ffmpeg ends "
+        "(Ctrl+C to stop early; MediaMTX container removed on exit).",
+        file=sys.stderr,
+    )
 
     def on_sigint(_sig: int, _frame) -> None:
         for p in procs:
@@ -240,8 +243,8 @@ def main() -> int:
     try:
         while True:
             time.sleep(0.5)
-        for p in procs:
-            if p.poll() is not None:
+            for p in procs:
+                if p.poll() is not None:
                     print(
                         f"[fake-rtsp] ffmpeg ended (code {p.returncode}), stopping all.",
                         file=sys.stderr,
diff --git a/tests/faces/图片_20260424165952_58_52.png b/tests/faces/图片_20260424165952_58_52.png
new file mode 100644
index 0000000..5baa80a
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diff --git a/tests/faces/图片_20260424170014_59_52.png b/tests/faces/图片_20260424170014_59_52.png
new file mode 100644
index 0000000..fa612a2
Binary files /dev/null and b/tests/faces/图片_20260424170014_59_52.png differ
diff --git a/tests/faces/图片_20260424170052_60_52.png b/tests/faces/图片_20260424170052_60_52.png
new file mode 100644
index 0000000..a10c06f
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diff --git a/tests/faces/图片_20260424170106_61_52.png b/tests/faces/图片_20260424170106_61_52.png
new file mode 100644
index 0000000..33e7f59
Binary files /dev/null and b/tests/faces/图片_20260424170106_61_52.png differ
diff --git a/tests/faces/图片_20260424170114_62_52.png b/tests/faces/图片_20260424170114_62_52.png
new file mode 100644
index 0000000..6a5af4c
Binary files /dev/null and b/tests/faces/图片_20260424170114_62_52.png differ
diff --git a/tests/test_consumption_tsv_log.py b/tests/test_consumption_tsv_log.py
index 9661bb8..dcb710d 100644
--- a/tests/test_consumption_tsv_log.py
+++ b/tests/test_consumption_tsv_log.py
@@ -11,6 +11,7 @@ from app.services.consumption_tsv_log import (
     append_consumption_log_summary,
     append_consumption_tsv_line,
     build_consumption_markdown,
+    build_pending_consumption_markdown,
     build_tsv_line,
     init_consumption_log_file,
     replace_pending_line_with_voice_resolution,
@@ -48,7 +49,7 @@ def test_build_tsv_line_matches_sample_shape(monkeypatch: pytest.MonkeyPatch) ->
         wall_end_epoch=w0 + 45.0,
     )
     parts = line.rstrip("\n").split("\t")
-    assert len(parts) == 9
+    assert len(parts) == 11
     assert parts[0] == "2237844"
     assert parts[1] == "一次性医用灭菌棉签"
     assert parts[2] == "1"
@@ -59,10 +60,12 @@ def test_build_tsv_line_matches_sample_shape(monkeypatch: pytest.MonkeyPatch) ->
         + _RANGE_SEP
         + "2024-01-01T00:00:45.000+00:00"
     )
-    assert parts[5] == "cls2"
-    assert parts[6] == "0.0003"
-    assert parts[7] == "cls3"
-    assert parts[8] == "0.0002"
+    assert parts[5] == "一次性医用灭菌棉签"
+    assert parts[6] == "0.9997"
+    assert parts[7] == "cls2"
+    assert parts[8] == "0.0003"
+    assert parts[9] == "cls3"
+    assert parts[10] == "0.0002"
 
 
 def test_resolve_consumption_item_id_uses_normalized_catalog_key() -> None:
@@ -78,6 +81,8 @@ def test_header_columns() -> None:
         "qty",
         "doctor_id",
         "timestamp",
+        "top1_name",
+        "top1_conf",
         "top2_name",
         "top2_conf",
         "top3_name",
@@ -101,7 +106,8 @@ def test_replace_pending_line_with_voice_resolution_rewrites_one_row(
     pending = (
         "pending:abc-123\t待确认\t1\tvision\t"
         "cam01@2024-01-01T00:00:00.000+00:00"
-        f"{_RANGE_SEP}2024-01-01T00:00:45.000+00:00\tx\t0.1\ty\t0.2\n"
+        f"{_RANGE_SEP}2024-01-01T00:00:45.000+00:00\t"
+        "一次性针头\t0.5000\tx\t0.1\ty\t0.2\n"
     )
     append_consumption_tsv_line("SURG01", pending)
     replace_pending_line_with_voice_resolution(
@@ -189,6 +195,7 @@ def test_build_consumption_markdown_top123_columns(monkeypatch: pytest.MonkeyPat
         wall_end_epoch=w0 + 45.0,
     )
     assert "| item_id |" in md and "| item_name |" in md and "| qty |" in md
+    assert "| 相对开录 |" in md
     assert "| top2 |" in md and "| top3 |" in md
     assert "2237844" in md
     assert "一次性医用灭菌棉签" in md
@@ -199,3 +206,33 @@ def test_build_consumption_markdown_top123_columns(monkeypatch: pytest.MonkeyPat
     assert "2024-01-01 00:00:00.000" in md and "2024-01-01 00:00:45.000" in md
     assert "cam01" in md and " · " in md and _RANGE_SEP in md
     assert "cam01@2024-01" not in md
+    assert "| DOCTOR_PLACEHOLDER | — |" in md
+
+
+def test_build_pending_consumption_markdown_top123(monkeypatch: pytest.MonkeyPatch) -> None:
+    monkeypatch.setattr(bp, "CONSUMPTION_LOG_TIMEZONE", "UTC")
+    snap = ClsTop3(
+        t1_name="输液器A",
+        t1_conf=0.88,
+        t2_name="候选二",
+        t2_conf=0.07,
+        t3_name="候选三",
+        t3_conf=0.02,
+        t1_pid="",
+        t2_pid="",
+        t3_pid="",
+    )
+    w0 = 1704067200.0
+    md = build_pending_consumption_markdown(
+        confirmation_id="cid-1",
+        model_snap=snap,
+        doctor_id="vision",
+        camera_id="or-cam-01",
+        wall_start_epoch=w0,
+        wall_end_epoch=w0 + 15.0,
+        since_recording_start="0分15秒",
+    )
+    assert "| top1 | top2 | top3 |" in md
+    assert "输液器A (0.8800)" in md
+    assert "候选二 (0.0700)" in md
+    assert "候选三 (0.0200)" in md