diff --git a/apps/api/src/services/decision_manager.py b/apps/api/src/services/decision_manager.py
index 4f0c0143..970c36b6 100644
--- a/apps/api/src/services/decision_manager.py
+++ b/apps/api/src/services/decision_manager.py
@@ -59,6 +59,18 @@ async def _push_decision_to_telegram(
             get_telegram_gateway,
         )
 
+        # 2026-03-26 修復: 防止重複發送 Telegram (每 incident 10 分鐘只發一次)
+        redis_client = get_redis()
+        dedup_key = f"telegram_sent:{incident.incident_id}"
+        already_sent = await redis_client.get(dedup_key)
+        if already_sent:
+            logger.debug(
+                "telegram_push_skipped_dedup",
+                incident_id=incident.incident_id,
+                reason="Already sent within 10 minutes",
+            )
+            return
+
         # 檢查是否有設定 Bot Token
         if not settings.OPENCLAW_TG_BOT_TOKEN:
             logger.debug(
@@ -79,8 +91,8 @@ async def _push_decision_to_telegram(
         confidence = proposal_data.get("confidence", 0.75)
         source = proposal_data.get("source", "unknown")
 
-        # 建立 approval_id (使用 incident_id 作為追蹤)
-        approval_id = f"INC-{incident.incident_id}"
+        # 2026-03-26 修復: incident_id 已有 INC- 前綴，不要再加
+        approval_id = incident.incident_id
 
         await gateway.send_approval_card(
             approval_id=approval_id,
@@ -94,6 +106,9 @@ async def _push_decision_to_telegram(
             namespace=incident.signals[0].labels.get("namespace", "default") if incident.signals else "default",
         )
 
+        # 2026-03-26 修復: 標記已發送，10 分鐘內不再發送
+        await redis_client.set(dedup_key, "1", ex=600)
+
         logger.info(
             "telegram_decision_pushed",
             incident_id=incident.incident_id,