diff --git a/src/Shentun.Peis.Application/ImportLisResults/ImportLisResultAppService.cs b/src/Shentun.Peis.Application/ImportLisResults/ImportLisResultAppService.cs
index cb53869..310b283 100644
--- a/src/Shentun.Peis.Application/ImportLisResults/ImportLisResultAppService.cs
+++ b/src/Shentun.Peis.Application/ImportLisResults/ImportLisResultAppService.cs
@@ -321,7 +321,6 @@ namespace Shentun.Peis.ImportLisResults
 
             }
         }
-
         /// <summary>
         /// 根据lis传过来的参考范围更新体检系统的值
         /// </summary>
@@ -329,8 +328,9 @@ namespace Shentun.Peis.ImportLisResults
         /// <param name="sexId"></param>
         /// <param name="age"></param>
         /// <param name="referenceRangeValue"></param>
+        /// <param name="criticalRangeValue"></param>
         /// <returns></returns>
-        private async Task UpdateItemReferenceRangeValueAsync(Guid itemId, char sexId, int? age, string referenceRangeValue)
+        private async Task UpdateItemReferenceRangeValueAsync(Guid itemId, char sexId, int? age, string referenceRangeValue, string criticalRangeValue)
         {
             var referenceRanges = _referenceRanges.Where(o => o.ItemId == itemId).ToList();
             if (age == null) age = 30;
@@ -353,6 +353,11 @@ namespace Shentun.Peis.ImportLisResults
                 {
                     referenceRange.ReferenceRangeTypeFlag = ItemReferenceRangeTypeFlag.Number;
                     referenceRange.ReferenceRangeValue = referenceRangeValue;
+                    if (!string.IsNullOrWhiteSpace(criticalRangeValue))
+                    {
+                        referenceRange.CriticalRangeValue = criticalRangeValue;
+                        referenceRange.FollowUpRangeValue = criticalRangeValue;
+                    }
                     await _referenceRangeRepository.UpdateAsync(referenceRange);
                     return;
                 }
@@ -364,6 +369,11 @@ namespace Shentun.Peis.ImportLisResults
                 {
                     referenceRange.ReferenceRangeTypeFlag = ItemReferenceRangeTypeFlag.Number;
                     referenceRange.ReferenceRangeValue = referenceRangeValue;
+                    if (!string.IsNullOrWhiteSpace(criticalRangeValue))
+                    {
+                        referenceRange.CriticalRangeValue = criticalRangeValue;
+                        referenceRange.FollowUpRangeValue = criticalRangeValue;
+                    }
                     await _referenceRangeRepository.UpdateAsync(referenceRange);
                     return;
                 }
@@ -374,6 +384,7 @@ namespace Shentun.Peis.ImportLisResults
                     AgeUpperLimit = 200,
                     ReferenceRangeTypeFlag = ItemReferenceRangeTypeFlag.Number,
                     ReferenceRangeValue = referenceRangeValue,
+                    CriticalRangeValue = criticalRangeValue,
                     ForSexId = ForSexFlag.All
                 };
                 referenceRange = _referenceRangeManager.Create(referenceRange);