diff --git a/src/Shentun.Peis.Application/RegisterCheckItems/RegisterCheckItemAppService.cs b/src/Shentun.Peis.Application/RegisterCheckItems/RegisterCheckItemAppService.cs
index c38a2a3..f420021 100644
--- a/src/Shentun.Peis.Application/RegisterCheckItems/RegisterCheckItemAppService.cs
+++ b/src/Shentun.Peis.Application/RegisterCheckItems/RegisterCheckItemAppService.cs
@@ -444,20 +444,26 @@ namespace Shentun.Peis.RegisterCheckItems
                 }
                 else
                 {
-                    var registerCheckItemCount = await _registerCheckItemRepository.CountAsync(c => c.RegisterCheckId == input.RegisterCheckId && (c.IsFollowUp == 'Y' || c.IsCriticalValue == 'Y'));
-                    if (registerCheckItemCount == 0)
+                    //删除随访表记录  
+                    await _followUpAppService.DeleteByPatientRegisterId(new PatientRegisterIdInputDto
                     {
-                        //更新registerCheck
-                        registerCheckEnt.IsCriticalValue = registerCheckItemEnt.IsCriticalValue;
-                        registerCheckEnt.IsFollowUp= registerCheckItemEnt.IsFollowUp;
-                        await _registerCheckRepository.UpdateAsync(registerCheckEnt);
+                        PatientRegisterId = registerCheckEnt.PatientRegisterId
+                    });
 
-                        //删除随访表记录  
-                        await _followUpAppService.DeleteByPatientRegisterId(new PatientRegisterIdInputDto
-                        {
-                            PatientRegisterId = registerCheckEnt.PatientRegisterId
-                        });
-                    }
+                    //var registerCheckItemCount = await _registerCheckItemRepository.CountAsync(c => c.RegisterCheckId == input.RegisterCheckId && (c.IsFollowUp == 'Y' || c.IsCriticalValue == 'Y'));
+                    //if (registerCheckItemCount == 0)
+                    //{
+                    //    //更新registerCheck
+                    //    registerCheckEnt.IsCriticalValue = registerCheckItemEnt.IsCriticalValue;
+                    //    registerCheckEnt.IsFollowUp= registerCheckItemEnt.IsFollowUp;
+                    //    await _registerCheckRepository.UpdateAsync(registerCheckEnt);
+
+                    //    //删除随访表记录  
+                    //    await _followUpAppService.DeleteByPatientRegisterId(new PatientRegisterIdInputDto
+                    //    {
+                    //        PatientRegisterId = registerCheckEnt.PatientRegisterId
+                    //    });
+                    //}
                 }
 
             }
diff --git a/src/Shentun.Peis.Application/RegisterChecks/RegisterCheckAppService.cs b/src/Shentun.Peis.Application/RegisterChecks/RegisterCheckAppService.cs
index 4c36fac..8445d0f 100644
--- a/src/Shentun.Peis.Application/RegisterChecks/RegisterCheckAppService.cs
+++ b/src/Shentun.Peis.Application/RegisterChecks/RegisterCheckAppService.cs
@@ -737,16 +737,16 @@ namespace Shentun.Peis.RegisterChecks
             else
             {
 
-                #region 更新明细项目的危急值跟随访值状态
-                var registerCheckItemList = await _registerCheckItemRepository.GetListAsync(m => m.RegisterCheckId == input.RegisterCheckId);
-                foreach (var registerCheckItem in registerCheckItemList)
-                {
-                    registerCheckItem.IsCriticalValue = registerCheckEnt.IsCriticalValue;
-                    registerCheckItem.IsFollowUp = registerCheckEnt.IsFollowUp;
-                }
-
-                await _registerCheckItemRepository.UpdateManyAsync(registerCheckItemList); 
-                #endregion
+                //#region 更新明细项目的危急值跟随访值状态
+                //var registerCheckItemList = await _registerCheckItemRepository.GetListAsync(m => m.RegisterCheckId == input.RegisterCheckId);
+                //foreach (var registerCheckItem in registerCheckItemList)
+                //{
+                //    registerCheckItem.IsCriticalValue = registerCheckEnt.IsCriticalValue;
+                //    registerCheckItem.IsFollowUp = registerCheckEnt.IsFollowUp;
+                //}
+
+                //await _registerCheckItemRepository.UpdateManyAsync(registerCheckItemList); 
+                //#endregion
 
                 //删除随访表记录
                 await _followUpAppService.DeleteByPatientRegisterId(new PatientRegisterIdInputDto