diff --git a/src/Shentun.Peis.Application/CCTJExportDatas/CCTJExportDataAppService.cs b/src/Shentun.Peis.Application/CCTJExportDatas/CCTJExportDataAppService.cs
index 00f91bc..1abc198 100644
--- a/src/Shentun.Peis.Application/CCTJExportDatas/CCTJExportDataAppService.cs
+++ b/src/Shentun.Peis.Application/CCTJExportDatas/CCTJExportDataAppService.cs
@@ -32,6 +32,7 @@ using System.Text;
 using System.Threading.Tasks;
 using Volo.Abp;
 using Volo.Abp.Application.Services;
+using Volo.Abp.Auditing;
 using Volo.Abp.Caching;
 using Volo.Abp.Data;
 using Volo.Abp.Domain.Entities;
@@ -172,6 +173,8 @@ namespace Shentun.Peis.CCTJExportDatas
         private readonly IRepository<Room, Guid> _roomRepository;
         private readonly IRepository<RoomDetail> _roomDetailRepository;
         private readonly IRepository<UserItemType> _userItemTypeRepository;
+        private readonly IDataFilter _dataFilter;
+
         public CCTJExportDataAppService(
             UnitOfWorkManager unitOfWorkManager,
             IRepository<DeviceType, Guid> deviceTypeRepository,
@@ -248,7 +251,8 @@ namespace Shentun.Peis.CCTJExportDatas
             IRepository<CommonTable, Guid> commonTableRepository,
             IRepository<Room, Guid> roomRepository,
             IRepository<RoomDetail> roomDetailRepository,
-            IRepository<UserItemType> userItemTypeRepository)
+            IRepository<UserItemType> userItemTypeRepository,
+            IDataFilter dataFilter)
         {
             _unitOfWorkManager = unitOfWorkManager;
             _deviceTypeRepository = deviceTypeRepository;
@@ -326,6 +330,7 @@ namespace Shentun.Peis.CCTJExportDatas
             _roomRepository = roomRepository;
             _roomDetailRepository = roomDetailRepository;
             _userItemTypeRepository = userItemTypeRepository;
+            _dataFilter = dataFilter;
         }
 
 
@@ -3147,7 +3152,7 @@ namespace Shentun.Peis.CCTJExportDatas
                             }
                         }
 
-                       // Guid autoPatientId = GuidGenerator.Create();  //档案ID
+                        // Guid autoPatientId = GuidGenerator.Create();  //档案ID
                         Guid autoPatientId = StringConvertGuidHelper.GenerateURLUUID(row["patient_id"].ToString());
 
                         var dataPatient = new Patient(autoPatientId)
@@ -3354,7 +3359,31 @@ namespace Shentun.Peis.CCTJExportDatas
                         SummaryDoctorId = summaryDoctorId,
                         ThirdInfo = row["third_info"].ToString(),
                     };
-                    await _patientRegisterRepository.InsertAsync(data, true);
+
+
+                    #region 修改创建者日期跟id
+                    Guid registerDoctorId = Guid.Parse(_configuration.GetValue<string>("AdminId"));
+                    var registerDoctorEnt = userList.Where(m => m.Name == row["register_doctor"].ToString().Trim()
+                        || m.Surname == row["register_doctor"].ToString().Trim()
+                        || m.UserName == row["register_doctor"].ToString().Trim()).FirstOrDefault();
+                    if (registerDoctorEnt != null)
+                    {
+                        registerDoctorId = registerDoctorEnt.Id;
+                    }
+
+                    data.UpdateCreatorId(registerDoctorId);
+                    data.UpdateCreationTime(Convert.ToDateTime(row["register_date"]));
+
+                    #endregion
+
+
+                    // 关键：临时禁用审计过滤器
+                    using (_dataFilter.Disable<IAuditedObject>())
+                    {
+                        await _patientRegisterRepository.InsertAsync(data, true);
+                    }
+
+                    //await _patientRegisterRepository.InsertAsync(data, true);
 
                     //stopwatch31.Stop();
                     //_logger.LogInformation($"{row["patient_register_id"]}_第31片段耗时：{stopwatch31.ElapsedMilliseconds}");
@@ -3782,18 +3811,18 @@ namespace Shentun.Peis.CCTJExportDatas
                     await uow.CompleteAsync();
 
 
-                    #region 修改创建者日期跟id
-                    Guid registerDoctorId = Guid.Parse(_configuration.GetValue<string>("AdminId"));
-                    var registerDoctorEnt = userList.Where(m => m.Name == row["register_doctor"].ToString().Trim()).FirstOrDefault();
-                    if (registerDoctorEnt != null)
-                    {
-                        registerDoctorId = registerDoctorEnt.Id;
-                    }
-                    string sql_update = $"update patient_register set creator_id='{registerDoctorId}',creation_time='{Convert.ToDateTime(row["register_date"]).ToString("yyyy-MM-dd HH:mm:ss")}'";
-                    sql_update += $" where id='{patientRegisterId}' ";
-                    await newDb.Ado.ExecuteCommandAsync(sql_update);
-                    #endregion
-                    ;
+                    //#region 修改创建者日期跟id
+                    //Guid registerDoctorId = Guid.Parse(_configuration.GetValue<string>("AdminId"));
+                    //var registerDoctorEnt = userList.Where(m => m.Name == row["register_doctor"].ToString().Trim()).FirstOrDefault();
+                    //if (registerDoctorEnt != null)
+                    //{
+                    //    registerDoctorId = registerDoctorEnt.Id;
+                    //}
+                    //string sql_update = $"update patient_register set creator_id='{registerDoctorId}',creation_time='{Convert.ToDateTime(row["register_date"]).ToString("yyyy-MM-dd HH:mm:ss")}'";
+                    //sql_update += $" where id='{patientRegisterId}' ";
+                    //await newDb.Ado.ExecuteCommandAsync(sql_update);
+                    //#endregion
+
                 }
                 stopwatch3.Stop();
                 _logger.LogInformation($"{row["patient_register_id"]}_处理单个人总耗时：{stopwatch3.ElapsedMilliseconds}");
diff --git a/src/Shentun.Peis.Domain/ItemTypes/ItemTypeManager.cs b/src/Shentun.Peis.Domain/ItemTypes/ItemTypeManager.cs
index 616fd34..710b806 100644
--- a/src/Shentun.Peis.Domain/ItemTypes/ItemTypeManager.cs
+++ b/src/Shentun.Peis.Domain/ItemTypes/ItemTypeManager.cs
@@ -229,12 +229,19 @@ namespace Shentun.Peis.ItemTypes
 
             if (itemTypeId != Guid.Empty)
             {
-                var itemTypeParent = await _repository.FirstOrDefaultAsync(m => m.Id == itemTypeId);
-                itmeTypeIds = (await _repository.GetListAsync(m => !string.IsNullOrEmpty(m.PathCode)
-              && !string.IsNullOrEmpty(itemTypeParent.PathCode)
-              && m.PathCode.Contains(itemTypeParent.PathCode))).Select(s => s.Id).ToList();
-
                 itmeTypeIds.Add(itemTypeId);
+                List<ItemType> newItemTypeList = new List<ItemType>();
+
+                var itemTypeList = (await _repository.GetQueryableAsync()).OrderBy(o => o.DisplayOrder).ToList();
+                GetChildItemType(itemTypeList, itemTypeId, newItemTypeList);
+                itmeTypeIds.AddRange(newItemTypeList.Select(s => s.Id).ToList());
+
+                //  var itemTypeParent = await _repository.FirstOrDefaultAsync(m => m.Id == itemTypeId);
+                //  itmeTypeIds = (await _repository.GetListAsync(m => !string.IsNullOrEmpty(m.PathCode)
+                //&& !string.IsNullOrEmpty(itemTypeParent.PathCode)
+                //&& m.PathCode.Contains(itemTypeParent.PathCode))).Select(s => s.Id).ToList();
+
+                //  itmeTypeIds.Add(itemTypeId);
             }
 
             return itmeTypeIds;
diff --git a/src/Shentun.Peis.Domain/PatientRegisters/PatientRegister.cs b/src/Shentun.Peis.Domain/PatientRegisters/PatientRegister.cs
index 70d85fa..e81b8f0 100644
--- a/src/Shentun.Peis.Domain/PatientRegisters/PatientRegister.cs
+++ b/src/Shentun.Peis.Domain/PatientRegisters/PatientRegister.cs
@@ -360,6 +360,21 @@ namespace Shentun.Peis.Models
         }
 
 
+        public void UpdateLastModifierId(Guid id)
+        {
+            LastModifierId = id;
+        }
+
+        public void UpdateCreationTime(DateTime dateTime)
+        {
+            CreationTime = dateTime;
+        }
+
+        public void UpdateLastModificationTime(DateTime dateTime)
+        {
+            LastModificationTime = dateTime;
+        }
+
         //[Column("concurrency_stamp")]
         //[StringLength(40)]
         //public string ConcurrencyStamp { get; set; } = null!;