diff --git a/src/Shentun.Peis.Application/OccupationalDiseaseReports/OccupationalDiseaseReportAppService.cs b/src/Shentun.Peis.Application/OccupationalDiseaseReports/OccupationalDiseaseReportAppService.cs
index f8a6400..0829a67 100644
--- a/src/Shentun.Peis.Application/OccupationalDiseaseReports/OccupationalDiseaseReportAppService.cs
+++ b/src/Shentun.Peis.Application/OccupationalDiseaseReports/OccupationalDiseaseReportAppService.cs
@@ -638,7 +638,7 @@ namespace Shentun.Peis.OccupationalDiseaseReports
                               IdNo = s.FirstOrDefault().idNo,
                               PatientName = s.Key.PatientName,
                               PatientRegisterNo = s.Key.PatientRegisterNo,
-                              UnCheckAsbitemName = string.Join("、", s.Select(ss => ss.asbitemName)),
+                              UnCheckAsbitemName = string.Join("、", s.Select(ss => ss.asbitemName).Distinct()),
                               Age = s.Key.Age == null ? "" : s.Key.Age.ToString(),
                               JobType = s.FirstOrDefault().jobType,
                               MedicalStartDate = DataHelper.ConversionDateShortToString(s.Key.MedicalStartDate),
@@ -661,7 +661,7 @@ namespace Shentun.Peis.OccupationalDiseaseReports
                        IdNo = s.FirstOrDefault().idNo,
                        PatientName = s.Key.PatientName,
                        PatientRegisterNo = s.Key.PatientRegisterNo,
-                       UnCheckAsbitemName = string.Join("、", s.Select(ss => ss.asbitemName)),
+                       UnCheckAsbitemName = string.Join("、", s.Select(ss => ss.asbitemName).Distinct()),
                        Age = s.Key.Age == null ? "" : s.Key.Age.ToString(),
                        JobType = s.FirstOrDefault().jobType,
                        MedicalStartDate = DataHelper.ConversionDateShortToString(s.Key.MedicalStartDate),