diff --git a/src/Shentun.Peis.Application/PatientRegisters/PatientRegisterAppService.cs b/src/Shentun.Peis.Application/PatientRegisters/PatientRegisterAppService.cs
index db91f175..5649719c 100644
--- a/src/Shentun.Peis.Application/PatientRegisters/PatientRegisterAppService.cs
+++ b/src/Shentun.Peis.Application/PatientRegisters/PatientRegisterAppService.cs
@@ -3476,6 +3476,8 @@ namespace Shentun.Peis.PatientRegisters
                     throw new UserFriendlyException("系统中已有该档案号的不同姓名人员");
                 }
             }
+
+            
             if (patient == null)
             {
                 patient = await _patientManager.CreateAsync(updatePatientEntity);
@@ -3483,7 +3485,60 @@ namespace Shentun.Peis.PatientRegisters
             }
             else
             {
-                await _patientManager.UpdateAsync(updatePatientEntity, patient);
+                Patient newUpdatePatientEntity = patient;
+                #region 有档案时，导入的信息空的情况，使用档案的信息
+
+                if (!string.IsNullOrWhiteSpace(input.PatientName))
+                {
+                    newUpdatePatientEntity.DisplayName = input.PatientName;
+                }
+                if (!string.IsNullOrWhiteSpace(input.MaritalStatusName))
+                {
+                    newUpdatePatientEntity.MaritalStatusId = await GetMaritalStatusIdByName(input.MaritalStatusName);
+                }
+                if (!string.IsNullOrWhiteSpace(input.Address))
+                {
+                    newUpdatePatientEntity.Address = input.Address;
+                }
+                if (!string.IsNullOrWhiteSpace(input.BirthDate))
+                {
+                    newUpdatePatientEntity.BirthDate = GetBirthDateByString(input.BirthDate);
+                }
+                if (!string.IsNullOrWhiteSpace(input.BirthPlaceName))
+                {
+                    newUpdatePatientEntity.BirthPlaceId = await GetBirthPlaceIdByName(input.BirthPlaceName);
+                }
+                if (!string.IsNullOrWhiteSpace(input.Email))
+                {
+                    newUpdatePatientEntity.Email = input.Email;
+                }
+                if (!string.IsNullOrWhiteSpace(input.IdNo))
+                {
+                    newUpdatePatientEntity.IdNo = input.IdNo;
+                }
+                if (!string.IsNullOrWhiteSpace(input.MobileTelephone))
+                {
+                    newUpdatePatientEntity.MobileTelephone = input.MobileTelephone;
+                }
+                if (!string.IsNullOrWhiteSpace(input.NationName))
+                {
+                    newUpdatePatientEntity.NationId = await GetNationIdByName(input.NationName);
+                }
+                if (!string.IsNullOrWhiteSpace(input.PostalCode))
+                {
+                    newUpdatePatientEntity.PostalCode = input.PostalCode;
+                }
+                if (!string.IsNullOrWhiteSpace(input.Telephone))
+                {
+                    newUpdatePatientEntity.Telephone = input.Telephone;
+                }
+                if (!string.IsNullOrWhiteSpace(input.SexName))
+                {
+                    newUpdatePatientEntity.SexId = await GetSexIdByName(input.SexName);
+                }
+                #endregion
+
+                await _patientManager.UpdateAsync(newUpdatePatientEntity, patient);
                 await _patientRepository.UpdateAsync(patient, true);
             }
             Guid? customerOrgId = await GetCustomerOrgIdByName(input.CustomerOrgId, input.DepartmentName, input.IsAutoCreateDepartment);