diff --git a/src/Shentun.Peis.Application/PacsBusiness/PacsBusinessAppService.cs b/src/Shentun.Peis.Application/PacsBusiness/PacsBusinessAppService.cs
index 188e721..be3c6f5 100644
--- a/src/Shentun.Peis.Application/PacsBusiness/PacsBusinessAppService.cs
+++ b/src/Shentun.Peis.Application/PacsBusiness/PacsBusinessAppService.cs
@@ -353,7 +353,8 @@ namespace Shentun.Peis.PacsBusiness
                             asbitemName = asbitem.DisplayName,
                             asbitemId = registerCheckAsbitem.AsbitemId,
                             pacsCheckDate = registerCheck.PacsCheckDate,
-                            pacsUploadDate = registerCheck.PacsUploadDate
+                            pacsUploadDate = registerCheck.PacsUploadDate,
+                            registerCheckId = registerCheck.Id
                         };
 
             if (!string.IsNullOrWhiteSpace(input.PatientName))
@@ -424,7 +425,8 @@ namespace Shentun.Peis.PacsBusiness
                     AsbitemName = s.Key,
                     PatientName = s.FirstOrDefault().patientName,
                     PacsCheckDate = DataHelper.ConversionDateToString(s.FirstOrDefault().pacsCheckDate),
-                    PacsUploadDate = DataHelper.ConversionDateToString(s.FirstOrDefault().pacsUploadDate)
+                    PacsUploadDate = DataHelper.ConversionDateToString(s.FirstOrDefault().pacsUploadDate),
+                    RegisterCheckId = s.FirstOrDefault().registerCheckId
                 }).ToList();
 
             return new PagedResultDto<GetPatientRegisterPacsCheckDto>(totalCount, entListDto);
@@ -600,6 +602,15 @@ namespace Shentun.Peis.PacsBusiness
 
                 await _dicomFileDetailRepository.DeleteManyAsync(dicomFileDetailList);
 
+                //更新状态
+                var registerCheckEnt = await _registerCheckRepository.FirstOrDefaultAsync(f => f.Id == input.RegisterCheckId);
+                if (registerCheckEnt != null)
+                {
+                    registerCheckEnt.IsPacsCheck = 'N';
+                    registerCheckEnt.PacsCheckDate = null;
+                    registerCheckEnt.PacsUploadDate = null;
+                    await _registerCheckRepository.UpdateAsync(registerCheckEnt);
+                }
             }
         }