diff --git a/src/Shentun.Peis.Application/PatientRegisters/PatientRegisterAppService.cs b/src/Shentun.Peis.Application/PatientRegisters/PatientRegisterAppService.cs
index ff04dab..7edde26 100644
--- a/src/Shentun.Peis.Application/PatientRegisters/PatientRegisterAppService.cs
+++ b/src/Shentun.Peis.Application/PatientRegisters/PatientRegisterAppService.cs
@@ -2009,9 +2009,9 @@ namespace Shentun.Peis.PatientRegisters
         /// <param name="id"></param>
         /// <returns></returns>
         [HttpPost("api/app/PatientRegister/DeleteById")]
-        public  async Task DeleteByIdAsync(PatientRegisterIdInputDto input)
+        public async Task DeleteByIdAsync(PatientRegisterIdInputDto input)
         {
-            if(input == null)
+            if (input == null)
             {
                 throw new UserFriendlyException("input参数不能为空");
             }
@@ -2436,15 +2436,21 @@ namespace Shentun.Peis.PatientRegisters
 
             if (!string.IsNullOrWhiteSpace(input.IdNo))
             {
-                patient = await _patientRepository.FindAsync(o => o.IdNo == input.IdNo);
-                if (patient.DisplayName != input.PatientName)
+                var patientList = await _patientRepository.GetListAsync(o => o.IdNo == input.IdNo);
+                if (patientList.Count > 0)
                 {
-                    throw new UserFriendlyException("系统中已有该身份证号的不同姓名人员");
+                    if (patientList.Where(m => m.DisplayName == input.PatientName).Count() == 0)
+                        throw new UserFriendlyException("系统中已有该身份证号的不同姓名人员");
+                    else
+                    {
+                        patient = patientList.FirstOrDefault(f => f.DisplayName == input.PatientName);
+                    }
                 }
+
             }
             if (!string.IsNullOrWhiteSpace(input.PatientNo))
             {
-                patient = await _patientRepository.GetAsync(o => o.PatientNo == input.PatientNo);
+                patient = await _patientRepository.FirstOrDefaultAsync(o => o.PatientNo == input.PatientNo);
                 if (patient.DisplayName != input.PatientName)
                 {
                     throw new UserFriendlyException("系统中已有该档案号的不同姓名人员");
@@ -2541,7 +2547,7 @@ namespace Shentun.Peis.PatientRegisters
                 throw new UserFriendlyException("input参数不能为空");
             }
             var thirdInterfaces = await _thirdInterfaceRepository.GetListAsync(o => o.ThirdInterfaceType == ThirdInterfaceTypeFlag.ImportPatientRegister);
-            foreach(var thirdInterface in thirdInterfaces)
+            foreach (var thirdInterface in thirdInterfaces)
             {
                 if (thirdInterface.IsActive != 'Y')
                 {
@@ -2552,19 +2558,19 @@ namespace Shentun.Peis.PatientRegisters
                    .AddJsonStream(new MemoryStream(System.Text.Encoding.UTF8.GetBytes(parmValue)));
                 var config = configurationBuilder.Build();
                 var customerOrgIdStr = config.GetSection("Interface").GetSection("CustomerOrgId").Value;
-                if(!Guid.TryParse(customerOrgIdStr,out var customerOrgId))
+                if (!Guid.TryParse(customerOrgIdStr, out var customerOrgId))
                 {
                     throw new UserFriendlyException("接口配置中的CustomerOrgId无法解析成GUID");
                 }
                 var customerOrgRegister = (await _customerOrgRegisterRepository.GetQueryableAsync())
                     .Where(o => o.Id == input.CustomerOrgRegisterId).First();
-                if(customerOrgRegister.CustomerOrgId != customerOrgId)
+                if (customerOrgRegister.CustomerOrgId != customerOrgId)
                 {
                     continue;
                 }
 
                 object[] objects = [input.CustomerOrgRegisterId];
-                
+
                 var assemblyName = config.GetSection("Interface").GetSection("AssemblyName").Value;
                 var className = config.GetSection("Interface").GetSection("ClassName").Value;
 
@@ -2573,7 +2579,7 @@ namespace Shentun.Peis.PatientRegisters
                 return pluginsOut;
             }
             return null;
-           
+
         }
         [HttpPost("api/app/patientregister/GetSameNamePatient")]
         public async Task<List<GetSameNamePatientDto>> GetSameNamePatientAsync(GetSameNamePatientInputDto getSameNamePatientInputDto)