diff --git a/src/Shentun.Peis.Application/PatientRegisters/PatientRegisterAppService.cs b/src/Shentun.Peis.Application/PatientRegisters/PatientRegisterAppService.cs
index c63bb80..64fa3b1 100644
--- a/src/Shentun.Peis.Application/PatientRegisters/PatientRegisterAppService.cs
+++ b/src/Shentun.Peis.Application/PatientRegisters/PatientRegisterAppService.cs
@@ -270,7 +270,7 @@ namespace Shentun.Peis.PatientRegisters
                 entlist = entlist.Where(m => m.PatientRegisterNo == input.PatientRegisterNo);
 
             if (input.SexId != null)
-                if (input.SexId.ToString() != Enum.GetName(typeof(ForSexEnum), ForSexEnum.A))
+                if (input.SexId.ToString() != ForSexFlag.All)
                     entlist = entlist.Where(m => m.SexId == input.SexId);
 
             if (!string.IsNullOrEmpty(input.StartDate) && !string.IsNullOrEmpty(input.EndDate))
@@ -603,7 +603,7 @@ namespace Shentun.Peis.PatientRegisters
         /// <returns></returns>
         public override async Task DeleteAsync(Guid id)
         {
-            await _manager.CheckAndDeleteAsync(id);
+            await _manager.CheckDeleteAsync(id);
         }
 
 
@@ -623,7 +623,7 @@ namespace Shentun.Peis.PatientRegisters
                 {
                     foreach (var ent in entlist)
                     {
-                        await _manager.CheckAndDeleteAsync(ent.Id);
+                        await _manager.CheckDeleteAsync(ent.Id);
                     }
                 }
 
diff --git a/src/Shentun.Peis.Domain.Shared/Enums/ForSexEnum.cs b/src/Shentun.Peis.Domain.Shared/Enums/ForSexFlag.cs
similarity index 76%
rename from src/Shentun.Peis.Domain.Shared/Enums/ForSexEnum.cs
rename to src/Shentun.Peis.Domain.Shared/Enums/ForSexFlag.cs
index b43d2cc..3bfd1ce 100644
--- a/src/Shentun.Peis.Domain.Shared/Enums/ForSexEnum.cs
+++ b/src/Shentun.Peis.Domain.Shared/Enums/ForSexFlag.cs
@@ -8,22 +8,22 @@ namespace Shentun.Peis.Enums
     /// <summary>
     /// 适用性别枚举  M-男，F-女,A-全部
     /// </summary>
-    public enum ForSexEnum
+    public static class ForSexFlag
     {
         /// <summary>
         /// 男
         /// </summary>
         [Description("男")]
-        M,
+        public const string Male = "M";
         /// <summary>
         /// 女
         /// </summary>
         [Description("女")]
-        F,
+        public const string Female = "F";
         /// <summary>
         /// 全部
         /// </summary>
         [Description("全部")]
-        A
+        public const string All = "A";
     }
 }
diff --git a/src/Shentun.Peis.Domain.Shared/Enums/ResultStatusEnum.cs b/src/Shentun.Peis.Domain.Shared/Enums/ResultStatusEnum.cs
index a26cec0..b1ba107 100644
--- a/src/Shentun.Peis.Domain.Shared/Enums/ResultStatusEnum.cs
+++ b/src/Shentun.Peis.Domain.Shared/Enums/ResultStatusEnum.cs
@@ -9,14 +9,15 @@ namespace Shentun.Peis.Enums
     /// </summary>
     public static class ResultStatusEnum
     {
-        public const string 正常 = "01";
-        public const string 错误 = "02";
-        public const string 阴性 = "03";
-        public const string 阳性 = "04";
-        public const string 弱阳性 = "05";
-        public const string 偏低 = "06";
-        public const string 偏高 = "07";
-        public const string 警告下限 = "08";
-        public const string 警告上限 = "09";
+        public const string Normal = "01";
+        public const string Error = "02";
+        public const string Negative = "03";
+        public const string Positive = "04";
+        public const string WeakPositive = "05";
+        public const string Low = "06";
+        public const string High = "07";
+        public const string CriticalValueLowerLimit = "08";
+        public const string CriticalValueUpperLimit = "09";
+        public const string CriticalValue = "10";
     }
 }
diff --git a/src/Shentun.Peis.Domain.Shared/Enums/SexEnum.cs b/src/Shentun.Peis.Domain.Shared/Enums/SexFlag.cs
similarity index 76%
rename from src/Shentun.Peis.Domain.Shared/Enums/SexEnum.cs
rename to src/Shentun.Peis.Domain.Shared/Enums/SexFlag.cs
index 0e9a864..24ca0a5 100644
--- a/src/Shentun.Peis.Domain.Shared/Enums/SexEnum.cs
+++ b/src/Shentun.Peis.Domain.Shared/Enums/SexFlag.cs
@@ -8,22 +8,22 @@ namespace Shentun.Peis.Enums
     /// <summary>
     /// 性别枚举 M-男，F-女,U-未知
     /// </summary>
-    public enum SexEnum
+    public static class SexFlag
     {
         /// <summary>
         /// 男
         /// </summary>
         [Description("男")]
-        M,
+        public const string Male = "M";
         /// <summary>
         /// 女
         /// </summary>
         [Description("女")]
-        F,
+        public const string Female = "F";
         /// <summary>
         /// 未知
         /// </summary>
         [Description("未知")]
-        U
+        public const string UnKnown = "U";
     }
 }
diff --git a/src/Shentun.Peis.Domain/AsbitemGuides/AsbitemGuideManager.cs b/src/Shentun.Peis.Domain/AsbitemGuides/AsbitemGuideManager.cs
index 4732ea2..ff5a274 100644
--- a/src/Shentun.Peis.Domain/AsbitemGuides/AsbitemGuideManager.cs
+++ b/src/Shentun.Peis.Domain/AsbitemGuides/AsbitemGuideManager.cs
@@ -30,10 +30,10 @@ namespace Shentun.Peis.AsbitemGuides
         {
             //以体检中心跟组合项目去查
             var entlist = _asbitemGuideRepository.GetListAsync(m => m.OrganizationUnitId == OrOrganizationUnitId && m.AsbitemId == AsbitemId).Result;
-            if (Enum.GetName(typeof(SexEnum), SexEnum.U) == SexId.ToString())
+            if (SexFlag.UnKnown == SexId.ToString())
             {
                 //判断是否为未知、未知去找适用性别为全部的
-                entlist = entlist.Where(m => m.ForSexId.ToString() == Enum.GetName(typeof(ForSexEnum), ForSexEnum.A)).ToList();
+                entlist = entlist.Where(m => m.ForSexId.ToString() == ForSexFlag.All).ToList();
             }
             else
             {
@@ -41,7 +41,7 @@ namespace Shentun.Peis.AsbitemGuides
                 if (!entlist.Any())
                 {
                     //找不到直接匹配的 去找全部的匹配数据
-                    entlist = entlist.Where(m => m.ForSexId.ToString() == Enum.GetName(typeof(ForSexEnum), ForSexEnum.A)).ToList();
+                    entlist = entlist.Where(m => m.ForSexId.ToString() == ForSexFlag.All).ToList();
                 }
             }
 
@@ -54,8 +54,5 @@ namespace Shentun.Peis.AsbitemGuides
                 return "";
             }
         }
-
-        
-
     }
 }
diff --git a/src/Shentun.Peis.EntityFrameworkCore/SumSummaryReports/SumSummaryReportRepository.cs b/src/Shentun.Peis.EntityFrameworkCore/SumSummaryReports/SumSummaryReportRepository.cs
index 6b509e5..e7f702d 100644
--- a/src/Shentun.Peis.EntityFrameworkCore/SumSummaryReports/SumSummaryReportRepository.cs
+++ b/src/Shentun.Peis.EntityFrameworkCore/SumSummaryReports/SumSummaryReportRepository.cs
@@ -86,7 +86,7 @@ namespace Shentun.Peis.SumSummaryReports
                     //数字型
                     if (SexId != null && Age != null)
                     {
-                        ReferenceRangeList = ReferenceRangeList.Where(m => (m.ForSexId == SexId || m.ForSexId.ToString() == Enum.GetName(typeof(ForSexEnum), ForSexEnum.A))
+                        ReferenceRangeList = ReferenceRangeList.Where(m => (m.ForSexId == SexId || m.ForSexId.ToString() == Enum.GetName(typeof(ForSexFlag), ForSexFlag.All))
                         && m.AgeLowerLimit <= Age && m.AgeUpperLimit >= Age).ToList();  //查询性别跟年龄（性别增加全部）
 
                         msg = ReferenceRangeList.Any() ? ReferenceRangeList.First().ReferenceRangeValue : "";