diff --git a/src/Shentun.Peis.Application/SumSummaryReports/SumSummaryReportAppService.cs b/src/Shentun.Peis.Application/SumSummaryReports/SumSummaryReportAppService.cs
index c08999bd..114fc406 100644
--- a/src/Shentun.Peis.Application/SumSummaryReports/SumSummaryReportAppService.cs
+++ b/src/Shentun.Peis.Application/SumSummaryReports/SumSummaryReportAppService.cs
@@ -474,9 +474,10 @@ namespace Shentun.Peis.SumSummaryReports
                             .ThenInclude(x => x.SumSummaryContents)
                             .Where(m => m.PatientId == patientRegisterEntity.PatientId
                             && m.SumSummaryHeaders.Count > 0
+                            && m.MedicalTimes < patientRegisterEntity.MedicalTimes
                             && m.CompleteFlag != PatientRegisterCompleteFlag.PreRegistration)
                             .OrderByDescending(m => m.MedicalTimes).ThenByDescending(m => m.MedicalStartDate)
-                            .ToList().Skip(1).Take(historySummaryYearsLimitInt);
+                            .ToList().Take(historySummaryYearsLimitInt);
 
                             if (entlist.Any())
                             {